The proposed 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. The program will allow qualified entities, such as community health centers and county health departments, to determine presumptive eligibility for Medicaid coverage based on preliminary information provided by pregnant women. The bill outlines the responsibilities of these qualified entities, including providing timely written notifications of eligibility determinations and assisting applicants in submitting full Medicaid benefit applications. It also sets performance standards that these entities must meet to continue participating in the program.
Additionally, the bill mandates that the Agency for Health Care Administration implement procedures for a seamless transition from temporary Medicaid coverage under the pilot program to full Medicaid enrollment, ensuring no loss of coverage. The agency is required to seek federal approval for the program by October 1, 2025, and to implement it within 30 days of receiving such approval. The outreach efforts will be conducted in collaboration with the Department of Health to promote awareness and facilitate training for qualified entities. The act is set to take effect on July 1, 2025.