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FL S0784

FL S0784
Medicaid Coverage of Continuous Glucose Monitors


summary

Introduced
12/08/2025
In Committee
12/16/2025
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An act relating to Medicaid coverage of continuous glucose monitors; requiring the Agency for Health Care Administration, within a specified timeframe, to seek federal approval as needed to provide coverage of continuous glucose monitors and related supplies as a durable medical equipment benefit under the Medicaid program; providing for the reimbursement of such equipment; providing construction; requiring the agency to implement these changes upon receiving any necessary federal approval; providing an effective date.

AI Summary

This bill requires the Agency for Health Care Administration to seek federal approval within 30 days of becoming law to provide Medicaid coverage for continuous glucose monitors (CGMs) and related supplies as a durable medical equipment (DME) benefit. Continuous glucose monitors are medical devices that help people with diabetes track their blood sugar levels in real-time. The bill mandates that licensed DME providers must be reimbursed for CGMs when they submit claims through the Medicare Healthcare Common Procedure Coding System, and the agency cannot require providers to use a National Drug Code number when submitting these claims. The bill also clarifies that the agency is not prevented from providing additional CGM coverage through the Medicaid pharmacy benefit. The agency is instructed to begin implementing these changes once it receives the necessary federal approval, and the act will take effect immediately upon becoming law. This legislation aims to improve access to important medical technology for Medicaid recipients with diabetes by ensuring coverage of continuous glucose monitors.

Sponsors (1)

Last Action

Introduced (on 01/13/2026)

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