HB 1453: State Medicaid Program

GENERAL BILL by Snyder

State Medicaid Program; Authorizes AHCA to conduct retrospective reviews & audits of certain claims under state Medicaid program for specified purpose; requires agency, in coordination with DCF, to implement mandatory work & community engagement requirements for able-bodied adults as condition of obtaining & maintaining Medicaid coverage; specifies types of activities which may satisfy work & community engagement requirements; provides that certain population is required to engage in work or community engagement activities only during standard school hours; requires persons eligible for Medicaid to demonstrate compliance with work & community engagement requirements at specified times as condition of maintaining Medicaid coverage; revises components of Medicaid prescribed-drug spending-control program to include preferred physician-administered drug list, preferred product list, & high-cost drug list; provides that determinations of overpayment under Medicaid program may be based upon retrospective reviews, investigations, analyses, or audits conducted by agency to determine possible fraud, abuse, overpayment, or recipient neglect; requires agency to implement Integrated Managed Care Pilot Program in designated regions by specified date.

Current Bill Version Posted: 1/9/2026 04:08 PM

• Related Bills (3)

  Bill Number Subject Filed By Last Action and Location	Relationship Learn more about bill relationships
  H 5301 by Health Care Budget Subcommittee Health Care Last Action: 3/3/2026 S Pending reference review -under Rule 4.7(2) - (Amendments)	Compare
  S 1758 (c2) by Gaetz Public Assistance Last Action: 3/4/2026 S Placed on Special Order Calendar, 03/06/26	Compare
  S 1760 (c2) by Brodeur Health Care Coverage Last Action: 3/4/2026 S Placed on Special Order Calendar, 03/06/26	Compare

• Citations - Statute (14)

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  409.904	Optional payments for eligible persons.	Page 7 (pdf)
  409.9041		Page 8 (pdf)
  409.905	Mandatory Medicaid services.	Page 12 (pdf)
  409.906	Optional Medicaid services.	Page 13 (pdf)
  409.91195	Medicaid Pharmaceutical and Therapeutics Committee.	Page 15 (pdf)
  409.91196	Supplemental rebate agreements; public records and public meetings exemption.	Page 59 (pdf)
  409.912	Cost-effective purchasing of health care.	Page 18 (pdf)
  409.9122	Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio.	Page 34 (pdf)
  409.913	Oversight of the integrity of the Medicaid program.	Page 36 (pdf)
  409.962	Definitions.	Page 40 (pdf)
  409.967	Managed care plan accountability.	Page 40 (pdf)
  409.9675		Page 53 (pdf)
  409.973	Benefits.	Page 56 (pdf)
  627.42392	Prior authorization.	Page 59 (pdf)

• Bill History

  S = Senate, H = House

  1/9/2026	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