Senate Bill 1064 (2025) — Medicaid pharmacy discounted drug prices
SB 1064
Florida Bills
Florida Senate - 2025 SB By Senator Collins 14-00922A-25 20251064__ CODING: Words stricken are deletions; words underlined are additions. A bill to be entitled
An act relating to Medicaid pharmacy discounted drug prices; requiring the Agency for Health Care Administration to conduct or contract for a detailed fiscal impact study on implementing specified provisions relating to discounted drug prices under the 340B Drug Pricing Program; requiring that the study be completed and its results submitted to the Governor and the Legislature by a specified date; 9 providing an effective date. 10
Be It Enacted by the Legislature of the State of Florida: 12
Section 1. The Agency for Health Care Administration shall conduct or contract for a detailed fiscal impact study to determine the feasibility of implementing the following provisions relating to discounted drug prices under the 340B Drug Pricing Program: 18 (1)(
a) Requiring drug manufacturers to sell a drug to Medicaid pharmacies at not more than the 340B Drug Pricing Program discounted price if the drug is: 21 1. On the Medicaid preferred drug list as described in s. 22 409.912(5), Florida Statutes; and 23 2. A covered drug under the 340B Drug Pricing Program. 24
(
b) Authorizing drug manufacturers to deliver drugs sold in accordance with paragraph
(
a) to the purchasing Medicaid pharmacy by any method used by the drug manufacturer. 27
(
c) If a drug manufacturer sells a drug in accordance with paragraph
(
a) to a Medicaid pharmacy at the 340B Drug Pricing Florida Senate - 2025 SB 1064 14-00922A-25 20251064__ CODING: Words stricken are deletions; words underlined are additions. Program discounted price and such discounted price is higher than the state Medicaid negotiated price, requiring the drug manufacturer to pay a rebate to the state equal to the difference between the discounted price and the state Medicaid negotiated price. 34
(2) Requiring pharmacy benefits managers participating in the Medicaid program to pay a Medicaid pharmacy the 340B Drug Pricing Program discounted price plus the professional dispensing fee as determined under rule 59G-4.251, Florida Administrative Code, as amended, for any drug that is on the Medicaid preferred drug list as described in s. 409.912(5), 40 Florida Statutes, and that is a covered drug under the 340B Drug Pricing Program. 42 (3)(
a) Requiring drug wholesalers and distributors to sell a drug to a Medicaid pharmacy at the 340B Drug Pricing Program discounted price if the drug is: 45 1. On the Medicaid preferred drug list as described in s. 46 409.912(5), Florida Statutes; and 47 2. A covered drug under the 340B Drug Pricing Program. 48
(
b) Prohibiting drug wholesalers and distributors from changing an existing pricing model or program that is in place with a Medicaid pharmacy by exempting a drug described in paragraph
(
a) from the pricing model or program or by referencing such drug in any way in the pricing model or program. 54
(4) Requiring Medicaid pharmacies to provide a covered drug under the 340B Drug Pricing Program at the discounted price only to Medicaid recipients. 57 Florida Senate - 2025 SB 1064 14-00922A-25 20251064__ CODING: Words stricken are deletions; words underlined are additions. The study must be completed, and the agency shall submit the results of the study to the Governor, the President of the Senate, and the Speaker of the House of Representatives, by January 31, 2026. 62