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HB0219 • 2026

Parity for Nonnursing Services Under Long-term Managed Care Plans

Parity for Nonnursing Services Under Long-term Managed Care Plans

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Dunkley ; (CO-INTRODUCERS) Campbell
Last action
2026-03-13
Official status
House - Died in Health Care Facilities & Systems Subcommittee
Effective date
upon becom

Plain English Breakdown

Although the bill passed both chambers, official metadata indicates it died in a subcommittee on March 13, 2026. This creates uncertainty about whether the law will actually take effect.

Equal Pay for Licensed and Unlicensed Caregivers in Medicaid

This bill requires the state to pay licensed providers at least as much as unlicensed caregivers for nonnursing services under the Medicaid long-term managed care program.

What This Bill Does

  • Requires the Agency for Health Care Administration (AHCA) to reimburse licensed providers at a rate equal to or higher than unlicensed providers starting January 1, 2027.
  • Mandates that AHCA adjusts payment rates for licensed providers every year to cover inflation and overhead costs.
  • Orders AHCA to request necessary Medicaid waivers or state plan amendments within 30 days of the law taking effect.
  • Applies specifically to nonnursing services provided under the Medicaid long-term managed care program.

Who It Names or Affects

  • The Agency for Health Care Administration (AHCA)
  • Licensed providers such as home health agencies and nurse registries
  • Unlicensed providers such as family caregivers

Terms To Know

Medicaid long-term managed care program
A state-run insurance plan that pays for ongoing medical support services.
Licensed providers
Businesses or individuals with official government permission to provide health services, like home health agencies and nurse registries.
Unlicensed providers
People who help care for others without a professional license, such as family members acting as caregivers.

Limits and Unknowns

  • The bill does not specify the exact dollar amounts or percentage increases for reimbursement rates.
  • Implementation depends on whether federal authorities approve the required Medicaid waivers or state plan amendments.
  • The text lists examples of providers but does not define every type of service covered under 'nonnursing services'.

Bill History

  1. 2026-03-13 House

    • Died in Health Care Facilities & Systems Subcommittee

  2. 2026-01-13 House

    • 1st Reading (Original Filed Version)

  3. 2025-10-28 House

    • Referred to Health Care Facilities & Systems Subcommittee • Referred to Health Care Budget Subcommittee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee

  4. 2025-10-17 House

    • Filed

Official Summary Text

Parity for Nonnursing Services Under Long-term Managed Care Plans; Beginning on specified date, requiring AHCA to reimburse nonnursing services provided by licensed providers at same rate or higher than rate it reimburses unlicensed providers for such services under Medicaid long-term managed care program; requires agency annually to adjust rate for licensed providers; requires agency, within specified timeframe, to seek any Medicaid waiver or state plan amendment necessary to implement rate changes.

Current Bill Text

Read the full stored bill text
HB 219 2026

CODING: Words stricken are deletions; words underlined are additions.
hb219-00
Page 1 of 2
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

A bill to be entitled 1
An act relating to parity for nonnursing services 2
under long-term managed care plans; beginning on a 3
specified date, requiring the Agency for Health Care 4
Administration to reimburse nonnursing services 5
provided by licensed providers at the same rate or 6
higher than the rate it reimburses unlicensed 7
providers for such services under the Medicaid long-8
term managed care program; requiring the agency 9
annually to adjust the rate for licensed providers; 10
requiring the agency, within a specified timeframe, to 11
seek any Medicaid waiver or state plan amendment 12
necessary to implement the rate changes; providing an 13
effective date. 14
15
Be It Enacted by the Legislature of the State of Florida: 16
17
Section 1. (1) Beginning January 1, 2027, the Agency for 18
Health Care Administration shall reimburse licensed providers 19
who provide nonnursing services, such as home health agencies 20
and nurse registries, participating in the Medicaid long-term 21
managed care program at a rate that is at least the same rate or 22
higher than the rate it reimburses unlicensed providers for such 23
services, such as family caregivers. The agency shall annually 24
adjust the rate for licensed providers to accommodate inflation 25

HB 219 2026

CODING: Words stricken are deletions; words underlined are additions.
hb219-00
Page 2 of 2
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S

and overhead costs. 26
(2) Within 30 days after the effective date of this act, 27
the agency shall request any Medicaid waiver or state plan 28
amendment necessary to implement these rate changes. 29
Section 2. This act shall take effect upon becoming a law. 30