SB 1232 (see companion bill HB 997)
Telehealth Prescribing: Revising the circumstances under which a telehealth provider may use telehealth to prescribe certain controlled substances, etc.
Telehealth Prescribing: Revising the circumstances under which a telehealth provider may use telehealth to prescribe certain controlled substances, etc.
Medicaid Step-therapy Protocols for Drugs for Serious Mental Illness Treatments: Defines "serious mental illness"; requires AHCA to approve drug products for Medicaid recipients for treatment of serious mental illness without step-therapy prior authorization; directs agency to include rate impact of this act in certain program rates that become effective on specified date.
Medicaid Step-therapy Protocols for Drugs for Serious Mental Illness Treatments: Defines "serious mental illness"; requires AHCA to approve drug products for Medicaid recipients for treatment of serious mental illness without step-therapy prior authorization; directs agency to include rate impact of this act in certain program rates that become effective on specified date.
Health Insurance Cost Sharing: Requiring specified individual health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ cost-sharing requirements; requiring specified contracts to require pharmacy benefit managers to apply payments by or on behalf of insureds toward the insureds’ total contributions to cost-sharing requirements; requiring specified group health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ cost-sharing requirements; requiring specified contracts to require pharmacy benefit managers to [...]
Health Insurance Cost Sharing: Requiring specified individual health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ cost-sharing requirements; requiring specified contracts to require pharmacy benefit managers to apply payments by or on behalf of insureds toward the insureds’ total contributions to cost-sharing requirements; requiring specified group health insurers and their pharmacy benefit managers to apply payments by or on behalf of insureds toward the total contributions of the insureds’ cost-sharing requirements; requiring specified contracts to require pharmacy benefit managers to [...]
West Orange Healthcare District, Orange County: Abolishes district, transfers assets & liabilities of district; requires certain books to be deposited into Winter Garden Heritage Museum; provides effective date.
Health Insurance Coverage by Out-of-state Insurers: Authorizes foreign insurers that have secured regulatory approval from United States territory regulatory authority to transact health insurance; provides that such insurance transactions & insurers are subject to other provisions of Florida Insurance Code under certain circumstances; exempts insurers from insurance-specific taxes; defines "territory of United States."
Health Disparities: Specifying that efforts of the Office of Minority Health and Health Equity to improve access to and delivery of health services to racial and ethnic minority populations include efforts to eliminate racial disparities in vaccination rates in this state, etc.
Savings and Out-of-pocket Expenses in Health Insurance: Requires certain licensed facilities & physicians to provide specific pricing & cost-obligation information to patients; requires health insurer to apply payment for service that nonpreferred provider provided to insured toward insured's deductible & out-of-pocket maximum as if service had been provided by preferred provider, if specific conditions are met.
Prior Authorization: Redefining the term “health insurer” as “utilization review entity” and revising the definition; requiring utilization review entities to establish and offer a prior authorization process for accepting electronic prior authorization requests; specifying additional requirements and procedures for, and restrictions and limitations on, utilization review entities relating to prior authorization for covered health care benefits, etc.