This bill amends Florida Statutes to enhance Medicaid reimbursement for private duty nursing services, particularly in pediatric continuing care integrated communities. It introduces a new definition for "pediatric continuing care integrated community," which encompasses a group of affiliated businesses that provide coordinated care for Medicaid-eligible individuals under 21 who are medically fragile. The bill also defines "geographic area" and "prevailing hourly rate," establishing that Medicaid managed care plans must reimburse licensed home health agencies for private duty nursing services in community residential group homes at 100% of the prevailing hourly rate, regardless of the number of Medicaid recipients sharing a dwelling.

Additionally, the bill prohibits Medicaid managed care plans from reducing reimbursement based on the number of eligible individuals receiving services in the same space or on the same day. It mandates that managed care plans negotiate rates with affiliated businesses at least annually and requires the Agency for Health Care Administration to seek federal approval for these changes within 30 days of the bill's effective date. The act is set to take effect upon becoming law, with specific provisions coming into effect on July 1, 2026.