Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 2 of 26 CODING: Words stricken are deletions; words underlined are additions. force’s findings and recommendations; requiring that 30 task force members be appointed by a specified date; 31 requiring OPPAGA to begin preparing a work plan for 32 the task force by a specified date; requiring the task 33 force to submit a report of its findings and 34 recommendations to the Governor and the Legislature by 35 a specified date; requiring the Agency for Health Care 36 Administration to develop a plan for a Medicaid buy-in 37 program or a public health care option for certain 38 residents of this state; specifying requirements for 39 the plan; requiring the agency to report its plan to 40 the Governor and the Legislature by a specified date; 41 providing for the future repeal of specified 42 provisions; providing an appropriation; providing an 43 effective date. 44 45 Be It Enacted by the Legislature of the State of Florida: 46 47

Section 1. Task Force on Universal Health Care for 48 Florida.— 49

(1) DEFINITIONS.—As used in this section, the term: 50 (a) “Group practice” means a single legal entity composed 51 of individual providers organized as a partnership, professional 52 corporation, limited liability company, foundation, nonprofit 53 corporation, or faculty practice plan or a similar association 54 in which: 55 1. Each individual provider uses office space, facilities, 56 equipment, and personnel shared with other individual providers 57 to deliver medical care, consultation, diagnosis, treatment, or 58

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 3 of 26 CODING: Words stricken are deletions; words underlined are additions. other services that the provider routinely delivers in the 59 provider’s practice; 60 2. Substantially all of the services delivered by the 61 individual providers are delivered on behalf of the group 62 practice and billed as services provided by the group practice; 63 3. Substantially all of the payments to the group practice 64 are to reimburse the cost of services provided by the individual 65 providers in the group practice; 66 4.

The overhead expenses of, and the income from, the group 67 practice are shared among the individual providers in the group 68 practice in accordance with methods agreed to by the individual 69 providers who are members of the group practice; and 70 5.

There is a unified business model with consolidated 71 billing, accounting, and financial reporting and a centralized 72 decisionmaking body that represents the individual providers who 73 are members of the group practice. 74 (b) “Individual provider” means a health care practitioner 75 who is licensed, certified, or registered in this state or who 76 is licensed, certified, or registered to provide care in another 77 state or country. 78 (c) “Institutional provider” means a single legal entity 79 that is: 80 1. A health care facility, such as a hospital; 81 2.

A comprehensive outpatient rehabilitation facility; 82 3. A home health agency; or 83 4. A hospice program. 84 (d) “Provider” means an individual provider, an 85 institutional provider, or a group practice. 86 (e) “Single-payor health care financing system” means a 87

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 4 of 26 CODING: Words stricken are deletions; words underlined are additions. universal system used by the state for paying the cost of health 88 care services or goods in which: 89 1. Institutional providers are paid directly for health 90 care services or goods by the state or are paid by an 91 administrator that does not bear risk in its contracts with the 92 state; 93 2.

Group practices are paid directly for health care 94 services or goods by the state or are paid by an administrator 95 that does not bear risk in its contracts with the state, by the 96 employer of the group practice, or by an institutional provider; 97 and 98 3. Individual providers are paid directly for health care 99 services or goods by the state, by their employers, by an 100 administrator that does not bear risk in its contracts with the 101 state, by an institutional provider, or by a group practice. 102

(2) ESTABLISHMENT OF THE TASK FORCE ON UNIVERSAL HEALTH 103 CARE; PURPOSE; AGENCY COOPERATION.—The Task Force on Universal 104 Health Care is established to recommend the design of the Health 105 Care for All Florida Plan, a universal health care system 106 administered by the Health Care for All Florida Board which is 107 equitable, affordable, and comprehensive; provides high-quality 108 health care; and is publicly funded and available to every 109 individual residing in this state.

The Office of Program Policy 110 Analysis and Government Accountability (OPPAGA) shall provide 111 staff support to the task force. All agencies of state 112 government are directed to assist the task force in the 113 performance of its duties and, to the extent permitted by laws 114 relating to confidentiality, to furnish information and advice 115 deemed necessary by the task force to perform its duties. 116

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V) Public health services; 146 (VI) Medical and surgical services; 147 (VII) Alternative therapy services; 148 (VIII) Services for persons with disabilities; and 149 (IX) Nursing services; 150 c. Include at least eight members who are representatives 151 of labor unions representing employees who work in the health 152 care field in this state; 153 d. Include at least one member who is a representative of a 154 Florida legal aid organization helping health care patients; 155 e.

Include at least one member who has produced at least 156 three economic analyses of the economic benefits of single-payor 157 programs on the state level. This member need not be a resident 158 of this state in order to serve on the task force; and 159 f. Include at least one member who has an active license to 160 practice social work in this state. 161 4. The State Surgeon General or his or her designee, who is 162 a nonvoting member. 163 5. The Secretary of Business and Professional Regulation or 164 his or her designee, who is a nonvoting member. 165 6.

A member of the Florida Association of Counties, 166 selected by the association, who is a nonvoting member. 167 (

b) In making the appointments under subparagraph (a)3., 168 the Governor shall ensure that there is no disproportionate 169 influence by any individual, organization, government, industry, 170 business, or profession in any decisionmaking by the task force 171 and no actual or potential conflicts of interest. 172 (

c) The task force shall elect one of its members to serve 173 as chair and one to serve as vice chair. 174

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d) If there is a vacancy for any cause, the appointing 175 authority must make an appointment to fill the vacancy, which 176 appointment becomes effective immediately. 177 (

e) Members of the Legislature appointed to the task force 178 are nonvoting members of the task force and may act in an 179 advisory capacity only. 180 (

f) A majority of the voting members of the task force 181 constitutes a quorum for the transaction of business. 182 (

g) Official action by the task force requires the approval 183 of a majority of the voting members of the task force. 184 (

h) The task force shall meet at times and places specified 185 by the call of the chair or by a majority of the voting members 186 of the task force. 187 (

i) Members of the task force are not entitled to 188 compensation but are entitled to receive per diem and travel 189 expenses as provided in s. 112.061, Florida Statutes. 190 (

j) The task force may apply for public or private grants 191 from nonprofit organizations for the costs of research. 192 (k)1. The task force shall establish an advisory committee 193 to provide input from a consumer perspective and, to the 194 greatest extent practicable, from the diverse social identities 195 described in sub-sub-subparagraph (a)3.a.(I). 196 2. Members of the advisory committee must have the 197 following qualifications, such that at least one member: 198 a.

Has experience in seeking or receiving health care in 199 this state to address one or more serious medical conditions or 200 disabilities. 201 b. Is enrolled in health insurance offered by the state 202 group insurance program or represents public employees. 203

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 9 of 26 CODING: Words stricken are deletions; words underlined are additions. expectations of the residents of this state by: 233 1. Improving the health status of individuals, families, 234 and communities; 235 2. Defending against threats to the health of the residents 236 of this state; 237 3. Protecting individuals from the financial consequences 238 of ill health; 239 4. Providing equitable access to person-centered care; 240 5. Removing cost as a barrier to accessing health care; 241 6.

Removing any financial incentive for a health care 242 practitioner to provide care to one patient over another; 243 7. Making it possible for individuals to participate in 244 decisions affecting their health and the health care system; 245 8. Establishing measurable health care goals and guidelines 246 that align with other state and federal health standards; and 247 9. Promoting continuous quality improvement and fostering 248 interorganizational collaboration. 249 (

b) The task force, in developing its recommendations for 250 the Health Care for All Florida Plan, shall consider, at a 251 minimum, all of the following values: 252 1. Health care, as a fundamental element of a just society, 253 is to be secured for all individuals on an equitable basis by 254 public means, similar to public education, public safety, and 255 other public infrastructure. 256 2. Access to a distribution of health care resources and 257 services should be available according to each individual’s 258 needs and location within this state.

Race, color, national 259 origin, age, disability, wealth, income, citizenship status, 260 primary language use, genetic conditions, previous or existing 261

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 10 of 26 CODING: Words stricken are deletions; words underlined are additions. medical conditions, religion, or sex, including sex 262 stereotyping, gender identity, sexual orientation, and pregnancy 263 and related medical conditions, such as termination of 264 pregnancy, may not create any barriers to health care or 265 disparities in health outcomes due to access to care. 266 3.

The components of the system must be accountable and 267 fully transparent to the public with regard to information, 268 decisionmaking, and management through meaningful public 269 participation in decisions affecting people’s health care. 270 4. Funding for the Health Care for All Florida Plan is a 271 public trust, and any savings or excess revenue is to be 272 returned to that public trust. 273 (

c) The task force, in developing its recommendations for 274 the Health Care for All Florida Plan, shall consider, at a 275 minimum, all of the following principles: 276 1. A participant in the plan may choose any individual 277 provider who is licensed, certified, or registered in this state 278 or any group practice. 279 2. The plan may not discriminate against any individual 280 provider who is licensed, certified, or registered in this state 281 to provide services covered by the plan and who is acting within 282 the provider’s scope of practice. 283 3.

A participant and the participant’s provider shall, 284 within the scope of services covered within each category of 285 care and within the plan’s parameters for standards of care and 286 requirements for prior authorization, determine whether a 287 treatment is medically necessary or medically appropriate for 288 that participant. 289 4. The plan must cover services from birth to death, based 290

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 11 of 26 CODING: Words stricken are deletions; words underlined are additions. on evidence-based decisions as determined by the Health Care for 291 All Florida Board. 292

(5) SCOPE OF DESIGN FOR THE HEALTH CARE FOR ALL FLORIDA 293 PLAN.— 294 (

a) The task force shall make findings and recommendations 295 for the design of the Health Care for All Florida Plan and the 296 Health Care for All Florida Board, which shall administer the 297 plan. The task force shall submit a report of its findings and 298 recommendations to the Governor, the President of the Senate, 299 and the Speaker of the House of Representatives as specified in 300 subsection (6).

The task force’s recommendations must be 301 succinct statements and include actions and timelines, the 302 degree of consensus among the task force members, and the 303 priority of each recommendation, based on urgency and 304 importance. The task force may defer any recommendations to be 305 determined by the board. 306 (

b) The design of the Health Care for All Florida Plan 307 recommended by the task force must: 308 1. Adhere to the values and principles described in 309 paragraphs (4)(

b) and (c); 310 2. Be a single-payor health care financing system; 311 3. Ensure that individuals who receive services from the 312 United States Department of Veterans Affairs Veterans Health 313 Administration or the Indian Health Services may be enrolled in 314 the plan while continuing to receive those services; 315 4. Obtain a waiver of federal requirements that pose 316 barriers to, or adopt other approaches, enabling equitable and 317 uniform inclusion of all residents such that a resident of this 318 state who has other coverage that is not subject to state 319

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 12 of 26 CODING: Words stricken are deletions; words underlined are additions. regulation may enroll in the plan without jeopardizing 320 eligibility for the other coverage if the person moves out of 321 this state; and 322 5. Preserve the coverage of the health services currently 323 required by Medicare, Medicaid, the Children’s Health Insurance 324 Program, the Patient Protection and Affordable Care Act, Pub. L. 325 No. 111-148, as amended by the Health Care and Education 326 Reconciliation Act of 2010, Pub. L. No. 111-152, Florida’s 327 medical assistance program for the needy, and any other state or 328 federal program. 329 (

c) The plan must allow participation by any individual 330 who: 331 1. Resides in this state; 332 2. Is a nonresident who works full time in this state and 333 contributes to the plan; or 334 3. Is a nonresident who is a dependent of an individual 335 described in subparagraph 1. or subparagraph 2. 336 337 The task force’s recommendations must address issues related to 338 the provision of services to nonresidents who receive services 339 in this state and to plan participants who receive services 340 outside of this state. 341 (

d) Providers shall be paid under the plan as follows or 342 through an alternative method that is similarly equitable and 343 cost-effective: 344 1. Individual providers licensed in this state shall be 345 paid: 346 a. On a fee-for-services basis; 347 b. As employees of institutional providers or members of 348

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 13 of 26 CODING: Words stricken are deletions; words underlined are additions. group practices that are reimbursed with global budgets; or 349 c. As individual providers in group practices that receive 350 capitation payments for providing outpatient services as 351 permitted by subparagraph 4. 352 2. Institutional providers shall be paid with global 353 budgets that include separate capital budgets, determined 354 through regional planning, and operational budgets. 355 3.

Budgets must be determined for individual hospitals and 356 not for entities that own multiple hospitals, clinics, or other 357 providers of health care services or goods. 358 4. A group practice may be reimbursed with capitation 359 payments if the group practice: 360 a. Primarily uses individual providers in the group 361 practice to deliver care in the group practice’s facilities; 362 b. Does not use capitation payments to reimburse the cost 363 of hospital services; and 364 c. Does not offer financial incentives to individual 365 providers in the group practice based on the use of services. 366 (

e) In designing the plan, the task force shall: 367 1. Develop cost estimates for the plan, including, but not 368 limited to, cost estimates for: 369 a. The approach recommended for achieving the result 370 described in subparagraph (b)4.; and 371 b. The payment method designed by the task force under 372 paragraph (

d) in designing the plan; 373 2. Consider how the plan will impact the structure of 374 existing state and local boards and commissions, counties, 375 cities, and special districts, as well as the Federal 376 Government, other states, and Indian tribes; 377

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 14 of 26 CODING: Words stricken are deletions; words underlined are additions. 3. Investigate other states’ attempts at providing 378 universal coverage and using single-payor health care financing 379 systems, including the outcomes of those attempts; and 380 4. Consider the work by existing health care professional 381 boards and commissions and incorporate important aspects of such 382 work into recommendations for the plan. 383 (

f) In developing recommendations for long-term care 384 services and supports for the plan under subparagraph (i)16., 385 the task force shall convene an advisory committee that 386 includes: 387 1. Persons with disabilities who receive long-term services 388 and supports; 389 2. Older adults who receive long-term services and 390 supports; 391 3. Individuals representing persons with disabilities and 392 older adults; 393 4. Members of groups that represent the diversity, 394 including by gender, race, and economic status, of individuals 395 who have disabilities; 396 5.

Providers of long-term services and supports, including 397 in-home care providers who are represented by organized labor, 398 and family attendants and caregivers who provide long-term 399 services and supports; and 400 6. Academics and researchers in relevant fields of study. 401 402 Notwithstanding subparagraph (i)16., the task force may explore 403 the effects of excluding long-term care services from the plan, 404 including, but not limited to, the social, financial, and 405 administrative costs. 406

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g) The task force’s recommendations for the duties of the 407 board and the details of the plan must ensure that, by 408 considering the following factors, patients are empowered to 409 protect their health, their rights, and their privacy: 410 1. The patient’s access to patient advocates who are 411 responsible to the patient and maintain patient confidentiality 412 and whose responsibilities include, but are not limited to, 413 addressing concerns about providers and helping patients 414 navigate the process of obtaining medical care; 415 2.

The patient’s access to culturally and linguistically 416 appropriate care and service; 417 3. The patient’s ability to obtain needed care when a 418 treating provider is unable or unwilling to provide the care; 419 4. Paying providers to complete forms or perform other 420 administrative functions to assist patients in qualifying for 421 disability benefits, family medical leave, or other income 422 supports; and 423 5. The patient’s access to and control of medical records, 424 including: 425 a.

Empowering patients to control access to their medical 426 records and obtain independent second opinions, unless there are 427 clear medical reasons not to do so; 428 b. Requiring that a patient or the patient’s designee be 429 provided a complete copy of the patient’s health records 430 promptly after every interaction or visit with a provider; 431 c. Ensuring that the copy of the health records provided to 432 a patient includes all data used in the care of that patient; 433 and 434 d. Requiring that the patient or the patient’s designee 435

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 16 of 26 CODING: Words stricken are deletions; words underlined are additions. provide approval before any forwarding of the patient’s data to, 436 or access of the patient’s data by, family members, caregivers, 437 or other providers or researchers. 438 (

h) In developing recommendations for the plan, the task 439 force shall engage in a public process to solicit public input 440 on the elements of the plan described in paragraphs (b), (i), 441 (j), and (k). The public process must: 442 1. Ensure input from individuals in rural and underserved 443 communities and from individuals in communities that experience 444 health care disparities; 445 2.

Solicit public comments statewide while providing to the 446 public evidence-based information developed by the task force 447 about the health care costs of a single-payor health care 448 financing system, including the cost estimates developed under 449 paragraph (e), as compared to the current system; and 450 3. Solicit the perspectives of: 451 a. Individuals throughout the range of communities that 452 experience health care disparities; 453 b. A range of businesses, based on industry and employer 454 size; 455 c.

Individuals whose insurance coverage represents a range 456 of current insurance types and individuals who are uninsured or 457 underinsured; and 458 d. Individuals with a range of health care needs, including 459 individuals needing disability services and long-term care 460 services who have experienced the financial and social effects 461 of policies requiring them to exhaust a large portion of their 462 resources before qualifying for long-term care services paid for 463 by the medical assistance program for the needy. 464

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i) With respect to administration of the plan, the report 465 must include, but need not be limited to, all of the following: 466 1. The governance and leadership of the board, 467 specifically: 468 a. The composition and representation of the membership of 469 the board, appointed or otherwise selected using an open and 470 equitable selection process; 471 b. The statutory authority the board will need to establish 472 policies, guidelines, mandates, incentives, and enforcement 473 needed to develop a highly effective and responsive single-payor 474 health care financing system; 475 c.

The ethical standards and their enforcement for members 476 of the board such that there are the most rigorous protections 477 and prohibitions from actual or perceived economic conflicts of 478 interest; and 479 d. The steps for ensuring that there is no disproportionate 480 influence by any individual, organization, government, industry, 481 business, or profession in any decisionmaking by the board; 482 2.

A list of federal and state laws and rules, state 483 contracts or agreements, and court actions or decisions that may 484 facilitate, constrain, or prevent implementation of the plan and 485 an explanation of how they may facilitate or constrain or 486 prevent implementation; 487 3. The plan’s economic sustainability, operational 488 efficiency, and cost control measures that include, but are not 489 limited to, the following: 490 a.

A financial governance system supported by relevant 491 legislation, financial audit, and public expenditure reviews and 492 clear operational rules to ensure efficient use of public funds; 493

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 18 of 26 CODING: Words stricken are deletions; words underlined are additions. and 494 b. Cost control features, such as multistate purchasing; 495 4. Features of the plan that are necessary to continue to 496 receive federal funding that is currently available to the state 497 and estimates of the amount of the federal funding that will be 498 available; 499 5. Fiduciary requirements for the revenue generated to fund 500 the plan, including, but not limited to, the following: 501 a.

A dedicated fund, separate and distinct from the General 502 Revenue Fund, which is held in trust for the residents of this 503 state; 504 b. Restrictions to be authorized by the board on the use of 505 the trust fund; 506 c. A process for creating a reserve fund by retaining 507 moneys in the trust fund if, over the course of a year, revenue 508 exceeds costs; and 509 d.

Required accounting methods that eliminate the potential 510 for misuse of public funds, detect inaccuracies in provider 511 reimbursement, and use the most rigorous, generally accepted 512 accounting principles, including annual external audits and 513 audits at the time of each transition in the board’s executive 514 management; 515 6. Requirements for the purchase of reinsurance; 516 7. Bonding authority that may be necessary; 517 8. The board’s role in workforce recruitment, retention, 518 and development; 519 9. A process for the board to develop statewide goals, 520 objectives, and ongoing review; 521 10.

The appropriate relationship between the board and 522

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 19 of 26 CODING: Words stricken are deletions; words underlined are additions. regional or local authorities regarding oversight of health 523 activities, health care systems, and providers to promote 524 community health reinvestment, equity, and accountability; 525 11. Criteria to guide the board in determining which health 526 care services are necessary for the maintenance of health, the 527 prevention of health problems, the treatment or rehabilitation 528 of health conditions, and the provision of long-term and respite 529 care.

Criteria may include, but are not limited to, the 530 following: 531 a. Whether the services are cost-effective and based on 532 evidence from multiple sources; 533 b. Whether the services are currently covered by the health 534 benefit plans offered by the state group insurance program; 535 c.

Whether the services are designated as effective by the 536 United States Preventive Services Task Force, the United States 537 Centers for Disease Control and Prevention’s Advisory Committee 538 on Immunization Practices, the federal Health Resources and 539 Services Administration’s Bright Futures Program, or the 540 National Academies Institute of Medicine’s Committee on 541 Preventive Services for Women; and 542 d.

Whether the evidence on the effectiveness of services 543 comes from peer-reviewed medical literature, existing 544 assessments and recommendations from state and federal boards 545 and commissions, and other peer-reviewed sources; 546 12. A process to track and resolve complaints, grievances, 547 and appeals, including establishing an Office of the Patient 548 Advocate; 549 13. Options for transition planning, including an impact 550 analysis on existing health care systems, providers, and patient 551

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 20 of 26 CODING: Words stricken are deletions; words underlined are additions. relationships; 552 14. Options for incorporating cost containment measures, 553 such as prior approval and prior authorization requirements, and 554 the effect of such measures on equitable access to quality 555 diagnosis and care; 556 15. The methods for reimbursing providers for the cost of 557 care as described in paragraph (

d) and recommendations regarding 558 the appropriate reimbursement for the cost of services provided 559 to plan participants when they are traveling outside this state; 560 and 561 16. Recommendations for long-term care services and 562 supports that are tailored to each individual’s needs based on 563 an assessment. The services and supports may include, but need 564 not be limited to: 565 a. Long-term nursing services provided by an institutional 566 provider or in a community-based setting; 567 b.

A broad spectrum of long-term services and supports, 568 including home and community-based settings or other 569 noninstitutional settings; 570 c. Services that meet the physical, mental, and social 571 needs of individuals while allowing them maximum possible 572 autonomy and maximum civic, social, and economic participation; 573 d. Long-term services and supports that are not based on 574 the individual’s type of disability, level of disability, 575 service needs, or age; 576 e. Services provided in the least restrictive setting 577 appropriate to the individual’s needs; 578 f.

Services provided in a manner that allows persons with 579 disabilities to maintain their independence, self-determination, 580

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 21 of 26 CODING: Words stricken are deletions; words underlined are additions. and dignity; 581 g. Services and supports that are of equal quality and 582 accessibility in every geographic region of this state; and 583 h. Services and supports that give the individual the 584 opportunity to direct the services. 585 (

j) The task force’s report must include: 586 1. The waivers of federal laws or other federal approval 587 that will be necessary to enable a person who is a resident of 588 this state and who has other coverage that is not subject to 589 state regulation to enroll in the plan without jeopardizing 590 eligibility for the other coverage if the person moves out of 591 this state; 592 2. Estimates of the savings and expenditure increases under 593 the plan, relative to the current health care system, including, 594 but not limited to: 595 a.

Savings from eliminating waste in the current system and 596 from administrative simplification, fraud reduction, monopsony 597 power, simplification of electronic documentation, and other 598 factors that the task force identifies; 599 b. Savings from eliminating the cost of insurance that 600 currently provides medical benefits that would be provided 601 through the plan; and 602 c. Increased costs due to providing better health care to 603 more individuals than under the current health care system; 604 3.

Estimates of the expected health care expenditures under 605 the plan, compared to the current health care system, reported 606 in categories similar to the National Health Expenditure 607 Accounts compiled by the Centers for Medicare and Medicaid 608 Services, including, but not limited to: 609

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 22 of 26 CODING: Words stricken are deletions; words underlined are additions. a. Personal health care expenditures; 610 b. Health consumption expenditures; and 611 c. State health expenditures; 612 4. Estimates of how much of the expenditures on the plan 613 will be made from moneys currently spent on health care in this 614 state from both state and federal sources and redirected or 615 used, in an equitable and comprehensive manner, to the plan; 616 5. Estimates of the amount, if any, of additional state 617 revenue that will be required; 618 6.

Results of the task force’s evaluation of the impact on 619 individuals, communities, and the state if the current level of 620 health care spending continues without implementing the plan, 621 using existing reports and analysis where available; and 622 7. A description of how the Health Care for All Florida 623 Board or another entity may enhance: 624 a. Access to comprehensive, high-quality, patient-centered, 625 patient-empowered, equitable, and publicly funded health care 626 for all individuals; 627 b.

Financially sustainable and cost-effective health care 628 for the benefit of businesses, families, individuals, and state 629 and local governments; 630 c. Regional and community-based systems integrated with 631 community programs to contribute to the health of individuals 632 and communities; 633 d. Regional planning for cost-effective, reasonable capital 634 expenditures that promote regional equity; 635 e. Funding for the modernization of public health, as an 636 integral component of cost efficiency in an integrated health 637 care system; and 638

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 23 of 26 CODING: Words stricken are deletions; words underlined are additions. f. An ongoing and deepening collaboration with Indian 639 tribes and other organizations providing health care which will 640 not be under the authority of the board. 641 (k)1.

The task force’s findings and recommendations 642 regarding revenue for the plan, including redirecting existing 643 health care moneys under subparagraph (j)4., must be ranked 644 according to explicit criteria, including the degree to which an 645 individual, class of individuals, or organization would 646 experience an increase or decrease in the direct or indirect 647 financial burden or whether they would experience no change. 648 Revenue options may include, but are not limited to, the 649 following: 650 a. The redirection of current public agency expenditures; 651 b.

An employer payroll tax based on progressive principles 652 that protect small businesses and that tend to preserve or 653 enhance federal tax benefits for Florida employers that pay the 654 costs of their employees’ health care; and 655 c. A dedicated revenue stream based on progressive taxes 656 that do not impose a burden on individuals who would otherwise 657 qualify for medical assistance. 658 2.

The task force may explore the effect of means-tested 659 copayments or deductibles, including, but not limited to, the 660 effect of increased administrative complexity and the resulting 661 costs that cause patients to delay getting necessary care, 662 resulting in more severe consequences for their health. 663 (

l) The task force’s recommendations must ensure: 664 1. Public access to state, regional, and local reports and 665 forecasts of revenue expenditures; 666 2. That the reports and forecasts are accurate, timely, of 667

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 24 of 26 CODING: Words stricken are deletions; words underlined are additions. sufficient detail, and presented in a way that is understandable 668 to the public to inform policymaking and the allocation or 669 reallocation of public resources; and 670 3. That the information can be used to evaluate programs 671 and policies, while protecting patient confidentiality. 672

(6) TASK FORCE TIMELINE.— 673 (

a) Members of the task force must be appointed by May 31, 674 2026. 675 (

b) By September 30, 2026, OPPAGA shall begin preparing a 676 work plan for the task force. 677 (

c) The task force shall submit a report containing its 678 findings and recommendations for the design of the Health Care 679 for All Florida Plan and the Health Care for All Florida Board 680 to the Governor, the President of the Senate, and the Speaker of 681 the House of Representatives by the first day of the 2027 682 regular session of the Legislature. 683

(7) PLAN FOR A MEDICAID BUY-IN PROGRAM OR A PUBLIC OPTION.— 684 (

a) The Agency for Health Care Administration shall develop 685 a plan for a Medicaid buy-in program or a public option to 686 provide an affordable health care option to all Florida 687 residents, with the primary focus being Florida residents who do 688 not have access to health care. To the extent feasible, the plan 689 must: 690 1. Have no net cost to the state; 691 2. Provide a comprehensive package of benefits that are, at 692 a minimum, equivalent to the benefits offered by qualified plans 693 offered through the federal health insurance exchange; 694 3. Impose no more than minimal cost sharing, deductibles, 695 or copayments; 696

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 25 of 26 CODING: Words stricken are deletions; words underlined are additions. 4. Take into account the impact on the distribution of risk 697 in the health insurance market; 698 5. Encourage the use of premium tax credits available under 699 s. 36B of the Internal Revenue Code and other subsidies 700 available under federal law; 701 6. Maximize the receipt of federal funds to support the 702 costs of the program or option; 703 7. Use the coordinated care organization health care 704 delivery model; and 705 8. Use the coordinated care organization provider networks 706 to the extent possible without destabilizing the networks. 707 (

b) By May 1, 2026, the agency shall report to the 708 Governor, the President of the Senate, and the Speaker of the 709 House of Representatives the plan developed in accordance with 710 paragraph (a), including: 711 1. A discussion of potential eligibility requirements for 712 the Medicaid buy-in program or public option, as well as the 713 implications of limiting or not limiting eligibility in various 714 ways; 715 2. Options for Medicaid buy-in programs or public options 716 targeted to specific populations, including, but not limited to: 717 a.

Residents with household incomes above 400 percent and 718 below 600 percent of the federal poverty guidelines who are 719 unable to afford health insurance offered by their employers; 720 b. Residents who regularly cycle through enrolling and 721 disenrolling in medical assistance and employer-sponsored health 722 insurance; or 723 c. Other groups that face significant barriers to accessing 724 affordable, quality health care; 725

Florida Senate - 2025 SB 1670 17-00435A-25 20251670__ Page 26 of 26 CODING: Words stricken are deletions; words underlined are additions. 3. Recommendations for legislative changes necessary to 726 implement the plan; and 727 4. Any federal approval that will be required to implement 728 the plan, such as demonstration projects under s. 1115 of the 729 Social Security Act, a state plan amendment, or a waiver for 730 state innovation under 42 U.S.C. s. 18052. 731

(8) REPEAL.—This

section is repealed on January 2, 2028. 732

Section 2. For the 2025-2026 fiscal year, the nonrecurring 733 sum of $1,174,816 is appropriated from the General Revenue Fund 734 to the Agency for Health Care Administration for the purpose of 735 implementing this act. 736

Section 3. This act shall take effect upon becoming a law. 737