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FL S1490

FL S1490
Children's Medical Services Program


summary

Introduced
02/27/2025
In Committee
04/29/2025
Crossed Over
04/24/2025
Passed
05/23/2025
Dead
Signed/Enacted/Adopted
05/27/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to the Children’s Medical Services program; 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. 409.974, 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) through (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, and 409.962, F.S.; conforming provisions to changes made by the act; requiring the agency to develop a comprehensive plan to redesign the Florida Medicaid Model Waiver for home and community-based services to include children who receive private duty nursing services; providing requirements for the redesign of the waiver plan; requiring the agency to submit a report to the Governor and the Legislature by a specified date; providing requirements for the report; providing effective dates.

AI Summary

This bill restructures the Children's Medical Services (CMS) program by transferring its managed care operations from the Department of Health to the Agency for Health Care Administration (AHCA), effective July 1, 2025. The bill requires the Department of Health's CMS program to collaborate with AHCA in caring for children and youth with special health care needs, including conducting clinical eligibility screenings and providing ongoing consultation. AHCA will be responsible for establishing specific performance measures for services provided to children with special health care needs and will contract with an independent evaluator to assess these services, with a comprehensive report due by January 15, 2028. The bill also requires AHCA to develop a comprehensive plan to redesign the Florida Medicaid Model Waiver for home and community-based services to include children receiving private duty nursing, with a report to be submitted by December 31, 2025. Additionally, the legislation repeals several existing statutes related to the CMS program and makes numerous conforming changes across various sections of Florida law to reflect the transfer of responsibilities from the Department of Health to AHCA. The bill aims to improve the coordination and quality of medical services for children with special health care needs by centralizing management and introducing more rigorous evaluation mechanisms.

Committee Categories

Budget and Finance

Sponsors (1)

Other Sponsors (2)

Appropriations Committee on Health and Human Services (Senate), Health Policy (Senate)

Last Action

Chapter No. 2025-88 (on 05/27/2025)

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