No. HB 1315
Filed under Healthcare.
Behavioral Health Intervention Services; Authorizes, contingent upon appropriation, state Medicaid plan to fund demonstration pilot program for specified purposes in specified counties; provides pilot program requirements; requires state Medicaid plan to provide specified report to Legislature in certain timeframe; provides for expiration of pilot program.
Plain English Summary
AI-GENERATEDIf the Legislature appropriates funding, the state Medicaid plan may run a pilot in five counties (Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie) replacing standard care with nutrition and behavioral-health services for up to 1,000 enrollees.
Eligible enrollees must have both depression or anxiety and diabetes, obesity, or coronary heart disease. In exchange for standard Medicaid services, they would get counseling, dietitian therapy, biomarker-tracking devices, and meal or grocery support.
Tufts University nutrition researchers and Florida Health and Nutrition Coalition experts will design and evaluate the pilot, collecting health data on participants, their families, and their children. The state must factor results into how much it pays the managing provider.
AIThe state Medicaid plan may fund a demonstration pilot delivering an alternative bundle of nutrition and behavioral-health services in five counties, but only if the Legislature separately appropriates money for it; the pilot expires August 31, 2030, and the authorizing statute expires a year later.
AIProviders may offer counseling, dietitian therapy, biomarker tracking, nutrition education, and meal or grocery support in place of an enrollee's normal covered services, but only for enrollees with both a mental health diagnosis (depression or anxiety) and a metabolic or cardiac diagnosis, capped at 1,000 participants.
AIWhen setting capitation rates for the organization running the pilot, the state must factor in the program's actual cost, whether its measurable goals and health outcomes were met, and how well enrollees adhered to it.
AIAlthough the subsection is titled an annual report, the state Medicaid plan is only required to submit one report, timed for after the pilot expires, summarizing usage, collected data, and recommendations from just the final year.