Shelter Cluster Vanuatu National Office of Disaster Management Meeting - February 2nd, 2024

The Shelter Cluster meeting at the Vanuatu National Office of Disaster Management discusses partner recovery plans, VRCS shelter strategies, NDMO assessment improvements, and upcoming topics. Detailed plans include volunteer training, shelter awareness, and methodology for assessing damages. The meeting also addresses the need for a recovery tracking system and potential handbook updates. Care International's observations on shelter in Pentecost are shared, aiming to enhance disaster preparedness and response efforts.

• Vanuatu
• Shelter Cluster
• Disaster Management
• Recovery Plans
• Assessment Methodology

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1. THE OKLAHOMA PATIENT S RIGHT TO PHARMACY CHOICE ACT ADVISORY COMMITTEE MEETING April 15, 2021

2. PATIENTS RIGHT TO PHARMACY CHOICE ADVISORY COMMITTEE AGENDA EXHIBIT A The next special meeting of the Patient s Right to Pharmacy Choice Advisory Committee as established by Insurance Commissioner Glen Mulready will be held on Thursday, April 15, 2021, at 10:00 am. The meeting will take place via videoconference and in-person in the Public Conference Room of the Oklahoma Insurance Department, 400 NE 50th Street, Oklahoma City, Oklahoma 73105. This public meeting is being held consistent with the amendments to the Open Meeting Act, 25 O.S. 301 et seq., signed into law by Gov. Stitt on February 8, 2021. See SB 1031, 2021 CONFERENCE LINE: +1-844-621-3956 United States (Toll Free) Conference ID: 182 526 7517# The following advisory committee members will be attending via the WebEx virtual platform: Mark Lewandowski, Jim Consedine, Melanie Maxwell, Bill Moore, The Honorable Bryan Dixon, Rose Thomas-Bendel, Toby Baldwin The following OID staff will be attending via WebEx virtual platform: Mike Rhoads, Kelli Price, Rick Wagnon and Benna Nye Loss of connectivity: If connection is lost at any time during this meeting, the meeting will be stopped and reconvened once connection is reestablished. If connection cannot be restored after thirty (30) minutes, the meeting will be stopped, and a special meeting will be scheduled. Meeting Etiquette: In an effort to provide the best connectivity for all virtual attendees, we ask that only the advisory members and OID staff use the video option when attending the meeting. All others attending virtually should join the meeting by audio connection only. Thank you for your cooperation.

3. Meeting Order 4/15/2021 I. Call to Order II. Committee Roll Call III. Review and Approval of the Minutes IV. Staffing Changes V. Follow-Up on GEO Access Reports VI. PBM Complaints and License Review a. Kelli Price, Managing Counsel, OK Insurance Department VII. Adjournment

4. Advisory Committee Meeting Handouts 1. 2. 3. 4. 5. Previous Meeting Minutes GeoAccess PBM Response Request Transaction Fees PBM Response Request Consumer PBM Complaint Website List of Oklahoma Licensed PBMs Inappropriate Site Letter to PBMs PBM Credentialling Fee Letter PBM Pharmacy Inquiry Letter PBM Response Considered 6. 7. 8. 9.

5. GeoAccessReport GeoAccess Letters 1/15/2021 X 1st Mailing Response Received No GeoAccess Letters 3/18/2021 X 2nd Mailing Response Received GeoAccess Letters 1st Mailing Response GeoAccess Letters 2nd Mailing Response PBM Notes Status PBM Notes Status 1/15/2021 Received 3/18/2021 Received T Yes, 3/25/21 A X No X U V W X Y Z AA AB AC AD X X No No No No No No No No No No X X X X X X X X X X Satisfactory B X No X Sent Later C X No X X X X X X X X D X Yes X Yes, 4/5/21 Satisfactory E X Yes X F No Sent Later X G X No X H X No X Yes, 2/19/20 AE AF AG AH AI AJ AK AL AM AN AO AP X X X X X X X X X X Yes No No Yes No No Yes Yes Yes No X X X X X X X X X X X X Satisfactory I X No X J X Yes X K No Sent Later X L X Yes X M X No X Yes, 4/6/21 Satisfactory N X No X O No Sent Later X P X No X Sent Later Sent Later Q X No X 38 9 1 43 4 4 R X No X Satisfactory PBM Letters Sent Received PBM Letters Sent Received Satisfactory S X No X

6. PBM Complaints and License Review I. Judge Dixon requested list of Oklahoma Licensed PBMs. (see Handout Oklahoma Licensed PBMs) II. Ms. Maxwell asked how confident the OID is that all PBMs operating in Oklahoma are licensed and considered to be in good standing. # of PBMs with Complaints Identified during Research Current still researching # of Licensed PBMs Difference 43 54 11 3 8 PBM Compliance is researching PBM mergers, PBM s no longer in business, PBM s operating under different corporate names, or renamed in a merger or purchase. PBM Compliance staff will complete research within 30 days. The OID Legal team reviewing current PBM notification letters to prepare for mailing after research completed.

7. Update for Committee Member Questions From Previous Meeting III. Mr. Consedine asked for a report on the distribution of PBMs as to their size PBM Individual Complaints Complaints Complaints 0 7,700 99 3,418 217 2,672 115 1,980 2 1,740 2 944 402 1 T Fee Total % of Total 41% 19% 15% 11% 9% 5% 2% A B C D E F G 7,700 3,517 2,889 2,095 1,742 946 403 IV. Mr. Lewandowski inquired about actions that the Advisory Committee can recommend to staff that would assist in their efforts to review and bring recommendations to the Committee. The Chair specifically asked for recommendations on 1) what the appropriate action would be to address PBMs that are not cooperating, 2) at what point should the Committee take progressive disciplinary action reprimand, suspension, revocation of license. (Verbal Review)

8. PBM Complaint Review Effective as of 4/07/21 NETWORK PARTICIPATION FEES STATE BASED SYSTEMS POST 9/1/20 CONSUMER NETWORK PHARMACY PBM OWNED CONSUMER INDIVIDUAL PBM SBS CHOICE COPAY/DIFF NOT ABLE TO SPECIALTY MAIL OPT OUT CREDENTIALING COMPLAINTS RECEIVED RESTRICTION MAIL VS RETAIL CONTRACT RESTRICTION DENIED CHARGE 1028 206 62 344 30 64 3 * Many PBM Complaints have multiple complaints CONTRACT RESTRICTIONS P & T UM/MAIL ORDER NETWORK PARTIAL LISTING OF PHARMACY FEES POST ADJUDICATION TRANSACTION FEES FORMULARY RESTRICTION ACCESS NETWORK PHARMACIES AGAINST CONSUMER ON MEMBER FACING MATERIAL COMPLAINT STANDARD DURING EMERGENCY EDUCATION BEING CHARGED TO PHARMACY 1 76 200 29 5 18,762

9. PBM Complaint Tracking SBS PBM WAITING FOR WAITING FOR WAITING RESOLUTION COMPLAINT PHARMACY PBM FOR HEALTH PLAN PRIOR TO ADVISORY OPEN CASES INFORMATION INFORMATION INFORMATION COMMITTEE REVIEW 389 42 117 2 292 COMPLAINT COMPLAINT WAITING FOR ADVISORY ADVISORY AC REVIEWED WITHOUT WITHDRAWN ADVISORY COMMITTEE COMMITTEE SENT TO LEGAL MERIT AGENDA THIS MEETING REVIEWED FOR ADM REVIEW 22 52 0 0 43 8 LEGAL DEPT PBM LEGAL DEPT PBM REFERRAL DETERMINATION REFERRAL DETERMINATION # NO VIOLATIONS # VIOLATIONS 2 6

10. THE OKLAHOMA PATIENT S RIGHT TO PHARMACY CHOICE ACT ADVISORY COMMITTEE MEETING Next Meeting May 20, 2021