The bill amends Section 409.9063 of the Florida Statutes to enhance coverage for continuous glucose monitors for Medicare and Medicaid recipients. It revises the definition of "continuous glucose monitor" to specify that it is a durable medical equipment device designed to aid in diabetes treatment by measuring glucose levels. The bill mandates that the Agency for Health Care Administration provide coverage for these monitors under both Medicare and Medicaid, detailing the conditions under which coverage is granted, including a diagnosis of diabetes and a prescription for insulin and the monitor itself.

Additionally, the bill stipulates that coverage includes necessary repairs or replacement parts for the monitors and outlines requirements for continued coverage, which includes participation in follow-up care with a healthcare practitioner. The frequency of follow-up visits is adjusted, requiring them to occur at least once every six months during the first 18 months and annually thereafter. The bill is set to take effect on July 1, 2025.

Statutes affected:
H 1465 Filed: 409.9063