The bill amends section 110.12315 of the Florida Statutes, focusing on the state employees' prescription drug program. It mandates the Department of Management Services to submit recommendations to the Governor and the Legislative Budget Commission regarding formulary management for prescription drugs and supplies for the 2026 plan year by September 1, 2025. The recommendations must include lists of excluded and included prescription drugs, prior authorization, and step therapy protocols. The Legislative Budget Commission will have the authority to approve or reject these recommendations, and the department is required to implement only those that receive approval.
Additionally, the bill removes the previous requirement that excluded drugs must be available for inclusion if deemed medically necessary by a prescribing healthcare professional. It also establishes that any drugs first available in the marketplace after January 1, 2026, will not be covered until they are specifically included in the list of covered drugs. The bill further stipulates that the department must provide a list of excluded drugs for the upcoming plan year, which must also be approved by the Legislative Budget Commission. The act is set to take effect on July 1, 2025.
Statutes affected: H 5015 e1: 110.12315
H 5015 er: 110.12315