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,Health Insurance Portability and Accountability Act - HIPAA
- Provides the ability to transfer and continue health insurance coverage for millions of
American workers and families when they change or lose jobs
- reduces Health care fraud and abuse
- Mandatory Industry Wide standards for health care information and electronic billing
processes
- requires the protections and confidential handling of protected health information
Omnibus Budget Reconciliation Act OBRA
- Allowed Workers and Families to keep their group coverage in cases of volentary or
involentary job loss
- in case of reduced hours worked
- job transitions
- give workers who lost their health benifits right to choose to continue plans under
certain circumstances
- required under businesses with 20+ employees
- applies to both government and private sector
- set period of time, maybe influenced by circumstances
OBRA 90 - placed regulations on how to interact with patients
- record keeping mandates, prospective drug reviews
- counseling obligations
- must review medicaid participants enire drug profile before prescribing medications
Medicaid - Social Health care program for families and individuals with low income + recources
- government insurance for people of all ages who can not afford sufficient health care
- varies from state to state --> joint funded between state and federal
- must be US citizens or legal permanent residents
-
Medicare - National Social Insurance Program
- administered by US government
- provides health insuracne for Americans aged 65+
- members must have worked and payed for the system
- provides health insurance for younger people with disabilities
-
,Disability - Form of Insurance that insures the beneficiaries income against the risk that disability
creates a barrier for a worker to complete the core functions of their work
- encompasses paid sick leave, short term disability benefits, and long term disability
benifits
-
U.S. Social Security Act - Social Welfare Legislation Act
- provides federal assistance to those who can not wotk
-
Combat Methamphetamine Epidemic Act - enacted to curb the growing problem of underground manufacture of illegal drugs
- regulates over the counter products that can be used to make drugs
- include daily sales limits and 30 day purchase limits
- places products out of easy reach
- sale logbooks
- customer ID verification
- training of employees and sellers
-
Sale of Ephedrin - sale is limited to behind the counter
- must present photo ID
- stores require to keep personal information on buyers for at least 2 years
- sales allowed in drive through lanes
U.S. Merck + co - An American pharmaceutical company
- one of the largest in the world
- publishes Merck Manuals --> a series of reference books for medical professionals
- Merck Index -->list of chemical compounds --> lost
Poison prevention Packaging Act PPPA
- requires use of child resistant packaging for prescription drugs, OTC, household
chemicals, and hazerdous materials
- some drugs are exempt from child proof packaging --> OTC drugs with the proper
labeling not for children and in big enough packages
, Kefauver - Harris Act - requires drug manufacturers to provide proof of their effectivness and safety before
approval
- requires drug advertisements to disclose side effects
- stopped cheap generic drugs from being marketed as more expensive drugs and
taking credit as breakthrough medications
Controlled Substances Act CSA
- federal US drug Policy
- manufacture, importation, possession, use and distribution of certain substances is
regulated
- created 5 classifications of schedules
- all controlled substances need to be inventoried Biannually
Schedule I Drugs - High Potential for abuse
- no potential medical use or treatment in US
- lack of accepted safety for use of drug under medical supervision
- No prescriptions may be written for drug
- Crimes involving drugs can be quite serious
Schedule II Drugs - Drugs have high potential for abuse
- Drugs have currently accepted medical uses, although there may be serious restrictions
- Abuse of drug may lead to severe psychological or physical dependence
- may not be used unless directly dispensed by a practitioner
- refills not allowed --> must write multiple prescriptions at once
- must be stored in a safe, while other schedules can be stored throughout pharmacy
Schedule III Drugs - has potential for abuse, but to a lesser degree than schedules I + II
- drug has an accepted medical treatment
- abuse of drug may lead to moderate or low physical dependency or high psychological
dependence
- may not be dispensed without a prescription
- may not be dispensed six months after prescription written
- may not be refilled more than 5 times
- may be prescribed orally or over phone
Schedule IV Drugs - low potential for abuse
- has currently accepted medical use
- abuse may lead to limited physical or psychological dependence
- can be refilled up to five times after 6 months written or orally