AB43,,8713 (a) “Brand name” has the meaning given in s. 450.12 (1) (a).

AB43,,8714 (b) “Brand name drug” means any of the following:

AB43,,8715 1. A prescription drug that contains a brand name and that has no generic equivalent.

AB43,,8716 2. A prescription drug that contains a brand name and has a generic equivalent but for which the enrollee has received prior authorization from the insurer offering the disability insurance policy or self-insured health plan or authorization from a physician to obtain the prescription drug under the disability insurance policy or self-insured health plan.

AB43,,8717 (c) “Disability insurance policy” has the meaning given in s. 632.895 (1) (a).

AB43,,8718 (d) “Prescription drug” has the meaning given in s. 450.01 (20).

AB43,,8719 (e) “Self-insured health plan” means a self-insured health plan of the state or a county, city, village, town, or school district.

AB43,,8720 (2) Application of discounts. A disability insurance policy that offers a prescription drug benefit or a self-insured health plan shall apply to any calculation of an out-of-pocket maximum amount and to any deductible of the disability insurance policy or self-insured health plan for an enrollee the amount that any discount provided by the manufacturer of a brand name drug reduces the cost sharing amount charged to the enrollee for that brand name drug.

AB43,3087 Section 3087. 632.863 of the statutes is created to read:

AB43,,8722 632.863 Pharmaceutical representatives. (1) Definitions. In this section:

AB43,,8723 (a) “Health care professional” means a physician or other health care practitioner who is licensed to provide health care services or to prescribe pharmaceutical or biologic products.

AB43,,8724 (b) “Pharmaceutical” means a medication that may legally be dispensed only with a valid prescription from a health care professional.

AB43,,8725 (c) “Pharmaceutical representative” means an individual who markets or promotes pharmaceuticals to health care professionals on behalf of a pharmaceutical manufacturer for compensation.

AB43,,8726 (2) Licensure. Beginning on the first day of the 12th month beginning after the effective date of this subsection .... [LRB inserts date], no individual may act as a pharmaceutical representative in this state without being licensed by the commissioner as a pharmaceutical representative under this section. In order to obtain a license, the individual shall apply to the commissioner in the form and manner prescribed by the commissioner. The term of a license issued under this subsection is one year and is renewable.

AB43,,8727 (3) Display of license. A pharmaceutical representative licensed under sub. (2) shall display the pharmaceutical representative’s license during each visit with a health care professional.

AB43,,8728 (4) Enforcement. (a) Any individual who violates this section shall be fined not less than $1,000 nor more than $3,000 for each offense. Each day of continued violation constitutes a separate offense.

AB43,,8729 (b) The commissioner may suspend or revoke the license of a pharmaceutical representative who violates this section. A suspended or revoked license may not be reinstated until the pharmaceutical representative remedies all violations related to the suspension or revocation and pays all assessed penalties and fees.

AB43,,8730 (5) Rules. The commissioner shall promulgate rules to implement this section, including rules that require pharmaceutical representatives to complete continuing educational coursework as a condition of licensure.

AB43,3088 Section 3088. 632.864 of the statutes is created to read:

AB43,,8732 632.864 Pharmacy services administrative organizations. (1) Definitions. In this section:

AB43,,8733 (a) “Administrative service” means any of the following:

AB43,,8734 1. Assisting with claims.

AB43,,8735 2. Assisting with audits.

AB43,,8736 3. Providing centralized payment.

AB43,,8737 4. Performing certification in a specialized care program.

AB43,,8738 5. Providing compliance support.

AB43,,8739 6. Setting flat fees for generic drugs.

AB43,,8740 7. Assisting with store layout.

AB43,,8741 8. Managing inventory.