The bill CS/HB 905 amends the Florida Health Choices Program, renaming it the "Florida Employee Health Choices Program" and revising its legislative intent and definitions to improve access to affordable health insurance for employers and employees. It facilitates the sale and purchase of individual health insurance plans through individual coverage health reimbursement arrangements while streamlining the marketplace by removing various provisions related to health care service providers and vendor procedures. The bill establishes the Florida Employee Health Choices, Inc., a new corporation governed by an eight-member board of directors, which will oversee the program's operations and ensure it becomes self-sustaining by January 1, 2028.

Significant changes include the deletion of previous provisions regarding enrollment periods and risk pooling methods, replaced with new operational guidelines for the corporation. The bill introduces a surcharge pricing mechanism, allowing the corporation to assess an annual surcharge of up to 2.5% on premiums to fund administrative services. It also establishes new public record exemptions for personal identifying information of enrollees and proprietary business information held by the corporation, ensuring privacy while promoting program integrity. Additionally, Medicaid recipients will have the option to opt out of managed care plans if they have access to employer-sponsored health care coverage. The act is set to take effect on July 1, 2025.

Statutes affected:
H 905 Filed: 408.910, 409.821, 409.9122, 409.977
H 905 c1: 408.910, 409.821, 409.9122, 409.977