Comprehensive Health Care for Residents; Creating the “Florida Health Plan”; authorizing the Florida Health Board to establish certain financial arrangements with other states and foreign countries under certain circumstances; prohibiting cost-sharing requirements from being imposed on enrollees; providing that defaults, underpayments, and late payments of certain obligations result in certain remedies and penalties; providing for eligible health care providers to participate in the plan; creating the Office of Health Quality and Planning, etc.
Continuity of Care in Health Insurance Contracts; Requires that contracts between individual health insurer, group, blanket, or franchise health insurer & HMO & contracted health care practitioner require specified notice to affected policyholders & subscribers before cancellation or termination of contracts; provides administrative penalties; requires health insurer, HMO & health care practitioner to allow certain policyholders & subscribers to continue coverage & care for specified timeframe; requires insurer & health care practitioner to be bound by terminated contract.
Coverage for the Treatment of Stuttering; Authorizes AHCA to pay for certain services & devices as treatment of stuttering for Medicaid recipients; authorizes speech therapy in person & via telehealth as treatment for stuttering; authorizes agency to include use of certain communication technologies, applications, & platforms for such telehealth treatment; requires certain individual health insurance policies, group health insurance policies, & health maintenance contracts to provide coverage for specified services & devices as treatment for stuttering; authorizes speech therapy in person & via telehealth.
Small Independent Special Fire Control Districts; Defining the term “small independent special fire control district”; authorizing the governing body of a small independent special fire control district to apply for participation in the state group health insurance and prescription drug programs; requiring the Department of Management Services to conduct a certain actuarial analysis; requiring that such analysis be paid for by the small independent special fire control district, etc.
Coverage for Treatment of Stuttering; Authorizing the Agency for Health Care Administration to pay for certain services and devices as a treatment for stuttering for Medicaid recipients; authorizing speech therapy in person and via telehealth as a treatment for stuttering; requiring certain individual health insurance policies, group health insurance policies, and health maintenance contracts, respectively, to provide coverage for specified services and devices as treatments for stuttering, etc.
Cost-sharing Requirements for Diabetes Management; Prohibiting health insurance policies from imposing a cost-sharing requirement exceeding a certain amount for a 30-day supply of insulin or any diabetes device or diabetic ketoacidosis device, etc.
SB 64 revises Florida's definition of "medical review committee" to include more healthcare entities like mental health facilities, substance abuse programs, pharmacy quality committees, and insurer review groups. It clarifies that committee proceedings and records generally cannot be used as evidence in malpractice lawsuits against healthcare providers, protecting confidentiality during peer reviews. The bill also specifies that information already available from other sources remains discoverable, and committee members cannot be questioned about their committee testimony in court. This applies to committees evaluating care quality, treatment appropriateness, or cost reasonableness across hospitals, clinics, and health systems. The changes take effect July 1, 2026.
Continuity of Care in Health Insurance Contracts; Requiring that contracts between a health insurer and a contracted health care practitioner require a specified notice; requiring a health insurer and a health care practitioner to allow certain policyholders to continue coverage and care for a specified timeframe; requiring that certain health maintenance organization contracts require a specified notice; requiring a health maintenance organization and a treating provider to allow certain subscribers to continue coverage and care for a specified timeframe, etc.
Nonparticipating and Out-of-network Nurse Registries and Home Health Agencies; Prohibiting state group health insurance plans and state-contracted health maintenance organizations, the Agency for Health Care Administration, Medicaid managed care plans, individual health insurers, and health maintenance organizations, respectively, and any persons responsible for administering claims on behalf of such plans, organizations, agency, or insurers, from restricting participants, recipients, enrollees, policyholders, and subscribers from obtaining care from nonparticipating or out-of-network licensed nurse registries or home health agencies; revising applicability for group health insurance, blanket health insurance, and franchise health insurance, etc.
Cost-sharing Requirements for Insulin and Diabetes Supplies; Prohibits health insurance policies from imposing cost-sharing requirements that exceed specified amount for 30 days of insulin & diabetes supplies.
