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§ 3761-519. The Pharmaceutical Assistance Contract for the Elderly Needs Enhancement Tier

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 72 P.S. Taxation and Fiscal AffairsEffective: February 22, 2022

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 72 P.S. Taxation and Fiscal Affairs
Chapter 3. State Fiscal Affairs in General (Refs & Annos)
State Lottery Law (Refs & Annos)
Chapter 5. Pharmaceutical Assistance for the Elderly (Refs & Annos)
Subchapter B. Programs (Refs & Annos)
Effective: February 22, 2022
72 P.S. § 3761-519
§ 3761-519. The Pharmaceutical Assistance Contract for the Elderly Needs Enhancement Tier
Currentness
(a) Establishment.--There is hereby established within the department a program to be known as the Pharmaceutical Assistance Contract for the Elderly Needs Enhancement Tier (PACENET).
(b) PACENET eligibility.--A person with an annual income of not less than $14,500 and not more than $33,500 in the case of a single person and of not less than $17,700 and not more than $41,500 in the case of the combined income of persons married to each other shall be eligible for enhanced pharmaceutical assistance under this section. A person may, in reporting income to the department, round the amount of each source of income and the income total to the nearest whole dollar, whereby any amount which is less than 50¢ is eliminated.
(c) Deleted by 2006, July 7, P.L. 1061, No. 111, § 8, imd. effective.
(c.1) Premium.--In those instances in which a PACENET claimant is not enrolled in Part D pursuant to section 533,1 the claimant shall be required to pay a monthly premium equivalent to the regional benchmark premium for each month the claimant is dispensed a prescription drug. The claimant shall not be required to pay a monthly premium for any month the claimant is not dispensed a prescription drug.
(d) Copayment.--
(1) For claimants under this section, the copayment schedule shall be:
(i) eight dollars for noninnovator multiple source drugs as defined in section 702;2 or
(ii) fifteen dollars for single-source drugs and innovator multiple-source drugs as defined in section 702.
(2) The department shall annually calculate the copayment schedules based on the Prescription Drugs and Medical Supplies Consumer Price Index. When the aggregate impact of the Prescription Drugs and Medical Supplies Consumer Price Index equals or exceeds $1, the department shall adjust the copayment schedules. Each copayment schedule shall not be increased by more than $1 in a calendar year.

Credits

1971, Aug. 26, P.L. 351, No. 91, § 519, added 1996, Nov. 21, P.L. 741, No. 134, § 2, imd. effective. Amended 2003, Nov. 26, P.L. 212, No. 37, § 4, effective Jan. 1, 2004; 2006, July 7, P.L. 1061, No. 111, § 8, imd. effective; 2018, Oct. 23, P.L. 579, No. 87, § 3, imd. effective; 2021, Dec. 22, P.L. 454, No. 94, § 1, effective in 60 days [Feb. 22, 2022].

Footnotes

1
72 P.S. § 3761-533.
2
72 P.S. § 3761-702.
72 P.S. § 3761-519, PA ST 72 P.S. § 3761-519
Current through Act 13 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
End of Document