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The Florida Senate

CS/HB 905 — Program of All-Inclusive Care for the Elderly

by Health and Human Services Committee and Reps. Roach, Rommel, and others (CS/CS/SB 1242 by Appropriations Committee; Health Policy Committee; and Senator Book)

This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.

Prepared by: Health Policy Committee (HP)

The bill codifies the Program of All-Inclusive Care for the Elderly (PACE) in s. 430.84, F.S., by establishing a statutory process for the review, approval, and oversight of future and current PACE organizations. The bill authorizes the Agency for Health Care Administration (AHCA), in consultation with the Department of Elder Affairs (DOEA), to approve entities that have submitted the required application and data to the federal Centers for Medicare and Medicaid Services (CMS) as PACE organizations pursuant to federal regulations. The bill requires all PACE organizations to meet specific quality and performance standards established by the federal CMS and the AHCA. The bill authorizes a PACE organization that has received funding for slots in a given geographic area to use the funding and slots to provide services in an authorized contiguous geographic area, upon approval from AHCA. The bill directs the AHCA to provide oversight and monitoring of Florida’s PACE program and organizations.

The bill also exempts all PACE organizations from the requirements of ch. 641, F.S., which regulates health maintenance organizations, prepaid health clinics, and other health care service programs.

If approved by the Governor, these provisions take effect July 1, 2021.

Vote: Senate 40-0; House 116-0