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HB 1261FLORIDA · STATEWIDESession 2026Died in Health Care Facilities & Systems Subcommittee

New Medicaid Payment Rules for Pediatric Nursing Care

Original title: Medicaid Reimbursement for Private Duty Nursing Services

January 8, 2026

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently Died in Health Care Facilities & Systems Subcommittee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

6 actions
  1. Jan 15, 2026House
    Now in Health Care Facilities & Systems Subcommittee
  2. Jan 15, 2026HouseCommittee
    Referred to Health & Human Services Committee
  3. Jan 15, 2026HouseCommittee
    Referred to Health Care Budget Subcommittee
  4. Jan 15, 2026HouseCommittee
    Referred to Health Care Facilities & Systems Subcommittee
  5. Jan 13, 2026HouseIntroduced
    1st Reading (Original Filed Version)
  6. Jan 8, 2026HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

The bill impacts the financial stability of specialized pediatric care providers and the availability of nursing services for children by standardizing reimbursement rates across s.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Medicaid-eligible children under 21

The bill regulates the coordinated care and nursing services provided to this group.

Home health agencies

These agencies are subject to new reimbursement rate requirements and negotiation mandates with managed care plans.

Medicaid managed care plans

These plans must comply with new minimum reimbursement standards and annual negotiation requirements.

What changed

Current stage: Died in Health Care Facilities & Systems Subcommittee.

What's next

Floor Vote.

Summary

This bill sets new requirements for how s pay for services provided to children living in specialized community residential group homes. It mandates that these plans pay at least the state-set fee schedule rate and prohibits them from lowering payments based on how many children share a living space.

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.

Why It Matters

The bill impacts the financial stability of specialized pediatric care providers and the availability of nursing services for children by standardizing reimbursement rates across s.

Frequently Asked Questions

Who does this bill affect?
It affects Medicaid-eligible children under 21 who are , the home health agencies that provide their nursing care, and the managed care plans that pay for those services.
Does this bill change how much I pay for nursing care?
No, this bill regulates the reimbursement rates paid by s to healthcare providers, not the costs to individual patients.
When do these changes take effect?
The definitions take effect July 1, 2026, but the implementation of the reimbursement changes is contingent upon receiving federal approval.

News Coverage

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Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Standardization of Reimbursement

The bill shifts policy toward preventing managed care plans from using patient density in group homes as a justification for lowering nursing reimbursement rates.

Connected Entities

otherPrivate Duty Nursing ServicesThe type of services subject to reimbursement changesMap →
organizationHealth & Human Services CommitteeSubcommittee reviewing the billMap →
organizationHealth Care Budget SubcommitteeSubcommittee reviewing the billMap →
organizationMedicaidThe program being addressed by the billMap →
organizationHealth Care Facilities & Systems SubcommitteeSubcommittee reviewing the billMap →

Sources

Open source document

openstates.org

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz10
    Current news / social attention level

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