FL S0968

Establishes a 10-year pilot program to expand Medicaid presumptive eligibility locations and temporary coverage for pregnant women in underserved areas of Florida, effective 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, with priority given to entities in underserved areas

Temporary Medicaid coverage begins on the date a qualified entity determines a pregnant woman presumptively eligible and ends after 180 days or when the individual is deemed eligible for full Medicaid benefits, whichever comes first

Qualified entities must meet annual performance standards, including that 90% of presumptively eligible individuals submit full Medicaid applications before the eligibility period ends, and 90% of those applicants are ultimately deemed eligible for full benefits

AHCA must seek federal approval through a Medicaid waiver or state plan amendment by October 1, 2025, and implement the program within 30 days of receiving that approval