The bill amends section 409.967 of the Florida Statutes to enhance the accountability of Medicaid managed care plans. It introduces new requirements that prohibit these plans from reviewing prior authorization claims for medical necessity once approval has been granted. Specifically, if a Medicaid managed care plan has given prior authorization for equipment, supplies, or services, any subsequent review—whether prepayment or postpayment—cannot include a medical necessity assessment for those items.

Additionally, the bill mandates that managed care plans provide coverage for durable medical equipment and complex rehabilitation technology from any qualified provider within the network chosen by the enrollee. The Agency for Health Care Administration is tasked with adopting rules to implement these provisions, which include allowing enrollees to select their providers and establishing a grievance resolution process for complaints regarding provider choice. The act is set to take effect on July 1, 2026.