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HomeMy WebLinkAboutC.054.93009_0278 (2)time. They can save dollars this way. Originally they had budgeted a second speech therapist for three days a week, but they will not need this position. Instead, they hired a full-time person that was budgeted and will use contract speech therapy. in addition they are asking to increase their part-time nursing positions which are under 20 hrs. per week (no benefits) and budget what was 8 hrs. a week to a total of 32 hrs. a week. The current cost for this proposal (social worker & public health nurse pt - time) is about $21,519. If this is approved, Ms. Blaufuss stated that the health department would begin notifying Mrs. Blumen stein for further budget amendments. MOTION by Commissioner Madison to approve this request and make it Budget Amendment #12 for $21,519 which will be offset by additional home health patient fees. VOTING: Ayes - 4; Nays - 0. MANDATE REDUCTION RESOLUTION REQUEST: "HEALTH CARE - USE OF GENERIC DRUGS FOR MEDICAID RECIPIENTS." This request by the Gaston County Board of Commissioners was on the August 3 agenda. It was requested at that time that it be sent to the Board of Health for their comments. On September 9 they reviewed the resolution and recommended that the commissioners sign it and forward to the proper agencies. MOTION by Commissioner Madison to adopt the resolution. VOTING: Ayes - 4; Nays - 0. MANDATE REDUCTION REQUEST: HEALTH CARE - USE OF GENERIC DRUGS FOR MEDICAID RECIPIENTS WHEREAS, today our entire country, both private and public sectors, is being faced with ever increasing health care costs that adversely impact the taxpayer by having to continually pay for the increases to fund such programs as Medicaid; and, WHEREAS, the health care crisis was brought to light with one of the major emphasis of the new administration being to address this issue and determine ways to provide cost effective, quality health care for all citizens of the United States; and, WHEREAS, the President has formed the Health Care Reform Committee chaired by Hillary Rodham Clinton to present proposals to the President and Congress concerning health care reform; and WHEREAS, the Iredell County Board of Commissioners has spearheaded an effort to curtail government mandates and under current North Carolina law regulating Medicaid reimbursements (one of the largest government mandated programs) requiring that prescriptions for Medicaid participants be filled with a generic equivalent unless the physician writes in his own handwriting "dispense as written"; and, WHEREAS, generic drugs related to an average savings of 30% to 5o8 per prescription, which would produce significant savings in funding the Medicaid program; however this savings is not being realized by North Carolina due to the fact that some health care providers require that name brand drugs be used rather than its generic equivalent; and NOW, THEREFORE, BE IT RESOLVED by the Iredell County Board of commissiones that in an effort to reduce overall government cost and to assist North Carolina and Iredell County taxpayers to lessen the mandated burdens as related to Medicaid funding, the Board feels it fitting and proper to recommend to the National Health Care Reform Committee and to State of North Carolina: 1. Review current laws relating to dispensing of pharmaceutical items paid for by Medicaid funds and require that generic equivalent drugs (if available) be dispensed instead of the more expensive name brand drugs. SEP 11993 261