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FL H0271

Bill

Status

Failed

5/3/2019

Primary Sponsor

David Santiago

Click for details

Origin

House of Representatives

2019 Regular Session

AI Summary

  • Creates attorney liability for misleading drug advertisements that fail to disclose "paid advertisement" status, use false "medical alert" framing, misuse government logos, or incorrectly reference drug recalls, with double damages available for affected patients

  • Establishes comprehensive pharmacy audit protections requiring 4 weeks advance notice, limiting sample sizes to 150 prescriptions, prohibiting audits during the first 5 calendar days of each month, and restricting audit periods to 6 months after claim submission

  • Requires pharmacy benefit managers (PBMs) to submit annual reports to the Office of Insurance Regulation detailing aggregate administrative fees, rebates received from pharmaceutical manufacturers, and retained-rebate percentages

  • Mandates registration of pharmacy services administration organizations (PSAOs) with the state by January 1, 2021, including a nonrefundable fee not to exceed $500 and 2-year registration certificates

  • Requires health insurers to establish online prior authorization processes by January 1, 2020, respond to exemption requests within 72 hours (24 hours for urgent care), and disclose excess cost-sharing situations while striving to pass more than 50% of drug rebates to enrollees at point of sale

Legislative Description

Prescribed Drug Services and Audits

Last Action

Died in Health Market Reform Subcommittee

5/3/2019

Committee Referrals

Health Market Reform Subcommittee1/23/2019

Full Bill Text

No bill text available