Florida Senate - 2017 COMMITTEE AMENDMENT
Bill No. SB 800
Ì445314ÄÎ445314
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
03/27/2017 .
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The Committee on Banking and Insurance (Broxson) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Section 627.64196, Florida Statutes, is created
6 to read:
7 627.64196 Medication synchronization.—A health insurer
8 issuing or delivering in this state an individual or a group
9 health insurance policy that provides prescription drug coverage
10 shall offer medication synchronization to allow an insured to
11 align at least once in a plan year the refill dates for
12 prescription drugs covered by the policy. The insurer shall
13 implement a process for dispensing prescription drugs to an
14 insured for the purpose of aligning the refill dates of such
15 drugs, and such medication synchronization may be available only
16 through a network pharmacy. A controlled substance, a
17 prescription drug dispensed in an unbreakable package, or a
18 multidose unit of a prescription drug may not be partially
19 filled for the purpose of aligning refill dates. The insurer
20 shall pay a full dispensing fee to the network pharmacy for each
21 partial refill of a covered prescription drug dispensed to align
22 refill dates, unless otherwise agreed to by the plan and the
23 network pharmacy at the time an insured requests medication
24 synchronization. The insurer shall prorate the cost-sharing
25 obligations of the insured for each partial refill of a covered
26 prescription drug dispensed to align refill dates. This section
27 applies to policies renewed or entered into on or after January
28 1, 2018.
29 Section 2. Subsection (44) is added to section 641.31,
30 Florida Statutes, to read:
31 641.31 Health maintenance contracts.—
32 (44) A health maintenance organization issuing or
33 delivering in this state a health maintenance contract that
34 provides prescription drug coverage shall offer medication
35 synchronization to allow a subscriber to align at least once in
36 a plan year the refill dates for prescription drugs covered by
37 the health maintenance contract. The health maintenance
38 organization shall implement a process for dispensing
39 prescription drugs to a subscriber for the purpose of aligning
40 the refill dates of such drugs, and such medication
41 synchronization may be available only through a network
42 pharmacy. A controlled substance, a prescription drug dispensed
43 in an unbreakable package, or a multidose unit of a prescription
44 drug may not be partially filled for the purpose of aligning
45 refill dates. The health maintenance organization shall pay a
46 full dispensing fee to the network pharmacy for each partial
47 refill of a covered prescription drug dispensed to align refill
48 dates, unless otherwise agreed to by the plan and the network
49 pharmacy at the time a subscriber requests medication
50 synchronization. The health maintenance organization shall
51 prorate the cost-sharing obligations of the subscriber for each
52 partial refill of a covered prescription drug dispensed to align
53 refill dates. This subsection applies to policies renewed or
54 entered into on or after January 1, 2018.
55 Section 3. This act shall take effect January 1, 2018.
56
57 ================= T I T L E A M E N D M E N T ================
58 And the title is amended as follows:
59 Delete everything before the enacting clause
60 and insert:
61 A bill to be entitled
62 An act relating to medication synchronization;
63 creating s. 627.64196, F.S., and amending s. 641.31,
64 F.S.; requiring health insurers and health maintenance
65 organizations, respectively, which issue or deliver
66 certain policies or contracts to offer medication
67 synchronization to allow insureds and subscribers to
68 align refill dates for certain drugs at least once in
69 a plan year; requiring such insurers and health
70 maintenance organizations to implement a process for
71 aligning such dates; authorizing medical
72 synchronization only through a network pharmacy;
73 providing exceptions from partial filling for the
74 purpose of aligning refill dates; requiring such
75 insurers and health maintenance organizations to pay,
76 except under certain circumstances, the full
77 dispensing fee for a partial refill to align refill
78 dates; requiring such insurers and health maintenance
79 organizations to prorate certain cost-sharing
80 obligations; providing applicability; providing an
81 effective date.