HB 1453: State Medicaid Program
GENERAL BILL by Snyder
State Medicaid Program; Authorizes AHCA to conduct retrospective reviews & audits of certain claims under state Medicaid program for specified purpose; requires agency, in coordination with DCF, to implement mandatory work & community engagement requirements for able-bodied adults as condition of obtaining & maintaining Medicaid coverage; specifies types of activities which may satisfy work & community engagement requirements; provides that certain population is required to engage in work or community engagement activities only during standard school hours; requires persons eligible for Medicaid to demonstrate compliance with work & community engagement requirements at specified times as condition of maintaining Medicaid coverage; revises components of Medicaid prescribed-drug spending-control program to include preferred physician-administered drug list, preferred product list, & high-cost drug list; provides that determinations of overpayment under Medicaid program may be based upon retrospective reviews, investigations, analyses, or audits conducted by agency to determine possible fraud, abuse, overpayment, or recipient neglect; requires agency to implement Integrated Managed Care Pilot Program in designated regions by specified date.
Last Action: 1/15/2026 House - Now in Health Care Facilities & Systems Subcommittee
Bill Text: PDF
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Bill History
Date Chamber Action 1/9/2026 House • Filed
1/13/2026 House • 1st Reading (Original Filed Version)
1/15/2026 House • Referred to Health Care Facilities & Systems Subcommittee
• Referred to Health Care Budget Subcommittee
• Referred to Health & Human Services Committee
• Now in Health Care Facilities & Systems Subcommittee
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HB 1453, Original Filed Version (Current Bill Version) Posted 1/9/2026 at 4:08 PM
Bill Text: PDF Analyses: None Related Bills (2)
Bill Number Subject Filed By Relationship Last Action and Location Track Bills S 1758 Public Assistance Gaetz Compare Last Action: 1/13/2026 S Filed 
S 1760 Health Care Coverage Brodeur Compare Last Action: 1/13/2026 S Filed
Citations - Statutes (14)
Citation Catchline Location in Bill Location In Bill Help 409.904 Optional payments for eligible persons. Page 7 (pdf) 409.9041 Page 8 (pdf) 409.905 Mandatory Medicaid services. Page 12 (pdf) 409.906 Optional Medicaid services. Page 13 (pdf) 409.91195 Medicaid Pharmaceutical and Therapeutics Committee. Page 15 (pdf) 409.91196 Supplemental rebate agreements; public records and public meetings exemption. Page 59 (pdf) 409.912 Cost-effective purchasing of health care. Page 18 (pdf) 409.9122 Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio. Page 34 (pdf) 409.913 Oversight of the integrity of the Medicaid program. Page 36 (pdf) 409.962 Definitions. Page 40 (pdf) 409.967 Managed care plan accountability. Page 40 (pdf) 409.9675 Page 53 (pdf) 409.973 Benefits. Page 56 (pdf) 627.42392 Prior authorization. Page 59 (pdf)