Senate Bill sb1112
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Florida Senate - 2003 SB 1112
By Senator Saunders
37-359A-03
1 A bill to be entitled
2 An act relating to care for elderly persons;
3 providing a short title; providing legislative
4 findings; requiring the Agency for Health Care
5 Administration and the Department of Elderly
6 Affairs to assist a private, not-for-profit
7 organization within a specified county in
8 providing services under a federal program
9 known as the Program of All-inclusive Care for
10 the Elderly; requiring the Agency for Health
11 Care Administration to seek federal waivers
12 necessary under the Medicaid program;
13 specifying the number of enrollees; requiring
14 the Department of Elderly Affairs to contract
15 with the private organization providing the
16 program; providing an effective date.
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18 Be It Enacted by the Legislature of the State of Florida:
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20 Section 1. Program of all-inclusive care for the
21 elderly.--
22 (1) This section may be cited as the "All-inclusive
23 Care for the Elderly Act."
24 (2) The Legislature finds that:
25 (a) The establishment of additional sites for the
26 Program of All-inclusive Care for the Elderly, as established
27 in Pub. L. No. 105-33, should be encouraged in this state as
28 one method to enhance the ability of frail and elderly persons
29 who are certified as needing placement in a residential
30 nursing home to delay the necessity of such placement as long
31 as possible.
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Florida Senate - 2003 SB 1112
37-359A-03
1 (b) The Program of All-inclusive Care for the Elderly
2 offers a means to help control state Medicaid costs for
3 long-term care placements by using Medicare funding to help
4 finance services that help to delay the need for long-term
5 care.
6 (c) Lee County and the surrounding counties represent
7 a large and growing region wherein, due to demographic
8 characteristics, a significant opportunity exists to assist
9 elderly persons in maintaining independence outside nursing
10 homes and wherein the state may reduce Medicaid expenditures
11 for providing long-term care.
12 (d) Due to the relative newness and comprehensiveness
13 of the Program of All-inclusive Care for the Elderly, the
14 Agency for Health Care Administration and the Department of
15 Elderly Affairs must cooperate with private organizations
16 interested in providing services under the program.
17 (e) There exists a need to develop a model for hospice
18 providers to offer nursing home diversion services as part of
19 the array of end-of-life care and services available to frail
20 and elderly persons.
21 (3) The Agency for Health Care Administration and the
22 Department of Elderly Affairs shall assist a private,
23 not-for-profit organization located in Lee County, which
24 provides comprehensive services including hospice care for
25 frail and elderly persons, to gain approval for providing
26 services under the Program of All-inclusive Care for the
27 Elderly.
28 (4) By September 30, 2003, the Agency for Health Care
29 Administration shall:
30 (a) Identify and seek any federal waiver necessary
31 under the Medicaid program to expedite establishment of the
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Florida Senate - 2003 SB 1112
37-359A-03
1 Program for All-inclusive Care for the Elderly within Lee
2 County and the surrounding counties; and
3 (b) Approve 50 initial enrollees in the program and up
4 to 200 enrollees within 2 years, subject to the ability of a
5 private organization to sufficiently expand capacity for
6 additional enrollees. Authorization for enrollment levels
7 greater than 200 is subject to documentation of the program
8 effectiveness.
9 (5) By January 1, 2004, the Department of Elderly
10 Affairs shall contract with a private, not-for-profit
11 organization in Lee County, as specified in subsection (3), to
12 provide services under the Program of All-inclusive Care for
13 the Elderly in Lee County and the surrounding counties.
14 Section 2. This act shall take effect July 1, 2003.
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17 SENATE SUMMARY
18 Creates the "All-inclusive Care for the Elderly Act."
Requires that the Agency for Health Care Administration
19 and the Department of Elderly Affairs assist a private,
not-for-profit organization in Lee County in providing
20 services for elderly persons under the Program of
All-inclusive Care for the Elderly. Provides for initial
21 development of the program. Provides requirements for
enrollment. (See bill for details.)
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