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3 | 3 | | HB 657 2025 |
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7 | 7 | | CODING: Words stricken are deletions; words underlined are additions. |
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8 | 8 | | hb657-00 |
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9 | 9 | | Page 1 of 3 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to Medicaid pharmacy discounted drug 2 |
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16 | 16 | | prices; creating s. 409.9067, F.S.; requiring drug 3 |
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17 | 17 | | manufacturers to sell specified drugs to Medicaid 4 |
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18 | 18 | | pharmacies at 340B Drug Pricing Program discounted 5 |
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19 | 19 | | prices; providing delivery methods for such drugs; 6 |
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20 | 20 | | requiring drug manufacturers to pay rebates to the 7 |
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21 | 21 | | state under certain circumstances; requiring pharmacy 8 |
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22 | 22 | | benefits managers participating in the Medicaid 9 |
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23 | 23 | | program to pay Medicaid pharmacies for specified drugs 10 |
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24 | 24 | | at 340B Drug Pricing Program discounted prices; 11 |
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25 | 25 | | requiring drug wholesalers and distributors to sell 12 |
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26 | 26 | | specified drugs to Medicaid pharmacies at 340B Drug 13 |
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27 | 27 | | Pricing Program discounted prices; prohibiting dru g 14 |
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28 | 28 | | wholesalers and distributors from changing current 15 |
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29 | 29 | | pricing models and programs by engaging in certain 16 |
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30 | 30 | | acts; limiting the sales by Medicaid pharmacies of 17 |
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31 | 31 | | specified drugs at 340 Drug Pricing Program discounted 18 |
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32 | 32 | | prices to Medicaid recipients; providing an ef fective 19 |
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33 | 33 | | date. 20 |
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34 | 34 | | 21 |
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35 | 35 | | Be It Enacted by the Legislature of the State of Florida: 22 |
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36 | 36 | | 23 |
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37 | 37 | | Section 1. Section 409.9067, Florida Statutes, is created 24 |
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38 | 38 | | to read: 25 |
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39 | 39 | | |
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40 | 40 | | HB 657 2025 |
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43 | 43 | | |
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44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
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45 | 45 | | hb657-00 |
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46 | 46 | | Page 2 of 3 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | 409.9067 Discounted drug prices under the 340B Drug 26 |
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52 | 52 | | Pricing Program.— 27 |
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53 | 53 | | (1)(a) A drug manufacturer must sell a drug to a Medicaid 28 |
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54 | 54 | | pharmacy at the 340B Drug Pricing Program discounted price or 29 |
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55 | 55 | | less if the drug is: 30 |
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56 | 56 | | 1. On the Medicaid preferred drug list as described in s. 31 |
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57 | 57 | | 409.912(5); and 32 |
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58 | 58 | | 2. A covered drug under the 340B Drug Pricing Program. 33 |
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59 | 59 | | (b) The drug described in paragraph (a) may be delivered 34 |
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60 | 60 | | to the Medicaid pharmacy in any method that the drug 35 |
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61 | 61 | | manufacturer uses. 36 |
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62 | 62 | | (c) If a drug manufacturer sells a drug as described in 37 |
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63 | 63 | | paragraph (a) to a Medicaid pharmacy at the 340B Drug Pricing 38 |
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64 | 64 | | Program discounted p rice and the discounted price is higher than 39 |
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65 | 65 | | the state Medicaid negotiated price, the drug manufacturer shall 40 |
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66 | 66 | | pay a rebate to the state to comply with the state Medicaid 41 |
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67 | 67 | | negotiated price. 42 |
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68 | 68 | | (2) A pharmacy benefits manager participating in the 43 |
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69 | 69 | | Medicaid program shall pay a Medicaid pharmacy the 340B Drug 44 |
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70 | 70 | | Pricing Program discounted price plus the professional 45 |
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71 | 71 | | dispensing fee as determined in rule 59G -4.251, F.A.C., as 46 |
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72 | 72 | | amended, for any drug that is on the Medicaid preferred drug 47 |
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73 | 73 | | list as described in s. 409.912(5 ) and that is a covered drug 48 |
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74 | 74 | | under the 340B Drug Pricing Program. 49 |
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75 | 75 | | (3)(a) A drug wholesaler or distributor must sell a drug 50 |
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76 | 76 | | |
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77 | 77 | | HB 657 2025 |
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80 | 80 | | |
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81 | 81 | | CODING: Words stricken are deletions; words underlined are additions. |
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82 | 82 | | hb657-00 |
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83 | 83 | | Page 3 of 3 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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88 | 88 | | to a Medicaid pharmacy at the 340B Drug Pricing Program 51 |
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89 | 89 | | discounted price if the drug is: 52 |
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90 | 90 | | 1. On the Medicaid preferred drug list a s described in s. 53 |
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91 | 91 | | 409.912(5); and 54 |
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92 | 92 | | 2. A covered drug under the 340B Drug Pricing Program. 55 |
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93 | 93 | | (b) A drug wholesaler or distributor may not change a 56 |
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94 | 94 | | current pricing model or program that is in place with a 57 |
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95 | 95 | | Medicaid pharmacy by exempting the drug described in paragraph 58 |
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96 | 96 | | (a) from the pricing model or program or referencing such drug 59 |
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97 | 97 | | in any way in the pricing model or program. 60 |
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98 | 98 | | (4) A Medicaid pharmacy may provide a covered drug at the 61 |
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99 | 99 | | 340B Drug Pricing Program discounted price only to Medicaid 62 |
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100 | 100 | | recipients. 63 |
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101 | 101 | | Section 2. This act shall take effect January 1, 2026. 64 |
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