Amendment SA1-SB203

SB203-SA1,1,1 At the locations indicated, amend the bill as follows:

SB203-SA1,1,3 1. Page 12, line 2: after “enrollee” insert “, any dispensing pharmacy, and the prescribing health care provider”.

SB203-SA1,1,4 2. Page 12, line 10: delete “only to” and substitute “only to for”.

SB203-SA1,1,5 3. Page 17, line 2: delete lines 2 and 3.

SB203-SA1,1,6 4. Page 18, line 6: delete lines 6 to 8 and substitute:

SB203-SA1,1,10 “a. The pharmacy acquisition cost of a pharmaceutical product increases by an amount that is 10 percent or more of the most recent national average drug acquisition cost published by the federal centers for medicare and medicaid services.”.

SB203-SA1,2,2 5. Page 18, line 13: after “cost list.” insert “For purposes of this subdivision, weekly notifications of updates to the maximum allowable cost list shall be considered prompt notification.”.

SB203-SA1,2,3 6. Page 19, line 3: delete “7 business days” and substitute “30 days”.

SB203-SA1,2,4 7. Page 21, line 5: delete lines 5 to 15.

SB203-SA1,2,5 8. Page 23, line 4: delete lines 4 to 7 and substitute:

SB203-SA1,2,13 “632.865 (4m) Prompt payment required. A pharmacy benefit manager shall remit payment for a claim to a pharmacy or pharmacist within 30 days from the day that the claim is received by the pharmacy benefit manager if the claim is submitted electronically to the pharmacy benefit manager by the pharmacy or pharmacist. A pharmacy benefit manager shall remit payment for a claim to a pharmacy or pharmacist within 60 days from the day that the claim is received by the pharmacy benefit manager if the claim is submitted by paper to the pharmacy benefit manager by the pharmacy or pharmacist.”.

SB203-SA1,2,14 9. Page 24, line 19: after that line insert:

SB203-SA1,2,17 “10. Require that a claim for a drug include any identification, billing modifier, attestation, or other indication that the drug is a 340B drug in order for the claim to be processed or reimbursed.”.

SB203-SA1,2,18 10. Page 25, line 22: after that line insert:

SB203-SA1,2,21 “(d) The pharmacy benefit manager may not condition participation in a network of pharmacies or pharmacists that operate in this state on participation in any other network of pharmacies or pharmacists.

SB203-SA1,3,2 (e) The pharmacy benefit manager may not penalize a pharmacy or pharmacist for declining to participate in any specific network of pharmacies or pharmacists.”.

SB203-SA1,3,3 11. Page 29, line 15: delete lines 15 to 17.

SB203-SA1,3,4 12. Page 30, line 1: delete “(2h),” and “(5h),”.

SB203-SA1,3,5 13. Page 30, line 4: delete “(2h),”.

SB203-SA1,3,6 14. Page 30, line 5: delete “(5h),”.

SB203-SA1,3,7 15. Page 30, line 19: after that line insert:

SB203-SA1,3,8 “(6) Regulation of pharmacy networks and individual choice.

SB203-SA1,3,12 (a) For policies and plans containing provisions inconsistent with the treatment of s. 632.865 (5h), that treatment first applies to policy or plan years beginning on January 1 of the year following the year in which the paragraph takes effect, except as provided in par. (b).

SB203-SA1,3,17 (b) For policies and plans that are affected by a collective bargaining agreement containing provisions inconsistent with the treatment of s. 632.865 (5h), that treatment first applies to policy or plan years beginning on the effective date of this paragraph or on the day on which the collective bargaining agreement is newly established, extended, modified, or renewed, whichever is later.”.

SB203-SA1,3,19 16. Page 30, line 20: delete “the day after” and substitute “the first day of the 3rd month beginning after”.

SB203-SA1,3,21 17. Page 31, line 1: delete “The treatment” and substitute “Section 37 (5) of this act and the treatment”.

SB203-SA1,3,22 18. Page 31, line 2: delete “takes” and substitute “take”.

SB203-SA1,4,1 19. Page 31, line 2: after that line insert:

SB203-SA1,4,4 “(2) Regulation of pharmacy networks and individual choice. Section 37 (6) of this act and the treatment of s. 632.865 (5h) take effect on the first day of the 7th month beginning after publication.”.

SB203-SA1,4,5 (end)