Florida Senate - 2017 COMMITTEE AMENDMENT
Bill No. CS for SB 800
Ì743118&Î743118
LEGISLATIVE ACTION
Senate . House
Comm: WD .
04/19/2017 .
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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) A health insurer issuing or delivering in this state
7 an 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 (b) A health insurer issuing or delivering in this state an
28 individual or a group health insurance policy that provides
29 prescription drug coverage shall make available at its public
30 website the terms and conditions of its medication
31 synchronization program.
32 (2) Notwithstanding subsection (1), an alternate process
33 used by an insurer which includes early refill dates, refill
34 overrides, and access on the insurer’s public website to the
35 terms and conditions of such a process is deemed to comply with
36 the requirements of this section.
37 Section 2. Subsection (44) is added to section 641.31,
38 Florida Statutes, to read:
39 641.31 Health maintenance contracts.—
40 (44)(a) A health maintenance organization issuing or
41 delivering in this state a health maintenance contract that
42 provides prescription drug coverage shall offer medication
43 synchronization to allow a subscriber to align at least once in
44 a plan year the refill dates for prescription drugs covered by
45 the health maintenance contract. The health maintenance
46 organization shall implement a process for dispensing
47 prescription drugs to a subscriber for the purpose of aligning
48 the refill dates of such drugs, and such medication
49 synchronization may be available only through a network
50 pharmacy. A controlled substance, a prescription drug dispensed
51 in an unbreakable package, or a multidose unit of a prescription
52 drug may not be partially filled for the purpose of aligning
53 refill dates. The health maintenance organization shall pay a
54 full dispensing fee to the network pharmacy for each partial
55 refill of a covered prescription drug dispensed to align refill
56 dates, unless otherwise agreed to by the plan and the network
57 pharmacy at the time a subscriber requests medication
58 synchronization. The health maintenance organization shall
59 prorate the cost-sharing obligations of the subscriber for each
60 partial refill of a covered prescription drug dispensed to align
61 refill dates. This subsection applies to policies renewed or
62 entered into on or after January 1, 2018.
63 (b) A health maintenance organization issuing or delivering
64 in this state a contract that provides prescription drug
65 coverage shall make available at its public website the terms
66 and conditions of its medication synchronization program.
67 (c) Notwithstanding paragraphs (a) and (b), an alternate
68 process used by a health maintenance organization which includes
69 early refill dates, refill overrides, and access on the health
70 maintenance organization’s public website to the terms and
71 conditions of such a process is deemed to comply with the
72 requirements of this section.
73
74 ================= T I T L E A M E N D M E N T ================
75 And the title is amended as follows:
76 Delete line 20
77 and insert:
78 obligations; providing applicability; requiring such
79 insurers and health maintenance organizations to make
80 available on their websites the terms and conditions
81 of their medication synchronization programs;
82 providing that specified alternate processes used by
83 insurers and health maintenance organizations comply
84 with medication synchronization requirements;
85 providing an