CODING: Words stricken are deletions; words underlined are additions.





                                                   HOUSE AMENDMENT

    hbd-08                           Bill No. CS/CS/HBs 769 & 1087

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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10                                                                

11  Representative(s) Kelly offered the following:

12

13         Amendment (with title amendment) 

14         On page 4, line 10, through page 6, line 7,

15  remove from the bill:  all of said lines

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17  and insert in lieu thereof:

18         Section 2.  Medicare prescription discount program.--

19         (1)(a)  As a condition of participation in the pharmacy

20  benefit program, a pharmacy must agree to charge any

21  individual who is a Medicare beneficiary and who is a Florida

22  resident showing a Medicare card when they present a

23  prescription a price no greater than the cost of ingredients

24  equal to the average wholesale price minus 9 percent, and a

25  dispensing fee of $4.50.

26         (b)  In order for individuals to be eligible for

27  participation in this program, the Agency for Health Care

28  Administration must determine that the individuals are

29  residents of the state who are 65 years of age or older, or

30  disabled as defined in s. 415.102(10), Florida Statutes, and

31  have incomes at or below 250 percent of the federal poverty

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    File original & 9 copies    04/27/00
    hbd0016                     12:20 pm         00769-0042-204571




                                                   HOUSE AMENDMENT

    hbd-08                           Bill No. CS/CS/HBs 769 & 1087

    Amendment No.     (for drafter's use only)





 1  level. The agency shall make the list of eligible individual

 2  participants available on-line to participating pharmacies.

 3         (2)  In lieu of the provisions of paragraph (1)(a), as

 4  a condition of participation in the pharmacy benefit program,

 5  a pharmacy must agree to:

 6         (a)  Provide a private voluntary prescription discount

 7  program to state residents who are Medicare beneficiaries; or

 8         (b)  Accept a private voluntary discount prescription

 9  program from state residents who are Medicare beneficiaries.

10         (3)  In order for a drug product to be covered under

11  this program, the product's manufacturer shall:

12         (a)  Provide a rebate to the state equal to the rebate

13  required by the Medicaid program on a basis determined by the

14  agency; and

15         (b)  Make the drug product available to the program for

16  the best price that the manufacturer makes the drug product

17  available under any purchasing agreement.

18         Section 3.  There is hereby appropriated from the

19  General Revenue Fund to the Agency for Health Care

20  Administration for fiscal year 2000-2001 the sum of

21  $15,224,242 to fund the pharmacy benefit program established

22  under this act.

23         Section 4.  There is hereby appropriated from the

24  General Revenue Fund to the Agency for Health Care

25  Administration the sum of $250,000 for implementation of the

26  Medicare prescription discount program provided for under this

27  act.

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30  ================ T I T L E   A M E N D M E N T ===============

31  And the title is amended as follows:

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    File original & 9 copies    04/27/00
    hbd0016                     12:20 pm         00769-0042-204571




                                                   HOUSE AMENDMENT

    hbd-08                           Bill No. CS/CS/HBs 769 & 1087

    Amendment No.     (for drafter's use only)





 1         On page 1, lines 12 through 31,

 2  remove from the title of the bill:  all of said lines

 3

 4  and insert in lieu thereof:

 5         authority; establishing a Medicare prescription

 6         discount program; requiring pharmacy

 7         participation as a condition for a pharmacy's

 8         participation in the pharmacy benefit program;

 9         providing individual eligibility; providing

10         requirements for drug product manufacturers;

11         providing appropriations; providing for repeal

12         of the act upon enactment of

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    File original & 9 copies    04/27/00
    hbd0016                     12:20 pm         00769-0042-204571