Florida Senate - 2020                                     SB 298
       
       
        
       By Senator Farmer
       
       
       
       
       
       34-00370-20                                            2020298__
    1                        A bill to be entitled                      
    2         An act relating to prior authorization for opioid
    3         alternatives; amending s. 627.64195, F.S.; prohibiting
    4         health insurance policies from requiring that
    5         treatment with an opioid analgesic drug product be
    6         attempted and have failed before authorizing the use
    7         of a nonopioid-based analgesic drug product; providing
    8         an effective date.
    9          
   10  Be It Enacted by the Legislature of the State of Florida:
   11  
   12         Section 1. Subsection (2) of section 627.64195, Florida
   13  Statutes, is amended to read:
   14         627.64195 Requirements for opioid coverage.—
   15         (2) COVERAGE REQUIREMENTS.—
   16         (a)A health insurance policy may not require that
   17  treatment with an opioid analgesic drug product be attempted and
   18  have failed before authorizing the use of a nonopioid-based
   19  analgesic drug product.
   20         (b) A health insurance policy that provides coverage for
   21  abuse-deterrent opioid analgesic drug products:
   22         1.(a) May impose a prior authorization requirement for an
   23  abuse-deterrent opioid analgesic drug product only if the policy
   24  imposes the same prior authorization requirement for each opioid
   25  analgesic drug product without an abuse-deterrence labeling
   26  claim.
   27         2.(b) May not require use of an opioid analgesic drug
   28  product without an abuse-deterrence labeling claim before
   29  authorizing the use of an abuse-deterrent opioid analgesic drug
   30  product.
   31         Section 2. This act shall take effect January 1, 2021.