summary
Introduced
02/16/2026
02/16/2026
In Committee
02/19/2026
02/19/2026
Crossed Over
02/19/2026
02/19/2026
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
An act relating to health care; repealing s. 381.4015, F.S., relating to Florida health care innovation; amending s. 409.908, F.S.; revising the payment methodology for reimbursement of Medicaid providers; amending s. 409.912, F.S.; revising Medicaid preferred drug coverage guidelines; creating s. 409.9207, F.S.; providing legislative intent; providing definitions; creating the Eligibility Assistance Program within the Department of Children and Families; providing program requirements; requiring the department to be operated by an independent contractor that shall be selected based on specified criteria; amending s. 409.967, F.S.; revising the maximum term for Medicaid managed care contracts; requiring the agency to establish by contract a quality withhold incentive for certain purposes; providing requirements for such incentive; removing obsolete provisions; amending s. 409.9855, F.S.; providing Medicaid waiver funding requirements for certain individuals; requiring the Agency for Persons with Disabilities and the Agency for Health Care Administration to reconcile funding amounts in a specified manner; amending s. 409.91196, F.S.; conforming a provision to changes made by the act; providing an effective date.
AI Summary
This bill makes several changes to Florida's healthcare system, primarily focusing on Medicaid. It repeals an outdated section related to healthcare innovation, revises how Medicaid providers are paid and how preferred drug coverage is determined, and establishes a new Eligibility Assistance Program within the Department of Children and Families to help individuals with disabilities access Medicaid and other community-based services, which will be operated by an independent contractor. The bill also extends the maximum term for Medicaid managed care contracts from six to eight years and introduces a quality withhold incentive program for these contracts, initially focused on reducing infant mortality rates, where managed care plans can earn back withheld funds based on their performance in reducing infant mortality. Additionally, it clarifies funding transfer requirements between the Agency for Persons with Disabilities and the Agency for Health Care Administration for individuals in certain waiver programs and makes conforming changes to existing statutes regarding supplemental rebate agreements and effective dates.
Sponsors (1)
Other Sponsors (1)
Health Care Budget Subcommittee (House)
Last Action
Senate Appropriations Hearing (12:00:00 3/2/2026 110 Senate Building) (on 03/02/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.flsenate.gov/Session/Bill/2026/5301 |
| BillText | https://www.flsenate.gov/Session/Bill/2026/5301/BillText/Filed/PDF |
| Analysis - Health Care Budget Subcommittee (Post-Meeting) | https://www.flsenate.gov/Session/Bill/2026/5301/Analyses/h5301.HCB.PDF |
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