Florida Senate - 2026                                     SB 348
       
       
        
       By Senator Smith
       
       
       
       
       
       17-00061-26                                            2026348__
    1                        A bill to be entitled                      
    2         An act relating to statewide health care coverage;
    3         defining terms; establishing the Task Force on
    4         Universal Health Care for a specified purpose;
    5         requiring the Office of Program Policy Analysis and
    6         Government Accountability (OPPAGA) to provide staff
    7         support to the task force; directing all agencies of
    8         state government to assist the task force, including
    9         furnishing information and advice deemed necessary by
   10         the task force; providing for the membership,
   11         meetings, and funding of the task force; requiring the
   12         task force to establish an advisory committee for a
   13         specified purpose; providing for the membership of the
   14         advisory committee; authorizing the task force to
   15         establish additional advisory and technical
   16         committees; specifying duties of the task force;
   17         requiring the task force to consider specified values
   18         and parameters in developing certain recommendations;
   19         requiring the task force to make findings and
   20         recommendations for the design of the Health Care for
   21         All Florida Plan and for the Health Care for All
   22         Florida Board to administer the plan; specifying
   23         requirements for the design of the plan; specifying
   24         requirements for the plan and factors the task force
   25         must include in its recommendations; requiring the
   26         task force to engage in a public process to solicit
   27         public input on certain elements of the plan;
   28         specifying requirements for such process; specifying
   29         requirements for the report of the task force’s
   30         findings and recommendations; requiring that task
   31         force members be appointed by a specified date;
   32         requiring OPPAGA to begin preparing a work plan for
   33         the task force by a specified date; requiring the task
   34         force to submit a report of its findings and
   35         recommendations to the Governor and the Legislature by
   36         a specified date; requiring the Agency for Health Care
   37         Administration to develop a plan for a Medicaid buy-in
   38         program or a public health care option for certain
   39         residents of this state; specifying requirements for
   40         the plan; requiring the agency to report its plan to
   41         the Governor and the Legislature by a specified date;
   42         providing for the future repeal of specified
   43         provisions; providing an appropriation; providing an
   44         effective date.
   45          
   46  Be It Enacted by the Legislature of the State of Florida:
   47  
   48         Section 1. Task Force on Universal Health Care for
   49  Florida.—
   50         (1)DEFINITIONS.—As used in this section, the term:
   51         (a)“Group practice” means a single legal entity composed
   52  of individual providers organized as a partnership, professional
   53  corporation, limited liability company, foundation, nonprofit
   54  corporation, or faculty practice plan or a similar association
   55  in which:
   56         1.Each individual provider uses office space, facilities,
   57  equipment, and personnel shared with other individual providers
   58  to deliver medical care, consultation, diagnosis, treatment, or
   59  other services that the provider routinely delivers in the
   60  provider’s practice;
   61         2.Substantially all of the services delivered by the
   62  individual providers are delivered on behalf of the group
   63  practice and billed as services provided by the group practice;
   64         3.Substantially all of the payments to the group practice
   65  are to reimburse the cost of services provided by the individual
   66  providers in the group practice;
   67         4.The overhead expenses of, and the income from, the group
   68  practice are shared among the individual providers in the group
   69  practice in accordance with methods agreed to by the individual
   70  providers who are members of the group practice; and
   71         5.There is a unified business model with consolidated
   72  billing, accounting, and financial reporting and a centralized
   73  decisionmaking body that represents the individual providers who
   74  are members of the group practice.
   75         (b)“Individual provider” means a health care practitioner
   76  who is licensed, certified, or registered in this state or who
   77  is licensed, certified, or registered to provide care in another
   78  state or country.
   79         (c)“Institutional provider” means a single legal entity
   80  that is:
   81         1.A health care facility, such as a hospital;
   82         2.A comprehensive outpatient rehabilitation facility;
   83         3.A home health agency; or
   84         4.A hospice program.
   85         (d)“Provider” means an individual provider, an
   86  institutional provider, or a group practice.
   87         (e)“Single-payor health care financing system” means a
   88  universal system used by the state for paying the cost of health
   89  care services or goods in which:
   90         1.Institutional providers are paid directly for health
   91  care services or goods by the state or are paid by an
   92  administrator that does not bear risk in its contracts with the
   93  state;
   94         2.Group practices are paid directly for health care
   95  services or goods by the state or are paid by an administrator
   96  that does not bear risk in its contracts with the state, by the
   97  employer of the group practice, or by an institutional provider;
   98  and
   99         3.Individual providers are paid directly for health care
  100  services or goods by the state, by their employers, by an
  101  administrator that does not bear risk in its contracts with the
  102  state, by an institutional provider, or by a group practice.
  103         (2)ESTABLISHMENT OF THE TASK FORCE ON UNIVERSAL HEALTH
  104  CARE; PURPOSE; AGENCY COOPERATION.—The Task Force on Universal
  105  Health Care is established to recommend the design of the Health
  106  Care for All Florida Plan, a universal health care system
  107  administered by the Health Care for All Florida Board which is
  108  equitable, affordable, and comprehensive; provides high-quality
  109  health care; and is publicly funded and available to every
  110  individual residing in this state. The Office of Program Policy
  111  Analysis and Government Accountability (OPPAGA) shall provide
  112  staff support to the task force. All agencies of state
  113  government are directed to assist the task force in the
  114  performance of its duties and, to the extent permitted by laws
  115  relating to confidentiality, to furnish information and advice
  116  deemed necessary by the task force to perform its duties.
  117         (3)MEMBERSHIP; MEETINGS; FUNDING; ADVISORY COMMITTEES.—
  118         (a)The task force shall be composed of the following 20
  119  members:
  120         1.Two members of the Senate, one from the majority party
  121  and one from the minority party, appointed by the President of
  122  the Senate.
  123         2.Two members of the House of Representatives, one from
  124  the majority party and one from the minority party, appointed by
  125  the Speaker of the House of Representatives.
  126         3.Thirteen members appointed by the Governor, each of whom
  127  must reside in this state and:
  128         a.Represent to the greatest extent practicable:
  129         (I)Diverse social identities, including, but not limited
  130  to, identities based on geography, race, ethnicity, sex, gender
  131  nonconformance, sexual orientation, economic status, disability,
  132  or health status; and
  133         (II)Diverse areas of expertise, based on knowledge and
  134  personal experience, including, but not limited to, patient
  135  advocacy, receipt of medical assistance, management of a
  136  business that offers health insurance to its employees, public
  137  health, organized labor, provision of health care, or owning a
  138  small business;
  139         b.Represent, at a minimum, the following areas of
  140  expertise acquired by education, vocation, or personal
  141  experience:
  142         (I)Rural health;
  143         (II)Quality assurance and health care accountability;
  144         (III)Fiscal management and change management;
  145         (IV)Social services;
  146         (V)Public health services;
  147         (VI)Medical and surgical services;
  148         (VII)Alternative therapy services;
  149         (VIII)Services for persons with disabilities; and
  150         (IX)Nursing services;
  151         c.Include at least eight members who are representatives
  152  of labor unions representing employees who work in the health
  153  care field in this state;
  154         d.Include at least one member who is a representative of a
  155  Florida legal aid organization helping health care patients;
  156         e.Include at least one member who has produced at least
  157  three economic analyses of the economic benefits of single-payor
  158  programs on the state level. This member need not be a resident
  159  of this state in order to serve on the task force; and
  160         f.Include at least one member who has an active license to
  161  practice social work in this state.
  162         4.The State Surgeon General or his or her designee, who is
  163  a nonvoting member.
  164         5.The Secretary of Business and Professional Regulation or
  165  his or her designee, who is a nonvoting member.
  166         6.A member of the Florida Association of Counties,
  167  selected by the association, who is a nonvoting member.
  168         (b)In making the appointments under subparagraph (a)3.,
  169  the Governor shall ensure that there is no disproportionate
  170  influence by any individual, organization, government, industry,
  171  business, or profession in any decisionmaking by the task force
  172  and no actual or potential conflicts of interest.
  173         (c)The task force shall elect one of its members to serve
  174  as chair and one to serve as vice chair.
  175         (d)If there is a vacancy on the task force for any cause,
  176  the appointing authority must make an appointment to fill the
  177  vacancy, which appointment becomes effective immediately.
  178         (e)Members of the Legislature appointed to the task force
  179  are nonvoting members of the task force and may act in an
  180  advisory capacity only.
  181         (f)A majority of the voting members of the task force
  182  constitutes a quorum for the transaction of business.
  183         (g)Official action by the task force requires the approval
  184  of a majority of the voting members of the task force.
  185         (h)The task force shall meet at times and places specified
  186  by the call of the chair or by a majority of the voting members
  187  of the task force.
  188         (i)Members of the task force are not entitled to
  189  compensation but are entitled to receive per diem and travel
  190  expenses as provided in s. 112.061, Florida Statutes.
  191         (j)The task force may apply for public or private grants
  192  from nonprofit organizations for the costs of research.
  193         (k)1.The task force shall establish an advisory committee
  194  to provide input from a consumer perspective and, to the
  195  greatest extent practicable, from the diverse social identities
  196  described in sub-sub-subparagraph (a)3.a.(I).
  197         2.Members of the advisory committee must have the
  198  following qualifications, such that at least one member:
  199         a.Has experience in seeking or receiving health care in
  200  this state to address one or more serious medical conditions or
  201  disabilities.
  202         b.Is enrolled in health insurance offered by the state
  203  group insurance program or represents public employees.
  204         c.Is enrolled in employer-sponsored health insurance,
  205  group health insurance, or a self-insured health plan offered by
  206  an employer.
  207         d.Is enrolled in commercial insurance purchased without
  208  any employer contribution.
  209         e.Receives medical assistance.
  210         f.Is enrolled in Medicare.
  211         g.Is a parent or guardian of a child enrolled in the
  212  Children’s Health Insurance Program.
  213         h.Is enrolled in the Federal Employees Health Benefits
  214  Program.
  215         i.Is enrolled in the federal TRICARE program.
  216         j.Receives care from the United States Department of
  217  Veterans Affairs Veterans Health Administration.
  218         k.Receives care from the Indian Health Service.
  219         (l)The task force may establish additional advisory or
  220  technical committees that the task force considers necessary.
  221  The committees may be continuing or temporary. The task force
  222  shall determine the representation, membership, terms, and
  223  organization of the committees and shall appoint the members of
  224  the committees.
  225         (m)Members of advisory or technical committees are not
  226  entitled to compensation but may, in the discretion of the task
  227  force, be reimbursed for per diem and travel expenses as
  228  provided in s. 112.061, Florida Statutes.
  229         (4)DUTIES; VALUES; PARAMETERS.—
  230         (a)The task force shall produce findings and
  231  recommendations for the Health Care for All Florida Plan, a
  232  well-functioning, single-payor health care financing system that
  233  is responsive to the needs and expectations of the residents of
  234  this state by:
  235         1.Improving the health status of individuals, families,
  236  and communities;
  237         2.Defending against threats to the health of the residents
  238  of this state;
  239         3.Protecting individuals from the financial consequences
  240  of ill health;
  241         4.Providing equitable access to person-centered care;
  242         5.Removing cost as a barrier to accessing health care;
  243         6.Removing any financial incentive for a health care
  244  practitioner to provide care to one patient over another;
  245         7.Making it possible for individuals to participate in
  246  decisions affecting their health and the health care system;
  247         8.Establishing measurable health care goals and guidelines
  248  that align with other state and federal health standards; and
  249         9.Promoting continuous quality improvement and fostering
  250  interorganizational collaboration.
  251         (b)The task force, in developing its recommendations for
  252  the Health Care for All Florida Plan, shall consider, at a
  253  minimum, all of the following values:
  254         1.Health care, as a fundamental element of a just society,
  255  should be secured for all individuals on an equitable basis by
  256  public means, similar to public education, public safety, and
  257  other public infrastructure.
  258         2.Access to a distribution of health care resources and
  259  services should be available according to each individual’s
  260  needs and location within this state. Race, color, national
  261  origin, age, disability, wealth, income, citizenship status,
  262  primary language use, genetic conditions, previous or existing
  263  medical conditions, religion, or sex, including sex
  264  stereotyping, gender identity, sexual orientation, and pregnancy
  265  and related medical conditions, such as termination of
  266  pregnancy, should not create any barriers to health care or
  267  disparities in health outcomes due to access to care.
  268         3.The components of the system must be accountable and
  269  fully transparent to the public with regard to information,
  270  decisionmaking, and management through meaningful public
  271  participation in decisions affecting people’s health care.
  272         4.Funding for the Health Care for All Florida Plan is a
  273  public trust, and any savings or excess revenue should be
  274  returned to that public trust.
  275         (c)The task force, in developing its recommendations for
  276  the Health Care for All Florida Plan, shall consider, at a
  277  minimum, all of the following parameters:
  278         1.A participant in the plan may choose any individual
  279  provider who is licensed, certified, or registered in this state
  280  or any group practice.
  281         2.The plan may not discriminate against any individual
  282  provider who is licensed, certified, or registered in this state
  283  to provide services covered by the plan and who is acting within
  284  the provider’s scope of practice.
  285         3.A participant and the participant’s provider shall,
  286  within the scope of services covered within each category of
  287  care and within the plan’s parameters for standards of care and
  288  requirements for prior authorization, determine whether a
  289  treatment is medically necessary or medically appropriate for
  290  that participant.
  291         4.The plan must cover services from birth to death, based
  292  on evidence-based decisions as determined by the Health Care for
  293  All Florida Board.
  294         (5)SCOPE OF DESIGN FOR THE HEALTH CARE FOR ALL FLORIDA
  295  PLAN.—
  296         (a)The task force shall make findings and recommendations
  297  for the design of the Health Care for All Florida Plan and the
  298  Health Care for All Florida Board, which shall administer the
  299  plan. The task force shall submit a report of its findings and
  300  recommendations to the Governor, the President of the Senate,
  301  and the Speaker of the House of Representatives as specified in
  302  subsection (6). The task force’s recommendations must be
  303  succinct statements and include actions and timelines, the
  304  degree of consensus among the task force members, and the
  305  priority of each recommendation, based on urgency and
  306  importance. The task force may defer any recommendations to be
  307  determined by the board.
  308         (b)The design of the Health Care for All Florida Plan
  309  recommended by the task force must:
  310         1.Adhere to the values and parameters described in
  311  paragraphs (4)(b) and (c);
  312         2.Be a single-payor health care financing system;
  313         3.Ensure that individuals who receive services from the
  314  United States Department of Veterans Affairs Veterans Health
  315  Administration or the Indian Health Service may be enrolled in
  316  the plan while continuing to receive those services;
  317         4.Require obtaining a waiver of federal requirements that
  318  pose barriers to, or adopt other approaches, enabling equitable
  319  and uniform inclusion of all residents such that a resident of
  320  this state who has other coverage that is not subject to state
  321  regulation may enroll in the plan without jeopardizing
  322  eligibility for the other coverage if the person moves out of
  323  this state; and
  324         5.Preserve the coverage of the health services currently
  325  required by Medicare, Medicaid, the Children’s Health Insurance
  326  Program, the Patient Protection and Affordable Care Act, Pub. L.
  327  No. 111-148, as amended by the Health Care and Education
  328  Reconciliation Act of 2010, Pub. L. No. 111-152, Florida’s
  329  medical assistance program for the needy, and any other state or
  330  federal program.
  331         (c)The plan must allow participation by any individual
  332  who:
  333         1.Resides in this state;
  334         2.Is a nonresident who works full time in this state and
  335  contributes to the plan; or
  336         3.Is a nonresident who is a dependent of an individual
  337  described in subparagraph 1. or subparagraph 2.
  338  
  339  The task force’s recommendations must address issues related to
  340  the provision of services to nonresidents who receive services
  341  in this state and to plan participants who receive services
  342  outside of this state.
  343         (d)Providers shall be paid under the plan as follows or
  344  through an alternative method that is similarly equitable and
  345  cost-effective:
  346         1.Individual providers licensed in this state shall be
  347  paid:
  348         a.On a fee-for-services basis;
  349         b.As employees of institutional providers or members of
  350  group practices that are reimbursed with global budgets; or
  351         c.As individual providers in group practices that receive
  352  capitation payments for providing outpatient services as
  353  permitted by subparagraph 4.
  354         2.Institutional providers shall be paid with global
  355  budgets that include separate capital budgets, determined
  356  through regional planning, and operational budgets.
  357         3.Budgets must be determined for individual hospitals and
  358  not for entities that own multiple hospitals, clinics, or other
  359  providers of health care services or goods.
  360         4.A group practice may be reimbursed with capitation
  361  payments if the group practice:
  362         a.Primarily uses individual providers in the group
  363  practice to deliver care in the group practice’s facilities;
  364         b.Does not use capitation payments to reimburse the cost
  365  of hospital services; and
  366         c.Does not offer financial incentives to individual
  367  providers in the group practice based on the use of services.
  368         (e)In designing the plan, the task force shall:
  369         1.Develop cost estimates for the plan, including, but not
  370  limited to, cost estimates for:
  371         a.The approach recommended for achieving the result
  372  described in subparagraph (b)4.; and
  373         b.The payment method designed by the task force under
  374  paragraph (d);
  375         2.Consider how the plan will impact the structure of
  376  existing state and local boards and commissions, counties,
  377  cities, and special districts, as well as the Federal
  378  Government, other states, and Indian tribes;
  379         3.Investigate other states’ attempts at providing
  380  universal coverage and using single-payor health care financing
  381  systems, including the outcomes of those attempts; and
  382         4.Consider the work by existing health care professional
  383  boards and commissions and incorporate important aspects of such
  384  work into recommendations for the plan.
  385         (f)In developing recommendations for long-term care
  386  services and support for the plan under subparagraph (i)16., the
  387  task force shall convene an advisory committee that includes:
  388         1.Persons with disabilities who receive long-term services
  389  and support;
  390         2.Older adults who receive long-term services and support;
  391         3.Individuals representing persons with disabilities and
  392  older adults;
  393         4.Members of groups that represent the diversity,
  394  including by gender, race, and economic status, of individuals
  395  who have disabilities;
  396         5.Providers of long-term services and support, including
  397  in-home care providers who are represented by organized labor,
  398  and family attendants and caregivers who provide long-term
  399  services and support; and
  400         6.Academics and researchers in relevant fields of study.
  401  
  402  Notwithstanding subparagraph (i)16., the task force may explore
  403  the effects of excluding long-term care services from the plan,
  404  including, but not limited to, the social, financial, and
  405  administrative costs.
  406         (g)The task force’s recommendations for the duties of the
  407  board and the details of the plan must ensure that, by
  408  considering the following factors, patients are empowered to
  409  protect their health, their rights, and their privacy:
  410         1.The patient’s access to patient advocates who are
  411  responsible to the patient and maintain patient confidentiality
  412  and whose responsibilities include, but are not limited to,
  413  addressing concerns about providers and helping patients
  414  navigate the process of obtaining medical care;
  415         2.The patient’s access to culturally and linguistically
  416  appropriate care and service;
  417         3.The patient’s ability to obtain needed care when a
  418  treating provider is unable or unwilling to provide the care;
  419         4.The patient’s ability to receive paid assistance to
  420  complete forms or perform other administrative functions to
  421  qualify for disability benefits, family medical leave, or other
  422  income support; and
  423         5.The patient’s access to and control of medical records,
  424  including:
  425         a.Empowering the patient to control access to his or her
  426  medical records and obtain independent second opinions, unless
  427  there are clear medical reasons not to do so;
  428         b.Requiring that a patient or the patient’s designee be
  429  provided a complete copy of the patient’s health records
  430  promptly after every interaction or visit with a provider;
  431         c.Ensuring that the copy of the health records provided to
  432  a patient includes all data used in the care of that patient;
  433  and
  434         d.Requiring that the patient or the patient’s designee
  435  provide approval before any forwarding of the patient’s data to,
  436  or access of the patient’s data by, family members, caregivers,
  437  or other providers or researchers.
  438         (h)In developing recommendations for the plan, the task
  439  force shall engage in a public process to solicit public input
  440  on the elements of the plan described in paragraphs (b), (i),
  441  (j), and (k). The public process must:
  442         1.Ensure input from individuals in rural and underserved
  443  communities and from individuals in communities that experience
  444  health care disparities;
  445         2.Solicit public comments statewide while providing to the
  446  public evidence-based information developed by the task force
  447  about the health care costs of a single-payor health care
  448  financing system, including the cost estimates developed under
  449  paragraph (e), as compared to the current system; and
  450         3.Solicit the perspectives of:
  451         a.Individuals throughout the range of communities that
  452  experience health care disparities;
  453         b.A range of businesses, based on industry and employer
  454  size;
  455         c.Individuals whose insurance coverage represents a range
  456  of current insurance types and individuals who are uninsured or
  457  underinsured; and
  458         d.Individuals with a range of health care needs, including
  459  individuals needing disability services and long-term care
  460  services who have experienced the financial and social effects
  461  of policies requiring them to exhaust a large portion of their
  462  resources before qualifying for long-term care services paid for
  463  by the medical assistance program for the needy.
  464         (i)With respect to the administration of the plan, the
  465  report required under paragraph (a) must include, but need not
  466  be limited to, all of the following:
  467         1.The governance and leadership of the board,
  468  specifically:
  469         a.The composition and representation of the membership of
  470  the board, appointed or otherwise selected using an open and
  471  equitable selection process;
  472         b.The statutory authority the board will need in order to
  473  establish policies, guidelines, mandates, incentives, and
  474  enforcement mechanisms to develop a highly effective and
  475  responsive single-payor health care financing system;
  476         c.The ethical standards and their enforcement for members
  477  of the board such that there are the most rigorous protections
  478  from and prohibitions against actual or perceived economic
  479  conflicts of interest; and
  480         d.The steps for ensuring that there is no disproportionate
  481  influence by any individual, organization, government, industry,
  482  business, or profession in any decisionmaking by the board;
  483         2.A list of federal and state laws and rules, state
  484  contracts or agreements, and court actions or decisions that may
  485  facilitate, constrain, or prevent implementation of the plan and
  486  an explanation of how they may facilitate or constrain or
  487  prevent implementation;
  488         3.The plan’s economic sustainability, operational
  489  efficiency, and cost control measures that include, but are not
  490  limited to, the following:
  491         a.A financial governance system supported by relevant
  492  legislation, financial audit, and public expenditure reviews and
  493  clear operational rules to ensure efficient use of public funds;
  494  and
  495         b.Cost control features, such as multistate purchasing;
  496         4.Features of the plan that are necessary to continue to
  497  receive federal funding that is currently available to the state
  498  and estimates of the amount of the federal funding which will be
  499  available;
  500         5.Fiduciary requirements for the revenue generated to fund
  501  the plan, including, but not limited to, the following:
  502         a.A dedicated fund, separate and distinct from the General
  503  Revenue Fund, which is held in trust for the residents of this
  504  state;
  505         b.Restrictions to be authorized by the board on the use of
  506  the trust fund;
  507         c.A process for creating a reserve fund by retaining
  508  moneys in the trust fund if, over the course of a year, revenue
  509  exceeds costs; and
  510         d.Required accounting methods that eliminate the potential
  511  for misuse of public funds, detect inaccuracies in provider
  512  reimbursement, and use the most rigorous, generally accepted
  513  accounting principles, including annual external audits and
  514  audits at the time of each transition in the board’s executive
  515  management;
  516         6.Requirements for the purchase of reinsurance;
  517         7.Any necessary bonding authority;
  518         8.The board’s role in workforce recruitment, retention,
  519  and development;
  520         9.A process for the board to develop statewide goals and
  521  objectives and ongoing review;
  522         10.The appropriate relationship between the board and
  523  regional or local authorities regarding oversight of health
  524  activities, health care systems, and providers to promote
  525  community health reinvestment, equity, and accountability;
  526         11.Criteria to guide the board in determining which health
  527  care services are necessary for the maintenance of health, the
  528  prevention of health problems, the treatment or rehabilitation
  529  of health conditions, and the provision of long-term and respite
  530  care. Criteria may include, but are not limited to, the
  531  following:
  532         a.Whether the services are cost-effective and based on
  533  evidence from multiple sources;
  534         b.Whether the services are currently covered by the health
  535  benefit plans offered by the state group insurance program;
  536         c.Whether the services are designated as effective by the
  537  United States Preventive Services Task Force, the United States
  538  Centers for Disease Control and Prevention’s Advisory Committee
  539  on Immunization Practices, the federal Health Resources and
  540  Services Administration’s Bright Futures Program, or the
  541  National Academy of Medicine’s Committee on Preventive Services
  542  for Women; and
  543         d.Whether the evidence on the effectiveness of services
  544  comes from peer-reviewed medical literature, existing
  545  assessments and recommendations from state and federal boards
  546  and commissions, and other peer-reviewed sources;
  547         12.A process to track and resolve complaints, grievances,
  548  and appeals, including establishing an Office of the Patient
  549  Advocate;
  550         13.Options for transition planning, including an impact
  551  analysis on existing health care systems, providers, and patient
  552  relationships;
  553         14.Options for incorporating cost containment measures,
  554  such as prior approval and prior authorization requirements, and
  555  the effect of such measures on equitable access to quality
  556  diagnosis and care;
  557         15.The methods for reimbursing providers for the cost of
  558  care as described in paragraph (d) and recommendations regarding
  559  the appropriate reimbursement for the cost of services provided
  560  to plan participants when they are traveling outside this state;
  561  and
  562         16.Recommendations for long-term care services and support
  563  that are tailored to each individual’s needs based on an
  564  assessment. The services and support may include, but need not
  565  be limited to:
  566         a.Long-term nursing services provided by an institutional
  567  provider or in a community-based setting;
  568         b.A broad spectrum of long-term services and support,
  569  including home and community-based settings or other
  570  noninstitutional settings;
  571         c.Services that meet the physical, mental, and social
  572  needs of individuals while allowing them maximum possible
  573  autonomy and maximum civic, social, and economic participation;
  574         d.Long-term services and support that are not based on the
  575  individual’s type of disability, level of disability, service
  576  needs, or age;
  577         e.Services provided in the least restrictive setting
  578  appropriate to the individual’s needs;
  579         f.Services provided in a manner that allows persons with
  580  disabilities to maintain their independence, self-determination,
  581  and dignity;
  582         g.Services and support that are of equal quality and
  583  accessibility in every geographic region of this state; and
  584         h.Services and support that give the individual the
  585  opportunity to direct the services.
  586         (j)The task force’s report must include:
  587         1.The waivers of federal laws or other federal approval
  588  that will be necessary to enable a person who is a resident of
  589  this state and who has other coverage that is not subject to
  590  state regulation to enroll in the plan without jeopardizing
  591  eligibility for the other coverage if the person moves out of
  592  this state;
  593         2.Estimates of the savings and expenditure increases under
  594  the plan, relative to the current health care system, including,
  595  but not limited to:
  596         a.Savings from eliminating waste in the current system and
  597  from administrative simplification, fraud reduction, monopsony
  598  power, simplification of electronic documentation, and other
  599  factors that the task force identifies;
  600         b.Savings from eliminating the cost of insurance that
  601  currently provides medical benefits that would be provided
  602  through the plan; and
  603         c.Increased costs due to providing better health care to
  604  more individuals than under the current health care system;
  605         3.Estimates of the expected health care expenditures under
  606  the plan, compared to the current health care system, reported
  607  in categories similar to the National Health Expenditure
  608  Accounts compiled by the Centers for Medicare and Medicaid
  609  Services, including, but not limited to:
  610         a.Personal health care expenditures;
  611         b.Health consumption expenditures; and
  612         c.State health expenditures;
  613         4.Estimates of how much of the expenditures on the plan
  614  will be made from moneys currently spent on health care in this
  615  state from both state and federal sources and redirected or
  616  used, in an equitable and comprehensive manner, to the plan;
  617         5.Estimates of the amount, if any, of additional state
  618  revenue that will be required;
  619         6.Results of the task force’s evaluation of the impact on
  620  individuals, communities, and the state if the current level of
  621  health care spending continues without implementing the plan,
  622  using existing reports and analyses where available; and
  623         7.A description of how the Health Care for All Florida
  624  Board or another entity may enhance:
  625         a.Access to comprehensive, high-quality, patient-centered,
  626  patient-empowered, equitable, and publicly funded health care
  627  for all individuals;
  628         b.Financially sustainable and cost-effective health care
  629  for the benefit of businesses, families, individuals, and state
  630  and local governments;
  631         c.Regional and community-based systems integrated with
  632  community programs to contribute to the health of individuals
  633  and communities;
  634         d.Regional planning for cost-effective, reasonable capital
  635  expenditures that promote regional equity;
  636         e.Funding for the modernization of public health, as an
  637  integral component of cost efficiency in an integrated health
  638  care system; and
  639         f.An ongoing and deepening collaboration with Indian
  640  tribes and other organizations providing health care which will
  641  not be under the authority of the board.
  642         (k)1.The task force’s findings and recommendations
  643  regarding revenue for the plan, including redirecting existing
  644  health care moneys under subparagraph (j)4., must be ranked
  645  according to explicit criteria, including the degree to which an
  646  individual, class of individuals, or organization would
  647  experience an increase or decrease in the direct or indirect
  648  financial burden or whether they would experience no change.
  649  Revenue options may include, but are not limited to, the
  650  following:
  651         a.The redirection of current public agency expenditures;
  652         b.An employer payroll tax based on progressive principles
  653  that protect small businesses and that tend to preserve or
  654  enhance federal tax benefits for Florida employers that pay the
  655  costs of their employees’ health care; and
  656         c.A dedicated revenue stream based on progressive taxes
  657  that do not impose a burden on individuals who would otherwise
  658  qualify for medical assistance.
  659         2.The task force may explore the effect of means-tested
  660  copayments or deductibles, including, but not limited to, the
  661  effect of increased administrative complexity and the resulting
  662  costs that cause patients to delay getting necessary care,
  663  resulting in more severe consequences for their health.
  664         (l)The task force’s recommendations must ensure:
  665         1.Public access to state, regional, and local reports and
  666  forecasts of revenue expenditures;
  667         2.That the reports and forecasts are accurate, timely, of
  668  sufficient detail, and presented in a way that is understandable
  669  to the public to inform policymaking and the allocation or
  670  reallocation of public resources; and
  671         3.That the information can be used to evaluate programs
  672  and policies, while protecting patient confidentiality.
  673         (6)TASK FORCE TIMELINE.—
  674         (a)Members of the task force must be appointed by May 31,
  675  2027.
  676         (b)By September 30, 2027, OPPAGA shall begin preparing a
  677  work plan for the task force.
  678         (c)The task force shall submit a report containing its
  679  findings and recommendations for the design of the Health Care
  680  for All Florida Plan and the Health Care for All Florida Board
  681  to the Governor, the President of the Senate, and the Speaker of
  682  the House of Representatives by the first day of the 2028
  683  regular session of the Legislature.
  684         (7)PLAN FOR A MEDICAID BUY-IN PROGRAM OR A PUBLIC OPTION.—
  685         (a)The Agency for Health Care Administration shall develop
  686  a plan for a Medicaid buy-in program or a public option to
  687  provide an affordable health care option to all Florida
  688  residents, with the primary focus being Florida residents who do
  689  not have access to health care. To the extent feasible, the plan
  690  must:
  691         1.Have no net cost to the state;
  692         2.Provide a comprehensive package of benefits that are, at
  693  a minimum, equivalent to the benefits offered by qualified plans
  694  offered through the federal health insurance exchange;
  695         3.Impose no more than minimal cost sharing, deductibles,
  696  or copayments;
  697         4.Take into account the impact on the distribution of risk
  698  in the health insurance market;
  699         5.Encourage the use of premium tax credits available under
  700  s. 36B of the Internal Revenue Code and other subsidies
  701  available under federal law;
  702         6.Maximize the receipt of federal funds to support the
  703  costs of the program or option;
  704         7.Use the coordinated care organization health care
  705  delivery model; and
  706         8.Use the coordinated care organization provider networks
  707  to the extent possible without destabilizing the networks.
  708         (b)By May 1, 2027, the agency shall report to the
  709  Governor, the President of the Senate, and the Speaker of the
  710  House of Representatives the plan developed in accordance with
  711  paragraph (a), including:
  712         1.A discussion of potential eligibility requirements for
  713  the Medicaid buy-in program or public option, as well as the
  714  implications of limiting or not limiting eligibility in various
  715  ways;
  716         2.Options for Medicaid buy-in programs or public options
  717  targeted to specific populations, including, but not limited to:
  718         a.Residents with household incomes above 400 percent and
  719  below 600 percent of the federal poverty guidelines who are
  720  unable to afford health insurance offered by their employers;
  721         b.Residents who regularly cycle through enrolling and
  722  disenrolling in medical assistance and employer-sponsored health
  723  insurance; or
  724         c.Other groups that face significant barriers to accessing
  725  affordable, quality health care;
  726         3.Recommendations for legislative changes necessary to
  727  implement the plan; and
  728         4.Any federal approval that will be required to implement
  729  the plan, such as demonstration projects under s. 1115 of the
  730  Social Security Act, a state plan amendment, or a waiver for
  731  state innovation under 42 U.S.C. s. 18052.
  732         (8)REPEAL.—This section is repealed on January 2, 2029.
  733         Section 2. For the 2026-2027 fiscal year, the nonrecurring
  734  sum of $1,174,816 is appropriated from the General Revenue Fund
  735  to the Agency for Health Care Administration for the purpose of
  736  implementing this act.
  737         Section 3. This act shall take effect upon becoming a law.