Bill > S1166

Introduced Session

An act relating to services for medically needy children; transferring operation of the Children’s Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration, effective on a specified date; providing construction as to judicial and administrative actions pending as of a specified date and time; requiring the department’s Children’s Medical Services (CMS) program to collaborate with the agency in the care of children and youth with special health care needs; requiring the CMS program to conduct certain clinical eligibility screenings and provide ongoing consultation to the agency for a specified purpose; amending s. 409.906, F.S.; requiring the agency to pay for individual and family therapy services provided to Medicaid recipients by certain behavioral health providers if certain conditions are met; conforming a cross-reference; requiring the agency to seek federal approval to amend the state’s Medicaid Model Waiver for home and community-based services to include certain services; requiring the agency to implement the approved waiver amendment subject to certain conditions; authorizing the agency to adopt rules; amending s. 409.974, F.S.; requiring the CMS program to transfer operation of certain managed care contracts from the department to the agency effective on a specified date; requiring the CMS program to conduct clinical eligibility screening for certain children and youth with special health care needs; requiring the program to provide ongoing consultation to the agency for a specified purpose; requiring the agency to establish specific measures for evaluation of services provided to children and youth with special health care needs; requiring the agency to contract with an independent evaluator to conduct the evaluation of services provided; specifying requirements for the evaluation; requiring the agency to submit the results of the evaluation to the Governor and the Legislature by a specified date; amending s. 391.016, F.S.; revising the purposes and functions of the CMS program; amending s. 391.021, F.S.; revising definitions; amending s. 391.025, F.S.; revising the scope of the CMS program; amending s. 391.026, F.S.; revising the powers and duties of the department to conform to changes made by the act; providing for the future repeal of s. 391.026(8)-(11), F.S., relating to the department’s oversight and administration of the CMS program; repealing s. 391.028, F.S., relating to administration of the program; amending s. 391.029, F.S.; revising program eligibility requirements; conforming provisions to changes made by the act; amending s. 391.0315, F.S.; conforming provisions to changes made by the act; providing for future repeal of specified provisions; repealing ss. 391.035, 391.037, 391.045, 391.047, 391.055, and 391.071, F.S., relating to provider qualifications, physicians and private sector services, provider reimbursements, third-party payments, service delivery systems under the program, and quality of care requirements, respectively; amending s. 391.097, F.S.; conforming a provision to changes made by the act; repealing part II of ch. 391, F.S., consisting of ss. 391.221 and 391.223, F.S., relating to Children’s Medical Services councils and panels; amending ss. 409.166, 409.811, 409.813, 409.8134, 409.814, 409.815, 409.8177, 409.818, 409.912, 409.9126, 409.9131, 409.920, 409.962, 409.968, and 409.972, F.S.; conforming provisions to changes made by the act; amending s. 400.4765, F.S.; revising the training requirements for family caregivers participating in the home health aide for medically fragile children program; specifying that services provided by a home health aide for a medically fragile child may not exceed a specified percentage of the total annual hours authorized for private duty nursing services for that child; revising requirements for the Medicaid fee schedule for home health aides for medically fragile children; requiring the Agency for Health Care Administration, within a specified timeframe, to seek federal approval to implement specified practices under the program; amending s. 400.54, F.S.; requiring Medicaid managed care plans to provide certain data to the agency as part of an annual assessment of the home health aide for medically fragile children program; revising requirements for such assessment; providing a directive to the Division of Law Revision; providing effective dates.

AI Summary

Gayle Harrell (R)*, 

Withdrawn prior to introduction, companion bill(s) passed, see CS/CS/SB 1490 (Ch. 2025-88), CS/CS/SB 1156 (Ch. 2025-171) (on 02/25/2025)

Official Document