Legislation: Florida — 2,186 enacted records (OpenStates 2026-07-01)
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
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type: "Bill"
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title: "Step-therapy Protocols"
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description: "Step-therapy Protocols; Revises circumstances under which step-therapy protocols may not be required; requires health insurers & HMOs to publish on their websites & provide to their insureds & subscribers specified information; provides requirements for procedures for requests & appeals of denials of protocol exemptions; provides requirements for authorizations & denials of protocol exemption requests; authorizes health insurers & HMOs to request specified documentation."
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jurisdiction: "us/states/fl"
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legislature: "Florida Legislature"
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session: "2022"
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identifier: "HB 459"
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citation: "Florida HB 459 (2022)"
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classification: ["bill"]
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subjects: ["insurance"]
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status: "enacted"
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chapter_law: "2022-47"
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primary_sponsors: ["Willhite"]
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version_count: 2
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action_count: 35
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vote_count: 4
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first_action: "2021-11-02"
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last_action: "2022-04-08"
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source: "openstates"
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source_identifier: "ocd-bill/7d4af3ca-0728-4ca5-8d51-0aa82a7caa8c"
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source_url: "https://flsenate.gov/Session/Bill/2022/459/ByCategory"
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source_hash: "2c4795a553211d498dbe0c6b29b631bb9bd1ff662cb5e9dc83d3f63d5ee38ddd"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-fl"]
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---
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# Florida HB 459 (2022) — Step-therapy Protocols
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Step-therapy Protocols; Revises circumstances under which step-therapy protocols may not be required; requires health insurers & HMOs to publish on their websites & provide to their insureds & subscribers specified information; provides requirements for procedures for requests & appeals of denials of protocol exemptions; provides requirements for authorizations & denials of protocol exemption requests; authorizes health insurers & HMOs to request specified documentation.
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**Enacted** — Laws of Florida, Chapter 2022-47.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **H 459 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2022/459/BillText/Filed/PDF)
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2. **H 459 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2022/459/BillText/er/PDF)
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## Votes
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- Favorable (Finance & Facilities Subcommittee) — **15–0** (pass) · lower
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- Third Reading — **39–0** (pass) · upper
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- Passage, Third Reading — **107–0** (pass) · lower
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- Favorable (Health & Human Services Committee) — **19–0** (pass) · lower
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## Sponsors
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- Willhite — primary (person)
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- Bartleman — cosponsor (person)
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- Benjamin — cosponsor (person)
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- Davis — cosponsor (person)
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- Eskamani — cosponsor (person)
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- Hunschofsky — cosponsor (person)
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- Joseph — cosponsor (person)
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- Morales — cosponsor (person)
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- Salzman — cosponsor (person)
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- Skidmore — cosponsor (person)
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- Tant — cosponsor (person)
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- Thompson — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2021-11-02** Filed `filing`
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- **2021-11-10** Referred to Finance & Facilities Subcommittee `referral-committee`
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- **2021-11-10** Referred to Health & Human Services Committee `referral-committee`
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- **2021-11-10** Now in Finance & Facilities Subcommittee
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- **2021-11-23** Added to Finance & Facilities Subcommittee agenda
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- **2021-12-02** Favorable by Finance & Facilities Subcommittee `committee-passage-favorable`
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- **2021-12-02** Reported out of Finance & Facilities Subcommittee
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- **2021-12-02** Now in Health & Human Services Committee
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- **2022-01-11** 1st Reading (Original Filed Version)
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- **2022-01-20** Added to Health & Human Services Committee agenda
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- **2022-01-24** Favorable by Health & Human Services Committee `committee-passage-favorable`
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- **2022-01-24** Reported out of Health & Human Services Committee
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- **2022-01-24** Bill released to House Calendar
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- **2022-01-24** Added to Second Reading Calendar
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- **2022-02-17** Bill added to Special Order Calendar (2/24/2022)
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- **2022-02-24** Read 2nd time `reading-2`
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- **2022-02-24** Placed on 3rd reading
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- **2022-02-24** Added to Third Reading Calendar
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- **2022-02-25** Read 3rd time `reading-3`
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- **2022-02-25** Passed; YEAS 107, NAYS 0 `passage`
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- **2022-02-25** Immediately certified
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- **2022-02-25** In Messages
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- **2022-02-25** Referred to Rules `referral-committee`
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- **2022-02-28** Received
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- **2022-03-08** Withdrawn from Rules `withdrawal`
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- **2022-03-08** Placed on Calendar, on 2nd reading
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- **2022-03-08** Substituted for SB 730
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- **2022-03-08** Read 2nd time `reading-2`
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- **2022-03-08** Read 3rd time `reading-3`
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- **2022-03-08** Passed; YEAS 39 NAYS 0 `passage`
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- **2022-03-08** In Messages
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- **2022-03-08** Ordered enrolled
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- **2022-03-28** Signed by Officers and presented to Governor
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- **2022-04-06** Approved by Governor `executive-signature`
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- **2022-04-08** Chapter No. 2022-47
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7d4af3ca-0728-4ca5-8d51-0aa82a7caa8c`. Confidence: reported (aggregated from official Florida legislature records).
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