Florida 2026 Session Status: Passed Senate Bipartisan · 3 R · 3 D cosponsors

SB 1110 — Coverage for Orthotics and Prosthetics Services

Last action — Died in Messages

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced January 05, 2026. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · high confidence

  • Passed Senate

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 R · 3 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Coverage for Orthotics and Prosthetics Services; Authorizing the Agency for Health Care Administration to authorize and pay for specified orthotics and prosthetics services for Medicaid recipients who are eligible individuals; requiring the agency to seek federal approval and amend contracts as necessary to implement the act; requiring individual health insurance policies; group, blanket, and franchise health insurance policies; and health maintenance contracts, respectively, to provide coverage for specified orthotics and prosthetics services for eligible individuals, etc.

Bill Text

What changed in the latest version

291 added · 217 removed

291 line(s) added, 217 removed.

→
Previous
Latest
Florida Senate - 2026 SB 1110 By Senator Truenow 13-00237A-26 20261110__ A bill to be entitled An act relating to coverage for orthotics and prosthetics services;
Florida Senate - 2026 CS for SB 1110 By the Committee on Banking and Insurance;
and Senators Truenow and Smith 597-02756-26 20261110c1 A bill to be entitled An act relating to coverage for orthotics and prosthetics services;
authorizing the Agency for Health Care Administration to authorize and pay for specified orthotics and prosthetics services for Medicaid recipients;
defining the term “eligible individual”;
authorizing the Agency for Health Care Administration to authorize and pay for specified orthotics and prosthetics services for Medicaid recipients who are eligible individuals;
providing construction;
defining the term “eligible individual”;
and health maintenance contracts, respectively, to provide coverage for specified orthotics and prosthetics services;
and health maintenance contracts, respectively, to provide coverage for specified orthotics and prosthetics services for eligible individuals;
authorizing health insurers and health maintenance organizations to require certain supporting documentation;
providing construction;
Subsection (10) of section 409.906, Florida Statutes, is amended to read:
Subsection (10) of section 409.906, Florida Page 1 of 10 CODING:
409.906 Optional Medicaid services.—Subject to specific appropriations, the agency may make payments for services which are optional to the state under Title XIX of the Social Security Act and are furnished by Medicaid providers to recipients who are determined to be eligible on the dates on which the services Page 1 of 7 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ were provided.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 Statutes, is amended to read:
409.906 Optional Medicaid services.—Subject to specific appropriations, the agency may make payments for services which are optional to the state under Title XIX of the Social Security Act and are furnished by Medicaid providers to recipients who are determined to be eligible on the dates on which the services were provided.
(b) The agency may authorize and pay for all of the following orthotics and prosthetics services:
(b)1.
1.
As used in this paragraph, the term “eligible individual” means a Medicaid recipient who is:
Orthoses and prostheses as those terms are defined in s.
Page 2 of 10 CODING:
468.80.
Coverage must include payment for:
a.
The model of an orthosis or a prosthesis which is deemed by the recipient’s provider to be the most appropriate to meet the medical needs of the recipient to perform activities of daily living and essential job-related activities;
and Page 2 of 7 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ b.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 a.
When medically necessary, an orthosis or a prosthesis designed for physical or recreational activities that maximize the recipient’s full body health and lower and upper limb function.
A child younger than 18 years of age;
b.
A dependent child as specified in s.
627.6562;
c.
An individual 26 years of age or younger who remains covered under a parent’s health insurance policy pursuant to s.
627.6562;
or d.
An individual with a developmental disability as defined in s.
393.063.
The agency may authorize and pay for all of the following orthotics and prosthetics services for eligible individuals:
a.
Orthoses and prostheses as those terms are defined in s.
468.80.
Coverage must include payment for:
(I) The model of an orthosis or a prosthesis which is deemed by the eligible individual’s provider to be the most appropriate to meet the medical needs of the eligible individual to perform activities of daily living and essential job-related activities;
and (II) When medically necessary, an orthosis or a prosthesis designed for physical or recreational activities that maximize the eligible individual’s full body health and lower and upper limb function.
b.
Show all 130 changed rows (90 more)
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Latest
3.
c.
4.
d.
Section 2.
3.
This paragraph may not be construed to require Medicaid coverage of orthotics and prosthetics services specified herein for a Medicaid recipient who is not an eligible individual.
Page 3 of 10 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 Section 2.
627.64085 Orthotics and prosthetics services.— (1) A health insurance policy issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage for all of the following:
627.64085 Orthotics and prosthetics services.— (1) As used in this section, the term “eligible individual” means an insured who is:
a.
A child younger than 18 years of age;
b.
A dependent child as specified in s.
627.6562;
c.
An individual 26 years of age or younger who remains covered under a parent’s health insurance policy pursuant to s.
627.6562;
or d.
An individual with a developmental disability as defined in s.
393.063.
(2) A health insurance policy issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage of all of the following for eligible individuals:
468.80 if the insured’s provider determines that an orthosis or a prosthesis is medically necessary for the insured to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the insured’s full body health and lower and upper limb function.
468.80 if the eligible individual’s provider determines that an orthosis or a prosthesis is medically necessary for the eligible individual to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the eligible individual’s full body health and lower and upper limb function.
(b) Any replacement of the orthosis or prosthesis, or part thereof, without regard to continuous use or useful lifetime Page 3 of 7 CODING:
(b) Any replacement of the orthosis or prosthesis, or part thereof, without regard to continuous use or useful lifetime Page 4 of 10 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ restrictions, if the insured’s provider determines that it is medically necessary due to any of the following:
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 restrictions, if the eligible individual’s provider determines that it is medically necessary due to any of the following:
A change in the physiological condition of the insured.
A change in the physiological condition of the eligible individual.
98 A health insurer may require supporting documentation from an insured’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
A health insurer may require supporting documentation from an eligible individual’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
(2) A health insurer may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for an insured with a disability which would otherwise be covered for a nondisabled person seeking medical or surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
(3) A health insurer may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for an eligible individual with a disability which would otherwise be covered for a nondisabled person seeking medical or surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
(3) Beginning July 1, 2027, and annually thereafter, each health insurer subject to this section shall submit a report to the office detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
(4) Beginning July 1, 2027, and annually thereafter, each health insurer subject to this section shall submit a report to the Office of Insurance Regulation detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
(5) This section may not be construed to require coverage Page 5 of 10 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 of orthotics or prosthetics services for an insured who is not an eligible individual.
627.6614 Orthotics and prosthetics services.— (1) A group, blanket, or franchise health insurance policy Page 4 of 7 CODING:
627.6614 Orthotics and prosthetics services.— (1) As used in this section, the term “eligible individual” means an insured who is:
a.
A child younger than 18 years of age;
b.
A dependent child as specified in s.
627.6562;
c.
An individual 26 years of age or younger who remains covered under a parent’s health insurance policy pursuant to s.
627.6562;
or d.
An individual with a developmental disability as defined in s.
393.063.
(2) A group, blanket, or franchise health insurance policy issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage of all of the following for eligible individuals:
(a) Orthoses and prostheses as those terms are defined in s.
468.80 if the eligible individual’s provider determines that an orthosis or a prosthesis is medically necessary for the eligible individual to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the eligible individual’s full body health and lower and upper limb function.
(b) Any replacement of the orthosis or prosthesis, or part thereof, without regard to continuous use or useful lifetime restrictions, if the eligible individual’s provider determines Page 6 of 10 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage for all of the following:
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 that it is medically necessary due to any of the following:
(a) Orthoses and prostheses as those terms are defined in s.
468.80 if the insured’s provider determines that an orthosis or a prosthesis is medically necessary for the insured to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the insured’s full body health and lower and upper limb function.
(b) Any replacement of the orthosis or prosthesis, or part thereof, without regard to continuous use or useful lifetime restrictions, if the insured’s provider determines that it is medically necessary due to any of the following:
A change in the physiological condition of the insured.
A change in the physiological condition of the eligible individual.
A health insurer may require supporting documentation from an insured’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
A health insurer may require supporting documentation from an eligible individual’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
(2) A health insurer may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for an insured with a disability which would otherwise be covered for a nondisabled person seeking medical or Page 5 of 7 CODING:
(3) A health insurer may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for an eligible individual with a disability which would otherwise be covered for a nondisabled person seeking medical or surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
(4) Beginning July 1, 2027, and annually thereafter, each health insurer subject to this section shall submit a report to the Office of Insurance Regulation detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
(5) This section may not be construed to require coverage of orthotics or prosthetics services for an insured who is not Page 7 of 10 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 an eligible individual.
(3) Beginning July 1, 2027, and annually thereafter, each health insurer subject to this section shall submit a report to the office detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
641.31079 Orthotics and prosthetics services.— (1) A health maintenance contract issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage for all of the following:
641.31079 Orthotics and prosthetics services.— (1) As used in this section, the term “eligible individual” means a subscriber who is:
a.
A child younger than 18 years of age;
b.
A dependent child as specified in s.
627.6562;
c.
An individual 26 years of age or younger who remains covered under a parent’s health insurance policy pursuant to s.
627.6562;
or d.
An individual with a developmental disability as defined in s.
393.063.
(2) A health maintenance contract issued, amended, delivered, or renewed in this state on or after July 1, 2026, must provide coverage of all of the following for eligible individuals:
468.80 if the subscriber’s provider determines that an orthosis or a prosthesis is medically necessary for the subscriber to perform activities of daily living, essential job- related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the subscriber’s full body health and lower and upper limb function.
468.80 if the eligible individual’s provider determines that an orthosis or a prosthesis is medically necessary for the eligible individual to perform activities of daily living, essential job-related activities, and physical recreational activities, such as running, biking, swimming, strength training, and other activities that maximize the eligible individual’s full body health and lower and upper limb function.
1.
Page 8 of 10 CODING:
A change in the physiological condition of the subscriber.
2.
An irreparable change in the condition of the orthosis Page 6 of 7 CODING:
Florida Senate - 2026 SB 1110 13-00237A-26 20261110__ or prosthesis, or part thereof.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 1.
A change in the physiological condition of the eligible individual.
2.
An irreparable change in the condition of the orthosis or prosthesis, or part thereof.
A health maintenance organization may require supporting documentation from a subscriber’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
A health maintenance organization may require supporting documentation from an eligible individual’s provider to confirm the need for a replacement for an orthosis or a prosthesis that is less than 3 years old.
(2) A health maintenance organization may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for a subscriber with a disability which would otherwise be covered for a nondisabled person seeking medical or surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
(3) A health maintenance organization may not deny a claim for an orthosis or a prosthesis as a medically necessary intervention to restore physical function for an eligible individual with a disability which would otherwise be covered for a nondisabled person seeking medical or surgical intervention to restore or maintain the ability to perform the same type of physical function affected.
(3) Beginning July 1, 2027, and annually thereafter, each health maintenance organization subject to this section shall submit a report to the office detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
(4) Beginning July 1, 2027, and annually thereafter, each health maintenance organization subject to this section shall submit a report to the Office of Insurance Regulation detailing the total number of claims submitted for orthotics and prosthetics services in the previous plan year and the total number of such claims that were paid, including the amount paid.
Section 6.
(5) This section may not be construed to require coverage of orthotics or prosthetics services for a subscriber who is not an eligible individual.
Page 9 of 10 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1110 597-02756-26 20261110c1 Section 6.
Page 7 of 7 CODING:
Page 10 of 10 CODING:
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Action History

  1. Died in Messages

  2. In Messages

  3. CS passed; YEAS 33 NAYS 0 -SJ 655

  4. Read 3rd time -SJ 655

  5. Read 2nd time -SJ 655

  6. Placed on Special Order Calendar, 03/06/26

  7. Placed on Calendar, on 2nd reading

  8. Favorable by- Appropriations; YEAS 17 NAYS 0

  9. On Committee agenda-- Appropriations, 03/02/26, 12:00 pm, 110 Senate Building

  10. Now in Appropriations

  11. Favorable by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0

  12. On Committee agenda-- Appropriations Committee on Health and Human Services, 02/25/26, 10:00 am, 412 Knott Building

  13. CS by Banking and Insurance read 1st time

  14. Now in Appropriations Committee on Health and Human Services

  15. Pending reference review under Rule 4.7(2) - (Committee Substitute)

  16. CS by Banking and Insurance; YEAS 9 NAYS 0

  17. On Committee agenda-- Banking and Insurance, 02/11/26, 9:00 am, 412 Knott Building

  18. Introduced

  19. Referred to Banking and Insurance; Appropriations Committee on Health and Human Services; Appropriations

  20. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 5 co-sponsors · 158 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (158)

158 members have not signed on to this bill.

Show all 158 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 33 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Democrat 7003
Republican 24003
Unaffiliated 1000
No Party Affiliation 1000
Total 33006
% of votes cast 85%0%0%15%
How each member voted (39)
Member Party Vote
Smith — Yea
Arrington, Kristen Aston Democrat Yea
Berman, Lori Democrat Yea
Bernard, Mack Democrat Yea
Davis, Tracie Democrat Yea
Davis, Tracie Democrat Not Voting
Jones, Shevrin D. "Shev" Democrat Yea
Osgood, Rosalind Democrat Yea
Polsky, Tina Scott Democrat Not Voting
Rouson, Darryl Ervin Democrat Yea
Sharief, Barbara Democrat Not Voting
Pizzo, Jason W. B. No Party Affiliation Yea
Albritton, Ben Republican Yea
Boyd, Jim Republican Yea
Bradley, Jennifer Republican Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
DiCeglie, Nick Republican Yea
Gaetz, Don Republican Yea
Garcia, Ileana Republican Not Voting
Grall, Erin Republican Yea
Gruters, Joe Republican Yea
Harrell, Gayle Republican Yea
Hooper, Ed Republican Yea
Leek, Thomas J. "Tom" Republican Yea
Martin, Jonathan Republican Not Voting
Massullo, Ralph E., Jr. Republican Yea
Mayfield, Debbie Republican Yea
McClain, Stan Republican Yea
Passidomo, Kathleen Republican Yea
Rodriguez, Ana Maria Republican Yea
Simon, Corey Republican Yea
Truenow, Keith L. Republican Yea
Trumbull, Jay Republican Yea
Vacant Republican Not Voting
Wright, Tom A. Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Favorable

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 6000
Democrat 2001
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Davis, Tracie Democrat Yea
Rouson, Darryl Ervin Democrat Yea
Sharief, Barbara Democrat Not Voting
Brodeur, Jason Republican Yea
Burton, Colleen Republican Yea
Garcia, Ileana Republican Yea
Harrell, Gayle Republican Yea
Rodriguez, Ana Maria Republican Yea
Trumbull, Jay Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 1110 do?
Coverage for Orthotics and Prosthetics Services; Authorizing the Agency for Health Care Administration to authorize and pay for specified orthotics and prosthetics services for Medicaid recipients who are eligible individuals; requiring the agency to seek federal approval and amend contracts as necessary to implement the act; requiring individual health insurance policies; group, blanket, and franchise health insurance policies; and health maintenance contracts, respectively, to provide coverage for specified orthotics and prosthetics services for eligible individuals, etc.
Who sponsors SB 1110?
SB 1110 is sponsored by Smith, Carlos Guillermo (Democrat), Truenow, Keith L. (Republican), Sharief, Barbara (Democrat), Garcia, Ileana (Republican), Davis, Tracie (Democrat), and Massullo, Ralph E., Jr. (Republican).
What is the current status of SB 1110?
This bill has passed the Senate. Introduced January 05, 2026. It now moves to the second chamber.
Where can I track SB 1110?
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