SB 1490 — Children’s Medical Services Program
Last action — Chapter No. 2025-88
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 27, 2025. Enacted.
Signed by Governor Ron DeSantis (Republican) on May 23, 2025.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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3 sponsors
3 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 R).
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Cleared a recorded vote
Passed 5 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Children’s Medical Services Program; Transferring operation of the Children’s Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration, effective on a specified date; requiring the CMS program to conduct clinical eligibility screening for certain children and youth with special health care needs; revising the purposes and functions of the CMS program, etc.
Bill Text
What changed in the latest version
48 added · 49 removed48 line(s) added, 49 removed.
Florida Senate - 2025 CS for CS for SB 1490 By the Appropriations Committee on Health andPolicy; Human Services;
and Senator Harrell 588-03165-25 20251490c1 A bill to be entitled An act relating to the CommitteeChildren’s onMedical HealthServices Policy;program;
and Senator Harrell 603-03452-25 20251490c2 A bill to be entitled An act relating to the Children’s Medical Services program;
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 evaluation to the Governor and the Legislature by a specified date;
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 409.962, F.S.;
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 any such action.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 high-quality, family-centered, coordinated health services are provided within an effective system of care for children and youth with special health care needs.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 meet all other plan requirements for the managed medical assistance program.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 established in s.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 (1) To provide or contract for the provision of health services to eligible individuals.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 (12) To monitor the provision of health services in the program, including the utilization and quality of health services.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 (14)(19) To serve as the lead agency in administering the Early Steps Program pursuant to part C of the federal Individuals with Disabilities Education Act and part III of this chapter.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 Medicaid.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 provided to children as specified in ss.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 consisting of ss.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 program:
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 immediately disenrolled from the respective Florida Kidcare program component.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 (t) Enhancements to minimum requirements.— 1.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 following:
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 of quality medical care.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 dangerous drug interactions.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 necessary to administer these policies.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 not limited to, sampling and extension to the population, parametric and nonparametric statistics, tests of hypotheses, other generally accepted statistical methods, review of medical records, and a consideration of the physician’s client case mix.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 Section 31.
Florida Senate - 2025 CS for CS for SB 1490 603-03452-25588-03165-25 20251490c220251490c1 nursing, and Statewide Medicaid Managed Care plans.
The agency shall submit a report to the Governor, the President of the Senate, and the Speaker of the House of Representatives by DecemberSeptember 31,30, 2025, addressing, at a minimum, all of the following:
View plain text versions (4)
- S 1490 c1 View text pdf
- S 1490 c2 View text pdf
- S 1490 er View text Current pdf
- Introduced S 1490 Filed pdf
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill transfers the operation of the Children's Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration and amends several relevant statutes to reflect this change.
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Section 1
the Department of Health’s Children’s Medical Services Managed Care Plan→ the Agency for Health Care AdministrationThis change delegates the management of the plan to a different agency.
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s. 409.974(4)
The Department of Health’s Children’s Medical Services program shall do all of the following:→ The Agency for Health Care Administration shall establish specific measures of access, quality, and costs of providing health care services.This updates responsibilities relating to service quality measures.
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s. 391.016(1)
Provide to children and youth with special health care needs a family-centered, comprehensive, and coordinated statewide managed system of care→ The program is established for the following purposes and authorized to perform the following functions: Provide a family-centered, comprehensive, and coordinated statewide managed system of care that links community-based health care with multidisciplinary, regional, and tertiary pediatric specialty care.This clarifies the purpose of the program while maintaining its core mission.
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s. 391.021
“Children’s Medical Services Managed Care Plan network” or “plan network” means a statewide managed care service system that includes health care providers.→ “Children’s Medical Services Managed Care Plan network” means a statewide managed care service system that includes health care providers, as defined in this section.This adjusts the definition to remove redundancy.
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s. 391.025(1)
The Children’s Medical Services Managed Care Plan through the end of June 30, 2025 network.→ The Children’s Medical Services Managed Care Plan.This updates the applicability and scope of the program to reflect the new structural changes.
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s. 391.026
the department’s oversight and administration of the CMS program;→ the Agency for Health Care Administration’s oversight and administration of the CMS program;This changes the oversight authority of the program.
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s. 391.028
relating to administration of the program;This repeal removes the prior oversight structure from statute.
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s. 391.029
program eligibility requirements;This modifies eligibility requirements to conform with new revisions.
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s. 391.0315
conforming provisions to changes made by the act;This updates the act to reflect operational changes.
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s. 391.035, 391.037, 391.045, 391.047, 391.055, and 391.071
relating to provider qualifications, physicians and private sector services, provider reimbursements, third-party payments, service delivery systems under the program, and quality of care requirements, respectively;These repeals simplify the structure of the CMS program by eliminating outdated provisions.
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s. 391.097
conforming a provision to changes made by the act;This updates provisions in line with the new administrative structure.
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s. 409.166, 409.811, 409.813, 409.8134, 409.814, 409.815, 409.8177, 409.818, 409.912, 409.9126, 409.9131, 409.920, and 409.962
conforming provisions to changes made by the act;This ensures alignment with the new operational authority of the program.
Action History
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Chapter No. 2025-88
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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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CS passed; YEAS 112, NAYS 0
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Read 3rd time
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Added to Third Reading Calendar
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Placed on 3rd reading
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Read 2nd time
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1st Reading (Committee Substitute 2)
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Bill added to Special Order Calendar (4/30/2025)
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Bill referred to House Calendar
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In Messages
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CS passed; YEAS 37 NAYS 0
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Read 3rd time
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Read 2nd time
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Placed on Special Order Calendar, 04/24/25
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Placed on Calendar, on 2nd reading
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Favorable by- Fiscal Policy; YEAS 17 NAYS 0
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On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building
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CS/CS by Appropriations Committee on Health and Human Services read 1st time
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Now in Fiscal Policy
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Pending reference review under Rule 4.7(2) - (Committee Substitute)
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CS/CS by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0
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CS by Health Policy read 1st time
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On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building
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Now in Appropriations Committee on Health and Human Services
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Pending reference review under Rule 4.7(2) - (Committee Substitute)
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CS by Health Policy; YEAS 10 NAYS 0
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On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building
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Introduced
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Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
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Filed
Sponsors
- Gayle Harrell · Primary
- Health Policy · Primary
- Appropriations Committee on Health and Human Services · Primary
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 0 co-sponsors · 161 not signed on
Sponsors (3)
- Harrell, Gayle Republican
- Health Policy
- Appropriations Committee on Health and Human Services
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 78 | 0 | 0 | 3 |
| Democrat | 30 | 0 | 0 | 3 |
| Unaffiliated | 4 | 0 | 0 | 1 |
| Total | 112 | 0 | 0 | 7 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (119)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 10 | 0 | 0 | 0 |
| Republican | 25 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 1 |
| No Party Affiliation | 1 | 0 | 0 | 0 |
| Total | 37 | 0 | 0 | 1 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (38)
| Member | Party | Vote |
|---|---|---|
| Ingoglia | — | Yea |
| Collins | — | Not Voting |
| Arrington, Kristen Aston | Democrat | Yea |
| Berman, Lori | Democrat | Yea |
| Bernard, Mack | 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 |
| Smith, Carlos Guillermo | Democrat | Yea |
| 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 | Yea |
| 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 | 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 | Yea |
| Wright, Tom A. | Republican | Yea |
| Yarborough, Clay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 5 | 0 | 0 | 0 |
| Republican | 11 | 0 | 0 | 2 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 17 | 0 | 0 | 2 |
| % of votes cast | 89% | 0% | 0% | 11% |
How each member voted (19)
| Member | Party | Vote |
|---|---|---|
| Ingoglia | — | Yea |
| Arrington, Kristen Aston | Democrat | Yea |
| Bernard, Mack | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Jones, Shevrin D. "Shev" | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Boyd, Jim | Republican | Yea |
| Bradley, Jennifer | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Calatayud, Alexis | Republican | Yea |
| Gaetz, Don | Republican | Yea |
| Gruters, Joe | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Yea |
| Passidomo, Kathleen | Republican | Not Voting |
| Rodriguez, Ana Maria | Republican | Yea |
| Simon, Corey | Republican | Yea |
| Truenow, Keith L. | Republican | Yea |
| Vacant | Republican | Yea |
| Yarborough, Clay | Republican | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 2 | 0 | 0 | 1 |
| Republican | 6 | 0 | 0 | 1 |
| Total | 8 | 0 | 0 | 2 |
| % of votes cast | 80% | 0% | 0% | 20% |
How each member voted (10)
| Member | Party | Vote |
|---|---|---|
| Berman, Lori | Democrat | Yea |
| Davis, Tracie | Democrat | Not Voting |
| Rouson, Darryl Ervin | Democrat | Yea |
| Brodeur, Jason | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Garcia, Ileana | Republican | Not Voting |
| Gruters, Joe | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Rodriguez, Ana Maria | Republican | Yea |
| Trumbull, Jay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 3 | 0 | 0 | 0 |
| Republican | 7 | 0 | 0 | 0 |
| Total | 10 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (10)
| Member | Party | Vote |
|---|---|---|
| Berman, Lori | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Burton, Colleen | Republican | Yea |
| Calatayud, Alexis | Republican | Yea |
| Gaetz, Don | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Yea |
| Passidomo, Kathleen | Republican | Yea |
| Trumbull, Jay | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 1490 do?
- Children’s Medical Services Program; Transferring operation of the Children’s Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration, effective on a specified date; requiring the CMS program to conduct clinical eligibility screening for certain children and youth with special health care needs; revising the purposes and functions of the CMS program, etc.
- Who sponsors SB 1490?
- SB 1490 is sponsored by Harrell, Gayle (Republican), Health Policy, and Appropriations Committee on Health and Human Services.
- What is the current status of SB 1490?
- This bill has been enacted into law. Introduced February 27, 2025. Enacted.
- Where can I track SB 1490?
- Track SB 1490 free on One Click Politics — get push/email alerts when it moves.
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