No. SB 1142
Filed under Insurance.
Pharmacy; Revising the definition of the term “health care facility” to include health care clinics owned by a hospital or physicians who work for a hospital; defining the term “covered prescription drug”; revising requirements for provider contracts between pharmacy benefit managers and certain licensed pharmacies to allow for the administration and dispensing of covered prescription drugs offsite, as well as onsite, as part of outpatient care, etc.
Plain English Summary
AI-GENERATEDThe 'health care facility' definition used for pharmacy permitting now includes health care clinics owned by a hospital or by physicians employed by a hospital, alongside hospitals, nursing homes, and hospices already on that list.
Contracts between pharmacy benefit managers and certain hospital-based or specialty pharmacies can now cover drug administration and dispensing offsite as well as onsite, as part of outpatient care.
'Covered prescription drug' gets a broad new definition: any drug or biologic on the pharmacy benefit manager's formulary paid for at a network pharmacy, replacing a much narrower list limited to certain biologics and infusion, injectable, or inhaled drugs given during surgery.
AIThe clause governing these provider contracts drops the word 'onsite' from 'as part of onsite outpatient care,' so administration and dispensing of covered prescription drugs under these contracts may now happen offsite as well as at the facility itself.
AIA new defined term, 'covered prescription drug,' means any drug or biologic on a pharmacy benefit manager's formulary that is paid for as a pharmacy benefit at any of the plan's network pharmacies -- replacing the narrower, undefined list of drug types these contracts previously named.
AI'Health care facility' under s. 465.0125 now includes a health care clinic licensed under part X of chapter 400 that is owned by a hospital or by physicians employed by a hospital, placing it on the same list as hospitals, nursing homes, and hospices for whatever s. 465.0125 keys to that term.