HB 1850 -
By Representative Pedersen
Strike everything after the enacting clause and insert the following:
"NEW SECTION. Sec. 1 A new section is added to chapter 69.41 RCW
to read as follows:
(1)(a) Except as provided in (b) of this subsection, health care
information relating to prescription information that contains
patient-identifiable and prescriber-identifiable data shall not be
transferred, used, or sold by any: Pharmacy benefits manager;
insurance company; electronic transmission intermediary; retail, mail
order, or internet pharmacy; or other similar entity, for the purposes
of advertising, marketing, promotion, or any other activity, a
significant purpose of which is to influence sales or market share of
a pharmaceutical product.
(b) A prescriber may authorize the transfer, use, or sale of his or
her prescriber-identifiable data in writing, or electronically, if the
prescriber has transmitted the authorization to an entity that (i) is
involved in the transfer, sale, or use of prescriber-identifiable data,
(ii) has designated an address, location, or system to which
authorization may be transmitted electronically or in writing, and
(iii) has established a process for prescribers to revoke their
authorization in writing or electronically upon reasonable notice to
the entity.
(2) This section does not restrict the licensure, transfer, use, or
sale of prescription information containing patient-identifiable and
prescriber-identifiable information for the purposes of:
(a) Pharmacy reimbursement;
(b) Formulary compliance;
(c) Care management related to the diagnosis, treatment, or
management of illness for a specific patient;
(d) Utilization review by a health care provider, the patient's
insurance provider, or the agent of either provider;
(e) Health care research including, but not limited to,
postmarketing surveillance research, drug interaction research, drug
safety studies, and population-based public health research;
(f) Collection and analysis of prescription drug utilization data
for health care quality improvement purposes, including development of
evidence-based treatment guidelines or health care performance
effectiveness and efficiency measures, promoting compliance with
evidence-based treatment guidelines or health care performance
measures, and providing prescribers with information that details their
practices relative to their peers to encourage prescribing consistent
with evidence-based practice;
(g) Collection and dissemination of drug utilization data to
promote transparency in evaluating performance related to the health
care quality improvement measures included in (f) of this subsection;
(h) The transfer of prescription drug utilization data to and
through secure electronic health record or personal health record
systems;
(i) Communication with prescribers related specifically to drug
recall notices, drug labeling changes, or other drug safety notices
issued by the federal food and drug administration; or
(j) As otherwise expressly provided by law.
(3) This section does not prohibit:
(a) The dispensing of prescription medications to a patient or to
the patient's authorized representative; the transmission of
prescription information between an authorized prescriber and a
licensed pharmacy; the transfer of prescription information between
licensed pharmacies; the transfer of prescription records that may
occur if pharmacy ownership is changed or transferred; or care
management educational communications provided to a patient about the
patient's health condition, adherence to a prescribed course of
therapy, or other information about the drug being dispensed, treatment
options, or clinical trials; or
(b) The collection, use, transfer, or sale of patient and
prescriber deidentified data by zip code, geographic region, or medical
specialty for commercial purposes.
(4) In addition to other appropriate remedies under this chapter,
the legislature finds that the practices covered by this section are
matters vitally affecting the public interest for the purpose of
applying chapter 19.86 RCW. A violation of this section is not
reasonable in relation to the development and preservation of business
and is an unfair or deceptive act in trade or commerce and an unfair
method of competition for the purpose of applying chapter 19.86 RCW."