FL H1291

Requires the Florida Birth-Related Neurological Injury Compensation Association to maintain comprehensive major medical health coverage for plan participants, with family members required to obtain private insurance or apply for Medicaid within specified timeframes after a compensation order is entered.

Mandates the plan reimburse Medicaid for fee-for-service claims and capitation payments for participants enrolled in the state Medicaid program, with funds credited to the Agency for Health Care Administration's Medical Care Trust Fund.

Establishes "actuarially sound" as plan assets equaling at least 90% of estimated liabilities, requires quarterly actuarial soundness calculations, and authorizes up to $20 million transfer from the Insurance Regulatory Trust Fund if the plan lacks adequate cash flow.

Expands compensable expenses to include dental services, supplies, legal costs for guardianship, and psychotherapeutic services up to $10,000 annually for family members during a participant's lifetime and up to $20,000 after death.

Revises the 7-member board of directors to include a family member of a participant and a representative from a children's disability advocacy organization, and prohibits the board from creating new benefits if operating expenses exceed assessment revenue plus investment income.