SB 1758 Florida Senate · 2026 Regular Session

Public Assistance

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.

Issues: ✗ Healthcare

Bill status died 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

Senate Passage

Mar 2026

House Passage

Governor

Introduced Jan 22, 2026 Last action Mar 13, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

S 1758 c1 → S 1758 c2 · 5 edits

MODERATE

This bill version adds new exemptions for Medicaid work requirements, including hospice patients with a life expectancy of six months or less. It also expands the agency's plan requirements to include a transition period for recipients who might lose coverage due to earning income. Additionally, the bill clarifies reimbursement rules for long-acting injectables for severe mental illness and updates the timeline for submitting a food assistance payment accuracy plan.

Scope change

The bill's scope was expanded to include hospice patients as an exemption from work requirements and to require a transition plan for income-affected recipients.

ELIGIBILITY

Added a new exemption for Medicaid recipients receiving hospice services with a medical prognosis of six months or less from the work and community engagement requirements.

REQUIREMENT

Modified the agency's plan requirements to mandate a transition period for recipients who would lose Medicaid eligibility due to earning income under the new work rules.

Revised the food assistance payment accuracy plan requirements to include a methodology for providing a transition period for recipients losing eligibility due to income.

Clarified that long-acting injectables for severe mental illness administered in a hospital facility setting shall be reimbursed at no less than the actual acquisition cost of the drug.

TIMELINE

Extended the deadline for submitting the food assistance payment accuracy improvement plan from December 1, 2026, to July 15, 2026.

Floor votes · Senate Mar 9, 2026

How they voted

26–12

Passed · 2 other

Total votes 40

Mar 9, 2026

D Democratic11

11 Nay

100% Nay

I Independent1

1 Yea

100% Yea

R Republican28

25 Yea 1 Nay 2

89% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 9, 2026

Upper · Passed

CS passed; YEAS 26 NAYS 11

upper

Mar 4, 2026

Upper · Passed

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

upper

Feb 25, 2026

Upper · Passed

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

upper

Feb 4, 2026

Upper · Passed

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

upper

Jan 28, 2026

Upper · Passed

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

upper

Jan 22, 2026

Introduced

upper

Jan 16, 2026

Committee

Referred to Health Policy; Appropriations

upper

1 primary · 2 co-sponsors