Florida SB 1166: Sale, Transfer, or Storage of Firearms

Bill Text

1166 
Insurer Disclosures on Prescription Drug Coverage 
2026-01-06T04:24:04Z 
Requiring individual and group health insurers to provide notice of prescription drug formulary changes within a certain timeframe to current and prospective insureds and the insureds’ treating physicians; requiring insurers to maintain a record of formulary changes; defining the term “cost-sharing requirement”; providing an exception to requirements relating to changes in a health maintenance organization’s group contract, etc. 
Original Filed Version 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
__ 

 Florida Senate - 2026 SB 1166 

 By Senator Rodriguez 

 40-00510-26 20261166__ 
 1 A bill to be entitled 
 2 An act relating to insurer disclosures on prescription 
 3 drug coverage; creating s. 627.42394, F.S.; requiring 
 4 individual and group health insurers to provide notice 
 5 of prescription drug formulary changes within a 
 6 certain timeframe to current and prospective insureds 
 7 and the insureds’ treating physicians; specifying 
 8 requirements for the content of such notice and the 
 9 manner in which it must be provided; specifying 
 10 requirements for a notice of medical necessity 
 11 submitted by the treating physician; authorizing 
 12 insurers to provide certain means for submitting the 
 13 notice of medical necessity; requiring the Financial 
 14 Services Commission to adopt a certain form by rule by 
 15 a specified date; specifying a coverage requirement 
 16 and restrictions on coverage modification by insurers 
 17 receiving a notice of medical necessity; providing 
 18 construction and applicability; requiring insurers to 
 19 maintain a record of formulary changes; requiring 
 20 insurers to annually submit a specified report to the 
 21 Office of Insurance Regulation by a specified date; 
 22 requiring the office to annually compile certain data 
 23 and prepare a report, make the report publicly 
 24 accessible on its website, and submit the report to 
 25 the Governor and the Legislature by a specified date; 
 26 creating s. 627.6383, F.S.; defining the term “cost 
 27 sharing requirement”; requiring specified individual 
 28 health insurers and their pharmacy benefit managers to 
 29 apply payments for prescription drugs by or on behalf 
 30 of insureds toward the insureds’ total contributions 
 31 to cost-sharing requirements under certain 
 32 circumstances; providing construction; requiring 
 33 specified individual health insurers to maintain 
 34 records of certain third-party payments for 
 35 prescription drugs; providing reporting requirements 
 36 relating to third-party payments for prescription 
 37 drugs; providing requirements for the reports; 
 38 providing applicability; amending s. 627.6385, F.S.; 
 39 providing disclosure requirements relating to a 
 40 policyholder’s total cost-sharing requirement for 
 41 prescription drugs; providing applicability; amending 
 42 s. 627.64741, F.S.; requiring that specified contracts 
 43 require pharmacy benefit managers to apply payments by 
 44 or on behalf of insureds toward the insureds’ total 
 45 contributions to cost-sharing requirements; providing 
 46 applicability; providing disclosure requirements 
 47 relating to a policyholder’s total cost-sharing 
 48 requirement for prescription drugs; creating s. 
 49 627.65715, F.S.; defining the term “cost-sharing 
 50 requirement”; requiring specified group health 
 51 insurers and their pharmacy benefit managers to apply 
 52 payments for prescription drugs by or on behalf of 
 53 insureds toward the insureds’ total contributions to 
 54 cost-sharing requirements under certain circumstances; 
 55 providing construction; providing disclosure 
 56 requirements relating to an insured person’s total 
 57 cost-sharing requirement for prescription drugs; 
 58 requiring specified group health insurers to maintain 
 59 records of certain third-party payments for 
 60 prescription drugs; providing reporting requirements; 
 61 providing requirements for the reports; providing 
 62 applicability; amending s. 627.6572, F.S.; requiring 
 63 that specified contracts require pharmacy benefit 
 64 managers to apply payments by or on behalf of insureds 
 65 toward the insureds’ total contributions to cost 
 66 sharing requirements; providing applicability; 
 67 providing disclosure requirements; amending s. 
 68 627.6699, F.S.; requiring small employer carriers to 
 69 comply with certain requirements for prescription drug 
 70 formulary changes; amending s. 641.31, F.S.; providing 
 71 an exception to requirements relating to changes in a 
 72 health maintenance organization’s group contract; 
 73 requiring health maintenance organizations to provide 
 74 notice of prescription drug formulary changes within a 
 75 certain timeframe to current and prospective 
 76 subscribers and the subscribers’ treating physicians; 
 77 specifying requirements for the content of such notice 
 78 and the manner in which