SB  38-PHARMACY BENEFITS MANAGERS                                                                           
                                                                                                                                
9:18:15 AM                                                                                                                    
CHAIR COSTELLO announced the consideration of SB 38 and noted                                                                   
the proposed committee substitute (CS).                                                                                         
                                                                                                                                
9:18:29 AM                                                                                                                    
SENATOR MEYER moved to adopt the work draft CS for SB 38, 30-                                                                   
LS0190\D, as the working document.                                                                                              
                                                                                                                                
CHAIR COSTELLO objected for an explanation.                                                                                     
                                                                                                                                
9:18:49 AM                                                                                                                    
NATASHA MCCLENAHAN, Staff, Senator Mia Costello, Alaska State                                                                   
Legislature, Juneau, Alaska, presented the following changes                                                                    
from version A to version D for SB 38.                                                                                          
                                                                                                                                
        • Page 6, Lines 22-25: Changes language in relation                                                                     
          to  pharmacies'   appeals  of   pharmacy  benefits                                                                    
          manager's reimbursements  for multi-source generic                                                                    
          drugs below  pharmacy acquisition cost in  which a                                                                    
          pharmacy  benefits  manager  may grant  a  network                                                                    
          pharmacy's appeal.                                                                                                    
        • Removes unrequired language that referenced a                                                                         
          definition for the board of pharmacy.                                                                                 
        • Page 9, Line 6 updates language to correctly                                                                          
          reference AS 21.97.900(27).                                                                                           
        • Updates the effective date provision to reflect                                                                       
          July 1, 2019.                                                                                                         
                                                                                                                                
9:19:33 AM                                                                                                                    
CHAIR COSTELLO removed her objection and version D was adopted.                                                                 
                                                                                                                                
SENATOR MICCICHE asked Mr. Holt to speak to the changes.                                                                        
                                                                                                                                
9:20:33 AM                                                                                                                    
RICHARD HOLT, Chair, Board of Pharmacy, Anchorage, Alaska,                                                                      
stated support for SB 38 on behalf of the Board of Pharmacy.                                                                    
                                                                                                                                
SENATOR MICCICHE asked if the board specifically supports the                                                                   
committee substitute, version D.                                                                                                
                                                                                                                                
MR. HOLT confirmed the board approves of the changes in version                                                                 
D.                                                                                                                              
                                                                                                                                
9:21:18 AM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
9:21:54 AM                                                                                                                    
CHAIR COSTELLO reconvened the meeting.                                                                                          
                                                                                                                                
9:22:04 AM                                                                                                                    
SENATOR MEYER moved  to report the CS for SB  38, version D, from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
note(s).                                                                                                                        
                                                                                                                                
9:22:19 AM                                                                                                                    
CHAIR  COSTELLO announced  that without  objection, CSSB  38(L&C)                                                               
moves from the Senate Labor and Commerce Standing Committee