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Became law HOUSE · SESSION 2026 · CHAPTER 2026-202

No. HB 4041

Compensation for Health Care Services for Inmates in Indian River County
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SPONSOR
Brackett
FILED BY
Robert Brackett — District 34, Republican [search donations]
EFFECTIVE
4/14/2026

Filed under Healthcare.

PROVIDED SUMMARY

Compensation for Health Care Services for Inmates in Indian River County; Limits compensation to health care provider that provides any medical services for inmate housed in Indian River County detention center under certain conditions; requires certain compensation for specified hospital that provides medical services for specified inmates if hospital does not have contract with county to provide such services; limits compensation to entity that provides emergency medical transportation services for inmate housed in Indian River County detention center if entity does not have contract with county to provide such services.

Full bill text →

Plain English Summary

AI-GENERATED
Sets Medicare-rate pay ceilings for treating Indian River County detention center inmates.

Sets pay rates for an uncontracted provider treating an inmate in the Indian River County detention center. General medical care is capped at 110% of the Medicare rate, or 125% with a reported negative operating margin.

A hospital designated as a trauma center must be paid exactly 175% of the Medicare rate for treating an inmate classified as a trauma alert victim, if it lacks a county contract. Ambulance and air-ambulance transport for these inmates is separately capped at 110%.

The definition of covered 'health care provider' spans hospitals, physicians, osteopathic and podiatric physicians, HMOs, ambulatory surgical centers, and group practices, but excludes abortion clinics and a physician's or dentist's private office. None of these rate rules apply to Indian River County's own hospital.

KEY PROVISIONS
§ 1 Caps general inmate medical compensation at 110% of Medicare major

AIA health care provider with no contract with Indian River County to provide inmate medical services may not be paid more than 110% of the Medicare allowable rate for treating a detention center inmate.

“may not exceed 110 percent of the Medicare allowable rate if the health care provider does not have a contract with Indian River County” bill text, line 63 →
§ 2 Raises the cap to 125% for providers reporting financial losses major

AIA health care provider with no county contract may be paid up to 125%, instead of 110%, of the Medicare allowable rate if it reported a negative operating margin for the previous year to AHCA through hospital-audited financial data.

“reported a negative operating margin for the previous year to the Agency for Health Care Administration through hospital-audited financial data.” bill text, line 71 →
§ 3 Fixes trauma center pay at exactly 175% for trauma-alert inmates major

AIA hospital designated as a trauma center, with no county contract, must be paid exactly 175% of the Medicare allowable rate to treat an inmate classified as a trauma alert victim -- a required rate, not merely a ceiling.

“must be at 175 percent of the Medicare allowable rate if the hospital does not have a contract with Indian River County” bill text, line 77 →
§ 4 Caps inmate ambulance and air-ambulance transport pay at 110% major

AIAn entity providing emergency medical transportation for a detention center inmate, without a county contract for that service, may not be paid more than 110% of the Medicare allowable rate.

“may not exceed 110 percent of the Medicare allowable rate if the entity does not have a contract with Indian River County” bill text, line 63 →
§ 5 Exempts the county's own hospital from these rate rules moderate

AINone of these Medicare-rate ceilings or required rates apply to charges for medical services provided at a hospital that Indian River County itself operates.

“This act does not apply to charges for medical services provided at a hospital operated by Indian River County.” bill text, line 86 →
TIMELINE
7/1/2026
Chapter No. 2026-202
4/14/2026
Approved by Governor
3/31/2026
Signed by Officers and presented to Governor
3/11/2026
Ordered enrolled
3/11/2026
In Messages
3/11/2026
Passed; YEAS 36 NAYS 0 -SJ 789
3/11/2026
Read 3rd time -SJ 789
3/11/2026
Read 2nd time -SJ 789
3/11/2026
Placed on Calendar, on 2nd reading
3/11/2026
Withdrawn from Rules -SJ 785
3/9/2026
Placed on Local Calendar, 03/11/26
2/18/2026
Received
2/12/2026
Referred to Rules
2/12/2026
In Messages
2/11/2026
Passed; YEAS 112, NAYS 1
2/11/2026
Read 3rd time
2/11/2026
Added to Third Reading Calendar
2/11/2026
Read 2nd time
2/5/2026
Bill added to Special Order Calendar (2/11/2026)
2/3/2026
Added to Second Reading Calendar
2/3/2026
Bill released to House Calendar
2/3/2026
Reported out of State Affairs Committee
2/3/2026
Favorable by State Affairs Committee
1/30/2026
Added to State Affairs Committee agenda
1/28/2026
Now in State Affairs Committee
1/28/2026
Reported out of Criminal Justice Subcommittee
1/28/2026
Favorable by Criminal Justice Subcommittee
1/26/2026
Added to Criminal Justice Subcommittee agenda
1/20/2026
Now in Criminal Justice Subcommittee
1/20/2026
Reported out of Intergovernmental Affairs Subcommittee
1/20/2026
Favorable by Intergovernmental Affairs Subcommittee
1/15/2026
Added to Intergovernmental Affairs Subcommittee agenda
1/13/2026
1st Reading (Original Filed Version)
1/5/2026
Now in Intergovernmental Affairs Subcommittee
1/5/2026
Referred to State Affairs Committee
1/5/2026
Referred to Criminal Justice Subcommittee
1/5/2026
Referred to Intergovernmental Affairs Subcommittee
12/17/2025
Filed
32 EARLIER →
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