HLS 12RS-4709 ORIGINAL Page 1 of 3 Regular Session, 2012 HOUSE STUDY REQUEST NO. 6 BY REPRESENTATIVE PATRICK WILLIAMS TAX/SALES & USE: Requests the House Ways and Means Committee to study the impact of pharmacy benefit management contracts on the collection and payment of local sales and use tax on prescription drugs and pharmacist services A STUDY REQUEST1 To the House Committee on Ways and Means to study the impact of pharmacy benefit2 management contracts on the collection and payment of local sales and use tax on3 prescription drugs and pharmacist services and to report study findings and4 recommendations to the legislature prior to the convening of the 2013 Regular5 Session of the Legislature of Louisiana.6 WHEREAS, R.S. 47:337.11.1 requires a pharmacy or pharmacist to be responsible7 for collecting any sales and use tax levied by a political subdivision on prescription drugs8 and pharmacist services; and9 WHEREAS, R.S. 47:337.11.1 further requires a health insurance issuer to reimburse10 the pharmacy or pharmacist the amount of such tax in cases in which health insurance11 coverage for prescription drugs and pharmacist services exists; and12 WHEREAS, all contracts executed by a health insurance issuer after January 1, 2009,13 which includes health insurance coverage for prescription drugs and pharmacist services14 shall clearly define the responsibility of the health insurance issuer or the health insurance15 issuer's member or insured for the payment of local taxes on the sale of prescription drugs16 or pharmacist services; and17 WHEREAS, it is not uncommon for a health insurance issuer to enter into18 agreements or business relationships with entities know as pharmacy benefit managers to19 HLS 12RS-4709 ORIGINAL HSR NO. 6 Page 2 of 3 administer the prescription drug or device portion of one or more health benefit plans on1 behalf of the insurance issuer; and2 WHEREAS, the relationship between the pharmacy benefit manager and health3 insurance issuer is a complex relationship governed by contracts and agreements making it4 very difficult for pharmacists and local sales and use tax collectors to determine which party5 is responsible for local sales and use taxes levied on prescription drugs and pharmacist6 services; and7 WHEREAS, notwithstanding the law which requires health insurance contracts8 executed after January 1, 2009, to clearly define the responsibility of the health insurance9 issuer to reimburse a pharmacist for the local sales and use taxes remitted by the pharmacist10 to the local sales tax collector; health insurance issuers routinely dispute reimbursing11 pharmacists for local sales and use taxes; and12 WHEREAS, pharmacists have been paying and remitting the local sales and use13 taxes to the local collector; however, pharmacists have not been successful in attempts to get14 reimbursement from health insurance issuers or pharmacy benefit managers; and 15 WHEREAS, pharmacists are not the parties who should be paying and collecting the16 sales and use taxes on prescription drugs and pharmacist services; and17 WHEREAS, sales and use taxes levied by local political subdivisions are a large18 portion of the revenue stream for local political subdivisions in order to provide services for19 its citizens; and20 WHEREAS, local political subdivisions have not actively assisted pharmacists in21 enforcing the laws requiring reimbursement for local sales and use taxes paid by pharmacists22 for prescription drugs and pharmacist services; and23 WHEREAS, because of the need to protect local sales and use tax revenues, it is24 imperative that a study into the complex relationship among pharmacists, insureds, health25 insurers, and pharmacy benefit managers be conducted in order to determine a sound public26 policy regarding which party should collect and remit the local sales and use taxes on27 prescription drugs and pharmacist services; and28 WHEREAS, in order to fully study the issues and the relationships among29 pharmacists, insureds, health insurers, and pharmacy benefit managers, it is imperative that30 HLS 12RS-4709 ORIGINAL HSR NO. 6 Page 3 of 3 the House Ways and Means Committee seek input from the Louisiana Department of1 Insurance, officials from health insurance issuers and pharmacy benefit managers,2 pharmacists, local government officials, and any other industry representatives involved in3 this issue. 4 THEREFORE, the Legislature of Louisiana requests the House Committee on Ways5 and Means to study the impact of pharmacy benefit management contracts on the collection6 and payment of local sales and use tax on prescription drugs and pharmacist services and to7 report its findings to the legislature prior to the convening of the 2013 Regular Session of8 the Legislature of Louisiana.9 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Patrick Williams HSR No. 6 Requests the House Committee on Ways and Means to study the impact of pharmacy benefit management contracts on the collection and payment of local sales and use tax on prescription drugs and pharmacist services and to report its findings to the legislature prior to the convening of the 2013 R. S.