SESSION WATCH
Became law HOUSE · SESSION 2026 · CHAPTER 2026-211

No. HB 4059

Compensation for Health Care Services for Inmates in Polk County
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SPONSOR
Albert
FILED BY
Jon Albert — District 48, Republican [search donations]
EFFECTIVE
4/14/2026

Filed under Healthcare.

PROVIDED SUMMARY

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

Full bill text →

Plain English Summary

AI-GENERATED
Caps what Polk County pays non-contracted providers for inmate care.

A health care provider with no contract to treat Polk County jail inmates may not be paid more than 110 percent of the Medicare allowable rate for those services.

A provider without a contract may instead be paid up to 125 percent if it reported a negative operating margin the previous year, backed by hospital-audited financial data filed with the state.

Ground and air ambulance providers without a county contract face the same 110 percent cap for transporting an inmate to or from care.

None of this applies to a hospital Polk County itself operates, and the capped 'health care provider' category excludes abortion clinics and a physician's or dentist's private office.

KEY PROVISIONS
§ 1 Caps non-contracted provider compensation at 110% of Medicare rates major

AIA health care provider without a contract to serve Polk County's detention center may not be compensated more than 110 percent of the Medicare allowable rate for treating an inmate.

“to provide any medical services for an inmate housed in a Polk County detention center may not exceed 110 percent of the Medicare allowable rate” bill text, line 57 →
§ 2 Caps non-contracted emergency transport compensation at 110% of Medicare rates major

AIAn entity providing emergency medical transportation for a Polk County inmate, without a contract with the county to do so, may not be compensated more than 110 percent of the Medicare allowable rate.

“Compensation to an entity to provide emergency medical transportation services for an inmate housed in a Polk County detention center may not exceed 110 percent” bill text, line 69 →
§ 3 Allows a higher 125% cap for providers with a negative operating margin moderate

AIA non-contracted provider may be paid up to 125 percent of the Medicare rate instead of 110 percent if it reported a negative operating margin the prior year through hospital-audited financial data filed with the state.

“The health care provider reported a negative operating margin for the previous year to the Agency for Health Care Administration through hospital-audited financial data.” bill text, line 66 →
§ 4 Exempts Polk County's own hospital from every cap in the act moderate

AICharges for medical services provided at a hospital that Polk County itself operates are not subject to any of the compensation limits this act creates.

“This act does not apply to charges for medical services provided at a hospital operated by Polk County.” bill text, line 75 →
§ 5 Excludes abortion clinics and private medical offices from the capped category moderate

AIThe definition of 'health care provider' subject to these caps does not reach a facility whose primary purpose is performing abortions, or a physician's or dentist's private office.

“does not include a facility existing for the primary purpose of performing terminations of pregnancy” bill text, line 48 →
TIMELINE
7/1/2026
Chapter No. 2026-211
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 791
3/11/2026
Read 3rd time -SJ 791
3/11/2026
Read 2nd time -SJ 791
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 106, NAYS 8
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)
1/12/2026
Now in Intergovernmental Affairs Subcommittee
1/12/2026
Referred to State Affairs Committee
1/12/2026
Referred to Criminal Justice Subcommittee
1/12/2026
Referred to Intergovernmental Affairs Subcommittee
1/5/2026
Filed
32 EARLIER →
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