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FL S1638

Bill

Status

Failed

5/5/2023

Primary Sponsor

Corey Simon

Click for details

Origin

Senate

2023 Regular Session

AI Summary

  • Prohibits insurers and pharmacy benefit managers from conditioning, denying, or reducing payment to providers for clinician-administered drugs when medical necessity criteria are met, regardless of pharmacy source.

  • Prevents insurers from interfering with patients' rights to obtain clinician-administered drugs from their choice of participating providers or pharmacies through inducements, steering, or financial incentives.

  • Prohibits insurers from requiring clinician-administered drugs be dispensed by insurer-selected pharmacies (including "white bagging") or imposing higher copays, coinsurance, or additional fees for drugs obtained elsewhere.

  • Prohibits requiring home infusion of clinician-administered drugs unless the patient's treating physician determines home infusion will not jeopardize patient health.

  • Designates violations as unfair methods of competition and unfair practices subject to enforcement actions and penalties under Part II of Chapter 501, effective July 1, 2023.

Legislative Description

Coverage for Clinician-administered Drugs

Last Action

Died in Banking and Insurance

5/5/2023

Full Bill Text

No bill text available