FL H0697

Excludes plans exclusively serving PACE (Program of All-Inclusive Care for the Elderly) organizations from pharmacy benefit manager transparency requirements

Allows pharmacies to submit consolidated administrative appeals for multiple claims of the same drug and day supply within the same calendar month when challenging maximum allowable cost pricing

Prohibits pharmacy benefit managers from restricting pharmacies from declining to dispense drugs when reimbursement is below acquisition cost, and from reimbursing pharmacies less than affiliated pharmacies

Appropriates $30,901,933 from the Grants and Donations Trust Fund for the Ryan White Part B AIDS Drug Assistance Program (ADAP) through June 30, 2026, with eligibility set at household income at or below 400% of federal poverty level

Requires the Department of Health to submit monthly ADAP reports beginning April 1, 2026, detailing revenues, expenditures, rebates, participant counts, prescriptions filled, and projected funding shortfalls