FloridaHB 6972026HouseWALLET

Drug Prices and Coverage

Sponsored By: Health & Human Services Committee

Signed by Governor

AppropriationHealth Care Facilities & Systems SubcommitteeBudget CommitteeHealth & Human Services CommitteeHouse CalendarRules

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Stronger pharmacy contract rules and appeals

The law sets stronger rules for pharmacy contracts with pharmacy benefit managers. Contracts signed or changed on or after July 1, 2023, and covering services on or after January 1, 2024, must include required terms that override conflicting contract language unless another law blocks it. PBMs must offer a simple appeal to challenge maximum allowable cost (MAC) prices that are below your purchase cost. You can file by phone, email, or website yourself or through a PSAO, combine similar claims from the same month, and you have at least 30 business days to file after a MAC change or after the claim is adjudicated or paid. PBMs must answer appeals within 30 business days. If you win, the PBM must raise the MAC to at least your acquisition cost, let you reverse and rebill, name the NDC used, and apply the change to similar pharmacies. If you lose, the PBM must give the NDC and name wholesalers in Florida that have the drug in stock below the MAC. Every 90 days, PBMs report how many appeals they got and denied, with reasons, for each drug. Covered plans include HMOs, health insurers, self‑insured employer plans, discount cards, and certain government plans (including Statewide Medicaid Managed Care and the state group insurance program). It excludes plans under chapter 440 and plans that serve only a PACE organization.

Sponsors & Cosponsors

Sponsor

  • Health & Human Services Committee

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 254 • No: 0

House vote 3/12/2026

House Floor Vote

Yes: 108 • No: 0

Senate vote 3/10/2026

Senate Floor Vote

Yes: 38 • No: 0

House vote 3/5/2026

House Floor Vote

Yes: 108 • No: 0

Actions Timeline

  1. • Chapter No. 2026-4

    3/25/2026
  2. • Approved by Governor

    3/24/2026
  3. • Signed by Officers and presented to Governor

    3/18/2026
  4. • Added to Senate Message List • Amendment 664532 Concur • CS passed as amended; YEAS 108, NAYS 0 • Ordered engrossed, then enrolled

    3/12/2026House
  5. • In Messages

    3/10/2026House
  6. • Withdrawn from Rules -SJ 732 • Placed on Calendar, on 2nd reading • Substituted for CS/CS/SB 1760 -SJ 732 • Read 2nd time -SJ 732 • Amendment(s) adopted (664532) -SJ 732 • Read 3rd time -SJ 733 • CS passed as amended; YEAS 38 NAYS 0 -SJ 733

    3/10/2026Senate
  7. • In Messages • Referred to Rules • Received

    3/5/2026Senate
  8. • Read 2nd time • Added to Third Reading Calendar • Read 3rd time • CS passed; YEAS 108, NAYS 0

    3/5/2026House
  9. • Bill referred to House Calendar • Added to Second Reading Calendar • Bill added to Special Order Calendar (3/5/2026)

    3/2/2026House
  10. • Favorable with CS by Health & Human Services Committee • Reported out of Health & Human Services Committee • Laid on Table under Rule 7.18(a) • CS Filed • 1st Reading (Committee Substitute 1)

    2/26/2026House
  11. • Added to Health & Human Services Committee agenda

    2/24/2026House
  12. • Favorable by Budget Committee • Reported out of Budget Committee • Now in Health & Human Services Committee

    1/27/2026House
  13. • Added to Budget Committee agenda

    1/23/2026House
  14. • Favorable by Health Care Facilities & Systems Subcommittee • Reported out of Health Care Facilities & Systems Subcommittee • Now in Budget Committee

    1/21/2026House
  15. • Added to Health Care Facilities & Systems Subcommittee agenda

    1/16/2026House
  16. • 1st Reading (Original Filed Version)

    1/13/2026House
  17. • Referred to Health Care Facilities & Systems Subcommittee • Referred to Budget Committee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee

    12/16/2025House
  18. • Filed

    12/9/2025House

Bill Text

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