Bill > S1110

This bill expands coverage for orthotics and prosthetics services for certain individuals in Florida. For Medicaid recipients, the Agency for Health Care Administration (AHCA) will be authorized to cover these services for "eligible individuals," defined as children under 18, dependent children, individuals up to age 26 covered under a parent's policy, or individuals with a developmental disability. This coverage includes orthoses (braces, supports) and prostheses (artificial limbs), along with necessary materials, instruction, and repairs or replacements when medically necessary, even for physical or recreational activities. The bill also requires individual health insurance policies, group, blanket, and franchise health insurance policies, and health maintenance contracts to provide similar coverage for "eligible individuals" starting July 1, 2026. These insurers and health maintenance organizations can request documentation for replacements of devices less than three years old and cannot deny claims if the service would be covered for a non-disabled person seeking to restore similar physical function. Additionally, these entities must report annual data on orthotics and prosthetics claims to the Office of Insurance Regulation starting July 1, 2027. The AHCA is directed to seek federal approval and make necessary contract amendments to implement these changes for Medicaid.

Budget and Finance

Banking and Insurance (Senate)

https://www.flsenate.gov/Session/Bill/2026/1110