The bill establishes a new section in Florida law, 409.9206, which creates a demonstration pilot program for de-risking disease behavioral health intervention services. This program is aimed at Medicaid recipients in Region G, which includes Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie Counties. The program will provide a range of services, including behavioral health counseling, medical nutrition therapy, and health tracking for individuals diagnosed with depression and uncontrolled diabetes mellitus. Medicaid managed assistance providers will be authorized to offer these services, contingent upon state funding.
Additionally, the bill mandates that the state Medicaid plan prepare and submit a report to the Legislature after the pilot program concludes, detailing usage statistics and health outcomes. The pilot program is set to expire on August 31, 2030, with the section itself expiring on September 1, 2031. The bill emphasizes the importance of evaluating the program's effectiveness and considering various factors when determining capitation rates for managed care organizations. The act is scheduled to take effect on July 1, 2026.