HB 941 2025
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hb941-00
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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
A bill to be entitled 1
An act relating to pharmacist selection and 2
reimbursement; creating ss. 110.12305, 409.91193, 3
409.9773, 627.64743, 627.65723, and 641.3143, F.S.; 4
authorizing health plan members and covered 5
individuals under the state group insurance program 6
plans and health maintenance organizations, Medicaid 7
recipients under the Medicaid managed care plans and 8
Medicaid providers, Medicaid managed care enrollees 9
under eligible plans contracted with the Agency for 10
Health Care Administration for the Medicaid program, 11
insureds and covered individuals under individual 12
health insurance policies, insureds and covered 13
individuals under group, blanket, and franchise health 14
insurance policies, and subscribers and covered 15
individuals under health maintenance contracts, 16
respectively, to select in -network pharmacists for 17
services under certain circumstances; prohibiting 18
reimbursement to in-network pharmacists from being 19
denied under specifi ed circumstances; providing that 20
licensed pharmacists may count toward network adequacy 21
standards for access to services within the scope of 22
practice of pharmacists; providing construction; 23
providing an effective date. 24
25
HB 941 2025
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hb941-00
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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
Be It Enacted by the Legislature of the State of Florida: 26
27
Section 1. Section 110.12305, Florida Statutes, is created 28
to read: 29
110.12305 Pharmacist selection and reimbursement. — 30
(1)(a) A health plan member or covered individual may 31
select an in-network pharmacist for any service covered by the 32
state group health insurance plan, state -contracted HMO, or any 33
other insurance plan under the state group insurance program 34
which is within the scope of practice of a pharmacist licensed 35
under chapter 465. 36
(b) Reimbursement to an in -network pharmacist may not be 37
denied for the provision of a service that is within the scope 38
of practice of a pharmacist licensed under chapter 465 if the 39
service, when provided by an allopathic physician licensed under 40
chapter 458, an osteopathic physician lic ensed under chapter 41
459, a physician assistant licensed under chapter 458 or chapter 42
459, or an advanced practice registered nurse licensed under 43
chapter 464, is covered by the state group health insurance 44
plan, health maintenance contract, or any other in surance plan 45
under the state group insurance program. 46
(2)(a) Pharmacists licensed under chapter 465 may count 47
toward network adequacy standards for provider access to 48
services provided within the scope of practice of pharmacists. 49
(b) The participation of pharmacies in the network's drug 50
HB 941 2025
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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
benefits does not satisfy the requirement of paragraph (a). 51
Section 2. Section 409.91193, Florida Statutes, is created 52
to read: 53
409.91193 Pharmacist selection and reimbursement. — 54
(1)(a) A Medicaid recipient may s elect an in-network 55
pharmacist for any service covered by the managed care plan or 56
Medicaid provider which is within the scope of practice of a 57
pharmacist licensed under chapter 465. 58
(b) Reimbursement to an in -network pharmacist may not be 59
denied for the provision of a service that is within the scope 60
of practice of a pharmacist licensed under chapter 465 if the 61
service, when provided by an allopathic physician licensed under 62
chapter 458, an osteopathic physician licensed under chapter 63
459, a physician assistant licensed under chapter 458 or chapter 64
459, or an advanced practice registered nurse licensed under 65
chapter 464, is covered by the managed care plan or Medicaid 66
provider. 67
(2)(a) Pharmacists licensed under chapter 465 may count 68
toward network adequ acy standards for provider access to 69
services provided within the scope of practice of pharmacists.70
(b) The participation of pharmacies in the network's drug 71
benefits does not satisfy the requirement of paragraph (a). 72
Section 3. Section 409.9773, Flor ida Statutes, is created 73
to read: 74
409.9773 Pharmacist selection and reimbursement. — 75
HB 941 2025
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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
(1)(a) A Medicaid managed care enrollee may select an in -76
network pharmacist for any service covered by the managed care 77
plan which is within the scope of practice of a pharmacist 78
licensed under chapter 465. 79
(b) Reimbursement to an in -network pharmacist may not be 80
denied for the provision of a service that is within the scope 81
of practice of a pharmacist licensed under chapter 465 if the 82
service, when provided by an allo pathic physician licensed under 83
chapter 458, an osteopathic physician licensed under chapter 84
459, a physician assistant licensed under chapter 458 or chapter 85
459, or an advanced practice registered nurse licensed under 86
chapter 464, is covered by the manage d care plan. 87
(2)(a) Pharmacists licensed under chapter 465 may count 88
toward network adequacy standards for provider access to 89
services provided within the scope of practice of pharmacists. 90
(b) The participation of pharmacies in the network's drug 91
benefits does not satisfy the requirement of paragraph (a). 92
Section 4. Section 627.64743, Florida Statutes, is created 93
to read: 94
627.64743 Pharmacist selection and reimbursement. — 95
(1)(a) An insured or covered individual may select an in -96
network pharmacist for any service covered by the health 97
insurance policy which is within the scope of practice of a 98
pharmacist licensed under chapter 465. 99
(b) Reimbursement to an in -network pharmacist may not be 100
HB 941 2025
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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
denied for the provision of a service that is within the s cope 101
of practice of a pharmacist licensed under chapter 465 if the 102
service, when provided by an allopathic physician licensed under 103
chapter 458, an osteopathic physician licensed under chapter 104
459, a physician assistant licensed under chapter 458 or chapte r 105
459, or an advanced practice registered nurse licensed under 106
chapter 464, is covered by the health insurance policy. 107
(2)(a) Pharmacists licensed under chapter 465 may count 108
toward network adequacy standards for provider access to 109
services provided with in the scope of practice of pharmacists. 110
(b) The participation of pharmacies in the network's drug 111
benefits does not satisfy the requirement of paragraph (a). 112
Section 5. Section 627.65723, Florida Statutes, is created 113
to read: 114
627.65723 Pharmacist selection and reimbursement. — 115
(1)(a) An insured or covered individual may select an in -116
network pharmacist for any service covered by the health 117
insurance policy which is within the scope of practice of a 118
pharmacist licensed under chapter 465. 119
(b) Reimbursement to an in-network pharmacist may not be 120
denied for the provision of a service that is within the scope 121
of practice of a pharmacist licensed under chapter 465 if the 122
service, when provided by an allopathic physician licensed under 123
chapter 458, an osteopathic physician licensed under chapter 124
459, a physician assistant licensed under chapter 458 or chapter 125
HB 941 2025
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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
459, or an advanced practice registered nurse licensed under 126
chapter 464, is covered by the health insurance policy. 127
(2)(a) Pharmacists licensed u nder chapter 465 may count 128
toward network adequacy standards for provider access to 129
services provided within the scope of practice of pharmacists. 130
(b) The participation of pharmacies in the network's drug 131
benefits does not satisfy the requirement of para graph (a). 132
Section 6. Section 641.3143, Florida Statutes, is created 133
to read: 134
641.3143 Pharmacist selection and reimbursement. — 135
(1)(a) A subscriber or covered individual may select an 136
in-network pharmacist for any service covered by the health 137
maintenance contract which is within the scope of practice of a 138
pharmacist licensed under chapter 465. 139
(b) Reimbursement to an in -network pharmacist may not be 140
denied for the provision of a service that is within the scope 141
of practice of a pharmacist license d under chapter 465 if the 142
service, when provided by an allopathic physician licensed under 143
chapter 458, an osteopathic physician licensed under chapter 144
459, a physician assistant licensed under chapter 458 or chapter 145
459, or an advanced practice registere d nurse licensed under 146
chapter 464, is covered by the health maintenance contract. 147
(2)(a) Pharmacists licensed under chapter 465 may count 148
toward network adequacy standards for provider access to 149
services provided within the scope of practice of pharmaci sts. 150
HB 941 2025
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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
(b) The participation of pharmacies in the network's drug 151
benefits does not satisfy the requirement of paragraph (a). 152
Section 7. This act shall take effect January 1, 2026. 153