Senate Bill sb2146

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2007                                  SB 2146

    By Senator Deutch





    30-1238-07

  1                      A bill to be entitled

  2         An act relating to prescription drugs;

  3         requiring the Agency for Health Care

  4         Administration to join a multistate purchasing

  5         pool for Medicaid prescription drugs; requiring

  6         the agency to conduct a cost-benefit analysis;

  7         requiring the agency to enter into negotiations

  8         with the most appropriate purchasing pool;

  9         requiring the agency to seek federal waivers of

10         Medicaid law or state plan amendments necessary

11         for implementation; authorizing the agency to

12         adopt rules; requiring the agency, in

13         consultation with the Department of Elderly

14         Affairs, to study the effects of the Medicare

15         prescription drug benefit on Medicare

16         enrollees; providing requirements for the

17         study; authorizing the agency and the

18         department to use internal staff, a contracted

19         consultant, or a university to conduct the

20         study; requiring the agency to report its

21         findings of the study to the Governor and the

22         Legislature; providing an appropriation;

23         providing an effective date.

24  

25  Be It Enacted by the Legislature of the State of Florida:

26  

27         Section 1.  The Agency for Health Care Administration

28  shall join a federally approved, multistate Medicaid

29  supplemental rebate agreement program, also known as a

30  multistate Medicaid prescription drug purchasing pool.

31  

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    Florida Senate - 2007                                  SB 2146
    30-1238-07




 1         (1)  The agency shall conduct a cost-benefit analysis

 2  of joining each multistate purchasing pool in existence at the

 3  time this act becomes law in order to determine which

 4  purchasing pool will provide the state the greatest cost

 5  savings while retaining flexibility over the state's current

 6  preferred drug list.

 7         (2)  Based on the cost-benefit analysis, the agency

 8  shall enter into negotiations with the most appropriate

 9  purchasing pool in order to begin participating in the

10  purchasing pool by January 1, 2008.

11         (3)  The agency shall seek any federal waivers of

12  Medicaid law or amendments to the state plan which are

13  necessary to implement this act.

14         (4)  The agency shall adopt any rules necessary to

15  administer this act.

16         Section 2.  The Agency for Health Care Administration,

17  in coordination with the Department of Elderly Affairs, shall

18  conduct a study of the effects of the implementation of the

19  Medicare prescription drug benefit on Medicare enrollees in

20  this state.

21         (1)  The study shall determine:

22         (a)  The number of persons in this state who are

23  enrolled in the Medicare prescription drug benefit.

24         (b)  The average monthly premium paid by persons in

25  this state who are enrolled in the Medicare prescription drug

26  benefit.

27         (c)  The average, annual out-of-pocket expense for

28  Medicare beneficiaries before and after the implementation of

29  the Medicare prescription drug benefit on January 1, 2006.

30         (d)  An estimate of the number of persons in this state

31  who exceeded their initial coverage limit and entered the

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    Florida Senate - 2007                                  SB 2146
    30-1238-07




 1  "donut hole" where they were responsible for the full cost of

 2  their formulary drugs.

 3         (2)  The study shall review all initiatives in other

 4  states for providing financial assistance to persons who

 5  exceed their initial coverage limitation, including the cost

 6  to implement a similar assistance program in this state.

 7         (3)  The study shall provide options and

 8  recommendations concerning how Medicare beneficiaries in this

 9  state can be provided assistance in obtaining necessary

10  prescriptions if they exceed their initial coverage limit.

11         (4)  The agency, in coordination with the Department of

12  Elderly Affairs, may conduct the study using internal staff or

13  through a contracted consultant or university.

14         (5)  The agency shall report the findings of the study

15  to the Governor, the President of the Senate, and the Speaker

16  of the House of Representatives by January 1, 2008.

17         Section 3.  The sum of $100,000 is appropriated from

18  the General Revenue Fund in nonrecurring funds to the Agency

19  for Health Care Administration for the purpose of implementing

20  this act.

21         Section 4.  This act shall take effect upon becoming

22  law.

23  

24            *****************************************

25                          SENATE SUMMARY

26    Requires the Agency for Health Care Administration to
      join a multistate purchasing pool for Medicaid
27    prescription drugs. Requires the agency to conduct a
      study of the effects of the Medicare prescription drug
28    benefit on Medicare enrollees. Provides an appropriation.

29  

30  

31  

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