{"id":10663,"date":"2025-03-05T18:45:21","date_gmt":"2025-03-05T18:45:21","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/florida-seeks-drug-prescription-data-with-names-of-patients-and-doctors\/"},"modified":"2025-03-05T18:45:21","modified_gmt":"2025-03-05T18:45:21","slug":"florida-seeks-drug-prescription-data-with-names-of-patients-and-doctors","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/florida-seeks-drug-prescription-data-with-names-of-patients-and-doctors\/","title":{"rendered":"Florida Seeks Drug Prescription Data With Names of Patients and Doctors"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Florida\u2019s insurance regulator has demanded an unusually intrusive trove of data on millions of prescription drugs filled in the state last year, including the names of patients taking the medications, their dates of birth and doctors they\u2019ve seen.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The Florida Office of Insurance Regulation in January sought this information from <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/06\/21\/business\/prescription-drug-costs-pbm.html\" title=\"\">pharmacy benefit managers<\/a> like UnitedHealth\u2019s Optum Rx and CVS Health\u2019s Caremark, companies that oversee prescription drugs for employers and government programs.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">It remained unclear why the state was ordering the submission of so much data. In a letter to one benefit manager reviewed by The New York Times, the regulator said the state required the data to review whether the benefit managers, known as P.B.M.s, were compliant with a <a class=\"css-yywogo\" href=\"https:\/\/www.facebook.com\/photo.php?fbid=837452764410300&amp;set=pb.100044367518753.-2207520000.&amp;type=3\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">2023 state law<\/a> aimed at lowering drug prices and reining in the managers.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But the demand is sparking concerns about government overreach and patient privacy.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cYou don\u2019t need such granular patient information for purposes of oversight,\u201d said Sharona Hoffman, a health law and privacy expert at Case Western Reserve University. She added: \u201cYou have to worry: Is the government actually trying to get information about reproductive care or transgender care or mental health care?\u201d<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Florida\u2019s six-week abortion ban, enacted by Gov. Ron DeSantis, a Republican, and the state\u2019s Republican-dominated legislature, requires that doctors who prescribe abortion pills dispense them in person, not through the mail. Another Florida law banned transgender transition care for minors and made it harder for adults to seek such care. Last year, a judge <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/06\/11\/us\/florida-transgender-law.html\" title=\"\">struck down<\/a> key parts of that law, though it is still <a class=\"css-yywogo\" href=\"https:\/\/www.tallahassee.com\/story\/news\/politics\/2024\/08\/27\/florida-transgender-gender-affirming-ban-restrictions-court-lawsuit\/74962845007\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">being enforced<\/a> while the legal fight makes its way through the courts.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The data requested by the state could, in theory, be used to determine whether physicians are complying with those laws.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">It was also unclear whether any of the benefit managers had complied and turned over the information to the state.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Some benefit managers and the employers that hire them to handle prescription drug benefits for their workers have also criticized the state\u2019s demand.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">A group of large employers, the American Benefits Council, is asking the Florida regulator to withdraw its order to turn over the information. In a letter to the state, the council\u2019s lawyers wrote that the \u201cdemand impermissibly violates the health privacy and security of millions of Floridians,\u201d and that the state had not clearly outlined its authority or reasons for the action.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cWe have a duty to employees and their data,\u201d Katy Johnson, the president of the council, said in an interview.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Shiloh Elliott, a spokeswoman for Florida\u2019s insurance regulator, said that objections to the state\u2019s data request \u201care clearly from those who do not want to be regulated or have any oversight in their industry.\u201d She said the office \u201cwill continue to request data in the best interest to protect consumers.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Rosa Novo, the administrative benefits director for Miami-Dade County Public Schools, which provides health coverage to about 45,000 people, said in an interview that while she appreciated the state\u2019s efforts to address drug prices, it was unclear why it would need this level of detailed information about patients and their medications.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cMy doctor is the only one who should know that,\u201d Ms. Novo said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Federal privacy law allows benefit managers to hand over limited data about individual patients in certain circumstances, such as when regulators are conducting an audit. But, according to experts, Florida\u2019s data request could violate the law because it is so broad and may go beyond what the regulator needs to conduct its review.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Experts said that another concern with Florida\u2019s request is that when sensitive patient data is in multiple hands, it raises the risk of a breach in which the information may be stolen.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Ms. Elliott, the spokeswoman for the regulator, said those concerns \u201cshould be addressed to the actual health care insurance companies that have had countless data breaches exposing millions of Americans\u2019 sensitive information.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Florida\u2019s data order was <a class=\"css-yywogo\" href=\"https:\/\/www.bloomberg.com\/news\/articles\/2025-02-28\/florida-seeks-personal-data-on-prescriptions-from-drug-middlemen\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">first reported<\/a> by Bloomberg.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Like other states, Florida already has access to some of the data it is seeking, such as detailed information about prescriptions that are paid through Medicaid. But that data is generally strictly walled off, accessible only to staff members whose jobs require it.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Benefit managers often field requests from government regulators asking for slices of data to conduct audits or investigations. Such requests typically ask benefit managers to strip out patient names, and other identifying details, or ask for a small sample of patient claims.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">By comparison, Florida\u2019s data request was \u201cpretty expansive and unprecedented,\u201d said Joseph Shields, the president of a group of smaller benefit managers, Transparency-Rx.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Florida sought data not only on Florida residents, but also on patients who may have filled a prescription while visiting the state. Its request included patients covered through the federal Medicare program and commercial plans through employers that are regulated under federal law rather than state law, according to the regulator\u2019s letter to one benefit manager reviewed by The Times.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-4\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">The Prescription Drug Reform Act, the Florida law the regulator used to justify the data request, imposed new reporting requirements on the benefit managers but said nothing about a mandate requiring them to turn over such detailed patient information. Benefit managers have fiercely fought efforts to scrutinize their business practices.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Florida\u2019s data request was <a class=\"css-yywogo\" href=\"https:\/\/www.bloomberg.com\/news\/articles\/2025-02-28\/florida-seeks-personal-data-on-prescriptions-from-drug-middlemen\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">first reported<\/a> by Bloomberg.<\/p>\n<p class=\"css-798hid etfikam0\"><a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/by\/patricia-mazzei\" title=\"\">Patricia Mazzei<\/a> contributed reporting from Florida.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.nytimes.com\/2025\/03\/05\/health\/florida-prescriptions-patient-privacy-data.html\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Florida\u2019s insurance regulator has demanded an unusually intrusive trove of data on millions of prescription drugs filled in the state<\/p>\n","protected":false},"author":1,"featured_media":10664,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[3633,3634,3573,844,139,1044,3631,101,3635,3636,3632,219,2479],"class_list":["post-10663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science","tag-american-benefits-council","tag-cvs-caremark-corporation","tag-desantis","tag-doctors","tag-drugs-pharmaceuticals","tag-florida","tag-insurance","tag-law-and-legislation","tag-optum-inc","tag-pharmacy-benefit-managers","tag-privacy","tag-regulation-and-deregulation-of-industry","tag-ron"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Florida Seeks Drug Prescription Data With Names of Patients and Doctors - World News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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