1     
PRESCRIPTION DRUG IMPORTATION AMENDMENTS

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Daniel Hemmert

5     
House Sponsor: Norman K. Thurston

6     

7     LONG TITLE
8     General Description:
9          This bill creates a program and reporting requirements relating to the importation of
10     prescription drugs.
11     Highlighted Provisions:
12          This bill:
13          ▸     requires the Department of Health to submit a request to the United States
14     Department of Health and Human Services for a prescription drug importation
15     program;
16          ▸     if the request for a prescription drug importation program is approved, requires the
17     Public Employees' Benefit and Insurance Program to operate a two-year pilot
18     prescription drug importation program for the state's health insurance risk pool;
19          ▸     creates various reporting requirements; and
20          ▸     creates a sunset date for the provisions in this bill.
21     Money Appropriated in this Bill:
22          None
23     Other Special Clauses:
24          None
25     Utah Code Sections Affected:
26     AMENDS:
27          63I-1-226, as last amended by Laws of Utah 2019, Chapters 67, 136, 246, 289, 455 and

28     last amended by Coordination Clause, Laws of Utah 2019, Chapter 246
29          63I-1-249, as last amended by Laws of Utah 2018, Chapter 357
30     ENACTS:
31          26-1-41, Utah Code Annotated 1953
32          49-20-420, Utah Code Annotated 1953
33     

34     Be it enacted by the Legislature of the state of Utah:
35          Section 1. Section 26-1-41 is enacted to read:
36          26-1-41. Prescription drug importation program -- Request -- Resubmission --
37     Reporting.
38          (1) On or before October 1, 2020, the department shall submit a request to the secretary
39     of the United States Department of Health and Human Services to:
40          (a) certify to the United States Congress under 21 U.S.C. Sec. 384(l) that a wholesale
41     importation program can be implemented in the state in a manner that:
42          (i) operates as a two-year pilot program for approximately 75,000 Utah public
43     employees and dependents who make up the state's health insurance risk pool created in
44     Subsection 49-20-201(1)(a);
45          (ii) poses no additional risk to the public's health and safety; and
46          (iii) results in a significant reduction in the cost of covered prescription drugs and
47     prescription devices to the state and participating public employees; and
48          (b) review information in the department's request to determine whether the request
49     meets the requirements in 21 U.S.C. Sec. 384(l).
50          (2) The request described in Subsection (1) shall include:
51          (a) the findings of any prescription drug importation study that is available to the
52     department;
53          (b) a description of how the Utah prescription drug importation program will be
54     designed by the department, in collaboration with the Public Employees' Benefit and Insurance
55     Program, to:
56          (i) operate as a two-year pilot program for the state health insurance risk pool created
57     in Subsection 49-20-204(1)(a);
58          (ii) comply with existing state and federal law; and

59          (iii) ensure no additional risk to the public's health and safety; and
60          (c) an estimate of the reduction in cost of:
61          (i) covered prescription drugs and prescription devices; and
62          (ii) health insurance premiums.
63          (3) If the department does not believe that the department will be able to submit the
64     request described in Subsection (1) on or before October 1, 2020, the department shall report to
65     the Health and Human Services Interim Committee before October 1, 2020, on:
66          (a) the reason for the delay in submitting the request;
67          (b) any steps that the department has taken to prepare the request; and
68          (c) when the department believes that the request will be ready for submission.
69          (4) If the request described in Subsection (1) to operate a prescription drug importation
70     program is not approved by the secretary of the United States Department of Health and
71     Human Services, the department shall submit a new request with the information described in
72     Subsections (1) and (2) on or before October 1 of each year until the earlier of:
73          (a) approval of the request to operate a prescription drug importation program; and
74          (b) October 1, 2024.
75          (5) On or before December 1 of each year that the department submits a request under
76     Subsection (1) or (4), the department shall submit a written report to the Health and Human
77     Services Interim Committee regarding the results of the request and any updated findings and
78     recommendations regarding the implementation of a prescription drug importation program.
79          (6) The department shall seek grant funding to prepare a request under this section.
80          Section 2. Section 49-20-420 is enacted to read:
81          49-20-420. Prescription drug importation program -- Reporting.
82          (1) The program shall collaborate with the Department of Health to develop a request
83     under Section 26-1-41 for the program to operate a prescription drug importation program.
84          (2) If the request under Section 26-1-41 to operate a prescription drug importation
85     program is approved, the program shall:
86          (a) implement a prescription drug importation program that:
87          (i) operates as a two-year pilot program for approximately 75,000 Utah public
88     employees and dependents who make up the state's health insurance risk pool created in
89     Subsection 49-20-201(1)(a);

90          (ii) poses no additional risk to the public's health and safety;
91          (iii) results in a significant reduction in the cost of covered prescription drugs and
92     prescription devices to the state and participating public employees; and
93          (iv) complies with existing state and federal law; and
94          (b) on or before December 1 of each year after the request to operate a prescription
95     drug importation program is granted, submit a written report to the Health and Human Services
96     Interim Committee regarding the results of the pilot program and any updated findings and
97     recommendations for expanding access to the prescription drug importation program
98     throughout the state.
99          Section 3. Section 63I-1-226 is amended to read:
100          63I-1-226. Repeal dates, Title 26.
101          (1) Section 26-1-40 is repealed July 1, 2022.
102          (2) Section 26-1-41 is repealed January 1, 2025.
103          [(2)] (3) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed
104     July 1, 2025.
105          [(3)] (4) Section 26-10-11 is repealed July 1, 2020.
106          [(4)] (5) Subsection 26-18-417(3) is repealed July 1, 2020.
107          [(5)] (6) Subsection 26-18-418(2), the language that states "and the Mental Health
108     Crisis Line Commission created in Section 63C-18-202" is repealed July 1, 2023.
109          [(6) Section 26-18-419.1 is repealed December 31, 2019.]
110          (7) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
111          (8) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2024.
112          (9) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
113     July 1, 2024.
114          (10) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
115          (11) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
116     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2023.
117          (12) Subsection 26-61a-108(2)(e)(i), related to the Native American Legislative
118     Liaison Committee, is repealed July 1, 2022.
119          (13) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
120     July 1, 2026.

121          Section 4. Section 63I-1-249 is amended to read:
122          63I-1-249. Repeal dates, Title 49.
123          (1) Title 49, Chapter 11, Part 13, Phased Retirement, is repealed January 1, 2022.
124          (2) Section 49-20-418 is repealed January 1, 2022.
125          (3) Section 49-20-420 is repealed January 1, 2025.