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FL S0988
Bill
Status
2/20/2023
Primary Sponsor
Health Policy
Click for details
AI Summary
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Creates section 409.9063, Florida Statutes, to establish Medicaid coverage for continuous glucose monitors (devices with electronic sensors that measure glucose levels and remain active for at least 7 days).
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Requires the Agency for Health Care Administration to provide coverage for continuous glucose monitors under the Medicaid pharmacy benefit for recipients diagnosed with Type 1 diabetes, Type 2 diabetes, gestational diabetes, or other insulin-treatable diabetes who have been prescribed insulin.
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Coverage includes the cost of repairs and replacement parts for continuous glucose monitors.
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Requires recipients to participate in follow-up care with their health care practitioner in person or via telehealth at least every 6 months for the first 18 months after initial prescription, then at least annually thereafter, to assess the monitor's effectiveness.
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Directs the Agency for Health Care Administration to include the rate impact in Medicaid managed medical assistance and long-term care managed care program rates effective October 1, 2023; act takes effect October 1, 2023.
Legislative Description
Medicaid Coverage of Continuous Glucose Monitors
Last Action
Laid on Table, companion bill(s) passed, see CS/HB 967 (Ch. 2023-283)
5/2/2023