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HB 815: Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans

GENERAL BILL by Basabe

Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans; Authorizes AHCA to conduct or cause to be conducted reviews, investigations, analyses, audits, & combinations thereof, to determine if managed care organizations, managed care plans, & their subcontractors violate Medicaid program integrity in their patient referrals; prohibits managed care organizations, managed care plans, & their subcontractors from violating Medicaid program integrity by referring Medicaid recipients, for treatments & services, to entities having certain financial relationships & arrangements with organizations, plans, & their subcontractors.

Effective Date: 7/1/2025
Last Action: 2/20/2025 House - Filed
Bill Text: PDF



Bill History

Date Chamber Action
2/20/2025 House • Filed