Florida payer mix, regulation & malpractice drivers
- Surprise billing protection: Robust state statute — state-level surprise billing protection beyond federal No Surprises Act
- Certificate of Need (CON) status: Limited Certificate of Need — CON only for nursing homes / hospices / long-term-care
- Medicaid expansion status: ACA Medicaid NOT expanded — 100-138% FPL coverage gap exists
- Malpractice non-economic damages cap: Cap struck down by state Supreme Court — non-economic cap struck down (Estate of McCall v. United States 2014, North Broward v. Kalitan 2017); $1M ER med-mal cap remains under FL Stat § 766.118
- Hospital price transparency mandate: Moderate state mandate — selective state price transparency requirements alongside federal CMS rule
- Dominant health insurance market structure: Multi-plan competitive — no single insurer holds dominant market share
Florida medical board & physician licensing
- License status: Statewide license required
- License board: Florida Department of Health (DOH) — Board of Medicine and Board of Osteopathic Medicine (official site)
- Permit: Florida Department of Health Board of Medicine MD license or Board of Osteopathic Medicine DO license required; DEA Schedule II-V + Florida E-FORCSE Prescription Drug Monitoring Program; hospital privileging varies; CON repealed for hospitals 2019 (HB 21) but retained for nursing homes/hospices; Statewide Medicaid Managed Care (SMMC)
How medical care costs vary in Florida
State-specific code or insurance rule: Florida is one of the 9 ACA-Medicaid-expansion-holdout states as of January 2026 (alongside AL, GA, KS, MS, SC, TN, TX, WI), and Florida Supreme Court struck down the state's medical malpractice non-economic damages caps in two landmark cases — Estate of McCall v. United States (2014) struck the wrongful death cap and North Broward Hospital District v. Kalitan (2017) struck the personal injury cap — leaving Florida with no enforceable cap except a $1M emergency-room med-mal cap retained under FL Statute § 766.118, plus Florida HB 21 (2019) repealed the CON program for hospitals (retaining CON only for nursing homes and hospices) making Florida one of the more recent partial-CON-repeal states.
Cities in Florida
Compare medical care pricing for 4 cities across Florida.
Compare local medical care pricing in Jacksonville.
Compare local medical care pricing in Miami.
Compare local medical care pricing in Orlando.
Compare local medical care pricing in Tampa.
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