Florida Senate - 2025                                    SB 1182
       
       
        
       By Senator Harrell
       
       
       
       
       
       31-01149A-25                                          20251182__
    1                        A bill to be entitled                      
    2         An act relating to Medicaid coverage of continuous
    3         glucose monitors; requiring the Agency for Health Care
    4         Administration to, within a specified timeframe, seek
    5         federal approval as needed to provide coverage of
    6         continuous glucose monitors and related supplies as a
    7         durable medical equipment benefit under the Medicaid
    8         program; providing for the reimbursement of such
    9         equipment; providing construction; requiring the
   10         agency to implement these changes upon receiving any
   11         necessary federal approval; providing an effective
   12         date.
   13          
   14  Be It Enacted by the Legislature of the State of Florida:
   15  
   16         Section 1. (1) Within 30 days after this act becomes a
   17  law, the Agency for Health Care Administration shall seek
   18  federal approval through a Medicaid waiver or state plan
   19  amendment as needed to provide coverage of continuous glucose
   20  monitors and related supplies as a durable medical equipment
   21  benefit for Medicaid recipients. A licensed durable medical
   22  equipment provider must be reimbursed for continuous glucose
   23  monitors and related supplies, provided the claim is submitted
   24  through an active Medicare Healthcare Common Procedure Coding
   25  System. The agency may not require such provider to use a
   26  National Drug Code number as part of such claim submission.
   27         (2) This section does not preclude the agency from
   28  providing additional coverage of continuous glucose monitors as
   29  a Medicaid pharmacy benefit.
   30         (3) The agency shall begin implementation of these changes
   31  upon receiving any necessary federal approval.
   32         Section 2. This act shall take effect upon becoming a law.