Bill > H1113

This bill: - Requires health maintenance organizations (HMOs) contracted with the state to be cost-effective and offer high value to enrollees. It allows the Department of Management Services (DMS) to limit the number of HMOs it contracts with in each region. - Authorizes DMS to offer international prescription services as a voluntary supplemental benefit option for state employee health insurance enrollees. - Requires DMS to implement formulary management for the state employee prescription drug program, including a process to exclude certain drugs and a requirement to submit an annual list of excluded drugs. - Requires coverage for medically necessary enteral and elemental formulas for state employee health insurance. - Authorizes individual and group health insurers, as well as HMOs, to offer shared savings incentive programs that reward enrollees for choosing lower-cost, high-quality healthcare services. - Requires DMS to analyze procurement timelines and contract terms for state employee health benefits to develop an implementation plan for simultaneous procurement beginning in plan year 2023.

Budget and Finance, Business and Industry, Health and Social Services

Health Market Reform Subcommittee (H)

https://www.flsenate.gov/Session/Bill/2019/1113