SENATE AMENDMENT
    Bill No. CS for CS for SB 792
    Amendment No. ___   Barcode 885628
                            CHAMBER ACTION
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11  Senator Silver moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 24, line 29, through page 30, line 26, delete
15  those lines
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17  and insert:  
18         Section 8.  Section 409.91195, Florida Statutes, is
19  amended to read:
20         409.91195  Medicaid Pharmaceutical and Therapeutics
21  Committee.--There is created a Medicaid Pharmaceutical and
22  Therapeutics Committee within the Agency for Health Care
23  Administration for the purpose of developing a preferred drug
24  formulary pursuant to 42 U.S.C. s. 1396r-8. The committee
25  shall develop and implement a voluntary Medicaid preferred
26  prescribed drug designation program. The program shall provide
27  information to Medicaid providers on medically appropriate and
28  cost-efficient prescription drug therapies through the
29  development and publication of a voluntary Medicaid preferred
30  prescribed-drug list.
31         (1)  The Medicaid Pharmaceutical and Therapeutics
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SENATE AMENDMENT Bill No. CS for CS for SB 792 Amendment No. ___ Barcode 885628 1 Committee shall be comprised as specified in 42 U.S.C. s. 2 1396r-8 and consist of eleven members appointed by the 3 Governor. Four members shall be physicians, licensed under 4 chapter 458; one member licensed under chapter 459; five 5 members shall be pharmacists licensed under chapter 465; and 6 one member shall be a consumer representative. of nine members 7 appointed as follows: one practicing physician licensed under 8 chapter 458, appointed by the Speaker of the House of 9 Representatives from a list of recommendations from the 10 Florida Medical Association; one practicing physician licensed 11 under chapter 459, appointed by the Speaker of the House of 12 Representatives from a list of recommendations from the 13 Florida Osteopathic Medical Association; one practicing 14 physician licensed under chapter 458, appointed by the 15 President of the Senate from a list of recommendations from 16 the Florida Academy of Family Physicians; one practicing 17 podiatric physician licensed under chapter 461, appointed by 18 the President of the Senate from a list of recommendations 19 from the Florida Podiatric Medical Association; one trauma 20 surgeon licensed under chapter 458, appointed by the Speaker 21 of the House of Representatives from a list of recommendations 22 from the American College of Surgeons; one practicing dentist 23 licensed under chapter 466, appointed by the President of the 24 Senate from a list of recommendations from the Florida Dental 25 Association; one practicing pharmacist licensed under chapter 26 465, appointed by the Governor from a list of recommendations 27 from the Florida Pharmacy Association; one practicing 28 pharmacist licensed under chapter 465, appointed by the 29 Governor from a list of recommendations from the Florida 30 Society of Health System Pharmacists; and one health care 31 professional with expertise in clinical pharmacology appointed 2 8:28 PM 05/02/01 s0792c2c-38rjg
SENATE AMENDMENT Bill No. CS for CS for SB 792 Amendment No. ___ Barcode 885628 1 by the Governor from a list of recommendations from the 2 Pharmaceutical Research and Manufacturers Association. The 3 members shall be appointed to serve for terms of 2 years from 4 the date of their appointment. Members may be appointed to 5 more than one term. The Agency for Health Care Administration 6 shall serve as staff for the committee and assist them with 7 all ministerial duties. The Governor shall ensure that at 8 least some of the members of the Medicaid Pharmaceutical and 9 Therapeutics Committee represent Medicaid participating 10 physicians and pharmacies serving all segments and diversity 11 of the Medicaid population, and have experience in either 12 developing or practicing under a preferred drug formulary. At 13 least one of the members shall represent the interests of 14 pharmaceutical manufacturers. 15 (2) Committee members shall select a chairperson and a 16 vice chairperson each year from the committee membership. 17 (3) The committee shall meet at least quarterly and 18 may meet at other times at the discretion of the chairperson 19 and members. The committee shall comply with rules adopted by 20 the agency, including notice of any meeting of the committee 21 pursuant to the requirements of the Administrative Procedure 22 Act. 23 (4) Upon recommendation of the Medicaid Pharmaceutical 24 and Therapeutics Committee the agency shall adopt a preferred 25 drug list. To the extent feasible, the committee shall review 26 all drug classes included in the formulary at least every 12 27 months, and may recommend additions to and deletions from the 28 formulary, such that the formulary provides 29 (2) Upon recommendation by the committee, the Agency 30 for Health Care Administration shall establish the voluntary 31 Medicaid preferred prescribed-drug list. Upon further 3 8:28 PM 05/02/01 s0792c2c-38rjg
SENATE AMENDMENT Bill No. CS for CS for SB 792 Amendment No. ___ Barcode 885628 1 recommendation by the committee, the agency shall add to, 2 delete from, or modify the list. The committee shall also 3 review requests for additions to, deletions from, or 4 modifications of the list. The list shall be adopted by the 5 committee in consultation with medical specialists, when 6 appropriate, using the following criteria: use of the list 7 shall be voluntary by providers and the list must provide for 8 medically appropriate drug therapies for Medicaid patients 9 which achieve cost savings contained in the General 10 Appropriations Act. 11 (5) Except for mental health-related drugs, 12 anti-retroviral drugs, and drugs for nursing home residents 13 and other institutional residents, reimbursement of drugs not 14 included in the formulary is subject to prior authorization. 15 in the Medicaid program. 16 (6)(3) The Agency for Health Care Administration shall 17 publish and disseminate the preferred drug formulary voluntary 18 Medicaid preferred prescribed drug list to all Medicaid 19 providers in the state. 20 (7) The committee shall ensure that pharmaceutical 21 manufacturers agreeing to provide a supplemental rebate as 22 outlined in this chapter have an opportunity to present 23 evidence supporting inclusion of a product on the preferred 24 drug list. Upon timely notice, the agency shall ensure that 25 any drug that has been approved or had any of its particular 26 uses approved by the United States Food and Drug 27 Administration under a priority review classification will be 28 reviewed by the Medicaid Pharmaceutical and Therapeutics 29 Committee at the next regularly scheduled meeting. To the 30 extent possible, upon notice by a manufacturer the agency 31 shall also schedule a product review for any new product at 4 8:28 PM 05/02/01 s0792c2c-38rjg
SENATE AMENDMENT Bill No. CS for CS for SB 792 Amendment No. ___ Barcode 885628 1 the next regularly scheduled Medicaid Pharmaceutical and 2 Therapeutics Committee. 3 (8) Until the Medicaid Pharmaceutical and Therapeutics 4 Committee is appointed and a preferred drug list adopted by 5 the agency, the agency shall use the existing voluntary 6 preferred drug list adopted pursuant to Chapter 2000-367, 7 Section 72, Laws of Florida. Drugs not listed on the voluntary 8 preferred drug list will require prior authorization by the 9 agency or its contractor. 10 (9) The Medicaid Pharmaceutical and Therapeutics 11 Committee shall develop its preferred drug list 12 recommendations by considering the clinical efficacy, safety, 13 and cost effectiveness of a product. When the preferred drug 14 formulary is adopted by the agency, if a product on the 15 formulary is one of the first four brand-name drugs used by a 16 recipient in a month the drug shall not require prior 17 authorization. 18 (10) The Medicaid Pharmaceutical and Therapeutics 19 Committee may also make recommendations to the agency 20 regarding the prior authorization of any prescribed drug 21 covered by Medicaid. 22 (11) Medicaid recipients may appeal agency preferred 23 drug formulary decisions using the Medicaid fair hearing 24 process administered by the Department of Children and Family 25 Services. 26 27 28 ================ T I T L E A M E N D M E N T =============== 29 And the title is amended as follows: 30 On page 2, lines 8-18, delete those lines 31 5 8:28 PM 05/02/01 s0792c2c-38rjg
SENATE AMENDMENT Bill No. CS for CS for SB 792 Amendment No. ___ Barcode 885628 1 and insert: 2 and Therapeutics Committee; providing for 3 committee responsibilities; requiring the 4 agency to publish the preferred drug formulary; 5 providing for a hearing process; 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 6 8:28 PM 05/02/01 s0792c2c-38rjg