Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for SB 800
       
       
       
       
       
       
                                Ì286812*Î286812                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/20/2017           .                                
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       The Committee on Appropriations (Broxson) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 27 - 74
    4  and insert:
    5         627.64196 Medication synchronization.—
    6         (1) A health insurer issuing or delivering in this state an
    7  individual or a group health insurance policy that provides
    8  prescription drug coverage shall offer medication
    9  synchronization to allow an insured to align at least once in a
   10  plan year the refill dates for prescription drugs covered by the
   11  policy. The insurer shall implement a process for dispensing
   12  prescription drugs to an insured for the purpose of aligning the
   13  refill dates of such drugs, and such medication synchronization
   14  may be available only through a network pharmacy. A controlled
   15  substance, a prescription drug dispensed in an unbreakable
   16  package, or a multidose unit of a prescription drug may not be
   17  partially filled for the purpose of aligning refill dates. The
   18  insurer shall pay a full dispensing fee to the network pharmacy
   19  for each partial refill of a covered prescription drug dispensed
   20  to align refill dates, unless otherwise agreed to by the plan
   21  and the network pharmacy at the time an insured requests
   22  medication synchronization. The insurer shall prorate the cost
   23  sharing obligations of the insured for each partial refill of a
   24  covered prescription drug dispensed to align refill dates. This
   25  section applies to policies renewed or entered into on or after
   26  January 1, 2018.
   27         (2) Notwithstanding subsection (1), an alternate process
   28  used by an insurer which includes early refill dates, refill
   29  overrides, and access on the insurer’s public website to the
   30  terms and conditions of such a process is deemed to comply with
   31  the requirements of this section.
   32         Section 2. Subsection (44) is added to section 641.31,
   33  Florida Statutes, to read:
   34         641.31 Health maintenance contracts.—
   35         (44)(a) A health maintenance organization issuing or
   36  delivering in this state a health maintenance contract that
   37  provides prescription drug coverage shall offer medication
   38  synchronization to allow a subscriber to align at least once in
   39  a plan year the refill dates for prescription drugs covered by
   40  the health maintenance contract. The health maintenance
   41  organization shall implement a process for dispensing
   42  prescription drugs to a subscriber for the purpose of aligning
   43  the refill dates of such drugs, and such medication
   44  synchronization may be available only through a network
   45  pharmacy. A controlled substance, a prescription drug dispensed
   46  in an unbreakable package, or a multidose unit of a prescription
   47  drug may not be partially filled for the purpose of aligning
   48  refill dates. The health maintenance organization shall pay a
   49  full dispensing fee to the network pharmacy for each partial
   50  refill of a covered prescription drug dispensed to align refill
   51  dates, unless otherwise agreed to by the plan and the network
   52  pharmacy at the time a subscriber requests medication
   53  synchronization. The health maintenance organization shall
   54  prorate the cost-sharing obligations of the subscriber for each
   55  partial refill of a covered prescription drug dispensed to align
   56  refill dates. This subsection applies to contracts renewed or
   57  entered into on or after January 1, 2018.
   58         (b) Notwithstanding paragraph (a), an alternate process
   59  used by a health maintenance organization which includes early
   60  refill dates, refill overrides, and access on the health
   61  maintenance organization’s public website to the terms and
   62  conditions of such a process is deemed to comply with the
   63  requirements of this subsection.
   64  
   65  ================= T I T L E  A M E N D M E N T ================
   66  And the title is amended as follows:
   67         Delete line 20
   68  and insert:
   69         obligations; providing applicability; providing that
   70         specified alternate processes used by health insurers
   71         and health maintenance organizations comply with
   72         medication synchronization requirements; providing an