AB68,1540,109 1. The name, address, telephone number, and federal employer identification
10number of the applicant.
AB68,1540,1211 2. The name, business address, and telephone number of a contact person for
12the applicant.
AB68,1540,1313 3. The fee under s. 601.31 (1) (nw).
AB68,1540,1414 4. Evidence of financial responsibility of at least $1,000,000.
AB68,1540,1515 5. Any other information required by the commissioner.
AB68,1540,1716 (b) The term of a license issued under par. (a) shall be 2 years from the date of
17issuance.
AB68,1540,21 18(3) Disclosure to the commissioner. (a) A pharmacy services administrative
19organization shall disclose to the commissioner the extent of any ownership or
20control of the pharmacy services administrative organization by an entity that does
21any of the following:
AB68,1540,2222 1. Provides pharmacy services.
AB68,1540,2323 2. Provides prescription drug or device services.
AB68,1540,2524 3. Manufactures, sells, or distributes prescription drugs, biologicals, or medical
25devices.
AB68,1541,3
1(b) A pharmacy services administrative organization shall notify the
2commissioner in writing within 5 days of any material change in its ownership or
3control relating to an entity described in par. (a).
AB68,1541,4 4(4) Rules. The commissioner may promulgate rules to implement this section.
AB68,2959 5Section 2959 . 632.865 (1) (a) of the statutes is renumbered 632.865 (1) (aw).
AB68,2960 6Section 2960 . 632.865 (1) (ae) and (ak) of the statutes are created to read:
AB68,1541,77 632.865 (1) (ae) “Health benefit plan” has the meaning given in s. 632.745 (11).
AB68,1541,88 (ak) “Health care provider” has the meaning given in s. 146.81 (1).
AB68,2961 9Section 2961 . 632.865 (1) (c) of the statutes is renumbered 632.865 (1) (c)
10(intro.) and amended to read:
AB68,1541,1311 632.865 (1) (c) (intro.) “Pharmacy benefit manager" means an entity doing
12business in this state that contracts to administer or manage prescription drug
13benefits on behalf of any of the following:
AB68,1541,14 141. An insurer or other.
AB68,1541,16 153. Another entity that provides prescription drug benefits to residents of this
16state.
AB68,2962 17Section 2962 . 632.865 (1) (c) 2. of the statutes is created to read:
AB68,1541,1818 632.865 (1) (c) 2. A cooperative, as defined in s. 185.01 (2).
AB68,2963 19Section 2963 . 632.865 (1) (dm) of the statutes is created to read:
AB68,1541,2020 632.865 (1) (dm) “Prescription drug" has the meaning given in s. 450.01 (20).
AB68,2964 21Section 2964. 632.865 (2m) of the statutes is created to read:
AB68,1541,2522 632.865 (2m) Fiduciary duty and disclosures to health benefit plan
23sponsors
. (a) A pharmacy benefit manager owes a fiduciary duty to the health
24benefit plan sponsor to act according to the health benefit plan sponsor's instructions
25and in the best interests of the health benefit plan sponsor.
AB68,1542,3
1(b) A pharmacy benefit manager shall annually provide, no later than the date
2and using the method prescribed by the commissioner by rule, the health benefit plan
3sponsor all of the following information from the previous calendar year:
AB68,1542,54 1. The indirect profit received by the pharmacy benefit manager from owning
5any interest in a pharmacy or service provider.
AB68,1542,76 2. Any payment made by the pharmacy benefit manager to a consultant or
7broker who works on behalf of the health benefit plan sponsor.