Florida 2025 Regular Session

Florida House Bill H5015 Compare Versions

Only one version of the bill is available at this time.

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3	3	HB 5015 2025
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7	7	CODING: Words stricken are deletions; words underlined are additions.
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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
15	15	An act relating to state group insurance; amending s. 2
16	16	110.12315, F.S.; providing for state group health 3
17	17	insurance plan copayments, rather than State Group 4
18	18	Health Insurance Standard Plan copayments, for 5
19	19	prescription drugs; requiring that state group health 6
20	20	insurance plan copayments for prescription drugs be 7
21	21	established annually in the General Appropriations 8
22	22	Act; removing provisions relating to formulary 9
23	23	inclusions of specified drugs under certain 10
24	24	circumstances; updating certain dates relating to 11
25	25	prescription drugs and supplies; creating s. 12
26	26	110.12316, F.S.; defining the term "state agency"; 13
27	27	requiring the Department of Management Services to 14
28	28	make monthly administrative health insurance 15
29	29	assessments against state agencies based on certain 16
30	30	vacant positions within the agencies; requiring state 17
31	31	agencies to remit to the State Employees Health 18
32	32	Insurance Trust Fund the administrative health 19
33	33	insurance assessments; requiring the department to 20
34	34	certify to the Chief Financial Officer the amounts due 21
35	35	under specified circumsta nces; requiring the Chief 22
36	36	Financial Officer to transfer to the department the 23
37	37	amounts under specified circumstances; providing 24
38	38	applicability; providing assessment calculations; 25
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40	40	HB 5015 2025
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45	45	hb5015-00
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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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49	49
50	50
51	51	requiring state agencies to provide the department 26
52	52	with a list of certain posit ions by position numbers, 27
53	53	include certain information in the list, and update 28
54	54	the list monthly; requiring state agencies to take 29
55	55	steps to include administrative health insurance 30
56	56	assessments in their indirect cost plans for each 31
57	57	fiscal year; requiring state agencies to notify 32
58	58	certain entities on updated indirect cost plans; 33
59	59	authorizing the Executive Office of the Governor to 34
60	60	transfer certain budget authority between state 35
61	61	agencies for a specified purpose; providing an 36
62	62	effective date. 37
63	63	38
64	64	Be It Enacted by the Legislature of the State of Florida: 39
65	65	40
66	66	Section 1. Subsections (8) and (9) of section 110.12315, 41
67	67	Florida Statutes, are amended to read: 42
68	68	110.12315 Prescription drug program. —The state employees' 43
69	69	prescription drug program is established. This program s hall be 44
70	70	administered by the Department of Management Services, according 45
71	71	to the terms and conditions of the plan as established by the 46
72	72	relevant provisions of the annual General Appropriations Act and 47
73	73	implementing legislation, subject to the following condi tions: 48
74	74	(8)(a) Effective July 1, 2017, for The state group health 49
75	75	insurance Standard plan, copayments shall be established 50
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77	77	HB 5015 2025
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81	81	CODING: Words stricken are deletions; words underlined are additions.
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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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86	86
87	87
88	88	annually in the General Appropriations Act. must be made as 51
89	89	follows: 52
90	90	1. For a supply for up to 30 days from a retail pharmacy: 53
91	91	a. For generic drug ................................ ....$7. 54
92	92	b. For preferred brand name drug ...................... $30. 55
93	93	c. For nonpreferred brand name drug ...................$50. 56
94	94	2. For a supply for up to 90 days from a mail order 57
95	95	pharmacy or a retail pharmacy: 58
96	96	a. For generic drug ................................ ....$14. 59
97	97	b. For preferred brand name drug ....................... $60. 60
98	98	c. For nonpreferred brand name drug ...................$100. 61
99	99	(b) Effective July 1, 2017, for the State Group Health 62
100	100	Insurance High Deductible Plan, coinsurance must be paid as 63
101	101	follows: 64
102	102	1. For a supply for up to 30 days from a retail pharmacy: 65
103	103	a. For generic drug ................................ ...30%. 66
104	104	b. For preferred brand name drug ...................... 30%. 67
105	105	c. For nonpreferred brand name drug ...................50%. 68
106	106	2. For a supply for up to 90 days from a mail order 69
107	107	pharmacy or a retail pharmacy: 70
108	108	a. For generic drug ................................ ....30%. 71
109	109	b. For preferred brand name dr ug....................... 30%. 72
110	110	c. For nonpreferred brand name drug .................... 50%. 73
111	111	(9)(a) Beginning with the 2026 2020 plan year, the 74
112	112	department must implement formulary management for prescription 75
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121	121	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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125	125	drugs and supplies. Such management practices must require 76
126	126	prescription drugs to be subj ect to formulary inclusion or 77
127	127	exclusion but may not restrict access to the most clinically 78
128	128	appropriate, clinically effective, and lowest net -cost 79
129	129	prescription drugs and supplies. Drugs excluded from the 80
130	130	formulary must be available for inclusion if a physic ian, 81
131	131	advanced practice registered nurse, or physician assistant 82
132	132	prescribing a pharmaceutical clearly states on the prescription 83
133	133	that the excluded drug is medically necessary. Prescription 84
134	134	drugs and supplies first made available in the marketplace after 85
135	135	January 1, 2026 2020, may not be covered by the prescription 86
136	136	drug program until specifically included in the list of covered 87
137	137	prescription drugs and supplies. 88
138	138	(b) No later than October 1, 2025 2019, and by each 89
139	139	October 1 thereafter, the department must submi t to the 90
140	140	Governor, the President of the Senate, and the Speaker of the 91
141	141	House of Representatives the list of prescription drugs and 92
142	142	supplies that will be excluded from program coverage for the 93
143	143	next plan year. If the department proposes to exclude 94
144	144	prescription drugs and supplies after the plan year has 95
145	145	commenced, the department must provide notice to the Governor, 96
146	146	the President of the Senate, and the Speaker of the House of 97
147	147	Representatives of such exclusions at least 60 days before 98
148	148	implementation of such excl usions. 99
149	149	Section 2. Section 110.12316, Florida Statutes, is created 100
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158	158	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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162	162	to read: 101
163	163	110.12316 Administrative health insurance assessments 102
164	164	against state agencies for vacant positions. — 103
165	165	(1) As used in this section, the term "state agency" means 104
166	166	an agency within the State Personnel System, the Department of 105
167	167	the Lottery, the Justice Administrative Commission and all 106
168	168	entities administratively housed in the Justice Administrative 107
169	169	Commission, and the state courts system. 108
170	170	(2) Effective July 1, 2025, and on the fi rst day of each 109
171	171	month thereafter, the Department of Management Services shall 110
172	172	make an administrative health insurance assessment against each 111
173	173	state agency equal to the employer's cost of individual employee 112
174	174	health care coverage for each vacant position wit hin the state 113
175	175	agency eligible for coverage through the Division of State Group 114
176	176	Insurance. 115
177	177	(3) Within 30 days after receipt of the administrative 116
178	178	health insurance assessment under subsection (2) from the 117
179	179	department, each state agency shall remit to the S tate Employees 118
180	180	Health Insurance Trust Fund the assessment for the state group 119
181	181	insurance program, as provided in ss. 110.123 and 110.1239, from 120
182	182	currently allocated moneys for salaries and benefits. If a state 121
183	183	agency becomes more than 60 days delinquent in p ayment of the 122
184	184	assessment, the department shall certify to the Chief Financial 123
185	185	Officer the amount due and the Chief Financial Officer shall 124
186	186	transfer to the department the amount due. 125
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188	188	HB 5015 2025
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192	192	CODING: Words stricken are deletions; words underlined are additions.
193	193	hb5015-00
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195	195	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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199	199	(4) The administrative health insurance assessment must 126
200	200	apply to all vacant positions funded with state funds, whether 127
201	201	fully or partially funded with state funds. Vacant positions 128
202	202	partially funded with state funds must pay a percentage of the 129
203	203	assessment imposed in subsection (2) equal to the percentage 130
204	204	share of state funds pro vided for the vacant positions. The 131
205	205	assessment does not apply to vacant positions that are fully 132
206	206	funded with federal funds. By July 31, 2025, each state agency 133
207	207	shall provide the department with a complete list of all 134
208	208	positions by position number which are fully or partially funded 135
209	209	with federal funds, and shall include the percentage of federal 136
210	210	funding for each position. Thereafter, each state agency shall 137
211	211	update the list on the last day of each month. For vacant 138
212	212	positions that are fully or partially funded with federal funds, 139
213	213	each state agency shall immediately take steps to include the 140
214	214	administrative health insurance assessment in its indirect cost 141
215	215	plan for the 2025-2026 fiscal year and each fiscal year 142
216	216	thereafter. A state agency shall notify the department , the 143
217	217	Executive Office of the Governor, and the chair and vice chair 144
218	218	of the Legislative Budget Commission of the updated indirect 145
219	219	cost plan, upon approval from the federal awarding agency. If 146
220	220	the state agency cannot obtain approval from its federal 147
221	221	awarding agency, the state agency shall notify the department, 148
222	222	the Executive Office of the Governor, and the chair and vice 149
223	223	chair of the Legislative Budget Commission no later than January 150
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225	225	HB 5015 2025
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232	232	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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236	236	15 of each calendar year. 151
237	237	(5) Pursuant to the notice, review, and object ion 152
238	238	procedures of s. 216.177, the Executive Office of the Governor 153
239	239	may transfer budget authority appropriated in the Salaries and 154
240	240	Benefits appropriation category between state agencies in order 155
241	241	to align the appropriations granted with the assessment that 156
242	242	must be paid by each state agency to the department for the 157
243	243	administrative health insurance assessment. 158
244	244	Section 3. This act shall take effect July 1, 2025. 159