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FL S1760

Bill

Status

Introduced

1/13/2026

Primary Sponsor

Appropriations

Click for details

Origin

Senate

2026 Regular Session

AI Summary

  • Establishes the Joint Legislative Committee on Medicaid Oversight, composed of 10 members (5 from each chamber), to evaluate Medicaid program financing, quality of care, health outcomes, and administrative functions

  • Requires managed care plans to report affiliations and related party relationships to the Agency for Health Care Administration and Office of Insurance Regulation, with the agency publicly assessing affiliated entity payment transactions annually

  • Mandates the agency calculate medical loss ratios for all managed care plans quarterly and annually, reporting results to the Governor and Legislature within 90 days of each period's end

  • Strengthens encounter data reporting requirements to include denied claims and capitated payments, with analysis used to identify overspending, excess payments, and potential fraud in setting capitation rates

  • Revises pharmacy benefit manager regulations, including expanded reporting requirements and additional prohibited practices, with changes taking effect on specified dates

Legislative Description

Health Care Coverage

Last Action

Laid on Table, refer to CS/HB 697

3/10/2026

Committee Referrals

Appropriations2/12/2026

Full Bill Text

No bill text available