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FL S1354

FL S1354
Behavioral Health Managing Entities


summary

Introduced
02/26/2025
In Committee
03/06/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to behavioral health managing entities; amending s. 394.9082, F.S.; requiring the Department of Children and Families to contract biennially for specified functions; requiring the department to contract for recommendations for certain transparency improvements; requiring the department to prepare and present to the Governor and Legislature a specified final report by a specified date; requiring managing entities to report required data to the department in a standardized electronic format; providing requirements for such format; requiring managing entities to electronically submit to the department certain documents in a specified format and with specified metadata; requiring managing entities to submit certain specific measures to the department; requiring the department to post and maintain such measures on its website by a specified date every month; requiring managing entities to report each measure using a standard methodology determined by the department; providing requirements for such measures; providing an effective date.

AI Summary

This bill requires the Florida Department of Children and Families to significantly enhance oversight and reporting requirements for Behavioral Health Managing Entities (organizations responsible for coordinating behavioral health services). Specifically, the bill mandates biennial operational and financial audits of each managing entity, which will review business practices, financial records, service administration, referral patterns, and provider network participation. The department must contract for comprehensive audits that compare services, expenditures, and analyze how managing entities fund services for Medicaid beneficiaries. Managing entities will be required to report data in a standardized electronic format with specific technical requirements, ensuring interoperability and facilitating data analysis. They must also electronically submit documents with detailed metadata and report monthly on 11 specific performance measures, including wait times for services, emergency department visits, medication errors, and readmission rates. These measures will be stratified by age and Medicaid status and posted on the department's website by the 15th of each month. The bill culminates in a requirement for the department to prepare a final report on these findings by December 1, 2025, which will be presented to the Governor and Legislature. The provisions of this bill are set to take effect on July 1, 2025, with the goal of improving transparency, accountability, and performance in behavioral health service delivery.

Committee Categories

Budget and Finance

Sponsors (1)

Other Sponsors (1)

Children, Families, and Elder Affairs (Senate)

Last Action

Laid on Table, companion bill(s) passed, see CS/CS/HB 633 (Ch. 2025-137) (on 04/29/2025)

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