THE BILL ITSELF
HB 293
Continuous Glucose Monitors
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A bill to be entitled
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An act relating to continuous glucose monitors;
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requiring the Agency for Health Care Administration
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to, within a specified timeframe, seek federal
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approval as needed to provide coverage of continuous
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glucose monitors and related supplies as a durable
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medical equipment benefit under the Medicaid program;
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providing for the reimbursement of such equipment;
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providing construction; requiring the agency to
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implement these changes upon receiving any necessary
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federal approval; providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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(1) Within 30 days after this act becomes a Section 1.
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law, the Agency for Health Care Administration shall seek
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federal approval through a Medicaid waiver or state plan
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amendment as needed to provide coverage of continuous glucose
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monitors and related supplies as a durable medical equipment
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benefit for Medicaid recipients. A licensed durable medical
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equipment provider must be reimbursed for continuous glucose
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monitors and related supplies, provided the claim is submitted
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through an active Medicare Healthcare Common Procedure Coding
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System. The agency may not require such provider to use a
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National Drug Code number as part of such claim submission.
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(2) This section does not preclude the agency from
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providing additional coverage of continuous glucose monitors as
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a Medicaid pharmacy benefit.
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(3) The agency shall begin implementation of these changes
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upon receiving any necessary federal approval.
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Section 2. This act shall take effect upon becoming a law.