Bill > S0730

This bill revises the circumstances under which step-therapy protocols may not be required by health insurers and health maintenance organizations (HMOs) in Florida. It allows insureds and subscribers to be exempted from step-therapy protocols if they have previously been approved to receive a prescription drug through the completion of a step-therapy protocol required by a separate health coverage plan. Additionally, the bill requires health insurers and HMOs to publish and provide procedures for requesting and appealing the denial of protocol exemptions. The bill also defines key terms such as "health coverage plan," "protocol exemption," and "step-therapy protocol." Finally, the bill specifies that it does not require health insurers or HMOs to add a drug to their formulary or cover a prescription drug they do not already cover.

Business and Industry, Health and Social Services

https://www.flsenate.gov/Session/Bill/2022/730