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FL S1760
Bill
Status
1/13/2026
Primary Sponsor
Appropriations
Click for details
AI Summary
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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
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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
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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
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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
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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