Florida SB 1758: Public Assistance

Bill Text

1758 
Public Assistance 
2026-03-04T07:33:18Z 
Authorizing the Agency for Health Care Administration to conduct retrospective reviews and audits of certain claims under the state Medicaid program for a specified purpose; requiring the agency to seek federal approval to implement mandatory work and community engagement requirements for able-bodied adults as a condition of obtaining and maintaining Medicaid coverage; requiring the agency, in consultation with the Department of Children and Families, to develop a business plan to implement specified provisions; revising the purpose of the Medicaid Pharmaceutical and Therapeutics Committee to include creation of a Medicaid preferred physician-administered drug list, a Medicaid preferred product list, and a high-cost drug list; requiring the department to develop and implement a food assistance payment accuracy improvement plan for a specified purpose, etc. 
Committee Substitute 2 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
c2 

 Florida Senate - 2026 CS for CS for SB 1758 

 By the Committees on Appropriations; and Health Policy; and 
 Senators Gaetz, Brodeur, and Massullo 

 576-03342-26 20261758c2 
 1 A bill to be entitled 
 2 An act relating to public assistance; amending s. 
 3 409.904, F.S.; authorizing the Agency for Health Care 
 4 Administration to conduct retrospective reviews and 
 5 audits of certain claims under the state Medicaid 
 6 program for a specified purpose; creating s. 409.9041, 
 7 F.S.; providing legislative findings; requiring the 
 8 agency to seek federal approval to implement mandatory 
 9 work and community engagement requirements for able 
 10 bodied adults as a condition of obtaining and 
 11 maintaining Medicaid coverage; prohibiting the agency 
 12 from implementing such requirements until certain 
 13 conditions are met; requiring the agency, in 
 14 consultation with the Department of Children and 
 15 Families, to develop a business plan to implement 
 16 specified provisions; specifying requirements for the 
 17 plan; requiring the agency to submit the plan to the 
 18 Governor and the Legislature by a specified date; 
 19 specifying populations that are subject to such work 
 20 and community engagement requirements; providing 
 21 exceptions; defining the term “family caregiver”; 
 22 specifying the types of activities which may satisfy 
 23 the work and community engagement requirements; 
 24 providing that a certain population is required to 
 25 engage in work or community engagement activities only 
 26 during standard school hours; requiring persons 
 27 eligible for Medicaid to demonstrate compliance with 
 28 the work and community engagement requirements at 
 29 specified times as a condition of maintaining Medicaid 
 30 coverage; requiring the agency to develop a process 
 31 for ensuring compliance with the work and community 
 32 engagement requirements; requiring that such process 
 33 align, to the extent possible, with certain existing 
 34 processes; requiring the department to verify 
 35 compliance with the work and community engagement 
 36 requirements at specified intervals; requiring the 
 37 agency, in coordination with the department, to 
 38 conduct outreach regarding implementation of the work 
 39 and community engagement requirements; specifying 
 40 requirements for such outreach; specifying procedures 
 41 in the event of noncompliance; requiring the agency, 
 42 in coordination with the department, to notify a 
 43 Medicaid recipient of a finding of noncompliance and 
 44 the impact to eligibility for continued receipt of 
 45 services; specifying requirements for such notice; 
 46 amending s. 409.905, F.S.; deleting a requirement that 
 47 the agency discontinue its hospital retrospective 
 48 review program under certain circumstances; revising 
 49 construction; requiring the agency to maintain cost 
 50 effective purchasing practices in its coverage of 
 51 hospital inpatient services rendered to Medicaid 
 52 recipients; amending s. 409.906, F.S.; requiring the 
 53 agency to seek federal approval to implement a program 
 54 for expanded coverage of home- and community-based 
 55 behavioral health services for a specified population; 
 56 specifying the goal of the program; requiring the 
 57 agency to work in coordination with the department to 
 58 develop the program; requiring the agency and the 
 59 department to develop certain estimates and submit 
 60 them to the Legislature in a specified manner before 
 61 the program may be implemented; amending s. 409.91195, 
 62 F.S.; revising the purpose of the Medicaid 
 63 Pharmaceutical and Therapeutics Committee to include 
 64 creation of a Medicaid preferred physician 
 65 administered drug list, a Medicaid preferred product 
 66 list, and a high-cost drug list; requiring the agency 
 67 to adopt such lists upon recommendation of the 
 68 committee; specifying the frequency with which the 
 69 committee must review such lists for