SB 264: Step-therapy Protocols

GENERAL BILL by Harrell

Step-therapy Protocols; Defining the term “serious mental illness”; requiring the Agency for Health Care Administration to approve drug products for Medicaid recipients for the treatment of serious mental illness without step-therapy prior authorization under certain circumstances; directing the agency to include rate impacts resulting from the act in certain rates that become effective on a specified date, etc.

Current Bill Version Posted: 1/15/2025 10:27 AM

• Senate Committee References (3)

  1. Health Policy (HP)
  2. Appropriations Committee on Health and Human Services (AHS)
  3. Fiscal Policy (FP)

• Related Bills (1)

  Bill Number Subject Filed By Last Action and Location	Relationship Learn more about bill relationships
  H 721 by Gonzalez Pittman Step-therapy Protocols Last Action: 3/4/2025 H 1st Reading (Original Filed Version)	Identical

• Analyses (2)

  Links in this section are PDF documents.

  • Health Policy (Pre-Meeting)   2/17/2025
  • Health Policy (Post-Meeting)   2/19/2025

• Committee Votes (1)

  Links in this section are PDF documents.

  Date	Version	Committee	Result
  2/18/2025 1:45 PM	S 264	Health Policy	9 Yeas - 0 Nays

• Citations - Statute (3)

  The page numbers, when listed, for citations are constantly under review. The journals or printed bills of the respective chambers should be consulted as the official documents of the Legislature.
  
  The links for the page numbers are formatted to open the bill text PDF directly to the page containing the citation. However, if your browser is set to open PDFs in a new window, as is often the case with 64-bit browsers, the bill text will open to the first page.

  409.901	Definitions; ss. 409.901-409.920.	Page 1 [pdf]
  409.910	Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable.	Page 14 [pdf]
  409.912	Cost-effective purchasing of health care.	Page 2 [pdf]

• Bill History

  S = Senate, H = House

  1/15/2025	S	• Filed
  1/29/2025	S	• Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
  2/10/2025	S	• On Committee agenda-- Health Policy, 02/18/25, 1:45 pm, 412 Knott Building
  2/18/2025	S	• Favorable by Health Policy; YEAS 9 NAYS 0
  2/19/2025	S	• Now in Appropriations Committee on Health and Human Services
  3/4/2025	S	• Introduced