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Bill > H5301


FL H5301

FL H5301
Health Care


summary

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

Introduced Session

Potential new amendment
2026 Fifth Special 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. hb5301e-00 HB 5301E 2026E

AI Summary

This bill makes several changes to Florida's healthcare system, primarily focusing on Medicaid. It repeals an outdated section on healthcare innovation, revises how Medicaid providers are paid and how preferred drug coverage is determined, and establishes a new Eligibility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 navigate the process of becoming Medicaid eligible, 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 for these plans, initially focused on reducing infant mortality rates, with plans that show the greatest improvement earning back withheld funds. Additionally, it clarifies funding transfers between the Agency for Persons with Disabilities and the Agency for Health Care Administration for individuals in certain waiver programs and updates a reference related to supplemental rebate agreements for prescription drugs.

Sponsors (1)

Last Action

Conference Committee appointed: Appropriations Conference Committee/Budget: Senator Hooper, Chair; Senators Berman, Boyd, Brodeur, Gruters, Passidomo, and Rouson, At Large; Appropriations Conference Committee on Agriculture, Environment, and General Government/Agriculture & Natural Resources: Senator Brodeur, Chair; Senators Arrington, Berman, DiCeglie, Grall, Massullo, McClain, Nathan, Pizzo, Rodriguez, Sharief, and Truenow; Appropriations Conference Committee on Agriculture, Environment, and General Government/State Administration: Senator Brodeur, Chair; Senators Arrington, Berman, DiCeglie, Grall, Massullo, McClain, Nathan, Pizzo, Rodriguez, Sharief, and Truenow; Appropriations Conference Committee on Criminal and Civil Justice/Justice: Senator Garcia, Chair; Senators Martin, Osgood, Polsky, Simon, Smith, Wright, and Yarborough; Appropriations Conference Committee on Health and Human Services/Health Care: Senator Trumbull, Chair; Senators Brodeur, Burton, Davis, Garcia, Harrell, Rodriguez, Rouson, and Sharief; Appropriations Conference Committee on Higher Education/Higher Education: Senator Harrell, Chair; Senators Bracy Davis, Bradley, Burgess, Calatayud, Davis, and Leek; Appropriations Conference Committee on Pre-K – 12 Education/Pre-K – 12: Senator Burgess, Chair; Senators Bradley, Calatayud, Gaetz, Jones, Massullo, Nathan, Osgood, Pizzo, Simon, and Yarborough; Appropriations Conference Committee on Transportation, Tourism, and Economic Development/Transportation & Economic Development: Senator DiCeglie, Chair; Senators Arrington, Avila, Bernard, Bracy Davis, Grall, Leek, Martin, Mayfield, McClain, Polsky, Smith, Truenow, and Wright. (on 05/12/2026)

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