CS/HB 1227 2025
CODING: Words stricken are deletions; words underlined are additions.
hb1227-01-c1
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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 Medicaid enrollment for permanently 2
disabled individuals; amending s. 409.904, F.S.; 3
requiring that certain Medicaid -eligible persons who 4
receive specified Medicaid -covered services and who 5
are permanently disabled be presumed eligible for 6
continued Medicaid coverage during redetermination 7
processes; requiring the Agency for Health Care 8
Administration to continue to make payments for such 9
services; providing exceptions; requiring the agency 10
to seek modifications to federal authorization to 11
establish lifetime benefits for such persons; 12
providing an effective date. 13
14
Be It Enacted by the Legislature of the State of Florida: 15
16
Section 1. Subsection (1) of section 409.904, Florida 17
Statutes, is amended to read: 18
409.904 Optional payments for eligible persons. —The agency 19
may make payments for medical assistance and related services on 20
behalf of the following persons who are determined to be 21
eligible subject to the income, assets, and categorical 22
eligibility tests set forth in federal and state law. Payment on 23
behalf of these Medicaid eligible persons is subject to the 24
availability of moneys and any limitations established by the 25
CS/HB 1227 2025
CODING: Words stricken are deletions; words underlined are additions.
hb1227-01-c1
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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
General Appropriations Act or chapter 216. 26
(1)(a) Subject to federal waiver approval, a person who is 27
age 65 or older or is determined to be disabled, whose income is 28
at or below 88 percent of the federal poverty level, whose 29
assets do not exceed established limitatio ns, and who is not 30
eligible for Medicare or, if eligible for Medicare, is also 31
eligible for and receiving Medicaid -covered institutional care 32
services, hospice services, or home and community -based 33
services. The agency shall seek federal authorization thro ugh a 34
waiver to provide this coverage. 35
(b)1. A person who is eligible for Medicaid under 36
paragraph (a) and receiving Medicaid -covered institutional care 37
services, hospice services, or home and community -based services 38
pursuant to s. 393.066 or s. 409.978 and who is permanently 39
disabled shall be presumed eligible for continued coverage for 40
these Medicaid-covered services during any redetermination 41
process, and the agency shall continue to make payments for such 42
services, unless information becomes availabl e that conclusively 43
documents a change in the person's disability or economic status 44
that would affect eligibility. 45
2. The agency shall seek modifications to federal 46
authorization to establish lifetime benefits for a permanently 47
disabled person as descri bed in subparagraph 1. 48
Section 2. This act shall take effect July 1, 2025. 49