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3 | - | SENATE FLOOR VERSION - SB493 SFLR Page 1 | |
4 | - | (Bold face denotes Committee Amendments) 1 | |
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4 | + | Req. No. 89 Page 1 1 | |
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29 | - | SENATE FLOOR VERSION | |
30 | - | February 18, 2021 | |
31 | - | AS AMENDED | |
53 | + | STATE OF OKLAHOMA | |
32 | 54 | ||
33 | - | ||
55 | + | 1st Session of the 58th Legislature (2021) | |
34 | 56 | ||
35 | - | and | |
36 | - | ||
37 | - | McEntire of the House | |
57 | + | SENATE BILL 493 By: McCortney | |
38 | 58 | ||
39 | 59 | ||
40 | 60 | ||
41 | 61 | ||
42 | 62 | ||
43 | - | [ prescription drugs - State Prescription Drug | |
44 | - | Purchasing Pool - participation in pool - | |
45 | - | codification - effective date ] | |
63 | + | AS INTRODUCED | |
46 | 64 | ||
65 | + | An Act relating to prescription drugs; defining | |
66 | + | terms; establishing the State Presc ription Drug | |
67 | + | Purchasing Pool; authorizing Office of Management and | |
68 | + | Enterprise Services to allow certain entities to | |
69 | + | purchase prescription drugs under state authority ; | |
70 | + | defining terms; authorizing Office to establish | |
71 | + | procedures for participa tion in pool; authorizing | |
72 | + | Office to offer option to purchase stop -loss | |
73 | + | insurance coverage at certain rate for specified | |
74 | + | participants; authorizing certain entities to | |
75 | + | participate jointly in pool; construing provision ; | |
76 | + | requiring participant enti ties pay full cost of | |
77 | + | claims and prescription drugs; authorizing Office to | |
78 | + | coordinate with certain program for certain purpose; | |
79 | + | authorizing Office to obtain stop-loss insurance | |
80 | + | coverage; authorizing Office to promulgate rules; | |
81 | + | providing for codification; and provi ding an | |
82 | + | effective date. | |
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50 | 86 | ||
51 | 87 | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
52 | 88 | SECTION 1. NEW LAW A new section of law to be codified | |
53 | 89 | in the Oklahoma Statutes as Section 1350 of Title 36, unless there | |
54 | 90 | is created a duplication in numbering, rea ds as follows: | |
55 | 91 | A. As used in this section: | |
56 | 92 | 1. “Health insurance carrier ” means any entity which provides | |
57 | 93 | health insurance, health benefits or contracts for health car e | |
58 | - | services, including prescription drug coverage, to large groups, | |
59 | - | small groups or individuals in this state and that is subject to t he | |
60 | - | insurance laws and regulations of this state or the jurisdiction of | |
61 | - | Insurance Commissioner ; | |
62 | - | 2. “Nonstate public employer ” means a county, municipality or | |
63 | - | other political subdivision of the state, including a board of | |
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65 | - | SENATE FLOOR VERSION - SB493 SFLR Page 2 | |
66 | - | (Bold face denotes Committee Amendments) 1 | |
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145 | + | services, including prescription drug coverage, to large groups, | |
146 | + | small groups or individuals in this state and that is subject to t he | |
147 | + | insurance laws and regulations of this state or the jurisdiction of | |
148 | + | Insurance Commissioner ; | |
149 | + | 2. “Nonstate public employer ” means a county, municipality or | |
150 | + | other political subdivision of the state, including a board of | |
91 | 151 | education, quasi-public agency, state uni versity system or the Board | |
92 | 152 | of Trustees of the Teachers’ Retirement System of Oklahoma ; and | |
93 | 153 | 3. “Qualified private employer ” means a self-insured private | |
94 | 154 | employer doing business in this state. | |
95 | 155 | B. There is hereby established the “State Prescription Drug | |
96 | 156 | Purchasing Pool”. The Office of Enterprise and Management Services | |
97 | 157 | may offer nonstate public em ployers, qualified private employers a nd | |
98 | 158 | health insurance carriers the option to pur chase prescription drugs, | |
99 | 159 | as defined in Section 367.2 of Title 59 of the Oklahoma Statutes, | |
100 | 160 | for their employees, dependents of employees and retirees under the | |
101 | 161 | purchasing authority of this state, subject to the provisions of | |
102 | 162 | subsection E of this section. | |
103 | 163 | C. The Office may establish procedures to determine | |
104 | 164 | participation in the State Prescription Drug Purchasing Pool by | |
105 | 165 | nonstate public employers, qualified private employers and health | |
106 | 166 | insurance carriers pursua nt to subsection A of this section, which | |
107 | 167 | shall include but are not limited to eligibility requirements, | |
108 | 168 | enrollment procedures, duration of participation, requirements | |
109 | - | regarding payment, and procedures for withdraw al or termination from | |
110 | - | the Pool | |
111 | - | D. The Office may offer to nonstate public employers, qualified | |
112 | - | private employers or health insurance carriers that choose to | |
113 | - | participate in the State Prescription Drug Purchasing Pool , pursuant | |
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115 | - | SENATE FLOOR VERSION - SB493 SFLR Page 3 | |
116 | - | (Bold face denotes Committee Amendments) 1 | |
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171 | + | Req. No. 89 Page 3 1 | |
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220 | + | regarding payment, and procedures for withdraw al or termination from | |
221 | + | the Pool | |
222 | + | D. The Office may offer to nonstate public employers, qualified | |
223 | + | private employers or health insurance carriers that choose to | |
224 | + | participate in the State Prescription Drug Purchasing Pool , pursuant | |
141 | 225 | to subsection A of this section , the option to purchase stop -loss | |
142 | 226 | coverage from an insurer at a rat e negotiated by the Office. | |
143 | 227 | E. Two or more nonstate public employers or qualified private | |
144 | 228 | employers may operate together for the purpose of purchasing | |
145 | 229 | prescription drugs for their employees, dependents of employees and | |
146 | 230 | retirees. This arrangement shall not constitute a multiple employer | |
147 | 231 | welfare arrangement, as defined in Section 3 of the Emp loyee | |
148 | 232 | Retirement Income Security Act of 1974, 29 U.S.C., Section | |
149 | 233 | 1002(40)(A), as amended. | |
150 | 234 | F. Nonstate public employers, qualified private e mployers and | |
151 | 235 | health insurance carriers that participate in the Stat e Prescription | |
152 | 236 | Drug Purchasing Pool pursuant to this sectio n shall pay the full | |
153 | 237 | cost of their own claims and prescription drugs. | |
154 | 238 | G. The Office may coordinate the State Prescription Drug | |
155 | 239 | Purchasing Pool with any prescription drug assistance program | |
156 | 240 | established through the Rx for Oklahoma Act pursuant to Section | |
157 | 241 | 5040.2 et seq. of Title 74 of the Oklahoma Statutes . This | |
158 | 242 | coordination may include purchasing prescription drugs for the | |
159 | 243 | program through the Pool and offering discounts, rebates and prices | |
160 | - | secured through the Pool to participants of the prescription drug | |
161 | - | assistance program. | |
162 | - | H. The Office may obtain stop -loss insurance coverage pursuant | |
163 | - | to Section 7401 of Title 36 of the Oklahoma Sta tutes provided, | |
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165 | - | SENATE FLOOR VERSION - SB493 SFLR Page 4 | |
166 | - | (Bold face denotes Committee Amendments) 1 | |
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246 | + | Req. No. 89 Page 4 1 | |
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295 | + | secured through the Pool to participants of the prescription drug | |
296 | + | assistance program. | |
297 | + | H. The Office may obtain stop -loss insurance coverage pursuant | |
298 | + | to Section 7401 of Title 36 of the Oklahoma Sta tutes provided, | |
191 | 299 | however, that the coverage complies wit h the provisions of t his | |
192 | 300 | section. | |
193 | 301 | I. The Office of Enterprise and Manag ement Services is | |
194 | 302 | authorized to promulgate rules to implement the provisions of this | |
195 | 303 | act. | |
196 | 304 | SECTION 2. This act shall become effective November 1, 2021. | |
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306 | + | 58-1-89 CB 1/19/2021 6:35:30 PM |