HB 1227 Florida House · 2025 Regular Session

Medicaid Enrollment for Permanently Disabled Individuals

Summary

Medicaid Enrollment for Permanently Disabled Individuals ; Requires that certain Medicaid-eligible persons who receive specified Medicaid-covered services & who are permanently disabled be presumed eligible for continued Medicaid coverage during redetermination processes; requires AHCA to continue to make payments for such services; requires certain persons to notify AHCA & DCF of certain changes in disability or economic status; authorizes DCF to conduct redetermination of eligibility; requires DCF to make notifications; requires AHCA to seek federal authorization to exempt certain persons from annual redetermination of eligibility; requires AHCA & DCF to develop specified process.

Issues: ✓ Healthcare

Bill status died 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

House Passage

Apr 2025

Senate Passage

Governor

Introduced Feb 26, 2025 Last action Jun 16, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

H 1227 c1 → H 1227 c2 · 6 edits

MODERATE

The bill was amended to expand its scope from optional Medicaid payments to a broader framework governing eligibility redeterminations and notifications for disabled persons. The changes add requirements for notifying agencies of status changes, define 'permanently disabled,' and establish processes for federal authorization exemptions from annual redeterminations.

Scope change

The bill's scope expanded from optional payments for specific Medicaid-eligible persons to a comprehensive eligibility redetermination and notification framework for permanently disabled individuals.

SCOPE

Title and summary text changed from focusing on optional payments to covering eligibility redetermination processes, notifications, and federal authorization requirements.

REQUIREMENT

Added requirement for persons to notify the agency and Department of Children and Families of changes in disability or economic status.

Added requirement for the Department of Children and Families to notify persons before and after redetermination processes.

DEFINITION

New definition of 'permanently disabled' requiring certification by a licensed physician as permanent in nature.

TIMELINE

Added deadline for agency to seek federal authorization to exempt permanently disabled persons from annual redetermination by October 1, 2025.

ELIGIBILITY

Modified eligibility presumption language to specify that persons must be 'initially determined eligible' and 'is receiving' services rather than 'determined to be eligible' and 'receiving' services.

Floor votes · House Apr 23, 2025

How they voted

114–0

Passed · 4 other

Total votes 118

Apr 23, 2025

D Democratic34

34 Yea

100% Yea

R Republican84

80 Yea 4

95% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 23, 2025

Committee

Referred to Appropriations

upper

Apr 23, 2025

Lower · Passed

CS passed; YEAS 115, NAYS 0

lower

Apr 17, 2025

Committee

Bill referred to House Calendar

lower

Apr 16, 2025

Lower · Passed

Reported out of Health & Human Services Committee

lower

Apr 15, 2025

Lower · Passed

Favorable with CS by Health & Human Services Committee

lower

Apr 11, 2025

Lower · Passed

Added to Health & Human Services Committee agenda

lower

Apr 9, 2025

Lower · Passed

Now in Health & Human Services Committee

lower

Apr 9, 2025

Lower · Passed

Reported out of Health Care Budget Subcommittee

lower

Apr 9, 2025

Lower · Passed

Favorable by Health Care Budget Subcommittee

lower

Apr 7, 2025

Lower · Passed

Added to Health Care Budget Subcommittee agenda

lower

Mar 31, 2025

Lower · Passed

Now in Health Care Budget Subcommittee

lower

Mar 31, 2025

Committee

Referred to Health & Human Services Committee

lower

Mar 31, 2025

Committee

Referred to Health Care Budget Subcommittee

lower

Mar 28, 2025

Lower · Passed

Reported out of Health Care Facilities & Systems Subcommittee

lower

Mar 27, 2025

Lower · Passed

Favorable with CS by Health Care Facilities & Systems Subcommittee

lower

Mar 25, 2025

Lower · Passed

Added to Health Care Facilities & Systems Subcommittee agenda

lower

Mar 5, 2025

Lower · Passed

Now in Health Care Facilities & Systems Subcommittee

lower

Mar 5, 2025

Committee

Referred to Health & Human Services Committee

lower

Mar 5, 2025

Committee

Referred to Health Care Budget Subcommittee

lower

Mar 5, 2025

Committee

Referred to Health Care Facilities & Systems Subcommittee

lower

1 primary · 10 co-sponsors