Drug coverage, telehealth, physician-assisted death. What’s at stake for Florida healthcare in next week’s legislative session? [South Florida Sun-Sentinel]

Florida lawmakers are about to make big decisions about your healthcare.

When the 2023 Legislative Session convenes on Tuesday, state legislators will tackle topics such as the type of healthcare you can get over the phone, how much power a physician’s assistant has to prescribe medication, and possibly even whether women in the state will be further restricted on how many weeks they legally can get an abortion.

A lot is at stake during a year when most of the COVID public health emergency benefits will disappear.

Behind the scenes, lobbyists for hospitals, long-term care facilities, pharmacy chains, and grassroots health and senior care organizations are working to protect their interests. These stakeholders will jockey for their share of funding in the state budget and propose new areas of spending. At the same time, lawmakers will debate new bills that affect your health costs and care.

These are 10 key areas to watch:

Abortion

One of the most explosive issues legislators could take on this session is abortion.

Gov. Ron DeSantis signed off on a new law to enact a 15-week ban on abortion last year. Now, some Republican legislative leaders say they are open to advancing more limits on abortion in 2023. House Minority Leader Fentrice Driskell and other pro-choice advocates say they are closely monitoring for proposed legislation and will fight against it.

Currently, Florida’s 15-week ban is being challenged in the Florida Supreme Court. Abortion providers urged the Florida Supreme Court on Monday to reinstate a block on the law, arguing it violates the state constitution. The providers said their patients are suffering irreparable harm while the law is in effect. It’s unclear whether the Legislature would propose further restrictions before the court issues an opinion.

Physician-assisted death

In what is considered an emotionally complex area of healthcare, Democratic Sen. Lauren Book has introduced the Death with Dignity Act (SB 864). The bill comes less than a month after a Daytona Beach woman shot and killed her terminally ill husband.

If passed, this law would allow doctors to prescribe lethal medication to dying patients who want to end their lives. The fatal diagnosis would need to be confirmed by a second, consulting doctor.

Telehealth

The pandemic paved the way for doctors, therapists and other medical professionals to treat patients via smartphones and computer screens. This session, there are several bills that clarify and expand on the type of services can be provided via telehealth.

Here’s what the various proposals would do:

Medical duties

With staffing shortages plaguing the medical profession, various proposed bills would expand the abilities of certain professionals — particularly when it comes to prescribing or giving out medication.

Here’s what the proposed laws would do:

Prescription drug coverage, costs

Most Floridians are frustrated with medication costs.

Two proposed bills seek to address the frustration. Bill SB 746 requires health insurers to provide notice of prescription drug formulary changes within a certain timeframe and in a specific manner so patients know about cost increases. A formulary is a drug list that include brand names and generics that are covered by an insurer. The bill also would require insurers to submit a report on formulary changes annually.

For Floridians whose insurers partner with a pharmacy benefit manager such as Express Scripts, another proposed bill (SB 46) would require any payments for drugs be applied towards the insured person’s cost-sharing requirements such as deductibles and co-pays. The change would provide cost-saving benefits to the insured and require more transparency from pharmacy benefit managers.

Advertising

There are so many different types of healthcare professionals that it has become confusing to patients to know who is treating them.

To provide some clarity, HB583/SB230 would create a statute laying out the titles and designations that healthcare providers may call themselves, use in advertising and use in a medical setting. Patients would more easily know if they are being treated by a nurse practitioner, licensed medical doctor or a doctor of osteopathic medicine.

The proposed law also would require certain healthcare practitioners to prominently display a copy of their license in a conspicuous area of their practice that is easily visible to patients.

Mental health

Florida suffers from so many gaps when it comes to mental health. This session could bring some improvements.

A bill now being debated would allow Medicaid beneficiaries with serious mental illness to bypass requirements that they try less expensive options before “stepping up” to drugs that cost more. Advocates believe it will go a long way to help women with postpartum depression and people with depressive disorders. The new measures would apply only to the state’s Medicaid-managed care plans and not to commercial health policies or policies sold in the state group insurance program.

Mary Mayhew, president and CEO of the Florida Hospital Association, said her group also is supporting a funding increase for community-based mental health services. “We know when people get timely access to community-based behavioral health services, it reduces preventable high-cost utilization of emergency rooms, along with hospital admissions and readmissions.”

Transgender care

The Florida Board of Medicine and the Florida Board of Osteopathic Medicine approved rules last fall that prohibited gender-affirming surgery and puberty blocking hormones for minors.

Now there’s an effort in the Legislature under the name “Reverse Woke Act” to force Florida employers to pay for de-transitions. The “Reverse Woke Act,” (SB 952) would force businesses that cover gender-affirming care to be financially responsible for subsequent de-transitions, even for employees who no longer work for the company. It would apply to any employer that funds out-of-state travel for workers to access gender-affirming care.

Opponents say the bill is intended to dissuade businesses from supporting their trans workers.

Vaccination

DeSantis has come out strong during the pandemic against vaccine mandates.

Now, a bill titled Protection of Medical Freedom (SB 222) would prohibit Florida’s Department of Health from requiring enrollment in the state’s immunization registry. It also would prohibit businesses and governments from requiring individuals to provide proof of vaccination after recovery from any disease. A business also could not refuse someone employment, or discharge, discipline or demote an individual solely on the basis of whether or not they are vaccinated for a disease.

Covered medical services

With costs rising, healthcare is no exception. A few proposed bills would help Floridians by extending or requiring insurers to cover certain healthcare costs.

Sun Sentinel health reporter Cindy Goodman can be reached at cgoodman@sunsentinel.com or twitter @cindykgoodman.

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