HOUSE AMENDMENT

                                                  Bill No. HB 2007

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

                            CHAMBER ACTION
              Senate                               House
                                   .
                                   .
  1                                .
                                   .
  2                                .
                                   .
  3                                .
                                   .
  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

  6

  7

  8

  9

10  ______________________________________________________________

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

12

13         Amendment (with title amendment) 

14         On page 35, between lines 4 and 5, of the bill

15

16  insert:

17         (14)  Notwithstanding s. 641.3155(3)(b), where an

18  electronic pharmacy claim is submitted to a pharmacy benefits

19  manager acting on behalf of a health maintenance organization

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

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

22  if a claim is denied or contested.  Notice of the

23  organization's action on the claim and payment of the claim is

24  considered to be made on the date the notice or payment was

25  mailed or electronically transferred.

26         (15)  Notwithstanding s. 641.3155(4)(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 maintenance organization the pharmacy benefits manager

30  shall provide acknowledgment of receipt of the claim within 30

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

                                  1

    File original & 9 copies    03/13/02
    hci0001                     03:47 pm         02007-0003-475131




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 2007

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





  1  provider within 30 days after receipt with electronic access

  2  to the status of a submitted claim.

  3

  4

  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 4, line 10,

  8

  9  after the semicolon insert:

10         providing specified exceptions from notice and

11         acknowledgment requirements for pharmacy

12         benefit manager claims;

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  2

    File original & 9 copies    03/13/02
    hci0001                     03:47 pm         02007-0003-475131