Florida 2025 Regular Session

Florida House Bill H1003

Introduced
2/25/25  
Refer
3/2/25  
Refer
3/2/25  

Caption

Medicaid Presumptive Eligibility For Pregnant Women

Impact

The implementation of this pilot program is expected to enhance the overall healthcare delivery system for pregnant women in Florida, particularly in underserved regions. By allowing qualified entities, such as community health centers and nonprofit organizations, to determine presumptive eligibility, the bill aims to reduce barriers to care that these individuals face. Moreover, the transition from temporary Medicaid coverage to full benefits is designed to be seamless, thereby minimizing potential gaps in healthcare service utilization, especially during crucial prenatal periods.

Summary

House Bill 1003 aims to address healthcare access for pregnant women in underserved areas of Florida by establishing a 10-year pilot program for Medicaid presumptive eligibility. The bill seeks to streamline access to necessary prenatal care and ensure that eligible pregnant women can receive temporary Medicaid coverage while their final eligibility is being determined. This program is focused on increasing the number of locations where presumptive eligibility can be granted, thereby expanding access to vital healthcare services for populations in need.

Conclusion

Ultimately, HB 1003 has the potential to significantly improve health outcomes for pregnant women in Florida by enhancing access to Medicaid services. By focusing on presumptive eligibility and community engagement, the bill represents a proactive approach to addressing gaps in healthcare availability. However, continuous evaluation and oversight will be necessary to ensure its successful launch and operation, with a particular focus on training processes and community involvement.

Contention

While the goals of HB 1003 are widely regarded as positive, potential points of contention may arise regarding the training and certification requirements for employees responsible for making presumptive eligibility determinations. Proponents advocate that thorough training ensures accurate eligibility assessments, whereas skeptics may express concerns about the capacity and competency of these entities to effectively manage the program. Additionally, the requirement for federal approval for implementation may raise questions regarding the program's feasibility and long-term sustainability.

Companion Bills

FL S0968

Same As Medicaid Presumptive Eligibility for Pregnant Women

Similar Bills

MS HB1565

Medicaid; seek federal waiver to provide for presumptive eligibility for persons who need mental health or substance use disorder services.

VA HB2394

Medicaid; long-term services and supports, presumptive eligibility, sunset.

MT SB72

Provide presumptive eligibility for Medicaid coverage of home and community-based services

MS HB662

Medicaid; revise criteria for presumptive eligibility for pregnant women to conform to federal laws and regulations.

MS SB2390

Medicaid; remove proof of income requirement from presumptive eligibility for pregnant women.

IN SB0002

Medicaid matters.

AL SB102

Medicaid; providing presumptive eligibility to pregnant women

AL HB89

Medicaid; providing presumptive eligibility to pregnant women