Bill > H7045

Introduced Session

An act relating to prescription drug price transparency; amending s. 110.12315, F.S.; requiring the Department of Management Services to contract for an annual audit of any pharmacy benefit vendor contracted under the state employees' prescription drug program; providing requirements for such audit; amending s. 499.012, F.S.; providing that permits for prescription drug manufacturers and nonresident prescription drug manufacturers are subject to specified requirements; creating s. 499.026, F.S.; providing definitions; requiring prescription drug manufacturers to provide notification of drug price increases to insurers; providing requirements for such notification; requiring prescription drug manufacturers to provide an annual report on drug price increases to the Department of Business and Professional Regulation and the Office of Insurance Regulation; providing reporting requirements; creating s. 624.491, F.S.; providing timelines and documentation requirements for pharmacy audits conducted by certain health insurers, health maintenance organizations, or their agents; providing that such requirements do not apply to audits in which certain conditions are met; creating s. 627.42394, , Engrossed 1 F.S.; requiring certain health insurers to establish a single point of contact for manufacturers to report drug price increases; requiring the Office of Insurance Regulation to maintain and publish a list of such contacts; requiring certain health insurers to provide written notice to insureds in advance of formulary changes resulting from manufacturer drug price increases; providing applicability; amending ss. 627.64741 and 627.6572, F.S.; providing definitions; requiring reporting requirements in contracts between health insurers and pharmacy benefit managers; requiring health insurers to submit an annual report to the office; requiring the office to publish such reports and analyses of specified information; authorizing the office to review contracts; authorizing the office to order health insurers to terminate contracts with pharmacy benefit managers under certain circumstances; providing rulemaking authority; revising applicability; creating s. 641.3131, F.S.; requiring certain health maintenance organizations to establish a single point of contact for manufacturers to report drug price increases; requiring the office to maintain and publish a list of such contacts; requiring certain health maintenance organizations to provide written notice to subscribers , Engrossed 1 in advance of formulary changes resulting from manufacturer drug price increases; providing applicability; amending s. 641.314, F.S.; providing definitions; requiring reporting requirements in contracts between health maintenance organizations and pharmacy benefit managers; requiring health maintenance organizations to submit an annual report to the office; requiring the office to publish such reports and analyses of specified information; authorizing the office to review contracts; authorizing the office to order health maintenance organizations to terminate contracts with pharmacy benefit managers under certain circumstances; providing rulemaking authority; revising applicability; requiring the Agency for Health Care Administration to contract for an independent analysis of pharmacy benefit management practices under the Statewide Medicaid Managed Care program; providing requirements for such analysis; providing definitions; requiring the agency to submit the analysis to the Governor and the Legislature; requiring the agency to conduct an analysis of managed care plan pharmacy networks and to analyze the composition of the networks under the Statewide Medicaid Managed Care program; providing requirements for such analysis; , Engrossed 1 providing definitions; requiring the agency to submit the analysis to the Governor and the Legislature; providing severability; providing severability; providing an effective date.

AI Summary

Committee Categories

Alex Andrade (R)*,  Byron Donalds (R),  Dane Eagle (R),  Rick Roth (R), 

Other Sponsors (2)

Died in Banking and Insurance (on 03/14/2020)

Official Document