HB 1121 — Aging and Disability Services
Last action — Chapter No. 2026-74
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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5To Executive
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6Enacted
This bill has been sent to the executive. Introduced January 07, 2026. It awaits signature.
Signed by Governor Ron DeSantis (Republican) on April 30, 2026.
Next likely step: the executive signs it into law or issues a veto.
Odds of enactment
Moderate chanceBased 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
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To Executive
Current position in the legislative process.
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6 sponsors
1 primary, 5 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (4 R · 1 D) — cross-party backing.
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Cleared a recorded vote
Passed 6 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
Aging and Disability Services ; Revising requirements for Medicaid recipients to receive an offer for enrollment for long-term care services; requiring the Department of Elderly Affairs to maintain a statewide pre-enrollment list for certain services; providing that the initial assessment of an enrollee shall be reviewed or performed by the Comprehensive Assessment and Review for Long-term Care Services program; revising provisions relating to intermediate measures taken against an area agency on aging; providing requirements for the procurement of commodities or contractual services by area agencies on aging; limiting the salary of the chief executive officer and executive director of an area agency on aging; requiring the department to impose certain penalties; authorizing an area agency on aging to directly provide core services under certain circumstances; authorizing aging and disability resource centers to place certain clients on and release certain clients from pre-enrollment lists; requiring the clerk to disclose confidential information to the department under certain circumstances; requiring the department to provide specified records to the Legislature by a specified date, etc.
Bill Text
What changed in the latest version
67 added · 100 removed67 line(s) added, 100 removed.
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 LegislatureA 2bill to be entitled An act relating to aging and disability services;
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature amending s.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature amending s.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature availability of funds, the Department of Elderly Affairs shall make offers for enrollment to eligible individuals based on a pre-enrollment list wait-list prioritization.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature individuals for potential enrollment for home and community- based services through the long-term care managed care program using a frailty-based screening tool that results in a priority score.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature enrollment wait list.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature resources available to assist them and inform them that they may contact the aging and disability resource center for a new assessment at any time if they experience a change in circumstances.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature medical eligibility criteria may enroll in the long-term care managed care program.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature community-based services through the long-term care managed care program and do not have to complete the screening or pre- enrollment list wait-list process if all other long-term care managed care program eligibility requirements are met:
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (4) The initial assessment of an enrollee's level of care shall be reviewed or performed made by the Comprehensive Assessment and Review for Long-Term Care Services (CARES) program, which shall assign the recipient into one of the following levels of care:
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (2) Be responsible for ensuring that each area agency on aging operates in a manner to ensure that the elderly of this state receive the best services possible.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature failed to adhere to the terms of its contract with the department or has exceeded its authority or otherwise failed to adhere to the provisions specifically provided by statute or rule adopted by the department.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature specific commodities.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature executive director of an area agency on aging.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature 430.204 Community-care-for-the-elderly core services;
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature be designed and implemented to help assure the delivery of quality services.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature negotiate the referral placement of, and the services to be provided to, a vulnerable adult or victim of abuse, neglect, or exploitation.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature are to:
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature geographic area served by the aging and disability resource center and determine a priority ranking for services which is based upon the potential recipient's frailty level and likelihood of institutional placement without such services.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature implementation, and evaluation of the aging resource center.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature long-term care managed care program as eligible plans become available in each of the regions pursuant to s.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (e) Financial solvency and stability.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (a) Develop strong community partnerships to maximize the use of community resources for the purpose of assisting persons elders to remain in their community settings for as long as it is safely possible.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature Legislature to reduce the use of and cost of nursing home care.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (h) Minimum requirements regarding any executive staff positions that the aging and disability resource center must employ and minimum requirements that a candidate must meet in order to be eligible for appointment to such positions.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature outline which staff persons are responsible for which functions and shall provide the staffing levels necessary to carry out the functions of the aging and disability resource center.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature area served by an aging and disability resource center whether it is appropriate, consistent with federal and state laws and regulations, to develop and pay separate capitated rates for each program administered through the aging and disability resource center or to develop and pay capitated rates for service packages which include more than one program or service administered through the aging and disability resource center.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature include, but need not be limited to:
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature shall personally, or through a representative of the office, carry out the purposes and functions of the Office of Public and Professional Guardians in accordance with state and federal law.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature hours on guardianship law.
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature 744.20041 Grounds for discipline;
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature Statutes, is amended to read:
hb1121hb1121-01-c1 -01-er F L O R I D A H O U S E O F R E P R E S E N T A T I V E S ENROLLED CS/HB 1121 2026 Legislature (c) The letter of concern, notice of noncompliance, or other written communication or notice provided to the guardian.
hb1121hb1121-01-c1 -01-er
View plain text versions (3)
- H 1121 c1 View text pdf
- H 1121 er View text Current pdf
- Introduced H 1121 Filed pdf
Action History
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Chapter No. 2026-74
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Approved by Governor
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Signed by Officers and presented to Governor
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Ordered enrolled
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In Messages
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CS passed; YEAS 35 NAYS 0 -SJ 782
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Read 3rd time -SJ 782
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Read 2nd time -SJ 782
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Substituted for CS/SB 1630 -SJ 782
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Placed on Calendar, on 2nd reading
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Withdrawn from Rules -SJ 781
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Received
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Referred to Rules
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In Messages
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CS passed; YEAS 113, NAYS 2
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Read 3rd time
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Added to Third Reading Calendar
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Read 2nd time
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Bill added to Special Order Calendar (2/25/2026)
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Added to Second Reading Calendar
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Bill released to House Calendar
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Reported out of Health & Human Services Committee
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Favorable by Health & Human Services Committee
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Added to Health & Human Services Committee agenda
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Now in Health & Human Services Committee
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Reported out of Health Care Budget Subcommittee
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Favorable by Health Care Budget Subcommittee
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Added to Health Care Budget Subcommittee agenda
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1st Reading (Committee Substitute 1)
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Now in Health Care Budget Subcommittee
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Referred to Health & Human Services Committee
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Referred to Health Care Budget Subcommittee
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CS Filed
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Laid on Table under Rule 7.18(a)
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Reported out of Human Services Subcommittee
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Favorable with CS by Human Services Subcommittee
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PCS added to Human Services Subcommittee agenda
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1st Reading (Original Filed Version)
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Now in Human Services Subcommittee
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Referred to Health & Human Services Committee
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Referred to Health Care Budget Subcommittee
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Referred to Human Services Subcommittee
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Filed
Sponsors
- Human Services Subcommittee · Primary
- Alex Rizo · Cosponsor
- Fabián Basabe · Cosponsor
- James Vernon "Jim" Mooney Jr. · Cosponsor
- Johanna López · Cosponsor
- Susan L. Valdés · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 5 co-sponsors · 158 not signed on · 2 voted No
Sponsors (1)
- Human Services Subcommittee
Co-sponsors (5)
- Rizo, Alex Republican
- Basabe, Fabián Republican
- Mooney Jr., James Vernon "Jim" Republican
- López, Johanna Democrat
- Valdés, Susan L. Republican
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 79 | 0 | 0 | 0 |
| Democrat | 30 | 2 | 0 | 2 |
| Unaffiliated | 4 | 0 | 0 | 0 |
| Total | 113 | 2 | 0 | 2 |
| % of votes cast | 97% | 2% | 0% | 2% |
How each member voted (117)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 10 | 0 | 0 | 0 |
| Republican | 25 | 0 | 0 | 3 |
| No Party Affiliation | 0 | 0 | 0 | 1 |
| Total | 35 | 0 | 0 | 4 |
| % of votes cast | 90% | 0% | 0% | 10% |
How each member voted (39)
| Member | Party | Vote |
|---|---|---|
| Arrington, Kristen Aston | Democrat | Yea |
| Berman, Lori | Democrat | Yea |
| Bernard, Mack | Democrat | Yea |
| Bracy Davis, LaVon | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Jones, Shevrin D. "Shev" | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Polsky, Tina Scott | Democrat | Yea |
| Rouson, Darryl Ervin | Democrat | Yea |
| Sharief, Barbara | Democrat | Yea |
| Pizzo, Jason W. B. | No Party Affiliation | Not Voting |
| Albritton, Ben | Republican | Not Voting |
| 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 | Yea |
| Grall, Erin | Republican | Yea |
| Gruters, Joe | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Hooper, Ed | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Not Voting |
| Martin, Jonathan | Republican | Yea |
| 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 |
| Smith, David | Republican | Yea |
| Truenow, Keith L. | Republican | Yea |
| Trumbull, Jay | Republican | Not Voting |
| Vacant | Republican | Yea |
| Wright, Tom A. | Republican | Yea |
| Yarborough, Clay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 83 | 0 | 0 | 0 |
| Democrat | 29 | 2 | 0 | 2 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 113 | 2 | 0 | 2 |
| % of votes cast | 97% | 2% | 0% | 2% |
How each member voted (117)
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Subjects
Frequently asked questions
- What does HB 1121 do?
- Aging and Disability Services ; Revising requirements for Medicaid recipients to receive an offer for enrollment for long-term care services; requiring the Department of Elderly Affairs to maintain a statewide pre-enrollment list for certain services; providing that the initial assessment of an enrollee shall be reviewed or performed by the Comprehensive Assessment and Review for Long-term Care Services program; revising provisions relating to intermediate measures taken against an area agency on aging; providing requirements for the procurement of commodities or contractual services by area agencies on aging; limiting the salary of the chief executive officer and executive director of an area agency on aging; requiring the department to impose certain penalties; authorizing an area agency on aging to directly provide core services under certain circumstances; authorizing aging and disability resource centers to place certain clients on and release certain clients from pre-enrollment lists; requiring the clerk to disclose confidential information to the department under certain circumstances; requiring the department to provide specified records to the Legislature by a specified date, etc.
- Who sponsors HB 1121?
- HB 1121 is sponsored by Human Services Subcommittee, Rizo, Alex (Republican), Basabe, Fabián (Republican), Mooney Jr., James Vernon "Jim" (Republican), López, Johanna (Democrat), and Valdés, Susan L. (Republican).
- What is the current status of HB 1121?
- This bill has been sent to the executive. Introduced January 07, 2026. It awaits signature.
- Where can I track HB 1121?
- Track HB 1121 free on One Click Politics — get push/email alerts when it moves.
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