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, particularly 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 outlines the responsibilities of these entities, including providing timely written notices of eligibility determinations and assisting applicants in applying for full Medicaid benefits.

Additionally, the bill mandates that the agency implement procedures for a seamless transition from temporary Medicaid coverage to full Medicaid enrollment, ensuring no loss of coverage. It requires the agency to seek federal approval for the pilot program by October 1, 2025, and to implement the program within 30 days of receiving such approval. The effective date for the act is set for July 1, 2025.