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State Medicaid Program; Authorizes AHCA to conduct retrospective reviews & audits of certain claims under state Medicaid program for specified purpose; requires agency, in coordination with DCF, to implement mandatory work & community engagement requirements for able-bodied adults as condition of obtaining & maintaining Medicaid coverage; specifies types of activities which may satisfy work & community engagement requirements; provides that certain population is required to engage in work or community engagement activities only during standard school hours; requires persons eligible for Medicaid to demonstrate compliance with work & community engagement requirements at specified times as condition of maintaining Medicaid coverage; revises components of Medicaid prescribed-drug spending-control program to include preferred physician-administered drug list, preferred product list, & high-cost drug list; provides that determinations of overpayment under Medicaid program may be based upon retrospective reviews, investigations, analyses, or audits conducted by agency to determine possible fraud, abuse, overpayment, or recipient neglect; requires agency to implement Integrated Managed Care Pilot Program in designated regions by specified date.
Introduced
Jan 13, 2026
Last Action
Jan 15, 2026
Session
FL 2026
Sponsors
1 primary · 0 co
Referred to Health Care Facilities & Systems Subcommittee
Referred to Health Care Budget Subcommittee
Referred to Health & Human Services Committee
Now in Health Care Facilities & Systems Subcommittee
1st Reading (Original Filed Version)
Filed
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Now in Health Care Facilities & Systems Subcommittee