Practice of the Profession of Pharmacy; Authorizing pharmacists who meet specified criteria to, at the direction of a licensed physician, administer medications at a Level I or Level II trauma center under certain circumstances; requiring trauma centers to retain certain documentation to employ pharmacists to perform such tasks, etc.
Performance of Physician Assistants and Advanced Practice Registered Nurses; Removes requirement that supervising physician notify DOH in writing of any delegation of prescribing authority to physician assistant; removes requirement that supervising physician's name be included in prescription issued by physician assistant; revises requirements for drug formulary for physician assistants; revises drug formulary requirements for advanced practice registered nurses authorized to prescribe medications; provides exception for psychiatric nurses.
Small Independent Special Fire Control Districts; Defining the term “small independent special fire control district”; authorizing the governing body of a small independent special fire control district to apply for participation in the state group health insurance and prescription drug programs; requiring the Department of Management Services to conduct a certain actuarial analysis; requiring that such analysis be paid for by the small independent special fire control district, etc.
Health Care; Defines "treat," "treated," & "treatment"; authorizes individual to refuse examination, testing, or treatment for specified reasons; prohibits discrimination against patient based on patient's vaccination status; requires licensed health care practitioners to inform parent or legal guardian of minor child of risks, benefits, safety, & efficacy of specified vaccines, obtain signature from parent or legal guardian before administration of vaccine, & provide parent or legal guardian with option of alternative vaccination schedule; authorizes pharmacist to provide ivermectin without prescription; requires pharmacist to provide specified information to patient; provides pharmacists with immunity from civil & criminal liability & disciplinary action; authorizes Board of Pharmacy to adopt rules; authorizes parent to exempt their child from health examination or from administration of immunizing agents based on conscience grounds; requires DOH to make publicly available, by posting on its Internet website, exemption form for parents & legal guardians.
Drug Prices and Coverage ; Revises definition of term "pharmacy benefits plan or program" to exclude plan or program that exclusively serves PACE organization; requires contracts between pharmacy benefit managers & participating pharmacies to allow specified option in administrative appeal procedure; provides pharmacy benefit manager prohibited practices relating to pharmacies & pharmacists. APPROPRIATION: $30,901,933
Medicaid Coverage of Blood Pressure Monitors and Cuffs; Defines "blood pressure monitor & cuff;" requiring AHCA to provide coverage for blood pressure monitors & cuffs under Medicaid pharmacy benefit for certain persons; provides requirements for coverage; provides that coverage of blood pressure monitors & cuffs includes cost of any necessary repairs or replacement parts; provides coverage qualification requirements for Medicaid recipients; requires agency to seek federal approval for implementation of coverage & to include rate impact in Medicaid managed medical assistance program & long-term care managed care program rates beginning on specified date.
Cost-sharing Requirements for Diabetes Management; Prohibiting health insurance policies from imposing a cost-sharing requirement exceeding a certain amount for a 30-day supply of insulin or any diabetes device or diabetic ketoacidosis device, etc.
SB 64 revises Florida's definition of "medical review committee" to include more healthcare entities like mental health facilities, substance abuse programs, pharmacy quality committees, and insurer review groups. It clarifies that committee proceedings and records generally cannot be used as evidence in malpractice lawsuits against healthcare providers, protecting confidentiality during peer reviews. The bill also specifies that information already available from other sources remains discoverable, and committee members cannot be questioned about their committee testimony in court. This applies to committees evaluating care quality, treatment appropriateness, or cost reasonableness across hospitals, clinics, and health systems. The changes take effect July 1, 2026.
Prescribing Authority; Deleting the requirement that a supervising physician notify the Department of Health in writing of any delegation of prescribing authority to a physician assistant; deleting the requirement that a supervising physician’s name be included in the prescription issued by a physician assistant; revising requirements for the drug formulary for physician assistants; revising the drug formulary requirements for advanced practice registered nurses authorized to prescribe medications, etc.
Cost-sharing Requirements for Insulin and Diabetes Supplies; Prohibits health insurance policies from imposing cost-sharing requirements that exceed specified amount for 30 days of insulin & diabetes supplies.
