Amend CSHB 2292 as follows:
Section 2.09. On page 66, between line 13, by adding a new
subsection (b) and (c) to read as follows and reletter accordingly:
(a) For purposes of this section, the term "supplemental
rebates" shall mean cash rebates paid by a pharmaceutical
manufacturer to the State on the basis of quarterly Medicaid
utilization data relating to such manufacturer's products,
pursuant to a State supplemental rebate agreement negotiated with
such manufacturer and approved by the federal government under
Section 1927 of the federal Social Security Act.
(b) The commission may enter into a written agreement with a
manufacturer to accept certain program benefits in lieu of
supplemental rebates, as such term is defined herein, only if:
1) the program benefit yields a savings that will offset
expenditures during the current biennium;
2) the manufacturer guarantees and posts a performance
bond in the amount of the anticipated savings; and
3) the program benefit is in addition to other program
benefits currently offered by the manufacturer to recipients of
medical assistance or related programs.
(c) For the purposes of this section, a program benefit means
as a disease management programs authorized under this title, a
drug product donation programs, drug utilization control programs,
prescriber and beneficiary counseling and education, fraud and
abuse initiatives, and other services or administrative
investments with guaranteed savings to a program operated by a
health and human service agency.
(d) Other than as required to satisfy the provisions of this
section, such program investments shall be deemed an alternative
to, and not the equivalent of, supplemental rebates and shall be
treated in the State's submissions to the federal government
(including, as appropriate, waiver requests and quarterly Medicaid
claim) so as to maximize the availability of federal matching
payments."
Amend proposed CSHB 2292, in Section 2.09 of the bill, in
proposed Sec. 531.070, Government Code by adding a new subsection
(3) on page 67, line 11 to read as follows:
(3) Other program benefits as specified in subsection
(b).
Amend proposed CSHB 2292, in Section 2.11 of the bill, in
proposed Sec. 531.072, Government Code by adding a new subsection
(4) on page 69, line 3 to read as follows:
(4) "Program benefit offerings solely or in conjunction
with rebates and other pricing information."
Amend proposed CSHB 2292, in Section 2.13 of the bill, in
proposed Sec. 531.074 (h), Government Code on page 73, line 4, by
striking "of" and inserting the following between
"cost-effectiveness" and "a":
"and any program benefit associated with"