Bill > S0368

This bill expands presumptive Medicaid eligibility for pregnant women by allowing a broader range of qualified providers to make initial eligibility determinations, including hospitals, federally qualified health centers, birth centers, nonprofit maternal and child health organizations, nutrition program clinics, and local housing authorities. These providers must meet specific training and certification standards set by the Department of Children and Families, which will ensure they are adequately trained and monitored for compliance. The bill requires the Agency for Health Care Administration to provide Medicaid coverage for pregnant women deemed presumptively eligible for the maximum period allowable under federal law, with the goal of seeking federal approval to extend this period to 180 days. Presumptively eligible pregnant women will be entitled to coverage of all medically necessary services, including specialized care for high-risk pregnancies, and any prior authorizations granted during this period will remain valid to ensure continuity of care and reduce risks to maternal and infant health. The bill aims to improve access to healthcare for pregnant women by streamlining the Medicaid enrollment process and expanding the network of providers who can help women quickly obtain medical coverage.

https://www.flsenate.gov/Session/Bill/2026/368