SB 1012 — Inmate Services

6.5.

A health maintenance organization certificated under part I of chapter 641.

7.6.

An ambulatory surgical center licensed under chapter 395.

8.7.

A professional association, partnership, corporation, joint venture, or other association established by the individuals set forth in subparagraphs 2., 3., and 4.

for professional activity.

9.8.

An other medical facility.

a.

As used in this subparagraph, the term “other medical facility” means:

(I) A facility the primary purpose of which is to provide human medical diagnostic services, or a facility providing Page 3 of 7 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2026 CS for SB 1012 604-02835-26 20261012c1 nonsurgical human medical treatment which discharges patients on the same working day that the patients are admitted;

and (II) A facility that is not part of a hospital.

b.

The term does not include a facility existing for the primary purpose of performing terminations of pregnancy, or an office maintained by a physician or dentist for the practice of medicine.

(b) “Emergency medical condition” has the same meaning as in s.

395.002(8).

(c) “Emergency medical services and care” means medical screening, examination, and evaluation by a physician, or, to the extent permitted by applicable law, by other appropriate personnel under the supervision of a physician, to determine whether an emergency medical condition exists and, if so, the care, treatment, or surgery by a physician necessary to relieve or eliminate the emergency medical condition, within the service capability of the facility.

(d) “Emergency medical transportation services” includes, but is not limited to, services rendered by ambulances, emergency medical services vehicles, and air ambulances as those terms are defined in s.

401.23.

(e) “Hospital” means any facility licensed under chapter 395.

(f) “Inmate medical services” includes, but is not limited to, all services rendered by a community health care provider to an inmate, except emergency medical services and care provided by a hospital.

(g) “Medicaid allowable rate” means the amount that the Agency for Health Care Administration would reimburse a Medicaid Page 4 of 7 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2026 CS for SB 1012 604-02835-26 20261012c1 provider, as defined in s.

409.901, for Medicaid-covered services delivered through the fee-for-service program.

(h) “Medicare allowable rate” means the amount set by the Centers for Medicare and Medicaid Services which Medicare will pay for a specific covered service.

(i) “Secure unit” means a designated space, approved by the department, where the department can safely and efficiently manage and secure inmates receiving medical services from a community health care provider.

(3)(2) Compensation to a community health care provider for the provision of to provide inmate medical services may not exceed 110 percent of the relevant Medicare allowable rate if the health care provider does not have a contract to provide services with the department or the contractor-operated correctional facility, as defined in s.

944.710, which houses the inmate.

However, a community health care provider is exempt from this section and may negotiate compensation above 110 percent of the relevant Medicare allowable rate if the community health care provider enters into an agreement with the department, a comprehensive health care services vendor, or a contractor-operated correctional facility, as defined in s.

944.710, to provide health care services to inmates in a secure unit within the community health care provider’s medical facility, within a correctional institution or facility, or by telehealth in accordance with s.

456.47 if such inmates are within the correctional institution or facility when they receive medical services compensation to a health care provider may not exceed 125 percent of the Medicare allowable rate if:

(a) The health care provider does not have a contract to Page 5 of 7 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2026 CS for SB 1012 604-02835-26 20261012c1 provide services with the department or the contractor-operated correctional facility, as defined in s.

944.710, which houses the inmate;

and (b) The health care provider reported a negative operating margin for the previous year to the Agency for Health Care Administration through hospital-audited financial data.

(4) Compensation to a hospital for the provision of emergency medical services and care provided to inmates may not exceed 110 percent of the Medicare allowable rate.

(5)(3) Compensation to an entity to provide emergency medical transportation services for inmates may not exceed 110 percent of the Medicaid Medicare allowable rate if the entity does not have a contract with the department or a contractor- operated correctional facility, as defined in s.

944.710, to provide the services.

(6)(4) This section does not apply to charges for medical services provided at a hospital operated by the department.

Section 3.

Moneys shall be depositedPage in6 theof trust7 fundCODING: and expenditures made from the trust fund as provided in s.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2026 CS for SB 1012 604-02835-26 20261012c1 deposited in the trust fund and expenditures made from the trust fund as provided in s.

Section 3.4.

ThisExcept as otherwise expressly provided in this act, this act shall take effect July 1, 2026.

Page 27 of 27 CODING: