CODING: Words stricken are deletions; words underlined are additions.



                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1357

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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11  Representative(s) Albright offered the following:

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13         Amendment (with title amendment) 

14         On page ....83...., between line(s) ..7 & 8.., of the

15  bill

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17  insert:

18         Section 3.  Paragraphs (a) and (c) of subsection (3) of

19  section 409.912, Florida Statutes, 1996 Supplement, are

20  amended to read:

21         409.912  Cost-effective purchasing of health care.--The

22  agency shall purchase goods and services for Medicaid

23  recipients in the most cost-effective manner consistent with

24  the delivery of quality medical care.  The agency shall

25  maximize the use of prepaid per capita and prepaid aggregate

26  fixed-sum basis services when appropriate and other

27  alternative service delivery and reimbursement methodologies,

28  including competitive bidding pursuant to s. 287.057, designed

29  to facilitate the cost-effective purchase of a case-managed

30  continuum of care. The agency shall also require providers to

31  minimize the exposure of recipients to the need for acute

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    File original & 9 copies    04/15/97
    hci0002                     08:48 am         01357-0024-385539




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1357

    Amendment No.     (for drafter's use only)





  1  inpatient, custodial, and other institutional care and the

  2  inappropriate or unnecessary use of high-cost services.

  3         (3)  The agency may contract with:

  4         (a)  An entity that provides no prepaid health care

  5  services other than Medicaid services under contract with the

  6  agency and which is owned and operated by a county, county

  7  public health unit, or county-owned and operated hospital to

  8  provide health care services on a prepaid or fixed-sum basis

  9  to recipients, which entity may provide such prepaid services

10  either directly or through arrangements with other providers.

11  Such prepaid health care services entities must be licensed

12  under parts I and III by July 1, 1998 1997, and until then are

13  exempt from the provisions of part I of chapter 641. An entity

14  recognized under this paragraph which demonstrates to the

15  satisfaction of the Department of Insurance that it is backed

16  by the full faith and credit of the county in which it is

17  located may be exempted from s. 641.225.

18         (c)  A federally qualified health center or an entity

19  owned by one or more federally qualified health centers or an

20  entity owned by other migrant and community health centers

21  receiving non-Medicaid financial support from the Federal

22  Government to provide health care services on a prepaid or

23  fixed-sum basis to recipients.  Such prepaid health care

24  services entity must be licensed under parts I and III of

25  chapter 641 by July 1, 1998 1997.  However, such an entity is

26  exempt from s. 641.225 if the entity meets the requirements

27  specified in subsections (14) and (15).

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29                  (Renumber subsequent section)

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    File original & 9 copies    04/15/97
    hci0002                     08:48 am         01357-0024-385539




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1357

    Amendment No.     (for drafter's use only)





  1  ================ T I T L E   A M E N D M E N T ===============

  2  And the title is amended as follows:

  3         On page ...4......, line(s) ....12....., of the title

  4  of the bill

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  6  insert after the semicolon:

  7         amending s. 409.912, F.S.; postponing licensing

  8         requirements for certain entities contracting

  9         to provide Medicaid services;

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    File original & 9 copies    04/15/97
    hci0002                     08:48 am         01357-0024-385539