HB 225 2025
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hb225-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to subsidy payments for the home care 2
for the elderly program; amending s. 430.605, F.S.; 3
requiring that subsidy payments made by the Department 4
of Elder Affairs for the home care for the elderly 5
program cease for certain persons upon such persons' 6
enrollment in the Medicaid long -term care managed care 7
program; providing applicability; providing a 8
grandfather clause; amending s. 430.606, F.S.; 9
conforming provisions to changes made by the act; 10
providing an effective date. 11
12
Be It Enacted by the Legislature of the State of Florida: 13
14
Section 1. Section 430.605, Florida Statutes, is amended 15
to read: 16
430.605 Subsidy payments. — 17
(1) The department shall develop a schedule of subsidy 18
payments to be made to persons providing home care, and to 19
providers of goods and services, for certain eligible elderly 20
persons. Payments must be based on the financial status of the 21
person receiving care. Payments m ust include, but need not be 22
limited to: 23
(a)(1) A support and maintenance element, including costs 24
of housing, food, clothing, and incidentals. 25
HB 225 2025
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hb225-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
(b)(2) Payments for medical, pharmaceutical, and dental 26
services essential to maintain the health of the eld erly person 27
and not covered by Medicare, Medicaid, or any form of insurance. 28
(c)(3) When necessary, special supplements to provide for 29
any goods and services and specialized care required to maintain 30
the health and well-being of the elderly person. Extra ordinary 31
medical, dental, or pharmaceutical expenses may be paid as a 32
special supplement. 33
(2)(a) Subsidy payments made by the department under 34
subsection (1) for an eligible elderly person must cease as soon 35
as the eligible elderly person enrolls in the Medicaid long-term 36
care managed care program under s. 409.979. 37
(b) Paragraph (a): 38
1. Applies to subsidy payments made for an eligible 39
elderly person who is released from the wait list for the 40
Medicaid long-term care managed care program for enrollment in 41
such program under s. 409.979 on or after July 2, 2025. 42
2. Does not affect in any way subsidy payments made for an 43
eligible elderly person who, as of July 1, 2025: 44
a. Receives services under the home care for the elderly 45
program; and 46
b. Is enrolled in the Medicaid long -term care managed care 47
program under s. 409.979. 48
Section 2. Section 430.606, Florida Statutes, is amended 49
to read: 50
HB 225 2025
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hb225-00
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
430.606 Eligibility for services. —The criteria for 51
determining eligibility for this program shall be substantially 52
similar to the criteria used to determine eligibility for 53
nursing home care under the Medicaid program. Subsidy payments 54
made by the department to a person providing home care, and to a 55
provider of goods and services, for an eligible elderly person 56
must comply with the requirements of s. 430.605. 57
Section 3. This act shall take effect July 1, 2025. 58