summary
Introduced
02/24/2025
02/24/2025
In Committee
03/02/2025
03/02/2025
Crossed Over
Passed
Dead
06/16/2025
06/16/2025
Introduced Session
2025 Regular Session
Bill Summary
An act relating to pharmacist selection and reimbursement; creating ss. 110.12305, 409.91193, 409.9773, 627.64743, 627.65723, and 641.3143, F.S.; authorizing health plan members and covered individuals under the state group insurance program plans and health maintenance organizations, Medicaid recipients under the Medicaid managed care plans and Medicaid providers, Medicaid managed care enrollees under eligible plans contracted with the Agency for Health Care Administration for the Medicaid program, insureds and covered individuals under individual health insurance policies, insureds and covered individuals under group, blanket, and franchise health insurance policies, and subscribers and covered individuals under health maintenance contracts, respectively, to select in-network pharmacists for services under certain circumstances; prohibiting reimbursement to in-network pharmacists from being denied under specified circumstances; providing that licensed pharmacists may count toward network adequacy standards for access to services within the scope of practice of pharmacists; providing construction; providing an effective date. hb941-00
AI Summary
This bill expands pharmacist services and reimbursement across multiple healthcare systems in Florida, including state group insurance plans, Medicaid managed care plans, individual and group health insurance policies, and health maintenance contracts. The legislation allows patients to select in-network pharmacists for any service within a licensed pharmacist's professional scope of practice, and prohibits health plans from denying reimbursement to these pharmacists for services that would be covered if performed by physicians, physician assistants, or advanced practice registered nurses. Additionally, the bill mandates that licensed pharmacists can count toward network adequacy standards for provider access, though the participation of pharmacies in drug benefit networks does not satisfy this requirement. By creating six new sections of Florida Statutes, the bill aims to broaden patient choice and recognize pharmacists' expanded clinical capabilities, with the provisions set to take effect on January 1, 2026. The legislation applies to various healthcare contexts, ensuring consistent treatment of pharmacists across different insurance and healthcare programs in the state.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Died in Health Care Facilities & Systems Subcommittee (on 06/16/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.flsenate.gov/Session/Bill/2025/941 |
| BillText | https://www.flsenate.gov/Session/Bill/2025/941/BillText/Filed/PDF |
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