WeVote

Bill

Bill

SB 38

Parity for Nonnursing Services Under Long-term Managed Care Plans

2026 Regular Session Introduced by Lori Berman and 4 co-sponsors

Florida bill requiring long-term managed care plans to reimburse nonnursing providers at rates equal to nursing services, expanding access to diverse healthcare professionals in elder and disabled care.

Died in Health Policy
0
WeVote Research Nonpartisan
Bill Summary · SB 38

Legislative bill overview

SB 38 requires long-term managed care plans in Florida to provide equal coverage and reimbursement rates for nonnursing services (such as therapy, counseling, and care coordination) as they do for nursing services. The bill addresses a coverage gap where nonnursing providers historically receive lower compensation or more restrictive authorization requirements compared to nursing services under the same managed care plans.

Why is this important

Access to quality long-term care depends on a full spectrum of healthcare providers, not just nurses. Unequal reimbursement can discourage nonnursing professionals from participating in managed care networks, limiting patient choice and potentially forcing beneficiaries into more expensive or less appropriate care settings. This directly affects seniors and disabled individuals relying on long-term managed care for essential services.

Potential points of contention

  • Cost implications: Insurance plans and managed care organizations may argue parity requirements increase premiums or reduce profits, potentially affecting plan availability or forcing cuts elsewhere
  • Service definition disputes: Disagreement over which services qualify as "nonnursing" and whether true parity is clinically appropriate (nursing and therapies serve different functions)
  • Market competition concerns: Some providers argue parity could destabilize existing networks if smaller plans cannot absorb increased compensation costs

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.