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Bill > H5009


FL H5009

State Employees' Group Insurance Program


summary

Introduced
03/28/2019
In Committee
04/05/2019
Crossed Over
04/04/2019
Passed
Dead
05/03/2019

Introduced Session

2019 Regular Session

Bill Summary

Requires procurements of certain contracts to be conducted simultaneously beginning in specified year; provides requirements for such contracts; requires HMOs to be negotiated on regional or statewide basis; authorizes international prescription services to be included in state group insurance program; requires department to offer international prescription services; requires DMS to use varying plan & network designs in prescription drug program; requires department to implement formulary management cost-saving measures; provides requirements for such measures; requires department to enter into contracts with benefits consulting companies; ch. 99-255, Laws of Florida; removes provision that prohibits department from implementing restricted prescription drug formulary or prior authorization program in prescription drug program.

AI Summary

This bill amends various provisions related to the State Employees' Group Insurance Program. Key provisions include: - Requiring the Department of Management Services (DMS) to simultaneously procure contracts for insurance plans, HMOs, and pharmacy benefit plans starting in 2021, and to accommodate changes to the law during the contract terms. - Authorizing DMS to negotiate regional or statewide contracts with HMOs that offer high value to enrollees. - Allowing DMS to include international prescription services as a voluntary supplemental benefit option. - Requiring DMS to implement formulary management cost-saving measures, while allowing excluded drugs to be available if a physician deems them medically necessary. - Requiring DMS to enter into contracts with benefits consulting companies. - Removing a provision that prohibited DMS from implementing a restricted prescription drug formulary or prior authorization program. Overall, the bill aims to streamline procurement, expand benefit options, and implement cost-saving measures within the State Employees' Group Insurance Program.

Committee Categories

Government Affairs

Sponsors (1)

Other Sponsors (1)

Appropriations Committee (H)

Last Action

Died in Governmental Oversight and Accountability, companion bill(s) passed, see CS/HB 1113 (Ch. 2019-100), SB 2500 (Ch. 2019-115) (on 05/03/2019)

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