House File 680 H-1082 Amend House File 680 as follows: 1 1. Page 1, after line 28 by inserting: 2 < d. “Otherwise qualified retail pharmacy” means a retail 3 pharmacy that meets the requirements established by a pharmacy 4 service administrative organization. > 5 2. Page 1, line 29, by striking < d. > and inserting < e. > 6 3. Page 1, line 31, by striking < e. > and inserting < f. > 7 4. Page 2, line 1, by striking < f. > and inserting < g. > 8 5. Page 2, line 3, after < drugs > by inserting < , other than 9 specialty drugs, > 10 6. Page 2, line 5, by striking < g. > and inserting < h. > 11 7. Page 2, line 8, by striking < h. > and inserting < i. > 12 8. Page 2, after line 12 by inserting: 13 < j. “Specialty drug” means a prescription drug that is 14 designated as a specialty drug by a health carrier and that has 15 either of the following characteristics: 16 (1) The drug has received an orphan drug designation by the 17 United States food and drug administration. 18 (2) The drug’s manufacturer or the United States food and 19 drug administration restricts distribution of the drug to a 20 limited number of distributors. > 21 9. Page 2, line 22, after < drugs > by inserting < , other than 22 a specialty drug > 23 10. Page 2, line 25, by striking < as described > and 24 inserting < that meets the criteria > 25 11. Page 2, line 29, by striking < as described > and 26 inserting < that meets the criteria > 27 12. Page 3, by striking lines 8 through 11 and inserting 28 < the insurance commissioner. > 29 13. Page 3, line 18, after < prescription > by inserting 30 < drug, other than a specialty drug, > 31 14. Page 3, line 22, after < drug > by inserting < , other than 32 a specialty drug, > 33 15. Page 3, line 25, after < drug > by inserting < , other than 34 a specialty drug, > 35 -1- HF680.1236 (5) 88 ko/lh 1/ 2 #1. #2. #3. #4. #5. #6. #7. #8. #9. #10. #11. #12. #13. #14.
16. Page 3, line 31, after < drug > by inserting < , other than 1 a specialty drug, > 2 17. Page 4, line 4, after < drug > by inserting < , other than 3 a specialty drug, > 4 18. Page 4, by striking lines 6 through 20. 5 19. Page 4, line 21, by striking < 4. > and inserting < 3. > 6 20. Page 4, line 26, by striking < 5. > and inserting < 4. > 7 21. Page 4, line 29, by striking < 6. > and inserting < 5. > 8 22. Page 4, after line 31 by inserting: 9 < 6. A pharmacy benefit manager shall reimburse the division 10 for all costs associated with any examination, investigation, 11 review, or audit of the pharmacy benefit manager, and a health 12 carrier shall reimburse the division for all costs associated 13 with any examination, investigation, review, or audit of the 14 health carrier. > 15 23. Page 4, by striking line 32 and inserting: 16 < 7. The commissioner may adopt rules pursuant to chapter > 17 24. Page 5, line 7, after < drugs > by inserting < , other than 18 a specialty drug as defined in section 510C.1, > 19 25. Page 5, line 9, after < drugs > by inserting < , other than 20 a specialty drug as defined in section 510C.1, > 21 26. Page 5, by striking line 29 and inserting < insurance, 22 automobile medical payment insurance, the medical assistance 23 program pursuant to chapter 249A, the Iowa health and wellness 24 plan pursuant to chapter 249N, or the healthy and well kids in 25 Iowa program pursuant to chapter 514I. > 26 27. Page 5, line 30, by striking < shall > and inserting < may > 27 28. By renumbering, redesignating, and correcting internal 28 references as necessary. 29 ______________________________ BEST of Carroll -2- HF680.1236 (5) 88 ko/lh 2/ 2 #16. #17. #18. #19. #20. #21. #22. #23. #24. #25. #26. #27. #28.