The bill CS/CS/HB 1085 proposes a significant restructuring of the Children's Medical Services (CMS) Managed Care Plan by transferring its operation from the Department of Health to the Agency for Health Care Administration, effective July 1, 2025. This transition encompasses the transfer of all related statutory powers, duties, functions, records, personnel, existing contracts, and funds. The bill emphasizes collaboration between the CMS program and the Agency to ensure high-quality, coordinated health services for children and youth with special health care needs. It also mandates the establishment of evaluation measures for these services, with results to be reported to the Governor and Legislature by January 15, 2028. Additionally, certain sections of Florida Statutes related to the CMS program will be repealed to streamline operations.

Furthermore, the bill expands eligibility for the CMS Managed Care Plan to include children and youth from birth to 21 years who require specialized services but do not qualify for Medicaid or Title XXI, with families contributing to care costs based on a sliding fee scale. It introduces new provisions to enhance the Medicaid Model Waiver for home and community-based services, removing references to the Children's Medical Services Network and requiring the Agency to develop a comprehensive plan for children receiving private duty nursing services. The Agency is also tasked with collaborating with stakeholders to create this plan and submit a detailed report by September 30, 2025, outlining its purpose, benefits, eligibility criteria, and fiscal impacts. Overall, the bill aims to improve the delivery of medical services for children with special health care needs while ensuring they receive appropriate care in home or community settings.

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