HOUSE AMENDMENT

                                                  Bill No. HB 2007

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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11  Representative(s) Benson and Fasano offered the following:

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13         Amendment (with title amendment) 

14         On page 21, between lines 8 and 9, of the bill

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16  insert:

17         (16)  Notwithstanding s. 627.6131(4)(b), where an

18  electronic pharmacy claim is submitted to a pharmacy benefits

19  manager acting on behalf of a health insurer the pharmacy

20  benefits manager shall, within 30 days of receipt of the

21  claim, pay the claim or notify a provider or designee if a

22  claim is denied or contested.  Notice of the insurer's action

23  on the claim and payment of the claim is considered to be made

24  on the date the notice or payment was mailed or electronically

25  transferred.

26         (17)  Notwithstanding s. 627.6131(5)(a), effective

27  November 1, 2003, where a nonelectronic pharmacy claim is

28  submitted to a pharmacy benefits manager acting on behalf of a

29  health insurer the pharmacy benefits manager shall provide

30  acknowledgment of receipt of the claim within 30 days after

31  receipt of the claim to the provider or provide a provider

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    File original & 9 copies    03/13/02
    hci0001                     03:47 pm         02007-0003-073177




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 2007

    Amendment No. ___ (for drafter's use only)





  1  within 30 days after receipt with electronic access to the

  2  status of a submitted claim.

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  5  ================ T I T L E   A M E N D M E N T ===============

  6  And the title is amended as follows:

  7         On page 2, line 25,

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  9  after the semicolon insert:

10         providing specified exceptions from notice and

11         acknowledgment requirements for pharmacy

12         benefit manager claims;

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    File original & 9 copies    03/13/02
    hci0001                     03:47 pm         02007-0003-073177