HLS 24RS-3545 ENGROSSED 2024 Regular Session HOUSE CONCURRENT RESOL UTION NO. 96 BY REPRESENTATIVE BROWN INSURANCE/HEALTH: Requests the Department of Insurance to study the impact of alternative funding programs on patient access to affordable prescription drugs 1 A CONCURRENT RESOL UTION 2To authorize and request the Department of Insurance to create the Louisiana Alternative 3 Funding Program Task Force to study the impact of alternative funding programs on 4 patient access to affordable prescription drugs. 5 WHEREAS, ensuring access to medically necessary medication is critical to the 6health outcomes of patients in Louisiana; and 7 WHEREAS, according to survey data, as many as eight percent of health coverage 8plans are using alternative funding programs, and thirty-one percent are exploring their use; 9and 10 WHEREAS, alternative funding program vendors have been reported to remove 11health plan coverage for specialty drugs prescribed to a patient or specialty drugs altogether, 12despite the fact that the patient continues to make payments for prescription drug coverage 13under a health coverage plan; and 14 WHEREAS, an alternative funding program's removal of coverage may be done to 15disguise the patient as uninsured or underinsured for the purpose of the patient applying and 16qualifying for assistance from needs-based patient assistance programs; and 17 WHEREAS, shifting of patients who otherwise have purchased prescription drug 18coverage to patient assistance programs could threaten the availability of needs-based 19assistance for those who truly qualify for the use of patient assistance programs; and 20 WHEREAS, a patient assistance program may reject patients when detecting that the 21patient is being disguised as uninsured, leading to significant delays in care, loss of access 22to medication, or causing a forced switch to a medication not prescribed by the patient's 23doctor; and Page 1 of 4 HLS 24RS-3545 ENGROSSED HCR NO. 96 1 WHEREAS, it is important for Louisiana to ensure that patient assistance programs 2remain sustainable and available to support the population for which they are intended. 3 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby 4authorize and request the Department of Insurance to create the Louisiana Alternative 5Funding Program Task Force to study the impact of alternative funding programs on patient 6access to affordable prescription drugs. 7 BE IT FURTHER RESOLVED that the Louisiana Alternative Funding Program Task 8Force shall be comprised of the following members: 9 (1) The commissioner of insurance. 10 (2) The chief executive officer of the Louisiana State Medical Society. 11 (3) The executive director of the Louisiana Oncology Society. 12 (4) The founder of the Survivor's Cancer Action Network - SCAN. 13 (5) The president of the Rheumatology Alliance of Louisiana. 14 (6) The executive director of the Coalition of State Rheumatology Organizations. 15 (7) The chief executive officer of the Louisiana Association of Health Plans. 16 (8) The president of Health Agents for America. 17 (9) The president of the Louisiana Association of Health Underwriters. 18 (10) The chief executive officer of the Louisiana Business Group on Health. 19 (11) The regional director, state affairs, of AHIP (formerly America's Health 20Insurance Plans). 21 (12) The president of the Louisiana AFL-CIO. 22 (13) The president of the Pharmaceutical Care Management Association. 23 (14) The chief executive officer of Pharmaceutical Research and Manufacturers of 24America. 25 (15) The chief executive officer of the Louisiana Independent Pharmacies 26Association. 27 BE IT FURTHER RESOLVED that the Louisiana Alternative Funding Program Task 28Force shall study all of the following: 29 (1) The history and prevalence of alternative funding programs in the United States 30and Louisiana, including but not limited to the types of health insurance products that utilize, Page 2 of 4 HLS 24RS-3545 ENGROSSED HCR NO. 96 1all or in part, alternative funding programs to provide access, coverage, or discounts for 2prescription drugs. 3 (2) The business model of alternative funding programs. 4 (3) The impact of alternative funding programs on patient assistance programs for 5prescription medications, including but not limited to long-term stability of those patient 6assistance programs if an upswing in alternative funding programs is realized across an 7increased number of health insurance products. 8 (4) The impact of alternative funding programs on coverage of prescription 9medications if the utilization of alternative funding programs is expanded across additional 10insurance products, including but not limited to commercial health coverage plans, health 11coverage plans offered to public employees, and health coverage plans offered to individuals 12in the state's health insurance exchange. 13 BE IT FURTHER RESOLVED that the commissioner of insurance shall serve as the 14chairman of the task force and the staff of the Department of Insurance shall provide support 15to the task force. 16 BE IT FURTHER RESOLVED that each appointed member of the task force may 17appoint a designee who shall serve on the task force on his behalf. 18 BE IT FURTHER RESOLVED that the members of the task force shall serve 19without compensation, except per diem or expense reimbursement to which they may be 20individually entitled as members of their constituent organizations. 21 BE IT FURTHER RESOLVED that a majority of the total membership shall 22constitute a quorum of the task force, and any official action by the task force shall require 23an affirmative vote of a majority of the quorum present and voting. 24 BE IT FURTHER RESOLVED that the names of the members designated in this 25Resolution shall be submitted to the chairman of the task force by July 15, 2024, and the 26chairman shall thereafter call the first meeting of the task force by August 15, 2024. 27 BE IT FURTHER RESOLVED that the task force shall meet as necessary and 28provide a written report of its findings from the study, together with any recommendations 29for legislation, to the House Committee on Insurance, the Senate Committee on Insurance, 30and the David R. Poynter Legislative Research Library no later than December 31, 2024. Page 3 of 4 HLS 24RS-3545 ENGROSSED HCR NO. 96 1 BE IT FURTHER RESOLVED that the task force shall terminate upon the date of 2submission of its report. 3 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the 4commissioner of insurance; the chief executive officer of the Louisiana State Medical 5Society; the executive director of the Louisiana Oncology Society; the founder of the 6Survivor's Cancer Action Network - SCAN; the president of the Rheumatology Alliance of 7Louisiana; the executive director of the Coalition of State Rheumatology Organizations; the 8chief executive officer of the Louisiana Association of Health Plans; the president of Health 9Agents for America; the president of the Louisiana Association of Health Underwriters; the 10chief executive officer of the Louisiana Business Group on Health; the regional director, 11state affairs, of AHIP; the president of the Louisiana AFL-CIO; the president of the 12Pharmaceutical Care Management Association; the chief executive officer of Pharmaceutical 13Research and Manufacturers of America; and the chief executive officer of the Louisiana 14Independent Pharmacies Association. 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)] HCR 96 Engrossed 2024 Regular Session Brown Creates the La. Alternative Funding Program Task Force to study and make recommendations regarding the impact of alternative funding programs on patient access to affordable prescription drugs. Specifies the members of the task force and provides that members serve without compensation, except for such reimbursement or per diem they are individually entitled to as members of the constituent groups they represent. Requests the task force to report its findings, with any recommendations for legislation, no later than Dec. 1, 2024. Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Insurance to the original bill: 1. Add certain members to the task force and provide for transmittal of the resolution to those additional members. 2. Make technical changes. Page 4 of 4