Florida 2025 Regular Session

Florida House Bill H1093

Introduced
2/25/25  
Refer
3/5/25  
Refer
3/5/25  

Caption

Coverage of Prescription Drugs for Pain

Impact

The implementation of HB 1093, should it pass, is expected to have a significant impact on prescription drug coverage in Florida. By enacting this law, the state would require its Medicaid program and managed care plans to provide equitable coverage for nonopioid pain drugs, hence potentially shifting the treatment landscape for pain management. This bill is part of broader efforts to encourage the use of safer alternatives to opioids, thereby aiming to mitigate opioid dependency and enhance patient safety.

Summary

House Bill 1093 aims to enhance the accessibility of nonopioid pain medications under Florida's Medicaid program and within managed care plans. The bill mandates that nonopioid pain drugs should not be disadvantaged compared to opioid or narcotic drugs in terms of coverage and treatment protocols. It seeks to ensure that these alternative medications, which are approved by the FDA for pain management, receive equal standing in pain treatment discussions and healthcare coverage, thereby aligning medical practices with the growing concern over opioid prescriptions and addiction.

Contention

While many advocates underscore the positive implications of promoting nonopioid alternatives, there may be substantial contention around the ramifications of mandating coverage changes. Stakeholders, including pharmaceutical companies, healthcare providers, and insurance plans may face challenges adapting to these new regulations. Furthermore, there could be concerns regarding the definition and scope of nonopioid medications, leading to debates over which drugs qualify and how inclusion in treatment protocols will be adequately monitored and enforced.

Companion Bills

FL S1154

Same As Coverage of Prescription Drugs for Pain

Similar Bills

NJ A4682

Prohibits health insurance carriers from denying coverage of nonopioid prescription drugs in favor of opioid prescription drugs.

IL HB2852

NONOPIOID ALTERNATIVES ACT

IL SB1238

NONOPIOID ALTERNATIVES

MN HF1379

Use of nonopioid directives authorized, and immunity for certain acts or failures to act established.

MN SF1814

Nonopioid directives usage authorization provision and certain acts of failure to act immunity establishment provision

WV SB628

Relating to non-opioid medication

OR HB3211

Relating to health directives.

TX HB2085

Relating to general procedures and requirements for a nonopioid directive.