The bill, HB 141, amends the Florida Health Choices Program, renaming it the "Florida Employee Health Choices Program" and introducing several enhancements to improve its functionality and accessibility for both employers and employees. Key modifications include the establishment of individual coverage health reimbursement arrangements, which enable employers to contribute directly to employees' health care costs, allowing them to choose their own health plans. The bill also revises definitions, purposes, and components of the program, updates eligibility and participation requirements for vendors, and deletes certain pricing transparency requirements and the option for risk pooling, thereby streamlining the insurance marketplace process.
Additionally, the bill creates a new corporation, "Florida Employee Health Choices, Inc.," to administer the program, governed by an eight-member board of directors. This corporation will develop policies for program operation, including enrollment and consumer education, and will be responsible for submitting annual reports starting in the 2027-2028 fiscal year. Notably, the bill introduces a surcharge pricing mechanism to fund administrative services and payments to buyers' representatives, while also ensuring confidentiality for personal identifying information of enrollees and proprietary business information of vendors. Furthermore, it allows Medicaid recipients with access to employer-sponsored health care to opt out of managed care plans, enhancing the options available to participants in the program.
Statutes affected: H 141 Filed: 408.910, 409.821, 409.9122, 409.977