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Read. Follow. Verify.Florida Senate Prohibits Prior Authorization Medical Necessity Reviews and Requires Choice of Equipment Providers in Medicaid Managed Care
Last action · March 13, 2026: Died in Health PolicySponsors: Gayle Harrell and 1 other
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What This Bill Proposed
Florida Senate Bill 568 prohibits Medicaid managed care plans from reviewing previously authorized claims for medical necessity during s, and requires plans to provide coverage for durable medical equipment and from any qualified provider within the network chosen by the enrollee, starting July 1, 2026.
Medicaid enrollees gain the legal right to select their preferred in-network provider for durable medical equipment and , and managed care plans are barred from re-evaluating medical necessity on claims they have already approved.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Medicaid enrollees
Enrollees gain the right to select their preferred qualified in-network provider for durable medical equipment and complex rehabilitation technology and are protected from medical necessity re-reviews on pre-authorized claims.
Medicaid managed care plans
Managed care plans are prohibited from conducting medical necessity reviews on previously authorized claims and must permit enrollees to choose any qualified in-network provider for medical equipment.
Agency for Health Care Administration
The Agency is required to adopt implementation rules and establish a grievance procedure for enrollees regarding provider choice.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Can a managed care plan re-check a claim for medical necessity after it has already given prior authorization?
Do Medicaid enrollees have a choice in who provides their durable medical equipment?
What can an enrollee do if they are denied the ability to choose their provider from within the network?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died in committee.
Procedural history
4 actions- Mar 13, 2026SenateFloorDied in Health Policy
- Jan 13, 2026SenateIntroducedIntroduced
- Dec 9, 2025SenateCommitteeReferred to Health Policy; Appropriations Committee on Health and Human Services; Appropriations
- Nov 18, 2025SenateIntroducedFiled
Version history & redline
2 versions on fileOfficial version history is partial: 1 linked text is unavailable or incomplete. Source links remain available below.
The text diff for this stage has not been computed yet.
Finance Connection
| Candidate | Donor | Amount | Industry | Date |
|---|---|---|---|---|
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $50,000 | STATE PARTY | Dec 2025 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,730 | STATE PARTY | Sep 2025 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,583 | STATE PARTY | May 2026 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,532 | STATE PARTY | Apr 2026 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,516 | STATE PARTY | Dec 2025 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,516 | STATE PARTY | Jan 2026 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,513 | STATE PARTY | Mar 2026 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,490 | STATE PARTY | Mar 2026 |
Show 12 more contributions
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $3,369 | STATE PARTY | Dec 2025 |
| Ana Maria Rodriguez | FLORIDA REPUBLICAN SENATORIAL CAMPAIGN COMMITTEE | $2,137 | STATE PARTY | Oct 2025 |
| Ana Maria Rodriguez | ARIEL FIGUEREDO MD PA | $1,000 | GYNECOLOGIST | Nov 2025 |
| Ana Maria Rodriguez | AT&T SOUTH FLORIDA PAC | $1,000 | PAC | Dec 2025 |
| Ana Maria Rodriguez | CAPITOL SOLUTIONS, LLC | $1,000 | GOVT. AND PUBLIC AFFAIRS | Feb 2025 |
| Ana Maria Rodriguez | CEMEX MATERIALS LLC | $1,000 | CONCRETE AND BUILDING SUPPLIER | Jan 2026 |
| Ana Maria Rodriguez | CAP ENGINEERING INC | $1,000 | ENGINEERING FIRM | Sep 2025 |
| Ana Maria Rodriguez | ABC MERIT SHOP PC | $1,000 | PAC | Feb 2025 |
| Ana Maria Rodriguez | FAPSC PAC | $1,000 | PAC | Aug 2025 |
| Ana Maria Rodriguez | BY THE PEOPLE, FOR THE PEOPLE | $1,000 | PAC | Jan 2026 |
| Ana Maria Rodriguez | DADE COUNTY PBA PAC | $1,000 | PAC | Jan 2026 |
| Ana Maria Rodriguez | BERUFF CARLOS | $1,000 | R.E. DEVELOPER | May 2026 |
Reported financial relationships and timing signals. This does not prove motive or influence. Readers draw their own conclusions.
Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Restriction on Retroactive Medical Necessity Reviews
The bill explicitly closes the loophole of re-evaluating medical necessity on claims that already received prior authorization.
Connected Entities
Sources
www.flsenate.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 65)
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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