Senate File 554 S-3120 Amend Senate File 554 as follows: 1 1. Page 6, by striking lines 9 through 14 and inserting: 2 < b. (1) Three years after the first service contract is 3 awarded to a pharmacy benefits manager pursuant to subsection 4 9, paragraph “a” , any self-funded private sector health plan 5 with substantial participation by Iowa employees and the 6 employees’ dependents shall have the option to conduct a 7 pharmacy benefits manager reverse auction for the specific 8 self-funded private sector health plan utilizing the technology 9 platform and technology operator services selected by the 10 department under this section. The department may charge the 11 self-funded private sector health plan a fee, as established 12 by the department by rule, sufficient to cover any incremental 13 cost associated with the pharmacy benefits manager reverse 14 auction. 15 (2) A pharmacy benefits manager selected by a self-funded 16 private sector health plan as a result of a pharmacy benefits 17 manager reverse auction conducted pursuant to subparagraph 18 (1) shall be assessed a per-prescription fee, pursuant to 19 subsection 11, in an amount determined by the department by 20 rule. > 21 2. Page 6, line 16, by striking < participate with > 22 3. Page 6, line 17, by striking < the state employees group 23 benefits plan in a joint > and inserting < conduct a > 24 4. Page 6, line 18, by striking < purchasing pool > 25 5. Page 6, by striking lines 23 through 27 and inserting 26 < benefit design. > 27 6. By renumbering, redesignating, and correcting internal 28 references as necessary. 29 ______________________________ MIKE KLIMESH -1- SF 554.1643 (1) 90 ko/rn 1/ 1 #1. #2. #3. #4. #5. #6.