Second Regular Session Seventy-fourth General Assembly STATE OF COLORADO INTRODUCED LLS NO. 24-1123.01 Brita Darling x2241 HOUSE BILL 24-1438 House Committees Senate Committees Health & Human Services A BILL FOR AN ACT C ONCERNING THE IMPLEMENTATION OF CERTAIN AFFORDABLE101 PRESCRIPTION DRUG PROGRAMS .102 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill makes it a deceptive trade practice under the "Colorado Consumer Protection Act" for a manufacturer to fail to comply with: ! The insulin affordability program; and ! The requirements for the emergency supply of prescription insulin. The bill authorizes the attorney general to enforce: HOUSE SPONSORSHIP Mabrey and Jodeh, SENATE SPONSORSHIP Roberts, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. ! The insulin affordability program; ! The requirements for the emergency supply of prescription insulin; and ! The epinephrine auto-injector affordability program (epinephrine program). The bill also increases the amount of a fine for a manufacturer's failure to comply with the requirements of the insulin affordability program, the requirements for the emergency supply of prescription insulin, and the epinephrine program to the amount and frequency that is permitted under the "Colorado Consumer Protection Act". The bill requires the state board of pharmacy to provide flyers to be distributed to pharmacies about the epinephrine program that include a quick response (QR) code to allow individuals to access and complete the epinephrine program's application online. The completed, printed application will include a billing code or other method for the dispensing pharmacy to be reimbursed for the cost of the epinephrine auto-injector above any required cost sharing by the individual. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 6-1-105, add2 (1)(eeee) as follows:3 6-1-105. Unfair or deceptive trade practices. (1) A person4 engages in a deceptive trade practice when, in the course of the person's5 business, vocation, or occupation, the person:6 (eeee) F AILS TO COMPLY WITH THE INSULIN AFFORDABILITY7 PROGRAM PURSUANT TO SECTION 12-280-139 OR THE REQUIREMENTS FOR8 THE EMERGENCY SUPPLY OF PRESCRIPTION INSULIN PURSUANT TO SECTION9 12-280-140.10 SECTION 2. In Colorado Revised Statutes, 12-280-139, amend11 (11) as follows:12 12-280-139. Insulin affordability program - record keeping -13 reimbursement - definitions. (11) (a) A manufacturer that fails to14 comply with the requirements of this section:15 (I) Is subject to a fine of ten thousand dollars for each month of 16 HB24-1438-2- noncompliance IN AN AMOUNT AND FREQUENCY THAT IS EQUAL TO THE1 AMOUNT AND FREQUENCY OF THE FINE PERMITTED UNDER THE2 "C OLORADO CONSUMER PROTECTION ACT", PART 1 OF ARTICLE 1 OF TITLE3 6; AND4 (II) E NGAGES IN A DECEPTIVE TRADE PRACTICE UNDER SECTION5 6-1-105 (1)(eeee).6 (b) T HE ATTORNEY GENERAL IS AUTHORIZED TO ENFORCE THIS7 SECTION.8 SECTION 3. In Colorado Revised Statutes, 12-280-140, amend9 (9) as follows:10 12-280-140. Emergency prescription insulin supply - eligibility11 - record keeping. (9) (a) A manufacturer that fails to comply with the12 requirements of this section:13 (I) Is subject to a fine of ten thousand dollars for each month of 14 noncompliance IN AN AMOUNT AND FREQUENCY THAT IS EQUAL TO THE15 AMOUNT AND FREQUENCY OF THE FINE PERMITTED UNDER THE16 "C OLORADO CONSUMER PROTECTION ACT", PART 1 OF ARTICLE 1 OF TITLE17 6; AND18 (II) E NGAGES IN A DECEPTIVE TRADE PRACTICE UNDER SECTION19 6-1-105 (1)(eeee).20 (b) T HE ATTORNEY GENERAL IS AUTHORIZED TO ENFORCE THIS21 SECTION.22 SECTION 4. In Colorado Revised Statutes, 12-280-142, amend23 (4)(a) introductory portion, (4)(b), (6)(b)(II), and (11) as follows: 24 12-280-142. Epinephrine auto-injector affordability program25 - record keeping - reimbursement - definitions. (4) (a) The division of26 insurance shall develop an application form THAT MAY BE ACCESSED AND27 HB24-1438 -3- COMPLETED ONLINE to be used by an individual who is seeking1 epinephrine auto-injectors through the program. At a minimum, the2 application form must:3 (b) (I) The division of insurance and the department of health care4 policy and financing shall make the application form available on each5 agency's website. The division of insurance shall also make the6 application form available to pharmacies, health-care providers, and7 health facilities that prescribe or dispense epinephrine auto-injectors.8 (II) T HE COMPLETED APPLICATION MUST INCLUDE A BILLING CODE9 OR OTHER INFORMATION FOR THE DISPENSING PHARMACY TO SUBMIT AN10 ELECTRONIC CLAIM TO THE MANUFACTURER , MANUFACTURER 'S11 DELEGATED REPRESENTATIVE , OR OTHER VENDOR FOR REIMBURSEMENT12 PURSUANT TO SUBSECTION (6) OF THIS SECTION.13 (III) T HE BOARD SHALL SUPPLY INFORMATIONAL FLYERS ABOUT14 THE PROGRAM FOR DISTRIBUTION TO PHARMACIES TO PROVIDE TO15 INDIVIDUALS WHO ARE SEEKING ACCESS TO THE PROGRAM . THE FLYERS16 MUST INCLUDE A QUICK RESPONSE (QR) CODE OR OTHER17 MACHINE-READABLE CODE THAT ALLOWS AN INDIVIDUAL TO ACCESS AND18 COMPLETE THE APPLICATION ON THE DIVISION OF INSURANCE 'S AND THE19 DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 'S WEBSITES.20 (6) (b) The pharmacist is encouraged to inform the individual:21 (II) Of any manufacturer-sponsored programs that assist22 individuals who cannot afford their prescription epinephrine23 auto-injectors AND PROVIDE THE INDIVIDUAL WITH THE INFORMATIONAL24 FLYER DESCRIBED IN SUBSECTION (4)(b)(III) OF THIS SECTION, IF25 AVAILABLE, ABOUT THE PROGRAM CREATED IN SUBSECTION (2) OF THIS26 SECTION.27 HB24-1438 -4- (11) (a) A manufacturer that fails to comply with the requirements1 of this section:2 (a) (I) Is subject to a fine of ten thousand dollars for each month3 of noncompliance IN AN AMOUNT AND FREQUENCY THAT IS EQUAL TO THE4 AMOUNT AND FREQUENCY OF THE FINE PERMITTED UNDER THE5 "C OLORADO CONSUMER PROTECTION ACT", PART 1 OF ARTICLE 1 OF TITLE6 6; and7 (b) (II) Engages in a deceptive trade practice under section8 6-1-105 (1)(zzz).9 (b) T HE ATTORNEY GENERAL IS AUTHORIZED TO ENFORCE THIS10 SECTION.11 SECTION 5. Safety clause. The general assembly finds,12 determines, and declares that this act is necessary for the immediate13 preservation of the public peace, health, or safety or for appropriations for14 the support and maintenance of the departments of the state and state15 institutions.16 HB24-1438 -5-