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FL H0713

Bill

Status

Failed

6/16/2025

Primary Sponsor

Fabian Basabe

Click for details

Origin

House of Representatives

2025 Regular Session

AI Summary

  • Creates s. 381.73531, F.S., requiring the Agency for Health Care Administration to provide treatments for the chronic disease of obesity, including intensive health behavior and lifestyle treatment, metabolic and bariatric surgery, and FDA-approved obesity medications
  • Coverage criteria for FDA-approved obesity medications may not be more restrictive than the FDA-approved indications for those treatments
  • Requires Medicaid reimbursement beginning July 1, 2025, for enrollee participation in the CDC-recognized diabetes prevention program, limited to enrollees who meet eligibility requirements and have not previously participated while enrolled in Medicaid
  • Authorizes the Department of Health to apply utilization management review procedures for medical necessity determinations, provided they are applied in the same manner as for any other covered illness or condition
  • Authorizes the Department of Health to apply for a state plan amendment if necessary to implement the section; effective date of July 1, 2025

Legislative Description

Obesity Treatment and Diabetes Prevention

Last Action

Died in Health Care Facilities & Systems Subcommittee

6/16/2025

Committee Referrals

Health Care Facilities & Systems Subcommittee2/26/2025

Full Bill Text

No bill text available