House
File
2384
H-8260
Amend
the
amendment,
H-8198,
to
House
File
2384,
as
follows:
1
1.
Page
1,
by
striking
lines
2
through
4.
2
2.
Page
1,
before
line
5
by
inserting:
3
<
___.
Page
1,
by
striking
lines
31
and
32
and
inserting:
4
<
7.
“Health
carrier”
means
an
entity
subject
to
the
5
insurance
laws
and
regulations
of
this
state,
or
subject
6
to
the
jurisdiction
of
the
commissioner,
including
an
7
insurance
company
offering
sickness
and
accident
plans,
a
8
health
maintenance
organization,
a
nonprofit
health
service
9
corporation,
a
plan
established
pursuant
to
chapter
509A
10
for
public
employees,
or
any
other
entity
providing
a
plan
11
of
health
insurance,
health
care
benefits,
or
health
care
12
services.
“Health
carrier”
does
not
include
the
department
13
of
human
services,
or
a
managed
care
organization
acting
14
pursuant
to
a
contract
with
the
department
of
human
services
to
15
administer
the
medical
assistance
program
under
chapter
249A
16
or
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
under
17
chapter
514I.
>>
18
3.
Page
1,
by
striking
lines
5
through
15.
19
4.
Page
1,
before
line
16
by
inserting:
20
<
___.
Page
2,
line
22,
by
striking
<
distributor
>
and
21
inserting
<
distributor,
and
reduced
by
any
discounts,
rebates,
22
or
other
price
concessions
applicable
to
the
prescription
drug
23
that
are
not
shown
on
the
invoice
and
are
known
at
the
time
that
24
the
pharmacy
files
an
appeal
with
a
pharmacy
benefits
manager
>>
25
5.
Page
1,
line
34,
after
<
7.
>
by
inserting
<
a.
>
26
6.
Page
2,
line
3,
by
striking
<
If,
however,
this
>
27
7.
Page
2,
by
striking
line
4
and
inserting:
28
<
b.
If
application
of
paragraph
“a”
will
result
in
health
29
savings
account
ineligibility
>
30
8.
Page
2,
line
5,
by
striking
<
this
>
31
9.
Page
2,
line
6,
by
striking
<
requirement
>
and
inserting
32
<
paragraph
“a”
>
33
10.
Page
2,
after
line
15
by
inserting:
34
<
c.
Paragraph
“a”
shall
not
apply
to
cost-sharing
paid
by
35
-1-
H
8198.4045
(1)
89
ko/rn
1/
2
#1.
#2.
#3.
#4.
#5.
#6.
#7.
#8.
#9.
#10.
a
covered
person,
or
to
cost-sharing
paid
by
any
other
person
1
on
behalf
of
the
covered
person,
for
a
specialty
drug
or
for
2
a
prescription
drug
for
which
a
medically
appropriate
A-rated
3
generic
equivalent
or
an
interchangeable
biological
product
is
4
available
to
the
covered
person.
5
d.
Paragraph
“a”
shall
not
apply
to
a
state-regulated
6
high-deductible
health
plan
to
the
extent
application
7
of
paragraph
“a”
will
result
in
the
state-regulated
8
high-deductible
health
plan
not
qualifying
as
a
high-deductible
9
health
plan
under
section
223
of
the
Internal
Revenue
Code.
10
e.
If
paragraph
“a”
conflicts
with
a
federal
law
or
a
11
federal
regulation
as
applied
to
a
specific
health
carrier
or
12
to
a
specific
circumstance,
paragraph
“a”
shall
apply
to
all
13
health
carriers
and
in
all
circumstances
in
which
the
federal
14
law
or
federal
regulation
does
not
conflict.
>
15
11.
Page
2,
by
striking
lines
16
and
17.
16
12.
Page
2,
by
striking
lines
32
and
33.
17
13.
Page
3,
by
striking
lines
15
and
16.
18
14.
Page
3,
by
striking
lines
19
and
20.
19
15.
Page
3,
by
striking
lines
34
and
35.
20
16.
Page
4,
line
5,
after
<
The
section
>
by
striking
<
of
this
21
division
>
22
17.
By
striking
page
4,
line
7,
through
page
8,
line
4.
23
______________________________
BEST
of
Carroll
-2-
H
8198.4045
(1)
89
ko/rn
2/
2
#11.
#12.
#13.
#14.
#15.
#16.
#17.