Florida legislation · 2026 Regular Session
Florida S648: Medicaid Reimbursement for Private Duty Nursing Services
Status: Failed, March 13, 2026
Defining the term "pediatric continuing care integrated community" for purposes of the state Medicaid program; requiring Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in a community residential group home at a certain rate; requiring Medicaid managed care plans to negotiate rates with affiliated businesses at least annually, etc.
What the bill says
An act relating to Medicaid reimbursement for private duty nursing services; amending s. 409.962, F.S.; defining the term "pediatric continuing care integrated community" for purposes of the state Medicaid program; amending s. 409.975, F.S.; defining the terms "geographic area" and "prevailing hourly rate"; requiring Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in a community residential group home at a certain rate…
From the introduced text, November 21, 2025:
A bill to be entitled An act relating to Medicaid reimbursement for private duty nursing services; amending s. 409.962, F.S.; defining the term "pediatric continuing care integrated community" for purposes of the state Medicaid program; amending s. 409.975, F.S.; defining the terms "geographic area" and "prevailing hourly rate"; requiring Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in a community residential group home at a certain rate; prohibiting Medicaid managed care plans from reducing reimbursement for such services under certain circumstances; requiring Medicaid managed care plans to negotiate rates with affiliated businesses at least annually; requiring the Agency for Health Care Administration to seek federal approval within a specified timeframe; requiring the agency to implement the changes made by the act upon federal approval; providing effective dates. Be It Enacted by the Legislature of the State of Florida: Section 1. Effective July 1, 2026, present subsections (13) through (18) of section 409.962, Florida Statutes, are redesignated as subsections (14) through (19), respectively, and a new subsection (13) is added to that section, to read: 409.962 Definitions.--As used in this part, except as otherwise specifically provided, the term: (13) "Pediatric continuing care integrated community" means a group of affiliated and integrated businesses that, as of July 1, 2026, are licensed or certified by …