Florida SB 1470: Florida Life and Health Insurance Guaranty Association

Bill Text

1470 
Behavioral Health Intervention Services 
2026-01-08T09:24:14Z 
Authorizing, contingent upon an appropriation, the state Medicaid plan to fund a demonstration pilot program in a specified region for specified purposes; authorizing Medicaid managed assistance providers to offer specified intervention services to certain participants under the pilot program; requiring the state Medicaid plain to consider certain factors when paying certain capitation rates, etc. 
Original Filed Version 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
__ 

 Florida Senate - 2026 SB 1470 

 By Senator Bernard 

 24-01110A-26 20261470__ 
 1 A bill to be entitled 
 2 An act relating to behavioral health intervention 
 3 services; creating s. 409.9206, F.S.; providing 
 4 legislative findings and purpose; defining terms; 
 5 authorizing, contingent upon an appropriation, the 
 6 state Medicaid plan to fund a demonstration pilot 
 7 program in a specified region for specified purposes; 
 8 authorizing Medicaid managed assistance providers to 
 9 offer specified intervention services to certain 
 10 participants under the pilot program; providing 
 11 requirements for the pilot program; requiring the 
 12 state Medicaid plan to prepare and submit a specified 
 13 report to the Legislature as soon as practicable after 
 14 the expiration of the pilot program; requiring the 
 15 state Medicaid plain to consider certain factors when 
 16 paying certain capitation rates; providing for future 
 17 expiration of the pilot program; providing an 
 18 effective date. 
 19 
 20 Be It Enacted by the Legislature of the State of Florida: 
 21 
 22 Section 1. Section 409.9206, Florida Statutes, is created 
 23 to read: 
 24 409.9206 De-risking disease behavioral health intervention 
 25 services pilot program.— 
 26 (1) LEGISLATIVE FINDING; PURPOSE.— 
 27 (a) The Legislature finds that under federal Medicaid 
 28 managed care regulations 42 C.F.R. s. 438.3(e)(2) and 42 C.F.R. 
 29 s. 438.16, the Agency for Health Care Administration may approve 
 30 de-risking disease behavioral health intervention services. 
 31 (b) The purpose of this section is to authorize the state 
 32 Medicaid plan to fund a demonstration pilot program that shall 
 33 provide a de-risking disease behavioral health intervention 
 34 services management plan to recipients of the state Medicaid 
 35 plan in Region G, which consists of Indian River, Martin, 
 36 Okeechobee, Palm Beach, and St. Lucie Counties. 
 37 (2) DEFINITIONS.—As used in this section, the term: 
 38 (a) “De-risking disease behavioral health intervention 
 39 services” means the following set of five concurrent self 
 40 management services and medical nutrition supports demonstrated 
 41 in scientific research to improve behavioral health and chronic 
 42 disease outcomes: 
 43 1. Behavioral health counseling provided by a licensed 
 44 clinical social worker for lifestyle modifications for patients 
 45 diagnosed with depression and uncontrolled diabetes mellitus. 
 46 2. Medical nutrition therapy provided by a registered 
 47 dietitian nutritionist for diet and lifestyle modifications for 
 48 patients diagnosed with depression and uncontrolled diabetes 
 49 mellitus. 
 50 3. Biomarker health tracking, nudging, and reporting using 
 51 devices approved by the Florida Medicaid Diabetic Supply 
 52 Services Coverage Policy to monitor HbA1C, blood sugar glucose, 
 53 oxygen, heart rate, lipids, weight, body mass index, blood 
 54 pressure, and other biomarkers. 
 55 4. Medical disease nutrition education designed for 
 56 depression and uncontrolled diabetes mellitus which is evidence 
 57 based. 
 58 5. Medical nutrition supports that are evidence-based 
 59 lifestyle modification services for patients diagnosed with 
 60 depression and uncontrolled diabetes mellitus, including, but 
 61 not limited to, clinical nutrition groceries, home-delivered 
 62 medically tailored meals, produce prescriptions, or other 
 63 evidence-based, medically necessary nutrition interventions 
 64 demonstrated to be cost effective by scientific research 
 65 studies. 
 66 (b) “Participant” means a Medicaid recipient and his or her 
 67 family participating in the pilot program. 
 68 (c) “Pilot program” means the demonstration pilot program 
 69 established under this section. 
 70 (3) PILOT PROGRAM.—Contingent upon an appropriation, the 
 71 state Medicaid plan may fund a demonstration pilot program to 
 72 provide de-risking disease behavioral health intervention 
 73 services to eligible Medicaid recipients in Region G, which 
 74 consists of Indian River, Martin, Okeechobee, Palm Beach, and 
 75 St. Lucie Counties. 
 76 (a) Under the pilot program, Medicaid managed assistance 
 77 providers may offer de-risking disease behavioral health 
 78 intervention services: 
 79 1. In lieu of services specified in the state Medicaid plan 
 80 to a Medicaid recipient who is diagnosed with both: 
 81 a. Depression or anxiety; an