Florida 2026 Session Status: Passed Senate 3 R cosponsors

SB 1758 — Public Assistance

Last action — Died in Messages

Track this bill free

No card. One bill, free forever — alerts when it moves.

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

This bill has passed the Senate. Introduced January 13, 2026. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Prognosis

Advancing 52% · moderate confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed Senate

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 R).

  • Cleared a recorded vote

    Passed 3 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

Public Assistance; Authorizing the Agency for Health Care Administration to conduct retrospective reviews and audits of certain claims under the state Medicaid program for a specified purpose; requiring the agency to seek federal approval to implement mandatory work and community engagement requirements for able-bodied adults as a condition of obtaining and maintaining Medicaid coverage; requiring the agency, in consultation with the Department of Children and Families, to develop a business plan to implement specified provisions; revising the purpose of the Medicaid Pharmaceutical and Therapeutics Committee to include creation of a Medicaid preferred physician-administered drug list, a Medicaid preferred product list, and a high-cost drug list; requiring the department to develop and implement a food assistance payment accuracy improvement plan for a specified purpose, etc.

Bill Text

What changed in the latest version

992 added · 1003 removed

992 line(s) added, 1003 removed.

→
Previous
Latest
Florida Senate - 2026 CS for CS for SB 1758 By the Committees on Appropriations;
Florida Senate - 2026 CS for SB 1758 By the Committee on Health Policy;
and Health Policy;
and Senators Gaetz and Brodeur 588-02430-26 20261758c1 A bill to be entitled An act relating to public assistance;
and Senators Gaetz, Brodeur, and Massullo 576-03342-26 20261758c2 A bill to be entitled An act relating to public assistance;
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 coverage;
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 coverage;
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 department to develop certain estimates and submit them to the Legislature in a specified manner before the program may be implemented;
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 department to develop certain estimates and submit them to the Legislature in a specified manner before the program may be implemented;
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 when posting updates to such lists;
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 when posting updates to such lists;
establishing an alternative reimbursement methodology for long-acting injectables administered for severe mental illness in a hospital facility setting;
establishing an alternative reimbursement methodology for long-acting injectables administered in a hospital facility setting for severe mental illness;
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 recipients provide certain documentation for purposes of eligibility redeterminations;
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 recipients provide certain documentation for purposes of eligibility redeterminations;
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 Be It Enacted by the Legislature of the State of Florida:
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 Be It Enacted by the Legislature of the State of Florida:
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 Medicaid recipients in achieving self-sufficiency through meaningful work and community engagement is essential to ensuring that the state Medicaid program remains a sustainable resource for residents who are most in need of such assistance.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 Medicaid recipients in achieving self-sufficiency through meaningful work and community engagement is essential to ensuring that the state Medicaid program remains a sustainable resource for residents who are most in need of such assistance.
The plan must also include a methodology to provide those Medicaid recipients who stand to lose Medicaid eligibility due to earning income under the requirements of subsection (3) with a transition period to temporarily maintain eligibility, under parameters similar to those that enable a family eligible for temporary cash assistance to temporarily maintain Medicaid eligibility under s.
The agency shall submit the plan to the Governor, the President of the Senate, and the Speaker of the House of Representatives no later than December 1, 2026.
445.029.
The agency shall submit the plan to the Governor, the President of the Senate, and the Speaker of the House of Representatives no later than Page 7 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 December 1, 2026.
A parent, guardian, caretaker relative, or family caregiver of a dependent child younger than 14 years of age or of a disabled individual.
A parent, guardian, caretaker relative, or family Page 7 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 caregiver of a dependent child younger than 14 years of age or of a disabled individual.
Page 8 of 39 CODING:
8.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 8.
10.
A person receiving hospice services under part IV of chapter 400 who has a medical prognosis that his or her life expectancy is 6 months or less if his or her illness runs its normal course.
2.
Page 8 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 2.
(4)(a) Notwithstanding any other statutory provision, in order to maintain Medicaid coverage, an eligible Medicaid Page 9 of 39 CODING:
(4)(a) Notwithstanding any other statutory provision, in order to maintain Medicaid coverage, an eligible Medicaid recipient must, before enrollment and upon any redetermination for coverage, demonstrate compliance with the work or community engagement requirements of this section.
(b) The agency shall develop a process for ensuring compliance with this section which aligns, to the extent possible, with the processes currently in place relating to work and community engagement requirements authorized under the state’s Supplemental Nutrition Assistance Program, including, but not limited to, participant registration with a local CareerSource center, employment and training programs, and collaboration with the state’s local workforce boards.
Page 9 of 39 CODING:
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 recipient must, before enrollment and upon any redetermination for coverage, demonstrate compliance with the work or community engagement requirements of this section.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 (c) The department shall verify, in accordance with its procedures, that an individual subject to the work and community engagement requirements of this section demonstrates compliance during the individual’s regularly scheduled redetermination of eligibility and at least every 6 months thereafter.
(b) The agency shall develop a process for ensuring compliance with this section which aligns, to the extent possible, with the processes currently in place relating to work and community engagement requirements authorized under the state’s Supplemental Nutrition Assistance Program, including, but not limited to, participant registration with a local CareerSource center, employment and training programs, and collaboration with the state’s local workforce boards.
(c) The department shall verify, in accordance with its procedures, that an individual subject to the work and community engagement requirements of this section demonstrates compliance during the individual’s regularly scheduled redetermination of eligibility and at least every 6 months thereafter.
The Page 10 of 39 CODING:
The notice must include, at a minimum, notification of all of the following:
(a) That the recipient is eligible for a grace period of 30 days to either come into compliance with the requirements or request an exemption from the requirements and that Medicaid coverage of services will continue during the grace period.
(b) That if, following the 30-day period, the individual has not come into compliance with or requested an exemption from the work and community engagement requirements, his or her application for assistance will be denied and services terminated at the end of the month following the month in which Page 10 of 39 CODING:
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 notice must include, at a minimum, notification of all of the following:
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 such 30-calendar-day period ends.
Show all 260 changed rows (220 more)
Previous
Latest
(a) That the recipient is eligible for a grace period of 30 days to either come into compliance with the requirements or request an exemption from the requirements and that Medicaid coverage of services will continue during the grace period.
(b) That if, following the 30-day period, the individual has not come into compliance with or requested an exemption from the work and community engagement requirements, his or her application for assistance will be denied and services terminated at the end of the month following the month in which such 30-calendar-day period ends.
Nothing in Page 11 of 39 CODING:
Nothing in this section shall be construed to prevent or limit the agency from adjusting fees, reimbursement rates, lengths of stay, number of visits, number of services, or any other adjustments necessary to comply with the availability of moneys and any limitations or directions provided for in the General Appropriations Act or chapter 216.
(5) HOSPITAL INPATIENT SERVICES.—The agency shall pay for all covered services provided for the medical care and treatment of a recipient who is admitted as an inpatient by a licensed physician or dentist to a hospital licensed under part I of chapter 395.
However, the agency shall limit the payment for Page 11 of 39 CODING:
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 this section shall be construed to prevent or limit the agency from adjusting fees, reimbursement rates, lengths of stay, number of visits, number of services, or any other adjustments necessary to comply with the availability of moneys and any limitations or directions provided for in the General Appropriations Act or chapter 216.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 inpatient hospital services for a Medicaid recipient 21 years of age or older to 45 days or the number of days necessary to comply with the General Appropriations Act.
(5) HOSPITAL INPATIENT SERVICES.—The agency shall pay for all covered services provided for the medical care and treatment of a recipient who is admitted as an inpatient by a licensed physician or dentist to a hospital licensed under part I of chapter 395.
However, the agency shall limit the payment for inpatient hospital services for a Medicaid recipient 21 years of age or older to 45 days or the number of days necessary to comply with the General Appropriations Act.
The agency may limit prior authorization for hospital inpatient services to selected diagnosis-related groups, based Page 12 of 39 CODING:
The agency may limit prior authorization for hospital inpatient services to selected diagnosis-related groups, based on an analysis of the cost and potential for unnecessary hospitalizations represented by certain diagnoses.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 on an analysis of the cost and potential for unnecessary hospitalizations represented by certain diagnoses.
Upon implementing the prior authorization program for hospital inpatient services, the agency shall discontinue its hospital retrospective review program.
Upon implementing the prior authorization program for Page 12 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 hospital inpatient services, the agency shall discontinue its hospital retrospective review program.
409.906 Optional Medicaid services.—Subject to specific appropriations, the agency may make payments for services which are optional to the state under Title XIX of the Social Security Page 13 of 39 CODING:
409.906 Optional Medicaid services.—Subject to specific appropriations, the agency may make payments for services which are optional to the state under Title XIX of the Social Security Act and are furnished by Medicaid providers to recipients who are determined to be eligible on the dates on which the services were provided.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 Act and are furnished by Medicaid providers to recipients who are determined to be eligible on the dates on which the services were provided.
Nothing in this section shall be construed to prevent or limit the agency from adjusting fees, reimbursement rates, lengths of stay, number of visits, or number of services, or making any other adjustments necessary to comply with the availability of moneys and any limitations or directions provided for in the General Appropriations Act or chapter 216.
Nothing in this section shall be construed to prevent or limit the agency from adjusting fees, reimbursement rates, lengths of stay, number of visits, or number of services, or making any other adjustments necessary to comply with the availability of moneys and any limitations or Page 13 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 directions provided for in the General Appropriations Act or chapter 216.
The agency and the department shall produce Page 14 of 39 CODING:
The agency and the department shall produce estimates of the program′s potential costs to the Medicaid program and cost-savings for the department.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 estimates of the program′s potential costs to the Medicaid program and cost-savings for the department.
409.91195 Medicaid Pharmaceutical and Therapeutics Committee.—There is created a Medicaid Pharmaceutical and Therapeutics Committee within the agency for the purpose of developing a Medicaid preferred drug list, a Medicaid preferred physician-administered drug list, a Medicaid preferred product list, and a high-cost drug list.
409.91195 Medicaid Pharmaceutical and Therapeutics Committee.—There is created a Medicaid Pharmaceutical and Therapeutics Committee within the agency for the purpose of developing a Medicaid preferred drug list, a Medicaid preferred Page 14 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 physician-administered drug list, a Medicaid preferred product list, and a high-cost drug list.
(2) Committee members shall select a chairperson and a vice Page 15 of 39 CODING:
(2) Committee members shall select a chairperson and a vice chairperson each year from the committee membership.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 chairperson each year from the committee membership.
To the extent feasible, the committee shall review all drug or product classes included on the preferred drug list, the preferred physician-administered drug list, the preferred product list, and the high-cost drug list every 6 12 months, and may recommend additions to and deletions from the lists preferred drug list, such that the lists provide preferred drug list provides for medically appropriate drug and product therapies for Medicaid patients which achieve cost savings contained in the General Appropriations Act.
To the extent feasible, the Page 15 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 committee shall review all drug or product classes included on the preferred drug list, the preferred physician-administered drug list, the preferred product list, and the high-cost drug list every 6 12 months, and may recommend additions to and deletions from the lists preferred drug list, such that the lists provide preferred drug list provides for medically appropriate drug and product therapies for Medicaid patients which achieve cost savings contained in the General Appropriations Act.
Page 16 of 39 CODING:
(7) The committee shall ensure that interested parties, including pharmaceutical manufacturers agreeing to provide a supplemental rebate as outlined in this chapter, have an opportunity to present public testimony to the committee with information or evidence supporting inclusion of a drug or product on the preferred drug list, preferred physician- administered drug list, preferred product list, or high-cost drug list.
Such public testimony must shall occur before prior to any recommendations made by the committee for inclusion or exclusion from the preferred drug list, preferred physician- administered drug list, preferred product list, or high-cost Page 16 of 39 CODING:
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 (7) The committee shall ensure that interested parties, including pharmaceutical manufacturers agreeing to provide a supplemental rebate as outlined in this chapter, have an opportunity to present public testimony to the committee with information or evidence supporting inclusion of a drug or product on the preferred drug list, preferred physician- administered drug list, preferred product list, or high-cost drug list.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 drug list.
Such public testimony must shall occur before prior to any recommendations made by the committee for inclusion or exclusion from the preferred drug list, preferred physician- administered drug list, preferred product list, or high-cost drug list.
Paragraph (a) of subsection (5) of section 409.912, Florida Statutes, is amended, and subsection (14) is Page 17 of 39 CODING:
Paragraph (a) of subsection (5) of section 409.912, Florida Statutes, is amended, and subsection (14) is added to that section, to read:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 added to that section, to read:
Such confirmation or second opinion shall be rendered in a manner approved by the agency.
Such confirmation or second opinion Page 17 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 shall be rendered in a manner approved by the agency.
Page 18 of 39 CODING:
The agency may mandate prior authorization, drug therapy management, or disease management participation for certain populations of Medicaid beneficiaries, certain drug classes, or particular drugs to prevent fraud, abuse, overuse, and possible dangerous drug interactions.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 The agency may mandate prior authorization, drug therapy management, or disease management participation for certain populations of Medicaid beneficiaries, certain drug classes, or particular drugs to prevent fraud, abuse, overuse, and possible dangerous drug interactions.
The agency is authorized to limit the entities it contracts with or enrolls as Medicaid providers by developing a provider network through provider credentialing.
The agency is authorized to limit the entities it contracts with or enrolls as Medicaid providers by developing a provider network through Page 18 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 provider credentialing.
The agency shall determine instances in which allowing Medicaid beneficiaries to purchase durable medical equipment and other goods is less expensive to the Medicaid program than long-term Page 19 of 39 CODING:
The agency shall determine instances in which allowing Medicaid beneficiaries to purchase durable medical equipment and other goods is less expensive to the Medicaid program than long-term rental of the equipment or goods.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 rental of the equipment or goods.
The preferred drug list, which shall be a listing of cost-effective therapeutic options recommended by the Medicaid Pharmacy and Therapeutics Committee established pursuant to s.
The preferred drug list, which shall be a listing of cost-effective therapeutic options recommended by Page 19 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 the Medicaid Pharmacy and Therapeutics Committee established pursuant to s.
The agency may post and update the preferred drug list and the preferred physician-administered drug updates to the list on the agency’s an Internet website without following Page 20 of 39 CODING:
The agency may post and update the preferred drug list and the preferred physician-administered drug updates to the list on the agency’s an Internet website without following the rulemaking procedures of chapter 120.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 the rulemaking procedures of chapter 120.
The agency may adopt rules to administer this subparagraph.
The agency may adopt rules to administer Page 20 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 this subparagraph.
Page 21 of 39 CODING:
3.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 3.
There is a response to a request for prior authorization for a high-cost drug by telephone or other telecommunication device within 24 hours after receipt of the request for prior authorization;
There is a response to a request for prior authorization for a high-cost drug by telephone or other telecommunication device within 24 hours after receipt of the request for prior Page 21 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 authorization;
Long-acting injectables administered for severe mental illness in a hospital facility setting shall be reimbursed at no less than the actual Page 22 of 39 CODING:
Long-acting injectables administered for severe mental illness in a hospital facility setting shall be reimbursed at no less than the actual acquisition cost of the drug.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 acquisition cost of the drug.
Statewide Medicaid Managed Care plans, pharmacy benefit managers, and Medicaid providers shall submit to the agency all data necessary for the completion of the study, including, but not limited to, information related to drug purchasing, reimbursement, billing and coding, and dispensing.
Statewide Medicaid Managed Care plans, pharmacy benefit managers, and Medicaid providers shall submit to the agency all data necessary for the completion of the study, including, but not limited to, information related to drug purchasing, Page 22 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 reimbursement, billing and coding, and dispensing.
The Medicaid drug benefit management program shall include initiatives to manage drug therapies for HIV/AIDS patients, patients using 20 or more unique prescriptions in a 180-day Page 23 of 39 CODING:
The Medicaid drug benefit management program shall include initiatives to manage drug therapies for HIV/AIDS patients, patients using 20 or more unique prescriptions in a 180-day period, and the top 1,000 patients in annual spending.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 period, and the top 1,000 patients in annual spending.
A pharmacy credentialing process may include criteria such as a pharmacy’s full-service status, location, size, patient educational programs, patient consultation, disease management services, and other characteristics.
A pharmacy credentialing process may include criteria Page 23 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 such as a pharmacy’s full-service status, location, size, patient educational programs, patient consultation, disease management services, and other characteristics.
The Page 24 of 39 CODING:
The agency may implement the program in targeted geographic areas or statewide.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 agency may implement the program in targeted geographic areas or statewide.
11.7.
Page 24 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 11.7.
Agency decisions will be made on the clinical efficacy of a drug and recommendations of the Page 25 of 39 CODING:
Agency decisions will be made on the clinical efficacy of a drug and recommendations of the Medicaid Pharmaceutical and Therapeutics Committee, as well as the price of competing products minus federal and state rebates.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 Medicaid Pharmaceutical and Therapeutics Committee, as well as the price of competing products minus federal and state rebates.
The agency may contract with a vendor that has experience in operating behavioral drug management systems to implement this program.
The agency may contract with a vendor that has experience in operating behavioral drug management Page 25 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 systems to implement this program.
and determine deviations Page 26 of 39 CODING:
and determine deviations from best practice guidelines.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 from best practice guidelines.
(IV) Alert prescribers to patients who fail to refill prescriptions in a timely fashion, are prescribed multiple same- class behavioral health drugs, and may have other potential medication problems.
(IV) Alert prescribers to patients who fail to refill prescriptions in a timely fashion, are prescribed multiple same- Page 26 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 class behavioral health drugs, and may have other potential medication problems.
Any management system that is Page 27 of 39 CODING:
Any management system that is implemented in accordance with this subparagraph must rely on cooperation between physicians and pharmacists to determine appropriate practice patterns and clinical guidelines to improve the prescribing, dispensing, and use of drugs in the Medicaid program.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 implemented in accordance with this subparagraph must rely on cooperation between physicians and pharmacists to determine appropriate practice patterns and clinical guidelines to improve the prescribing, dispensing, and use of drugs in the Medicaid program.
The drug management system must be designed to improve the quality of care and prescribing practices based on best practice guidelines, improve patient adherence to medication plans, reduce clinical risk, and lower prescribed drug costs and the rate of inappropriate spending on Medicaid prescription drugs.
The drug management system must be designed to improve the quality of care and prescribing practices based on best practice guidelines, improve patient adherence to medication plans, reduce clinical risk, and lower prescribed drug costs and the rate of inappropriate spending on Medicaid prescription Page 27 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 drugs.
(IV) Alert prescribers to recipients who fail to refill prescriptions in a timely fashion, are prescribed multiple drugs Page 28 of 39 CODING:
(IV) Alert prescribers to recipients who fail to refill prescriptions in a timely fashion, are prescribed multiple drugs that may be redundant or contraindicated, or may have other potential medication problems.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 that may be redundant or contraindicated, or may have other potential medication problems.
The agency may specify the preferred daily dosing form or strength for the purpose of promoting best practices with regard to the prescribing of certain drugs as specified in the General Appropriations Act and ensuring cost-effective prescribing practices.
The agency may specify the preferred daily dosing form or strength for the purpose of promoting best practices with regard to the prescribing of certain drugs as specified in the General Appropriations Act and ensuring cost-effective Page 28 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 prescribing practices.
For purposes of this subparagraph, the term “step-edit” means an automatic electronic review of Page 29 of 39 CODING:
For purposes of this subparagraph, the term “step-edit” means an automatic electronic review of certain medications subject to prior authorization.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 certain medications subject to prior authorization.
18.14.
Page 29 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 18.14.
There is not a drug on the preferred drug list to treat the disease or medical condition which is an acceptable clinical Page 30 of 39 CODING:
There is not a drug on the preferred drug list to treat the disease or medical condition which is an acceptable clinical alternative;
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 alternative;
The agency shall work with the physician to determine the best alternative for the patient.
Page 30 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 The agency shall work with the physician to determine the best alternative for the patient.
The agency shall determine if the program has reduced the amount of Medicaid prescription drugs which are destroyed on an annual basis and if there are additional ways to ensure more Page 31 of 39 CODING:
The agency shall determine if the program has reduced the amount of Medicaid prescription drugs which are destroyed on an annual basis and if there are additional ways to ensure more prescription drugs are not destroyed which could safely be reused.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 prescription drugs are not destroyed which could safely be reused.
Paragraph (e) of subsection (1) and subsections (2) and (6) of section 409.913, Florida Statutes, are amended to read:
Paragraph (e) of subsection (1) and subsections (2) and (6) of section 409.913, Florida Statutes, are amended to Page 31 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 read:
any reductions in overpayment amounts negotiated in settlement agreements or by Page 32 of 39 CODING:
any reductions in overpayment amounts negotiated in settlement agreements or by other means;
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 other means;
and all costs associated with discovering and prosecuting cases of Medicaid overpayments and making recoveries in such cases.
and all costs associated with Page 32 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 discovering and prosecuting cases of Medicaid overpayments and making recoveries in such cases.
The agency and the Medicaid Fraud Control Unit of the Department of Legal Affairs each must include detailed unit-specific performance standards, benchmarks, and metrics in the report, including projected cost savings to the state Medicaid program during the following Page 33 of 39 CODING:
The agency and the Medicaid Fraud Control Unit of the Department of Legal Affairs each must include detailed unit-specific performance standards, benchmarks, and metrics in the report, including projected cost savings to the state Medicaid program during the following fiscal year.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 fiscal year.
(2) The agency shall conduct, or cause to be conducted by contract or otherwise, reviews, investigations, analyses, audits, or any combination thereof, to determine possible fraud, abuse, overpayment, or recipient neglect in the Medicaid program and shall report the findings of any overpayments in audit reports as appropriate.
(2) The agency shall conduct, or cause to be conducted by contract or otherwise, reviews, investigations, analyses, Page 33 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 audits, or any combination thereof, to determine possible fraud, abuse, overpayment, or recipient neglect in the Medicaid program and shall report the findings of any overpayments in audit reports as appropriate.
Medical necessity determination requires that service be consistent with symptoms or confirmed diagnosis of illness or injury under treatment and not in excess of the Page 34 of 39 CODING:
Medical necessity determination requires that service be consistent with symptoms or confirmed diagnosis of illness or injury under treatment and not in excess of the patient’s needs.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 patient’s needs.
It is the responsibility of the provider to furnish and keep the agency informed of the provider’s current mailing and service addresses address.
It is the responsibility of the provider to furnish and keep the agency informed of the provider’s current mailing and service Page 34 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 addresses address.
or Page 35 of 39 CODING:
or (d) Individuals who lawfully reside in the United States in accordance with the Compacts of Free Association referred to in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 (d) Individuals who lawfully reside in the United States in accordance with the Compacts of Free Association referred to in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.
(b) The department may adopt policies and procedures to accommodate an applicant or a recipient who, due to recent residency changes, is temporarily unable to furnish adequate documentation of shelter or utility expenses.
(b) The department may adopt policies and procedures to Page 35 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 accommodate an applicant or a recipient who, due to recent residency changes, is temporarily unable to furnish adequate documentation of shelter or utility expenses.
Training must, at a minimum, review the most common reasons for payment errors and methods for preventing such Page 36 of 39 CODING:
Training must, at a minimum, review the most common reasons for payment errors and methods for preventing such errors, and include pre- and post-training testing to measure staff proficiency.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 errors, and include pre- and post-training testing to measure staff proficiency.
In contracting with entities providing data for verification of applicant and recipient information, the department shall maximize use of high quality automated data sources, including, but not limited to, comparing income and asset data with state, federal, and private sector data sources.
In contracting with entities providing data for verification of applicant and recipient information, the department shall maximize use of high Page 36 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 quality automated data sources, including, but not limited to, comparing income and asset data with state, federal, and private sector data sources.
Specific actions taken by the department under the food Page 37 of 39 CODING:
Specific actions taken by the department under the food assistance payment accuracy improvement plan during the preceding quarter and data demonstrating the results of those actions.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 assistance payment accuracy improvement plan during the preceding quarter and data demonstrating the results of those actions.
414.39 Fraud.— (6) The department shall require the use of photographic identification on the front of each newly issued and reissued electronic benefits transfer (EBT) card for each cardholder to the maximum extent allowed by federal laws and regulations.
414.39 Fraud.— Page 37 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 (6) The department shall require the use of photographic identification on the front of each newly issued and reissued electronic benefits transfer (EBT) card for each cardholder to the maximum extent allowed by federal laws and regulations.
Page 38 of 39 CODING:
Section 12.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for CS for SB 1758 576-03342-26 20261758c2 Section 12.
Section 13.
Page 38 of 39 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2026 CS for SB 1758 588-02430-26 20261758c1 Section 13.
⬇ Download PDF
View plain text versions (3)

How this bill changes current law

4 changes Share ↗

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

The bill establishes mandatory work and community engagement requirements for able-bodied adults on Medicaid while authorizing retrospective reviews of claims.

  • 409.904

    The agency may conduct retrospective reviews or audits of services rendered to the individual and claims submitted by the provider to validate the existence and duration of the emergency medical condition and whether the services rendered were necessary to treat the emergency medical condition, regardless of whether the provider obtained prior authorization for the services.

    Allows the agency to conduct audits and retrospective reviews of medical claims to ensure the necessity of services rendered.

  • The agency shall seek federal approval to implement mandatory work and community engagement requirements for able-bodied adults, as specified in this section, as a condition of obtaining and maintaining coverage under the state Medicaid program.

    Introduces requirements for able-bodied adults to engage in work or community activities to qualify for Medicaid.

  • The agency may not implement the mandatory work and community engagement requirements until it receives federal approval through a Medicaid waiver and the agency’s business plan submitted under paragraph (b) is specifically approved by the Legislature.

    Requires federal approval and legislative approval before implementing work requirements for Medicaid recipients.

  • The plan must include methods for determining Medicaid eligibility and the applicability of exemptions under subsections (3) and (4) on an ongoing basis and an analysis representing the potential effects that implementing this section will have on Medicaid enrollment and expenditures.

    Mandates the development of a business plan to manage eligibility and analyze the effects of the work requirements on Medicaid.

Action History

  1. Died in Messages

  2. In Messages

  3. CS passed; YEAS 26 NAYS 11 -SJ 688

  4. Read 3rd time -SJ 688

  5. Placed on 3rd reading -SJ 635

  6. Amendment(s) failed (122906, 821406) -SJ 635

  7. Read 2nd time -SJ 635

  8. CS/CS by Appropriations read 1st time

  9. Placed on Special Order Calendar, 03/06/26

  10. Placed on Calendar, on 2nd reading

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

  12. CS/CS by- Appropriations; YEAS 14 NAYS 4

  13. On Committee agenda-- Appropriations, 03/02/26, 12:00 pm, 110 Senate Building

  14. CS by Health Policy read 1st time

  15. Now in Appropriations

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

  17. CS by Health Policy; YEAS 8 NAYS 3

  18. On Committee agenda-- Health Policy, 02/02/26, 3:30 pm, 412 Knott Building

  19. Introduced

  20. Referred to Health Policy; Appropriations

  21. Filed

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 2 co-sponsors · 161 not signed on · 9 voted No

Sponsors (1)

Co-sponsors (2)

Not signed on (161)

161 members have not signed on to this bill.

Show all 161 →

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

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

Votes

Third Reading

Passed 26 Yea · 11 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 01000
Republican 25002
Unaffiliated 0100
No Party Affiliation 1000
Total 261102
% of votes cast 67%28%0%5%
How each member voted (39)
Member Party Vote
Smith — Nay
Arrington, Kristen Aston Democrat Nay
Berman, Lori Democrat Nay
Bernard, Mack Democrat Nay
Davis, Tracie Democrat Nay
Davis, Tracie Democrat Nay
Jones, Shevrin D. "Shev" Democrat Nay
Osgood, Rosalind Democrat Nay
Polsky, Tina Scott Democrat Nay
Rouson, Darryl Ervin Democrat Nay
Sharief, Barbara Democrat Nay
Pizzo, Jason W. B. No Party Affiliation Yea
Albritton, Ben Republican Yea
Boyd, Jim Republican Yea
Bradley, Jennifer Republican Not Voting
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
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
Truenow, Keith L. Republican Yea
Trumbull, Jay Republican Yea
Vacant Republican Not Voting
Wright, Tom A. Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 1758 do?
Public Assistance; Authorizing the Agency for Health Care Administration to conduct retrospective reviews and audits of certain claims under the state Medicaid program for a specified purpose; requiring the agency to seek federal approval to implement mandatory work and community engagement requirements for able-bodied adults as a condition of obtaining and maintaining Medicaid coverage; requiring the agency, in consultation with the Department of Children and Families, to develop a business plan to implement specified provisions; revising the purpose of the Medicaid Pharmaceutical and Therapeutics Committee to include creation of a Medicaid preferred physician-administered drug list, a Medicaid preferred product list, and a high-cost drug list; requiring the department to develop and implement a food assistance payment accuracy improvement plan for a specified purpose, etc.
Who sponsors SB 1758?
SB 1758 is sponsored by Gaetz, Don (Republican), Brodeur, Jason (Republican), and Massullo, Ralph E., Jr. (Republican).
What is the current status of SB 1758?
This bill has passed the Senate. Introduced January 13, 2026. It now moves to the second chamber.
Where can I track SB 1758?
Track SB 1758 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 1758

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 1758

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →