Florida 2026 Session Status: In Committee 2 D cosponsors

HB 1351 — Presumptive Medicaid Eligibility for Pregnant Women

Last action — Died in Health Care Facilities & Systems Subcommittee

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

This bill is in committee in the House. Introduced January 09, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 18% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 D).

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

Presumptive Medicaid Eligibility for Pregnant Women; Authorizes certain entities meeting specified criteria to serve as qualified Medicaid providers for purposes of making presumptive Medicaid eligibility determinations for pregnant women; requires DCF to ensure that such providers are adequately trained & monitored for compliance when serving in such roles; requires AHCA to provide Medicaid coverage to pregnant women deemed presumptively eligible for duration of specified time period; provides that pregnant women deemed presumptively eligible are entitled to coverage of all medically necessary services under Medicaid program during such eligibility period; requires that all prior authorizations granted before or during such period remain in effect for duration of such period; requires agency, within specified timeframe, to seek federal approval to extend allowable period of presumptive Medicaid eligibility coverage for pregnant women; requires agency & department to initiate certain rulemaking within specified timeframe.

Bill Text

How this bill changes current law

4 changes Share ↗

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

This bill expands provisions for presumptive Medicaid eligibility for pregnant women by adding qualified providers and clarifying coverage and authorization details.

  • 409.903

    qualified Medicaid providers that may conduct presumptive eligibility determinations for Medicaid for pregnant women include, but are not limited to, hospitals participating in the Medicaid program; federally qualified health centers; birth centers; nonprofit maternal and child health organizations, such as healthy start coalitions; clinics operating under the Special Supplemental Nutrition Program for Women, Infants, and Children; and local housing authorities, provided such entities have met the applicable training and certification standards established by the department for such purpose.

    Establishes a list of qualified providers that can make presumptive eligibility determinations for pregnant women.

  • 409.903

    Pregnant women deemed presumptively eligible under this subsection are entitled to coverage of all medically necessary services under the Medicaid program, including, but not limited to, services provided by specialists and subspecialists needed to comanage high-risk pregnancies, including for issues outside the scope of general obstetrics.

    Clarifies that pregnant women who are presumptively eligible will receive comprehensive coverage, including specialized services for high-risk pregnancies.

  • 409.903

    All prior authorization approvals granted before or during the presumptive eligibility period remain valid for the duration of such period to ensure continuity of care and to reduce the risk of adverse maternal or infant health outcomes.

    Ensures that all prior authorizations for medical services continue to be honored during the presumptive eligibility period.

  • 409.903

    the agency shall provide such coverage under the Medicaid program for the maximum period allowable under federal law or until a full Medicaid eligibility determination is made, whichever occurs earlier. → For pregnant women deemed presumptively eligible under this subsection, the agency shall provide such coverage under the Medicaid program for the maximum period allowable under federal law or until a full Medicaid eligibility determination is made, whichever occurs earlier.

    Reiterates the provision that coverage is provided for the maximum allowable period while affirming that eligibility determinations will still be made.

Action History

  1. Died in Health Care Facilities & Systems Subcommittee

  2. Now in Health Care Facilities & Systems Subcommittee

  3. Referred to Health & Human Services Committee

  4. Referred to Health Care Budget Subcommittee

  5. Referred to Health Care Facilities & Systems Subcommittee

  6. 1st Reading (Original Filed Version)

  7. Filed

Sponsors

Sponsorship breakdown

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

Sponsors (1)

Co-sponsors (1)

Not signed on (158)

158 members have not signed on to this bill.

Show all 158 →

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

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

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 1351 do?
Presumptive Medicaid Eligibility for Pregnant Women; Authorizes certain entities meeting specified criteria to serve as qualified Medicaid providers for purposes of making presumptive Medicaid eligibility determinations for pregnant women; requires DCF to ensure that such providers are adequately trained & monitored for compliance when serving in such roles; requires AHCA to provide Medicaid coverage to pregnant women deemed presumptively eligible for duration of specified time period; provides that pregnant women deemed presumptively eligible are entitled to coverage of all medically necessary services under Medicaid program during such eligibility period; requires that all prior authorizations granted before or during such period remain in effect for duration of such period; requires agency, within specified timeframe, to seek federal approval to extend allowable period of presumptive Medicaid eligibility coverage for pregnant women; requires agency & department to initiate certain rulemaking within specified timeframe.
Who sponsors HB 1351?
HB 1351 is sponsored by Franklin II, Gallop (Democrat) and Daniels, Kimberly (Democrat).
What is the current status of HB 1351?
This bill is in committee in the House. Introduced January 09, 2026. It must pass committee before a floor vote.
Where can I track HB 1351?
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Last checked for changes 3 months ago · updated continuously

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