Proposed Changes to Florida Medicaid Programs and Nursing Home Reimbursement
February 16, 2026
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Where This Stands
Currently Died pending reference review under Rule 4.7(2). The next step in the legislative lifecycle is Introduced.
Procedural history
14 actions- Feb 25, 2026SenateOn Committee agenda-- Appropriations, 03/02/26, 12:00 pm, 110 Senate Building
- Feb 20, 2026HouseConference Committee appointed
- Feb 19, 2026SenateEnrolledReceived
- Feb 19, 2026SenateCommitteeReferred to Appropriations
- Feb 19, 2026SenateIn Messages
- Feb 19, 2026HouseRequests that the Senate pass the bill as passed by the House or agree to include the bill in the Budget Conference
Show 8 earlier actions
- Feb 19, 2026HouseFloorPassed; YEAS 104, NAYS 0
- Feb 19, 2026HouseFloorRead 3rd time
- Feb 19, 2026HouseAdded to Third Reading Calendar
- Feb 19, 2026HouseFloorRead 2nd time
- Feb 16, 2026HouseIntroduced1st Reading (Original Filed Version)
- Feb 16, 2026HouseBill added to Special Order Calendar (2/19/2026)
- Feb 16, 2026HouseBill referred to House Calendar
- Feb 16, 2026HouseIntroducedFiled
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
The bill would alter how Medicaid providers are paid, how patients access prescription drugs, and how funding is transferred between state agencies for individuals with developmental disabilities, directly impacting the operations of health care facilities and the services available to Medicaid recipients.
Potentially affected actors named in the source documents. Mention is not a position.
Medicaid recipients
Recipients may face new prior authorization requirements for drugs and changes in how their health plans are evaluated and managed.
Nursing home providers
Providers will be subject to new reimbursement methodologies, quality incentive programs, and reporting requirements.
Managed care plans
Plans face new 8-year contract terms, mandatory quality reporting, and a 2% withhold incentive based on infant mortality metrics.
Persons with disabilities
Individuals may access new navigation services through the Eligibility Assistance Program and experience changes in funding transfers between state agencies.
Last recorded activity February 16, 2026.
Introduced.
Summary
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
How will this bill affect nursing home payments?
What is the new Eligibility Assistance Program?
Will my prescription drug coverage change?
Why It Matters
The bill would alter how Medicaid providers are paid, how patients access prescription drugs, and how funding is transferred between state agencies for individuals with developmental disabilities, directly impacting the operations of health care facilities and the services available to Medicaid recipients.
News Coverage
Lobbying Activity
ACG Advocacy
on behalf of Artera
2026
“Government procurement health care.”
ACG Advocacy
on behalf of 11:11 Media Impact
2026
“Youth treatment facility oversight. Foster care issues.”
A STREET STRATEGIES
on behalf of National Association of Convenience Stores
2026
“Issues relating to renewable fuels and energy policy Issues relating to UST regulations Issues relating to renewable fuels standard implementation Issues relating to retailer liability associated with selling alternative and renewable fuels Issues relating to the gasoline and diesel fuel excise tax Issues relating to Biodiesel Blenders' Tax Credit Issues relating to the Alternative Fuel Vehicle Refueling Property tax credit Issues relating to Gas prices and fuel markets, price gouging E15 RVP waiver”
ACADIA PHARMACEUTICALS
2026
“Implementation of the Inflation Reduction Act of 2022, ORPHAN Cures Act (HR 946, S 1862), Mikaela Naylon Give Kids A Chance Act (HR 1262), Give Kids A Chance Act (S 932), Cameron's Law (HR 1414), Kids Access to Care Act (Accelerating HR 1509, S 752), Small Biotech Innovations Act (HR 3731, S 1930), EPIC Act (HR 1492, S 832), One Big Beautiful Bill Act (HR 1), BINSA Act, H.R. 9102, Issues related to protecting patient access to medicines in Medicare and Medicaid, Issues related to access to medicines for Parkinson's disease patients, Issues related to Antipsychotic use in Medicare, Issues related to most-favored-nation policies.”
AARP
2026
“P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology”
on behalf of Caritas Home Health Care
2026
on behalf of Florida Health Care Association
2026
on behalf of Florida Health Care Association
2026
Mary J. Griffin & Associates
on behalf of Benova Inc.
McGANN INC. TERRY M.
on behalf of MAXIMUS
Voting Record
Favorable with 1 amendment
Total
17
Yes
17
No
0
Present
0
Not Voting
0
Abstain
0
How they voted (17)
Jason Pizzo
Independent · yes
Gayle Harrell
Republican · yes
Danny Burgess
Republican · yes
Lori Berman
Democratic · yes
Jason Brodeur
Republican · yes
Ralph Massullo
Republican · yes
Ed Hooper
Republican · yes
Darryl Rouson
Democratic · yes
Barbara Sharief
Democratic · yes
Ileana Garcia
Republican · yes
Dave Smith
Republican · yes
Nick DiCeglie
Republican · yes
Tina Polsky
Democratic · yes
Jay Trumbull
Republican · yes
Erin Grall
Republican · yes
Tommy Wright
Republican · yes
Stan McClain
Republican · yes
Passage, Third Reading
Total
203
Yes
181
No
0
Present
0
Not Voting
22
Abstain
0
How they voted (203)
Gallop Franklin
Democratic · yes
Dotie Joseph
Democratic · absent
Vanessa Oliver
Republican · yes
Nathan Boyles
Republican · yes
Bill Conerly
Republican · yes
Monique Miller
Republican · yes
Leonard Spencer
Democratic · yes
Erika Booth
Republican · yes
Brian Hodgers
Republican · yes
Chip LaMarca
Republican · yes
Ashley Gantt
Democratic · yes
Mike Giallombardo
Republican · yes
Shane Abbott
Republican · yes
Meg Weinberger
Republican · yes
Yvonne Hinson
Democratic · yes
Kim Berfield
Republican · yes
Daryl Campbell
Democratic · absent
Adam Botana
Republican · yes
Berny Jacques
Republican · yes
Robbie Brackett
Republican · absent
Paula Stark
Republican · yes
Jim Mooney
Republican · absent
Richard Gentry
Republican · yes
Lisa Dunkley
Democratic · yes
+ 179 more
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Shift to Quality-Based Withholds
The bill moves toward a more aggressive quality-based incentive model for managed care plans, specifically tying 2% of payments to infant mortality rates.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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