Proposed Florida Bill SB254 was signed on May 17, 2023. This bill adds new restrictions for individuals seeking gender affirming care, such as requiring all individuals 18 years and older seeking gender affirming care services (such as prescriptions or procedures) to sign an informed consent form approved by the Florida Board of Medicine and Osteopathic Medicine, while physically present in the same room as the prescribing physician.

In response to such extensive disruption of care, the Florida Board of Medicine updated some of the guidelines for prescribing GAHT, establishing care as a new GAHT patient, and extended the date when new and existing patients would need to take any additional action to establish or continue care. See below for more info on how to start GAHT with Plume in Florida. 

TABLE OF CONTENTS

• I live in Florida, is Plume accepting new members?
• How can I get an in-person appointment?
• I’m a Plume member in Florida. Do I need an in-person appointment and updated consent forms to continue receiving care? 
• I used to be a Plume member, can I restart my membership?
• Who needs an in-person appointment?
• What if a pharmacy won’t fulfill my order?

I live in Florida, is Plume accepting new members?

Yes. Patients who are new to gender affirming hormone therapy (GAHT) will need to visit an in-person clinic in order to establish care with us.

How can I get an in-person appointment?

We are holding a series of pop-ups throughout Florida where members will have the opportunity to sign the updated informed consent forms to satisfy the new requirements imposed by Florida Bill 254. The next available pop-up locations are as follows:

Scheduling links are sent to Florida members as they become available. For more information on how to sign up, message us at members@getplume.co or reach out to your Care Team via Spruce.

I’m a Plume member in Florida. Do I need an in-person appointment and updated consent forms to continue receiving care? 

All patients who have taken GAHT previously (whether with Plume or another provider) are able to start and restart care without an in-person visit but must have an in-person appointment to sign updated consent forms to continue care by January 2024.

I used to be a Plume member, can I restart my membership?

All patients who have taken GAHT previously (whether with Plume or another provider) are able to start and restart care without an in-person visit but must have an in-person appointment to sign updated consent forms to continue care by January 4, 2024. 

Message your Care Team to inquire about restarting your membership. Please note that you may need to still have a video visit with one of our MD/DO's to fully restart your membership and renew your prescription. 

If you would like to move forward with restarting your membership, we will need to process the $99 membership fee and gather some updated information. Reach out to your Care Team in Spruce requesting to restart your membership and let us know the following information:

1. Please send us a photo of the front and back of your card you would like to use and the ZIP code associated with it so that we can update our new payment platform.

2. When was the last dose you took of your medication?

3. Have there been any changes in your medical history or new medications? (example: new conditions, medications, hospitalizations, etc.)

4. Are you looking to use the same pharmacy we have on file? If you'd like to update this, please send us the full address of the new pharmacy that you would like to use.

5. Has your home address or any personal contact information changed? If this has changed, please send us your updated contact information.

Who needs an in-person appointment?

Patients who have not yet received GAHT are required to first have an in-person appointment. You must first visit an in-person clinic in order to establish care with us.

New and returning Plume members with a prior history of GAHT can start their membership, but must have an in-person appointment to sign updated consent forms by January 2024 in order to continue care.

What if a pharmacy won’t fulfill my order?

If the pharmacy rejects your prescription, your provider can re-send your prescription order to a different pharmacy that is in-person. Just let us know the name and address of your new preferred in-person pharmacy! If you want to try another mail-order pharmacy, we recommend trying Amazon or New Era (prices vary based on your region). If you continue having trouble having a pharmacy accept your prescription, let the Care Team know and our Pharmacy Manager will be able to reach out and provide support.