Providing Veterans Essential Medications Act
A BILL
To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to reimburse State homes for the cost of, or to furnish to State homes, certain costly medications provided to veterans who receive nursing home care in such State homes, and for other purposes.
Sec. 2 Reimbursement of a State home for high cost medications
“(B) In addition to payment described in subparagraph (A), the Secretary shall, at the election of a covered State home—
“(i) reimburse the covered State home for a costly medication; or
“(ii) furnish such costly medication to the covered State home.
“(C) In this paragraph:
“(i) The term “costly medication” means a drug or medicine for which the average wholesale price for one month’s supply, plus a 3 percent transaction fee, exceeds 8.5 percent of the payment under subparagraph (A) by the Secretary to a covered State home for care provided to the veteran who receives such costly medication during such month.
“(ii) The term “covered State home” means a State home that, in the course of nursing home care provided pursuant to a contract (or agreement) under paragraph (1), provides to a veteran a costly medication.”