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FL H1529

FL H1529
Home Health Aide for Medically Fragile Children Program


summary

Introduced
02/28/2025
In Committee
04/17/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to the home health aide for medically fragile children program; amending s. 400.54, F.S.; providing requirements for the annual assessment of home health aide for medically fragile children program; amending s. 400.4765, F.S.; revising program training requirements; requiring an employing home health agency to provide specified training and ensure each home health aide for medically fragile children holds and maintains specified certification; revising the utilization cap of a Medicaid fee schedule; requiring a home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; providing requirements for the Agency for Health Care Administration to seek federal approval and a federal waiver for specified purposes; amending s. 400.462, F.S.; conforming provisions to changes made by the act; amending s. 409.903, F.S.; requiring the agency to seek federal approval and implement federal waivers and state plan amendments for specified purposes; providing construction; providing an effective date.

AI Summary

This bill modifies Florida's Home Health Aide for Medically Fragile Children Program by introducing several key provisions to improve training, oversight, and support for family caregivers. The bill requires an annual assessment of the program that includes reporting caregiver satisfaction, tracking adverse incidents (which are specifically defined to include serious events like death, brain damage, and permanent disfigurement), and comparing hospitalization rates between children cared for by home health aides versus registered or licensed practical nurses. Home health agencies must now provide more comprehensive training for aides, including competency validation by a registered nurse, HIV and CPR certification, and ongoing training as a child's care needs change. The bill increases the Medicaid fee schedule to a minimum of $25 per hour and raises the daily service cap from 8 to 12 hours, with a weekly cap of 40 hours that can be exceeded with proper justification. Additionally, the bill directs the Agency for Health Care Administration to seek federal approval for allowing Medicaid providers to participate in the program and to potentially disregard income earned by home health aides when determining Medicaid eligibility, which could help support family caregivers in providing critical medical care for medically fragile children.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (9)

Other Sponsors (2)

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

Last Action

Laid on Table, companion bill(s) passed, see CS/CS/SB 1156 (Ch. 2025-171) (on 04/30/2025)

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