HB 475 Florida House · 2026 Regular Session

Out-of-home Placement Providers and Treatment Facilities

Summary
Out-of-home Placement Providers and Treatment Facilities; Requires DCF, DOH, APD, & AHCA to provide certain data to community-based care lead agencies on specified schedule; requires OPPAGA to conduct analysis of this state's capacity to care for high acuity children in out-of-home placements & treatment facilities; specifies requirements for analysis; requires office to submit to Legislature, by specified dates, initial & final reports of its findings & recommendations.
Bill status died 3 of 5 stages cleared
Introduction
Nov 2025
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Nov 19, 2025 Last action Mar 13, 2026
Maddy AI version diff · 1 comparison

What changed between versions

H 475 Filed H 475 c1 · 5 edits
MODERATE
The bill was completely rewritten to shift its focus from a narrow 'medical placement' mandate for high-acuity children to a broader mandate regarding out-of-home placement providers and treatment facilities. The new version requires state agencies to share data on available beds and mandates a comprehensive analysis of the state's capacity to care for children with complex medical, behavioral, and developmental needs.
Scope change
The bill's scope expanded from a specific procedure for medically placing children to a systemic review of the entire out-of-home care infrastructure, including foster homes, residential treatment centers, and psychiatric facilities.
SCOPE

The bill title and subject matter changed from 'medical placement for high-acuity children' to 'out-of-home placement providers and treatment facilities', broadening the legislative intent beyond just medical settings.

REQUIREMENT

New requirements were added for the Department of Children and Families, Department of Health, and other agencies to provide weekly data on available beds in licensed facilities to community-based care lead agencies.

A new mandate was created for the Office of Program Policy Analysis and Government Accountability to conduct a comprehensive analysis of the state's capacity to care for high-acuity children and submit interim and final reports.

Detailed provisions regarding specific medical screening, emergency evidentiary hearings, and court-ordered medical placements were removed, as the bill no longer focuses on the judicial process for medical placement.

DEFINITION

The definition of 'high-acuity' was updated to explicitly include children with intensive needs across medical, developmental, behavioral health, and disability areas, rather than focusing solely on medical conditions.

Floor votes · House Mar 4, 2026

How they voted

1140
Passed · 4 other
Total votes 118
Mar 4, 2026
D Democratic34
32 Yea 2
94% Yea
R Republican84
82 Yea 2
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
9
Committee
14
Mar 4, 2026
Committee
Referred to Rules
upper
Mar 4, 2026
Lower · Passed
CS passed; YEAS 113, NAYS 0
lower
Feb 18, 2026
Lower · Passed
Reported out of Health & Human Services Committee
lower
Feb 18, 2026
Lower · Passed
Favorable by Health & Human Services Committee
lower
Feb 16, 2026
Lower · Passed
Added to Health & Human Services Committee agenda
lower
Feb 16, 2026
Lower · Passed
Now in Health & Human Services Committee
lower
Feb 16, 2026
Committee
Referred to Health & Human Services Committee
lower
Feb 13, 2026
Lower · Passed
Reported out of Human Services Subcommittee
lower
Feb 12, 2026
Lower · Passed
Favorable with CS by Human Services Subcommittee
lower
Feb 10, 2026
Lower · Passed
PCS added to Human Services Subcommittee agenda
lower
Nov 24, 2025
Lower · Passed
Now in Human Services Subcommittee
lower
Nov 24, 2025
Committee
Referred to Health & Human Services Committee
lower
Nov 24, 2025
Committee
Referred to Health Care Budget Subcommittee
lower
Nov 24, 2025
Committee
Referred to Civil Justice & Claims Subcommittee
lower
Nov 24, 2025
Committee
Referred to Human Services Subcommittee
lower
1 primary · 3 co-sponsors

Sponsors