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13(4) User fees. The commissioner shall impose a user fee, as authorized under
1445 CFR 155.160 (b) (1), on each insurer that offers a health plan through the
15state-based exchange on the federal platform or the state-based exchange without
16the federal platform. The user fee shall be applied at one of the following rates on
17the total monthly premiums charged by an insurer for each policy under the plan
18where enrollment is through the exchange:
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(a) For any plan year for which the commissioner operates a state-based
20exchange on the federal platform, the rate is 0.5 percent.
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(b) For the first 2 plan years for which the commissioner operates a state-based
22exchange without the federal platform, the rate is 3 percent.
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(c) Beginning with the 3rd plan year for which the commissioner operates a
24state-based exchange without the federal platform, the rate shall be set by the
25commissioner by rule.
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1(5) Rules. The commissioner may promulgate rules necessary to implement
2this section.
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3Section
2914. Subchapter VI (title) of chapter 601 [precedes 601.78] of the
4statutes is created to read:
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SUBCHAPTER VI
7
Prescription drug
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affordability review board
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9Section
2915. 601.78 of the statutes is created to read:
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10601.78 Definitions. In this subchapter:
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11(1) “Biologic” means a drug that is produced or distributed in accordance with
12a biologics license application approved under
21 CFR 601.20.
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13(2) “Biosimilar” means a drug that is produced or distributed in accordance
14with a biologics license application approved under
42 USC 262 (k) (3).
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15(3) “Board” means the prescription drug affordability review board established
16under s. 15.735 (1).
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17(4) “Brand name drug” means a drug that is produced or distributed in
18accordance with an original new drug application approved under
21 USC 355 (c),
19other than an authorized generic drug, as defined in
42 CFR 447.502.
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20(5) “Drug product” means a brand name drug, a generic drug, a biologic, a
21biosimilar, or an over-the-counter drug.
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22(6) “Financial benefit” includes an honoraria, fee, stock, the value of the stock
23holdings of a member of the board or any immediate family member, as defined in
24s. 97.605 (4) (a) 2., and any direct financial benefit deriving from the finding of a
25review conducted under s. 601.79.
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1(7) “Generic drug” means any of the following:
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(a) A retail drug that is marketed or distributed in accordance with an
3abbreviated new drug application approved under
21 USC 355 (j).
AB68,1501,44(b) An authorized generic drug, as defined in
42 CFR 447.502.
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(c) A drug that entered the market prior to 1962 and was not originally
6marketed under a new drug application.
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7(8) “Manufacturer” means an entity that does all of the following:
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(a) Engages in the manufacture of a drug product or enters into a lease with
9another manufacturer to market and distribute a prescription drug product under
10the entity's own name.
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(b) Sets or changes the wholesale acquisition cost of the drug product or
12prescription drug product described in par. (a).
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13(9) “Over-the-counter drug” means a drug intended for human use that does
14not require a prescription and meets the requirements of 21CFR parts 328 to 364.
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15(10) “Pharmacy benefit manager” has the meaning given in s. 632.865 (1) (c).
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16(11) “Prescription drug product” means a brand name drug, a generic drug, a
17biologic, or a biosimilar.
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18Section
2916. 601.785 of the statutes is created to read:
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19601.785 Prescription drug affordability review board. (1) Mission. The
20purpose of the board is to protect state residents, the state, local governments, health
21plans, healthcare providers, pharmacies licensed in this state, and other
22stakeholders of the healthcare system in this state from the high costs of prescription
23drug products.