Continuous Glucose Monitors

Plain English Breakdown

The bill status shows 'Passed Legislature' in metadata but also lists 'Died in Health Care Facilities & Systems Subcommittee' as the last action; this contradiction suggests uncertainty about whether the final text provided is actually enacted law or a version that did not pass all committees.

Coverage for Continuous Glucose Monitors in Medicaid

This bill requires Florida's health agency to ask the federal government for permission within 30 days of this law taking effect to cover continuous glucose monitors and their supplies as a medical equipment benefit under the state's Medicaid program.

What This Bill Does

• Requires the Agency for Health Care Administration to seek federal approval through a waiver or plan amendment within 30 days of the law becoming effective.
• Allows coverage for continuous glucose monitors and related supplies as durable medical equipment if approved by the federal government.
• Mandates reimbursement for licensed providers who submit claims using Medicare Healthcare Common Procedure Coding System codes.
• Prohibits the agency from requiring National Drug Code numbers on these specific claim submissions.
• States that implementation begins only after receiving necessary federal approval.

Who It Names or Affects

• The Agency for Health Care Administration
• Medicaid recipients who need continuous glucose monitors
• Licensed durable medical equipment providers

Terms To Know

Continuous Glucose Monitor

A device covered under this bill to monitor blood sugar levels.

Durable Medical Equipment Benefit

Medicaid coverage for medical devices designed to be used repeatedly over time, such as monitors or wheelchairs.

Healthcare Common Procedure Coding System (HCPCS)

A standard set of codes used in the United States to identify procedures and services on insurance claims.

Limits and Unknowns

• The bill only takes effect if federal approval is granted through a waiver or state plan amendment.
• The text does not specify which patients qualify for this coverage beyond being Medicaid recipients.
• This law covers equipment benefits but allows the agency to also cover these monitors as pharmacy benefits.

Official Summary Text

Continuous Glucose Monitors; Requires AHCA to, within specified timeframe, seek federal approval as needed to provide coverage of continuous glucose monitors & related supplies as durable medical equipment benefit under Medicaid program; provides for reimbursement of such equipment; provides construction; requires agency to implement these changes upon receiving any necessary federal approval.

Current Bill Text

HB 293 2026

CODING: Words stricken are deletions; words underlined are additions.
hb293-00
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 continuous glucose monitors; 2
requiring the Agency for Health Care Administration 3
to, within a specified timeframe, seek federal 4
approval as needed to provide coverage of continuous 5
glucose monitors and related supplies as a durable 6
medical equipment benefit under the Medicaid program; 7
providing for the reimbursement of such equipment; 8
providing construction; requiring the agency to 9
implement these changes upon receiving any necessary 10
federal approval; providing an effective date. 11
12
Be It Enacted by the Legislature of the State of Florida: 13
14
Section 1. (1) Within 30 days after this act becomes a 15
law, the Agency for Health Care Administration shall seek 16
federal approval through a Medicaid waiver or state plan 17
amendment as needed to provide coverage of continuous glucose 18
monitors and related supplies as a durable medical equipment 19
benefit for Medicaid recipients. A licensed durable medical 20
equipment provider must be reimbursed for continuous glucose 21
monitors and related supplies, provided the claim is submitted 22
through an active Medicare Healthcare Common Procedure Coding 23
System. The agency may not require such provider to use a 24
National Drug Code number as part of such claim submission. 25

HB 293 2026

CODING: Words stricken are deletions; words underlined are additions.
hb293-00
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

(2) This section does not preclude the agency from 26
providing additional coverage of continuous glucose monitors as 27
a Medicaid pharmacy benefit. 28
(3) The agency shall begin implementation of these changes 29
upon receiving any necessary federal approval. 30
Section 2. This act shall take effect upon becoming a law. 31