Read the full stored bill text
Florida Senate
-
2026
SB 1070
By
Senator Rodriguez
40-00575B-26 20261070__
1 A bill to be entitled
2 An act relating to state group insurance program
3 coverage for obesity treatment; amending s. 110.12303,
4 F.S.; requiring the Department of Management Services
5 to provide coverage for specified strategies for the
6 evidence-based treatment and management of obesity and
7 related conditions for state group health insurance
8 plan policies issued on or after a specified date;
9 prohibiting coverage criteria for weight management
10 medications from being more restrictive than the
11 United States Food and Drug Administration’s
12 indications for such medications; requiring the
13 department to adopt certain protocols and criteria by
14 a specified date; specifying such protocols and
15 criteria; defining terms; requiring the department to
16 submit a specified report to the Governor and
17 Legislature annually by a specified date; providing an
18 effective date.
19
20 Be It Enacted by the Legislature of the State of Florida:
21
22 Section 1. Subsection (9) is added to section 110.12303,
23 Florida Statutes, to read:
24 110.12303 State group insurance program; additional
25 benefits; price transparency program; reporting.—
26
(9)
(a)
For state group health insurance plan policies
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issued on or after January 1, 2027, the department shall provide
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coverage for all of the following evidence-based strategies for
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the treatment and management of obesity and related conditions,
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as prescribed by a licensed provider:
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1.
Intensive health behavioral and lifestyle intervention.
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2.
FDA-approved weight management medications.
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(b)
Coverage criteria for FDA-approved weight management
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medications may not be more restrictive than the United States
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Food and Drug Administration-approved indications for such
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medications. Coverage for intensive health behavioral and
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lifestyle treatment may include interventions certified or
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recognized by the United States Centers for Disease Control and
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Prevention or recommended by current clinical standards of care.
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Services may be provided in an office setting, through
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telehealth, or in community-based settings to support patient
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access and needs.
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(c)
The department shall adopt protocols and criteria for
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such coverage by January 1, 2027, which must include, but are
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not limited to, that the employee:
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1.
Is enrolled in one of the state group health insurance
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plans or HMO plans participating under this section;
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2.
Is 18 years of age or older;
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3.
Was referred and is supervised by an in-network licensed
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provider;
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4.
Has consented to provide personal and medical
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information to the department, including medical records
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documenting body mass index or weight-related comorbidities;
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5.
Has received a clinical diagnosis of obesity by an in
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network licensed provider;
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6.
Is required to participate in intensive health
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behavioral and lifestyle intervention; and
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7.
Meets any additional clinical and participation
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requirements to manage the cost of coverage.
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(d)
As used in this subsection, the term:
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1.
“FDA-approved weight management medication” means any
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glucagon-like peptide-1 (GLP-1) agonist medication approved by
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the United States Food and Drug Administration with an
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indication for chronic weight management in patients with an
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obesity diagnosis.
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2.
“Intensive health behavioral and lifestyle intervention”
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means an evidence-based, intensive, multicomponent behavioral or
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lifestyle modification intervention designed to support healthy
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weight management as recommended by current clinical standards
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of care. Interventions include obesity screening, nutrition
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assessment, nutrition diagnosis, nutrition intervention,
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nutrition monitoring and evaluation, and behavioral counseling
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and therapy aimed at weight loss through lifestyle
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modifications, such as changes in diet and increased physical
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activity. Interventions may be provided in office, through
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telehealth, or in community-based settings to support patient
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access and needs. Therapy for obesity must be delivered in
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accordance with applicable national clinical standards of care,
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using evidence-based behavioral counseling frameworks.
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(e)
By January 15 of each year, the department shall submit
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a report to the Governor, the President of the Senate, and the
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Speaker of the House of Representatives. The report must include
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the participation level and cost savings to both the enrollee
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and the state resulting from implementation of this subsection.
85 Section 2. This act shall take effect July 1, 2026.