SESSION WATCH
Died SENATE · SESSION 2026

No. SB 348

Statewide Health Care Coverage
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SPONSOR
Smith
FILED BY
Carlos Guillermo Smith — District 17, Democrat [search donations]
EFFECTIVE
Upon becoming a law
DIED IN
Health Policy

Filed under Healthcare.

PROVIDED SUMMARY

Statewide Health Care Coverage; Establishing the Task Force on Universal Health Care for a specified purpose; directing all agencies of state government to assist the task force, including furnishing information and advice deemed necessary by the task force; providing for the membership, meetings, and funding of the task force; requiring the task force to establish an advisory committee for a specified purpose; requiring the Agency for Health Care Administration to develop a plan for a Medicaid buy-in program or a public health care option for certain residents of this state, etc. APPROPRIATION: $1,174,816

Full bill text →

Plain English Summary

AI-GENERATED
Creates a task force to design a statewide single-payer health plan.

Establishes a 20-member task force to design a single-payer Health Care for All Florida Plan, to be run by a future state board and cover every resident from birth to death.

Separately, the Agency for Health Care Administration must draft its own plan for a Medicaid buy-in program or public option for residents who lack access to health care, reporting by May 1, 2027.

The task force must weigh funding sources, including an employer payroll tax and other progressive revenue options, and estimate the plan's costs and savings against the current system.

Both efforts move on a fixed clock: the task force reports by the first day of the 2028 legislative session, and the whole section repeals automatically on January 2, 2029.

KEY PROVISIONS
§ 1 Creates a 20-member task force on universal health care major

AIThe task force must recommend the design of the Health Care for All Florida Plan, a single-payer system meant to cover every resident from birth to death, to be run by a new state board.

“is established to recommend the design of the Health Care for All Florida Plan” bill text, line 105 →
§ 2 Orders AHCA to design a Medicaid buy-in or public option major

AIIndependent of the task force, the Agency for Health Care Administration must draft its own plan for a Medicaid buy-in program or public option aimed at residents who lack access to health care.

“shall develop a plan for a Medicaid buy-in program or a public option to provide an affordable health care option” bill text, line 685 →
§ 3 Sunsets the entire framework on January 2, 2029 major

AIThe task force, its process, and AHCA's buy-in mandate all disappear automatically on this date unless the Legislature acts first to extend, replace, or enact what they recommend.

“This section is repealed on January 2, 2029.” bill text, line 732 →
§ 4 Appropriates $1.17 million to start the work moderate

AIA nonrecurring general-revenue appropriation funds OPPAGA staff support and the task force's work for the 2026-2027 fiscal year, covering the design and reporting process created by this act.

“the nonrecurring sum of $1,174,816 is appropriated from the General Revenue Fund to the Agency for Health Care Administration” bill text, line 733 →
§ 5 Reserves eight task-force seats for health care unions moderate

AIAt least eight of the Governor's 13 appointees to the task force must be representatives of labor unions whose members work in health care, giving organized labor a guaranteed bloc on the panel.

“Include at least eight members who are representatives of labor unions representing employees who work in the health care field” bill text, line 151 →
§ 6 Design must let working nonresidents enroll moderate

AIThe recommended plan's design must allow a nonresident who works full time in Florida and contributes to the plan to enroll, along with that person's dependents, extending eligibility beyond state residents.

“Is a nonresident who works full time in this state and contributes to the plan” bill text, line 334 →
§ 7 Design must require consent before sharing records moderate

AIThe recommendations for the plan must require a patient or their designee to approve before the patient's medical data is forwarded to family, caregivers, other providers, or researchers.

“the patient or the patient's designee provide approval before any forwarding of the patient's data” bill text, line 434 →
TIMELINE
3/13/2026
Died in Health Policy
1/13/2026
Introduced
11/17/2025
Referred to Health Policy; Appropriations Committee on Health and...
11/4/2025
Filed