Florida HB 681: Health Care

Bill Text

HB 681 2026

CODING: Words stricken are deletions; words underlined are additions.
hb681-00
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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 health care; providing a short 2
title; repealing ss. 286.31, 286.311, and 381.00321, 3
F.S., relating to the prohibited use of state funds 4
for travel to another state for the purpose of 5
abortion services, the prohibited use of state funds 6
for sex-reassignment prescriptions or procedures, and 7
the right of medical conscience of health care 8
providers and health care payors, respectively; 9
creating s. 381.027, F.S.; providing a short title; 10
defining terms; requiring a covered entity to, by a 11
specified date, adopt a policy relating to providing 12
written notice of a complete list of its refused 13
services to patients; providing requirements for such 14
notice; requiring a covered entity to submit a 15
complete list of its refused services to the 16
Department of Health by a specified date; requiring a 17
covered entity to notify the department within a 18
specified timeframe after a change is made to such 19
list; requiring a covered entity to submit the list, 20
along with its application, if applying for certain 21
state grants or contracts; providing a civil penalty; 22
requiring the department to adopt rules; requiring the 23
department to publish and maintain on its website a 24
current list of covered entities and their refused 25

HB 681 2026

CODING: Words stricken are deletions; words underlined are additions.
hb681-00
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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

services by a specified date; requiring the department 26
to develop and administer a certain public education 27
and awareness program; providing construction; 28
providing for severability; amending s. 381.96, F.S.; 29
revising the definition of the term "eligible client" 30
and redefining the term "pregnancy and parenting 31
support services" as "pregnancy support services"; 32
revising department duties and contract requirements 33
to conform to changes made by the act; removing an 34
obsolete provision; amending s. 390.011, F.S.; 35
deleting the definition of the term "fatal fetal 36
abnormality"; amending s. 390.0111, F.S.; revising the 37
timeframe in which a physician may perform a 38
termination of pregnancy; revising exceptions; 39
deleting the prohibition against the use of telehealth 40
to perform abortions, the requirement that medications 41
intended for use in a medical abortion be dispensed in 42
person by a physician, and the prohibition against 43
dispensing such medication through the United States 44
Postal Service or any other courier or shipping 45
service; amending s. 390.012, F.S.; revising rules the 46
Agency for Health Care Administration may develop and 47
enforce to regulate abortion clinics; repealing s. 48
395.3027, F.S., relating to patient immigration status 49
data collection in hospitals; amending s. 409.905, 50

HB 681 2026

CODING: Words stricken are deletions; words underlined are additions.
hb681-00
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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

F.S.; defining the terms "gender identity" and 51
"transgender individual"; requiring the agency to 52
provide Medicaid reimbursement for medically necessary 53
treatment for or related to gender dysphoria or a 54
comparable or equivalent diagnosis; prohibiting the 55
agency from discriminating in its reimbursement on the 56
basis of a recipient's gender identity or that the 57
recipient is a transgender individual; amending s. 58
456.001, F.S.; deleting the definition of the terms 59
"sex" and "sex-reassignment prescriptions or 60
procedures"; amending s. 456.47, F.S.; deleting the 61
prohibition against the use of telehealth to perform 62
abortions, including medical abortions; repealing ss. 63
456.52 and 766.318, F.S., relating to sex-reassignment 64
prescriptions and procedures and civil liability for 65
provision of sex-reassignment prescriptions or 66
procedures to minors, respectively; amending ss. 67
61.517, 61.534, 409.908, 409.913, 456.074, and 68
636.0145, F.S.; conforming provisions and cross-69
references to changes made by the act; providing an 70
effective date. 71
72
Be It Enacted by the Legislature of the State of Florida: 73
74
Section 1. This act may be cited as the "Health Care 75

HB 681 2026

CODING: Words stricken are deletions; words underlined are additions.
hb681-00
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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

Freedom Act." 76
Section 2. Section 286.31, Florida Statutes, is repealed. 77
Section 3. Section 286.311, Florida Statutes, is repealed. 78
Section 4. Section 381.00321, Florida Statutes, is 79
repealed. 80
Section 5. Section 381.027, Florida Statutes, is created 81
to read: 82
381.027 Requirements for covered entities; notice of 83
refused services; department duties.— 84
(1) SHORT TITLE.—This section may be cited as the "Health 85
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