2016 -- S 2560

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2016

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A N   A C T

RELATING TO STATE AFFAIRS AND GOVERNMENT -- OFFICE OF HEALTH AND

HUMAN SERVICES

     

     Introduced By: Senators Coyne, Goldin, Archambault, DiPalma, and Satchell

     Date Introduced: February 25, 2016

     Referred To: Senate Health & Human Services

     (Attorney General)

It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 42-7.2 of the General Laws entitled "Office of Health and Human

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Services" is hereby amended by adding thereto the following section:

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     42-7.2-21. Transparency and cost control of pharmaceutical drug prices. -- (a) The

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executive office of health and human services ("EOHHS") shall develop a list of critical

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prescription drugs for which there is a substantial public interest in understanding the

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development of its pricing. In developing the list, the EOHHS shall consider the following

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factors:

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     (1) The cost of the drug to public health care programs, including those administered by

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the EOHHS;

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     (2) The current cost of the drug in the state;

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     (3) The extent of utilization of the drug within the state; and

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     (4) Potential impact of the cost of the drug on the state's achievement of cost-effective

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statewide health care.

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     (b) For each prescription drug that the EOHHS places on the critical prescription drug list

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pursuant to subsection (a) of this section, the EOHHS shall require the manufacturers of said

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prescription drug to report the following information to the EOHHS:

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     (1) Total cost of production and approximate cost of production per dose;

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     (2) Research and development costs of the drug, including:

 

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     (i) Research and development costs that are paid with public funds;

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     (ii) After-tax research and development costs paid by the manufacturer; and

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     (iii) Research and development costs paid by third parties.

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     (3) Marketing and advertising costs for the drug, apportioned by marketing activities that

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are directed to consumers, marketing activities that are directed to prescribers, and the total cost

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of all marketing and advertising that is directed primarily to Rhode Island consumers and

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prescribers;

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     (4) The prices for the drug that are charged to purchasers outside the United States, by a

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country or for a representative set of countries determined by the EOHHS;

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     (5) Prices charged to typical Rhode Island purchasers, including, but not limited to,

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pharmacies, pharmacy chains, pharmacy wholesalers, or other direct purchasers;

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     (6) True net typical prices charged to prescription drug benefit managers for distribution

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in Rhode Island, net of any rebates or other payments from the manufacturer to the pharmacy

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benefit manager and the pharmacy benefit manager to the manufacturer.

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     (c) The EOHHS shall promulgate regulations to further define and enforce the provisions

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of this section, which may include monetary penalties for failure to comply with the requirements

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of this section.

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     (d) Information reported pursuant to subsection (b) of this section shall not be considered

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a public record. Any and all public reporting of information submitted pursuant to subsection (b)

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of this section shall be aggregated as to protect the financial, competitive, or proprietary nature of

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the information.

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     (e) The EOHHS shall prepare an annual report on prescription drug prices and their role

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in overall health care spending in the state based on the data submitted to the EOHHS pursuant to

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subsection (b) of this section and in conformance with the provisions of subsection (d) of this

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section. As part of the report, the EOHHS may include recommendations for actions to lower

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prescription drug costs and spending across the state while maintaining access to and quality

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health care. The EOHHS's report shall be posted on the EOHHS's website and shall be filed with

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the speaker of the house of representatives and the president of the senate.

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     (f) The EOHHS shall identify, using the information submitted to the EOHHS, those

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prescription drugs that due to their cost, jeopardize the state's ability to meet the achievement of

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cost-effective statewide health care. In reviewing the data, the EOHHS shall review and consider

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all data reported to the EOHHS and determine whether the price of the prescription drug is

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significantly high given:

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     (1) The prescription drug's medical benefits;

 

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     (2) The cost to develop and manufacture the prescription drug; and

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     (3) The prices charged by the manufacturer in other countries.

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     (g) If the EOHHS determines that a prescription drug is significantly high, then the

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EOHHS may set the maximum allowable price that the manufacturer can charge for that

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prescription drug that is sold for use in the state.

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     SECTION 2. This act shall take effect on January 1, 2017.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO STATE AFFAIRS AND GOVERNMENT -- OFFICE OF HEALTH AND

HUMAN SERVICES

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     This act would require the Executive Office of Health and Human Services ("EOHHS")

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to create a critical prescription drug list where there is a substantial public interest in

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understanding the development of its pricing. If a prescription drug is placed on the critical

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prescription drug list, the manufacture of such prescription drug must report certain information

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to EOHHS.

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     This act would take effect on January 1, 2017.

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