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HB 855 — Managed Care Plan Performance
by Reps. Bartleman, Duran, and others (SB 1258 by Senators Jones and Bracy)
This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.
Prepared by: Health Policy Committee (HP)
The bill amends s. 409.967, F.S., to require managed care plans contracting with the Agency for Health Care Administration (AHCA) under the Statewide Medicaid Managed Care program to collect and annually report an expanded set of performance measures, including Healthcare Effectiveness Data and Information Set measures, the federal Core Set of Children’s Health Care Quality measures, and the federal Core Set of Adult Health Care Quality performance measures, as specified by the AHCA.
Beginning in calendar year 2025, the bill requires each managed care plan to collect and report all of the Adult Core Set behavioral health measures, which were not required to be reported under preexisting law. Beginning in calendar year 2026, the bill requires each managed care plan to stratify all reported performance-measure data by recipient age, race, ethnicity, primary language, sex, and Social Security Administration disability status and to publish the data on the plan’s website in a manner that allows recipients to reliably compare plan performance.
If approved by the Governor, these provisions take effect July 1, 2022.
Vote: Senate 38-0; House 112-0