evidence_text: Representative Anthony moved to adopt the amendments for HB 4234, as substitute (H-1). The motion did not prevail by a vote of 12-16-0. UNFAVORABLE ROLL CALL: Yeas: Reps. Hoadley, Love, Pagan, Hammoud, Peterson, Sabo, Anthony, Brixie, Cherry, Hood, Kennedy, and Tate. Nays: Reps. Hernandez, Miller, Albert, Allor, Brann, VanSingel, Whiteford, Yaroch, Bollin, Glenn, Green, Huizenga, Lightner, Maddock, Slagh, and VanWoerkom. Pass: None. Representative Hammoud offered the following amendment for HB 4234, as substitute (H-1): 1. Amend page 70, following line 9, by inserting: "Sec. 626. As a condition of receiving appropriations in part 1, the auditor general shall conduct an audit on Medicaid managed care pharmacy services that analyzes the following issues: (a) Lack of transparent data on pharmacy services; (b) Disconnect between pharmacy reimbursement and overall costs to the Medicaid program (spread pricing); (c) Potential conflict of interest related to a retail pharmacy chain that is affiliated with one of the Medicaid pharmacy benefit managers and reported reductions in pharmacy reimbursements; and (d) Impact of reductions in pharmacy reimbursement on access to care, particularly in rural communities".” Representative Hammoud explained the amendment.