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.
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Bill History
Date Chamber Action 1/9/2026 House • Filed
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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 Citations - Statutes (14)
Citation Catchline Location in Bill Location In Bill Help 409.904 Optional payments for eligible persons. 409.9041 409.905 Mandatory Medicaid services. 409.906 Optional Medicaid services. 409.91195 Medicaid Pharmaceutical and Therapeutics Committee. 409.91196 Supplemental rebate agreements; public records and public meetings exemption. 409.912 Cost-effective purchasing of health care. 409.9122 Medicaid managed care enrollment; HIV/AIDS patients; procedures; data collection; accounting; information system; medical loss ratio. 409.913 Oversight of the integrity of the Medicaid program. 409.962 Definitions. 409.967 Managed care plan accountability. 409.9675 409.973 Benefits. 627.42392 Prior authorization.