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FL H0781

FL H0781
Medicaid Coverage of Blood Pressure Monitors and Cuffs


summary

Introduced
12/16/2025
In Committee
01/05/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An act relating to Medicaid coverage of blood pressure monitors and cuffs; creating s. 409.90631, F.S.; defining the term "blood pressure monitor and cuff;" requiring the Agency for Health Care Administration to provide coverage for blood pressure monitors and cuffs under the Medicaid pharmacy benefit for certain persons; providing requirements for coverage; providing that coverage of blood pressure monitors and cuffs includes the cost of any necessary repairs or replacement parts; providing coverage qualification requirements for Medicaid recipients; requiring the agency to seek federal approval for implementation of coverage and to include the rate impact in the Medicaid managed medical assistance program and long- term care managed care program rates beginning on a specified date; providing an effective date.

AI Summary

This bill creates a new provision in Florida Statutes to require Medicaid coverage for blood pressure monitors and cuffs for eligible recipients with hypertension. Under the bill, a blood pressure monitor and cuff is defined as a device designed to measure blood pressure levels outside of a clinical setting. To qualify for coverage, a Medicaid recipient must be diagnosed with hypertension by a primary care physician or licensed healthcare practitioner and have a prescription for both medication and a blood pressure monitor. The coverage includes the cost of repairs and replacement parts, and recipients must participate in follow-up care with their healthcare provider every 6 months during the first 18 months after receiving the device, and then every 12 months thereafter. The Agency for Health Care Administration is required to seek federal approval for the implementation and include the cost impact in Medicaid managed care program rates beginning October 1, 2026, which is also the bill's effective date. The bill aims to help Medicaid recipients better manage their hypertension by providing access to home blood pressure monitoring equipment.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

1st Reading (Original Filed Version) (on 01/13/2026)

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