---
type: "Bill"
title: "Home Health Aide for Medically Fragile Children Program"
description: "Home Health Aide for Medically Fragile Children Program; Providing requirements for the annual assessment of the home health aide for medically fragile children program; revising the utilization cap of a Medicaid fee schedule; requiring a home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; requiring the agency to seek federal approval and implement federal waivers and state plan amendments for specified purposes, etc."
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2025"
identifier: "SB 1156"
citation: "Florida SB 1156 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
chapter_law: "2025-171"
primary_sponsors: ["Harrell"]
version_count: 5
action_count: 34
vote_count: 5
first_action: "2025-02-25"
last_action: "2025-06-24"
source: "openstates"
source_identifier: "ocd-bill/f5af51b5-1e1e-4ca7-b68a-8219a7978c62"
source_url: "https://flsenate.gov/Session/Bill/2025/1156/ByCategory"
source_hash: "1d789e3b9e40d641f740dec9c0492e60bdf57cfe9211272a8fea6af0bf707930"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-fl"]
---

# Florida SB 1156 (2025) — Home Health Aide for Medically Fragile Children Program

Home Health Aide for Medically Fragile Children Program; Providing requirements for the annual assessment of the home health aide for medically fragile children program; revising the utilization cap of a Medicaid fee schedule; requiring a home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; requiring the agency to seek federal approval and implement federal waivers and state plan amendments for specified purposes, etc.

**Enacted** — Laws of Florida, Chapter 2025-171.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **S 1156 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2025/1156/BillText/Filed/HTML)
2. **S 1156 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2025/1156/BillText/c1/HTML)
3. **S 1156 c2** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2025/1156/BillText/c2/HTML)
4. **S 1156 e1** (engrossed) — [source](https://flsenate.gov/Session/Bill/2025/1156/BillText/e1/HTML)
5. **S 1156 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2025/1156/BillText/er/HTML)

## Votes

- Favorable with Committee Substitute — **18–0** (pass) · upper
- Favorable — **8–0** (pass) · upper
- Third Reading — **37–0** (pass) · upper
- Favorable with Committee Substitute — **10–0** (pass) · upper
- Passage, Third Reading — **113–0** (pass) · lower

## Sponsors

- Fiscal Policy — primary (organization)
- Harrell — primary (person)
- Health Policy — primary (organization)
- Sharief — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-02-25** Filed `filing`
- **2025-03-03** Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy `referral-committee`
- **2025-03-04** Introduced `introduction`
- **2025-03-27** On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building
- **2025-04-01** CS by Health Policy; YEAS 10 NAYS 0
- **2025-04-03** Pending reference review under Rule 4.7(2) - (Committee Substitute)
- **2025-04-03** Now in Appropriations Committee on Health and Human Services
- **2025-04-03** CS by Health Policy read 1st time
- **2025-04-07** On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building
- **2025-04-10** Favorable by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0 `committee-passage-favorable`
- **2025-04-11** Now in Fiscal Policy
- **2025-04-17** On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building
- **2025-04-22** CS/CS by- Fiscal Policy; YEAS 18 NAYS 0
- **2025-04-23** Pending reference review -under Rule 4.7(2) - (Committee Substitute)
- **2025-04-23** Placed on Calendar, on 2nd reading
- **2025-04-23** Placed on Special Order Calendar, 04/29/25
- **2025-04-24** CS/CS by Fiscal Policy read 1st time
- **2025-04-29** Read 2nd time `reading-2`
- **2025-04-29** Amendment(s) adopted (347492)
- **2025-04-29** Read 3rd time `reading-3`
- **2025-04-29** CS passed as amended; YEAS 37 NAYS 0 `passage`
- **2025-04-29** In Messages
- **2025-04-29** Bill referred to House Calendar
- **2025-04-29** Bill added to Special Order Calendar (4/30/2025)
- **2025-04-29** 1st Reading (Engrossed 1) `reading-1`
- **2025-04-30** Read 2nd time `reading-2`
- **2025-04-30** Placed on 3rd reading `reading-3`
- **2025-04-30** Added to Third Reading Calendar
- **2025-04-30** Read 3rd time `reading-3`
- **2025-04-30** CS passed; YEAS 113, NAYS 0 `passage`
- **2025-04-30** Ordered enrolled `enrolled`
- **2025-06-18** Signed by Officers and presented to Governor `executive-receipt`
- **2025-06-23** Approved by Governor `executive-signature`
- **2025-06-24** Chapter No. 2025-171

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f5af51b5-1e1e-4ca7-b68a-8219a7978c62`. Confidence: reported (aggregated from official Florida legislature records).