Bill Text: CT SB00254 | 2010 | General Assembly | Comm Sub
Bill Title: An Act Concerning Disclosure Of Maximum Allowable Costs For Pharmacy Reimbursements.
Spectrum:
Status: (Engrossed - Dead) 2010-05-04 - House Calendar Number 519 [SB00254 Detail]
Download: Connecticut-2010-SB00254-Comm_Sub.html
General Assembly |
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February Session, 2010 |
*_____SB00254JUD___042010____* |
AN ACT CONCERNING DISCLOSURE OF MAXIMUM ALLOWABLE COSTS FOR PHARMACY REIMBURSEMENTS.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. (NEW) (Effective October 1, 2010) For each prescription drug, prescription device, pharmacist services or prescription drug and device and pharmacist services portion of a health benefit plan a pharmacy benefits manager administers, such manager shall establish a list of maximum allowable costs for generic prescription drugs to be paid under such health benefit plan. Each such list shall be updated monthly. An intentional or wilful violation of this section shall be deemed an unfair or deceptive business practice subject to the provisions of section 38a-479ccc of the general statutes, as amended by this act.
Sec. 2. Section 38a-479ccc of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2010):
(a) Upon receipt of a completed application, evidence of a surety bond and fee, the commissioner shall: (1) Issue and deliver to the applicant a certificate of registration; or (2) refuse to issue the certificate.
(b) The commissioner may suspend, revoke or refuse to issue or renew any certificate of registration for: (1) Conduct, including, but not limited to, advertising or soliciting, of a character likely to mislead, deceive or defraud the public or the commissioner; (2) unfair or deceptive business practices; or (3) nonpayment of the renewal fee.
(c) The commissioner shall not suspend or revoke any certificate of registration except upon notice and hearing in accordance with chapter 54.
Sec. 3. Section 38a-479aaa of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2010):
As used in this section, [and] sections 38a-479bbb to 38a-479hhh, inclusive, as amended by this act, and section 1 of this act:
(1) "Commissioner" means the Insurance Commissioner;
(2) "Department" means the Insurance Department;
(3) "Drug" means drug, as defined in section 21a-92;
(4) "Person" means person, as defined in section 38a-1;
(5) "Pharmacist services" includes (A) drug therapy and other patient care services provided by a licensed pharmacist intended to achieve outcomes related to the cure or prevention of a disease, elimination or reduction of a patient's symptoms, and (B) education or intervention by a licensed pharmacist intended to arrest or slow a disease process;
(6) "Pharmacist" means an individual licensed to practice pharmacy under section 20-590, 20-591, 20-592 or 20-593, and who is thereby recognized as a health care provider by the state of Connecticut;
(7) "Pharmacy" means a place of business where drugs may be sold at retail and for which a pharmacy license has been issued to an applicant pursuant to section 20-594; and
(8) "Pharmacy benefits manager" or "manager" means any person that administers the prescription drug, prescription device, pharmacist services or prescription drug and device and pharmacist services portion of a health benefit plan on behalf of plan sponsors such as self-insured employers, insurance companies, labor unions and health care centers.
This act shall take effect as follows and shall amend the following sections: | ||
Section 1 |
October 1, 2010 |
New section |
Sec. 2 |
October 1, 2010 |
38a-479ccc |
Sec. 3 |
October 1, 2010 |
38a-479aaa |
Statement of Legislative Commissioners:
Section 1 was amended to change the second reference to "device" to "drug and device" for statutory consistency, and section 3 was added to insert a reference to section 1 for statutory consistency.
JUD |
Joint Favorable Subst. |