SESSION WATCH
Became law HOUSE · SESSION 2026 · CHAPTER 2026-220

No. CS/HB 4087

Highlands County Hospital District
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SPONSOR
State Affairs Committee; Tuck
FILED BY
Kaylee Tuck — District 83, Republican [search donations]
EFFECTIVE
6/10/2026

Filed under Healthcare.

PROVIDED SUMMARY

Highlands County Hospital District; Provides requirements & duties of Board of Commissioners of Highlands County Hospital District before lease or management & sale agreements of assets; provides requirements for agreements; requires hospital to file copy of sale agreement with Department of Commerce; requires board to notify department of sale; provides for judicial reviews; provides for court costs.

Full bill text →

Plain English Summary

AI-GENERATED
Requires public evaluation before Highlands County sells or leases its hospital.

The bill rewrites the Highlands County Hospital District's charter, replacing the board's unconstrained authority to lease or sell the hospital with a detailed, multi-step public process before any full lease or sale can be approved.

Before leasing or selling the hospital in its entirety, the board must hire an independent evaluator, hold a public meeting, and post the evaluation and all related documents on its website for 30 days.

Anyone with an interest in the outcome can challenge the board's decision in court, but only over whether the board followed these procedures, not over whether the price or terms were actually a good deal.

Short-term leases of 10 years or less, and leases already in place before this act, skip the entire evaluation and disclosure process. A completed sale of all district assets dissolves the hospital district itself.

KEY PROVISIONS
§ 1 Requires an independent evaluation before any hospital lease or sale majors. Highlands Co. Hospital Dist. Charter, s. 35

AIBefore the board can lease or sell the hospital in its entirety, it must hire an outside entity with at least 5 years of relevant experience to evaluate the deal, including the assets' fair market value.

“Contract with an independent entity or entities that have at least 5 years of experience conducting comparable evaluations of hospital organizations” bill text, line 53 →
§ 2 Requires 30 days of public posting before the board can vote majors. Highlands Co. Hospital Dist. Charter, s. 35(5)

AIThe evaluation, proposed agreement, and supporting documents must sit on the district's public website for 30 calendar days, with a way for the public to submit written comments, before the board may vote to approve.

“must be published on the hospital district website for 30 calendar days before the board may vote on the proposed agreement” bill text, line 99 →
§ 3 Limits judicial review of a sale or lease to procedure only majors. Highlands Co. Hospital Dist. Charter, s. 35(8)

AIAn interested party may sue over a lease or sale decision, but a court may only decide whether the board followed the required steps -- it cannot review whether the decision itself was sound or the price fair.

“Judicial review is limited solely to consideration of whether the procedures contained within this section have been followed by the board.” bill text, line 162 →
§ 4 Dissolves the hospital district after a completed sale majors. Highlands Co. Hospital Dist. Charter, s. 37(11)

AIOnce the board sells all of the district's assets and liabilities and notifies the Department of Commerce, the Highlands County Hospital District itself ceases to exist 30 days later.

“The Highlands County Hospital District shall be dissolved 30 calendar days following the receipt of the notice by the department.” bill text, line 324 →
§ 5 Supersedes the state's default hospital-sale statute for this district majors. Highlands Co. Hospital Dist. Charter, s. 38; 155.40

AIThis charter's own evaluation, disclosure, and review procedure displaces the general hospital-district sale and lease statute for Highlands County, so section 155.40 no longer governs how this specific district's assets are sold or leased.

“the provisions hereof shall supersede and preempt the application of section 155.40, Florida Statutes, relating to the sale or lease of the hospital” bill text, line 346 →
§ 6 Exempts short-term and pre-existing leases from the public process moderates. Highlands Co. Hospital Dist. Charter, s. 35(10)

AIA lease of 10 years or less, or one already in place before this act being modified or renewed, is not subject to the independent evaluation, 30-day posting, or judicial review that a full lease or sale requires.

“A lease or management agreement for a term no greater than 10 years that is entered into so the board may undergo the process” bill text, line 171 →
TIMELINE
7/1/2026
Chapter No. 2026-220
6/10/2026
Approved by Governor
6/9/2026
Signed by Officers and presented to Governor
3/11/2026
Ordered enrolled
3/11/2026
In Messages
3/11/2026
CS passed; YEAS 36 NAYS 0 -SJ 793
3/11/2026
Read 3rd time -SJ 793
3/11/2026
Read 2nd time -SJ 793
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
2/26/2026
Received
2/25/2026
Referred to Rules
2/25/2026
In Messages
2/25/2026
CS passed; YEAS 116, NAYS 0
2/25/2026
Read 3rd time
2/25/2026
Added to Third Reading Calendar
2/25/2026
Read 2nd time
2/19/2026
Bill added to Special Order Calendar (2/25/2026)
2/18/2026
Added to Second Reading Calendar
2/18/2026
Bill referred to House Calendar
2/18/2026
1st Reading (Committee Substitute 1)
2/17/2026
CS Filed
2/17/2026
Laid on Table under Rule 7.18(a)
2/17/2026
Reported out of State Affairs Committee
2/17/2026
Favorable with CS by State Affairs Committee
2/13/2026
Added to State Affairs Committee agenda
2/6/2026
Now in State Affairs Committee
2/6/2026
Reported out of Health Care Facilities & Systems Subcommittee
2/5/2026
Favorable by Health Care Facilities & Systems Subcommittee
2/3/2026
Added to Health Care Facilities & Systems Subcommittee agenda
1/28/2026
Now in Health Care Facilities & Systems Subcommittee
1/28/2026
Reported out of Intergovernmental Affairs Subcommittee
1/28/2026
Favorable by Intergovernmental Affairs Subcommittee
1/26/2026
Added to Intergovernmental Affairs Subcommittee agenda
1/15/2026
Now in Intergovernmental Affairs Subcommittee
1/15/2026
Referred to State Affairs Committee
1/15/2026
Referred to Health Care Facilities & Systems Subcommittee
1/15/2026
Referred to Intergovernmental Affairs Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/9/2026
Filed
35 EARLIER →
STAFF ANALYSES