FL H1453

Implements mandatory work and community engagement requirements (80 hours/month) for able-bodied adults ages 18-64 as a condition of Medicaid coverage, with exemptions for caregivers of young children, pregnant women, veterans with total disability, foster youth under 23, and individuals in substance abuse treatment

Creates new Medicaid drug cost controls including a preferred physician-administered drug list, preferred product list, and high-cost drug list, with prior authorization required for non-preferred drugs; establishes alternative reimbursement for long-acting mental illness injectables in hospital settings

Requires a fiscal impact study of the federal 340B Drug Pricing Program by June 30, 2027, with mandatory data submission from managed care plans, pharmacy benefit managers, and providers

Establishes an Integrated Managed Care Pilot Program in Regions A and B by July 1, 2027 combining medical and dental benefits under single managed care plans, with 85% minimum dental medical loss ratio requirement

Strengthens oversight of managed care plan affiliated entities by requiring annual reporting of affiliations and business transactions, with agency assessment of affiliated entity payments compared to market rates for use in rate-setting