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FL H0935
Bill
Status
Failed
6/16/2025
Primary Sponsor
Kimberly Berfield
Click for details
AI Summary
- Creates the Joint Legislative Committee on Medicaid Oversight within the Office of the Auditor General (s. 11.405, F.S.), composed of 3 Senate members and 3 House members serving 2-year terms, required to meet at least twice per year
- Charges the committee with evaluating all aspects of the state Medicaid program—including financing, quality of care, health outcomes, and administrative and operational functions—and recommending policies to limit spending growth while improving recipient outcomes
- Requires the committee to review Medicaid managed care plan data on provider credentialing, claims payments and denials, prior authorizations, consumer complaints, encounter data, financials, audits, medical loss ratios, and HEDIS quality measures
- Requires the Auditor General and the Agency for Health Care Administration to enter into a data sharing agreement by July 1, 2025, and directs the Auditor General to provide professional staff support, including an independent actuary not affiliated with any current Medicaid managed care contract
- Requires AHCA to notify the committee and present a detailed report before implementing any changes to Medicaid managed care capitation rates, including historical and projected expenditure trends and policy decisions underlying rate-setting
Legislative Description
Medicaid Oversight
Last Action
Died in Health Care Facilities & Systems Subcommittee
6/16/2025
Committee Referrals
Health Care Facilities & Systems Subcommittee3/2/2025
Full Bill Text
No bill text available