HB 1261: Medicaid Reimbursement for Private Duty Nursing Services

GENERAL BILL by Oliver

Medicaid Reimbursement for Private Duty Nursing Services; Defines "pediatric continuing care integrated community" for purposes of state Medicaid program; defines "geographic area" & "prevailing hourly rate"; requires Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in community residential group home at certain rate; prohibits Medicaid managed care plans from reducing reimbursement for such services; requires Medicaid managed care plans to negotiate rates with affiliated businesses at least annually & upon request by provider, to provide certain written certification; requires AHCA to seek federal approval within specified timeframe; requires agency to implement changes made by act upon federal approval.

Current Bill Version Posted: 1/8/2026 12:05 PM

• Related Bills (1)

  Bill Number Subject Filed By Last Action and Location	Relationship Learn more about bill relationships
  S 648 by Bradley Medicaid Reimbursement for Private Duty Nursing Services Last Action: 3/13/2026 S Died in Health Policy	Similar

• Citations - Statute (2)

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  409.962	Definitions.	Page 2 (pdf)
  409.975	Managed care plan accountability.	Page 3 (pdf)

• Bill History

  S = Senate, H = House

  1/8/2026	H	• Filed
  1/13/2026	H	• 1st Reading (Original Filed Version)
  1/15/2026	H	• Referred to Health Care Facilities & Systems Subcommittee • Referred to Health Care Budget Subcommittee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee
  3/13/2026	H	• Died in Health Care Facilities & Systems Subcommittee