Florida HB 697: Impact Fees

Bill Text

ENROLLED
CS/HB 697, Engrossed 1 2026 Legislature

CODING: Words stricken are deletions; words underlined are additions.
hb697 -02-er
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An act relating to drug prices and coverage; amending 2
s. 626.8825, F.S.; revising the definition of the term 3
"pharmacy benefits plan or program" to exclude a plan 4
or program that exclusively serves a PACE 5
organization; requiring contracts between pharmacy 6
benefit managers and participating pharmacies to allow 7
a specified option in the administrative appeal 8
procedure; amending s. 626.8827, F.S.; providing 9
pharmacy benefit manager prohibited practices relating 10
to pharmacies and pharmacists; providing an 11
appropriation for implementation of the Ryan White 12
Part B AIDS Drug Assistance Program (ADAP) through a 13
specified date; defining the term "low income" for 14
purposes of ADAP eligibility through a specified date; 15
providing requirements for the implementation of ADAP 16
through a specified date; requiring the Department of 17
Health to submit monthly reports providing a detailed 18
accounting of ADAP to the Governor's Office of Policy 19
and Budget and the chairs of the legislative 20
appropriations committees; specifying requirements for 21
the reports; requiring the department to adopt 22
emergency rules to implement ADAP; providing that such 23
emergency rules are exempt from specified rulemaking 24
requirements and remain in effect through a specified 25

ENROLLED
CS/HB 697, Engrossed 1 2026 Legislature

CODING: Words stricken are deletions; words underlined are additions.
hb697 -02-er
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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

date; providing effective dates. 26
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Be It Enacted by the Legislature of the State of Florida: 28
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Section 1. Paragraph (u) of subsection (1) and paragraph 30
(h) of subsection (3) of section 626.8825, Florida Statutes, are 31
amended to read: 32
626.8825 Pharmacy benefit manager transparency and 33
accountability.— 34
(1) DEFINITIONS.—As used in this section, the term: 35
(u) "Pharmacy benefits plan or program" means a plan or 36
program that pays for, reimburses, covers the cost of, or 37
provides access to discounts on pharmacist services provided by 38
one or more pharmacies to covered persons who reside in, are 39
employed by, or receive pharmacist services from this state. 40
1. The term includes, but is not limited to, health 41
maintenance organizations, health insurers, self-insured 42
employer health plans, discount card programs, and government-43
funded health plans, including the Statewide Medicaid Managed 44
Care program established pursuant to part IV of chapter 409 and 45
the state group insurance program pursuant to part I of chapter 46
110. 47
2. The term excludes such a plan or program under chapter 48
440 or a plan or program that exclusively serves a PACE 49
organization, as defined in s. 430.84(1). 50

ENROLLED
CS/HB 697, Engrossed 1 2026 Legislature

CODING: Words stricken are deletions; words underlined are additions.
hb697 -02-er
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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

(3) CONTRACTS BETWEEN A PHARMACY BENEFIT MANAGER AND A 51
PARTICIPATING PHARMACY.—In addition to other requirements in the 52
Florida Insurance Code, a participation contract executed, 53
amended, adjusted, or renewed on or after July 1, 2023, that 54
applies to pharmacist services on or after January 1, 2024, 55
between a pharmacy benefit manager and one or more pharmacies or 56
pharmacists, must include, in substantial form, terms that 57
ensure compliance with all of the following requirements, and 58
that, except to the extent not allowed by law, shall supersede 59
any contractual terms in the participation contract to the 60
contrary: 61
(h) The pharmacy benefit manager shall provide a 62
reasonable administrative appeal procedure to allow a pharmacy 63
or pharmacist to challenge the maximum allowable cost pricing 64
information and the reimbursement made under the maximum 65
allowable cost as defined in s. 627.64741 for a specific drug as 66
being below the acquisition cost available to the challenging 67
pharmacy or pharmacist. 68
1. The administrative appeal procedure must include a 69
telephone number and e-mail address, or a website, for the 70
purpose of submitting the administrative appeal. The appeal may 71
be submitted by the pharmacy or an agent of the pharmacy 72
directly to the pharmacy benefit manager or through a pharmacy 73
service administration organization. The administrative appeal 74
procedure must allow a pharmacy or pharmacist the option to 75

ENROLLED
CS/HB 697, Engrossed 1 2026 Legislature

CODING: Words stricken are deletions; words underlined are additions.
hb697 -02-er
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submit a consolidated administrative appeal representing 76
multiple adjudicated claims that share the same drug and day 77
supply