FL H1603

Creates the "Healthy Florida Act" establishing a state-run single-payer Florida Health Plan covering all residents regardless of immigration status, with comprehensive benefits including dental, vision, hearing, mental health, reproductive care (including abortion), gender-affirming care, prescription drugs, and long-term care — with no deductibles, copayments, or cost-sharing at the point of service.

Establishes the Florida Health Board by December 1, 2025, consisting of at least 15 members including regional representatives, labor organization representatives, and health care providers, to administer the plan, negotiate provider payment rates, set institutional provider budgets, and approve capital expenditures exceeding $500,000.

Requires the board to seek federal waivers under Section 1332 of the Affordable Care Act and prohibits the sale of private health insurance policies, health maintenance contracts, and similar coverage in Florida once the plan becomes operational (required within 2 years of July 1, 2025).

Creates supporting infrastructure including regional health planning boards (minimum of 8, established by October 1, 2025), an Office of Health Quality and Planning, an Ombudsman Office for Patient Advocacy with a binding grievance system, a plan auditor within the Auditor General's office, and a Conflict-of-Interest Committee.

Takes effect July 1, 2025, contingent on passage of HB 1605 (companion financing legislation), and requires the Department of Commerce to report by July 1, 2026, on appropriations and legislation needed to assist workers and communities displaced by the transition.