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11 | 18 | | |
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12 | 19 | | AN ACT CONCERNING THE OFFICE OF HEALTH STRATEGY'S |
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13 | 20 | | RECOMMENDATIONS REGARDING 340B PROGRAM |
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14 | 21 | | TRANSPARENCY. |
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15 | 22 | | Be it enacted by the Senate and House of Representatives in General |
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16 | 23 | | Assembly convened: |
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17 | 24 | | |
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18 | 25 | | Section 1. (NEW) (Effective October 1, 2024) (a) As used in this section, 1 |
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19 | 26 | | (1) "federal 340B Drug Pricing Program" or "program" means the plan 2 |
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20 | 27 | | described in Section 340B of the Public Health Service Act, 42 USC 256b, 3 |
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21 | 28 | | as amended from time to time, and (2) "340B covered entity" means an 4 |
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22 | 29 | | entity authorized to participate in the federal 340B Drug Pricing 5 |
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23 | 30 | | Program under 42 USC 256b(a)(4), as amended from time to time. 6 |
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24 | 31 | | (b) Not later than April 1, 2025, and annually thereafter, each 340B 7 |
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25 | 32 | | covered entity shall report to the Health Systems Planning Unit of the 8 |
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26 | 33 | | Office of Health Strategy, in a form and manner prescribed by the 9 |
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27 | 34 | | executive director of the Office of Health Strategy, information 10 |
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28 | 35 | | regarding such entity's participation in the federal 340B Drug Pricing 11 |
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29 | | - | Program. Such report shall include (1) the aggregated acquisition cost 12 |
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30 | | - | for prescription drugs obtained under the program, (2) the aggregated 13 |
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31 | | - | payment amount received for prescription drugs obtained for and 14 |
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32 | | - | dispensed to patients under the program, (3) the aggregated payments 15 |
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33 | | - | made to pharmacies under contract to dispense prescription drugs 16 |
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34 | | - | obtained under the program, (4) the number of claims for prescription 17 |
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35 | | - | drugs described in subdivision (2) of this subsection, (5) if the 340B 18 Substitute Bill No. 241 |
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| 36 | + | Program. Such report shall include the (1) aggregated acquisition cost 12 |
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| 37 | + | for prescription drugs obtained under the program, (2) aggregated 13 |
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| 38 | + | payment amount received for prescription drugs obtained for and 14 Raised Bill No. 241 |
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43 | | - | program, and (6) a description of programs and services offered by the 22 |
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44 | | - | 340B covered entity, including, but not limited to, programs and 23 |
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45 | | - | services that support community access to care, that are funded in whole 24 |
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46 | | - | or in part by savings gained through participation in the program and 25 |
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47 | | - | that the 340B covered entity could not continue offering without such 26 |
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48 | | - | savings. The information required to be reported pursuant to this 27 |
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49 | | - | subsection shall (A) be disaggregated by payer mix, including, but not 28 |
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50 | | - | limited to, Medicare, Medicaid and private insurance, as prescribed by 29 |
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51 | | - | the executive director, and (B) include prescription drugs dispensed by 30 |
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52 | | - | outpatient facilities that are child sites listed as reimbursable facilities 31 |
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53 | | - | on a hospital's Medicare cost report. 32 |
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54 | | - | (c) The executive director of the Office of Health Strategy shall post a 33 |
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55 | | - | summary of the aggregate information received by the unit pursuant to 34 |
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56 | | - | the provisions of this section on the Office of Health Strategy's Internet 35 |
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57 | | - | web site. 36 |
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| 51 | + | program. The information required to be reported pursuant to this 22 |
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| 52 | + | subsection shall (A) be disaggregated by payer mix, including, but not 23 |
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| 53 | + | limited to, Medicare, Medicaid and private insurance, as prescribed by 24 |
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| 54 | + | the executive director, and (B) include prescription drugs dispensed by 25 |
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| 55 | + | outpatient facilities that are child sites listed as reimbursable facilities 26 |
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| 56 | + | on a hospital's Medicare cost report. 27 |
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| 57 | + | (c) The executive director of the Office of Health Strategy shall post a 28 |
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| 58 | + | summary of the aggregate information received by the unit pursuant to 29 |
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| 59 | + | the provisions of this section on the Office of Health Strategy's Internet 30 |
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| 60 | + | web site. 31 |
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63 | | - | PH Joint Favorable Subst. |
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| 66 | + | Statement of Purpose: |
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| 67 | + | To require entities authorized to participate in the federal 340B Drug |
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| 68 | + | Pricing Program to report to the Health Systems Planning Unit of the |
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| 69 | + | Office of Health Strategy certain information regarding the program, |
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| 70 | + | including (1) aggregated acquisition costs, (2) aggregated payment |
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| 71 | + | information, (3) the number of claims for prescription drugs under the |
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| 72 | + | program, and (4) if the entity is a hospital, the national drug code |
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| 73 | + | number for the fifty most frequently dispensed prescription drugs by |
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| 74 | + | the hospital under the program. |
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| 75 | + | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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| 76 | + | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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| 77 | + | underlined.] |
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