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HB 5301EFLORIDA · STATEWIDESession 2026E
High Impact

Changes to Florida Medicaid and Nursing Home Care

Original title: Health Care

May 28, 2026

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The Frame

What this does

The bill directly impacts how Medicaid providers are paid, the availability of specific prescription drugs for Medicaid recipients, and the administrative process for residents with disabilities seeking state assistance.

Who is mentioned in the record

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

Medicaid recipients

Recipients face new rules regarding prescription drug limits, prior authorization, and potential changes to the availability of specific drugs.

Nursing home providers

Providers are subject to new reimbursement methodologies, cost-reporting requirements, and quality incentive programs.

Persons with disabilities

Individuals may access new navigation services for Medicaid eligibility and experience changes in how their waiver funding is managed.

Managed care plans

Plans must meet new quality reporting standards and are subject to a 2 percent capitation rate withhold based on performance metrics.

What changed

Last recorded activity May 28, 2026.

What's next

Introduced.

Summary

This bill updates how Florida manages Medicaid, including new rules for nursing home payments, drug coverage, and a new program to help people with disabilities navigate Medicaid eligibility. It also sets new quality-based financial incentives for managed care plans and changes how funding is transferred for individuals moving between different disability waiver programs.

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 my Medicaid prescription drug coverage?
The bill authorizes new management systems for behavioral and general prescription drugs, requires the use of counterfeit-proof prescription pads, and limits most prescriptions to a 34-day supply.
What is the new Eligibility Assistance Program?
It is a new program within the Department of Children and Families designed to help persons with disabilities navigate the process of securing Medicaid and other community-based services.
How are nursing homes affected?
The bill updates the reimbursement methodology for nursing homes, creating direct and indirect care subcomponents and establishing a quality incentive program based on metrics like infant mortality and consumer satisfaction.

Why It Matters

The bill directly impacts how Medicaid providers are paid, the availability of specific prescription drugs for Medicaid recipients, and the administrative process for residents with disabilities seeking state assistance.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

ACG Advocacy

on behalf of Artera

2026

HEALTH ISSUESTELECOMMUNICATIONS

Government procurement health care.

ACG Advocacy

on behalf of 11:11 Media Impact

2026

HEALTH ISSUESCIVIL RIGHTS/CIVIL LIBERTIES

Youth treatment facility oversight. Foster care issues.

A STREET STRATEGIES

on behalf of National Association of Convenience Stores

2026

FUEL/GAS/OILBANKINGTOBACCOTAXATION/INTERNAL REVENUE CODE

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

$700,000

2026

HEALTH ISSUESMEDICARE/MEDICAIDTAXATION/INTERNAL REVENUE CODETRADE (DOMESTIC/FOREIGN)

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

$4,110,000

2026

HEALTH ISSUESMEDICARE/MEDICAIDLAW ENFORCEMENT/CRIME/CRIMINAL JUSTICEPHARMACY

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

Senate LDAView filing →

on behalf of Florida Health Care Association

2026

Senate LDAView filing →

on behalf of Florida Health Care Association

2026

Senate LDAView filing →

Mary J. Griffin & Associates

on behalf of Benova Inc.

Senate LDAView filing →

McGANN INC. TERRY M.

on behalf of MAXIMUS

Senate LDAView filing →

Voting Record

Sponsors

Discoveries

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

policy shift90% confidence

Shift to Quality-Based Incentives

The bill moves toward a more rigorous quality-based reimbursement model for managed care plans, specifically tying 2 percent of capitation rates to infant mortality reduction.

Connected Entities

Sources

Open source document

openstates.org

Analysis Score

0–100
  • Significance90
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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