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Appropriation Amendment: \\legs-webdev1\itdreview\session\2005\Senate\appbills\html\SB7078am997040.html

997040                                                     
Florida Senate - 2005                                Committee       Amendment
SB7078                                                   HA               


The Committee on Ways and Means (Saunders) recommended the following 
amendment:

Section: 03              EXPLANATION:

On Page: 056             Deletes proviso language that allows the Agency for
                         Health Care Administration to modify the nursing home
Spec App:  219           reimbursement methodology by changing the direct
                         patient care provider target and replaces it with
                         language that allows the agency to modify the
                         reimbursement methodology by reducing class ceilings.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
_________________________________________________________________________________

                                                  Positions & Amount   Positions & Amount
                                                      DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Long Term Care  68501500

        In Section 03  On Page 056
219     Special Categories  102233
        Nursing Home Care  IOEE

Immediately following the second paragraph in Specific Appropriation 
219, DELETE:

The  funds  in  Specific  Appropriation  219  reflect  a cost savings of
$60,442,875  from  the  General  Revenue  Fund  and $86,584,308 from the
Medical  Care  Trust  Fund  as  a  result of modifying the reimbursement
methodology  for  nursing home rates. The agency shall implement changes
to  the  methodology  in the Title XIX Long-Term Care Reimbursement Plan
which  may  include,  but  are  not  limited  to,  the inflation factor,
provider  target, class ceiling, target rate class ceiling, new provider
target,  Medicaid  Adjustment  Rate, or any component of the Fair Rental
Value  System  or  property  ceiling  to  effect  this  reduction in the
reimbursement  methodology  for  all  components  other  than the direct
patient  care  component.  The  direct  patient  care  component  of the
methodology  may  be  changed  to include a provider target, target rate
class ceiling, and new provider target.

     997040  Log:0020  MJD/CCM           03/29/05 07:19:57 PM  Senate  Page: 1

Immediately following the second paragraph in Specific Appropriation 
219, INSERT:

The  funds  in  Specific  Appropriation  219  reflect  a cost savings of
$60,442,875  from  the  General  Revenue  Fund  and $86,584,308 from the
Medical  Care  Trust  Fund  as  a  result of modifying the reimbursement
methodology  for  nursing home rates. The agency shall implement changes
to  the  methodology  in the Title XIX Long-Term Care Reimbursement Plan
which  may  include,  but  are  not  limited  to,  the inflation factor,
provider  target, class ceiling, target rate class ceiling, new provider
target,  Medicaid  Adjustment  Rate, or any component of the Fair Rental
Value  System  or  property  ceiling  to  effect  this  reduction in the
reimbursement  methodology  for  all  components  other  than the direct
patient  care  component.  For the direct care component, the agency may
reduce the class ceilings to help achieve the reduction.

Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items.

997040 Log:0020 MJD/CCM 03/29/05 07:19:57 PM Senate Page: 2