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Editor: Michael Jackson,                                         January 30, 2008

 
Agency for Health Care Administration to Survey Providers

The Agency for Health Care Administration has implemented a program to survey the provider community in an attempt to improve their level of customer service. The Agency is now surveying Medicaid providers to gain their feedback, and last day to file a response on the survey will be February 8, 2008. The Agency for Health Care Administration is the governmental agency responsible for the administration of Florida's Medicaid program.

This is your opportunity for the Agency to hear directly from FPA members and health care professionals working daily to provide quality health care to Medicaid beneficiaries. If you are a Medicaid provider take a few minutes to take the on-line survey. The survey can be found at
http://ahca.myflorida.com/Medicaid/provider_survey/index.shtml.

Change in Medicaid Fiscal Agent Delayed Until July 2008 

In May 2006, the Agency for Health Care Administration (AHCA) announced a signed contractual agreement with Electronic Data Systems (EDS) to develop a new Medicaid computer system and serve as the State’s fiscal agent for five years beginning March 1, 2008. The Florida Pharmacy Association has learned that there will be a delay in transition to EDS. The new transition date has been scheduled for July of 2008. Medicaid officials and EDS will be available to answer questions during the FPA law conference in Sandestin in February.

The new Medicaid system, referred to as the Florida Medicaid Management Information System/Decision Support System (FMMIS/DSS), will replace the current system supporting claims processing and will include Web Portals for Medicaid providers and recipients. The Web Portal will allow providers to file and reconcile claims, perform eligibility verification, access information on the care given to Medicaid recipients, and automate numerous other administrative functions in the new system. The recipient Web Portal, available in Spanish and English, will allow recipients to access their Medicaid claims history, make provider choices, and report on fraud and abuse.

In addition, the new system will offer flexible technology to support Medicaid reform and timely access of information to facilitate effective measurement of recipient health outcomes and policy decisions and services for both providers and recipients.

Florida Pharmacist Immunization Rule Scheduled to Take Effect

The Board of Pharmacy has been working to write rules related to pharmacists immunization services.  The Florida Legislature during the 2007 session passed House Bill 543 allowing Florida licensed pharmacists to provide influenza immunization services under certain circumstances.  Text of the proposed rule is as follows:

64B16-26.1031 Influenza Immunization Certification Program.

The Board shall approve for initial certification of pharmacist administration of influenza immunizations, programs of study not less than 20 hours that includes coursework covering all of the following;

(1) Mechanisms of action for vaccines, contraindications, drug interactions, and monitoring after vaccine administration;
(2) Immunization Schedules;
(3) Immunization screening questions, provision of risk/benefit information, informed consent, recordkeeping, and electronic reporting into the statewide immunization registry through enrollment application DH Form 1997 herein incorporated by reference;
(4) Vaccine storage and handling;
(5) Bio-Hazardous waste disposal and sterile techniques;
(6) Entering, negotiating and performing pursuant to physician oversight protocols;
(7) Community immunization resources and programs;
(8) Identifying, managing and responding to adverse incidents including but not limited to potential allergic reactions associated with vaccine administration;
(9) Procedures and policies for reporting adverse events to the Vaccine Adverse Event Reporting System (VAERS);
(10) Reimbursement procedures and vaccine coverage by federal, state and local governmental jurisdictions and private third party payors;
(11) Administration techniques;
(12) The current influenza immunization guidelines and recommendations of the United States Department of Health Centers for Disease Control and Prevention;
(13) Review of Section 465.189, F.S.; and
(14) Cardiopulmonary Resuscitation (CPR) training.
Successful completion of the certification program must include a successful demonstration of competency in the administration technique and a cognitive examination.

Specific Authority 465.189(5) FS. Law Implemented 465.189, 465.005 FS. History–New

This rule, barring any requests for hearing or comments from the Joint Administrative Procedures Council (JAPC), should be adopted on February 15, 2008 and become effective on March 6, 2008.  The Florida Pharmacy Association wish to thank the Department of Health and the Board of Pharmacy for their efforts to move this rule forward.

Florida Pharmacists Legislative Day and Health Fair - March 5 - 6, 2008
Call for Volunteers

Florida's pharmacists will be hosting a health fair on the first floor of the Florida Capitol on Thursday, March 6, 2008 in Tallahassee, Florida.  Health screenings being offered include cholesterol and blood glucose monitoring, blood pressure, body composition analysis, risk assessment of breast, colorectal and ovarian cancer as well as medication reviews.  Plans are for all fees collected for the screenings to be donated to the American Cancer Society and the American Heart Association.  The screenings are schedule to begin at 9:00am and conclude at 2:00pm.  The general public is invited.  Members wishing to participate in the program being presented by pharmacists and pharmacy students should contact the FPA office at (850) 222-2400.

On March 5, 2008 pharmacists and pharmacy students from across Florida will be coming to Tallahassee to spend the day at the Florida Capitol to advocate on various pharmacy issues.  Members will have an opportunity to visit their legislators, attend scheduled committee meetings and observe legislative discussions on the floor of the House or Senate.  A continuing education program has been scheduled the evening of March 5th at the Park Plaza Hotel, 415 North Monroe Street, Tallahassee, Florida 32301.

The following is a schedule of activities for Legislative Day and health fair.

Wednesday, March 5, 2008

7:30am         Meet in the Cafeteria Lower Level of the Capitol

8:30am         Begin Scheduled Visits at State Capitol - Attend Committee Meetings

12:00 Noon   Break for Lunch

12:00pm       Continue Scheduled Visits - Attend Afternoon Committee Meetings

5:00pm         End Hill Visits

6:00pm         Registration for CE Program at Park Plaza Hotel

6:30pm         Continuing Education Program Begins

7:30pm         Continuing Education Program Ends - Closing Remarks
 
Thursday, March 6, 2008
 
8:00am         Meet at Capitol and Setup for Health Fair
 
9:00am         Health Fair Begins
 
2:00pm         Health Fair Ends - Breakdown, Cleanup and Departure
 
Florida Pharmacists and pharmacy students wishing to volunteer for the health fair and legislative day program can complete the following information and return to the FPA office.
 
 
2008 Health Fair Call for Volunteers
Volunteer Registration Form
 
Florida's pharmacists are holding a Florida Pharmacist Health Fair at the Capitol on Thursday, March 6, 2008.  On Wednesday, participants will have an opportunity to visit with their legislators and their staff.  Volunteers are needed to conduct screenings and register participants.  If you cannot come to Tallahassee, your financial support as well as any supplies that you can donate will be welcome to assist these volunteers in this project.
 
Health Screenings Include:
Cholesterol/Blood Glucose ~ Blood Pressure ~ Body Composition Analysis
Risk Assessment of Colorectal, Breast and Ovarian Cancer ~ Medication Reviews
 

Health Fair Registration Form
 
Name: __________________________________________________________
 
Address: ________________________________________________________
 
City: __________________________ State: ___________ Zip: _____________
 
Work Phone: ___________________E-Mail Address _____________________
 
I am available to volunteer on:
Wednesday, March 5, 2008
(Legislative Visits)
[  ]  7:30 AM - 12:00 PM
[  ] 12:00 PM - 5:00 PM
[  ] All Day (7:30 AM - 5:00 PM)
Thursday, March 6, 2008
(Health Screenings)
[  ]  9:00 AM - 12:00 PM
[  ] 12:00 PM - 2:00 PM
[  ] All Day (9:00 AM - 2:00 PM)
 
I am interested in helping administer the following screenings:
[  ] Cholesterol/Blood Glucose
[  ] Blood Pressure
[  ] Body Composition Analysis
[  ] Risk Assessment of Colorectal, Breast and Ovarian Cancer
[  ] Medication Reviews

I can donate for use of the following supplies and/or machines: _______________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
 
I cannot attend the 2008 health Fair but would like to donate the following monetary amount $ _________________.
 
Payment Method:

[  ] Check [  ] MasterCard [  ] VISA [  ] AMEX [  ] Discover

Account # __________________________________ Exp. Date ____________

Signature _______________________________________________________
 
Please return form by Friday, February 22, 2008 to:
Florida Pharmacy Association, Health Fair
610 North Adams Street
Tallahassee, Florida 32301
Fax: (850) 561-6758
Phone (850) 222-2400
E-Mail: fpa@pharmview.com
 
Florida Pharmacy Health Fair Journal
Advertisement Space
A health journal is being produced to present to health screening guests.  The journal will include the results of the screening that can be shared with their primary care provider.  Members who wish to support the publication of the Health Fair Journal are welcome to place an advertisement.  Simply complete the following information and return to the address below by February 10, 2008.
 
_______ Full Page $300
 
_______ Half Page $200
 
_______ 1/4 Page $150
 
_______ Business Card $50
 
Name: __________________________________________________________________________
 
Company Name: _________________________________________________________________
 
Address: ________________________________________________________________________
 
City: __________________________________ State: ______________ Zip: _________________
 
Please enclose the corresponding donation and a camera ready advertisement or a business card.  Please respond no later than February 10, 2008.  Make checks payable to the Florida Pharmacy Association and references the Health Fair.  Payment by credit card is also acceptable.

I authorize the following charge $ ___________ to be placed on my credit card.

______ AMEX ______ VISA ________ Discover _________ MasterCard

Card Number: _____________________________________________ Exp. Date: _____________
 
Signature: _______________________________________________________________________
 
Please mail to: Florida Pharmacy Association, ATTEN: Health Fair Journal, 610 North Adams Street, Tallahassee, FL 32301 ~ Fax (850) 561-6758 ~ E-Mail: fpa@pharmview.com

Pharmacist Technician Bill on Committee Senate Committee Agenda
 
Senate Bill 334 sponsored by Senator Burt Saunders (Rep - Naples, Cape Coral) has been placed on the agenda for consideration by the Senate Health Regulation Committee.  The Committee will be meeting on Wednesday, February 6, 2008 in room 401 of the Senate Office Building.  This bill was place on the agenda of the Health Regulation's previous committee meeting where the bill was completely revised removing all of the language requiring pharmacist technicians to register with the Department of Health and be certified.  The bill was then temporarily postponed until consideration at the scheduled Wednesday meeting.  The only issue now on the bill is a measure to remove the 12 year NAPLEX examination requirement for pharmacists who wish to transfer their licenses to Florida.  If signed into law by Governor Crist pharmacists who wish to transfer their licenses will no longer need to have to take the NAPLEX licensure examination within the last 12 years preceding application.  This bill in its present form is not supported by the Florida Pharmacy Association. 

The House version of the bill HB 275 related to pharmacist technician was work shopped on January 8th in the House Health Quality Committee.  Some Committee members raised concerns that the draft legislation did not go far enough.  If you wish to view the video of the discussions in the committee go to the House Health Quality Committee web page and select the January 8th archived video link.  Some of the provisions in this bill include the following:
bullet
Removal of the requirement for pharmacists who wish to transfer their licenses to Florida from having to take and successfully passed the NAPLEX examination within the last 12 years.
bullet
Create a requirement for pharmacy technicians to register with the Florida Board of pharmacy
bullet
Increase the number of technicians that a pharmacy can supervise from a maximum of 3 to a maximum of 4.
bullet
Pharmacies with 4 technicians will be required to have one of the four technicians certified by the Pharmacy Technician Certification Board or other Board approved certifying body.
bullet
Requires a fee no greater than $50 to be submitted to the Department of Health from individuals wishing to register as a pharmacy technician.
bullet
Pharmacists with discipline would not be permitted to register as a technician.
bullet
Exempts pharmacy technician students from having to register with the Department as a pharmacy technician.
bullet
Allows pharmacy students to be employed as a technician without having to register with the Department as a registered technician.
bullet
Requires registered technicians to satisfy continuing education requirements
bullet
Requires pharmacies to display the technician’s registration information.
bullet
Gives the Board of Pharmacy disciplinary authority over registered technicians who violate the law.
bullet
Requires the Board of Pharmacy to publish the employment location of pharmacy technicians.
A third version of draft pharmacist technician legislation has been filed on the Senate side.  Senate bill 1360 by Senator Durell Peaden (Rep - Crestview) has language supported by both the Florida Pharmacy Association and the Florida Society of Health-System Pharmacists.
 
Bill Filed to Revise Orthotic, Prosthetic and Pedorthic Services
 
The Association has learned that House bill 607 has been filed to revise laws related to Orthotic, Prosthetic and Pedorthic Services.  There are some pharmacy providers that been delivering these services under laws written 1997 that excluded pharmacists from having to register under Florida Statutes 468.  The draft language in the bill appears to remove the exemption in favor of allowing other health care providers deliver Orthotic and Prosthetic (O & P) services if their practice act says so.  The Association will monitor this legislation very closely to see its impact on existing O & P pharmacy providers.
 
House and Senate Bill to Set Standards on Dispensing of
Emergency Contraceptives

Of interest to the members is language in Senate bill 780 and House bill 385. Both these bills if passed into law places obligations on pharmacists to ensure access to emergency contraceptive products. Some of the provisions in these bills include the following:
bullet
Pharmacies that have emergency contraceptive products in stock should provide the medication without delay
bullet
Pharmacies that do not have the emergency contraceptive product in stock would be obligated to provide options to the patient such as referral and transfer of the prescription to another pharmacy. If the patient prefers that the pharmacy order the product then the pharmacy would be obligated to do so.
bullet
A pharmacy must ensure that patients requesting these services are not harassed, intimidated or threaten. The pharmacy must also insure that employees do not obstruct the delivery of these services to the patient. The pharmacy would be prohibited from deceiving a patient about the availability of the product.
The legislation does not seem to interfere with a pharmacist’s personal belief on this issue rather it places a legal requirement on the pharmacy to ensure that emergency contraceptive services are provided without any barriers.

Requirements for Log Books for the Sale of Ephedrine Products to be considered by Florida Legislature
 
Senate Bill 1388 has been filed to require retail establishments (including pharmacies) who sell ephedrine and related compounds to maintain purchasing log books.  The bill directs the Department of Health to provide "electronic" log books to retail distributors subject to available funding.  Members need to be aware that there currently are requirements for pharmacies to maintain log books under the Combat Methamphetamine Act.  Members can visit this website link http://www.pharmview.com/index.php?goto=hotline for more information.  There is no House companion bill at this time.  There is however a related public records exemption bill that has been filed.
 
CBO Releases Cost Estimates for Pharmacy Negotiation Bill
(From APhA)
 
The Congressional Budget Office (CBO) recently released its cost estimate of the Community Pharmacy Fairness Act of 2007 (H.R. 971). The legislation would create an exemption to antitrust laws to permit independent pharmacies to negotiate collectively with health plans and issuers of health insurance over payment rates and other contract terms. That exemption would apply to negotiations between independent pharmacies and operators of prescription drug plans offered under part D of Medicare. However, the exemption would not apply to most other federal health insurance programs.

CBO estimates that enacting the bill would cost the government $681 million over the next five years; additionally, CBO also estimates that the bill would increase payments for prescription drugs distributed by independent pharmacies by about 1 percent in 2010, when the majority of the contracts affected by the policy would be up for renewal and could be renegotiated.

Governor's Proposed Budget to be released on Thursday, January 31, 2008
 
It is anticipated that the Governor's proposed 2008 - 2009 buget will be released on Thursday, January 31, 2008.  While we are not sure what will be in the proposal FPA advocates are concerned with the budget reduction exercises under way in various state agencies and in particular at our state's universities that we will see some significant changes anticipated in health care funding.  We do know that expansion of the Medicaid reform program is on hold for now.  Florida legislators will be assembling in Tallahassee beginning March 4, 2008.  Their only obligation during the two month session is to pass the spending measures necessary to run the states.  Watch for futher developments in the Stat News.
 

 




Florida Pharmacy Association
Regulatory and Law Conference
Village of Baytowne Warf
9300 Emerald Coast Parkway West
Destin, Florida 32550

February 2-3, 2008

Offering General, Consultant, Medication Error, and HIV/AIDS continuing education

FPA room rates are $109 plus taxes and fees.  All room rates include complimentary on-property tram service; four hours of bicycle usage daily; fitness center usage; one hour per day of tennis court time (based on availability; one hour per day usage on either a canoe, kayak or boogie board.

For room reservation call (800) 320-8115
Deadline for room reservations was January 11, 2008 however there still may be some rooms available.

Pre-registration deadline was Friday, January 25, 2008.
You may register on - site.





Florida Pharmacy Association
Consultant and General Continuing Education Conference
Marriott Tampa Airport
Tampa International Airport
Tampa, Florida 33607

April 12-13, 2008

"The Pharmacist Role in the Management of Obesity and Weight Loss"

"The Pharmacist Role in the Management of Infectious Diseases"

Offering General, Consultant, Medication Error Continuing Education as well as a program on New Drug Updates.

FPA Room rate is $128 plus tax (single/double occupancy).  The room reservation deadline is March 21, 2008.  Parking is complimentary for overnight guests.  Local guests receive a discounted parking rate of $6.00 per day in the hotel parking lot based on availability.
For room reservation call (813) 879-5151.



 
 

Florida Pharmacy Association
118th Annual Meeting and Convention
Hyatt Regency Grand Cypress Resort
One Grand Cypress Blvd
Orlando, Florida 32836

"Pathways for Getting Out of the Box"

Offering: Immunization Certificate, Medication Errors, Legislative and Regulatory Update, Consultant and General Continuing Education.

Pharmacists interested in learning how to provide medication therapy management services may want to plan to attend the 118th annual convention.

July 9-13, 2008

Room rates are $129 single/double plus taxes and resort service program fees.  The resort services program provides use of resort activities and amenities including: high-speed internet in all guest rooms, in-room safe, unlimited access for local, 800 or 888 calls and in-state credit card calls, unlimited use of the health club, 9-hole pitch & putt course, golf driving range access, court time at the Racquet Club, all water sports including non-motorized boats (Hydrobikes, sail boats, paddle boats and canoes), as well as resort bicycles and quadricycles.  There is also daily shuttle transportation to the Disney Theme Parks, Universal Studios/Islands of Adventure and Sea World.

Watch our website for more information.

 
Florida Pharmacy Association: Serving Pharmacy Since 1887.
www.pharmview.com




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