Florida SB 1110: Term Limits

Bill Text

1110 
Coverage for Orthotics and Prosthetics Services 
2026-02-12T04:22:41Z 
Authorizing the Agency for Health Care Administration to authorize and pay for specified orthotics and prosthetics services for Medicaid recipients who are eligible individuals; requiring the agency to seek federal approval and amend contracts as necessary to implement the act; requiring individual health insurance policies; group, blanket, and franchise health insurance policies; and health maintenance contracts, respectively, to provide coverage for specified orthotics and prosthetics services for eligible individuals, etc. 
Committee Substitute 1 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
c1 

 Florida Senate - 2026 CS for SB 1110 

 By the Committee on Banking and Insurance; and Senators Truenow 
 and Smith 

 597-02756-26 20261110c1 
 1 A bill to be entitled 
 2 An act relating to coverage for orthotics and 
 3 prosthetics services; amending s. 409.906, F.S.; 
 4 defining the term “eligible individual”; authorizing 
 5 the Agency for Health Care Administration to authorize 
 6 and pay for specified orthotics and prosthetics 
 7 services for Medicaid recipients who are eligible 
 8 individuals; providing construction; requiring the 
 9 agency to seek federal approval and amend contracts as 
 10 necessary to implement the act; creating ss. 
 11 627.64085, 627.6614, and 641.31079, F.S.; defining the 
 12 term “eligible individual”; requiring individual 
 13 health insurance policies; group, blanket, and 
 14 franchise health insurance policies; and health 
 15 maintenance contracts, respectively, to provide 
 16 coverage for specified orthotics and prosthetics 
 17 services for eligible individuals; authorizing health 
 18 insurers and health maintenance organizations to 
 19 require certain supporting documentation; prohibiting 
 20 health insurers and health maintenance organizations 
 21 from denying claims under certain circumstances; 
 22 requiring health insurers and health maintenance 
 23 organizations to submit annual reports of specified 
 24 information to the Office of Insurance Regulation; 
 25 providing construction; providing an effective date. 
 26 
 27 Be It Enacted by the Legislature of the State of Florida: 
 28 
 29 Section 1. Subsection (10) of section 409.906, Florida 
 30 Statutes, is amended to read: 
 31 409.906 Optional Medicaid services.—Subject to specific 
 32 appropriations, the agency may make payments for services which 
 33 are optional to the state under Title XIX of the Social Security 
 34 Act and are furnished by Medicaid providers to recipients who 
 35 are determined to be eligible on the dates on which the services 
 36 were provided. Any optional service that is provided shall be 
 37 provided only when medically necessary and in accordance with 
 38 state and federal law. Optional services rendered by providers 
 39 in mobile units to Medicaid recipients may be restricted or 
 40 prohibited by the agency. Nothing in this section shall be 
 41 construed to prevent or limit the agency from adjusting fees, 
 42 reimbursement rates, lengths of stay, number of visits, or 
 43 number of services, or making any other adjustments necessary to 
 44 comply with the availability of moneys and any limitations or 
 45 directions provided for in the General Appropriations Act or 
 46 chapter 216. If necessary to safeguard the state’s systems of 
 47 providing services to elderly and disabled persons and subject 
 48 to the notice and review provisions of s. 216.177, the Governor 
 49 may direct the Agency for Health Care Administration to amend 
 50 the Medicaid state plan to delete the optional Medicaid service 
 51 known as “Intermediate Care Facilities for the Developmentally 
 52 Disabled.” Optional services may include: 
 53 (10) DURABLE MEDICAL EQUIPMENT.— 
 54 (a) The agency may authorize and pay for certain durable 
 55 medical equipment and supplies provided to a Medicaid recipient 
 56 as medically necessary. 
 57 (b)1. As used in this paragraph, the term “eligible 
 58 individual” means a Medicaid recipient who is: 
 59 a. A child younger than 18 years of age; 
 60 b. A dependent child as specified in s. 627.6562; 
 61 c. An individual 26 years of age or younger who remains 
 62 covered under a parent’s health insurance policy pursuant to s. 
 63 627.6562; or 
 64 d. An individual with a developmental disability as defined 
 65 in s. 393.063. 
 66 2. The agency may authorize and pay for all of the 
 67 following orthotics and prosthetics services for eligible 
 68 individuals: 
 69 a. Orthoses and prostheses as those terms are defined in s. 
 70 468.80. Coverage must include payment for: 
 71 (I) The model of an orthosis or a prosthesis which is 
 72 deemed by the eligible individual’s provider to be the most 
 73 appropriate to meet the medical needs of the eligible individual 
 74 to perform activities of daily living and essential job-related 
 75 activities; and 
 76 (II) When med