The bill amends section 409.908 of the Florida Statutes to establish a tiered payment system for adult day care services providers under the Medicaid program. It defines a "tiered payment system" as a two-tiered model that categorizes adult day care centers based on quality of care, facilities, compliance with standards, and service levels. Tier I centers will receive a minimum reimbursement rate of $90 per day, while Tier II centers, which provide specialized Alzheimer's services, will receive at least $110 per day. Additionally, the bill outlines reimbursement rates for nonemergency medical transportation services provided by adult day care centers to Medicaid recipients.

Furthermore, the bill creates section 429.924, which sets forth continuing education requirements for operators of adult day care centers. Operators must complete an annual 8-hour continuing education course covering various topics, including compliance, Alzheimer's disease, and nonemergency medical transportation. Compliance with these education requirements is necessary for the issuance, continuation, reinstatement, or renewal of an adult day care center license. The Department of Elder Affairs is authorized to grant extensions for course completion under certain circumstances, but licenses will not be renewed until the requirements are met. The act is set to take effect on July 1, 2025.