HB 1261: Medicaid Reimbursement for Private Duty Nursing Services
GENERAL BILL by Oliver
Medicaid Reimbursement for Private Duty Nursing Services; Defines "pediatric continuing care integrated community" for purposes of state Medicaid program; defines "geographic area" & "prevailing hourly rate"; requires Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in community residential group home at certain rate; prohibits Medicaid managed care plans from reducing reimbursement for such services; requires Medicaid managed care plans to negotiate rates with affiliated businesses at least annually & upon request by provider, to provide certain written certification; requires AHCA to seek federal approval within specified timeframe; requires agency to implement changes made by act upon federal approval.
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Bill History
Date Chamber Action 1/8/2026 House • Filed
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HB 1261, Original Filed Version (Current Bill Version) Posted 1/8/2026 at 12:05 PM
Bill Text: PDF Analyses: None Related Bills (1)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 648 Medicaid Reimbursement for Private Duty Nursing Services Bradley Similar Last Action: 12/9/2025 S Referred to Health Policy; Appropriations Committee on Health and Human Services; Appropriations 
Citations - Statutes (2)
Citation Catchline Location in Bill Location In Bill Help 409.962 Definitions. Page 2 (pdf) 409.975 Managed care plan accountability. Page 3 (pdf)