Rhode Island 2023 Regular Session

Rhode Island Senate Bill S0573 Compare Versions

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99 S TATE OF RHODE IS LAND
1010 IN GENERAL ASSEMBLY
1111 JANUARY SESSION, A.D. 2023
1212 ____________
1313
1414 A N A C T
1515 RELATING TO BUSINESSES AND PROFESSIONS -- THE PRESCRIPTION DRUG SALES
1616 REPRESENTATIVE DISCLOSURE ACT
1717 Introduced By: Senators Valverde, Miller, Lawson, Lauria, DiMario, DiPalma, Murray,
1818 and Kallman
1919 Date Introduced: March 07, 2023
2020 Referred To: Senate Health & Human Services
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2323 It is enacted by the General Assembly as follows:
2424 SECTION 1. Legislative findings and declaration of purpose. The general assembly hereby 1
2525 finds and declares that: 2
2626 (1) Containing health care costs requires containing prescription drug costs. The costs of 3
2727 prescription drugs have been increasing dramatically. To contain prescription drug costs, it is 4
2828 essential to understand the drivers of those costs, including increases in prescriptions and changes 5
2929 in prescription patterns from low-cost to high-cost drugs. 6
3030 (2) Drug companies employ pharmaceutical sales representatives to increase sales by 7
3131 persuading prescribers to prescribe certain drugs. Sales representatives may provide education to 8
3232 the prescriber, but often also include inducements in the form of gifts and drug samples. 9
3333 (3) Drug sales representatives often have access to physician prescription tracking data. 10
3434 (4) The state has an interest in requiring disclosures and regulating the practice of drug 11
3535 sales representatives. 12
3636 SECTION 2. Title 5 of the General Laws entitled “Businesses and Professions” is hereby 13
3737 amended by adding thereto the following chapter: 14
3838 CHAPTER 19.3 15
3939 THE PRESCRIPTION DRUG SALES REPRESENTATIVE DISCLOSURE ACT 16
4040 5-19.3-1. Short title. 17
4141 This chapter shall be known and may be cited as “The Prescription Drug Sales 18
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4545 Representative Disclosure Act”. 1
4646 5-19.3-2. Definitions. 2
4747 As used in this chapter, the following words and terms shall have the following meanings: 3
4848 (1) “Department” means the department of business regulation. 4
4949 (2) “Director” means the director of the department of business regulation, or designee. 5
5050 (3) “Manufacturer” means a pharmaceutical, biological product, or medical device 6
5151 manufacturer or any other person who is engaged in the production, preparation, propagation, 7
5252 compounding, processing, marketing, packaging, repacking, distributing, or labeling of prescribed 8
5353 products. The term does not include a wholesale distributor of biological products, a retailer, or a 9
5454 pharmacist. The term also does not include a manufacturer whose only prescribed products are 10
5555 classified as Class I by the U.S. Food and Drug Administration, are exempt from pre-market 11
5656 notification under Section 510(k) of the federal Food, Drug and Cosmetic Act, and are sold over-12
5757 the-counter without a prescription. 13
5858 (4) “Medical facility” means any freestanding emergency care facility, healthcare facility, 14
5959 physician or podiatry ambulatory-surgery center, or other similar entity licensed by the state. 15
6060 (5) “Pharmaceutical sales representative” means a person who markets prescription drugs 16
6161 to providers of health care licensed, certified or registered in this state, pharmacies or employees 17
6262 thereof, operators or employees of medical facilities or persons licensed or certified by the state. 18
6363 (6) “Prescription drug” means a drug as defined in 21 U.S.C. § 321. 19
6464 (7) “Provider of health care” means any person licensed in this state to administer or 20
6565 prescribe a prescription drug. 21
6666 5-19.3-3. Pharmaceutical manufacturer and sales representative registration, 22
6767 disclosure, and transparency report. 23
6868 (a) A manufacturer of a prescription drug shall provide to the department a list of each 24
6969 pharmaceutical sales representative who markets prescription drugs on behalf of the manufacturer 25
7070 to providers of health care in this state, pharmacies or employees thereof, or operators or employees 26
7171 of medical facilities or persons licensed in this state. 27
7272 (1) The manufacturer shall inform the department by any means acceptable to the 28
7373 department of a change in the manufacturer’s list within sixty (60) days of the change. Failure to 29
7474 timely inform the department of a change may result in a penalty to be determined by the 30
7575 department. 31
7676 (2) The manufacturer shall refile or update the list annually. 32
7777 (b) The department shall provide electronic access to the most recent list provided by each 33
7878 manufacturer pursuant to subsection (a) of this section, to each provider of health care licensed, 34
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8282 certified or registered in this state, operator of a pharmacy, and operator of a medical facility, or 1
8383 person licensed or certified under the provisions of title 5 for the purposes of ensuring compliance 2
8484 with the requirements of subsection (c) of this section. The department shall also provide electronic 3
8585 access to the information to the department of health and public access via the department’s 4
8686 website. This subsection must not be construed to impose any duty on a provider of health care, 5
8787 operator of a pharmacy, or operator of a medical facility or person licensed or certified under the 6
8888 provisions of title 5 to ensure such compliance. 7
8989 (c) A person who is not included on a current list submitted pursuant to subsection (a) of 8
9090 this section, shall not market prescription drugs on behalf of a manufacturer to any provider of 9
9191 health care licensed, certified or registered in this state, pharmacy or employee thereof, operator or 10
9292 employee of a medical facility or person licensed or certified under the provisions of title 5. 11
9393 (d) On or before March 1 of each year, each person who was included on a list of 12
9494 pharmaceutical sales representatives submitted pursuant to subsection (a) of this section, at any 13
9595 time during the immediately preceding calendar year shall submit to the department a report, which 14
9696 shall include, for the immediately preceding calendar year: 15
9797 (1) A list of providers of health care, pharmacies and employees thereof, and operators and 16
9898 employees of medical facilities and persons licensed or certified under the provisions of title 5 to 17
9999 whom the pharmaceutical sales representative provided: 18
100100 (i) Any type of compensation, gift, or thing of value, with a value that exceeds one hundred 19
101101 dollars ($100); or 20
102102 (ii) Total compensation, gift, or thing of value, with a value that exceeds two hundred fifty 21
103103 dollars ($250) in the aggregate; and 22
104104 (2) The name and manufacturer of each prescription drug for which the pharmaceutical 23
105105 sales representative provided a free sample to a provider of health care licensed, certified or 24
106106 registered in this state, pharmacy or employee thereof, or operator or employee of a medical facility 25
107107 or person licensed or certified under the provisions of title 5. 26
108108 (e) The department shall analyze annually the information submitted pursuant to subsection 27
109109 (d) of this section, and compile a report on the activities of pharmaceutical sales representatives in 28
110110 this state. On or before June 1 of each year, the department shall: 29
111111 (1) Post the report on the website maintained by the department; and 30
112112 (2) Submit the report to the governor, the director of the department of health, the 31
113113 commissioner of the office of health insurance, and to the speaker of the house and the senate 32
114114 president. 33
115115 5-19.3-4. Fees and penalties. 34
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119119 (a) A fee in the amount of fifty-five dollars ($55.00) annually shall be charged by the 1
120120 director from each manufacturer, per each pharmaceutical sales representative listed by the 2
121121 manufacturer. All revenue collected pursuant to this chapter shall be deposited as restricted receipts 3
122122 available to the department as described in § 42-14-9. 4
123123 (b) The attorney general may bring an action in the civil division of the superior court, 5
124124 Providence county for injunctive relief, costs, and attorneys’ fees, and to impose on a manufacturer 6
125125 that fails to provide the information required by this chapter a civil penalty of no more than ten 7
126126 thousand dollars ($10,000) per violation. Each unlawful failure to provide information shall 8
127127 constitute a separate violation. In any action brought pursuant to this section, the attorney general 9
128128 shall have the same authority to investigate and to obtain remedies as if the action were brought 10
129129 under chapter 13.1 of title 6 ("deceptive trade practices"). 11
130130 SECTION 3. This act shall take effect on January 1, 2024. 12
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137137 EXPLANATION
138138 BY THE LEGISLATIVE COUNCIL
139139 OF
140140 A N A C T
141141 RELATING TO BUSINESSES AND PROFESSIONS -- THE PRESCRIPTION DRUG SALES
142142 REPRESENTATIVE DISCLOSURE ACT
143143 ***
144144 This act would require prescription drug manufacturers to file a detailed, updated list of 1
145145 each pharmaceutical sales representative engaged by the manufacturer and to pay an annual fee for 2
146146 each name listed with the department of business regulation. Failure to comply would result in civil 3
147147 penalties. 4
148148 This act would take effect on January 1, 2024. 5
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