FL H1003

Creates a 10-year pilot program (s. 409.9026, F.S.) to expand Medicaid presumptive eligibility locations and temporary coverage for pregnant women in underserved areas of Florida, with an effective date of July 1, 2025

Authorizes the Agency for Health Care Administration (AHCA) to approve community health centers, county health departments, birth centers, nonprofit organizations, and other Medicaid provider facilities as qualified presumptive eligibility locations, prioritizing entities in underserved areas

Sets the presumptive eligibility period at up to 180 days from determination or until a full Medicaid benefits application is acted upon, whichever occurs earlier, and requires qualified entities to provide written notice of determinations within 10 days

Requires qualified entities to meet annual performance standards including that 90% of presumptively eligible individuals submit full Medicaid applications before the eligibility period ends, applications are submitted on average within 10 days, and 90% of applicants are ultimately deemed eligible for full Medicaid benefits

Requires AHCA to seek federal approval through a Medicaid waiver or state plan amendment by October 1, 2025, and implement the program 30 days after receiving approval, including updating technology platforms to enable seamless transition from temporary to full Medicaid coverage