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FL S0038

FL S0038
Parity for Nonnursing Services Under Long-term Managed Care Plans


summary

Introduced
09/08/2025
In Committee
10/06/2025
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An act relating to parity for nonnursing services under long-term managed care plans; beginning on a specified date, requiring the Agency for Health Care Administration to reimburse nonnursing services provided by licensed providers at the same rate or higher than the rate it reimburses unlicensed providers for such services under the Medicaid long term managed care program; requiring the agency annually to adjust the rate for licensed providers; requiring the agency, within a specified timeframe, to seek any Medicaid waiver or state plan amendment necessary to implement the rate changes; providing an effective date.

AI Summary

This bill addresses reimbursement rates for nonnursing services in Florida's Medicaid long-term managed care program. Starting January 1, 2027, the Agency for Health Care Administration will be required to reimburse licensed providers (such as home health agencies and nurse registries) at a rate that is equal to or higher than the rate paid to unlicensed providers (like family caregivers) for the same nonnursing services. The agency must conduct annual rate adjustments to account for inflation and overhead costs. Additionally, within 30 days of the bill's effective date, the agency must request any necessary Medicaid waivers or state plan amendments to implement these rate changes. The primary goal of this legislation appears to be ensuring fair compensation for licensed providers and potentially improving the quality and availability of nonnursing services in long-term care settings by creating financial parity between licensed and unlicensed care providers.

Sponsors (5)

Last Action

Introduced (on 01/13/2026)

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