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FL H0815
Bill
Status
Failed
6/16/2025
Primary Sponsor
Health Care Facilities & Systems Subcommittee
Click for details
AI Summary
- Agency for Health Care Administration must contract for an analysis of Medicaid managed care plan referrals to affiliated organizations, examining the extent to which each plan or its subcontractors owns, has a controlling interest in, or has a profit-sharing arrangement with service providers in the Statewide Medicaid Managed Care program
- Contractor must analyze data on whether managed care plans refer or steer patients to service providers or organizations in which the plan or its subcontractors have ownership, controlling interest, or profit-sharing arrangements
- Analysis must include a cost comparison between services provided through affiliated referrals/steerage and services provided by other non-affiliated providers under contract with the managed care plan
- Provider service networks as described in s. 409.912(1), Florida Statutes, are excluded from the analysis
- Agency must submit a report on the analysis to the Governor, Senate President, and House Speaker by July 1, 2026; the act takes effect July 1, 2025
Legislative Description
Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans
Last Action
Died in Health & Human Services Committee
6/16/2025
Committee Referrals
Health And Human Services4/4/2025
Health Care Facilities & Systems Subcommittee2/26/2025
Full Bill Text
No bill text available