SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 681

Health Care
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SPONSOR
Eskamani
FILED BY
Anna Eskamani — District 42, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Professions & Programs Subcommittee

Filed under Healthcare.

PROVIDED SUMMARY

Health Care; Repeals provisions relating to sex-reassignment prescriptions & procedures & civil liability for provision of sex-reassignment prescriptions or procedures to minors, respectively; requires covered entity to adopt policy relating to providing notice of its refused services; requires DOH to publish & maintain on its website current list of covered entities & their refused services & develop & administer public education & awareness program; revises timeframe in which physician may perform termination of pregnancy; requires AHCA to provide Medicaid reimbursement for medically necessary treatment for or related to gender dysphoria or comparable or equivalent diagnoses; prohibits AHCA from discriminating in reimbursement on basis of recipient's gender identity or that recipient is transgender individual.

Full bill text →

Plain English Summary

AI-GENERATED
Legalizes abortion through the second trimester, ending Florida's 6-week ban.

Abortion becomes legal through the second trimester for any reason, replacing the current 6-week cutoff. Physicians may again prescribe medication abortion by telehealth and mail the pills to patients, both previously banned.

Repeals the ban on prescribing puberty blockers, hormones, or surgery to affirm a minor's gender identity, along with its civil-liability law. Gender-affirming care can no longer trigger emergency child-custody seizure or a doctor's immediate license suspension.

Any hospital or clinic that relies on a 'denial of care' law to refuse a service must publish that refusal list, notify patients in writing before treatment, and report it to the Department of Health, facing fines up to $5,000 a day for noncompliance.

Medicaid must cover medically necessary treatment for gender dysphoria and cannot discriminate based on gender identity. The state's pregnancy support network must now spend at least 90% of its funding, up from 85%, directly on services.

KEY PROVISIONS
§ 1 Moves the abortion cutoff from 6 weeks to the third trimester majors. 390.0111

AIAbortion is no longer barred once a fetus is more than 6 weeks along. Instead, it becomes legal for any reason through the second trimester, and is barred only once the pregnancy reaches the third trimester (absent a life-threatening emergency).

“A physician may not knowingly perform or induce a termination of pregnancy on any person in the third trimester of pregnancy” bill text, line 297 →
§ 2 Repeals the ban on gender-affirming care for minors majors. 456.52

AIWipes out the law barring doctors from prescribing puberty blockers, hormones, or performing procedures to affirm a minor's gender identity, along with its companion civil-liability statute (s. 766.318) and the definitions that supported both.

“relating to prescribing, administering, or performing sex-reassignment prescriptions or procedures for a patient younger than 18 years of age” bill text, line 641 →
§ 3 Restores telehealth and mail delivery for medication abortion majors. 390.0111

AIRepeals the requirement that abortion medication be dispensed only in person by a physician and the ban on mailing it, so physicians may again prescribe medication abortion via telehealth and send pills to patients.

“Any medications intended for use in a medical abortion must be dispensed in person by a physician” bill text, line 338 →
§ 4 Removes gender-affirming care from child-custody seizure grounds majors. 61.534

AIStrikes gender-affirming care for a minor as a basis for a warrant to take physical custody of a child, and as a basis for a Florida court to claim emergency custody jurisdiction over a child receiving it.

“Serious physical harm includes, but is not limited to, being subjected to sex-reassignment prescriptions or procedures” bill text, line 484 →
§ 5 Forces disclosure from facilities that refuse care majors. 381.027

AIAny hospital or clinic that relies on a law letting it opt out of a health care service must adopt and publish a complete list of its refused services, give patients written notice before treatment, and report the list to the Department of Health, or face a fine of up to $5,000 per day.

“By October 1, 2026, each covered entity shall adopt a policy for providing patients with a complete list of its refused services.” bill text, line 119 →
§ 6 Requires Medicaid to cover gender dysphoria treatment majors. 409.905

AIAHCA must reimburse medically necessary treatment for gender dysphoria or a comparable diagnosis, and may not discriminate in reimbursement based on a recipient's gender identity or transgender status.

“The agency shall provide reimbursement for medically necessary treatment for or related to gender dysphoria” bill text, line 397 →
§ 7 Bars AHCA from unduly burdening abortion access through rules moderates. 390.012

AIAgency rules for abortion clinics must now be written so they cannot impose an unconstitutional burden on a person's decision to end a pregnancy, a new limit on the agency's rulemaking power.

“may not impose an unconstitutional burden on a woman's freedom to decide whether to terminate her pregnancy” bill text, line 351 →
§ 8 Raises required program spending on pregnancy support services moderates. 381.96

AIThe Florida Pregnancy Care Network must now spend at least 90% of its state contract funds directly on pregnancy support and wellness services, up from 85%, while material assistance like diapers and car seats is dropped from the funded service list.

“Spend at least 90 percent of the contract funds on pregnancy support services”
TIMELINE
3/13/2026
Died in Health Professions & Programs Subcommittee
1/13/2026
1st Reading (Original Filed Version)
12/16/2025
Now in Health Professions & Programs Subcommittee
12/16/2025
Referred to Health & Human Services Committee
12/16/2025
Referred to Health Care Budget Subcommittee
12/16/2025
Referred to Health Professions & Programs Subcommittee
12/8/2025
Filed
1 EARLIER →
STATUTES IT CHANGES
s. 286.31
+11 / −0
s. 286.31
+6 / −0
s. 286.311
+6 / −0
s. 381.00321
+6 / −0
s. 381.027
+849 / −0
s. 381.96
+30 / −135