CONFERENCE COMMITTEE REP. NO. 4-18

Honolulu, Hawaii

, 2018

RE: H.B. No. 2145

H.D. 1

S.D. 1

C.D. 1

Honorable Scott K. Saiki

Speaker, House of Representatives

Twenty-Ninth State Legislature

Regular Session of 2018

State of Hawaii

Honorable Ronald D. Kouchi

President of the Senate

Twenty-Ninth State Legislature

Regular Session of 2018

State of Hawaii

Sirs:

Your Committee on Conference on the disagreeing vote of the House of Representatives to the amendments proposed by the Senate in H.B. No. 2145, H.D. 1, S.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO MEDICATION SYNCHRONIZATION,"

having met, and after full and free discussion, has agreed to recommend and does recommend to the respective Houses the final passage of this bill in an amended form.

The purpose and intent of this measure is to:

(1) Allow the synchronization of plan participants' medications;

(2) Require plans, policies, contracts, or agreements that are offered by health insurers, mutual benefit societies, and health maintenance organizations and provide prescription drug benefits to apply prorated daily cost-sharing rates for prescriptions dispensed by network pharmacies for less than a thirty-day supply; and

(3) Require that network pharmacies identify an anchor prescription to which all other prescriptions may be synced for the purposes of medication synchronization.

Your Committee on Conference has amended this measure by:

(1) Changing the effective date to July, 1 2018;

(2) Removing the repeal date of July 1, 2023; and

(3) Making technical, nonsubstantive amendments for the purpose of clarity, consistency, and style.

The intent of your Committee on Conference is to benefit residents who are taking more than one prescription medication. Your Committee on Conference requests that the Department of Commerce and Consumer Affairs Board of Pharmacy review this measure to ascertain whether it results in higher costs to consumers and businesses and recommend additional legislation no later than 20 days prior to the convening of the 2020 Legislative Session.

As affirmed by the record of votes of the managers of your Committee on Conference that is attached to this report, your Committee on Conference is in accord with the intent and purpose of H.B. No. 2145, H.D. 1, S.D. 1, as amended herein, and recommends that it pass Final Reading in the form attached hereto as H.B. No. 2145, H.D. 1, S.D. 1, C.D. 1.

Respectfully submitted on behalf of the managers:

ON THE PART OF THE SENATE

ON THE PART OF THE HOUSE

____________________________ ROSALYN H. BAKER Chair	____________________________ JOHN M. MIZUNO Co-Chair
	____________________________ ROY M. TAKUMI Co-Chair
	____________________________ BERTRAND KOBAYASHI Co-Chair