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HB 697FLORIDA · STATEWIDESession 2026Chapter No. 2026-4
High Impact

New Rules for Pharmacy Benefit Managers and AIDS Drug Assistance Program Funding

Original title: Drug Prices and Coverage

December 9, 2025

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Where This Stands

Currently Chapter No. 2026-4. The next step in the legislative lifecycle is Introduced.

Procedural history

20 actions
  1. Feb 26, 2026HouseIntroduced
    1st Reading (Committee Substitute 1)
  2. Feb 26, 2026HouseIntroduced
    CS Filed
  3. Feb 26, 2026House
    Laid on Table under Rule 7.18(a)
  4. Feb 26, 2026House
    Reported out of Health & Human Services Committee
  5. Feb 26, 2026HouseCommittee
    Favorable with CS by Health & Human Services Committee
  6. Feb 24, 2026House
    Added to Health & Human Services Committee agenda
Show 14 earlier actions
  1. Jan 27, 2026House
    Now in Health & Human Services Committee
  2. Jan 27, 2026House
    Reported out of Budget Committee
  3. Jan 27, 2026HouseCommittee
    Favorable by Budget Committee
  4. Jan 23, 2026House
    Added to Budget Committee agenda
  5. Jan 21, 2026House
    Now in Budget Committee
  6. Jan 21, 2026House
    Reported out of Health Care Facilities & Systems Subcommittee
  7. Jan 21, 2026HouseCommittee
    Favorable by Health Care Facilities & Systems Subcommittee
  8. Jan 16, 2026House
    Added to Health Care Facilities & Systems Subcommittee agenda
  9. Jan 13, 2026HouseIntroduced
    1st Reading (Original Filed Version)
  10. Dec 16, 2025House
    Now in Health Care Facilities & Systems Subcommittee
  11. Dec 16, 2025HouseCommittee
    Referred to Health & Human Services Committee
  12. Dec 16, 2025HouseCommittee
    Referred to Budget Committee
  13. Dec 16, 2025HouseCommittee
    Referred to Health Care Facilities & Systems Subcommittee
  14. Dec 9, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

The law changes how pharmacies can challenge drug reimbursement rates and mandates that the state directly distribute HIV/AIDS medications to eligible low-income residents, ensuring specific funding and reporting requirements are met through mid-2026.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Pharmacy Benefit Managers

They must comply with new transparency, reporting, and reimbursement requirements.

Pharmacies and Pharmacists

They gain new rights to appeal reimbursement rates and protections against discriminatory reimbursement practices.

ADAP Participants

They receive medication through direct distribution rather than health insurance plans through June 30, 2026.

What changed

Last recorded activity December 9, 2025.

What's next

Introduced.

Summary

This law updates regulations for pharmacy benefit managers (PBMs) to increase transparency in drug pricing and provides $30.9 million in funding for the state's AIDS Drug Assistance Program (ADAP) through June 2026. It also establishes new consumer protections for pharmacies and requires the Department of Health to provide detailed monthly reports on ADAP operations.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

How does this law affect my pharmacy's ability to challenge drug prices?
The law requires pharmacy benefit managers to provide a formal administrative appeal process, including a phone number, email, or website, for pharmacies to challenge reimbursement rates that are below the drug's acquisition cost.
Who is eligible for the AIDS Drug Assistance Program under this new law?
Through June 30, 2026, eligibility is defined as having an adjusted gross household income at or below 400 percent of the federal poverty level.
Can a pharmacy refuse to fill a prescription if the reimbursement is too low?
Yes, the law prohibits pharmacy benefit managers from restricting or prohibiting a pharmacy from declining to dispense a drug if the reimbursement rate is less than the actual acquisition cost incurred by the pharmacy.

Why It Matters

The law changes how pharmacies can challenge drug reimbursement rates and mandates that the state directly distribute HIV/AIDS medications to eligible low-income residents, ensuring specific funding and reporting requirements are met through mid-2026.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

MONUMENT ADVOCACY

on behalf of COUNCIL FOR AFFORDABLE HEALTH COVERAGE

(C) MANAGEMENT INC.

on behalf of Association of Community Cancer Centers

2021

GOVERNMENT ISSUESHEALTH ISSUES

THE TELEHEALTH MODERNIZATION ACT (H.R. 1332/ S.368) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views telehealth expansion as critical for cancer patient access to healthcare providers. THE SAFE STEP ACT (H.R.2163/S.464) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views step therapy in the use of cancer care delivery to be a hinderance to best practice and timely treatment/access of care for patients. THE ACCESS TO GENETIC COUNSELOR SERVICES ACT (H.R. 2144/S.1450) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views genetic counselors as integral members of the cancer care delivery team in oncology programs/practices in the US. THE RESEARCH INVESTMENT TO SPARK THE ECONOMY (RISE) ACT (H.R. 869/S.289) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC understands the importance of research funding for the NIH and oncology investigators to promote clinical trials that impact improving cancer outcomes. THE MEDICARE MULTI-CANCER EARLY DETECTION SCREENING COVERAGE ACT OF 2021 (H.R. 1946) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC advocates for the use and coverage of cancer screening modalities that will diagnose cancer at earlier stages therefore improving patient outcomes. MOST FAVORED NATION (Proposed by Trump Administration at end of 2020) ACCC entered into a lawsuit against HHS in December 2020 opposing the Most Favored Nation proposal tying drug reimbursements to international reference pricing. By lowering reimbursement to cancer programs and practices, patient access to care would be limited as supportive cancer care services limited due to lack of reimbursement to cover positions. ACCC was concerned over programs/practices closing if proposal were to move forward. ACCC met with one Senators office on this topic expressing concern in January 2021. RADIATION ONCOLOGY MODEL (Proposed by CMMI) ACCC met with 1 Senate office and 1 House office over concerns re: this alternative payment model. ACCC has concerns over mandatory nature of Radiation Oncology model testing reimbursement rates and potentially limiting access to care for patients who are recommended radiation for their cancer diagnosis, particularly in rural areas of the U.S.

Voting Record

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Direct Medication Distribution

The law mandates a shift from insurance-based coverage to direct distribution of medications for the ADAP program through June 2026.

Connected Entities

organizationBudget CommitteeCommittee reviewing the billMap →
organizationHealth & Human Services CommitteeCommittee reviewing the billMap →
bill_numberCSCommittee SubstituteMap →
organizationHealth Care Facilities & Systems SubcommitteeCommittee reviewing the billMap →

Sources

Open source document

openstates.org

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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