Florida Senate - 2015 SENATOR AMENDMENT
Bill No. CS for CS for HB 1049
Ì918380,Î918380
LEGISLATIVE ACTION
Senate . House
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Floor: 1/AD/2R . Floor: SA1/C
04/27/2015 03:01 PM . 04/28/2015 01:03 PM
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Senator Latvala moved the following:
1 Senate Amendment (with title amendment)
2
3 Between lines 20 and 21
4 insert:
5 Section 2. Section 465.1862, Florida Statutes, is created
6 to read:
7 465.1862 Pharmacy benefits manager contracts.—
8 (1) As used in this section, the term:
9 (a) “Maximum allowable cost” means the per-unit amount that
10 a pharmacy benefits manager reimburses a pharmacist for a
11 prescription drug, excluding dispensing fees, prior to the
12 application of copayments, coinsurance, and other cost-sharing
13 charges, if any.
14 (b) “Pharmacy benefits manager” means a person or entity
15 doing business in this state which contracts to administer or
16 manage prescription drug benefits on behalf of a health
17 insurance plan, as defined in s. 627.6482, to residents of this
18 state.
19 (2) Each contract execution or contract renewal between a
20 pharmacy benefits manager and a pharmacy must include
21 requirements that the pharmacy benefits manager:
22 (a) Update maximum allowable cost pricing information at
23 least every 7 calendar days; and
24 (b) Maintain a process that will, in a timely manner,
25 eliminate drugs from maximum allowable cost lists or modify drug
26 prices to remain consistent with changes in pricing data used in
27 formulating maximum allowable cost prices and product
28 availability.
29
30 ================= T I T L E A M E N D M E N T ================
31 And the title is amended as follows:
32 Delete line 8
33 and insert:
34 providing applicability; creating s. 465.1862, F.S.;
35 defining terms; requiring that each contract or
36 contract renewal between a pharmacy benefits manager
37 and a pharmacy require the pharmacy benefits manager
38 to periodically update the maximum allowable cost
39 pricing information and to maintain a procedure to
40 eliminate certain drugs from the list of those subject
41 to maximum allowable cost pricing or modify maximum
42 allowable cost prices to remain consistent with
43 changes in certain pricing data; providing an
44 effective date.