The bill establishes a 10-year pilot program under a new section, 409.9026, of the Florida Statutes, aimed at expanding Medicaid presumptive eligibility for pregnant women in underserved areas. It defines key terms such as "eligible individual," "presumptive eligibility," and "qualified entity," and authorizes the Agency for Health Care Administration to approve various entities, including community health centers and nonprofit organizations, to serve as qualified presumptive eligibility locations. The bill mandates that these entities provide timely written notice of eligibility determinations and assist applicants in transitioning to full Medicaid benefits, ensuring that the presumptive eligibility period lasts for 180 days or until a final eligibility determination is made.

Additionally, the bill outlines performance standards that qualified entities must meet to continue participating in the program, including a requirement that a high percentage of individuals determined presumptively eligible apply for full Medicaid benefits. The Agency is tasked with implementing procedures for seamless transitions from temporary to full Medicaid coverage and is required to seek federal approval for the pilot program by October 1, 2025, with implementation to follow 30 days after receiving such approval. The act is set to take effect on July 1, 2025.