Changes to Florida Medicaid and Nursing Home Care
May 28, 2026
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The Frame
The bill directly impacts how Medicaid providers are paid, the availability of specific prescription drugs for Medicaid recipients, and the administrative process for residents with disabilities seeking state assistance.
Potentially affected actors named in the source documents. Mention is not a position.
Medicaid recipients
Recipients face new rules regarding prescription drug limits, prior authorization, and potential changes to the availability of specific drugs.
Nursing home providers
Providers are subject to new reimbursement methodologies, cost-reporting requirements, and quality incentive programs.
Persons with disabilities
Individuals may access new navigation services for Medicaid eligibility and experience changes in how their waiver funding is managed.
Managed care plans
Plans must meet new quality reporting standards and are subject to a 2 percent capitation rate withhold based on performance metrics.
Last recorded activity May 28, 2026.
Introduced.
Summary
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
How will this bill affect my Medicaid prescription drug coverage?
What is the new Eligibility Assistance Program?
How are nursing homes affected?
Why It Matters
The bill directly impacts how Medicaid providers are paid, the availability of specific prescription drugs for Medicaid recipients, and the administrative process for residents with disabilities seeking state assistance.
News Coverage
Lobbying Activity
ACG Advocacy
on behalf of Artera
2026
“Government procurement health care.”
ACG Advocacy
on behalf of 11:11 Media Impact
2026
“Youth treatment facility oversight. Foster care issues.”
A STREET STRATEGIES
on behalf of National Association of Convenience Stores
2026
“Issues relating to renewable fuels and energy policy Issues relating to UST regulations Issues relating to renewable fuels standard implementation Issues relating to retailer liability associated with selling alternative and renewable fuels Issues relating to the gasoline and diesel fuel excise tax Issues relating to Biodiesel Blenders' Tax Credit Issues relating to the Alternative Fuel Vehicle Refueling Property tax credit Issues relating to Gas prices and fuel markets, price gouging E15 RVP waiver”
ACADIA PHARMACEUTICALS
2026
“Implementation of the Inflation Reduction Act of 2022, ORPHAN Cures Act (HR 946, S 1862), Mikaela Naylon Give Kids A Chance Act (HR 1262), Give Kids A Chance Act (S 932), Cameron's Law (HR 1414), Kids Access to Care Act (Accelerating HR 1509, S 752), Small Biotech Innovations Act (HR 3731, S 1930), EPIC Act (HR 1492, S 832), One Big Beautiful Bill Act (HR 1), BINSA Act, H.R. 9102, Issues related to protecting patient access to medicines in Medicare and Medicaid, Issues related to access to medicines for Parkinson's disease patients, Issues related to Antipsychotic use in Medicare, Issues related to most-favored-nation policies.”
AARP
2026
“P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology”
on behalf of Caritas Home Health Care
2026
on behalf of Florida Health Care Association
2026
on behalf of Florida Health Care Association
2026
Mary J. Griffin & Associates
on behalf of Benova Inc.
McGANN INC. TERRY M.
on behalf of MAXIMUS
Voting Record
Third Reading
Total
40
Yes
32
No
0
Present
0
Not Voting
0
Abstain
0
How they voted (40)
Clay Yarborough
Republican · yes
Barbara Sharief
Democratic · excused
Erin Grall
Republican · excused
Jason Pizzo
Independent · yes
Tommy Wright
Republican · yes
Jennifer Bradley
Republican · excused
Ileana Garcia
Republican · yes
Don Gaetz
Republican · yes
Debbie Mayfield
Republican · yes
Kristen Arrington
Democratic · yes
Ed Hooper
Republican · yes
Kathleen Passidomo
Republican · yes
Jonathan Martin
Republican · yes
Darryl Rouson
Democratic · yes
Colleen Burton
Republican · excused
Ana Maria Rodriguez
Republican · yes
Tom Leek
Republican · yes
Stan McClain
Republican · yes
Keith Truenow
Republican · yes
Joe Gruters
Republican · excused
Ralph Massullo
Republican · yes
Tracie Davis
Democratic · yes
Shev Jones
Democratic · yes
Jim Boyd
Republican · yes
+ 16 more
Passage, Third Reading
Total
119
Yes
106
No
0
Present
0
Not Voting
13
Abstain
0
How they voted (119)
Anna Eskamani
Democratic · yes
Doug Bankson
Republican · yes
Lawrence McClure
Republican · yes
Dotie Joseph
Democratic · yes
Meg Weinberger
Republican · yes
Linda Chaney
Republican · yes
Daniel Perez
Republican · yes
Will Robinson
Republican · yes
Kaylee Tuck
Republican · yes
Lauren Melo
Republican · yes
Yvonne Hinson
Democratic · yes
Jim Mooney
Republican · yes
Hilary Holley
Republican · yes
Alex Rizo
Republican · yes
Richard Gentry
Republican · yes
Lindsay Cross
Democratic · yes
Karen Gonzalez Pittman
Republican · yes
Dean Black
Republican · yes
Susan Plasencia
Republican · not voting
Kiyan Michael
Republican · yes
Erika Booth
Republican · yes
Daryl Campbell
Democratic · not voting
James Buchanan
Republican · yes
Kevin Steele
Republican · yes
+ 95 more
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Shift to Quality-Based Incentives
The bill moves toward a more rigorous quality-based reimbursement model for managed care plans, specifically tying 2 percent of capitation rates to infant mortality reduction.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance90How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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