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Florida's Legislative Session 2025: 5th Week Recap

Monday, April 7, 2025   (0 Comments)
Posted by: Diane Berg

Content provided by Toni Large, Large Strategies

Florida's Legislative Session 2025

5th Week Recap: Healthcare Session 2025

 

Recap of "Capitol Conversations" as we ADVOCATE in 2025

SENATE Spotlight

 

SB 306 - Managed Care Plan Network Access

Senator Barbara Sharief, D Davie

 

Amends Section 409.967 of the Florida Statutes to enhance managed care plan accountability by establishing more stringent access and reporting requirements.

  • Establishes standards for the number and type of providers in managed care networks to ensure access to care, forbidding reliance solely on mail-order pharmacies for network access.
  • Requires managed care plans to ensure that a minimum of 50% of primary care providers offer appointments to Medicaid enrollees outside regular business hours, defined as weekdays from 5 p.m. to 8 a.m. and all-day weekends.
  • Mandates each plan to maintain an accurate and complete electronic database of providers, accessible to the agency and the public.
  • Obligates plans to submit quarterly reports on the number of enrollees per primary care provider.
  • Implements ongoing testing of provider network databases to ensure accuracy and service availability.
  • Ensures that every managed care plan provides an accessible and searchable online drug formulary.
  • Requires plans, along with their fiscal agents, to accept electronic prior authorization requests for all services.

 

READ MORE

 

FAVORABLE by Health Policy - 2 remaining committee stops

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SB 656 - Health Care Billing and Collection Activities

Senator Ana Maria Rodriguez, R Miami

  • CS/SB 656 amends s. 395.3011, F.S., to extend protections from “extraordinary collection actions” by hospitals and ambulatory surgical centers (ASC) to all actions relating to payments of a bill for care.
  • Current protections, created in 2024, apply only to bills for care covered under the hospital’s or ASC’s financial assistance policy.
  • Allows a hospital or ASC to sell an individual’s debt without a 30-day notification to the patient if the hospital or ASC meets specified requirements.

 

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FAVORABLE by Commerce & Tourism- 1 remaining committee stop

HB 547 has 1 remaining committee stop

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SB 998 - Physician Assistant and Advanced Practice Registered Nurse Services

Senator Alexis Calatayud, R Miami

 

CS/SB 998 authorizes an advanced practice registered nurse (APRNs) providing hospice care pursuant to a written protocol with a licensed physician to:

  • File a certificate of death or fetal death,
  • Certify the cause of death, and
  • Correct information on a permanent certificate of death or fetal death.

 

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FAVORABLE by Health Policy- 1 remaining committee stop

HB 647 in last committee stop this week

 

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SB 1288 - Parental Rights

Senator Erin Grall, R Fort Pierce

 

CS/SB 1288 expands the Parent’s Bill of Rights, tightening the requirements for parental consent for care and medical services provided to their child.

  • Retains authorization for a health care provider to perform medical care on a minor without parental consent if the care is an emergency or is authorized by a court order.
  • Requires parental review and consent before surveys and questionnaires may be given to a parent’s child or the results distributed; and requiring parental consent before using a biofeedback device on a minor. 

 

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FAVORABLE by Judiciary- 1 remaining committee stop

HB 1505 FAVORABLE by Health & Human Services- 2 remaining committee stops

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SB 1070 - Electrocardiograms for Student Athletes

Senator Cory Simon, R Tallahassee

 

CS/CS/CS/SB 1070 amends Florida law to require electrocardiogram (EKG) assessments for student athletes participating in interscholastic athletic competitions at Florida public and private schools.

Cited as the “Second Chance Act.”

  • Amends s. 1006.20, F.S., to provide that the bylaws adopted by the Florida High School Athletic Association (FHSAA) must require that, beginning with the 2028-2029 school year, all students participating or seeking to participate in interscholastic athletic competition for the first time must pass an EKG screening prior to participation based on standards established by the FHSAA’s Sports Medicine Advisory Committee.
  • Requires the FHSAA to further develop the preparticipation physical evaluation and history form to include information about the practitioner performing the EKG, information related to referrals based on the EKG, and advisement to students concerning the results of the EKG.

 

READ MORE

 

On Special Order this week: HB 1135 no remaining committee stops

 

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SB 1346 - Fentanyl Testing

Senator Tina Polsky, D Boca Raton

 

CS/CS/SB 1346 creates s. 395.1042, F.S., entitled “Gage’s Law.”

  • Requires a hospital emergency department to test a patient for fentanyl if the patient is receiving emergency services and care for a possible drug overdose or poisoning and the emergency department conducts a urine test to assist in diagnosing the individual.
  • Specifies that if the urine test comes back positive for fentanyl, the hospital must perform a confirmation test as defined in s. 440.102(1), F.S., and retain the results of the urine test and the confirmation test as part of the patient’s clinical record. 

 

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To be heard in Rules this week: HB 1195 in last committee stop

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SB 480 - Nonprofit Agricultural Organization Medical Benefit Plans

Senator Nick Dicelglie, R St Petersburg

 

CS/CS/SB 480 allows:

  • Nonprofit agricultural organizations to offer medical benefit plans and specifies that such plans are not insurance for purposes of the Florida Insurance Code (code).
  • Access to these medical benefit plans are limited to membership in a nonprofit agricultural organization.

 

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FAVORABLE SENATE 32-4: HB 497 also ready for House consideration

HOUSE Highlights

 

HB 899 - Insurer Disclosures on Prescription Drug Coverage

Rep Karen Gonzalez Pittman, R Tampa

 

  • Requires all amounts paid for prescription drugs by patients or on their behalf to be counted toward their total cost-sharing requirements, preventing insurers and PBMs from pocketing the profit versus using to lower the patient's out-of-pocket drug costs.
  • Introduces non-medical switching protections that require health insurers to provide advance notice of any formulary changes, ensuring patients and their healthcare providers are adequately informed and can effectively plan, when appropriate, to file a notice of medical necessity if the formulary change would be detrimental to a patient's care.

 

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FAVORABLE by Health Professions & Facilities - 1 remaining committee stop

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HB 229 - Health Facilities

Rep Vanessa Oliver, R Punta Gorda

 

Expands the types of health facility corporate structures authorized to pursue financing from a Health Facilities Authority (HFA), and expands the types of financial activities HFAs may engage in for the benefit of health care facilities and providers.

Amended to require a nonprofit hospital to provide notice, 120 days prior to closing a hospital, to the Chairman of the Board of County Commissioners and other health care facilities and health care professionals, and requires the notice to include specified information. 

Prohibits a corporation from receiving a charitable property tax exemption, for all licensed hospitals under such corporate ownership, if the corporation closes one of its hospitals with an emergency department and does not open a new emergency department within 120 days, and within a 10-mile radius of the hospital closure. These provisions apply retroactively to January 1, 2025, and first apply to the 2025 tax roll. 

This amendment was in response to the closing of the Rockledge Hospital, now owed by Orlando Health, and the amendment was sponsored by Rep Tyler Sirois, House Majority Leader.

 

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FAVORABLE by Health & Human Services - No remaining committee stops

SB 68 Ready for full Senate consideration

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HB 649 - Autonomous Practice by a Certified Registered Nurse Anesthetist 

Rep Mike Giallombardo, R Cape Coral

 

  • Expands the scope of practice for certified registered nurse anesthetists (CRNAs) in Florida, allowing for autonomous practices under certain conditions.
  • Exempts autonomous advanced practice registered nurses (APRNs) certified as CRNAs from requiring onsite medical direction when administering anesthesia, subject to facility protocols.
  • Permits CRNAs, whether operating under a protocol or autonomously without one, to perform tasks such as assessing patient health risks, determining anesthesia type, ordering preanesthetic medication, and administering various anesthetic techniques.
  • Allows CRNAs practicing autonomously under section 464.0123 to perform all acts authorized within their specialty without an established protocol.
  • Enables APRNs registered for autonomous practice to engage in primary care, place special venous and arterial lines, and manage patient care in health care facilities autonomously, with abilities to admit, manage, and discharge patients.
  • Grants autonomous APRNs the power to sign documents that are typically required to be signed by physicians, with certain exceptions.

 

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FAVORABLE by House 77-3

SB 718 still in first committee of reference

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HB 1617 - Stem Cell Therapy

Rep James Buchanan, R Sarasota

 

  • CS/HB 1617 authorizes allopathic and osteopathic physicians to perform stem cell therapies that have not been approved by the United States Food and Drug Administration (FDA) relating to orthopedics, wound care, and pain management. 
  • Establishes the type of stem cells that may be used and the type of facilities from which a physician may obtain stem cells. 
  • Requires physicians to provide notice and informed consent to patients receiving non-FDA approved therapies and provides for discipline for violations. 

 

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FAVORABLE by Health Professions - 1 remaining committee stop

SB 1768 has 2 remaining committee stops

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HB7027 - Hemp Consumable THC Products

Committee bill by Housing, Agriculture & Tourism

  • Amends and creates definitions for certain terms under the state hemp program
  • Creates new regulations and limitations for the sale of hemp consumable THC products in the state; 
  • Creates new regulations for delivery sales of hemp consumable THC products to consumers in the state; 
  • Makes all hemp consumable THC products sold, offered for sale, delivered, or distributed in violation of the state hemp program and the delivery sales requirements for hemp consumable THC products, contraband; 
  • Prohibits the ingestion of hemp consumable THC products near schools; 
  • Authorizes the Division of Alcoholic Beverages, housed within the Department of Business and Professional Regulation, to take certain actions against tobacco retailers’ and nicotine product dealers’ permits for violating the state hemp program or the delivery sales requirements for hemp consumable THC products. 

 

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FAVORABLE to file as a Committee Bill

SB 438 Placed on Special Order for full Senate consideration

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HHB 1517 - Civil Liability for the Wrongful Death of an Unborn Child

Rep Sam Greco, R Palm Coast

 

CS/HB 1517 expands Florida’s Wrongful Death Act to allow the parents of an unborn child to recover monetary damages from a person who is responsible for the unborn child’s death.

Clarifies that such wrongful death action may not be brought against the mother for the wrongful death of her own unborn child or against a medical provider for lawful medical care provided in compliance with the applicable standard of care. 

 

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FAVORABLE by Judiciary and on Special Order for full House consideration

SB 1284 favorable by Judiciary- 2 remaining committee stops

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HB 5015 - State Group Insurance

Rep Vicki Lopez, R Miami

 

Establishes and amends regulations regarding state group health insurance:

  • Modifies state group health insurance plan, mandating that copayments for prescription drugs are set annually in the General Appropriations Act
  • Removes requirements allowing for the inclusion of certain excluded drugs under specified circumstances in the state's prescription drug program formulary.
  • Updates the dates for formulary management and coverage for new market drugs, setting new implementation and reporting deadlines to 2026 and 2025, respectively.

 

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On Special Order in House

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HB 1181 - Motor Vehicle Insurance

Rep Danny Alverez, R Tampa

 

HB 1181 repeals the personal injury protection (“PIP”) coverage requirement under Florida’s Motor Vehicle No-Fault Law and increases the minimum bodily injury liability coverage limits from $10,000 per person and $20,000 per incident to $25,000 per person and $50,000 per incident.

Moving to a mandatory bodily injury system delays payments to health care providers until fault is determined.

 

READ MORE

 

FAVORABLE by Banking & Insurance - 1 remaining committee stop

SB has not been heard in first committee of reference 

 

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HB 815 - Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans

Rep Basabe, R Miami Beach 

 

  • Requires the Agency for Health Care Administration to contract for an analysis of managed care plan referrals to affiliated organizations.
  • Mandates collection, compilation, and analysis of data to determine ownership, controlling interests, or profit-sharing between managed care plans (excluding provider service networks), their subcontractors, and service providers or provider organizations within the Statewide Medicaid Managed Care program.
  • Requires a further analysis to assess the extent of patient referrals or steerage to affiliated service providers, including a cost comparison with services provided by non-affiliated providers.
  • Specifies that a comprehensive report on these analyses must be submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives by July 1, 2026.

 

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FAVORABLE by Health Facilities - 1 remaining committee stop



FLORIDA SOCIETY OF NEPHROLOGY
522 S. Hunt Club Blvd #412, Apopka, FL 32703
Phone: 844-234-7800