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FL S1124
Bill
AI Summary
- Allows insured individuals, health plan members, Medicaid recipients, and HMO subscribers to select any in-network pharmacist for covered services that fall within the pharmacist's licensed scope of practice under Florida Chapter 465
- Prohibits denial of reimbursement to in-network pharmacists for services within their scope of practice if the same service would be covered when provided by a physician, physician assistant, or advanced practice registered nurse
- Applies uniformly across six coverage types: state group insurance plans, Medicaid managed care plans, Medicaid provider contracts with the Agency for Health Care Administration, individual health insurance policies, group/blanket/franchise health insurance policies, and health maintenance organization contracts
- Licensed pharmacists may count toward network adequacy standards for provider access, and a pharmacy's participation in a network's drug benefits alone does not satisfy this network adequacy requirement
- Takes effect January 1, 2026
Legislative Description
Pharmacist Selection and Reimbursement
Last Action
Died in Banking and Insurance
6/16/2025
Full Bill Text
No bill text available