The bill CS/CS/HB 1085 proposes a significant restructuring of the Children's Medical Services (CMS) Managed Care Plan, transferring its operation from the Department of Health to the Agency for Health Care Administration, effective July 1, 2025. This transition includes the transfer of all related statutory powers, duties, functions, records, personnel, and existing contracts. The bill emphasizes collaboration between the CMS program and the Agency to ensure high-quality care for children and youth with special health care needs, including conducting clinical eligibility screenings and ongoing consultations. It also mandates the establishment of evaluation measures and the contracting of an independent evaluator to assess service performance and outcomes.

In addition to the operational transfer, the bill amends various sections of Florida Statutes to reflect these changes, including the expansion of eligibility for services to children and youth from birth to 21 years who do not qualify for Medicaid or Title XXI. Families will be required to contribute financially based on a sliding fee scale. The bill introduces new benefits under the CMS Managed Care Plan, such as early intervention services and genetic counseling, while repealing existing provisions related to the CMS network. It also redefines terms in Florida Medicaid law, particularly removing references to the CMS Network from definitions of managed care plans, and mandates the Agency to develop a comprehensive plan for redesigning the Medicaid Model Waiver to better serve children receiving private duty nursing services.

Statutes affected:
H 1085 Filed: 409.974, 391.016, 391.025, 391.026, 391.0315, 391.097, 409.166, 409.811, 409.813, 409.8134, 409.815, 409.8177, 409.818, 409.912, 409.9126, 409.9131, 409.920, 409.962, 409.968, 409.972
H 1085 c1: 409.906, 409.974, 391.016, 391.025, 391.026, 391.0315, 391.097, 409.166, 409.811, 409.813, 409.8134, 409.815, 409.8177, 409.818, 409.912, 409.9126, 409.9131, 409.920, 409.962, 409.968, 409.972
H 1085 c2: 409.974, 391.025, 391.026, 391.0315, 391.097, 409.166, 409.811, 409.813, 409.8134, 409.815, 409.8177, 409.818, 409.912, 409.9126, 409.9131, 409.920, 409.962