Florida Senate - 2017 CS for SB 800 By the Committee on Banking and Insurance; and Senators Broxson and Mayfield 597-02936-17 2017800c1 1 A bill to be entitled 2 An act relating to medication synchronization; 3 creating s. 627.64196, F.S., and amending s. 641.31, 4 F.S.; requiring health insurers and health maintenance 5 organizations, respectively, which issue or deliver 6 certain policies or contracts to offer medication 7 synchronization to allow insureds and subscribers to 8 align refill dates for certain drugs at least once in 9 a plan year; requiring such insurers and health 10 maintenance organizations to implement a process for 11 aligning such dates; authorizing medical 12 synchronization only through a network pharmacy; 13 providing exceptions from partial filling for the 14 purpose of aligning refill dates; requiring such 15 insurers and health maintenance organizations to pay, 16 except under certain circumstances, the full 17 dispensing fee for a partial refill to align refill 18 dates; requiring such insurers and health maintenance 19 organizations to prorate certain cost-sharing 20 obligations; providing applicability; providing an 21 effective date. 22 23 Be It Enacted by the Legislature of the State of Florida: 24 25 Section 1. Section 627.64196, Florida Statutes, is created 26 to read: 27 627.64196 Medication synchronization.—A health insurer 28 issuing or delivering in this state an individual or a group 29 health insurance policy that provides prescription drug coverage 30 shall offer medication synchronization to allow an insured to 31 align at least once in a plan year the refill dates for 32 prescription drugs covered by the policy. The insurer shall 33 implement a process for dispensing prescription drugs to an 34 insured for the purpose of aligning the refill dates of such 35 drugs, and such medication synchronization may be available only 36 through a network pharmacy. A controlled substance, a 37 prescription drug dispensed in an unbreakable package, or a 38 multidose unit of a prescription drug may not be partially 39 filled for the purpose of aligning refill dates. The insurer 40 shall pay a full dispensing fee to the network pharmacy for each 41 partial refill of a covered prescription drug dispensed to align 42 refill dates, unless otherwise agreed to by the plan and the 43 network pharmacy at the time an insured requests medication 44 synchronization. The insurer shall prorate the cost-sharing 45 obligations of the insured for each partial refill of a covered 46 prescription drug dispensed to align refill dates. This section 47 applies to policies renewed or entered into on or after January 48 1, 2018. 49 Section 2. Subsection (44) is added to section 641.31, 50 Florida Statutes, to read: 51 641.31 Health maintenance contracts.— 52 (44) A health maintenance organization issuing or 53 delivering in this state a health maintenance contract that 54 provides prescription drug coverage shall offer medication 55 synchronization to allow a subscriber to align at least once in 56 a plan year the refill dates for prescription drugs covered by 57 the health maintenance contract. The health maintenance 58 organization shall implement a process for dispensing 59 prescription drugs to a subscriber for the purpose of aligning 60 the refill dates of such drugs, and such medication 61 synchronization may be available only through a network 62 pharmacy. A controlled substance, a prescription drug dispensed 63 in an unbreakable package, or a multidose unit of a prescription 64 drug may not be partially filled for the purpose of aligning 65 refill dates. The health maintenance organization shall pay a 66 full dispensing fee to the network pharmacy for each partial 67 refill of a covered prescription drug dispensed to align refill 68 dates, unless otherwise agreed to by the plan and the network 69 pharmacy at the time a subscriber requests medication 70 synchronization. The health maintenance organization shall 71 prorate the cost-sharing obligations of the subscriber for each 72 partial refill of a covered prescription drug dispensed to align 73 refill dates. This subsection applies to policies renewed or 74 entered into on or after January 1, 2018. 75 Section 3. This act shall take effect January 1, 2018.