Florida Senate - 2026                                    SB 1012
       
       
        
       By Senator Yarborough
       
       
       
       
       
       4-00769A-26                                           20261012__
    1                        A bill to be entitled                      
    2         An act relating to inmate services; amending s.
    3         945.215, F.S.; requiring that funds from the
    4         Contractor-Operated Institutions Inmate Welfare Trust
    5         Fund be used exclusively for specified provisions;
    6         amending s. 945.6041, F.S.; providing legislative
    7         intent; revising the term “health care provider” to
    8         “community health care provider” and revising its
    9         definition; providing definitions; revising
   10         compensation for the provision of inmate medical
   11         services by certain providers; providing an exemption;
   12         requiring a Medicaid health care provider to provide
   13         inmate patients with reasonable access to adequate
   14         medical services; revising compensation for the
   15         provision of inmate emergency medical transportation
   16         services; reenacting s. 944.72(1), F.S., relating to
   17         the Contractor-Operated Institutions Inmate Welfare
   18         Trust Fund, to incorporate the amendment made to s.
   19         945.215, F.S., in a reference thereto; providing
   20         effective dates.
   21          
   22  Be It Enacted by the Legislature of the State of Florida:
   23  
   24         Section 1. Paragraph (b) of subsection (3) of section
   25  945.215, Florida Statutes, is amended to read:
   26         945.215 Inmate welfare and employee benefit trust funds.—
   27         (3) CONTRACTOR-OPERATED INSTITUTIONS INMATE WELFARE TRUST
   28  FUND; CONTRACTOR-OPERATED CORRECTIONAL FACILITIES.—
   29         (b)1. The net proceeds derived from inmate canteens,
   30  vending machines used primarily by inmates, telephone
   31  commissions, and similar sources at contractor-operated
   32  correctional facilities shall be deposited in the Contractor
   33  Operated Institutions Inmate Welfare Trust Fund.
   34         2.Funds in the Contractor-Operated Institutions Inmate
   35  Welfare Trust Fund must be used exclusively to provide for or
   36  operate any of the following at contractor-operated correctional
   37  facilities:
   38         a.Programs to aid inmates’ reintegration into society.
   39         b.Environmental health upgrades to facilities, including
   40  fixed capital outlay for repairs and maintenance that would
   41  improve environmental conditions of the correctional facilities.
   42         3.2. Funds in the Contractor-Operated Institutions Inmate
   43  Welfare Trust Fund shall be expended only pursuant to
   44  legislative appropriation.
   45         Section 2. Effective October 1, 2026, section 945.6041,
   46  Florida Statutes, is amended to read:
   47         945.6041 Compensation for inmate emergency and specialty
   48  medical services.—
   49         (1)The department relies on community health care
   50  providers to provide emergency and specialty medical services to
   51  incarcerated inmates which cannot be provided by health care
   52  staff inside a state correctional institution. The department
   53  has experienced a substantial increase in inmate health care
   54  costs. Accordingly, it is the intent of the Legislature that
   55  inmates committed to the custody of the department have adequate
   56  access to emergency or other necessary specialty medical
   57  services at rates that are cost-effective for the state.
   58         (2)(1) As used in this section, the term:
   59         (b)(a) “Emergency medical transportation services”
   60  includes, but is not limited to, services rendered by
   61  ambulances, emergency medical services vehicles, and air
   62  ambulances as those terms are defined in s. 401.23.
   63         (a)(b) “Community health care provider” means:
   64         1. A hospital licensed under chapter 395.
   65         2. A physician or physician assistant licensed under
   66  chapter 458.
   67         3. An osteopathic physician or physician assistant licensed
   68  under chapter 459.
   69         4. A podiatric physician licensed under chapter 461.
   70         5.An autonomous advanced practice registered nurse
   71  licensed under chapter 464.
   72         6.5. A health maintenance organization certificated under
   73  part I of chapter 641.
   74         7.6. An ambulatory surgical center licensed under chapter
   75  395.
   76         8.7. A professional association, partnership, corporation,
   77  joint venture, or other association established by the
   78  individuals set forth in subparagraphs 2., 3., and 4. for
   79  professional activity.
   80         9.8. An other medical facility.
   81         a. As used in this subparagraph, the term “other medical
   82  facility” means:
   83         (I) A facility the primary purpose of which is to provide
   84  human medical diagnostic services, or a facility providing
   85  nonsurgical human medical treatment which discharges patients on
   86  the same working day that the patients are admitted; and
   87         (II) A facility that is not part of a hospital.
   88         b. The term does not include a facility existing for the
   89  primary purpose of performing terminations of pregnancy, or an
   90  office maintained by a physician or dentist for the practice of
   91  medicine.
   92         (c)“Inmate medical services” includes, but is not limited
   93  to, services rendered by a community health care provider to an
   94  inmate.
   95         (d)“Medicaid allowable rate” means the amount that the
   96  Agency for Health Care Administration would reimburse a Medicaid
   97  provider, as defined by s. 409.901, for Medicaid-covered
   98  services delivered through the fee-for-service program.
   99         (e)“Secure unit” means a designated space, approved by the
  100  department, where the department can safely and efficiently
  101  manage and secure inmates who are receiving medical services
  102  from a community health care provider.
  103         (3)(2) Compensation to a community health care provider for
  104  the provision of to provide inmate medical services may not
  105  exceed 110 percent of the Medicaid Medicare allowable rate if
  106  the health care provider does not have a contract to provide
  107  services with the department or the contractor-operated
  108  correctional facility, as defined in s. 944.710, which houses
  109  the inmate. However, a community health care provider is exempt
  110  from this section and may negotiate compensation above the
  111  Medicaid allowable rate if the community health care provider
  112  enters into an agreement with the department, a comprehensive
  113  health care services vendor, or a contractor-operated
  114  correctional facility, as defined in s. 944.710, to provide
  115  medical services to inmates in a secure unit within the
  116  community health care provider’s medical facility, within a
  117  correctional institution or facility, or by telehealth in
  118  accordance with s. 456.47 if such inmates are within the
  119  correctional institution or facility when they receive such
  120  medical services.
  121         (4)In addition to the Medicaid provider agreement
  122  requirements established in s. 409.907 to participate in a
  123  Medicaid supplemental funding program and to remain in good
  124  standing with the Medicaid program, a Medicaid community health
  125  care provider shall provide inmate patients with reasonable
  126  access to adequate medical services, including emergency and
  127  specialty care services. compensation to a health care provider
  128  may not exceed 125 percent of the Medicare allowable rate if:
  129         (a)The health care provider does not have a contract to
  130  provide services with the department or the contractor-operated
  131  correctional facility, as defined in s. 944.710, which houses
  132  the inmate; and
  133         (b)The health care provider reported a negative operating
  134  margin for the previous year to the Agency for Health Care
  135  Administration through hospital-audited financial data.
  136         (5)(3) Compensation to an entity to provide emergency
  137  medical transportation services for inmates may not exceed 110
  138  percent of the Medicaid Medicare allowable rate if the entity
  139  does not have a contract with the department or a contractor
  140  operated correctional facility, as defined in s. 944.710, to
  141  provide the services.
  142         (6)(4) This section does not apply to charges for medical
  143  services provided at a hospital operated by the department.
  144         Section 3. For the purpose of incorporating the amendment
  145  made by this act to section 945.215, Florida Statutes, in a
  146  reference thereto, subsection (1) of section 944.72, Florida
  147  Statutes, is reenacted to read:
  148         944.72 Contractor-Operated Institutions Inmate Welfare
  149  Trust Fund.—
  150         (1) There is hereby created in the Department of
  151  Corrections the Contractor-Operated Institutions Inmate Welfare
  152  Trust Fund. The purpose of the trust fund shall be the benefit
  153  and welfare of inmates incarcerated in contractor-operated
  154  correctional facilities under contract with the department
  155  pursuant to this chapter or chapter 957. Moneys shall be
  156  deposited in the trust fund and expenditures made from the trust
  157  fund as provided in s. 945.215.
  158         Section 4. Except as otherwise expressly provided in this
  159  act, this act shall take effect July 1, 2026.