AN ACT TO PROVIDE FOR VARIOUS ADMINISTRATIVE REFORMS OF THE HEALTH AND SAFETY LAWS BY UPDATING OUTDATED STATUTES AND REGULATIONS AND MODERNIZING OR SIMPLIFYING CUMBERSOME OR OUTDATED REGULATIONS, BY STUDYING HEALTH AND SAFETY MATTERS OF CONCERN TO NORTH CAROLINA CITIZENS, AND BY MAKING VARIOUS OTHER STATUTORY CHANGES.
House committee substitute deletes all the provisions of the 4th edition, unless otherwise indicated, and makes the following changes.
Amends the short title to readHealth and Safety Regulatory Reform(was, 2014 Regulatory Reform Act). Also changes the long title of this act to conform with the bill content as amended.
AUTISM HEALTH INSURANCE COVERAGE
Amends proposed GS 58-3-192,Coverage for autism spectrum disorders, to define behavioral health treatmentto include counseling and treatment programs that are provided or supervised by a Board Certified Behavior Analyst (was, a licensed behavior analyst).
Amends proposed GS 90-726.16,Exemptions from licensure, to include as a person exempt from the requirements of proposed Article 43, GS Chapter 90, (1) a person providing ancillary services provided pursuant to GS 90-270.21 and (2) a person who is a professional licensed under GS Chapter 90 or Chapter 90B (was, Chapter 90).
PHARMACY BENEFITS MANAGEMENT REGULATION
Makes organizational changes to proposed GS 58-56A-1,Definitions, in new Article 56A,Pharmacy Benefits Management. Renumbers provisions accordingly.
Amends proposed GS 58-56A-3,Maximum allowable cost price, to require that information which the pharmacy benefits manager must disclose regarding any changes made to the maximum allowable cost prices must be submitted electronically as promptly as possible to the pharmacies or be made available to the pharmacies on the pharmacy benefits manager's Internet website. Also requires that the information as to the maximum allowable cost price used by the pharmacy benefits manager must be submitted to the pharmacies electronically or made available to the pharmacies on the pharmacy benefits manager's Internet website.
Deletes provisions (1) regulating the disclosure of information by a pharmacy benefits manager and (2) prohibiting pharmacy benefit managers from offering any incentives to covered individuals. Directs the Department of Insurance, in collaboration with the Department of Commerce and the North Carolina Board of Pharmacy, to study the issue of pharmacy benefits management company regulation. Specifies that the study must include (1) consumer protections and the disclosure of consumer health information, (2) regulation of the various incentives offered to a consumer by pharmacy benefits managers and the effects of those incentives, and (3) any further industry regulation deemed necessary to study. Directs the Department of Insurance to report the collective findings and recommendations, including any proposed legislation, to the 2015 General Assembly on or before January 20, 2015.
ANIMAL EUTHANASIA REQUIREMENTS
Amends GS 19A-24,Powers of Board of Agriculture, tospecify requirements to which to adhere and procedures to be followed by a certified euthanasia technician in euthanizing an animal. Effective July 1, 2015.
INTERSTATE CONNECTIVITY OF THE CONTROLLED SUBSTANCES REPORTING SYSTEM
Directs the Department of Health and Human Services to execute a memorandum of understanding with the National Association of Boards of Pharmacy to participate in PMP Interconnect.
YOUTH SKIN CANCER PREVENTION
Changes the effective date from July 1, 2014, to October 1, 2014.
Retains sections from the previous edition on limited food services at lodging facilities; nursing home administration act revisions; report on SEEK; hospital authority conflict of interest provisions consistent with those for public hospitals; report on multiplicative auditing and monitoring of certain service providers; ending sunset for facilities that use alternative electronic monitoring systems; state Medicaid recredentialing period; and use of natural spring water at co-located restaurants.
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