SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 1351

Presumptive Medicaid Eligibility for Pregnant Women
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SPONSOR
Daniels; Franklin
FILED BY
Kimberly Daniels — District 14, Democrat [search donations]
Gallop Franklin — District 8, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Care Facilities & Systems Subcommittee

Filed under Healthcare.

PROVIDED SUMMARY

Presumptive Medicaid Eligibility for Pregnant Women; Authorizes certain entities meeting specified criteria to serve as qualified Medicaid providers for purposes of making presumptive Medicaid eligibility determinations for pregnant women; requires DCF to ensure that such providers are adequately trained & monitored for compliance when serving in such roles; requires AHCA to provide Medicaid coverage to pregnant women deemed presumptively eligible for duration of specified time period; provides that pregnant women deemed presumptively eligible are entitled to coverage of all medically necessary services under Medicaid program during such eligibility period; requires that all prior authorizations granted before or during such period remain in effect for duration of such period; requires agency, within specified timeframe, to seek federal approval to extend allowable period of presumptive Medicaid eligibility coverage for pregnant women; requires agency & department to initiate certain rulemaking within specified timeframe.

Full bill text →

Plain English Summary

AI-GENERATED
Guarantees full Medicaid coverage during a pregnant woman's presumptive eligibility.

Expands who can determine presumptive Medicaid eligibility for a pregnant woman to include hospitals, federally qualified health centers, birth centers, nonprofit maternal health groups, WIC clinics, and local housing authorities.

These providers must meet training and certification standards, and the department must ensure they stay adequately trained and monitored for compliance with the presumptive-eligibility rules.

A pregnant woman deemed presumptively eligible is entitled to all medically necessary Medicaid services, including specialists for high-risk pregnancies, and any prior authorization already granted stays valid through that period.

Within 60 days, the state must seek federal approval to extend the presumptive-eligibility coverage window to 180 days and start the rulemaking needed to carry out these changes.

KEY PROVISIONS
§ 1 Names which providers can determine presumptive eligibility majors. 409.903

AIQualified Medicaid providers eligible to determine presumptive eligibility for pregnant women now explicitly include hospitals, federally qualified health centers, birth centers, nonprofit maternal and child health organizations, WIC clinics, and local housing authorities that meet training standards.

“Qualified Medicaid providers that may conduct presumptive eligibility determinations for Medicaid for pregnant women include, but are not limited to, hospitals” bill text, line 51 →
§ 2 Entitles presumptively eligible women to all medically necessary services majors. 409.903

AIA pregnant woman deemed presumptively eligible is entitled to coverage of all medically necessary Medicaid services, including specialists and subspecialists needed to comanage a high-risk pregnancy beyond general obstetrics.

“are entitled to coverage of all medically necessary services under the Medicaid program” bill text, line 15 →
§ 3 Keeps prior authorizations valid through the presumptive period majors. 409.903

AIAny prior authorization approval granted before or during a woman's presumptive eligibility period remains valid for the entire period, so approved care does not lapse while full eligibility is being determined.

“All prior authorization approvals granted before or during the presumptive eligibility period remain valid for the duration of such period” bill text, line 76 →
§ 4 Requires training and monitoring of these providers moderates. 409.903

AIThe department must ensure that qualified Medicaid providers making presumptive-eligibility determinations are adequately trained and monitored for compliance with federal and state requirements.

“shall ensure such providers are adequately trained and monitored for compliance with federal and state requirements” bill text, line 61 →
§ 5 Sets the coverage period and requires seeking a 180-day extension moderates. 409.903

AIPresumptive-eligibility coverage must last for the maximum period federal law allows or until a full determination is made, and within 60 days AHCA must seek federal approval to stretch that period to 180 days.

“shall seek federal approval to extend the allowable period of presumptive Medicaid eligibility for pregnant women to 180 days” bill text, line 81 →
TIMELINE
3/13/2026
Died in Health Care Facilities & Systems Subcommittee
1/15/2026
Now in Health Care Facilities & Systems Subcommittee
1/15/2026
Referred to Health & Human Services Committee
1/15/2026
Referred to Health Care Budget Subcommittee
1/15/2026
Referred to Health Care Facilities & Systems Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/9/2026
Filed
1 EARLIER →
STATUTES IT CHANGES
s. 409.903
+235 / −0