Florida 2025 Regular Session Status: In Committee 1 R cosponsors

SB 1050 — Services for Individuals with Developmental Disabilities

Last action — Laid on Table, companion bill(s) passed, see CS/CS/HB 1103 (Ch. 2025-130)

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

This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Services for Individuals with Developmental Disabilities; Requiring the Agency for Persons with Disabilities to provide a list of all qualified organizations located within the region in which the client resides and to post its quarterly reconciliation reports on its website within a specified timeframe; requiring that online applications include an application for crisis enrollment; establishing the Statewide Family Care Council; requiring local family care councils to report to the statewide council policy changes and program recommendations in an annual report, etc.

Bill Text

What changed in the latest version

824 added · 775 removed

824 line(s) added, 775 removed.

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Florida Senate - 2025 CS for CS for SB 1050 By the Committees on Appropriations;
Florida Senate - 2025 CS for SB 1050 By the Committee on Children, Families, and Elder Affairs;
and Children, Families, and Elder Affairs;
and Senator Bradley 586-03168-25 20251050c1 A bill to be entitled An act relating to services for individuals with developmental disabilities;
and Senator Bradley 576-03824-25 20251050c2 A bill to be entitled An act relating to services for individuals with developmental disabilities;
requiring the Agency for Persons with Disabilities to provide a list of all qualified organizations located within the region in which the client resides and to post its quarterly reconciliation reports on its website within a specified timeframe;
requiring the Agency for Persons with Disabilities to post its quarterly reconciliation reports on its website within a specified timeframe;
requiring that online applications include an application for crisis enrollment;
providing a requirement for the online application system to allow an applicant to apply for crisis enrollment;
removing a requirement for the agency to remove certain individuals from the preenrollment categories under certain circumstances;
reordering and amending s.
creating s.
393.0664, F.S.;
requiring the agency to implement a specified Medicaid waiver program to address the needs of certain clients;
providing the purpose of the program;
authorizing the agency, in partnership with the Agency for Health Care Administration, to seek federal approval through a state plan amendment or Medicaid waiver to implement the program by a specified date;
providing voluntary enrollment, eligibility, and disenrollment requirements;
requiring the agency to approve a needs assessment methodology;
providing that only persons trained by the agency may administer the methodology;
requiring the agency to offer such training;
requiring the agency to authorize certain covered services specified in the Medicaid waiver;
providing Page 1 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 requirements for such services;
requiring the agency to begin enrollment in the program upon federal approval;
providing construction;
requiring the agency, in consultation with the Agency for Health Care Administration, to submit progress reports to the Governor and the Legislature upon federal approval and throughout implementation of the program;
requiring the agency to submit, by a specified date, a progress report on the administration of the program;
specifying requirements for the report;
amending s.
providing for appointment of local council members;
providing for the creation of family-led nominating committees;
providing for appointment of council members;
providing for the creation of family-led nominating committees;
409.972, F.S.;
requiring certain Medicaid-eligible persons to take certain actions before enrollment;
prohibiting the agency from automatically enrolling such persons;
amending s.
revising implementation and eligibility requirements of the pilot program for Page 1 of 25 CODING:
revising implementation and eligibility requirements of the pilot program for individuals with developmental disabilities;
requiring the Agency for Persons with Disabilities to transmit to the Agency for Health Care Administration weekly data files of specified clients;
requiring the Agency for Health Care Administration to provide a call center for specified purposes and to coordinate with the Department of Children and Families and the Agency for Persons with Disabilities to disseminate Page 2 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 individuals with developmental disabilities;
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 information about the pilot program;
providing for a method of voluntarily choosing to enroll in the pilot program;
requiring the agency to transmit to the Agency for Health Care Administration weekly data files of specified clients;
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requiring the Agency for Health Care Administration to provide a call center for specified purposes and to coordinate with the Department of Children and Families and the Agency for Persons with Disabilities to disseminate information about the pilot program;
deleting coordination requirements for the agency when submitting certain reports, establishing specified measures, and conducting quality assurance monitoring of the pilot program;
removing coordination requirements for the agency when submitting certain reports, establishing specified measures, and conducting quality assurance monitoring of the pilot program;
revising the dates by which the Agency for Persons with Disabilities shall submit progress reports to the Governor and Legislature;
revising dates for submitting certain status reports;
requiring the Agency for Persons with Disabilities to contract for a specified study and provide to the Governor and the Legislature a specified report by specified date;
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Be It Enacted by the Legislature of the State of Florida:
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 Be It Enacted by the Legislature of the State of Florida:
Subsections (5) and (14) of section 393.0662, Florida Statutes, are amended to read:
Subsection (14) of section 393.0662, Florida Statutes, is amended to read:
The Legislature further finds that clients and their families should have greater flexibility to choose the services that best allow them to live in their community within the limits of an established budget.
The Legislature further finds that clients and their families should have greater flexibility to choose the services that best allow them to live in their Page 3 of 26 CODING:
Therefore, the Legislature intends that the agency, in consultation with the Agency for Health Care Administration, shall manage the service delivery system using individual budgets as the basis for allocating the funds appropriated for the home and community-based services Medicaid waiver program among eligible enrolled clients.
The service delivery system that uses individual budgets shall be called the iBudget system.
(5) The agency shall ensure that clients and caregivers have access to training and education that inform them about the iBudget system and enhance their ability for self-direction.
Such training and education must be offered in a variety of formats and, at a minimum, must address the policies and processes of the iBudget system and the roles and responsibilities of consumers, caregivers, waiver support coordinators, providers, and the agency, and must provide Page 3 of 25 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 information to help the client make decisions regarding the iBudget system and examples of support and resources available in the community.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 community within the limits of an established budget.
The agency shall, within 5 days after enrollment, provide the client with a comprehensive and current written list of all qualified organizations located within the region in which the client resides.
Therefore, the Legislature intends that the agency, in consultation with the Agency for Health Care Administration, shall manage the service delivery system using individual budgets as the basis for allocating the funds appropriated for the home and community-based services Medicaid waiver program among eligible enrolled clients.
The service delivery system that uses individual budgets shall be called the iBudget system.
Present subsection (12) of section 393.065, Florida Statutes, is redesignated as subsection (13), a new subsection (12) is added to that section, and paragraph (a) of subsection (1), paragraph (b) of subsection (5), and subsection (10) of that section are amended, to read:
Present subsection (12) of section 393.065, Florida Statutes, is redesignated as subsection (13), paragraph (a) of subsection (1), paragraph (b) of subsection (5), and subsection (10) of that section are amended, and a new subsection (12) is added to that section, to read:
393.065 Application and eligibility determination.— (1)(a) The agency shall develop and implement an online application process that, at a minimum, supports paperless, Page 4 of 25 CODING:
393.065 Application and eligibility determination.— Page 4 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 electronic application submissions with immediate e-mail confirmation to each applicant to acknowledge receipt of application upon submission.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 (1)(a) The agency shall develop and implement an online application process that, at a minimum, supports paperless, electronic application submissions with immediate e-mail confirmation to each applicant to acknowledge receipt of application upon submission.
39.6251(5)(c) to remain in the extended foster care system.
39.6251(5)(c) to remain in the Page 5 of 26 CODING:
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 For individuals who are at least 18 years but not yet 22 years of age and who are eligible under sub-subparagraph 1.b., the agency must provide waiver services, including residential habilitation, and must actively participate in transition planning activities, including, but not limited to, individualized service coordination, case management support, and ensuring continuity of care pursuant to s.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 extended foster care system.
For individuals who are at least 18 years but not yet 22 years of age and who are eligible under sub-subparagraph 1.b., the agency must provide waiver services, including residential habilitation, and must actively participate in transition planning activities, including, but not limited to, individualized service coordination, case management support, and ensuring continuity of care pursuant to s.
(12) To ensure transparency and timely access to information, the agency shall post on its website in a Page 6 of 25 CODING:
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 conspicuous location the total number of individuals in each priority category by county of residence.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 (12) To ensure transparency and timely access to information, the agency shall post on its website in a conspicuous location the total number of individuals in each priority category.
Section 393.502, Florida Statutes, is reordered and amended to read:
Section 393.0664, Florida Statutes, is created to read:
393.0664 Adult Pathways Home and Community-based Services Medicaid waiver program.— (1) PROGRAM IMPLEMENTATION.— (a) The agency shall implement the Adult Pathways Home and Community-based Services Medicaid waiver program using a fee- for-service model with an annual per-person funding cap to address the needs of clients with developmental disabilities as they transition into adulthood and achieve greater independence throughout their lifetimes.
(b) The program is created to establish an additional pathway to provide necessary supports and services to clients and contain costs by maximizing the use of natural supports and community partnerships before turning to state resources to meet the needs of clients at the earliest possible time to prevent care crises and to positively influence outcomes relating to client health, safety, and well-being.
(c) The agency, in partnership with the Agency for Health Care Administration, may seek federal approval through a state plan amendment or Medicaid waiver as necessary to implement the program.
The Agency for Health Care Administration shall submit a request for any federal approval needed to implement the Page 7 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 program by October 1, 2025.
(2) VOLUNTARY ENROLLMENT;
ELIGIBILITY;
DISENROLLMENT.— (a) Participation in the program is voluntary and limited to the maximum number of enrollees authorized in the General Appropriations Act.
(b) The agency shall approve a needs assessment methodology to determine functional, behavioral, and physical needs of prospective enrollees.
The assessment methodology may be administered only by persons who have completed any training required by the agency for such purpose.
If required, the agency must offer any such training.
(c) To participate in the program, a client must meet all of the following criteria:
1.
Be eligible for Medicaid.
2.
Be eligible for a preenrollment category for Medicaid waiver services as provided in s.
393.065(5).
3.
Be 18 to 28 years of age at the time of enrollment and have attained a high school diploma or the equivalent.
4.
Meet the level of care required for home and community- based services as identified in the federal approval for the program.
(d) Enrollees may remain on the Adult Pathways waiver until the age of 32.
(e) Participation in the program does not affect the status of current clients of the home and community-based services Medicaid waiver program under s.
393.0662 unless a client, or his or her legal representative, voluntarily disenrolls from that program.
(f) Enrollees who voluntarily disenroll from the program Page 8 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 must be allowed to return to the most appropriate preenrollment category for services under s.
393.065 based on a current needs assessment and the preenrollment category criteria.
(3) ADULT PATHWAYS WAIVER SERVICES.— (a) The agency shall authorize covered services as specified in the Medicaid waiver which are medically necessary, including, but not limited to, any of the following:
1.
Adult day training.
2.
Companion services.
3.
Employment services.
4.
Personal supports.
5.
Prevocational services.
6.
Supported living coaching.
7.
Transportation.
8.
Care Coordination.
(b) Services must be provided to enrollees in accordance with an individualized care plan, which must be evaluated and updated at least annually and as often as warranted by changes in the enrollee’s circumstances.
(4) PROGRAM ADMINISTRATION AND EVALUATION.— (a) The agency shall begin enrollment upon federal approval of the Medicaid waiver, with coverage for enrollees becoming effective upon authorization and availability of sufficient state and federal funding and resources.
(b) This section and any rules adopted pursuant thereto may not be construed to prevent or limit the agency, in consultation with the Agency for Health Care Administration, from adjusting fees, reimbursement rates, lengths of stay, number of visits, or number of services;
limiting enrollment;
or making any other Page 9 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 adjustment necessary based upon funding and any limitations imposed or directions provided in the General Appropriations Act.
(c) The agency, in consultation with the Agency for Health Care Administration, shall submit progress reports to the Governor, the President of the Senate, and the Speaker of the House of Representatives upon federal approval of the Medicaid waiver and throughout implementation of the program under the waiver.
By July 1, 2026, the Agency for Persons with Disabilities shall submit a progress report on the administration of the program, including, but not limited to, all of the following:
1.
The number of enrollees in the program and other pertinent information on enrollment.
2.
Service use.
3.
Average cost per enrollee.
4.
Outcomes and performance reporting relating to health, safety, and well-being of enrollees.
Section 4.
Section 393.502, Florida Statutes, is amended to read:
(a) The Statewide Family Care Council is established to connect local family care councils and facilitate direct communication between local councils and the agency, with the goal of enhancing the quality of and access to resources and supports for individuals with developmental disabilities and their families.
(a) The Statewide Family Care Council is established to connect local family care councils and facilitate direct communication between local councils and the agency, with the goal of enhancing the quality of and access to resources and supports for individuals with developmental disabilities and Page 10 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 their families.
Submit an annual report no later than December 1 of each year to the Governor, the President of the Senate, the Speaker Page 7 of 25 CODING:
Submit an annual report no later than December 1 of each year to the Governor, the President of the Senate, the Speaker of the House of Representatives, and the agency.
Words stricken are deletions;
The report shall include a summary of local council findings, policy recommendations, and an assessment of the agency’s actions in response to previous recommendations of the local councils.
words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 of the House of Representatives, and the agency.
The report must include a summary of local council findings, policy recommendations, and an assessment of the agency’s actions in response to previous recommendations of the local councils.
(2) STATEWIDE FAMILY CARE COUNCIL MEMBERSHIP.— (a) The statewide council shall be composed of the following members appointed by the Governor:
(2) STATEWIDE FAMILY CARE COUNCIL MEMBERSHIP.— (a) The statewide council shall consist of the following members appointed by the Governor:
One representative from each of the local family care councils, who must be a resident of the area served by that local council.
One representative from each of the local family care councils, who must be a resident of the area served by that Page 11 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 local council.
One representative of an advocacy organization representing individuals with disabilities.
One individual representing an advocacy organization representing individuals with disabilities.
VACANCIES.— Page 8 of 25 CODING:
VACANCIES.— (a) Statewide council members shall be initially appointed to staggered 2- and 4-year terms, with subsequent terms of 4 years.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 (a) Statewide council members shall be initially appointed to staggered 2- and 4-year terms, with subsequent terms of 4 years.
(b) A member who has served two consecutive terms is not eligible to serve again until at least 12 months have elapsed since ending service on the statewide council.
(b) A member who has served two consecutive terms shall not be eligible to serve again until at least 12 months have elapsed since ending service on the statewide council.
If the Governor fails to make an appointment for a member under subsection (2), the chair of the local council may appoint a member meeting the requirements of subsection (2) to act as the statewide council representative for that local council until the Governor makes an appointment.
If the Governor fails to make an appointment for a member under subsection (2), the chair of the local council may appoint a Page 12 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 member meeting the requirements of subsection (2) to act as the statewide council representative for that local council until the Governor makes an appointment.
The council meetings may be held in person or through teleconference or other electronic means.
The council meetings may be held in person or via teleconference or other electronic means.
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(b) Members of the statewide council shall serve without compensation but may be reimbursed for per diem and travel expenses pursuant to s.
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 (b) Members of the statewide council shall serve without compensation but may be reimbursed for per diem and travel expenses pursuant to s.
(c) A majority of the members of the statewide council constitutes a quorum.
(c) A majority of the members of the statewide council shall constitute a quorum.
(a) Assist in providing information and conducting outreach to individuals with developmental disabilities and their families.
(a) Assist in providing information and conducting outreach to individuals with developmental disabilities and their Page 13 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 families.
(7)(2) LOCAL FAMILY CARE COUNCIL MEMBERSHIP.— Page 10 of 25 CODING:
(7)(2) LOCAL FAMILY CARE COUNCIL MEMBERSHIP.— (a) Each local family care council shall consist of at least 10 and no more than 15 members recommended by a majority vote of the local family care council and appointed by the Governor.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 (a) Each local family care council shall consist of at least 10 and no more than 15 members recommended by a majority vote of the local family care council and appointed by the Governor.
(c) A person who is currently serving on another board or council of the agency may not be appointed to a local family care council.
(c) A person who is currently serving on another board or Page 14 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 council of the agency may not be appointed to a local family care council.
(e) Persons related by consanguinity or affinity within the third degree may shall not serve on the same local family care council at the same time.
(e) Persons related by consanguinity or affinity within the third degree shall not serve on the same local family care council at the same time.
VACANCIES.— (a) Local family council members shall be appointed for a 3-year terms term, except as provided in subsection (11) (8), Page 11 of 25 CODING:
VACANCIES.— (a) Local family council members shall be appointed for a 3-year terms term, except as provided in subsection (11) (8), and may be reappointed to one additional term.
Words stricken are deletions;
(b) A member who has served two consecutive terms shall not be eligible to serve again until 12 months have elapsed since ending his or her service on the local council.
words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 and may be reappointed to one additional term.
(b) A member who has served two consecutive terms is shall not be eligible to serve again until 12 months have elapsed since ending his or her service on the local council.
If the Governor fails to make an appointment within 45 days, the local council shall, by majority vote, select an interim appointment for each vacancy from the panel of candidates recommended by the family-led nominating committee.
If the Governor fails to make an appointment within 45 days the local council shall, by majority vote, may select an interim appointment for each vacancy from the panel of candidates recommended by the family- led nominating committee.
(9)(4) LOCAL FAMILY CARE COUNCIL COMMITTEE APPOINTMENTS.— (a) The chair of each local family care council shall create, and appoint individuals receiving or waiting to receive services from the agency and their relatives, to serve on a family-led nominating committee.
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 (9)(4) LOCAL FAMILY CARE COUNCIL COMMITTEE APPOINTMENTS.— (a) The chair of each local family care council shall create, and appoint individuals receiving or waiting to receive services from the agency and their relatives, to serve on a family-led nominating committee.
(13)(5) TRAINING.— (a) The agency, in consultation with the statewide and Page 12 of 25 CODING:
(5) TRAINING.— (a) The agency, in consultation with the local councils, shall establish a training program for local family care council members.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 local councils, shall establish and provide a training program for local family care council members.
(c) All persons newly appointed to the statewide or a local council must complete this training within 90 days after their appointment.
(c) All persons appointed to a local council must complete this training within 90 days after their appointment.
A person who fails to meet this requirement is shall be considered to have resigned from the council.
A person who fails to meet this requirement shall be considered to have resigned from the council.
The agency may make additional training available to council members.
Local councils The council shall meet at least six times per year.
Local councils The Page 16 of 26 CODING:
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 council shall meet at least six times per year.
(b) Review the effectiveness of service programs and make Page 13 of 25 CODING:
(b) Review the effectiveness of service programs and make recommendations with respect to program implementation.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 recommendations with respect to program implementation.
Each local council is subject to an annual financial review by staff assigned by the agency.
Each local council is subject to an annual financial review by staff assigned by the Page 17 of 26 CODING:
Each local council shall exercise care and prudence in the expenditure of funds.
The local family care councils shall comply with state expenditure requirements.
(14) DUTIES.—The agency shall publish on its website all annual reports submitted by the local family care councils and the Statewide Family Care Council within 15 days after receipt of such reports in a designated and easily accessible section of the website.
(15) ADMINISTRATIVE SUPPORT.—The agency shall provide administrative support to the statewide council and local councils, including, but not limited to, staff assistance and Page 14 of 25 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 meeting facilities, within existing resources.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 agency.
Section 4.
Each local council shall exercise care and prudence in the expenditure of funds.
Subsection (1) of section 409.972, Florida Statutes, is amended to read:
The local family care councils shall comply with state expenditure requirements.
409.972 Mandatory and voluntary enrollment.— (1) The following Medicaid-eligible persons listed in paragraphs (a)-(g) are exempt from mandatory managed care enrollment required by s.
(13) TRAINING.— (a) The agency, in consultation with the statewide and local councils, shall establish and provide a training program for council members.
409.965, and may voluntarily choose to participate in the managed medical assistance program.
(b) The training shall assist the council members to understand the laws, rules, and policies applicable to their duties and responsibilities.
These eligible persons must make an affirmative choice before any enrollment action by the agency.
(c) All persons newly appointed to the statewide or a local council must complete this training within 90 days after their appointment.
The agency may not automatically enroll these eligible persons.:
A person who fails to meet this requirement is considered to have resigned from the council.
(a) Medicaid recipients who have other creditable health care coverage, excluding Medicare.
The agency may make additional training available to council members.
(b) Medicaid recipients residing in residential commitment facilities operated through the Department of Juvenile Justice or a treatment facility as defined in s.
(14) DUTIES.—The agency shall publish on its website all annual reports submitted by the local care councils and the Statewide Family Care Council within 15 days after receipt of such reports in a designated and easily accessible section of the website.
394.455.
(15) ADMINISTRATIVE SUPPORT.—The agency shall provide administrative support to the statewide council and local councils, including, but not limited to, staff assistance and meeting facilities, within existing resources.
(c) Persons eligible for refugee assistance.
(d) Medicaid recipients who are residents of a developmental disability center, including Sunland Center in Marianna and Tacachale in Gainesville.
(e) Medicaid recipients enrolled in the home and community based services waiver pursuant to chapter 393, and Medicaid recipients waiting for waiver services.
(f) Medicaid recipients residing in a group home facility licensed under chapter 393.
(g) Children receiving services in a prescribed pediatric extended care center.
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409.9855 Pilot program for individuals with developmental disabilities.— (1) PILOT PROGRAM IMPLEMENTATION.— Page 18 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 409.9855 Pilot program for individuals with developmental disabilities.— (1) PILOT PROGRAM IMPLEMENTATION.— (a) Using a managed care model, The agency shall implement a pilot program for individuals with developmental disabilities in Statewide Medicaid Managed Care Regions D and I to provide coverage of comprehensive services using a managed care model.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 (a) Using a managed care model, The agency shall implement a pilot program for individuals with developmental disabilities in Statewide Medicaid Managed Care Regions D and I to provide coverage of comprehensive services using a managed care model.
409.963 and as a component of the Statewide Medicaid Managed Care model established by this part.
409.903 and as a component of the Statewide Medicaid Managed Care model established by this section.
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(e) The agency shall evaluate the feasibility of statewide implementation of the capitated managed care model used by the pilot program to serve individuals with developmental Page 19 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 (e) The agency shall evaluate the feasibility of statewide implementation of the capitated managed care model used by the pilot program to serve individuals with developmental disabilities.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 disabilities.
An individual must make an affirmative choice before any enrollment action by the agency.
The agency may not automatically enroll eligible individuals.
or, effective July 1, 2026, be enrolled in the individual budget Page 17 of 25 CODING:
or, effective July 1, 2026, be enrolled in the individual budget waiver services program under chapter 393 or in the long-term care managed care program under this part, regardless of region and is on the waiting list for individual budget waiver services under chapter 393 and assigned to one of categories 1 through 6 as specified in s.
393.065(5).
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 waiver services program under chapter 393 or in the long-term care managed care program under this part, regardless of region and is on the waiting list for individual budget waiver services under chapter 393 and assigned to one of categories 1 through 6 as specified in s.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 3.
393.065(5).
3.
The agency shall provide a call center staffed by agents Page 18 of 25 CODING:
The agency shall provide a call center staffed by agents trained to assist individuals with developmental disabilities and their families in learning about and enrolling in the pilot program.
4.
The agency shall coordinate with the Department of Children and Families and the Agency for Persons with Page 21 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 trained to assist individuals with developmental disabilities and their families in learning about and enrolling in the pilot program.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 Disabilities to develop partnerships with community-based organizations to disseminate information about the pilot program to providers of covered services and potential enrollees.
4.
The agency shall coordinate with the Department of Children and Families and the Agency for Persons with Disabilities to develop partnerships with community-based organizations to disseminate information about the pilot program to providers of covered services and potential enrollees.
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4.
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 4.
d.
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 d.
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w.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 w.
(b) All providers of the benefits services listed under paragraph (a) must meet the provider qualifications established by the agency for the Medicaid long-term care managed care program under this section.
(b) All providers of the benefits services listed under Page 23 of 26 CODING:
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words underlined are additions.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 paragraph (a) must meet the provider qualifications established by the agency for the Medicaid long-term care managed care program under this section.
(f) Participating plans must offer a consumer-directed Page 21 of 25 CODING:
(f) Participating plans must offer a consumer-directed services option in accordance with s.
409.221.
(6) PROGRAM IMPLEMENTATION AND EVALUATION.— (a) The agency shall conduct monitoring and evaluations and require corrective actions or payment of penalties as may be necessary to secure compliance with contractual requirements, Page 24 of 26 CODING:
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 services option in accordance with s.
Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 consistent with its obligations under this section, including, but not limited to, compliance with provider network standards, financial accountability, performance standards, health care quality improvement systems, and program integrity select participating plans and begin enrollment no later than January 31, 2024, with coverage for enrollees becoming effective upon authorization and availability of sufficient state and federal resources.
409.221.
(6) PROGRAM IMPLEMENTATION AND EVALUATION.— (a) The agency shall conduct monitoring and evaluations and require corrective actions or payment of penalties as may be necessary to secure compliance with contractual requirements, consistent with its obligations under this section, including, but not limited to, compliance with provider network standards, financial accountability, performance standards, health care quality improvement systems, and program integrity select participating plans and begin enrollment no later than January 31, 2024, with coverage for enrollees becoming effective upon authorization and availability of sufficient state and federal resources.
(b)(c) The agency, in consultation with the Agency for Persons with Disabilities, shall submit progress reports to the Governor, the President of the Senate, and the Speaker of the House of Representatives upon the federal approval, implementation, and operation of the pilot program, as follows:
(c) The agency, in consultation with the Agency for Persons with Disabilities, shall submit progress reports to the Governor, the President of the Senate, and the Speaker of the House of Representatives upon the federal approval, implementation, and operation of the pilot program, as follows:
By December 31, 2025, and annually thereafter, a status report on the operation of the pilot program, including, but not Page 22 of 25 CODING:
By December 31, 2025, and annually thereafter, a status report on the operation of the pilot program, including, but not limited to, all of the following:
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 limited to, all of the following:
(c)(d) The agency, in consultation with the Agency for Persons with Disabilities, shall establish specific measures of access, quality, and costs of the pilot program.
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Florida Senate - 2025 CS for SB 1050 586-03168-25 20251050c1 (c)(d) The agency, in consultation with the Agency for Persons with Disabilities, shall establish specific measures of access, quality, and costs of the pilot program.
(1) The Agency for Persons with Disabilities shall contract for a study to review, evaluate, and identify Page 23 of 25 CODING:
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 recommendations regarding the algorithm required under s.
393.0662, Florida Statutes.
The individual contractor must possess, or, if the contractor is a firm, must include at least one lead team member who possesses, a doctorate in statistics and advanced knowledge of the development and selection of multiple linear regression models.
The study must, at a minimum, assess the performance of the current algorithm used by the agency and determine whether a different algorithm would better meet the requirements of that section.
In conducting this assessment and determination, at a minimum, the study must also review the fit of recent expenditure data to the current algorithm, determine and refine dependent and independent variables, develop and apply a method for identifying and removing outliers, develop alternative algorithms using multiple linear regression, test the accuracy and reliability of the algorithms, provide recommendations for improving accuracy and reliability, recommend an algorithm for use by the agency, assess the robustness of the recommended algorithm, and provide suggestions for improving any recommended alternative algorithm, if appropriate.
The study must also consider whether any waiver services that are not currently funded through the algorithm can be funded through the current algorithm or an alternative algorithm, and the impact of doing so on that algorithm’s fit and effectiveness.
The study must present for any recommended alternative algorithm, at a minimum, the estimated number and percent of waiver enrollees who would require supplemental funding under s.
393.0662(1)(b), Florida Statutes, compared to the current algorithm;
and the number and percent of waiver enrollees whose budgets are estimated to increase or decrease, Page 24 of 25 CODING:
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Florida Senate - 2025 CS for CS for SB 1050 576-03824-25 20251050c2 categorized by level of increase or decrease, age, living setting, and current total individual budget amount.
(2) The agency shall report to the Governor, the President of the Senate, and the Speaker of the House of Representatives findings and recommendations by November 15, 2025.
Section 7.
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How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill amends several sections of Florida law to enhance services and oversight for individuals with developmental disabilities, including creating the Statewide Family Care Council and improving enrollment processes.

  • 393.0662

    the agency shall, within 5 days after enrollment, provide the client with a comprehensive and current written list of all qualified organizations located within the region in which the client resides.

    Requires the agency to provide clients with a list of qualified organizations within their region shortly after enrollment.

  • 393.0662

    the agency shall provide a quarterly reconciliation report of all home and community-based services waiver expenditures from the Agency for Health Care Administration’s claims management system. → The reconciliation report must be submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives no later than 30 days after the close of each quarter.

    Mandates timely submission of reconciliation reports to key state officials for enhanced accountability.

  • 393.065

    The online application must allow an applicant to apply for crisis enrollment.

    Adds a requirement for online applications to include an option for crisis enrollment.

  • 393.065

    the agency must actively participate in transition planning activities, including, but not limited to, individualized service coordination, case management support, and ensuring continuity of care pursuant to s. 39.6035.

    Enhances the agency's role in transition planning for clients with developmental disabilities.

  • 393.065

    the agency shall post on its website in a conspicuous location the total number of individuals in each priority category by county of residence.

    Establishes a new requirement for the agency to publicly post the number of individuals in various enrollment priority categories.

  • 409.972

    the agency must assign the client to an appropriate preenrollment category pursuant to this subsection and must provide priority to clients waiting for waiver services in the following order: → the agency from automatically enrolling such persons;

    Prohibits automatic enrollment of certain Medicaid-eligible individuals, requiring them to take specific actions prior to enrollment.

  • 393.502

    The Statewide Family Care Council is established to connect local family care councils and facilitate direct communication between local councils and the agency.

    Establishes a statewide council to improve communication and resource access for families.

  • 409.9855

    providing for a method of voluntarily choosing to enroll in the pilot program;

    Introduces a new method for voluntary enrollment in the pilot program for individuals with developmental disabilities.

Action History

  1. Laid on Table, companion bill(s) passed, see CS/CS/HB 1103 (Ch. 2025-130)

  2. Substituted CS/CS/HB 1103

  3. Read 2nd time

  4. Placed on Special Order Calendar, 04/30/25

  5. CS/CS by Appropriations read 1st time

  6. Placed on Calendar, on 2nd reading

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

  8. CS/CS by- Appropriations; YEAS 17 NAYS 1

  9. On Committee agenda-- Appropriations, 04/22/25, 11:00 am, 110 Senate Building

  10. Now in Appropriations

  11. Favorable by Appropriations Committee on Health and Human Services; YEAS 9 NAYS 1

  12. On Committee agenda-- Appropriations Committee on Health and Human Services, 04/15/25, 8:30 am, 412 Knott Building

  13. CS by Children, Families, and Elder Affairs 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 Children, Families, and Elder Affairs; YEAS 6 NAYS 0

  17. On Committee agenda-- Children, Families, and Elder Affairs, 04/01/25, 4:00 pm, 301 Senate Building

  18. Introduced

  19. Referred to Children, Families, and Elder Affairs; Appropriations Committee on Health and Human Services; Appropriations

  20. Filed

Sponsors

  • Jennifer Bradley · Primary
  • Children, Families, and Elder Affairs · Primary
  • Appropriations · Primary

Sponsorship breakdown

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3 sponsors · 0 co-sponsors · 161 not signed on · 2 voted No

Sponsors (3)

Co-sponsors (0)

None.

Not signed on (161)

161 members have not signed on to this bill.

Show all 161 →

"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

Favorable with Committee Substitute

Passed 17 Yea · 1 Nay
Party YeaNayPresentNot Voting
Democrat 4100
Republican 11000
Unaffiliated 1000
No Party Affiliation 1000
Total 17100
% of votes cast 94%6%0%0%
How each member voted (18)
Member Party Vote
Collins — Yea
Berman, Lori Democrat Yea
Polsky, Tina Scott Democrat Yea
Rouson, Darryl Ervin Democrat Yea
Sharief, Barbara Democrat Yea
Smith, Carlos Guillermo Democrat Nay
Pizzo, Jason W. B. No Party Affiliation Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
DiCeglie, Nick Republican Yea
Garcia, Ileana Republican Yea
Grall, Erin Republican Yea
Harrell, Gayle Republican Yea
Hooper, Ed Republican Yea
Martin, Jonathan Republican Yea
McClain, Stan Republican Yea
Trumbull, Jay Republican Yea
Wright, Tom A. Republican Yea

Official roll call →

Favorable

Passed 9 Yea · 1 Nay
Party YeaNayPresentNot Voting
Democrat 2100
Republican 7000
Total 9100
% of votes cast 90%10%0%0%
How each member voted (10)
Member Party Vote
Berman, Lori Democrat Yea
Davis, Tracie Democrat Nay
Rouson, Darryl Ervin Democrat Yea
Brodeur, Jason Republican Yea
Burton, Colleen Republican Yea
Garcia, Ileana Republican Yea
Gruters, Joe Republican Yea
Harrell, Gayle Republican Yea
Rodriguez, Ana Maria Republican Yea
Trumbull, Jay Republican Yea

Official roll call →

Subjects

healthcare labor
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 1050 do?
Services for Individuals with Developmental Disabilities; Requiring the Agency for Persons with Disabilities to provide a list of all qualified organizations located within the region in which the client resides and to post its quarterly reconciliation reports on its website within a specified timeframe; requiring that online applications include an application for crisis enrollment; establishing the Statewide Family Care Council; requiring local family care councils to report to the statewide council policy changes and program recommendations in an annual report, etc.
Who sponsors SB 1050?
SB 1050 is sponsored by Bradley, Jennifer (Republican), Children, Families, and Elder Affairs, and Appropriations.
What is the current status of SB 1050?
This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 1050?
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