ÿWPC §lÅ ¹BA;ƒ×¬pŽ+–:óWuòÒs¾·òXJs4"pJ\.«ñNÛ‹•¨Òù6Ò½ëU2»t{YˆŒð½ªüç÷)‰ûÉ^O´0TûŸ%ö8ñ’“¤Q Û¬{ü¡Yïl !jÑhûuBfý¤B«9I—ÃM÷U Lõ&Ö0‚œQóqÚL<@K€Lï6»ølè;ìæˆ*¼Î2}ÃÉ¡Ez—Zm;¥kRËá[´Æièˆe×&— NQnƒçØ¥ü×Õ52:þŸjKü:Núà™píB&Ðú ¢|ËûèÀ;º³&³RLk\Êb•^Øë“LKã=Ä9Z«rEt˜õž˜_Gå‘…ÒØnhq×'S¿'BêÁ ăýç:^âŸj Z¤áIÀíTS‚'kœÏb®dÐýP‡Ý]gÇÖn}«¹¦8ÓZÕ×#c…þ¨òø }¶Ñ.z âµØïÌlþ§3jébÏÚ !Êt/½cÎÎBàÎ*‹ÃV RŒ>´3pÔ•S™÷­Úó×ó¤@=:>öa‹ˆ],ÕÖ¾î91…V åH޶|7R¬«é»ñ’>»2øâd¿®Á]03Y(EòþÃÙ©´äpSb#Á\ % U @# 0ˆc U Në ^ 9 wE zI Òà 4• © ¸ mº ÆÑ Æ— Æ] Æ#éNñññEóóóóóóóóóóóóóóóóóóóóóóóóbõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõõ 0ëýýýý Bèè 0¤ D3© D-Ü 0K   ASTƧ 0¤m 0D A«U˜HP LaserJet 4050 Series PCL 5eÈÈ,,,,ÈÈ0»(ÆúI Z‹(Times New Roman (`£ª$¡¡Ñ€.ÑÑ8€½­»»d»»d8ÑÑ ý ÑÓ  Ó(í€"  Z6Times New Roman Regular¥sJ)â  ˜C:\PROGRA~1\COREL\WORDPE~1\TEMPLATE\CUSTOM~1\REVISE~1.WPTC:\Program Files\Corel\WordPerfect Office 2000\Template\Custom WP Templates\revised standard opinion.wpt ;)bk1œÈ 3|xÿU‹ÿÀÀÀLevel 1Level 2Level 3Level 4Level 5‚Level 1Level 2Level 3Level 4Level 5„Level 1Level 2Level 3Level 4Level 5…Level 1Level 2Level 3Level 4Level 5 - ù-(|G2F…$¤¤Ý ƒ£ª!ÝÑ€.ÑÑ8€[E»»dd8ÑÑ ý ÑÓ  ÓÝ  Ýà  àòòÚ  Ú0Ú  ÚóóÔ€ôý ò»»Ô d(|3‡$££Ý ƒ£ª!ÝÑ€.ÑÑ8€[E»»dd8ÑÑ ý ÑÓ  ÓÝ  ÝVVVV'ÿÿdxd)!ÈÈÈÈdxdx( ±þ$’’ò òFigure€Ú  Ú1Ú  Úó ó^_X`YEþÿ<<CÿÿƒLevel 1Level 2Level 3Level 4Level 5(|3‡$¢¢Ý ƒ£ª!ÝÑ€.ÑÑ8€[E»»dd8ÑÑ ý ÑÓ  ÓÝ  Ý($$””ò òÚ  Ú1Ú  Úó óX[Z&OLE 2.0 Box <=8ÿÿÿÿÿÿÿÿÿÿCÿÿ HKKKKÝ ƒ£ª!ÝÑ€.ÑÑ8€[E»»ddÈ8ÑÑ ý ÑÓ  ÓÝ  ÝÔ_ÔÑ  ÑÔ€¼[E»»»ÔÑ8€™XXdì»»d8ÑÑ  ÑÔ€¼[E»»¼[EÔà@ü ü ìàÔ‡î‘][EÔIN€THE€COURT€OF€APPEALS€OF€TENNESSEEˆÐ ° Ðà@kk$ìàAT€NASHVILLEÔ#†¼[E»îî‘]+#ԈРÖ& ÐÓ  ÓSeptember€6,€2000€SessionÐ üL ÐÔ‡X™X»¼[EÔÌò òÔ#†¼[E»XX™#ÔREEVES„Ô_ÔSAINÔ_Ô€MEDICAL,€INC.,€òòet€al.óó€v.€BLUECROSS€BLUESHIELD€OFÐ úJ ÐTENNESSEE,€òòet€alóó.Ô‡X™X»¼[EÔó óÐ  ^ ÐÌà@@½½ìàò ò€Appeal€from€the€Circuit€Court€for€Rutherford€CountyÐ  ^ Ðà@@øøìàNo.€41877€€€€€€Robert€E.€Ô_ÔCorlewÔ_Ô,€JudgeÐ ú J ÐÌÌà@@ìì*ìàßA€V) °°` d€÷E<½` AßÐ ¾  ÐÌà@@TTìàNo.€M2000„00182„Ô_ÔCOAÔ_Ô„R3„CV€„€Filed€October€10,€Ô_Ô2000Ô_ÔÐ ¹  ÐÌßA€V) °°` dE<` AßÐ ‘á  Ðó óÌÓ  ÓA€state€statute,€Tenn.€Code€Ann.€ðð€56„7„2359,€prevents€a€health€insurance€issuer€from€excluding€anyÐ ŒÜ Ðlicensed€pharmacy€or€pharmacist€from€its€list€of€participating€providers€if€the€pharmacy€orÐ xÈ Ðpharmacist€agrees€to€the€terms€and€conditions€offered€to€other€participating€providers.€€The€ChanceryÐ d´ ÐCourt€of€Rutherford€County€held€that€the€statute€also€required€BlueCross€BlueShield€of€TennesseeÐ P  Ðto€include€all€licensed€pharmacies€or€pharmacists€in€their€list€of€home€infusion€therapy€providers€andÐ <Œ Ðthat€the€only€condition€the€insurer€could€impose€was€a€pharmacistððs€license.€€We€reverse€the€lowerÐ (x Ðcourtððs€order€and€finding€of€contempt€for€a€technical€violation€of€the€order.Ð d ÐÓKÓÌò òTenn.€R.€App.€P.€3€Appeal€as€of€Right;€Judgment€of€the€Circuit€Court€Ð ì< ÐReversed€and€Remandedó óÐ Ø( ÐÌòòÓ  ÓÔ#†¼[E»àX™é#ÔÔ‡X™X.¼[EÔBen€H.€Cantrell,€P.J.,€M.S.óó,€delivered€the€opinion€of€the€court,€in€which€òòWilliam€C.€Koch,€Jr.óóÐ ° Ðand€òòPatricia€J.€Cottrellóó,€joined.Ð œì ÐÌRobert€B.€Littleton€and€David€L.€Johnson,€Nashville,€Tennessee,€for€the€appellants€BlueCrossÐ t Ä ÐBlueShield€of€Tennessee€and€Volunteer€State€Health€Plan,€Inc.,€d/b/a€BlueCare.Ð `!°  ÐÌÔ_ÔBlakeleyÔ_Ô€D.€Matthews€and€Jay€N.€Ô_ÔChamnessÔ_Ô,€Nashville,€Tennessee,€for€the€appellees,€Reeves„Ô_ÔSainÔ_ÔÐ 8#ˆ" ÐMedical,€Inc.,€W.€Shane€Reeves,€Pharm.€D.,€and€Tennessee€Pharmacists€Association.Ð $$t# ÐÌÓ* ÓÌò òOPINIONó óÔ#†¼[E»XX™Y #ÔÔ‡X™X»¼[EÔÐ è&8"& ÐÌòòóóÔ#†¼[E»XX™ #ÔÓ  ÓÔ€X™X»¼[EÔà@¬¬)ìàò òI.ó óˆÐ À($( ÐÌà  àTo€combat€the€spiraling€costs€of€providing€health€care€insurance,€insurance€companies€areÐ ˜*è%* Ðincreasingly€turning€to€some€form€of€managed€care.€€One€popular€form€of€managed€care€is€theÐ „+Ô&+ Ðcreation€of€a€preferred€provider€network,€where€the€providers€agree€with€the€insurance€company€toÐ p,À', Ðprovide€services€and€medicine€at€a€reduced€rate€in€exchange€for€being€included€on€the€insuranceÐ \-¬(-ý Ðcompanyððs€preferred€provider€list.€€Patients€covered€by€that€insurance€company€get€the€benefit€of€theÐ ° Ðnegotiated€rates€when€they€use€the€providers€on€the€list,€but€they€have€to€pay€a€higher€portion€of€theÐ œì Ðcosts€when€they€use€providers€outside€the€network.Ð ˆØ ÐÌà  àAnother€attempt€to€save€money€resulted€in€shorter€hospital€stays€and,€consequently,€moreÐ `° Ðtreatment€at€home.€€Some€patients€required€drug€or€medicine€administration€by€intravenous€infusion.€Ð L œ ÐThis€need€attracted€providers€who€put€together€a€service€called€home€infusion€therapy,€or€ð ðHITðð€forÐ 8 ˆ Ðshort.€€This€service€is€made€up€of€two€parts:€the€pharmacy€component€for€supplying€the€drugs,€andÐ $ t Ðthe€trained€professional€component€for€administering€them.€€So€far,€the€state€does€not€regulate€orÐ  ` Ðlicense€the€home€administration€component€as€a€separate€and€distinct€healing€art.€€But,€aside€fromÐ ü L  Ðpatients€and€their€families,€the€only€persons€who€can€administer€home€infusion€therapy€are€thoseÐ è 8  Ðwho,€by€virtue€of€their€professional€license,€are€permitted€to€give€injections.Ð Ô$  ÐÌà  àBy€early€1999€there€were€approximately€353€providers€of€this€service€in€Tennessee.€Ð ¬ü  ÐBlueCare,€a€managed€care€organization€created€by€BlueCross€BlueShield€of€Tennessee€andÐ ˜è  ÐVolunteer€State€Health€Plan,€Inc.€to€supply€medical€services€under€the€stateððs€TennCare€program,Ð „Ô  Ðwent€through€a€process€to€create€a€high€quality€network€of€HIT€providers€and€narrowed€the€list€toÐ pÀ Ðsixteen.€€Some€of€the€HIT€providers€who€did€not€make€BlueCareððs€list€are€the€plaintiffs€in€thisÐ \¬ Ðlawsuit.€€They€were€later€joined€by€the€Tennessee€Pharmacy€Association€(TPA).Ð H˜ ÐÌà  àThe€plaintiffs€sought€a€declaratory€judgment€that€BlueCare€was€required€by€Tenn.€Code€Ann.Ð  p Ððð€56„7„2359€to€include€all€licensed€pharmacies€and€licensed€pharmacists€in€its€list€of€providers€ofÐ  \ ÐHIT€services.€€The€statute,€passed€in€1998,€provides€as€follows:Ð øH ÐÌà  à(a)à0 ` àNo€health€insurance€issuer€may:ÐÐ ` (#` (# ÐÌà8  à(1)à0` Ð Ð àDeny€any€licensed€pharmacy€or€licensed€pharmacist€the€right€to€participateШø` Ð ` Ð  Ðà8  àas€a€participating€provider€in€any€policy,€contract€or€plan€on€the€same€terms€andÐ ”ä Ðconditions€as€are€offered€to€any€other€provider€of€ò òpharmacy€servicesó ó€under€theÐ €Ð Ðpolicy,€contract€or€plan;€provided,€that€nothing€herein€shall€prohibit€a€managed€healthÐ pÀ Ðinsurance€issuer€from€establishing€rates€or€fees€that€may€be€higher€in€non„urban€areas,Ð \ ¬ Ðor€in€specific€instances€where€a€managed€health€insurance€issuer€determines€itÐ H!˜ Ðnecessary€to€contract€with€a€particular€provider€in€order€to€meet€network€adequacyÐ 4"„  Ðstandards€or€patient€care€needs.Ð #p!Ð Ð  ÐÌà8  à(2)à0` Ð Ð àPrevent€any€person€who€is€a€party€to€or€beneficiary€of€any€policy,€contract€orÐø$H #` Ð ` Ð  Ðà8  àplan€from€selecting€a€licensed€pharmacy€of€such€personððs€choice€to€furnish€theÐ ä%4!$ Ðò òpharmaceutical€servicesó ó€offered€under€any€contract,€policy€or€plan,€provided€theÐ Ð& "% Ðpharmacy€is€a€participating€provider€under€the€same€terms€and€conditions€of€theÐ À'#& Ðcontract,€policy€or€plan€as€those€offered€any€other€provider€of€pharmacy€services;Ь(ü#'Ð Ð  Ðâ âÐ ˜)è$( Ðà8  à(3)€€€€Permit€or€mandate€any€difference€in€coverage€or€impose€any€differentà8@dÐ Ð àà8@dƒàÐ ° Ðconditions,€including€co„payment€fees,€so€long€as€the€provider€selected€is€aÐ œì Ðparticipant€in€the€contract,€policy€or€plan€involved.€€(Emphasis€supplied)ЈØÐ Ð  Ðâ âÌThe€statute,€known€as€the€ð ðany€willing€pharmacy€act,ðð€requires€insurance€companies€to€include€allÐ `° Ðpharmacies€on€their€lists€of€providers€if€the€pharmacy€agrees€to€the€terms€and€conditions€offered€toÐ L œ Ðothers€on€the€list.Ð 8 ˆ ÐÌà  àThe€Chancery€Court€of€Rutherford€County€issued€a€temporary€injunction,€later€made€a€finalÐ  ` Ðjudgment,€which€included€the€following€two€paragraphs:Ð ü L  ÐÌà8  àà ` à(1)à0¸ Ð Ð àIt€is€hereby€ORDERED€that€the€defendants,€BlueCross€BlueShield€of€ÐÔ$ ¸ Ð ¸ Ð  Ðà8  à€Tennessee€and€Volunteer€State€Health€Plan,€Inc.,€d/b/a€Ô_ÔBlueCareÔ_Ô,€their€respectiveÐ À  Ðofficers,€agents,€representatives,€employees€and€successors,€and€all€other€persons€inÐ ¬ü  Ðactive€concert€and€participation€with€them,€be€and€hereby€are€permanently€restrainedÐ ˜è  Ðand€enjoined€from€excluding€the€plaintiffs,€Reeves„Ô_ÔSainÔ_Ô€Medical,€Inc.,€and€W.€ShaneÐ „Ô  ÐReeves,€as€participating€providers€of€pharmacy€services€under€the€defendantsðð€healthÐ pÀ Ðinsurance€plan.€€The€defendants,€BlueCross€BlueShield€of€Tennessee€and€VolunteerÐ \¬ ÐState€Health€Plan,€Inc.,€d/b/a€BlueCare,€are€further€permanently€restrained€andÐ H˜ Ðenjoined€from€wrongfully€preventing€the€plaintiffs,€Reeves„Ô_ÔSainÔ_Ô€Medical,€Inc.€andÐ 4„ ÐW.€Shane€Reeves,€from€dispensing€home€infusion€therapy€services€to€coveredÐ  p Ðmembers€of€the€defendantsðð€health€insurance€plan€pursuant€to€prescription€orders€forÐ  \ Ðsuch€services.ÐøHÐ Ð  ÐÌà8  àà ` à(2)à0¸ Ð Ð àIt€is€hereby€ORDERED€that€the€defendants,€BlueCross€BlueShield€ofÐÐ ¸ Ð ¸ Ð  Ðà8  àTennessee€and€Volunteer€State€Health€Plan,€Inc.,€d/b/a€BlueCare,€their€respectiveÐ ¼  Ðofficers,€agents,€representatives,€employees€and€successors,€and€all€other€persons€inÐ ¨ø Ðactive€concert€and€participation€with€them,€be€and€hereby€are€permanently€restrainedÐ ”ä Ðand€enjoined€from€excluding€any€Ô_ÔTPAÔ_Ô€member€who€is€a€provider€of€home€infusionÐ €Ð Ðtherapy€services€as€a€participating€provider€of€home€infusion€therapy€services€underÐ l¼ Ðthe€defendantsðð€health€insurance€plan,€if€the€provider€is€willing€to€provide€suchÐ X ¨ Ðservices€under€the€same€terms€and€conditions€as€are€offered€to€other€providers€ofÐ D!” Ðhome€infusion€therapy€services€under€the€plan.Ð0"€ Ð Ð  ÐÌIn€a€subsequent€entry€in€the€record,€the€court€supplemented€its€findings€as€follows:Ð $X" ÐÌà8  àThe€prior€finding€of€this€Court€has€been€that€the€action€of€the€legislature€requiresÐ à%0!$ ÐBlueCross€to€contract€with€all€licensed€pharmacists€regardless€whether€thoseÐ Ì&"% Ðpharmacists€possess€other€credentials€and€qualifications€which€BlueCross€mightÐ ¸'#& Ðdesire,€and€which€various€departments€of€the€State€may€also€require.€€Bluntly€stated,Ð ¤(ô#' Ðprovisions€of€the€contract€between€BlueCross€and€a€subdivision€of€the€State€whichÐ )à$( Ðare€not€in€conformance€with€the€law,€are€illegal,€and€of€course€should€not€beÐ |*Ì%) Ðfollowed.Ðh+¸&*Ð Ð  Їà8  à€€€€€€€€€While€the€Court€recognizes€that€many€of€the€credentials€and€qualifications€forÐ ° Ðwhich€BlueCross€looks€before€contracting€with€a€pharmacy€may€have€great€merit,€theÐ œì Ðprovisions€of€òòÔ_ÔT.C.A.Ô_Ôóó€ðð€56„7„2359€have€removed€from€BlueCross€the€opportunity€toÐ ˆØ Ðmake€such€determinations.€€The€legislature€has€provided€that€being€a€licensedÐ tÄ Ðpharmacist€is€all€that€is€required€in€order€for€one€to€participate€as€a€provider€ð ðin€anyÐ `° Ðpolicy,€contract€or€plan.ðð€€Defendant€BlueCross€asserts€that€the€wording€of€the€statuteÐ L œ Ðproviding€that€a€pharmacist€is€unable€to€participate€ð ðon€the€same€terms€andÐ 8 ˆ Ðconditions€as€are€offered€to€any€other€provider€of€pharmacy€services€under€the€policy,Ð $ t Ðcontract€or€planðð€gives€BlueCross€the€opportunity€to€establish€the€further€criteria.€€AÐ  ` Ðfair€reading€of€the€statute,€however,€shows€that€the€quoted€language€deals€with€theÐ ü L  Ðmanner€of€the€course€of€dealings,€including€compensation,€and€not€with€the€issue€ofÐ è 8  Ðqualifications.€€Clearly€the€statute€would€have€no€meaning€if€in€fact€the€healthÐ Ô$  Ðinsurance€issuer€were€able€to€apply€such€conditions€at€[sic]€it€desired€to€a€licensedÐ À  Ðpharmacy€or€licensed€pharmacist€as€a€further€condition€of€acceptance.€€The€statuteÐ ¬ü  Ðprovides€that€it€is€unlawful€for€the€issuer€of€the€health€insurance€policy€to€deny€anyÐ ˜è  Ðpharmacy€or€pharmacist€the€right€to€participate€as€a€provider€of€services€as€fully€asÐ „Ô  Ðany€other€provider€is€allowed€to€participate,€so€long€as€the€pharmacist€or€pharmacyÐ pÀ Ðis€duly€licensed€under€state€law.€€The€issuer€of€proper€insurance€has€every€right€underÐ \¬ Ðthe€statute€to€establish€rates€or€fees€and€may€establish€different€fee€structures€forÐ H˜ Ðdifferent€areas,€whether€urban€or€non„urban.€€òòÔ_ÔT.C.A.Ô_Ôóó€ðð€56„7„2358.Ð4„Ð Ð  ÐÌà@……)ìàò òII.ó óˆÐ  \ Ðà@¡¡)ìàò òa.ó óˆÐ øH ÐÌà  àð ðThe€fundamental€role€of€this€court€in€construing€statutes€is€to€ascertain€and€give€effect€toÐ Ð  Ðlegislative€intent.ðð€€òòState€v.€Ô_ÔMixonÔ_Ôóó,€983€S.W.2d€661,€669€(Tenn.€1999).€€To€start,€the€words€of€theÐ ¼  Ðstatute€must€be€given€their€ordinary€and€natural€meaning,€òòÔ_ÔBlankenshipÔ_Ô€v.€Estate€of€Ô_ÔBainÔ_Ôóó,€5€S.W.3dÐ ¨ø Ð647€(Tenn.€1999);€and€we€must€take€care€not€to€unduly€restrict€the€statuteððs€coverage€or€to€expandÐ ”ä Ðit€beyond€its€intended€scope,€òòDavenport€v.€Chrysler€Credit€Corp.óó,€818€S.W.2d€23€(Tenn.€Ct.€App.Ð €Ð Ð1991).€€Applying€this€test€and€considering€the€related€statutes,€we€think€that€applying€Tenn.€CodeÐ l¼ ÐAnn.€ðð€56„7„2359(a)€to€home€infusion€therapy€would€be€an€unwarranted€extension€of€the€statuteÐ X ¨ Ðbeyond€its€intended€scope.€€Read€as€a€whòòóóole,€the€actððs€scope€is€fairly€narrow.€€It€just€requiresÐ D!” Ðinsurance€companies€to€open€up€their€approved€provider€lists€to€any€ð ðlicensedðð€pharmacy€orÐ 0"€  Ðpharmacist€providing€ð ðpharmacyðð€or€ð ðpharmaceuticalðð€services€on€the€same€terms€and€conditionsÐ #l! Ðextended€to€all€other€licensed€providers.€€Ð $X" ÐÌà  àThe€General€Assembly€did€not€specifically€define€ð ðpharmacy€servicesðð€or€ð ðpharmaceuticalÐ à%0!$ Ðservices.ðð€€It€did€define€the€ð ðpractice€of€pharmacyðð€in€Tenn.€Code€Ann.€ðð€63„10„404(31)(A)€asÐ Ì&"% Ðfollows:Ð ¸'#& ÐÌà8  àð ðPractice€of€pharmacyðð€means€a€patient„oriented€health€service€profession€in€whichÐ )à$( Ðpharmacists€interact€and€consult€with€patients€and€other€health€care€professionals€toÐ |*Ì%) Ðenhance€patientsðð€Ô_ÔwellnessÔ_Ô,€prevent€illness€and€optimize€outcomes.€€The€practiceÐ h+¸&* Ðinvolves€interpretation,€evaluation€and€implementation€of€medical€orders€andÐ ° Ðprescription€orders;€responsibility€for€compounding€and€dispensing€prescriptionÐ œì Ðorders,€including€radioactive€substances;€participation€in€drug,€dietary€supplementÐ ˆØ Ðand€device€selection,€storage,€distribution€and€administration;€drug€evaluation,Ð tÄ Ðutilization€or€regimen€review;€maintenance€of€patient€profiles€and€other€pharmacyÐ `° Ðrecords;€provision€of€patient€education€and€counseling;€drug€or€drug„related€research;Ð L œ Ðand€those€professional€acts,€professional€decisions€or€professional€services€necessaryÐ 8 ˆ Ðto€maintain€all€areas€of€a€patientððs€pharmacy„related€care;Ð$ tÐ Ð  ÐÌIt€seems€to€us€that€a€license€to€practice€pharmacy€does€not€empower€pharmacists€to€inject€drugs€intoÐ ü L  Ða€patient.€€A€pharmacy€license€covers€the€pharmaceutical€component€of€home€infusion€therapy,€butÐ è 8  Ðby€its€terms€it€does€not€cover€the€non„pharmaceutical€component.€€Therefore,€Tenn.€Code€Ann.€ðð€Ð Ô$  Ð56„7„2359(a)(1)€does€not€prevent€Ô_ÔBlueCareÔ_Ô€from€imposing€additional€requirements€on€the€non„Ð À  Ðpharmaceutical€component€of€home€infusion€therapy.Ð ¬ü  ÐÌà@››)ìàò òb.ó óˆÐ „Ô  ÐÌà  àIf€we€looked€beyond€the€plain€words€of€the€statute,€there€are€other€aids€to€which€we€couldÐ \¬ Ðresort.€€The€legislative€history€may€be€examined€for€interpretative€guidance€if€the€act€is€ambiguous.€Ð H˜ ÐòòHathaway€v.€First€Family€Financial€Servicesóó,€1€S.W.3d€634€(Tenn.€1999).€€Although€we€think€theÐ 4„ Ðact€is€clear,€we€note€that€home€infusion€therapy€is€not€mentioned€by€the€individual€legislators€in€anyÐ  p Ðof€the€proceedings€before€the€various€committees.€€A€more€limited€view€of€the€effect€of€the€bill€isÐ  \ Ðsuggested€by€the€following€statements€of€the€sponsor€before€the€Senate€Commerce€Committee€andÐ øH Ðthe€Senate€Finance€Ways€and€Means€Committee:Ð ä4 ÐÌà8  àThe€pharmacists€are€in€this€bill€.€.€.€in€the€section€with€pharmacy€and€pharmacy€accessÐ ¼  Ð.€.€.€They€are€included€in€the€bill€which€says€they€have€an€option€to€participate€in€theÐ ¨ø Ðnetworks€if€they€choose€to€accept€those€prices.€€That€is€their€choice,€but€they€haveÐ ”ä Ðthat€option€available€to€them.ЀÐÐ Ð  ÐÌà  à.€.€.Ð X ¨ ÐÌà8  àThe€pharmacy€and€pharmacy€access€deals€with€allowing€our€pharmacists€to€stay€inÐ 0"€  Ðnetworks€if€they€are€willing€to€accept€fee€schedules€provided€by€Ô_ÔMCOÔ_Ôððs.Ð#l!Ð Ð  ÐÌà  à€.€.€.Ð ô$D # ÐÌà8  àIn€the€pharmacy€issue,€and€there€is€language€in€the€pharmacy€issue€that€says€theÐ Ì&"% Ðpharmacist,€whether€itððs€a€mom€or€pop€or€a€large€volume€change€[sic],€must€beÐ ¸'#& Ðwilling€to€accept€the€fees€that€are€out€there€.€.€.€.Ф(ô#'Ð Ð  Ðâ âÐ )à$( Ðà  àThese€excerpts€indicate€an€understanding€by€the€sponsor,€communicated€to€the€committeeÐ ° Ðmembers,€that€the€bill€mainly€covered€drugs€or€traditional€pharmacy€services€that€any€mom€and€popÐ œì Ðpharmacy€could€supply.Ð ˆØ Ðâ âÌà@^^(ìàò òIII.ó óˆÐ `° ÐÌà  àThe€court€held€that€the€defendants€were€technically€in€contempt€of€its€order€of€November€22,Ð 8 ˆ Ð1999,€and€ordered€the€defendants€to€pay€the€costs€associated€with€the€contempt€motion€plus€theÐ $ t Ðplaintiffððs€attorneys€fees.€€Ð  ` ÐÌà  àThe€November€22€order€statedÐ è 8  ÐÌà8  àà ` àPending€further€orders€of€this€Court,€the€defendants,€BlueCross€BlueShieldÐ À  Ðof€Tennessee€and€Volunteer€State€Health€Plan,€Inc.,€d/b/a€Ô_ÔBlueCareÔ_Ô,€their€respectiveÐ ¬ü  Ðofficers,€agents,€representatives,€employees€and€successors,€and€all€other€persons€inÐ ˜è  Ðactive€concert€and€participation€with€them€be€and€hereby€are€restrained€and€enjoinedÐ „Ô  Ðfrom€excluding€any€TPA€member€who€is€a€provider€of€home€infusion€therapyÐ pÀ Ðservices€as€a€participating€provider€of€home€infusion€therapy€services€under€theÐ \¬ Ðdefendantsðð€health€insurance€plan,€if€the€provider€is€willing€to€provide€such€servicesÐ H˜ Ðunder€the€same€terms€and€conditions€as€are€offered€to€other€providers€of€homeÐ 4„ Ðinfusion€therapy€services€under€the€plan.Ð pÐ Ð  ÐÌà  àIt€appears€that€the€defendants€notified€prospective€providers€of€the€courtððs€initial€injunctionÐ øH Ðand€informed€them€that€if€they€were€interested€in€becoming€a€provider€in€the€defendantsðð€HITÐ ä4 Ðnetwork€they€should€request€a€copy€of€the€terms€and€conditions€under€which€they€could€be€included.€Ð Ð  ÐWhen€the€prospective€providers€asked€for€the€terms€and€conditions€the€defendants€sent€them€aÐ ¼  Ðcomplicated€questionnaire€and€application€that€included€staffing€and€organizational€requirements€thatÐ ¨ø Ðan€ordinary€pharmacy€would€never€expect€to€meet.€€There€is,€however,€no€proof€that€the€sameÐ ”ä Ðrequirements€were€not€applied€to€the€sixteen€providers€the€defendants€had€initially€included€in€theirÐ €Ð Ðnetwork.Ð l¼ ÐÌà  àWe€do€not€think€the€defendants€were€in€violation€of€the€November€22€order.€€It€was€not€untilÐ D!” Ðafter€the€court€heard€the€petition€for€contempt€that€it€specifically€held€that€the€defendants€could€notÐ 0"€  Ðimpose€any€conditions€on€applicants€for€the€HIT€network€except€a€pharmacy€license.€€Therefore,€weÐ #l! Ðreverse€the€finding€of€contempt€and€the€sanctions€imposed€for€it.Ð $X" ÐÌà  àThe€judgment€of€the€court€below€is€reversed€and€the€cause€is€remanded€to€the€Circuit€CourtÐ à%0!$ Ðof€Rutherford€County€for€any€further€proceedings€that€may€become€necessary.€€Tax€the€costs€onÐ Ì&"% Ðappeal€to€the€appellees.Ð ¸'#& ÐÌÌà  àà ` àà ¸ àà  àà h àà À à_________________________________________€Ð |*Ì%) Ðà  àà ` àà ¸ àà  àà h àà À àBEN€H.€CANTRELL,€PRESIDING€JUDGE,€M.S.