The bill amends section 110.12315 of the Florida Statutes to change the copayment structure for state group health insurance plans, specifically for prescription drugs. It establishes that copayments will be set annually in the General Appropriations Act, rather than being fixed amounts as previously outlined. Additionally, the bill removes provisions related to the formulary inclusion of certain drugs and updates the timeline for implementing formulary management for prescription drugs and supplies, now set to begin in 2026 instead of 2020.

Furthermore, the bill creates a new section, 110.12316, which mandates the Department of Management Services to impose monthly administrative health insurance assessments on state agencies based on vacant positions. These assessments will be equal to the employer's cost of individual employee health care coverage for each eligible vacant position. State agencies are required to remit these assessments to the State Employees Health Insurance Trust Fund and provide updated lists of positions funded by state and federal sources. The bill also allows the Executive Office of the Governor to transfer budget authority between agencies to ensure compliance with the assessments. The act is set to take effect on July 1, 2025.