Florida Senate - 2015                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1180
       
       
       
       
       
       
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                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/16/2015           .                                
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       The Committee on Regulated Industries (Latvala) recommended the
       following:
       
    1         Senate Amendment to Amendment (435334) (with title
    2  amendment)
    3  
    4         Between lines 13 and 14
    5  insert:
    6         Section 2. Section 465.1862, Florida Statutes, is created
    7  to read:
    8         465.1862 Pharmacy Benefits Manager Contracts.—
    9         (1)(a) “Maximum allowable cost” means the per-unit amount
   10  that 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 27
   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.