Bill > H1227

This bill modifies Florida's Medicaid eligibility rules for permanently disabled individuals by creating a presumptive continued eligibility process for certain Medicaid recipients. Specifically, individuals who are receiving Medicaid-covered institutional care, hospice, or home and community-based services and are determined to be "permanently disabled" (as certified by a licensed physician) will be presumed eligible for continued coverage during redetermination processes. The bill requires individuals to notify the Agency for Health Care Administration and the Department of Children and Families if they experience a material change in disability or economic status that could affect their eligibility. The agency is required to seek federal authorization by October 1, 2025, to exempt permanently disabled Medicaid recipients from annual eligibility redeterminations. The bill aims to provide more stability and continuity of care for disabled individuals by reducing the administrative burden of frequent eligibility reviews, while still maintaining a mechanism to reassess eligibility if significant changes occur. The provisions will take effect on July 1, 2025, giving state agencies time to develop the necessary notification and review processes.

Budget and Finance, Health and Social Services

Health & Human Services Committee (H), Health Care Facilities & Systems Subcommittee (H)

https://www.flsenate.gov/Session/Bill/2025/1227