Amendment
Bill No. 6003

Amendment No. 734669

CHAMBER ACTION
Senate		House
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1	Representative(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
6	managed care plans and specify the therapeutic classes of
7	pharmacy benefits to enable a plan to coordinate and fully
8	manage all aspects of patient care as part of the plan or
9	through a pharmacy benefits manager.
10	2.  Each plan shall implement a pharmacy fraud, waste, and
11	abuse initiative that may include a surety bond or letter of
12	credit requirement for participating pharmacies, enhanced
13	provider auditing practices, the use of additional fraud and
14	abuse software, recipient management programs for recipients
15	inappropriately using their benefits, and other measures to
16	reduce provider and recipient fraud, waste, and abuse. The
17	initiative shall address enforcement efforts to reduce the
18	number and use of counterfeit prescriptions.
19	3.  The agency shall require plans to report incidences of
20	pharmacy fraud and abuse and establish procedures for receiving
21	and investigating fraud and abuse reports from plans in the
22	demonstration project sites. Plans must report instances of
23	fraud 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.