SB 2502 — Implementing the 2025-2026 General Appropriations Act

words underlined are additions.

SB 2502 First Engrossed 20252502e1 Guardianship Assistance Program;

authorizing the Department of Children and Families to submit budget amendments to transfer funds between certain appropriation categories to support the operations of the Automated Community Connection to Economic Self- Sufficiency system;

393.066, F.S.;

authorizing certain persons or entities to maintain an alternate data system that meets specified standards;

prohibiting the Agency for Persons with Disabilities from requiring training on a specified system in certain circumstances;

requiring the Agency for Health Care Administration to amend the Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table for a specified purpose;

requiring providers to be reimbursed at the existing hourly rate for certain recipients;

requiring the agency to develop a methodology to monitor and evaluate the fiscal impact of the revised reimbursement methodology and submit quarterly reports Page 4 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 to the Legislature and the Executive Office of the Governor’s Office of Policy and Budget;

providing for the future expiration and reversion of specified statutory text;

amending s.

requiring the Department of Children and Families to develop and report on an alternative tiered funding methodology andPage to3 provideof certain103 information;CODING:

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb and to provide certain information;

requiring the Agency for Health Care Administration to replace the Florida Medicaid Management Information System (FMMIS) Pageand 5fiscal ofagent 154operations CODING:with a specified new system;

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SB 2502 First Engrossed 20252502e1 and fiscal agent operations with a specified new system;

requiring the Agency for Health Care Administration to implement a specified program governance structure that includes an executive steeringPage committee4 composed of specified103 members;CODING:

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb steering committee composed of specified members;

authorizing the Agency for Persons with Disabilities to submit budget amendments to request funds from the Lump Sum-HomeSum Home and Community Based PageWaiver 6category offor 154a CODING:specified purpose;

authorizing the Agency for Health Care Administration to submit budget amendments within a specified timeframe for a specified purpose;

authorizing the Department of Veterans’ Affairs to submit a budget amendment, subject to Legislative Budget Commission approval, requesting certain authority for certain purposes relating to veterans’ nursing homes;

amending s.

296.34, F.S.;

authorizing the Department of Veterans’ Affairs to contract with a vendor for the management Page 5 of 103 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED WaiverBILL) categorySPB for2502 a576-02575-25 specified20252502pb purpose;and operations of the Alwyn C.

authorizingCashe theState AgencyVeterans’ forNursing HealthHome; Care Administration and the Agency for Persons with Disabilities to submit budget amendments within a specified timeframe for a specified purpose;

authorizing the Departmentdepartment of Veterans’ Affairs to submit a budget amendment, subject to Legislative Budget Commission approval, requesting certain authority for certaina purposesspecified relatingpurpose; to veterans’ nursing homes;

766.314, F.S.;

authorizing the Florida Birth-Related Neurological Injury Compensation Association to accept new claims during a specified fiscal year under certain circumstances;

amending s.

extending for 1 fiscal year the authority and related repayment requirements for Pagetemporary 7trust offund 154loans CODING:to the state court system which are sufficient to meet the system’s appropriation;

requiring the Department of Juvenile Justice to review county juvenile detention payments to determine whether a county has met specified financial responsibilities;

requiring that amounts owed by certain county for such financial responsibilities be deducted from certain county Page 6 of 103 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED temporaryBILL) trustSPB fund2502 loans576-02575-25 to20252502pb thefunds; state court system which are sufficient to meet the system’s appropriation;

requiring the Department of Juvenile Justice to review county juvenile detention payments to determine whether a county has met specified financial responsibilities;

requiring that amounts owed by a certain county for such financial responsibilities be deducted from certain county funds;

providing for Pagethe 8future expiration and reversion of 154specified CODING:statutory text;

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SB 2502 First Engrossed 20252502e1 the future expiration and reversion of specified statutory text;

amending s.

908.1033, F.S.;

authorizing local law enforcement agencies to apply to the State Board of Immigration Enforcement to provide bonus payments for certain certified correctional officers;

specifying a maximum amount for such bonus per officer;

requiring the local law enforcement agency to certify certain information;

requiringPage the7 Department of Management103 ServicesCODING: to provide a report to the Governor and the Legislature by a specified date;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb requiring the Department of Management Services to provide a report to the Governor and the Legislature by a specified date;

authorizing the Department of Management Services to Pagesubmit 9budget ofamendments 154for CODING:an increase in appropriation under certain circumstances;

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SB 2502 First Engrossed 20252502e1 submit budget amendments for an increase in appropriation under certain circumstances;

authorizing all agencies to continue to purchase productivity and cybersecurity tools and services;

requiring the Department of Management Services to maintain the state master agreement;

providing for the composition ofPage an8 executiveof steering103 committeeCODING: to oversee FLAIR and CMS replacement;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb of an executive steering committee to oversee FLAIR and CMS replacement;

requiring that a specified transaction fee percentage for use of the online Pageprocurement 10system ofbe 154collected CODING:for a specified fiscal year;

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SB 2502 First Engrossed 20252502e1 procurement system be collected for a specified fiscal year;

amending s.

24.105, F.S.;

specifying requirements for the adoption of rules of the Department of the Lottery, excluding certain rules for 1 fiscal year regarding the commission for lottery ticket sales;

limiting additional retailer compensation in a specified manner;

providing for the future expiration and reversion of specified statutory text;

authorizing the Division of Treasury within the Department of Financial Services to allow employee contributions into the state deferred compensation plan on a specified basis under a specified program;

providing requirements for such employee contributions;

requiring the Department of Management Services to enter into, by a specified date, a contract with anthe independententity softwareoperating qualitythe assurancePeople andFirst testingSystem provider for a specified purposes;time period;

deletingrevising legislativecontract findings and contracting and reporting requirements;

requiring the department to enter into a contract with an independent software quality assurance and testing provider for specified purposes;

providing reporting requirements;

extending for 1 fiscal year provisions relating to the department’s renewal of specified contracts with current vendors;

revising homeowner eligibility criteria for a hurricane mitigation grant fromPage the9 Myof Safe103 FloridaCODING: Home Program;

providing that certain funds appropriated to the Department of Financial Services may be carried forward through a specified fiscal year;

authorizing the Executive Office of the Governor to transfer funds between departments to align the budget authority granted based on the Page 11 of 154 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED estimatedBILL) costsSPB for2502 data576-02575-25 processing20252502pb servicesfrom forthe aMy specifiedSafe fiscalFlorida year;Home Program;

limitingproviding the auxiliary assessments that maycertain befunds chargedappropriated to statethe agenciesDepartment relatedof toFinancial contractServices managementmay servicesbe providedcarried toforward thethrough Northwesta Regionalspecified Datafiscal Center;year;

amendingauthorizing s.the Department of Environmental Protection, the Fish and Wildlife Conservation Commission, and the Department of Agriculture and Consumer Services to submit a budget amendment, subject to Legislative Budget Commission approval, to increase budget authority for land management under certain circumstances;

284.51, F.S.;

revising the definition of the term “first responder” as used in the electroencephalogram combined Transactional Magnetic Stimulation (eTMS) treatment pilot program;

extending the pilot program for 1 year;

requiring the Department of Financial Services to renew, for a specified timeframe, its existing contract for the establishment of the eTMS pilot program for veterans and first responders;

requiring the Office of Economic and Demographic Research to submit a final report on certain child support guidelines to the Legislature by a specified date;

requiring the Department of Environmental Protection to transfer designated proportions of the revenues deposited in the Land Acquisition Trust Fund within the department to land acquisition trust funds in the Department of Agriculture and Consumer Services, the Department of State, and the Fish and Wildlife Conservation PageCommission 12according ofto 154specified CODING:parameters and calculations;

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SB 2502 First Engrossed 20252502e1 Commission according to specified parameters and calculations;

authorizing the Department of Environmental ProtectionPage to10 advanceof funds103 fromCODING: its land acquisition trust fund to the Fish and Wildlife Conservation Commission’s land acquisition trust fund for specified purposes;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb Protection to advance funds from its land acquisition trust fund to the Fish and Wildlife Conservation Commission’s land acquisition trust fund for specified purposes;

requiringproviding that proceeds from a specified trust fund shall be distributed as provided in the General Appropriations Act for a specified fiscal year;

amending ss.

376.3071 and 376.3072, F.S.;

prohibiting certain deductibles and copays;

prohibiting enforcement of certain monetary caps;

requiring that certain costs be absorbed at the expense of the Inland Protection Trust Fund;

providing exceptions;

requiring the Department of Citrus to file certain Pageinformation 13with ofthe 154department’s CODING:Inspector General;

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SB 2502 First Engrossed 20252502e1 information with the department’s Inspector General;

amending s.

10, ch.

2022-272, Laws of Florida;

extending the Hurricane Restoration Reimbursement Grant Program for 1 fiscal year;

requiring that funds appropriated for the water quality improvement grant program be used for a specified fiscal year as provided in the General AppropriationsPage Act;11 of 103 CODING:

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb Appropriations Act;

375.041, F.S.;

requiring funds for the Land Acquisition Trust Fund to be appropriated in a specified manner;

amending s.

extending for 1 fiscal year a requirement that the use of funds in the Triumph Gulf Coast Trust Fund be related to Hurricane Michael recovery;

authorizing the Department of Transportation to rebalance funds within the Work Program for specified purposes;

providing requirements for such rebalancing;

authorizing the department to request a specified amount of budget authority to the extent necessary to Page 14 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 advance or defer certain projects in the Work Program and align resources for a specified purpose;

339.08, F.S.;

revising the use of moneys in the State Transportation Trust Fund for a specified fiscal year;

amending s.

250.245, F.S.;

extending for 1 fiscal year the Florida National Guard Joint Enlistment Enhancement Program within the Department of Military Affairs;

amending s.

amending s.

282.201, F.S.;

extending for 1 fiscal year the Division of Emergency Management’s exemption from the use of the state data center;

amending s.

251.001, F.S.;

providing that the Florida State Guard aircraft is assigned to a specified department for certain uses;

requiring the Florida State Guard to sign a certain memorandum of understanding;

amending s.

443.1113, F.S.;

providing that certain improvements to the Reemployment Assistance Claims and Benefits Information System are subject to appropriation;

revising the date a certain report from the Department of Commerce is required to be submitted;

revising the report requirements;

providing for the future expiration and reversion of specified statutory text;

amending s.

445.08, F.S.;

requiring a law enforcement officer to provide documentation justifying a break in service for purposes of the Florida Law Enforcement Recruitment Bonus Payment Program;

defining the term “break in service”;

providing that the time period for such a break in service does not count toward satisfying certain requirements;

extending the program Page 15 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 for 1 fiscal year;

amending s.

420.5096, F.S.;

revising eligibility for the Florida Hometown Hero Program for a specified fiscal year;

providing how a state agency shall remit certain funds;

requiring state agencies to provide a list of positions that qualify forPage a12 certainof exception103 byCODING: a specified date and to update the list monthly thereafter;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb for such exception by a specified date and to update the list monthly thereafter;

providing Pagefor 16future expiration and reversion of 154specific CODING:statutory text;

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SB 2502 First Engrossed 20252502e1 for future expiration and reversion of specific statutory text;

extending for 1 fiscal year the authority of the Legislative Budget Commission to approvePage budget13 amendmentsof for103 certainCODING: fixed capital outlay projects;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb approve budget amendments for certain fixed capital outlay projects;

amendingproviding s.that the annual salary rate for specified departments will be controlled at the budget entity level;

11.52, F.S.;

extending for 1 year certain state agency reporting requirements regarding implementation of legislation;

amending s.

216.013, F.S.;

extending for 1 fiscal year an exception from certain planning requirements;

amending s.

216.023, F.S.;

extending for 1 year a requirement that certain entities include a specified inventory in their legislative budget requests;

providing that the use of state funds must be consistent with specified principles of individual freedom;

prohibiting a state agency from using state Page 17 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 funds to contract with an advertising agency or other contractor who acts as or uses the services of media reliability and bias monitors;

defining the term “media reliability and bias monitor”;

amending s.

440.13, F.S.;

providing a percentage for reimbursement for emergency services and care under certain circumstances;

providing for future expiration and reversion of specified statutory text;

authorizing the Office of Policy and Budget within the Executive Office of the Governor to conduct a review of the functions, procedures, and policies in effect for certain local entities to identify specified information;

specifying the records that the office may review;

requiring certain local governments to provide the office with access to specified information within a specified timeframe after a request from the office;

providing construction;

providing for civil fines against the local government, not its employees, for noncompliance;

requiring such fines to be deposited into the General Revenue Fund;

requiring the office to submit an initial report to the Governor, the Chief Financial Officer, and the Legislature by a specified date;

providing requirements for the report;

providing construction;

amending s.

551.118, F.S.;

specifying the contract timeframe for the Florida Gaming Control Commission’s contract for the provision of services related to the prevention of compulsive and addictive gambling;

amending s.

373.0421, F.S.;

providing that Page 18 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 agricultural producers who implement specified best management practices are presumed to be in compliance with certain recovery and prevention strategies;

providing for future expiration and reversion of specified statutory text;

providing that the Governor, the Cabinet officers, and the Legislature are permanent tenants of the Capitol Complex;

prohibiting the interior space allotted to each tenant as of a specified date from being reduced or moved without the tenant’s express consent;

requiring the Department of Management Services to offer for lease to the House of Representatives certain office space by a specified date;

requiring the department to coordinate with specified entities before planning or scheduling any projects in the Capitol Center;

requiring the office to solicit specified feedback in carrying out the provisions of the Capitol Center long-range planning;

prohibiting certain parking spaces from being reduced or reassigned without the express consent of the Legislature;

providing for severability;

PageSection 191. of 154 CODING:

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SB 2502 First Engrossed 20252502e1 Section 1.

In order to implement Specific Appropriations 5, 6, 88, 89, and 8989A of the 2025-2026 General Appropriations Act, the calculations of the Florida Education Finance Program for the 2025-2026 fiscal year included in the document titled “Public School Funding:

The Florida Education Finance Program (FEFP) Fiscal Year 2025-2026,” dated JuneMarch 13,28, 2025, and filed withPage the14 Secretary of the103 Senate,CODING: are incorporated by reference for the purpose of displaying the calculations used by the Legislature, consistent with the requirements of state law, in making appropriations for the Florida Education Finance Program.

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb with the Secretary of the Senate, are incorporated by reference for the purpose of displaying the calculations used by the Legislature, consistent with the requirements of state law, in making appropriations for the Florida Education Finance Program.

In order to implement Specific Appropriation 81 of the 2025-2026 General Appropriations Act, the school readiness reimbursement rates for the 2025-2026 fiscal year included in the document titled “School Readiness Program Reimbursement Rates Fiscal Year 2025-2026,” dated JuneMarch 13,28, 2025, and filed with the Secretary of the Senate, are incorporated by reference, consistent with the requirements of state law, in making appropriations for the school readiness program allocation.

In order to implement Specific AppropriationAppropriations 147197 through 225 and 530 of the 2025-2026 General Appropriations Act, present subsection (5) of section 1011.45, Florida Statutes, is redesignated as subsection (6), a new subsection (5) is added to that section, and subsectionnotwithstanding (3)ss. of that section is amended, to read:

Page216.181 20and 216.292, Florida Statutes, the Agency for Health Care Administration, in consultation with the Department of 154Health, CODING:may submit a budget amendment, subject to the notice, review, and objection procedures of s.

216.177, Florida Statutes, to realign funding within and between agencies based on implementation of the managed medical assistance component of the Statewide Medicaid Managed Care program for the Children’s Medical Services program of the Department of Health.

The funding realignment shall reflect the actual enrollment changes due to the transfer of beneficiaries from fee-for-service to the capitated Children’s Medical Services network.

The Agency for Health Care Administration may submit a request for nonoperating budget Page 15 of 103 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED 1011.45BILL) EndSPB of2502 year576-02575-25 balance20252502pb ofauthority funds.—Unexpendedto amountstransfer in any fund in a university current year operating budget shall be carried forward and included as the balancefederal forwardfunds forto that fund in the approvedDepartment operatingof budgetHealth forpursuant theto followings. year.

(3)216.181(12), AFlorida university’sStatutes. carry forward spending plan must include the estimated cost per planned expenditure and a timeline for completion of the expenditure.

A carry forward spending plan may include retention of the carry forward balance as a reserve fund to be used for authorized expenses in subsequent years.

For any annual reserve balance in excess of the 7 percent minimum carry forward balance pursuant to subsection (1), the authorized expenditures in a carry forward spending plan must include a commitment of 12 percent of the university’s 2025-2026 fiscal year state operating fund carry forward balance to fund a public education capital outlay project for which an appropriation has previously been provided which requires additional funds for completion and which is included in the list required by s.

1001.706(12)(d) or for deferred building maintenance expenses.

The carry forward spending plan must identify the specific public education capital outlay project and the amount the university will contribute toward the fixed capital outlay project pursuant to s.

1001.706(12)(d) or specific deferred maintenance project.

Authorized expenditures in a carry forward spending plan may include:

(a) Commitment of funds to a public education capital outlay project for which an appropriation has previously been provided that requires additional funds for completion and which is included in the list required by s.

1001.706(12)(d);

(b) Completion of a renovation, repair, or maintenance Page 21 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 project that is consistent with s.

1013.64(1) or replacement of a minor facility;

(c) Completion of a remodeling or infrastructure project, including a project for a developmental research school, if such project is survey recommended pursuant to s.

1013.31;

(d) Completion of a repair or replacement project necessary due to damage caused by a natural disaster for buildings included in the inventory required pursuant to s.

1013.31;

(e) Operating expenditures that support the university’s mission;

(f) Any purpose specified by the board or in the General Appropriations Act, including the requirements in s.

1001.706(12)(c) or similar requirements pursuant to Board of Governors regulations;

and (g) A commitment of funds to a contingency reserve for expenses incurred as a result of a state of emergency declared by the Governor pursuant to s.

252.36;

and (h) Deferred building maintenance expenses for the maintenance, repair, and renovation of projects to improve the health and safety of such facilities.

(5) A university’s carry forward spending plan pursuant to subsection (1) must provide detailed documentation of expenditures that the university applied toward the prior year carry forward spending plan.

Section 5.

The amendments to s.

1011.45, Florida Statutes, made by this act expire July 1, 2026, and the text of that section shall revert to that in existence on June 30, 2025, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the Page 22 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 6.

In order to implement Specific Appropriation 147 of the 2025-2026 General Appropriations Act, subsection (18) of section 1009.26, Florida Statutes, as amended by section 20 of chapter 2025-109, Laws of Florida, is amended to read:

1009.26 Fee waivers.— (18)(a) For every course in a Program of Strategic Emphasis, or in a state-approved teacher preparation program identified by the Board of Governors, as identified in subparagraph 3., in which a student is enrolled and has out-of- pocket expenses for tuition and fees after all other federal, state, and institutional gift aid is applied, a state university shall waive 100 percent of the tuition and fees of the student’s out-of-pocket expenses for an equivalent course in such program for a student who:

1.

Is a resident for tuition purposes under s.

1009.21.

2.

Has earned at least 60 semester credit hours towards a baccalaureate degree within 2 academic years after initial enrollment at a Florida public postsecondary institution.

3.

Enrolls in one of 10 Programs of Strategic Emphasis as adopted by the Board of Governors or a state-approved teacher preparation program.

The Board of Governors shall adopt eight Programs of Strategic Emphasis in science, technology, engineering, or math;

beginning with the 2022-2023 academic year, two Programs of Strategic Emphasis in the critical workforce gap analysis category;

and beginning with the 2023- 2024 academic year, two state-approved teacher preparation programs for which a student may be eligible to receive the Page 23 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 tuition and fee waiver authorized by this subsection.

The programs identified by the board must reflect the priorities of the state and be offered at a majority of state universities at the time the Board of Governors approves the list.

(b) A waiver granted under this subsection is applicable only for upper-level courses and up to 110 percent of the number of required credit hours of the baccalaureate degree program for which the student is enrolled.

A student granted a waiver under this subsection shall continue receiving the waiver until the student graduates, exceeds the number of allowable credit hours, or withdraws from an eligible program, regardless of whether the program is removed from the approved list of eligible programs subsequent to the student’s enrollment.

(c) Upon enrollment in a Program of Strategic Emphasis or a state-approved teacher preparation program, the tuition and fees waived under this subsection must be reported for state funding purposes under ss.

1009.534 and 1009.535 and must be disbursed to the student.

The amount disbursed to the student must be equal to the award amount the student has received under s.

1009.534(3) or s.

1009.535(2).

(d) Each state university shall report to the Board of Governors the number and value of all waivers granted annually under this subsection.

A state university in compliance with this subsection may earn incentive funding, subject to appropriation, in addition to the funding provided under s.

1001.92.

(d)(e) The Board of Governors shall adopt regulations to administer this subsection.

Section 7.

The amendments to s.

1009.26(18), Florida Page 24 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 Statutes, made by this act expire July 1, 2026, and the text of that subsection shall revert to that in existence on June 30, 2025, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 8.

In order to implement Specific Appropriation 130 of the 2025-2026 General Appropriations Act, section 1004.89, Florida Statutes, is amended to read:

1004.89 Institute for Freedom in the Americas.— (1) The Institute for Freedom in the Americas is hereby created at Miami Dade College to preserve the ideals of a free society and promote democracy in the Americas.

The institute shall be located at the Freedom Tower and shall:

(1)(a) Partner with the Adam Smith Center for Economic Freedom to Hold workshops, symposiums, and conferences that provide networking opportunities for leaders throughout the region to gain new insights and ideas for promoting democracy, including knowledge of and insight into the intellectual, political, and economic freedoms that are foundational to a democratic society.

(2)(b) Enter into an agreement with the Adam Smith Center for Economic Freedom to provide participants with academic coursework and programs that advance democratic practices and economic and legal reforms.

(3)(c) Provide educational and experiential opportunities for regional leaders committed to careers in democracy and governance.

(2) Miami Dade College, in accordance with s.

1004.70, Page 25 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 shall approve a direct-support organization to support the institute in its mission to develop partnerships throughout the Americas.

Notwithstanding s.

1004.70(2), the board of the direct-support organization shall be composed of five members, as follows:

one member appointed by the President of the Senate;

one member appointed by the Speaker of the House of Representatives;

and three members appointed by the Governor, including a representative from Miami Dade College and a representative from the Adam Smith Center for Economic Freedom.

Section 9.

The amendments to s.

1004.89, Florida Statutes, made by this act expire July 1, 2026, and the text of that section shall revert to that in existence on June 30, 2025, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 10.

In order to implement Specific Appropriation 17 of the 2025-2026 General Appropriations Act, a state university board of trustees that is beginning an approved capital outlay project with a health care provider may accept the health care provider’s procurement methods and construction contracts entered thereunder and may reimburse the health care provider for its expenses using the proceeds from a bond issuance approved by the Board of Governors.

Section 11.5.

In order to implement Specific Appropriation 147 of the 2025-2026 General Appropriations Act, and notwithstanding ss.

1011.45 and 1012.975, Florida Statutes, the Florida Agricultural and Mechanical University board of trustees Page 26 of 154 CODING:

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SB 2502 First Engrossed 20252502e1 may expend available reserves or carry forward balances from previous years’ operational and programmatic appropriations, or other available reserves or balances from funds not appropriated from the General Revenue Fund, from state trust funds, or tuition and fees, for the remuneration of the president of the Florida Agricultural and Mechanical University.

This section expires July 1, 2026.

Section 12.

Section 13.6.

InEffective upon this act becoming a law, and in order to implement Specific Appropriations 179197 through 184225 and 530 of the 2025-2026 General Appropriations Act, and notwithstanding ss.section 6 of chapter 2024-228, Laws of Florida, the Agency for Health Care Administration is authorized to submit a budget amendment, subject to the notice, review and objection procedures of s.

216.181216.177, and 216.292, Florida Statutes, theto Agencyrealign forfunding Healthwithin Care Administration and the DepartmentMedicaid ofprogram Healthappropriation maycategories eachto submitaddress aprojected budgetsurpluses amendment,and subjectdeficits towithin the notice,program review,for andthe objection2025-2026 proceduresfiscal ofyear. s.

216.177,The FloridaAgency Statutes,for toHealth realignCare fundingAdministration withinmay thenot Floridarealign Kidcarefunds programto appropriationprovide categories,Medicaid orreimbursements toat increaserates budgetabove authority in the Children’samounts Medicaladopted Servicesat network category, to address projected surpluses and deficits within the programFebruary or27, to2025, maximizeSocial theServices useEstimating ofConference. state trust funds.

AThis singlesection budgetexpires PageJuly 271, of2025. 154 CODING:

Section 7.

In order to implement Specific Appropriations Page 16 of 103 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED amendmentBILL) mustSPB be2502 submitted576-02575-25 by20252502pb each179 agencythrough in184 theand last530 quarter of the 2025-2026 fiscalGeneral yearAppropriations only.Act, and notwithstanding ss.

216.181 and 216.292, Florida Statutes, the Agency for Health Care Administration and the Department of Health may each submit a budget amendment, subject to the notice, review, and objection procedures of s.

216.177, Florida Statutes, to realign funding within the Florida Kidcare program appropriation categories, or to increase budget authority in the Children’s Medical Services network category, to address projected surpluses and deficits within the program or to maximize the use of state trust funds.

A single budget amendment must be submitted by each agency in the last quarter of the 2025-2026 fiscal year only.

Section 14.8.

Section 15.9.

causePage of17 action.— (1) EMERGENCY RULEMAKING.— (a) The Department of Health103 andCODING: the applicable boards shall adopt emergency rules pursuant to s.

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words underlined are additions.

Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb cause of action.— (1) EMERGENCY RULEMAKING.— (a) The Department of Health and the applicable boards shall adopt emergency rules pursuant to s.

If an emergency rule adopted under this section is held to be unconstitutional or an invalid exercise of delegated legislative authority, and becomes void, the department or the applicable boards may adopt an emergency rule pursuant to this section to replace the rule that Pagehas 28become ofvoid. 154 CODING:

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words underlined are additions.

SB 2502 First Engrossed 20252502e1 has become void.

(c)Page Emergency18 rulesof adopted103 underCODING: this section are exempt from s.

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words underlined are additions.

Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb (c) Emergency rules adopted under this section are exempt from s.

By SeptemberJuly 1, 20252026 January 1, 2018, the department and the applicable boards shall initiate nonemergency rulemaking pursuant to the Administrative PageProcedures 29Act to replace all emergency rules adopted under this section by publishing a notice of 154rule CODING:development in the Florida Administrative Register.

Except as provided in paragraph (a), after July 1, 2026 January 1, 2018, the department and applicable boards may not adopt rules pursuant to the emergency rulemaking procedures provided in this section.

Section 10.

The amendments to subsection (1) of section 14 of chapter 2017-232, Laws of Florida, made by this act expire July 1, 2026, and the text of that subsection shall revert to that in existence on June 30, 2019, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 11.

In order to implement Specific Appropriations 203, 204, 207, and 211 of the 2025-2026 General Appropriations Act, the Agency for Health Care Administration may submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting additional spending authority to implement the Page 19 of 103 CODING:

SBFlorida Senate - 2025 (PROPOSED BILL) SPB 2502 First576-02575-25 Engrossed20252502pb 20252502e1federally Proceduresapproved ActDirected Payment Program for hospitals statewide providing inpatient and outpatient services to replaceMedicaid allmanaged emergencycare rulesenrollees, adoptedthe underIndirect thisMedical sectionEducation by(IME) publishingProgram, and a noticenursing ofworkforce ruleexpansion developmentand education program for certain institutions participating in thea Floridagraduate Administrativemedical Register.education or nursing education program.

Except as provided in paragraph (a), after December 31, 2025 January 1, 2018, the department and applicable boards may not adopt rules pursuant to the emergency rulemaking procedures provided in this section.

Section 16.

The amendments to subsection (1) of section 14 of chapter 2017-232, Laws of Florida, made by this act expire January 1, 2026, and the text of that subsection shall revert to that in existence on June 30, 2019, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 17.

In order to implement Specific Appropriations 203, 204, 207, and 211 of the 2025-2026 General Appropriations Act, the Agency for Health Care Administration may submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting additional spending authority to implement the federally approved Directed Payment Program for hospitals statewide providing inpatient and outpatient services to Medicaid managed care enrollees, the Indirect Medical Education (IME) Program, and a nursing workforce expansion and education program for certain institutions participating in a graduate medical education or nursing education program.

Institutions participating in the nursing workforce expansion and education Pageprogram 30shall provide quarterly reports to the agency detailing the number of 154nurses CODING:participating in the program.

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SB 2502 First Engrossed 20252502e1 program shall provide quarterly reports to the agency detailing the number of nurses participating in the program.

Section 18.12.

Section 19.13.

In order to implement Specific Appropriations 197 through 225 of the 2025-2026 General Appropriations Act, the Agency for Health Care Administration may submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting additional spending authority to implement the Low Income Pool component of the Florida Managed Medical Assistance Demonstration up to the total computable funds authorized by the federalPage Centers20 forof Medicare103 andCODING: Medicaid Services.

The budget amendment must include the final terms and conditions of the Low Income Pool, a proposed distribution model by entity, and a listing of entities contributing intergovernmental transfers to support the state match required.

In addition, for each entity included in the distribution model, a signed attestation must be provided that includes the charity care cost upon which the Low Income Pool payment is based and an acknowledgment that should the distribution result in an overpayment based on the Low Income Pool cost limit audit, the entity is responsible for Page 31 of 154 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED returningBILL) thatSPB overpayment2502 to576-02575-25 the20252502pb agency for return to the federal Centers for Medicare and Medicaid Services.

The budget amendment must include the final terms and conditions of the Low Income Pool, a proposed distribution model by entity, and a listing of entities contributing intergovernmental transfers to support the state match required.

In addition, for each entity included in the distribution model, a signed attestation must be provided that includes the charity care cost upon which the Low Income Pool payment is based and an acknowledgment that should the distribution result in an overpayment based on the Low Income Pool cost limit audit, the entity is responsible for returning that overpayment to the agency for return to the federal Centers for Medicare and Medicaid Services.

Section 20.14.

Section 21.15.

SectionPage 22.21 of 103 CODING:

In order to implement Specific Appropriations 197 through 225 of the 2025-2026 General Appropriations Act, and notwithstanding ss.

216.181 and 216.292, Florida Statutes, the Agency for Health Care Administration may submit a budget amendment subject to the notice, review, and objection procedures of s.

216.177, Florida Statutes, requesting additional spending authority to implement the Disproportionate Share Hospital Program.

The budget amendment must include a proposed distribution model by entity and a listing of entities contributing intergovernmental transfers and certified public Page 32 of 154 CODING:

SBFlorida 2502Senate First- Engrossed2025 20252502e1(PROPOSED expendituresBILL) toSPB support2502 the576-02575-25 state20252502pb matchSection required.16.

In order to implement Specific Appropriations 197 through 225 of the 2025-2026 General Appropriations Act, the Agency for Health Care Administration may submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting additional spending authority to implement the Disproportionate Share Hospital Program.

The budget amendment must include a proposed distribution model by entity and a listing of entities contributing intergovernmental transfers and certified public expenditures to support the state match required.

Section 23.17.

In order to implement Specific Appropriations 204 and 207 of the 2025-2026 General Appropriations Act, the Agency for Health Care Administration may submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting additional spending authority to implement fee-for-service inpatient and outpatient supplemental payments for specialty hospitals as defined in s.

395.002(28), Florida Statutes, providing comprehensive acute care services to children with Medicaid inpatient utilization equal to or greater than 50 percent and located in a county with greater than 250,000 Medicaid enrollees in 2023.

This section expires July 1, 2026.

Section 24.

In order to implement Specific Appropriations 190 and 216 of the 2025-2026 General Appropriations Act, and notwithstanding ss.

216.181 and 216.292, Florida Statutes, the Agency for Health Care Administration may submit budget amendments, subject to the notice, review, and objection procedures of s.

216.177, Florida Statutes, to increase budget authority to support the Florida School-Based Services program.

This section expires July 1, 2026.

Section 25.

409.908 Reimbursement of Medicaid providers.—Subject to specific appropriations, the agency shall reimburse Medicaid providers, in accordance with state and federal law, according to methodologies set forth in the rules of the agency and in Pagepolicy 33manuals ofand 154handbooks CODING:incorporated by reference therein.

Words stricken are deletions;

words underlined are additions.

SB 2502 First Engrossed 20252502e1 policy manuals and handbooks incorporated by reference therein.

If a provider is reimbursed based on cost reporting and submits a cost report late and that cost report would have been used to set a lower reimbursement rate for a rate semester, then the provider’s rate for that semester shall be retroactively calculated using the new cost report, and full payment at the recalculated rate shall be effected retroactively.Page 22 of 103 CODING:

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb retroactively.

(2) (b) Subject to any limitations or directions in the General Appropriations Act, the agency shall establish and implement a state Title XIX Long-Term Care Reimbursement Plan for nursing home care in order to provide care and services in conformance Pagewith 34the ofapplicable 154state CODING:and federal laws, rules, regulations, and quality and safety standards and to ensure that individuals eligible for medical assistance have reasonable geographic access to such care.

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SB 2502 First Engrossed 20252502e1 with the applicable state and federal laws, rules, regulations, and quality and safety standards and to ensure that individuals eligible for medical assistance have reasonable geographic access to such care.

Separate prices shall be calculated for each patient care subcomponent, initially based on the September 2016 rate setting cost reports andPage subsequently23 basedof on103 theCODING: most recently audited cost report used during a rebasing year.

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb and subsequently based on the most recently audited cost report used during a rebasing year.

Page(I) 35Direct ofCare 154Costs CODING:..........................100 percent.

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SB 2502 First Engrossed 20252502e1 (I) Direct Care Costs ..........................100 percent.

Quality Incentive Program Payment Pool...............................17.862Page 1024 percent of September103 ........................................2016CODING: non-property related .................................payments of included facilities.

Words stricken are deletions;

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Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb Pool...................................12 10 percent of September ........................................2016 non-property related .................................payments of included facilities.

Quality Score Threshold to Qualify Quality for Quality Incentive Payment.......33Payment............................................20th percent of all available points in the Medicaid Quality Incentive Program 20th ...............................percentile of included facilities.

Page(XI) 36Minimum Cost of 154a CODING:renovation/replacements $500 per bed.

Words stricken are deletions;

words underlined are additions.

SB 2502 First Engrossed 20252502e1 (XI) Minimum Cost of a renovation/replacements $500 per bed.

The direct care subcomponent also includes medically necessary dentalPage care,25 visionof care,103 hearingCODING: care, and podiatric care.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb dental care, vision care, hearing care, and podiatric care.

A direct care supplemental payment may be made to Pageproviders 37whose direct care hours per patient day are above the 80th percentile and who provide Medicaid services to a larger percentage of 154Medicaid CODING:patients than the state average.

Words stricken are deletions;

words underlined are additions.

SB 2502 First Engrossed 20252502e1 providers whose direct care hours per patient day are above the 80th percentile and who provide Medicaid services to a larger percentage of Medicaid patients than the state average.

ItPage is26 the intent of the103 LegislatureCODING: that the reimbursement plan achieve the goal of providing access to health care for nursing home residents who require large amounts of care while encouraging diversion services as an alternative to nursing home care for residents who can be served within the community.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb It is the intent of the Legislature that the reimbursement plan achieve the goal of providing access to health care for nursing home residents who require large amounts of care while encouraging diversion services as an alternative to nursing home care for residents who can be served within the community.

Section 26.18.

409.908(2)(b),409.908, Florida Statutes, made by this act expire July 1, 2026, and the text of that paragraphsection shall revert to that in existence on June 30, Page2025, 38except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of 154text CODING:which expire pursuant to this section.

WordsSection stricken19. are deletions;

words underlined are additions.

SB 2502 First Engrossed 20252502e1 2025, except that any amendments to such text enacted other than by this act shall be preserved and continue to operate to the extent that such amendments are not dependent upon the portions of text which expire pursuant to this section.

Section 27.

216.177, Florida Statutes, to realign funding within the department based on the implementation of the Guardianship Assistance Program, between the specific appropriationsPage for27 guardianshipof assistance103 payments,CODING: foster care Level 1 room and board payments, relative caregiver payments, and nonrelative caregiver payments.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2025 (PROPOSED BILL) SPB 2502 576-02575-25 20252502pb appropriations for guardianship assistance payments, foster care Level 1 room and board payments, relative caregiver payments, and nonrelative caregiver payments.

Section 28.20.

216.177, Florida Statutes, to increase budget authority to support refugee programs administered by the federal Office of Refugee Resettlement due to the ongoing instability of federal immigration policy and the resulting inability of the state to reasonably predict, with certainty, the budgetary needs of this Pagestate 39with respect to the number of 154refugees CODING:relocated to the state as part of those federal programs.

Words stricken are deletions;

words underlined are additions.

SB 2502 First Engrossed 20252502e1 state with respect to the number of refugees relocated to the state as part of those federal programs.

Section 29.21.

216.181 and 216.292, Florida Statutes, the Department of Children and Families may submit budget amendments,Page subject28 to the notice, review, and objection procedures of s.103 CODING:

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words underlined are additions.