# Florida SB 1490: Children’s Medical Services Program

Florida SB 1490, Children’s Medical Services Program, is a 2025 Senate bill sponsored by Gayle Harrell (Republican); status signed, last action 2025-05-27 (Chapter No. 2025-88); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/FL-SB1490-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Florida SB 1490
- State: Florida
- Session: 2025
- Title: Children’s Medical Services Program
- Status: signed
- Chamber: Senate
- Introduced: 2025-02-27
- Last action: 2025-05-27, Chapter No. 2025-88
- Sponsor: Gayle Harrell (Republican)
- Cosponsors: 2
- Subjects: Appropriation, Health Policy, Appropriations Committee on Health and Human Services, Fiscal Policy, House Calendar
- Touches household money: yes
- Roll calls: 5 (184 yes, 0 no in all)
- Economic provisions PRIA read: 8

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Home support for seriously ill children: benefit, medium. Beginning July 1, 2025, the law requires an all-inclusive care program for children diagnosed with life-threatening illnesses. The program provides hospice-like support at home, aiming to reduce hospital stays when appropriate. Enrollment in the former Children’s Medical Services Network is no long…
- Home-care redesign includes children needing nursing: benefit, medium. Florida’s health care agency must develop a Medicaid home- and community-care waiver redesign that includes children receiving private duty nursing. The plan must propose service levels that help children stay at home or in their communities rather than institutions. The agency must consult familie…
- KidCare benefit checks and premium help: benefit, medium. Beginning July 1, 2025, KidCare plans need state insurance certification, except plans offered through the Florida Healthy Kids Corporation. Certified plans must meet, exceed, or be actuarially equivalent to benchmark benefits and have an approved rate. The former Children’s Medical Services Networ…
- KidCare protects children in special-needs plans: benefit, medium. Beginning July 1, 2025, agency-contracted special-needs plans replace the Children’s Medical Services Network within Florida KidCare. CHIP-funded children identified through medical or behavioral screening qualify for assignment to these plans, but can opt out. Enrollment requires a completed appli…
- Health department manages children’s foster care: benefit, low. The Department of Health administers Medical Foster Care, including recruitment, training, assessments, monitoring, admissions, and coordination with other agencies. The Children’s Medical Services program also includes hearing screening for newborns, infants, and toddlers, plus multidisciplinary a…
- Children’s care benefit and payment rules expire: mixed, medium. Until its January 1, 2026, repeal, the program’s benefits provision requires managed-care benefits equivalent to specified Medicaid benefits. It also allows medically necessary early intervention, respite, genetic testing, genetic and nutrition counseling, and parent support. Beginning January 1, 2…
- Special-needs care eligibility and family fees: mixed, medium. The law defines special health needs as serious, lasting physical, developmental, behavioral, or emotional conditions requiring more care than usual. Program eligibility includes Medicaid children through age 20, CHIP children through age 18, and Medicaid-enrolled people with high-risk pregnancies.…
- Children’s health plan changes state agencies: mixed, low. Beginning July 1, 2025, Florida’s Agency for Health Care Administration takes over the Children’s Medical Services Managed Care Plan. Staff, contracts, records, duties, and unspent money transfer from the Department of Health. Pending cases at 11:59 p.m. on June 30, 2025, continue with the new agen…

## Sponsors and cosponsors

- Sponsor: Gayle Harrell (Republican), Senate
- Cosponsor: Appropriations Committee on Health and Human Services
- Cosponsor: Health Policy

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-30 | House | House Floor Vote | pass | 112 | 0 |   |
| 2025-04-24 | Senate | Senate Floor Vote | pass | 37 | 0 |   |
| 2025-04-22 | Senate | Fiscal Policy Vote | pass | 17 | 0 |   |
| 2025-04-10 | Senate | Appropriations Committee on Health and Human Services Vote | pass | 8 | 0 |   |
| 2025-04-01 | Senate | Health Policy Vote | pass | 10 | 0 |   |

## Actions (33)

- 2025-05-27: Chapter No. 2025-88
- 2025-05-23: Approved by Governor
- 2025-05-21: Signed by Officers and presented to Governor
- 2025-04-30: Ordered enrolled (Senate)
- 2025-04-30: CS passed; YEAS 112, NAYS 0 (House)
- 2025-04-30: Read 3rd time (House)
- 2025-04-30: Added to Third Reading Calendar (House)
- 2025-04-30: Placed on 3rd reading (House)
- 2025-04-30: Read 2nd time (House)
- 2025-04-29: 1st Reading (Committee Substitute 2) (House)
- 2025-04-29: Bill added to Special Order Calendar (4/30/2025) (House)
- 2025-04-29: Bill referred to House Calendar (House)
- 2025-04-24: In Messages (House)
- 2025-04-24: CS passed; YEAS 37 NAYS 0 -SJ 544 (Senate)
- 2025-04-24: Read 3rd time -SJ 544 (Senate)
- 2025-04-24: Read 2nd time -SJ 544 (Senate)
- 2025-04-22: Placed on Special Order Calendar, 04/24/25 (Senate)
- 2025-04-22: Placed on Calendar, on 2nd reading (Senate)
- 2025-04-22: Favorable by- Fiscal Policy; YEAS 17 NAYS 0 (Senate)
- 2025-04-17: On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building (Senate)
- 2025-04-15: CS/CS by Appropriations Committee on Health and Human Services read 1st time (Senate)
- 2025-04-14: Now in Fiscal Policy (Senate)
- 2025-04-14: Pending reference review under Rule 4.7(2) - (Committee Substitute) (Senate)
- 2025-04-10: CS/CS by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0 (Senate)
- 2025-04-08: CS by Health Policy read 1st time (Senate)
- 2025-04-07: On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building (Senate)
- 2025-04-04: Now in Appropriations Committee on Health and Human Services (Senate)
- 2025-04-04: Pending reference review under Rule 4.7(2) - (Committee Substitute) (Senate)
- 2025-04-01: CS by Health Policy; YEAS 10 NAYS 0 (Senate)
- 2025-03-27: On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building (Senate)
- 2025-03-10: Introduced (Senate)
- 2025-03-06: Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy (Senate)
- 2025-02-27: Filed (Senate)

## Bill text

- er, 2025-05-23: [HTML](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/er/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/er/PDF)
- c2, 2025-04-14: [HTML](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c2/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c2/PDF)
- c1, 2025-04-04: [HTML](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c1/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c1/PDF)
- Filed, 2025-02-27: [HTML](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/Filed/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/Filed/PDF)

## Related bills

- HB 1427: Nursing Education Programs (vetoed)
- HB 1095: Criminal Offender Substance Abuse Program (vetoed)
- HB 6017: Recovery of Damages for Medical Negligence Resulting in Death (vetoed)
- HB 1445: Public Officers and Employees (vetoed)
- HB 11: Municipal Water and Sewer Utility Rates (vetoed)
- HB 5015: State Group Insurance (vetoed)

## Sources
- [er (HTML)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/er/HTML)
- [er (PDF)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/er/PDF)
- [c2 (HTML)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c2/HTML)
- [c2 (PDF)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c2/PDF)
- [c1 (HTML)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c1/HTML)
- [c1 (PDF)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/c1/PDF)
- [Filed (HTML)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/Filed/HTML)
- [Filed (PDF)](https://www.flsenate.gov/Session/Bill/2025/1490/BillText/Filed/PDF)

## Related
- [HB 1427: Nursing Education Programs](https://policyrisk.com/state-bill/FL-HB1427-2025)
- [HB 1095: Criminal Offender Substance Abuse Program](https://policyrisk.com/state-bill/FL-HB1095-2025)
- [HB 6017: Recovery of Damages for Medical Negligence Resulting in Death](https://policyrisk.com/state-bill/FL-HB6017-2025)
- [HB 1445: Public Officers and Employees](https://policyrisk.com/state-bill/FL-HB1445-2025)
- [HB 11: Municipal Water and Sewer Utility Rates](https://policyrisk.com/state-bill/FL-HB11-2025)
- [HB 5015: State Group Insurance](https://policyrisk.com/state-bill/FL-HB5015-2025)
- [Florida bills](https://policyrisk.com/states/florida/bills)
- [Florida state hub](https://policyrisk.com/states/florida)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/FL-SB1490-2025 (as of 2026-10-17).