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The Florida Senate

CS/HB 411 — Nonemergency Medical Transportation Services

by Health Market Reform Subcommittee and Rep. Perez (CS/CS/SB 302 by Rules Committee; Health Policy Committee; and Senator Brandes)

This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.

Prepared by: Health Policy Committee (HP)

The bill amends s. 316.87, F.S., to authorize a transportation network company, subject to compliance with state and federal Medicaid requirements, to provide nonemergency medical transportation services to a Medicaid recipient via the following arrangements:

  • Under contract with a Medicaid managed care plan,
  • Under contract with a transportation broker that is under contract with a Medicaid managed care plan,
  • Under contract with a transportation broker that is under contract with the Agency for Health Care Administration (AHCA), or
  • By referral from a transportation broker contracting with Medicaid managed care plans or the AHCA.

The bill provides that transportation network company drivers and prospective drivers must undergo a Level I background screening pursuant to s. 435.03, F.S., or functionally equivalent procedures, as determined by the AHCA.

By October 1, 2019, the AHCA is directed to update any regulations, policies, and other guidance, including the Non-Emergency Transportation Services Coverage Policy handbook, as necessary, to reflect the bill’s authorizations. Requirements for transportation network companies and their drivers under the bill may not exceed the requirements under s. 627.748, F.S., except as necessary to conform to applicable state and federal Medicaid transportation requirements administered by the AHCA.

The bill stipulates that its provisions may not be construed to:

  • Expand or limit the existing transportation benefit provided to Medicaid recipients or to require a Medicaid managed care plan to contract with a transportation network company or a transportation broker.
  • Exempt any person, firm, corporation, association, or governmental entity that engages in the business or service of basic life support or advanced life support transportation from licensure requirements provided in s. 401.25, F.S.

If approved by the Governor, these provisions take effect July 1, 2019.

Vote: Senate 40-0; House 114-0