BEGIN:VCALENDAR VERSION:2.0 METHOD:PUBLISH PRODID:-//Telerik Inc.//Sitefinity CMS 15.4//EN BEGIN:VTIMEZONE TZID:Eastern Standard Time BEGIN:STANDARD DTSTART:20251102T020000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYHOUR=2;BYMINUTE=0;BYMONTH=11 TZNAME:Eastern Standard Time TZOFFSETFROM:-0400 TZOFFSETTO:-0500 END:STANDARD BEGIN:DAYLIGHT DTSTART:20250301T020000 RRULE:FREQ=YEARLY;BYDAY=2SU;BYHOUR=2;BYMINUTE=0;BYMONTH=3 TZNAME:Eastern Daylight Time TZOFFSETFROM:-0500 TZOFFSETTO:-0400 END:DAYLIGHT END:VTIMEZONE BEGIN:VEVENT DESCRIPTION:DEPARTMENT OF FINANCIAL SERVICESDivision of Workers' Compensati on RULE NO.: \; \; \; \; \; \; \; \; \ ; \; \; \; \; \; \; \; \; \; \;&nb sp\; \; \; \; \; \; \; RULE TITLE:69L-7.730  \ ; \; \; \; \; \; \; \; \; \; \;&nb sp\; \; \; \; \; \; \; \; \; \; \;  \; \; \; \; \; Health Care Provider Medical Billing a nd Reporting Responsibilities69L-7.740  \; \; \; \; \;  \; \; \; \; \; \; \; \; \; \;&nbs p\; \; \; \; \; \; \; \; \; \; \;& nbsp\; Insurer Authorization and Medical Bill Review ResponsibilitiesPURPO SE AND EFFECT: This rulemaking will remove language regarding medications dispensed by a physician or other medical practitioner. The First District Court of Appeals struck the language in the matter of Publix Super Market s\, Inc.\, et. al. v. Department of Financial Services\, et. al.\, Case Nu mber 1D-2023-0941.SUMMARY: This rulemaking will implement the First Distri ct Court of Appeals&rsquo\; decision in the above-referenced matter.SUMMAR Y OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The agency has determined that this rule will not have an adverse impact o n small business or likely increase directly or indirectly regulatory cost s in excess of $200\,000 in the aggregate within one year after the implem entation of the rule. A SERC has not been prepared by the agency.The Agenc y has determined that the proposed rule is not expected to require legisla tive ratification based on the statement of estimated regulatory costs or if no SERC is required\, the information expressly relied upon and describ ed herein: The Department conducted a regulatory analysis to determine if there is an adverse impact or regulatory costs associated with this rule t hat exceeds the criteria in section 120.541(2)(a)\, F.S. Based upon this a nalysis\, the Department has determined that the proposed rule is not expe cted to require legislative ratification.Any person who wishes to provide information regarding the statement of estimated regulatory costs\, or to provide a proposal for a lower cost regulatory alternative must do so in w riting within 21 days of this notice.RULEMAKING AUTHORITY: 440.13\, 440.15 \, 440.185\, 440.525\, 440.591\, 440.593\, F.S.LAW IMPLEMENTED: 440.09\, 4 40.13\, 440.15\, 440.185\, 440.20\, 440.525\, 440.593\, F.S. \; A HEAR ING WILL BE HELD AT THE DATE\, TIME AND PLACE SHOWN BELOW:DATE AND TIME: J uly 15\, 2026\, at 11:00 a.m.\, ESTPLACE: Microsoft Teams meeting Join: ht tps://teams.microsoft.com/meet/23881890641062?p=qNbw2M91cfRKCAORpD Meeting ID: 238 818 906 410 62 Passcode: T7sD7Qa9 Need help? | System reference D ial in by phone +1 850-328-4354\,\,297360008# United States\, Tallahassee Find a local number Phone conference ID: 297 360 008# For organizers: Meet ing options | Reset dial-in PINPursuant to the provisions of the Americans with Disabilities Act\, any person requiring special accommodations to pa rticipate in this workshop/meeting is asked to advice the agency at least 5 days before the workshop/meeting by contacting: Charlene Miller\, Bureau Chief at (850) 413-1738 or Charlene.Miller@myfloridacfo.com. If you are h earing or speech impaired\, please contact the agency using the Florida Re lay Service\, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Charlene Miller\, Chief of t he Bureau of Monitoring and Audit\, Division of Workers&rsquo\; Compensati on at (850) 413-1738 or Charlene.Miller@myfloridacfo.com.THE FULL TEXT OF THE PROPOSED RULE IS:69L-7.730 Health Care Provider Medical Billing and Re porting Responsibilities.(1) No change. (2) Special Billing Requirements.( a) through (k) No change. (l) Pharmaceutical(s)\, Durable Medical Equipmen t and Home Medical Equipment or Supplies.1. When dispensing commercially a vailable medicinal drugs commonly known as legend or prescription drugs:a. No change. b. Physicians (including oral surgeons)\, physician assistants \, ARNPs\, and any other recognized practitioners registered to dispense m edications pursuant to section 465.0276\, F.S.\, may dispense medications to the injured worker. Medication is treatment and must be authorized prio r to dispensing\, pursuant to section 440.13(3)(a)\, F.S.\, and must be me dically necessary to treat the compensable injury. Dispensing such medicat ion may not be denied\, absent a contrary contractual provision\, and reim bursement may not be disallowed or adjusted for the sole reason that the i njured worker has chosen to receive such medication from a practitioner re gistered to dispense medications under Chapter 465\, F.S. \; All reque sts for authorization of medications to be dispensed must specify drug nam e\, dosage\, and strength\, must be documented in the injured worker&rsquo \;s file\, and must be sent in a manner prescribed by the carrier pursuant to section 440.13(3)(e)\, F.S. A carrier&rsquo\;s failure to timely respo nd to a written request for authorization shall be governed by section 440 .13(3)(d)\, F.S. \; \; c. through e. renumbered as b. through d. N o change. 2. through 8. No change.(m) through (p) No change.(3) No change. Rulemaking Authority 440.13(4)\, 440.15(3)(b)\, (d)\, 440.185(5)\, 440.525 (2)\, 440.591\, 440.593(5) FS. Law Implemented 440.09\, 440.13(2)(a)\, (3) \, (4)\, (6)\, (11)\, (12)\, (14)\, (16)\, 440.15(3)(b)\, (d)\, (5)\, 440. 185(5)\, (9)\, 440.20(6)\, 440.525(2)\, 440.593 FS. History&ndash\;New 2-1 8-16\, Amended 7-1-23\, ______.Editorial Note: Formerly 69L-7.710(4)\, Rat ified by Ch. 2023-144\, LOF. \;69L-7.740 Insurer Authorization and Med ical Bill Review Responsibilities \;(1) No change. (2)(a) through (b) No change. (c) Medication is treatment. When physicians (including oral su rgeons)\, physician assistants\, ARNPs\, and any other recognized practiti oners registered to dispense medications pursuant to section 465.0276\, F. S.\, submit a medical bill for reimbursement of dispensed medication\, the insurer\, claim administrator\, or entity acting on behalf of the insurer may disallow payment for dispensed medication if the medication is not au thorized prior to dispensing\, pursuant to section 440.13(3)(a)\, F.S.\, a nd is not medically necessary to treat the compensable injury. Dispensing such medications may not be denied\, absent a contrary contractual provisi on\, and reimbursement may not be disallowed or adjusted for the sole reas on that the injured worker chooses to receive such medications from a prac titioner registered to dispense medications under chapter 465\, F.S. Any r esponse to a request for authorization must be communicated electronically or by telephone to the health care provider and must be documented in the claims administration system. Failure to timely respond to the written re quest for authorization shall be governed by section 440.13(3)(d)\, F.S. ( 3) through (15) No change. \;Rulemaking Authority 440.13(4)\, 440.15(3 )(b)\, (d)\, 440.185(5)\, 440.525(2)\, 440.591\, 440.593(5)\, F.S. Law Imp lemented 440.09\, 440.13(2)(a)\, (3)\, (4)\, (6)\, (11)\, (12)\, (14)\, (1 6)\, 440.15(3)(b)\, (d)\, (5)\, 440.185(5)\, (9)\, 440.20(6)\, 440.525(2)\ , 440.593\, F.S. History&ndash\;New 2-18-16\, Amended 7-1-23\, ______.Edit orial Note: Formerly 69L-7.710(5)\, F.A.C.\, Ratified 2023-144\, LOF.To vi ew Notice of Hearing: \;https://sf01.myfloridacfo.com/docs-sf/general- counsel-libraries/rulemaking/69l-7-730-740-notice-of-proposed-rule.pdfTo v iew Rule Hearing Agenda: \;https://sf01.myfloridacfo.com/docs-sf/gener al-counsel-libraries/rulemaking/69l-7-730-740-rule-hearing-agenda.pdfAttor ney: Danielle Sparks and James Ross DTEND:20260715T160000Z DTSTAMP:20260617T124800Z DTSTART:20260715T150000Z LOCATION: SEQUENCE:0 SUMMARY:69L-7.730 and 69L-7.740\, F.A.C.\, Workers' Compensation Medical Re imbursement and Utilization Review UID:RFCALITEM639172828801088181 X-ALT-DESC;FMTTYPE=text/html:

DEPARTMENT OF FINANCI AL SERVICES

Division of Workers' Compensation

RULE NO.: \; \; \; \; \; \; \; \; \ ; \; \; \; \; \; \; \; \; \; \;&nb sp\; \; \; \; \; \; \; RULE TITLE:

69L-7.730  \; \; \; \; \; \; \; \; \; \;&nb sp\; \; \; \; \; \; \; \; \; \; \;  \; \; \; \; \; \; Health Care Provider Medical Bi lling and Reporting Responsibilities

69L-7.740  \; \; \;  \; \; \; \; \; \; \; \; \; \;&nbs p\; \; \; \; \; \; \; \; \; \; \;& nbsp\; \; \; Insurer Authorization and Medical Bill Review Respons ibilities

PURPOSE AND EFFECT: This rulemaking will remove language r egarding medications dispensed by a physician or other medical practitione r. The First District Court of Appeals struck the language in the matter o f Publix Super Markets\, Inc.\, et. al. v. Department of Financial Service s\, et. al.\, Case Number 1D-2023-0941.

SUMMARY: This rulemaking wil l implement the First District Court of Appeals&rsquo\; decision in the ab ove-referenced matter.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION:

The agency has determined that t his rule will not have an adverse impact on small business or likely incre ase directly or indirectly regulatory costs in excess of $200\,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based o n the statement of estimated regulatory costs or if no SERC is required\, the information expressly relied upon and described herein: The Department conducted a regulatory analysis to determine if there is an adverse impac t or regulatory costs associated with this rule that exceeds the criteria in section 120.541(2)(a)\, F.S. Based upon this analysis\, the Department has determined that the proposed rule is not expected to require legislati ve ratification.

Any person who wishes to provide information regard ing the statement of estimated regulatory costs\, or to provide a proposal for a lower cost regulatory alternative must do so in writing within 21 d ays of this notice.

RULEMAKING AUTHORITY: 440.13\, 440.15\, 440.185\ , 440.525\, 440.591\, 440.593\, F.S.

LAW IMPLEMENTED: 440.09\, 440.1 3\, 440.15\, 440.185\, 440.20\, 440.525\, 440.593\, F.S. \;

A H EARING WILL BE HELD AT THE DATE\, TIME AND PLACE SHOWN BELOW:

DATE A ND TIME: July 15\, 2026\, at 11:00 a.m.\, EST

PLACE: Microso ft Teams meeting

Join: https://teams.microsoft.com/meet/23881890641062?p=qNbw2M91cfRKCAOR pD

Meeting ID: 238 818 906 410 62

Passcode: T7sD7Qa9

Need help? | System reference

Dial i n by phone

+1 850- 328-4354\,\,297360008# United States\, Tallahassee

Find a local number

Phone conference ID: 297 360 008#

For organizers: Meeting options | Reset dial-in PIN

< p>Pursuant to the provisions of the Americans with Disabilities Act\, any person requiring special accommodations to participate in this workshop/me eting is asked to advice the agency at least 5 days before the workshop/me eting by contacting: Charlene Miller\, Bureau Chief at (850) 413-1738 or < a href="mailto:Charlene.Miller@myfloridacfo.com">Charlene.Miller@myflorida cfo.com.

If you are hearing or speech impaired\, please contact the agency using the Florida Relay Service\, 1(800)955-8771 (TDD) or 1(80 0)955-8770 (Voice).

THE PERSON TO BE CONTACTED REGARDING THE PROPOSE D RULE IS: Charlene Miller\, Chief of the Bureau of Monitoring and Audit\, Division of Workers&rsquo\; Compensation at (850) 413-1738 or Charlene.Mi ller@myfloridacfo.com.

THE FULL TEXT OF THE PROPOSED RULE IS:

69L-7.730 Health Care Provider Medical Billing and Reporting Respo nsibilities.

(1) No change.

(2) Special Billing Requ irements.

(a) through (k) No change.

(l) Pharmaceutical(s)\, Durable Medical Equipment and Home Medical Equipment or Supplies.

1. When dispensing commercially available medicinal drugs commonly known as legend or prescription drugs:

a. No change.

b. Physicians (including oral surgeons)\, physician assistants\, ARNPs\, and any other r ecognized practitioners registered to dispense medications pursuant to sec tion 465.0276\, F.S.\, may dispense medications to the injured worker. Med ication is treatment and must be authorized prior to dispensing\, pursuant to section 440.13(3)(a)\, F.S.\, and must be medically necessary to treat the compensable injury. Dispensing such medication may not be denied\, ab sent a contrary contractual provision\, and reimbursement may not be disal lowed or adjusted for the sole reason that the injured worker has chosen t o receive such medication from a practitioner registered to dispense medic ations under Chapter 465\, F.S. \; All requests for authorization of m edications to be dispensed must specify drug name\, dosage\, and strength\ , must be documented in the injured worker&rsquo\;s file\, and must be sen t in a manner prescribed by the carrier pursuant to section 440.13(3)(e)\, F.S. A carrier&rsquo\;s failure to timely respond to a written request fo r authorization shall be governed by section 440.13(3)(d)\, F.S. \;&nb sp\;

c. through e. renumbered as b. through d. No change.

< p>2. through 8. No change.

(m) through (p) No change.

(3) No c hange.

Rulemaking Authority 440.13(4)\, 440.15(3)(b)\, (d) \, 440.185(5)\, 440.525(2)\, 440.591\, 440.593(5) FS. Law Implemented 440.09\, 440.13(2)(a)\, (3)\, (4)\, (6)\, (11)\, ( 12)\, (14)\, (16)\, 440.15(3)(b)\, (d)\, (5)\, 440.185(5)\, (9)\, 440.20(6)\, 440.525(2)\, 440.593 FS. History&ndash \;New 2-18-16\, Amended 7-1-23\, ______.

Editorial Note: Formerly 69L-7.710(4)\, Ratified by Ch. 2023-144\, LOF.

 \;

69L-7.740 Insurer Authoriz ation and Medical Bill Review Responsibilities \;

(1) N o change.

(2)(a) through (b) No change.

(c) Medication is treatment. When physicians (including oral surgeons)\, physician assistan ts\, ARNPs\, and any other recognized practitioners registered to dispense medications pursuant to section 465.0276\, F.S.\, submit a medical bill f or reimbursement of dispensed medication\, the insurer\, claim administrat or\, or entity acting on behalf of the insurer may disallow payment for di spensed medication if the medication is not authorized prior to dispensing \, pursuant to section 440.13(3)(a)\, F.S.\, and is not medically necessar y to treat the compensable injury. Dispensing such medications may not be denied\, absent a contrary contractual provision\, and reimbursement may n ot be disallowed or adjusted for the sole reason that the injured worker c hooses to receive such medications from a practitioner registered to dispe nse medications under chapter 465\, F.S. Any response to a request for aut horization must be communicated electronically or by telephone to the heal th care provider and must be documented in the claims administration syste m. Failure to timely respond to the written request for authorization shal l be governed by section 440.13(3)(d)\, F.S.

(3) through (15) N o change. \;

Rulemaking Authority 440.13(4)\, 440.15(3 )(b)\, (d)\, 440.185(5)\, 440.525(2)\, 440.591\, 440.593 (5)\, F.S. Law Implemented 440.09\, 440.13(2)(a)\, (3)\, (4)\, ( 6)\, (11)\, (12)\, (14)\, (16)\, 440.15(3)(b)\, (d)\, (5)\, 440 .185(5)\, (9)\, 440.20(6)\, 440.525(2)\, 440.593\, F. S. History&ndash\;New 2-18-16\, Amended 7-1-23\, ______.

Editorial Note: Formerly 69L-7.710(5)\, F.A.C.\, Ratified 2023-144\, LOF.

To view Notice of Hearing: \;https://sf01.myfloridacfo.com/docs-sf/general- counsel-libraries/rulemaking/69l-7-730-740-notice-of-proposed-rule.pdf

To view Rule Hearing Agenda: \;https ://sf01.myfloridacfo.com/docs-sf/general-counsel-libraries/rulemaking/69l- 7-730-740-rule-hearing-agenda.pdf

Attorney: Danielle Sparks and James Ross

END:VEVENT END:VCALENDAR