Old | New | Differences | |
---|---|---|---|
1 | - | WES MOORE, Governor Ch. 355 | |
2 | 1 | ||
3 | - | – 1 – | |
4 | - | Chapter 355 | |
5 | - | (House Bill 374) | |
6 | 2 | ||
7 | - | AN ACT concerning | |
3 | + | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. | |
4 | + | [Brackets] indicate matter deleted from existing law. | |
5 | + | Underlining indicates amendments to bill. | |
6 | + | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
7 | + | amendment. | |
8 | + | Italics indicate opposite chamber/conference committee amendments. | |
9 | + | *hb0374* | |
8 | 10 | ||
9 | - | Health Insurance – Pharmacy Benefits Managers – Audits of Pharmacies and | |
10 | - | Pharmacists | |
11 | + | HOUSE BILL 374 | |
12 | + | J5 (3lr0476) | |
13 | + | ENROLLED BILL | |
14 | + | — Health and Government Operations/Finance — | |
15 | + | Introduced by Delegate Kipke Delegates Kipke, Alston, Bagnall, Bhandari, | |
16 | + | Chisholm, Cullison, Guzzone, Hill, Hutchinson, S. Johnson, Kaiser, Kerr, | |
17 | + | R. Lewis, Lopez, Martinez, M. Morgan, Pena–Melnyk, Reilly, Rosenberg, | |
18 | + | Szeliga, Taveras, White, and Woods | |
11 | 19 | ||
12 | - | FOR the purpose of expanding the applicability of the provisions regarding audits of a | |
13 | - | pharmacy or pharmacist to all pharmacy benefits managers; authorizing a pharmacy | |
14 | - | benefits manager to conduct an audit through an auditing entity that is registered | |
15 | - | with the Maryland Insurance Commissioner; requiring the Secretary of Health to | |
16 | - | adopt certain regulations for pharmacy benefits managers that contract with | |
17 | - | managed care organizations that establish requirements for conducting audits of | |
18 | - | pharmacies or pharmacists; establishing requirements and prohibitions regarding | |
19 | - | audits by certain pharmacy benefits managers, including provisions related to audit | |
20 | - | limits, the acceptance of certain documents as validation or proof, the recoupment of | |
21 | - | funds or charging and payment of fees for prescriptions of unbreakable package | |
22 | - | sizes, access to financial documentation, and audit documentation; requiring that a | |
23 | - | final audit report include certain information if applicable; authorizing a pharmacy | |
24 | - | or pharmacist to confirm with a pharmacy customer or purchaser that the pharmacy | |
25 | - | customer or purchaser received a certain refund; and generally relating to audits by | |
26 | - | pharmacy benefits managers. | |
20 | + | Read and Examined by Proofreaders: | |
27 | 21 | ||
28 | - | BY adding to | |
29 | - | Article – Health – General | |
30 | - | Section 15–102.3(k) 15–103(b)(33) | |
31 | - | Annotated Code of Maryland | |
32 | - | (2019 Replacement Volume and 2022 Supplement) | |
22 | + | _______________________________________________ | |
23 | + | Proofreader. | |
24 | + | _______________________________________________ | |
25 | + | Proofreader. | |
33 | 26 | ||
34 | - | BY repealing and reenacting, with amendments, | |
35 | - | Article – Insurance | |
36 | - | Section 15–1629 | |
37 | - | Annotated Code of Maryland | |
38 | - | (2017 Replacement Volume and 2022 Supplement) | |
27 | + | Sealed with the Great Seal and presented to the Governor, for his approval this | |
39 | 28 | ||
40 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, | |
41 | - | That the Laws of Maryland read as follows: | |
29 | + | _______ day of _______________ at ________________________ o’clock, ________M. | |
42 | 30 | ||
43 | - | Article – Health – General | |
31 | + | ______________________________________________ | |
32 | + | Speaker. | |
44 | 33 | ||
45 | - | 15–102.3. | |
46 | - | Ch. 355 2023 LAWS OF MARYLAND | |
34 | + | CHAPTER ______ | |
47 | 35 | ||
48 | - | – 2 – | |
49 | - | (K) THE PROVISIONS OF § 15–1629 OF THE INSURANCE ARTICLE APPLY TO | |
50 | - | PHARMACY BENEFITS MA NAGERS THAT CONTRACT WITH MANAGED CARE | |
51 | - | ORGANIZATIONS . | |
36 | + | AN ACT concerning 1 | |
52 | 37 | ||
53 | - | 15–103. | |
38 | + | Health Insurance – Pharmacy Benefits Managers – Audits of Pharmacies and 2 | |
39 | + | Pharmacists 3 | |
54 | 40 | ||
55 | - | (b) (33) THE SECRETARY SHALL ADOPT REGULATIONS FOR PHAR MACY | |
56 | - | BENEFITS MANAGERS TH AT CONTRACT WITH MAN AGED CARE ORGANIZATI ONS THAT | |
57 | - | ESTABLISH REQUIREMEN TS FOR CONDUCTING AU DITS OF PHARMACIES O R | |
58 | - | PHARMACISTS THAT ARE : | |
41 | + | FOR the purpose of expanding the applicability of the provisions regarding audits of a 4 | |
42 | + | pharmacy or pharmacist to all pharmacy benefits managers; authorizing a pharmacy 5 | |
43 | + | benefits manager to conduct an audit through an auditing entity that is registered 6 | |
44 | + | with the Maryland Insurance Commissioner; requiring the Secretary of Health to 7 | |
45 | + | adopt certain regulations for pharmacy benefits managers that contract with 8 | |
46 | + | managed care organizations that establish requirements for conducting audits of 9 | |
47 | + | pharmacies or pharmacists; establishing requirements and prohibitions regarding 10 | |
48 | + | audits by certain pharmacy benefits managers, including provisions related to audit 11 | |
49 | + | limits, the acceptance of certain documents as validation or proof, the recoupment of 12 2 HOUSE BILL 374 | |
59 | 50 | ||
60 | - | (I) TO THE EXTENT PRACTIC ABLE, SUBSTANTIVELY SIMILAR | |
61 | - | TO THE AUDIT PROVISI ONS UNDER § 15–1629 OF THE INSURANCE ARTICLE; AND | |
62 | 51 | ||
63 | - | (II) CONSISTENT WITH FEDER AL LAW. | |
52 | + | funds or charging and payment of fees for prescriptions of unbreakable package 1 | |
53 | + | sizes, access to financial documentation, and audit documentation; requiring that a 2 | |
54 | + | final audit report include certain information if applicable; authorizing a pharmacy 3 | |
55 | + | or pharmacist to confirm with a pharmacy customer or purchaser that the pharmacy 4 | |
56 | + | customer or purchaser received a certain refund; and generally relating to audits by 5 | |
57 | + | pharmacy benefits managers. 6 | |
64 | 58 | ||
65 | - | Article – Insurance | |
59 | + | BY adding to 7 | |
60 | + | Article – Health – General 8 | |
61 | + | Section 15–102.3(k) 15–103(b)(33) 9 | |
62 | + | Annotated Code of Maryland 10 | |
63 | + | (2019 Replacement Volume and 2022 Supplement) 11 | |
66 | 64 | ||
67 | - | 15–1629. | |
65 | + | BY repealing and reenacting, with amendments, 12 | |
66 | + | Article – Insurance 13 | |
67 | + | Section 15–1629 14 | |
68 | + | Annotated Code of Maryland 15 | |
69 | + | (2017 Replacement Volume and 2022 Supplement) 16 | |
68 | 70 | ||
69 | - | ||
70 | - | ||
71 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 17 | |
72 | + | That the Laws of Maryland read as follows: 18 | |
71 | 73 | ||
72 | - | [(b)] (A) This section does not apply to an audit that involves probable or | |
73 | - | potential fraud or willful misrepresentation by a pharmacy or pharmacist. | |
74 | + | Article – Health – General 19 | |
74 | 75 | ||
75 | - | [(c)] (B) A pharmacy benefits manager shall conduct an audit of a pharmacy or | |
76 | - | pharmacist under contract with the pharmacy benefits manager in accordance with this | |
77 | - | section. | |
76 | + | 15–102.3. 20 | |
78 | 77 | ||
79 | - | (C) (D) (1) A PHARMACY BENEFITS MA NAGER MAY CONDUCT AN AUDIT | |
80 | - | THROUGH AN AUDITING ENTITY. | |
78 | + | (K) THE PROVISIONS OF § 15–1629 OF THE INSURANCE ARTICLE APPLY TO 21 | |
79 | + | PHARMACY BENEFITS MA NAGERS THAT CONTRACT WITH MANAGED CARE 22 | |
80 | + | ORGANIZATIONS . 23 | |
81 | 81 | ||
82 | - | (2) AN AUDITING ENTITY MU ST REGISTER WITH THE COMMISSIONER | |
83 | - | AS AN AUDITING ENTIT Y BEFORE CONDUCTING AN AUDIT IN THE STATE. | |
82 | + | 15–103. 24 | |
84 | 83 | ||
85 | - | (3) (2) THE COMMISSIONER MAY ADOP T REGULATIONS TO CAR RY | |
86 | - | OUT THIS SUBSECTION . | |
84 | + | (b) (33) THE SECRETARY SHALL ADOPT REGULATIONS FOR PHAR MACY 25 | |
85 | + | BENEFITS MANAGERS TH AT CONTRACT WITH MANAGE D CARE ORGANIZATIONS THAT 26 | |
86 | + | ESTABLISH REQUIREMEN TS FOR CONDUCTING AU DITS OF PHARMACIES O R 27 | |
87 | + | PHARMACISTS THAT ARE : 28 | |
87 | 88 | ||
88 | - | (d) (E) A pharmacy benefits manager may not schedule an onsite audit to begin | |
89 | - | during the first 5 calendar days of a month unless requested by the pharmacy or | |
90 | - | pharmacist. | |
89 | + | (I) TO THE EXTENT PRACTIC ABLE, SUBSTANTIVELY SIMILA R 29 | |
90 | + | TO THE AUDIT PROVISI ONS UNDER § 15–1629 OF THE INSURANCE ARTICLE; AND 30 | |
91 | 91 | ||
92 | - | ( | |
92 | + | (II) CONSISTENT WITH FEDER AL LAW. 31 | |
93 | 93 | ||
94 | - | ||
94 | + | Article – Insurance 32 | |
95 | 95 | ||
96 | - | ||
97 | - | ||
96 | + | 15–1629. 33 | |
97 | + | HOUSE BILL 374 3 | |
98 | 98 | ||
99 | - | (2) employ the services of a pharmacist if the audit requires the clinical or | |
100 | - | professional judgment of a pharmacist; | |
101 | 99 | ||
102 | - | ( | |
103 | - | pharmacy | |
100 | + | [(a) This section applies only to a pharmacy benefits manager that provides 1 | |
101 | + | pharmacy benefits management services on behalf of a carrier.] 2 | |
104 | 102 | ||
105 | - | (4) allow a pharmacist or pharmacy to use any prescription, or authorized | |
106 | - | change to a prescription, that meets the requirements of COMAR 10.34.20.02 to validate | |
107 | - | claims submitted for reimbursement for dispensing of original and refill prescriptions; | |
103 | + | [(b)] (A) This section does not apply to an audit that involves probable or 3 | |
104 | + | potential fraud or willful misrepresentation by a pharmacy or pharmacist. 4 | |
108 | 105 | ||
109 | - | ( | |
110 | - | ||
111 | - | ||
106 | + | [(c)] (B) A pharmacy benefits manager shall conduct an audit of a pharmacy or 5 | |
107 | + | pharmacist under contract with the pharmacy benefits manager in accordance with this 6 | |
108 | + | section. 7 | |
112 | 109 | ||
113 | - | (i) written; or | |
110 | + | (C) (D) (1) A PHARMACY BENEFITS MA NAGER MAY CONDUCT AN AUDIT 8 | |
111 | + | THROUGH AN AUDITING ENTITY. 9 | |
114 | 112 | ||
115 | - | (ii) transmitted electronically or by any other means of | |
116 | - | communication authorized by contract between the pharmacy and the pharmacy benefits | |
117 | - | manager; | |
113 | + | (2) AN AUDITING ENTITY MU ST REGISTER WITH THE COMMISSIONER 10 | |
114 | + | AS AN AUDITING ENTIT Y BEFORE CONDUCTING AN AUDIT IN THE STATE. 11 | |
118 | 115 | ||
119 | - | ( | |
120 | - | ||
116 | + | (3) (2) THE COMMISSIONER MAY ADOP T REGULATIONS TO CAR RY 12 | |
117 | + | OUT THIS SUBSECTION . 13 | |
121 | 118 | ||
122 | - | (I) A WHOLESALE DISTRIBU TOR: | |
119 | + | (d) (E) A pharmacy benefits manager may not schedule an onsite audit to begin 14 | |
120 | + | during the first 5 calendar days of a month unless requested by the pharmacy or 15 | |
121 | + | pharmacist. 16 | |
123 | 122 | ||
124 | - | 1. THAT HAS BEEN ISSUED A PERMIT BY THE STATE | |
125 | - | BOARD OF PHARMACY UNDER TITLE 12, SUBTITLE 6C OF THE HEALTH | |
126 | - | OCCUPATIONS ARTICLE; AND | |
123 | + | (e) (F) When conducting an audit, a pharmacy benefits manager shall: 17 | |
127 | 124 | ||
128 | - | | |
129 | - | ||
125 | + | (1) if the audit is onsite, provide written notice to the pharmacy or 18 | |
126 | + | pharmacist at least 2 weeks before conducting the initial onsite audit for each audit cycle; 19 | |
130 | 127 | ||
131 | - | (II) FOR INVOICES FOR DUR ABLE MEDICAL EQUIPME NT OR | |
132 | - | SICKROOM SUPPLIES , A DISTRIBUTOR THAT H AS THE APPROPRIATE | |
133 | - | AUTHORIZATIO N TO DO BUSINESS IN THE STATE; | |
128 | + | (2) employ the services of a pharmacist if the audit requires the clinical or 20 | |
129 | + | professional judgment of a pharmacist; 21 | |
134 | 130 | ||
135 | - | (7) (6) ALLOW ACCEPT A COMPLETED CASH REGISTER | |
136 | - | TRANSACTION TO SERVE AS PROOF OF DE LIVERY OR PICKUP FOR A PHARMACY | |
137 | - | CUSTOMER UNLESS THERE IS CONT RADICTORY INFORMATIO N; | |
138 | - | Ch. 355 2023 LAWS OF MARYLAND | |
131 | + | (3) [permit] ALLOW its auditors to enter the prescription area of a 22 | |
132 | + | pharmacy only when accompanied by or authorized by a member of the pharmacy staff; 23 | |
139 | 133 | ||
140 | - | – 4 – | |
141 | - | [(6)] (8) (7) audit each pharmacy and pharmacist under the same standards | |
142 | - | and parameters as other similarly situated pharmacies or pharmacists audited by the | |
143 | - | pharmacy benefits manager; | |
134 | + | (4) allow a pharmacist or pharmacy to use any prescription, or authorized 24 | |
135 | + | change to a prescription, that meets the requirements of COMAR 10.34.20.02 to validate 25 | |
136 | + | claims submitted for reimbursement for dispensing of original and refill prescriptions; 26 | |
144 | 137 | ||
145 | - | ||
146 | - | ||
147 | - | or | |
138 | + | (5) for purposes of validating the pharmacy record with respect to orders 27 | |
139 | + | or refills of a drug, allow the pharmacy or pharmacist to use records of a hospital or a 28 | |
140 | + | physician or other prescriber authorized by law that are: 29 | |
148 | 141 | ||
149 | - | [(8)] (10) (9) deliver the preliminary audit report to the pharmacy or | |
150 | - | pharmacist within 120 calendar days after the completion of the audit, with reasonable | |
151 | - | extensions allowed; | |
142 | + | (i) written; or 30 | |
143 | + | 4 HOUSE BILL 374 | |
152 | 144 | ||
153 | - | [(9)] (11) (10) in accordance with subsection [(k)] (M) (L) (M) of this | |
154 | - | section, allow a pharmacy or pharmacist to produce documentation to address any | |
155 | - | discrepancy found during the audit; and | |
156 | 145 | ||
157 | - | [(10)] (12) (11) deliver the final audit report to the pharmacy or | |
158 | - | pharmacist: | |
146 | + | (ii) transmitted electronically or by any other means of 1 | |
147 | + | communication authorized by contract between the pharmacy and the pharmacy benefits 2 | |
148 | + | manager; 3 | |
159 | 149 | ||
160 | - | (i) within 6 months after delivery of the preliminary audit report if | |
161 | - | the pharmacy or pharmacist does not request an internal appeal under subsection [(k)] (M) | |
162 | - | (L) (M) of this section; or | |
150 | + | (6) FOR PURPOSES OF AN I NVOICE AUDIT, ACCEPT AS VALIDATION 4 | |
151 | + | INVOICES ISSUED BEFO RE THE DATE OF DISPE NSING FROM: 5 | |
163 | 152 | ||
164 | - | (ii) within 30 days after the conclusion of the internal appeals | |
165 | - | process under subsection [(k)] (M) (L) (M) of this section if the pharmacy or pharmacist | |
166 | - | requests an internal appeal. | |
153 | + | (I) A WHOLESAL E DISTRIBUTOR: 6 | |
167 | 154 | ||
168 | - | (f) (G) If a contract between a pharmacy or pharmacist and a pharmacy | |
169 | - | benefits manager specifies a period of time in which a pharmacy or pharmacist is allowed | |
170 | - | to withdraw and resubmit a claim and that period of time expires before the pharmacy | |
171 | - | benefits manager delivers a preliminary audit report that identifies discrepancies, the | |
172 | - | pharmacy benefits manager shall allow the pharmacy or pharmacist to withdraw and | |
173 | - | resubmit a claim within 30 days after: | |
155 | + | 1. THAT HAS BEEN ISSUED A PERMIT BY THE STATE 7 | |
156 | + | BOARD OF PHARMACY UNDER TITLE 12, SUBTITLE 6C OF THE HEALTH 8 | |
157 | + | OCCUPATIONS ARTICLE; AND 9 | |
174 | 158 | ||
175 | - | | |
176 | - | ||
159 | + | 2. FROM WHICH THE PHARM ACY OR PHARMACIST HA S 10 | |
160 | + | PURCHASED PRESCRIPTI ON DRUGS; OR 11 | |
177 | 161 | ||
178 | - | (2) the conclusion of the internal appeals process under subsection [(k)] | |
179 | - | (M) (L) (M) of this section if the pharmacy or pharmacist requests an internal appeal. | |
162 | + | (II) FOR INVOICES FOR DURABLE MEDICAL EQUIPMENT OR 12 | |
163 | + | SICKROOM SUPPLIES , A DISTRIBUTOR THAT H AS THE APPROPRIATE 13 | |
164 | + | AUTHORIZATION TO DO BUSINESS IN THE STATE; 14 | |
180 | 165 | ||
181 | - | (g) (H) During an audit, a pharmacy benefits manager may not disrupt the | |
182 | - | provision of services to the customers of a pharmacy. | |
166 | + | (7) (6) ALLOW ACCEPT A COMPLETED CASH REGISTER 15 | |
167 | + | TRANSACTION TO SERVE AS PROOF OF DE LIVERY OR PICKUP FOR A PHARMACY 16 | |
168 | + | CUSTOMER UNLESS THERE IS CONT RADICTORY INFORMATIO N; 17 | |
183 | 169 | ||
184 | - | (h) (I) (1) A pharmacy benefits manager may not: | |
185 | - | WES MOORE, Governor Ch. 355 | |
170 | + | [(6)] (8) (7) audit each pharmacy and pharmacist under the same standards 18 | |
171 | + | and parameters as other similarly situated pharmacies or pharmacists audited by the 19 | |
172 | + | pharmacy benefits manager; 20 | |
186 | 173 | ||
187 | - | – | |
188 | - | ||
189 | - | ||
174 | + | [(7)] (9) (8) only audit claims submitted or adjudicated within the 2–year 21 | |
175 | + | period immediately preceding the audit, unless a longer period is authorized under federal 22 | |
176 | + | or State law; 23 | |
190 | 177 | ||
191 | - | (ii) [Except] EXCEPT as provided in paragraph (2) of this subsection: | |
178 | + | [(8)] (10) (9) deliver the preliminary audit report to the pharmacy or 24 | |
179 | + | pharmacist within 120 calendar days after the completion of the audit, with reasonable 25 | |
180 | + | extensions allowed; 26 | |
192 | 181 | ||
193 | - | 1. share information from an audit with another pharmacy | |
194 | - | benefits manager; or | |
182 | + | [(9)] (11) (10) in accordance with subsection [(k)] (M) (L) (M) of this 27 | |
183 | + | section, allow a pharmacy or pharmacist to produce documentation to address any 28 | |
184 | + | discrepancy found during the audit; and 29 | |
195 | 185 | ||
196 | - | 2. use information from an audit conducted by another | |
197 | - | pharmacy benefits manager; | |
186 | + | [(10)] (12) (11) deliver the final audit report to the pharmacy or 30 | |
187 | + | pharmacist: 31 | |
188 | + | HOUSE BILL 374 5 | |
198 | 189 | ||
199 | - | (III) CHARGE A PHARMACY OR PHARMACIST A FEE UNL ESS AN | |
200 | - | AUDIT FINDS THERE WA S A FINANCIAL DETRIM ENT TO THE PHARMACY CUSTOMER | |
201 | - | OR PURCHASER ; | |
202 | 190 | ||
203 | - | (IV) CHARGE A PHARMACY OR PHARMACIST A FEE WIT H REGARD | |
204 | - | TO AN INCORRECT DAYS OF SUPPLY CALCULATIO N IF THE PHARMACY BE NEFITS | |
205 | - | MANAGER IS UNABLE T O ACCEPT THE CORRECT DAYS OF SUPPLY WITHO UT HELP | |
206 | - | DESK INTERVENTION ; | |
191 | + | (i) within 6 months after delivery of the preliminary audit report if 1 | |
192 | + | the pharmacy or pharmacist does not request an internal appeal under subsection [(k)] (M) 2 | |
193 | + | (L) (M) of this section; or 3 | |
207 | 194 | ||
208 | - | (III) RECOUP ANY FUNDS FRO M OR CHARGE ANY FEES TO A | |
209 | - | PHARMACY OR PHARMACI ST FOR A PRESCRIPTIO N WITH REGARD TO AN INCORRECT | |
210 | - | DAYS OF SUPPLY CALCU LATION IF THE PACKAG E SIZE OF THE MEDICATION IS | |
211 | - | UNBREAKABLE AND THE PHARMACY BENEFITS MA NAGER CANNOT ACCEPT THE | |
212 | - | CORRECT MATHEMATICAL LY CALCULABLE DAYS ’ SUPPLY DURING PRESCR IPTION | |
213 | - | ADJUDICATION ; | |
195 | + | (ii) within 30 days after the conclusion of the internal appeals 4 | |
196 | + | process under subsection [(k)] (M) (L) (M) of this section if the pharmacy or pharmacist 5 | |
197 | + | requests an internal appeal. 6 | |
214 | 198 | ||
215 | - | (V) (IV) HAVE OR REQUEST ACCE SS TO A PHARMACY ’S OR | |
216 | - | PHARMACIST ’S BANK, CREDIT CARD, OR DEPOSITORY STATEMENTS OR D ATA AS IT | |
217 | - | RELATES TO COST –SHARING; OR | |
199 | + | (f) (G) If a contract between a pharmacy or pharmacist and a pharmacy 7 | |
200 | + | benefits manager specifies a period of time in which a pharmacy or pharmacist is allowed 8 | |
201 | + | to withdraw and resubmit a claim and that period of time expires before the pharmacy 9 | |
202 | + | benefits manager delivers a preliminary audit report that identifies discrepancies, the 10 | |
203 | + | pharmacy benefits manager shall allow the pharmacy or pharmacist to withdraw and 11 | |
204 | + | resubmit a claim within 30 days after: 12 | |
218 | 205 | ||
219 | - | (VI) (V) AUDIT CLAIMS THAT WE RE REVERSED OR FOR W HICH | |
220 | - | THERE WAS NO REMUNER ATION BY THE PURCHAS ER OR COST TO THE PH ARMACY | |
221 | - | CUSTOMER EXCEPT IF NECESSARY TO EVALUATE COMPLIAN CE TO A CONTRACT . | |
206 | + | (1) the preliminary audit report is delivered if the pharmacy or pharmacist 13 | |
207 | + | does not request an internal appeal under subsection [(k)] (M) (L) (M) of this section; or 14 | |
222 | 208 | ||
223 | - | (2) | |
224 | - | ||
209 | + | (2) the conclusion of the internal appeals process under subsection [(k)] 15 | |
210 | + | (M) (L) (M) of this section if the pharmacy or pharmacist requests an internal appeal. 16 | |
225 | 211 | ||
226 | - | (i) required by federal or State law; | |
212 | + | (g) (H) During an audit, a pharmacy benefits manager may not disrupt the 17 | |
213 | + | provision of services to the customers of a pharmacy. 18 | |
227 | 214 | ||
228 | - | (ii) in connection with an acquisition or merger involving the | |
229 | - | pharmacy benefits manager; or | |
215 | + | (h) (I) (1) A pharmacy benefits manager may not: 19 | |
230 | 216 | ||
231 | - | ( | |
232 | - | ||
217 | + | (i) use the accounting practice of extrapolation to calculate 20 | |
218 | + | overpayments or underpayments; [or] 21 | |
233 | 219 | ||
234 | - | ||
220 | + | (ii) [Except] EXCEPT as provided in paragraph (2) of this subsection: 22 | |
235 | 221 | ||
236 | - | (3) FOR CLAIMS THAT WERE AUDITED IN VIOLATION OF PARAGRAPH | |
237 | - | (1)(VI) OF THIS SUBSECTION , THE PHARMACY BENEFIT S MANAGER OR PURCHAS ER | |
238 | - | SHALL PAY THE PHARMA CY OR PHARMACIST $20 PER CLAIM FOUND TO B E IN | |
239 | - | VIOLATION. | |
222 | + | 1. share information from an audit with another pharmacy 23 | |
223 | + | benefits manager; or 24 | |
240 | 224 | ||
241 | - | (I) (J) (1) A PHARMACY BENEFITS MA NAGER OR PURCHASER M AY NOT | |
242 | - | AUDIT MORE THAN 50 125 PRESCRIPTIONS DURING A DESK OR SITE AUDIT UNLESS | |
243 | - | THE PHARMACY BENEFITS MA NAGER OR PURCHASER R EQUESTING THE AUDIT PAYS | |
244 | - | THE PHARMACY OR PHARMACI ST $20 PER ADDITIONAL PRESC RIPTION OR PROOF | |
245 | - | OF DELIVERY OR PICKUP R EQUEST. | |
225 | + | 2. use information from an audit conducted by another 25 | |
226 | + | pharmacy benefits manager; 26 | |
246 | 227 | ||
247 | - | (2) THE FEE REQUIRED UNDE R PARAGRAPH (1) OF THIS SUBSECTION | |
248 | - | IS IN ADDITION TO TH E FEE REQUIRED UNDER SUBSECTION (J)(1) OF THIS SECTION. | |
228 | + | (III) CHARGE A PHARMACY OR PHARMACIST A FEE UNL ESS AN 27 | |
229 | + | AUDIT FINDS THERE WA S A FINANCIAL DETRIMENT TO T HE PHARMACY CUSTOMER 28 | |
230 | + | OR PURCHASER ; 29 | |
249 | 231 | ||
250 | - | (J) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , A PHARMACY | |
251 | - | BENEFITS MANAGER OR PURCHASER SHALL PAY A PHARMACY OR PHARMA CIST $250 | |
252 | - | PER HOUR OF AUDIT OR $10 PER PRESCRIPTION AUD ITED, WHICHEVER IS GREATER . | |
232 | + | (IV) CHARGE A PHARMACY OR PHARMACIST A FEE WIT H REGARD 30 | |
233 | + | TO AN INCORRECT DAYS OF SUPPLY CALCULATIO N IF THE PHARMACY BE NEFITS 31 | |
234 | + | MANAGER IS UNABLE TO ACCEPT THE CORRECT D AYS OF SUPPLY WITHOU T HELP 32 | |
235 | + | DESK INTERVENTION ; 33 6 HOUSE BILL 374 | |
253 | 236 | ||
254 | - | (2) THE FEE REQUIRED UNDE R THIS SUBSECTION SH ALL BE | |
255 | - | ADJUSTED ON JULY 1 EACH YEAR FOR INFLAT ION IN ACCORDANCE WI TH THE | |
256 | - | CONSUMER PRICE INDEX. | |
257 | 237 | ||
258 | - | [(i)] (K) (J) (K) The recoupment of a claims payment from a pharmacy or | |
259 | - | pharmacist by a pharmacy benefits manager shall be based on an actual overpayment or | |
260 | - | denial of an audited claim unless the projected overpayment or denial is part of a settlement | |
261 | - | agreed to by the pharmacy or pharmacist. | |
262 | 238 | ||
263 | - | [(j)] (L) (K) (L) (1) In this subsection, “overpayment” means a payment by the | |
264 | - | pharmacy benefits manager to a pharmacy or pharmacist that is greater than the rate or | |
265 | - | terms specified in the contract between the pharmacy or pharmacist and the pharmacy | |
266 | - | benefits manager at the time that the payment is made. | |
239 | + | (III) RECOUP ANY FUNDS FRO M OR CHARGE ANY FEES TO A 1 | |
240 | + | PHARMACY OR PHARMACI ST FOR A PRESCRIPTIO N WITH REGARD TO AN INCORRECT 2 | |
241 | + | DAYS OF SUPPLY CALCU LATION IF THE PACKAG E SIZE OF THE MEDICA TION IS 3 | |
242 | + | UNBREAKABLE AND THE PHARMACY BENEFITS MA NAGER CANNOT ACCEPT THE 4 | |
243 | + | CORRECT MATHEMATICAL LY CALCULABLE DAYS ’ SUPPLY DURING PRESCR IPTION 5 | |
244 | + | ADJUDICATION ; 6 | |
267 | 245 | ||
268 | - | (2) A clerical error, record–keeping error, typographical error, or | |
269 | - | scrivener’s error in a required document or record may not constitute fraud or grounds for | |
270 | - | recoupment of a claims payment from a pharmacy or pharmacist by a pharmacy benefits | |
271 | - | manager if the prescription was otherwise legally dispensed and the claim was otherwise | |
272 | - | materially correct. | |
246 | + | (V) (IV) HAVE OR REQUEST ACCE SS TO A PHARMACY ’S OR 7 | |
247 | + | PHARMACIST ’S BANK, CREDIT CARD, OR DEPOSITORY STATEM ENTS OR DATA AS IT 8 | |
248 | + | RELATES TO COST –SHARING; OR 9 | |
273 | 249 | ||
274 | - | (3) Notwithstanding paragraph (2) of this subsection, claims remain | |
275 | - | subject to recoupment of overpayment or payment of any discovered underpayment by the | |
276 | - | pharmacy benefits manager. | |
277 | - | WES MOORE, Governor Ch. 355 | |
250 | + | (VI) (V) AUDIT CLAIMS THAT WE RE REVERSED OR FOR W HICH 10 | |
251 | + | THERE WAS NO REMUNER ATION BY THE PURCHAS ER OR COST TO THE PH ARMACY 11 | |
252 | + | CUSTOMER EXCEPT IF NECESSARY TO EVALUATE COMPLIAN CE TO A CONTRACT . 12 | |
278 | 253 | ||
279 | - | – 7 – | |
280 | - | [(k)] (M) (L) (M) (1) A pharmacy benefits manager shall establish an internal | |
281 | - | appeals process under which a pharmacy or pharmacist may appeal any disputed claim in | |
282 | - | a preliminary audit report. | |
254 | + | (2) Paragraph (1)(ii) of this subsection does not apply to the sharing of 13 | |
255 | + | information: 14 | |
283 | 256 | ||
284 | - | (2) Under the internal appeals process, a pharmacy benefits manager shall | |
285 | - | allow a pharmacy or pharmacist to request an internal appeal within 30 working days after | |
286 | - | receipt of the preliminary audit report, with reasonable extensions allowed. | |
257 | + | (i) required by federal or State law; 15 | |
287 | 258 | ||
288 | - | (3) The pharmacy benefits manager shall include in its preliminary audit | |
289 | - | report a written explanation of the internal appeals process, including the name, address, | |
290 | - | and telephone number of the person to whom an internal appeal should be addressed. | |
259 | + | (ii) in connection with an acquisition or merger involving the 16 | |
260 | + | pharmacy benefits manager; or 17 | |
291 | 261 | ||
292 | - | (4) The decision of the pharmacy benefits manager on an appeal of a | |
293 | - | disputed claim in a preliminary audit report by a pharmacy or pharmacist shall be reflected | |
294 | - | in the final audit report. | |
262 | + | (iii) at the payor’s request or under the terms of the agreement 18 | |
263 | + | between the pharmacy benefits manager and the payor. 19 | |
295 | 264 | ||
296 | - | (5) The pharmacy benefits manager shall deliver the final audit report to | |
297 | - | the pharmacy or pharmacist within 30 calendar days after conclusion of the internal | |
298 | - | appeals process. | |
265 | + | (3) FOR CLAIMS THAT WERE AUDITED IN VIOLATION OF PARAGRAPH 20 | |
266 | + | (1)(VI) OF THIS SUBSECTION , THE PHARMACY BENEFIT S MANAGER OR PURCHAS ER 21 | |
267 | + | SHALL PAY THE PHARMA CY OR PHARMACIST $20 PER CLAIM FOUND TO B E IN 22 | |
268 | + | VIOLATION. 23 | |
299 | 269 | ||
300 | - | [(l)] (N) (M) (N) (1) A pharmacy benefits manager may not recoup by setoff | |
301 | - | any money for an overpayment or denial of a claim until: | |
270 | + | (I) (J) (1) A PHARMACY BENEFITS MA NAGER OR PURCHASER M AY NOT 24 | |
271 | + | AUDIT MORE THAN 50 125 PRESCRIPTIONS DURING A DESK OR SITE AUDIT UNLESS 25 | |
272 | + | THE PHARMACY BENEFITS MA NAGER OR PURCHASER R EQUESTING THE AUDIT PAYS 26 | |
273 | + | THE PHARMACY OR PHARMACI ST $20 PER ADDITIONAL PRESC RIPTION OR PROOF 27 | |
274 | + | OF DELIVERY OR PICKUP R EQUEST. 28 | |
302 | 275 | ||
303 | - | ( | |
304 | - | ||
276 | + | (2) THE FEE REQUIRED UNDE R PARAGRAPH (1) OF THIS SUBSECTION 29 | |
277 | + | IS IN ADDITION TO TH E FEE REQUIRED UNDER SUBSECTION (J)(1) OF THIS SECTION. 30 | |
305 | 278 | ||
306 | - | (ii) if the pharmacy or pharmacist concurs with the pharmacy | |
307 | - | benefits manager’s findings of overpayment or denial, 30 working days have elapsed after | |
308 | - | the date the final audit report has been delivered to the pharmacy or pharmacist. | |
279 | + | (J) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , A PHARMACY 31 | |
280 | + | BENEFITS MANAG ER OR PURCHASER SHAL L PAY A PHARMACY OR PHARMACIST $250 32 | |
281 | + | PER HOUR OF AUDIT OR $10 PER PRESCRIPTION AUD ITED, WHICHEVER IS GREATER . 33 | |
282 | + | HOUSE BILL 374 7 | |
309 | 283 | ||
310 | - | (2) If the pharmacy or pharmacist does not concur with the pharmacy | |
311 | - | benefits manager’s findings of overpayment or denial, the pharmacy benefits manager may | |
312 | - | not recoup by setoff any money pending the outcome of an appeal under subsection [(k)] | |
313 | - | (M) (L) (M) of this section. | |
314 | 284 | ||
315 | - | ( | |
316 | - | ||
317 | - | ||
285 | + | (2) THE FEE REQUIRED UNDE R THIS SUBSECTION SH ALL BE 1 | |
286 | + | ADJUSTED ON JULY 1 EACH YEAR FOR INFLAT ION IN ACCORDANCE WI TH THE 2 | |
287 | + | CONSUMER PRICE INDEX. 3 | |
318 | 288 | ||
319 | - | ( | |
320 | - | pharmacy benefits manager | |
321 | - | ||
322 | - | ||
289 | + | [(i)] (K) (J) (K) The recoupment of a claims payment from a pharmacy or 4 | |
290 | + | pharmacist by a pharmacy benefits manager shall be based on an actual overpayment or 5 | |
291 | + | denial of an audited claim unless the projected overpayment or denial is part of a settlement 6 | |
292 | + | agreed to by the pharmacy or pharmacist. 7 | |
323 | 293 | ||
324 | - | (O) THE FINAL AUDIT REPOR T SHALL, IF APPLICABLE: | |
325 | - | Ch. 355 2023 LAWS OF MARYLAND | |
294 | + | [(j)] (L) (K) (L) (1) In this subsection, “overpayment” means a payment by the 8 | |
295 | + | pharmacy benefits manager to a pharmacy or pharmacist that is greater than the rate or 9 | |
296 | + | terms specified in the contract between the pharmacy or pharmacist and the pharmacy 10 | |
297 | + | benefits manager at the time that the payment is made. 11 | |
326 | 298 | ||
327 | - | – 8 – | |
328 | - | (1) IDENTIFY EACH PHARMA CY CUSTOMER OR PURCH ASER | |
329 | - | RECEIVING A REFUND ; AND | |
299 | + | (2) A clerical error, record–keeping error, typographical error, or 12 | |
300 | + | scrivener’s error in a required document or record may not constitute fraud or grounds for 13 | |
301 | + | recoupment of a claims payment from a pharmacy or pharmacist by a pharmacy benefits 14 | |
302 | + | manager if the prescription was otherwise legally dispensed and the claim was otherwise 15 | |
303 | + | materially correct. 16 | |
330 | 304 | ||
331 | - | (2) SPECIFY THE AMOUNT B EING REFUNDED TO EAC H PHARMACY | |
332 | - | CUSTOMER OR PURCHASE R. | |
305 | + | (3) Notwithstanding paragraph (2) of this subsection, claims remain 17 | |
306 | + | subject to recoupment of overpayment or payment of any discovered underpayment by the 18 | |
307 | + | pharmacy benefits manager. 19 | |
333 | 308 | ||
334 | - | ( | |
335 | - | ||
336 | - | ||
309 | + | [(k)] (M) (L) (M) (1) A pharmacy benefits manager shall establish an internal 20 | |
310 | + | appeals process under which a pharmacy or pharmacist may appeal any disputed claim in 21 | |
311 | + | a preliminary audit report. 22 | |
337 | 312 | ||
338 | - | (Q) (N) (O) (1) A PHARMACY BENEFITS MA NAGER SHALL PROVIDE A | |
339 | - | PHARMACY OR PHARMACI ST BEING AUDITED WIT H A PHONE NUMBER AND, IF | |
340 | - | AVAILABLE, ACCESS TO A SECURE P ORTAL THAT THE PHARMACY OR PHARMACIST | |
341 | - | MAY USE TO ASK QUEST IONS REGARDING THE A UDIT. | |
313 | + | (2) Under the internal appeals process, a pharmacy benefits manager shall 23 | |
314 | + | allow a pharmacy or pharmacist to request an internal appeal within 30 working days after 24 | |
315 | + | receipt of the preliminary audit report, with reasonable extensions allowed. 25 | |
342 | 316 | ||
343 | - | (2) AN INDIVIDUAL WHO IS FAMILIAR WITH THE AUDIT SHALL | |
344 | - | RESPOND TO ALL TELEPHONE INQUIRIES MADE THROUGH A PHONE NUMBER OR | |
345 | - | SECURE PORTAL PROVID ED UNDER PARAGRAPH (1) OF THIS SUBSECTION WITHIN | |
346 | - | 72 HOURS 3 BUSINESS DAYS AFTER THE CALL INQUIRY WAS MADE. | |
317 | + | (3) The pharmacy benefits manager shall include in its preliminary audit 26 | |
318 | + | report a written explanation of the internal appeals process, including the name, address, 27 | |
319 | + | and telephone number of the person to whom an internal appeal should be addressed. 28 | |
347 | 320 | ||
348 | - | ( | |
349 | - | PHARMACY OR | |
350 | - | ||
321 | + | (4) The decision of the pharmacy benefits manager on an appeal of a 29 | |
322 | + | disputed claim in a preliminary audit report by a pharmacy or pharmacist shall be reflected 30 | |
323 | + | in the final audit report. 31 | |
351 | 324 | ||
352 | - | ( | |
353 | - | PHARMACY | |
354 | - | ||
325 | + | (5) The pharmacy benefits manager shall deliver the final audit report to 32 | |
326 | + | the pharmacy or pharmacist within 30 calendar days after conclusion of the internal 33 | |
327 | + | appeals process. 34 | |
355 | 328 | ||
356 | - | (3) ON OR BEFORE OCTOBER 1, 2025, A PHARMACY BENEFITS | |
357 | - | MANAGER SHALL PROVID E A MECHANISM FOR SE CURE ELECTRONIC | |
358 | - | COMMUNICATION FOR PH ARMACIES AND PHARMAC ISTS TO COMMUNICATE WITH | |
359 | - | AND SUBMIT DOCUMEN TS TO THE AUDITING E NTITY. | |
329 | + | [(l)] (N) (M) (N) (1) A pharmacy benefits manager may not recoup by setoff 35 | |
330 | + | any money for an overpayment or denial of a claim until: 36 8 HOUSE BILL 374 | |
360 | 331 | ||
361 | - | [(m)] (S) (P) (Q) (1) The Commissioner may adopt regulations regarding: | |
362 | 332 | ||
363 | - | (i) the documentation that may be requested during an audit; and | |
364 | 333 | ||
365 | - | ( | |
366 | - | ||
334 | + | (i) the pharmacy or pharmacist has an opportunity to review the 1 | |
335 | + | pharmacy benefits manager’s findings; and 2 | |
367 | 336 | ||
368 | - | (2) On request of the Commissioner or the Commissioner’s designee, a | |
369 | - | pharmacy benefits manager shall provide a copy of its audit procedures or internal appeals | |
370 | - | process. | |
371 | - | WES MOORE, Governor Ch. 355 | |
337 | + | (ii) if the pharmacy or pharmacist concurs with the pharmacy 3 | |
338 | + | benefits manager’s findings of overpayment or denial, 30 working days have elapsed after 4 | |
339 | + | the date the final audit report has been delivered to the pharmacy or pharmacist. 5 | |
372 | 340 | ||
373 | - | – 9 – | |
374 | - | SECTION 2. AND BE IT FURTHER ENACTED, That: | |
341 | + | (2) If the pharmacy or pharmacist does not concur with the pharmacy 6 | |
342 | + | benefits manager’s findings of overpayment or denial, the pharmacy benefits manager may 7 | |
343 | + | not recoup by setoff any money pending the outcome of an appeal under subsection [(k)] 8 | |
344 | + | (M) (L) (M) of this section. 9 | |
375 | 345 | ||
376 | - | ( | |
377 | - | or pharmacist | |
378 | - | ||
346 | + | (3) A pharmacy benefits manager shall remit any money due to a pharmacy 10 | |
347 | + | or pharmacist as a result of an underpayment of a claim within 30 working days after the 11 | |
348 | + | final audit report has been delivered to the pharmacy or pharmacist. 12 | |
379 | 349 | ||
380 | - | (b) For a pharmacy benefits manager that contracts with the State or a local | |
381 | - | government, this Act shall apply only to audits that occur on the first day of the first plan | |
382 | - | year beginning on or after January 1, 2024, or the first time a contract between a pharmacy | |
383 | - | benefits manager with the State or a local government is amended or renewed on or after | |
384 | - | January 1, 2024. | |
350 | + | (4) Notwithstanding the provisions of paragraph (1) of this subsection, a 13 | |
351 | + | pharmacy benefits manager may withhold future payments before the date the final audit 14 | |
352 | + | report has been delivered to the pharmacy or pharmacist if the identified discrepancy for 15 | |
353 | + | all disputed claims in a preliminary audit report for an individual audit exceeds $25,000. 16 | |
385 | 354 | ||
386 | - | SECTION 2. 3. AND BE IT FURTHER ENACTED, That this Act shall take effect | |
387 | - | October 1, 2023 January 1, 2024. | |
355 | + | (O) THE FINAL AUDIT REPOR T SHALL, IF APPLICABLE: 17 | |
388 | 356 | ||
389 | - | Approved by the Governor, May 3, 2023. | |
357 | + | (1) IDENTIFY EACH PHARMA CY CUSTOMER OR PURCH ASER 18 | |
358 | + | RECEIVING A REFUND ; AND 19 | |
359 | + | ||
360 | + | (2) SPECIFY THE AMOUNT B EING REFUNDED TO EAC H PHARMACY 20 | |
361 | + | CUSTOMER OR PURCHASE R. 21 | |
362 | + | ||
363 | + | (P) A PHARMACY OR PHARMACI ST MAY CONFIRM WITH THE PHARMACY 22 | |
364 | + | CUSTOMER OR PURCHASER THAT THE P HARMACY CUSTOMER OR PURCHASER 23 | |
365 | + | RECEIVED THE REFUND AMOUNT FROM THE PHAR MACY BENEFITS MANAGE R. 24 | |
366 | + | ||
367 | + | (Q) (N) (O) (1) A PHARMACY BENEFITS MA NAGER SHALL PROVIDE A 25 | |
368 | + | PHARMACY OR PHARMACI ST BEING AUDITED WIT H A PHONE NUMBER AND, IF 26 | |
369 | + | AVAILABLE, ACCESS TO A SECURE P ORTAL THAT THE PHARMACY OR PHARMACIST 27 | |
370 | + | MAY USE TO ASK QUEST IONS REGARDING THE A UDIT. 28 | |
371 | + | ||
372 | + | (2) AN INDIVIDUAL WHO IS FAMILIAR WITH THE AU DIT SHALL 29 | |
373 | + | RESPOND TO ALL TELEPHONE INQUIRIES MADE THROUGH A PHONE NUMBER OR 30 | |
374 | + | SECURE PORTAL PROVID ED UNDER PARAGRAPH (1) OF THIS SUBSECTION WITHIN 31 | |
375 | + | 72 HOURS 3 BUSINESS DAYS AFTER THE CALL INQUIRY WAS MADE. 32 | |
376 | + | HOUSE BILL 374 9 | |
377 | + | ||
378 | + | ||
379 | + | (R) (O) (P) (1) THE PHARMACY BENEFITS MANAGER SHALL GIVE T HE 1 | |
380 | + | PHARMACY OR PHARMACI ST THE OPTION TO PRO VIDE REQUESTED AUDIT 2 | |
381 | + | DOCUMENTATION BY POS TAL MAIL, E–MAIL, OR FACSIMILE. 3 | |
382 | + | ||
383 | + | (2) IF A DOCUMENT IS REQU ESTED REGARDING AN A UDIT, THE 4 | |
384 | + | PHARMACY BENEFITS MA NAGER SHALL PROVIDE A SECURE FACSIMILE N UMBER 5 | |
385 | + | AND A MECHANISM FOR RECEIVING SECURE E –MAILS. 6 | |
386 | + | ||
387 | + | (3) ON OR BEFORE OCTOBER 1, 2025, A PHARMACY BENEFITS 7 | |
388 | + | MANAGER SHALL PROVIDE A ME CHANISM FOR SECURE E LECTRONIC 8 | |
389 | + | COMMUNICATION FOR PH ARMACIES AND PHARMAC ISTS TO COMMUNICATE WITH 9 | |
390 | + | AND SUBMIT DOCUMENTS TO THE AUDITING ENTI TY. 10 | |
391 | + | ||
392 | + | [(m)] (S) (P) (Q) (1) The Commissioner may adopt regulations regarding: 11 | |
393 | + | ||
394 | + | (i) the documentation that may be requested during an audit; and 12 | |
395 | + | ||
396 | + | (ii) the process a pharmacy benefits manager may use to conduct an 13 | |
397 | + | audit. 14 | |
398 | + | ||
399 | + | (2) On request of the Commissioner or the Commissioner’s designee, a 15 | |
400 | + | pharmacy benefits manager shall provide a copy of its audit procedures or internal appeals 16 | |
401 | + | process. 17 | |
402 | + | ||
403 | + | SECTION 2. AND BE IT FURTHER ENACTED, That: 18 | |
404 | + | ||
405 | + | (a) Except as provided in subsection (b) of this section, for an audit of a pharmacy 19 | |
406 | + | or pharmacist under contract with a pharmacy benefits manager, this Act shall apply only 20 | |
407 | + | to an audit performed on or after January 1, 2024. 21 | |
408 | + | ||
409 | + | (b) For a pharmacy benefits manager that contracts with the State or a local 22 | |
410 | + | government, this Act shall apply only to audits that occur on the first day of the first plan 23 | |
411 | + | year beginning on or after January 1, 2024, or the first time a contract between a pharmacy 24 | |
412 | + | benefits manager with the State or a local government is amended or renewed on or after 25 | |
413 | + | January 1, 2024. 26 | |
414 | + | ||
415 | + | SECTION 2. 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 27 | |
416 | + | October 1, 2023 January 1, 2024. 28 | |
417 | + | ||
418 | + | ||
419 | + |