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FL H0725

FL H0725
Health Insurance Coverage for CAR T-Cell Therapies


summary

Introduced
02/19/2025
In Committee
02/26/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to health insurance coverage for CAR T-cell therapies; creating ss. 627.64198, 627.6614, and 641.3133, F.S.; providing definitions; prohibiting specified individual health insurance policies, group health insurance policies, and health maintenance contracts, respectively, from refusing to contract with in-network health care facilities for the provision of CAR T-cell therapies under certain circumstances; prohibiting such policies and contracts from denying coverage for the therapies under certain circumstances; providing an effective date.

AI Summary

This bill establishes comprehensive requirements for health insurance coverage of CAR T-cell therapies in Florida, targeting individual, group, and health maintenance insurance policies. The bill defines CAR T-cell therapy as an advanced cancer treatment where a patient's own T cells are genetically modified in a laboratory and then infused back into the patient to attack cancer cells, potentially preceded by chemotherapy or radiation. Specifically, for any insurance policy issued or renewed on or after January 1, 2026, that provides coverage for CAR T-cell therapies, insurers are prohibited from refusing to contract with health care facilities for administering these therapies and are forbidden from denying coverage for the procedure, medications, and associated treatments. These requirements apply when the health care facility is already part of the insurance policy's provider network for other services and when the CAR T-cell therapy follows guidelines for treatments approved by the United States Food and Drug Administration. The bill aims to ensure patients have access to this innovative cancer treatment by preventing insurance companies from creating barriers to its implementation and coverage.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Died in Health Care Facilities & Systems Subcommittee (on 06/16/2025)

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