HB 1093 2025
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hb1093-00
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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 coverage of prescription drugs for 2
pain; creating ss. 409.9064 and 409.9746, F.S.; 3
defining the term "nonopioid pain drug"; requiring the 4
Medicaid program and Medicaid managed care plans, 5
respectively, to provide coverage such that nonopioid 6
pain drugs are not disadvantaged or otherwise 7
discouraged relative to any opioid or narcotic drug 8
for pain management or treatment; specifying 9
prohibited practices in relation to such coverage; 10
providing an effective date. 11
12
Be It Enacted by the Legislature of the State of Florida: 13
14
Section 1. Section 409.9064, Florida Statutes, is created 15
to read: 16
409.9064 Coverage of prescription drugs for pa in.— 17
(1) As used in this section, the term "nonopioid pain 18
drug" means a nonopioid drug approved by the United States Food 19
and Drug Administration for the treatment or management of pain. 20
(2) The agency shall provide coverage that does not 21
disadvantage or otherwise discourage a nonopioid pain drug 22
relative to any opioid or narcotic drug for the treatment or 23
management of pain. Prohibited practices or policies for such 24
coverage include, but are not limited to, the following: 25
HB 1093 2025
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hb1093-00
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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) Designating a nonopioid pain drug as a nonpreferred 26
drug if any opioid or narcotic drug is designated as a preferred 27
drug on the mandatory preferred drug list. 28
(b) Establishing utilization controls for a nonopioid pain 29
drug which are more restrictive or more extensive than the least 30
restrictive or extensive utilization controls applicable to any 31
opioid or narcotic drug used for treatment of the same 32
condition, including, but not limited to, imposing more 33
restrictive or more extensive prior authorization or step -34
therapy requirements for the nonopioid pain drug. 35
Section 2. Section 409.9746, Florida Statutes, is created 36
to read: 37
409.9746 Managed care plan coverage of prescription drugs 38
for pain.— 39
(1) As used in this section, the term "nonopioid pain 40
drug" means a nonopioid drug approved by the United States Food 41
and Drug Administration for the treatment or management of pain. 42
(2) A managed care plan must provide coverage that does 43
not disadvantage or otherwise discourage a nonopioid pain drug 44
relative to any opioid or narc otic drug for the treatment or 45
management of pain. Prohibited practices or policies for such 46
coverage include, but are not limited to, the following: 47
(a) Designating a nonopioid pain drug as a nonpreferred 48
drug if any opioid or narcotic drug is designate d as a preferred 49
drug on the mandatory preferred drug list. 50
HB 1093 2025
CODING: Words stricken are deletions; words underlined are additions.
hb1093-00
Page 3 of 3
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) Establishing utilization controls for a nonopioid pain 51
drug which are more restrictive or more extensive than the least 52
restrictive or extensive utilization controls applicable to any 53
opioid or narcotic drug used for treatment of the same 54
condition, including, but not limited to, imposing more 55
restrictive or more extensive prior authorization or step -56
therapy requirements for the nonopioid pain drug. 57
Section 3. This act shall take effect July 1, 2025. 58