Amendment
Bill No. 6003
Amendment No. 734669
CHAMBER ACTION
Senate House
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1Representative(s) Benson offered the following:
2
3     Amendment
4     Remove line(s) 474-498 and insert:
5     1.  The agency may set standards for pharmacy benefits for
6managed care plans and specify the therapeutic classes of
7pharmacy benefits to enable a plan to coordinate and fully
8manage all aspects of patient care as part of the plan or
9through a pharmacy benefits manager.
10     2.  Each plan shall implement a pharmacy fraud, waste, and
11abuse initiative that may include a surety bond or letter of
12credit requirement for participating pharmacies, enhanced
13provider auditing practices, the use of additional fraud and
14abuse software, recipient management programs for recipients
15inappropriately using their benefits, and other measures to
16reduce provider and recipient fraud, waste, and abuse. The
17initiative shall address enforcement efforts to reduce the
18number and use of counterfeit prescriptions.
19     3.  The agency shall require plans to report incidences of
20pharmacy fraud and abuse and establish procedures for receiving
21and investigating fraud and abuse reports from plans in the
22demonstration project sites. Plans must report instances of
23fraud and abuse pursuant to chapter 641, Florida Statutes.
24     4.  The agency may facilitate the establishment of a


CODING: Words stricken are deletions; words underlined are additions.