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---
type: "Bill"
title: "Childrens Medical Services Program"
description: "Childrens Medical Services Program; Transferring operation of the Childrens Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration, effective on a specified date; requiring the CMS program to conduct clinical eligibility screening for certain children and youth with special health care needs; revising the purposes and functions of the CMS program, etc."
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2025"
identifier: "SB 1490"
citation: "Florida SB 1490 (2025)"
classification: ["bill"]
subjects: ["(adopted)"]
status: "enacted"
chapter_law: "2025-88"
primary_sponsors: ["Harrell"]
version_count: 4
action_count: 33
vote_count: 5
first_action: "2025-02-27"
last_action: "2025-05-27"
source: "openstates"
source_identifier: "ocd-bill/282f0b56-751f-43b1-b073-067e3bea7406"
source_url: "https://flsenate.gov/Session/Bill/2025/1490/ByCategory"
source_hash: "ba9021c505abe09466d2dc0f0e6f09a7eca0302f5a0953103836d373ee681766"
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 1490 (2025) — Childrens Medical Services Program
Childrens Medical Services Program; Transferring operation of the Childrens Medical Services Managed Care Plan from the Department of Health to the Agency for Health Care Administration, effective on a specified date; requiring the CMS program to conduct clinical eligibility screening for certain children and youth with special health care needs; revising the purposes and functions of the CMS program, etc.
**Enacted** — Laws of Florida, Chapter 2025-88.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **S 1490 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2025/1490/BillText/Filed/HTML)
2. **S 1490 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2025/1490/BillText/c1/HTML)
3. **S 1490 c2** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2025/1490/BillText/c2/HTML)
4. **S 1490 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2025/1490/BillText/er/HTML)
## Votes
- Favorable with Committee Substitute — **80** (pass) · upper
- Favorable — **170** (pass) · upper
- Favorable with Committee Substitute — **100** (pass) · upper
- Third Reading — **370** (pass) · upper
- Passage, Third Reading — **1120** (pass) · lower
## Sponsors
- Appropriations Committee on Health and Human Services — primary (organization)
- Harrell — primary (person)
- Health Policy — primary (organization)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-02-27** Filed `filing`
- **2025-03-06** Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy `referral-committee`
- **2025-03-10** 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
- **2025-04-04** Pending reference review under Rule 4.7(2) - (Committee Substitute)
- **2025-04-04** Now in Appropriations Committee on Health and Human Services
- **2025-04-07** On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building
- **2025-04-08** CS by Health Policy read 1st time
- **2025-04-10** CS/CS by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0
- **2025-04-14** Pending reference review under Rule 4.7(2) - (Committee Substitute)
- **2025-04-14** Now in Fiscal Policy
- **2025-04-15** CS/CS by Appropriations Committee on Health and Human Services read 1st time
- **2025-04-17** On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building
- **2025-04-22** Favorable by- Fiscal Policy; YEAS 17 NAYS 0 `committee-passage-favorable`
- **2025-04-22** Placed on Calendar, on 2nd reading
- **2025-04-22** Placed on Special Order Calendar, 04/24/25
- **2025-04-24** Read 2nd time `reading-2`
- **2025-04-24** Read 3rd time `reading-3`
- **2025-04-24** CS passed; YEAS 37 NAYS 0 `passage`
- **2025-04-24** 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 (Committee Substitute 2) `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 112, NAYS 0 `passage`
- **2025-04-30** Ordered enrolled `enrolled`
- **2025-05-21** Signed by Officers and presented to Governor `executive-receipt`
- **2025-05-23** Approved by Governor `executive-signature`
- **2025-05-27** Chapter No. 2025-88
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/282f0b56-751f-43b1-b073-067e3bea7406`. Confidence: reported (aggregated from official Florida legislature records).