House Bill 3077e1

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                                          HB 3077, First Engrossed



  1                      A bill to be entitled

  2         An act relating to Medicaid provider fraud;

  3         amending s. 409.910, F.S.; limiting the scope

  4         of liability for which Medicaid benefits must

  5         be repaid; limiting certain fees; amending s.

  6         624.424, F.S.; conforming a cross-reference;

  7         barring certain civil actions; providing for

  8         retroactive application; providing an effective

  9         date.

10

11  Be It Enacted by the Legislature of the State of Florida:

12

13         Section 1.  Section 409.910, Florida Statutes, is

14  amended to read:

15         409.910  Responsibility for payments on behalf of

16  Medicaid-eligible persons when other parties are liable.--

17         (1)  It is the intent of the Legislature that Medicaid

18  be the payor of last resort for medically necessary goods and

19  services furnished to Medicaid recipients. All other sources

20  of payment for medical care are primary to medical assistance

21  provided by Medicaid. If benefits of a liable third party are

22  discovered or become available after medical assistance has

23  been provided by Medicaid, it is the intent of the Legislature

24  that Medicaid be repaid in full and prior to any other person,

25  program, or entity. Medicaid is to be repaid in full from, and

26  to the extent of, any third-party benefits, regardless of

27  whether a recipient is made whole or other creditors paid.

28  Principles of common law and equity as to assignment, lien,

29  and subrogation, comparative negligence, assumption of risk,

30  and all other affirmative defenses normally available to a

31  liable third party, are to be abrogated to the extent


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                                          HB 3077, First Engrossed



  1  necessary to ensure full recovery by Medicaid from third-party

  2  resources.; such principles shall apply to a recipient's right

  3  to recovery against any third party, but shall not act to

  4  reduce the recovery of the agency pursuant to this section.

  5  The concept of joint and several liability applies to any

  6  recovery on the part of the agency. It is intended that if the

  7  resources of a liable third party become available at any

  8  time, the public treasury should not bear the burden of

  9  medical assistance to the extent of such resources. Common-law

10  theories of recovery shall be liberally construed to

11  accomplish this intent.

12         (2)  This section may be cited as the "Medicaid

13  Third-Party Liability Act."

14         (3)  Third-party benefits for medical services shall be

15  primary to medical assistance provided by Medicaid.

16         (4)  After the department has provided medical

17  assistance under the Medicaid program, it shall seek recovery

18  of reimbursement from third-party benefits to the limit of

19  legal liability and for the full amount of third-party

20  benefits, but not in excess of the amount of medical

21  assistance paid by Medicaid, as to:

22         (a)  Claims for which the department has a waiver

23  pursuant to federal law; or

24         (b)  Situations in which the department learns of the

25  existence of a liable third party is liable and the liability

26  or in which third-party benefits available are discovered

27  either before or become available after medical assistance has

28  been provided by Medicaid.

29         (5)  An applicant, recipient, or legal representative

30  shall inform the department of any rights the applicant or

31  recipient has to third-party benefits and shall inform the


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                                          HB 3077, First Engrossed



  1  department of the name and address of any person that is or

  2  may be liable to provide third-party benefits. When the

  3  department provides, pays for, or becomes liable for medical

  4  services provided by a hospital, the recipient receiving such

  5  medical services or his or her legal representative shall also

  6  provide the information as to third-party benefits, as defined

  7  in this section, to the hospital, which shall provide notice

  8  thereof to the department in a manner specified by the

  9  department.

10         (6)  When the department provides, pays for, or becomes

11  liable for medical care under the Medicaid program, it has the

12  following rights, as to which the department may assert

13  independent principles of law, which shall nevertheless be

14  construed together to provide the greatest recovery from

15  third-party benefits:

16         (a)  The agency has a cause of action against a liable

17  third party to recover the full amount of medical assistance

18  provided by Medicaid, and such cause of action is independent

19  of any rights or causes of action of the recipient.

20         (a)(b)  The department is automatically subrogated to

21  any rights that an applicant, recipient, or legal

22  representative has to any third-party benefit for the full

23  amount of medical assistance provided by Medicaid. Recovery

24  pursuant to the subrogation rights created hereby shall not be

25  reduced, prorated, or applied to only a portion of a judgment,

26  award, or settlement, but is to provide full recovery by the

27  department from any and all third-party benefits. Equities of

28  a recipient, his or her legal representative, a recipient's

29  creditors, or health care providers shall not defeat, reduce,

30  or prorate recovery by the department as to its subrogation

31  rights granted under this paragraph.


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                                          HB 3077, First Engrossed



  1         (b)(c)  By applying for or accepting medical

  2  assistance, an applicant, recipient, or legal representative

  3  automatically assigns to the department any right, title, and

  4  interest such person has to any third-party benefit, excluding

  5  any Medicare benefit to the extent required to be excluded by

  6  federal law.

  7         1.  The assignment granted under this paragraph is

  8  absolute, and vests legal and equitable title to any such

  9  right in the department, but not in excess of the amount of

10  medical assistance provided by the department.

11         2.  The department is a bona fide assignee for value in

12  the assigned right, title, or interest, and takes vested legal

13  and equitable title free and clear of latent equities in a

14  third person. Equities of a recipient, the recipient's legal

15  representative, his or her creditors, or health care providers

16  shall not defeat or reduce recovery by the department as to

17  the assignment granted under this paragraph.

18         3.  By accepting medical assistance, the recipient

19  grants to the department the limited power of attorney to act

20  in his or her name, place, and stead to perform specific acts

21  with regard to third-party benefits, the recipient's assent

22  being deemed to have been given, including:

23         a.  Endorsing any draft, check, money order, or other

24  negotiable instrument representing third-party benefits that

25  are received on behalf of the recipient as a third-party

26  benefit.

27         b.  Compromising claims to the extent of the rights

28  assigned, provided that the recipient is not otherwise

29  represented by an attorney as to the claim.

30         (c)(d)  The department is entitled to, and has, an

31  automatic lien for the full amount of medical assistance


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                                          HB 3077, First Engrossed



  1  provided by Medicaid to or on behalf of the recipient for

  2  medical care furnished as a result of any covered injury or

  3  illness for which a third party is or may be liable, upon the

  4  collateral, as defined in s. 409.901.

  5         1.  The lien attaches automatically when a recipient

  6  first receives treatment for which the department may be

  7  obligated to provide medical assistance under the Medicaid

  8  program. The lien is perfected automatically at the time of

  9  attachment.

10         2.  The department is authorized to file a verified

11  claim of lien. The claim of lien shall be signed by an

12  authorized employee of the department, and shall be verified

13  as to the employee's knowledge and belief. The claim of lien

14  may be filed and recorded with the clerk of the circuit court

15  in the recipient's last known county of residence or in any

16  county deemed appropriate by the department. The claim of

17  lien, to the extent known by the department, shall contain:

18         a.  The name and last known address of the person to

19  whom medical care was furnished.

20         b.  The date of injury.

21         c.  The period for which medical assistance was

22  provided.

23         d.  The amount of medical assistance provided or paid,

24  or for which Medicaid is otherwise liable.

25         e.  The names and addresses of all persons claimed by

26  the recipient to be liable for the covered injuries or

27  illness.

28         3.  The filing of the claim of lien pursuant to this

29  section shall be notice thereof to all persons.

30         4.  If the claim of lien is filed within 1 year after

31  the later of the date when the last item of medical care


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                                          HB 3077, First Engrossed



  1  relative to a specific covered injury or illness was paid, or

  2  the date of discovery by the department of the liability of

  3  any third party, or the date of discovery of a cause of action

  4  against a third party brought by a recipient or his or her

  5  legal representative, record notice shall relate back to the

  6  time of attachment of the lien.

  7         5.  If the claim of lien is filed after 1 year after

  8  the later of the events specified in subparagraph 4., notice

  9  shall be effective as of the date of filing.

10         6.  Only one claim of lien need be filed to provide

11  notice as set forth in this paragraph and shall provide

12  sufficient notice as to any additional or after-paid amount of

13  medical assistance provided by Medicaid for any specific

14  covered injury or illness. The department may, in its

15  discretion, file additional, amended, or substitute claims of

16  lien at any time after the initial filing, until the

17  department has been repaid the full amount of medical

18  assistance provided by Medicaid or otherwise has released the

19  liable parties and recipient.

20         7.  No release or satisfaction of any cause of action,

21  suit, claim, counterclaim, demand, judgment, settlement, or

22  settlement agreement shall be valid or effectual as against a

23  lien created under this paragraph, unless the department joins

24  in the release or satisfaction or executes a release of the

25  lien. An acceptance of a release or satisfaction of any cause

26  of action, suit, claim, counterclaim, demand, or judgment and

27  any settlement of any of the foregoing in the absence of a

28  release or satisfaction of a lien created under this paragraph

29  shall prima facie constitute an impairment of the lien, and

30  the department is entitled to recover damages on account of

31  such impairment. In an action on account of impairment of a


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                                          HB 3077, First Engrossed



  1  lien, the department may recover from the person accepting the

  2  release or satisfaction or making the settlement the full

  3  amount of medical assistance provided by Medicaid. Nothing in

  4  this section shall be construed as creating a lien or other

  5  obligation on the part of an insurer which in good faith has

  6  paid a claim pursuant to its contract without knowledge or

  7  actual notice that the department has provided medical

  8  assistance for the recipient related to a particular covered

  9  injury or illness. However, notice or knowledge that an

10  insured is, or has been a Medicaid recipient within 1 year

11  from the date of service for which a claim is being paid

12  creates a duty to inquire on the part of the insurer as to any

13  injury or illness for which the insurer intends or is

14  otherwise required to pay benefits.

15         8.  The lack of a properly filed claim of lien shall

16  not affect the department's assignment or subrogation rights

17  provided in this subsection, nor shall it affect the existence

18  of the lien, but only the effective date of notice as provided

19  in subparagraph 5.

20         9.  The lien created by this paragraph is a first lien

21  and superior to the liens and charges of any provider, and

22  shall exist for a period of 7 years, if recorded, after the

23  date of recording; and shall exist for a period of 7 years

24  after the date of attachment, if not recorded. If recorded,

25  the lien may be extended for one additional period of 7 years

26  by rerecording the claim of lien within the 90-day period

27  preceding the expiration of the lien.

28         10.  The clerk of the circuit court for each county in

29  the state shall endorse on a claim of lien filed under this

30  paragraph the date and hour of filing and shall record the

31  claim of lien in the official records of the county as for


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                                          HB 3077, First Engrossed



  1  other records received for filing. The clerk shall receive as

  2  his or her fee for filing and recording any claim of lien or

  3  release of lien under this paragraph the total sum of $2. Any

  4  fee required to be paid by the department shall not be

  5  required to be paid in advance of filing and recording, but

  6  may be billed to the department after filing and recording of

  7  the claim of lien or release of lien.

  8         11.  After satisfaction of any lien recorded under this

  9  paragraph, the department shall, within 60 days after

10  satisfaction, either file with the appropriate clerk of the

11  circuit court or mail to any appropriate party, or counsel

12  representing such party, if represented, a satisfaction of

13  lien in a form acceptable for filing in Florida.

14         (7)  The department shall recover the full amount of

15  all medical assistance provided by Medicaid on behalf of the

16  recipient to the full extent of third-party benefits.

17         (a)  Recovery of such benefits shall be collected

18  directly from:

19         1.  Any third party;

20         2.  The recipient or legal representative, if he or she

21  has received third-party benefits;

22         3.  The provider of a recipient's medical services if

23  third-party benefits have been recovered by the provider;

24  notwithstanding any provision of this section, to the

25  contrary, however, no provider shall be required to refund or

26  pay to the department any amount in excess of the actual

27  third-party benefits received by the provider from a

28  third-party payor for medical services provided to the

29  recipient; or

30         4.  Any person who has received the third-party

31  benefits.


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                                          HB 3077, First Engrossed



  1         (b)  Upon receipt of any recovery or other collection

  2  pursuant to this section, the department shall distribute the

  3  amount collected as follows:

  4         1.  To itself, an amount equal to the state Medicaid

  5  expenditures for the recipient plus any incentive payment made

  6  in accordance with paragraph (14)(a).

  7         2.  To the Federal Government, the federal share of the

  8  state Medicaid expenditures minus any incentive payment made

  9  in accordance with paragraph (14)(a) and federal law, and

10  minus any other amount permitted by federal law to be

11  deducted.

12         3.  To the recipient, after deducting any known amounts

13  owed to the department for any related medical assistance or

14  to health care providers, any remaining amount. This amount

15  shall be treated as income or resources in determining

16  eligibility for Medicaid.

17         (8)  The department shall require an applicant or

18  recipient, or the legal representative thereof, to cooperate

19  in the recovery by the department of third-party benefits of a

20  recipient and in establishing paternity and support of a

21  recipient child born out of wedlock. As a minimal standard of

22  cooperation, the recipient or person able to legally assign a

23  recipient's rights shall:

24         (a)  Appear at an office designated by the department

25  to provide relevant information or evidence.

26         (b)  Appear as a witness at a court or other

27  proceeding.

28         (c)  Provide information, or attest to lack of

29  information, under penalty of perjury.

30         (d)  Pay to the department any third-party benefit

31  received.


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                                          HB 3077, First Engrossed



  1         (e)  Take any additional steps to assist in

  2  establishing paternity or securing third-party benefits, or

  3  both.

  4         (f)  Paragraphs (a)-(e) notwithstanding, the department

  5  shall have the discretion to waive, in writing, the

  6  requirement of cooperation for good cause shown and as

  7  required by federal law.

  8         (9)  In the event that medical assistance has been

  9  provided by Medicaid to more than one recipient, and the

10  agency elects to seek recovery from liable third parties due

11  to actions by the third parties or circumstances which involve

12  common issues of fact or law, the agency may bring an action

13  to recover sums paid to all such recipients in one proceeding.

14  In any action brought under this subsection, the evidence code

15  shall be liberally construed regarding the issues of causation

16  and of aggregate damages. The issue of causation and damages

17  in any such action may be proven by use of statistical

18  analysis.

19         (a)  In any action under this subsection wherein the

20  number of recipients for which medical assistance has been

21  provided by Medicaid is so large as to cause it to be

22  impracticable to join or identify each claim, the agency shall

23  not be required to so identify the individual recipients for

24  which payment has been made, but rather can proceed to seek

25  recovery based upon payments made on behalf of an entire class

26  of recipients.

27         (b)  In any action brought pursuant to this subsection

28  wherein a third party is liable due to its manufacture, sale,

29  or distribution of a product, the agency shall be allowed to

30  proceed under a market share theory, provided that the

31  products involved are substantially interchangeable among


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                                          HB 3077, First Engrossed



  1  brands, and that substantially similar factual or legal issues

  2  would be involved in seeking recovery against each liable

  3  third party individually.

  4         (9)(10)  The department shall deny or terminate

  5  eligibility for any applicant or recipient who refuses to

  6  cooperate as required in subsection (8), unless cooperation

  7  has been waived in writing by the department as provided in

  8  paragraph (8)(f). However, any denial or termination of

  9  eligibility shall not reduce medical assistance otherwise

10  payable by the department to a provider for medical care

11  provided to a recipient prior to denial or termination of

12  eligibility.

13         (10)(11)  An applicant or recipient shall be deemed to

14  have provided to the department the authority to obtain and

15  release medical information and other records with respect to

16  such medical care, for the sole purpose of obtaining

17  reimbursement for medical assistance provided by Medicaid.

18         (11)(12)  The department may, as a matter of right, in

19  order to enforce its rights under this section, institute,

20  intervene in, or join any legal or administrative proceeding

21  in its own name in one or more of the following capacities:

22  individually, as subrogee of the recipient, as assignee of the

23  recipient, or as lienholder of the collateral.

24         (a)  If either the recipient, or his or her legal

25  representative, or the department brings an action against a

26  third party, the recipient, or the recipient's legal

27  representative, or the department, or their attorneys, shall,

28  within 30 days after filing the action, provide to the other

29  written notice, by personal delivery or registered mail, of

30  the action, the name of the court in which the case is

31  brought, the case number of such action, and a copy of the


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                                          HB 3077, First Engrossed



  1  pleadings. If an action is brought by either the department,

  2  or the recipient or the recipient's legal representative, the

  3  other may, at any time before trial on the merits, become a

  4  party to, or shall consolidate his or her action with the

  5  other if brought independently. Unless waived by the other,

  6  the recipient, or his or her legal representative, or the

  7  department shall provide notice to the other of the intent to

  8  dismiss at least 21 days prior to voluntary dismissal of an

  9  action against a third party. Notice to the department shall

10  be sent to an address set forth by rule. Notice to the

11  recipient or his or her legal representative, if represented

12  by an attorney, shall be sent to the attorney, and, if not

13  represented, then to the last known address of the recipient

14  or his or her legal representative. The provisions of this

15  subsection shall not apply to any actions brought pursuant to

16  subsection (9), and in any such action, no notice to

17  recipients is required, and the recipients shall have no right

18  to become a party to any action brought under such subsection.

19         (b)  An action by the department to recover damages in

20  tort under this subsection, which action is derivative of the

21  rights of the recipient or his or her legal representative,

22  shall not constitute a waiver of sovereign immunity pursuant

23  to s. 768.14.

24         (c)  In the event of judgment, award, or settlement in

25  a claim or action against a third party, the court shall order

26  the segregation of an amount sufficient to repay the

27  department's expenditures for medical assistance, plus any

28  other amounts permitted under this section, and shall order

29  such amounts paid directly to the department.

30         (d)  No judgment, award, or settlement in any action by

31  a recipient or his or her legal representative to recover


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                                          HB 3077, First Engrossed



  1  damages for injuries or other third-party benefits, when the

  2  department has an interest, shall be satisfied without first

  3  giving the department notice and a reasonable opportunity to

  4  file and satisfy its lien, and satisfy its assignment and

  5  subrogation rights or proceed with any action as permitted in

  6  this section.

  7         (e)  Except as otherwise provided in this section,

  8  notwithstanding any other provision of law, the entire amount

  9  of any settlement of the recipient's action or claim involving

10  third-party benefits, with or without suit, is subject to the

11  department's claims for reimbursement of the amount of medical

12  assistance provided and any lien pursuant thereto.

13         (f)  Notwithstanding any provision in this section to

14  the contrary, in the event of an action in tort against a

15  third party in which the recipient or his or her legal

16  representative is a party and in which the amount of any

17  judgment, award, or settlement from third-party benefits,

18  excluding medical coverage as defined in subparagraph 4.,

19  after reasonable costs and expenses of litigation, is an

20  amount equal to or less than 200 percent of the amount of

21  medical assistance provided by Medicaid less any medical

22  coverage paid or payable to the department, then distribution

23  of the amount recovered shall be as follows:

24         1.  Any fee for services of an attorney retained by the

25  recipient or his or her legal representative shall not exceed

26  an amount equal to 25 percent of the recovery, after

27  reasonable costs and expenses of litigation, from the

28  judgment, award, or settlement.

29         2.  After attorney's fees, two-thirds of the remaining

30  recovery shall be designated for past medical care and paid to

31  the department for medical assistance provided by Medicaid.


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                                          HB 3077, First Engrossed



  1         3.  The remaining amount from the recovery shall be

  2  paid to the recipient.

  3         4.  For purposes of this paragraph, "medical coverage"

  4  means any benefits under health insurance, a health

  5  maintenance organization, a preferred provider arrangement, or

  6  a prepaid health clinic, and the portion of benefits

  7  designated for medical payments under coverage for workers'

  8  compensation, personal injury protection, and casualty.

  9         (g)  In the event that the recipient, his or her legal

10  representative, or the recipient's estate brings an action

11  against a third party, notice of institution of legal

12  proceedings, notice of settlement, and all other notices

13  required by this section or by rule shall be given to the

14  department, in Tallahassee, in a manner set forth by rule. All

15  such notices shall be given by the attorney retained to assert

16  the recipient's or legal representative's claim, or, if no

17  attorney is retained, by the recipient, the recipient's legal

18  representative, or his or her estate.

19         (h)  Except as otherwise provided in this section,

20  actions to enforce the rights of the department under this

21  section shall be commenced within 5 years after the date a

22  cause of action accrues, with the period running from the

23  later of the date of discovery by the department of a case

24  filed by a recipient or his or her legal representative, or of

25  discovery of any judgment, award, or settlement contemplated

26  in this section, or of discovery of facts giving rise to a

27  cause of action under this section the provision of medical

28  assistance to a recipient. Each item of expense provided by

29  the agency shall be considered to constitute a separate cause

30  of action for purposes of this subsection. The defense of

31  statute of repose shall not apply to any action brought under


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                                          HB 3077, First Engrossed



  1  this section by the agency. Nothing in this paragraph affects

  2  or prevents a proceeding to enforce a lien during the

  3  existence of the lien as set forth in subparagraph (6)(c)9.

  4         (i)  Upon the death of a recipient, and within the time

  5  prescribed by ss. 733.702 and 733.710, the department, in

  6  addition to any other available remedy, may file a claim

  7  against the estate of the recipient for the total amount of

  8  medical assistance provided by Medicaid for the benefit of the

  9  recipient. Claims so filed shall take priority as class 3

10  claims as provided by s. 733.707(1)(c). The filing of a claim

11  pursuant to this paragraph shall neither reduce nor diminish

12  the general claims of the department under s. 414.28, except

13  that the department may not receive double recovery for the

14  same expenditure. Claims under this paragraph shall be

15  superior to those under s. 414.28. The death of the recipient

16  shall neither extinguish nor diminish any right of the

17  department to recover third-party benefits from a third party

18  or provider. Nothing in this paragraph affects or prevents a

19  proceeding to enforce a lien created pursuant to this section

20  or a proceeding to set aside a fraudulent conveyance as

21  defined in subsection (16).

22         (12)(13)  No action taken by the department shall

23  operate to deny the recipient's recovery of that portion of

24  benefits not assigned or subrogated to the department, or not

25  secured by the department's lien. The department's rights of

26  recovery created by this section, however, shall not be

27  limited to some portion of recovery from a judgment, award, or

28  settlement. Only the following benefits are not subject to the

29  rights of the department: benefits not related in any way to a

30  covered injury or illness; proceeds of life insurance coverage

31  on the recipient; proceeds of insurance coverage, such as


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                                          HB 3077, First Engrossed



  1  coverage for property damage, which by its terms and

  2  provisions cannot be construed to cover personal injury,

  3  death, or a covered injury or illness; proceeds of disability

  4  coverage for lost income; and recovery in excess of the amount

  5  of medical benefits provided by Medicaid after repayment in

  6  full to the department.

  7         (13)(14)  No action of the recipient shall prejudice

  8  the rights of the department under this section. No

  9  settlement, agreement, consent decree, trust agreement,

10  annuity contract, pledge, security arrangement, or any other

11  device, hereafter collectively referred to in this subsection

12  as a "settlement agreement," entered into or consented to by

13  the recipient or his or her legal representative shall impair

14  the department's rights. However, in a structured settlement,

15  no settlement agreement by the parties shall be effective or

16  binding against the department for benefits accrued without

17  the express written consent of the department or an

18  appropriate order of a court having personal jurisdiction over

19  the department.

20         (14)(15)  The department is authorized to enter into

21  agreements to enforce or collect medical support and other

22  third-party benefits.

23         (a)  If a cooperative agreement is entered into with

24  any agency, program, or subdivision of the state, or any

25  agency, program, or legal entity of or operated by a

26  subdivision of the state, or with any other state, the

27  department is authorized to make an incentive payment of up to

28  15 percent of the amount actually collected and reimbursed to

29  the department, to the extent of medical assistance paid by

30  Medicaid. Such incentive payment is to be deducted from the

31  federal share of that amount, to the extent authorized by


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                                          HB 3077, First Engrossed



  1  federal law. The department may pay such person an additional

  2  percentage of the amount actually collected and reimbursed to

  3  the department as a result of the efforts of the person, but

  4  no more than a maximum percentage established by the

  5  department. In no case shall the percentage exceed the lesser

  6  of a percentage determined to be commercially reasonable or 15

  7  percent, in addition to the 15-percent incentive payment, of

  8  the amount actually collected and reimbursed to the department

  9  as a result of the efforts of the person under contract.

10         (b)  If an agreement to enforce or collect third-party

11  benefits is entered into by the department with any person

12  other than those described in paragraph (a), including any

13  attorney retained by the department who is not an employee or

14  agent of any person named in paragraph (a), then the

15  department may pay such person a percentage of the amount

16  actually collected and reimbursed to the department as a

17  result of the efforts of the person, to the extent of medical

18  assistance paid by Medicaid. In no case shall the percentage

19  exceed a maximum established by the department, which shall

20  not exceed the lesser of a percentage determined to be

21  commercially reasonable or 30 percent of the amount actually

22  collected and reimbursed to the department as a result of the

23  efforts of the person under contract. For the purposes of this

24  paragraph, an attorney's fee paid, payable, or negotiated, may

25  not exceed an amount calculated in accordance with the

26  lodestar process approved by the Florida Supreme Court, which

27  attorney's fee shall be set by the determination of the number

28  of hours reasonably expended on the matter and the reasonable

29  hourly rate for the services provided by the private attorney.

30  In contingent fee matters, the lodestar figure calculated may

31  include a contingency risk multiplier not greater than 2.


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                                          HB 3077, First Engrossed



  1         (c)  An agreement pursuant to this subsection may

  2  permit reasonable litigation costs or expenses to be paid from

  3  the department's recovery to a person under contract with the

  4  department.

  5         (d)  Contingency fees and costs incurred in recovery

  6  pursuant to an agreement under this subsection may, for

  7  purposes of determining state and federal share, be deemed to

  8  be administrative expenses of the state. To the extent

  9  permitted by federal law, such administrative expenses shall

10  be shared with, or fully paid by, the Federal Government.

11         (15)(16)  Insurance and other third-party benefits may

12  not contain any term or provision which purports to limit or

13  exclude payment or provisions of benefits for an individual if

14  the individual is eligible for, or a recipient of, medical

15  assistance from Medicaid, and any such term or provision shall

16  be void as against public policy.

17         (16)(17)  Any transfer or encumbrance of any right,

18  title, or interest to which the department has a right

19  pursuant to this section, with the intent, likelihood, or

20  practical effect of defeating, hindering, or reducing recovery

21  by the department for reimbursement of medical assistance

22  provided by Medicaid, shall be deemed to be a fraudulent

23  conveyance, and such transfer or encumbrance shall be void and

24  of no effect against the claim of the department, unless the

25  transfer was for adequate consideration and the proceeds of

26  the transfer are reimbursed in full to the department, but not

27  in excess of the amount of medical assistance provided by

28  Medicaid.

29         (17) (18)  A recipient or his or her legal

30  representative or any person representing, or acting as agent

31  for, a recipient or the recipient's legal representative, who


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                                          HB 3077, First Engrossed



  1  has notice, excluding notice charged solely by reason of the

  2  recording of the lien pursuant to paragraph (6)(d), or who has

  3  actual knowledge of the department's rights to third-party

  4  benefits under this section, who receives any third-party

  5  benefit or proceeds therefrom for a covered illness or injury,

  6  is required either to pay the department the full amount of

  7  the third-party benefits, but not in excess of the total

  8  medical assistance provided by Medicaid, or to place the full

  9  amount of the third-party benefits in a trust account for the

10  benefit of the department pending judicial or administrative

11  determination of the department's right thereto. Proof that

12  any such person had notice or knowledge that the recipient had

13  received medical assistance from Medicaid, and that

14  third-party benefits or proceeds therefrom were in any way

15  related to a covered illness or injury for which Medicaid had

16  provided medical assistance, and that any such person

17  knowingly obtained possession or control of, or used,

18  third-party benefits or proceeds and failed either to pay the

19  department the full amount required by this section or to hold

20  the full amount of third-party benefits or proceeds in trust

21  pending judicial or administrative determination, unless

22  adequately explained, gives rise to an inference that such

23  person knowingly failed to credit the state or its agent for

24  payments received from social security, insurance, or other

25  sources, pursuant to s. 414.39(4)(b), and acted with the

26  intent set forth in s. 812.014(1).

27         (a)  In cases of suspected criminal violations of

28  fraudulent activity, the department may take any civil action

29  permitted at law or equity to recover the greatest possible

30  amount, including, without limitation, treble damages under

31  ss. 772.11 and 812.035(7).


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                                          HB 3077, First Engrossed



  1         (b)(a)  The department is authorized to investigate and

  2  to request appropriate officers or agencies of the state to

  3  investigate suspected criminal violations or fraudulent

  4  activity related to third-party benefits, including, without

  5  limitation, ss. 414.39 409.325 and 812.014. Such requests may

  6  be directed, without limitation, to the Medicaid Fraud Control

  7  Unit of the Office of the Attorney General, or to any state

  8  attorney. Pursuant to s. 409.913, the Attorney General has

  9  primary responsibility to investigate and control Medicaid

10  fraud.

11         (c)(b)  In carrying out duties and responsibilities

12  related to Medicaid fraud control, the department may subpoena

13  witnesses or materials within or outside the state and,

14  through any duly designated employee, administer oaths and

15  affirmations and collect evidence for possible use in either

16  civil or criminal judicial proceedings.

17         (d)(c)  All information obtained and documents prepared

18  pursuant to an investigation of a Medicaid recipient, the

19  recipient's legal representative, or any other person relating

20  to an allegation of recipient fraud or theft is confidential

21  and exempt from s. 119.07(1):

22         1.  Until such time as the department takes final

23  agency action;

24         2.  Until such time as the Department of Legal Affairs

25  Attorney General refers the case for criminal prosecution;

26         3.  Until such time as an indictment or criminal

27  information is filed by a state attorney in a criminal case;

28  or

29         4.  At all times if otherwise protected by law.

30         (19)  In cases of suspected criminal violations or

31  fraudulent activity, on the part of any person including a


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                                          HB 3077, First Engrossed



  1  liable third party, the department is authorized to take any

  2  civil action permitted at law or equity to recover the

  3  greatest possible amount, including without limitation, treble

  4  damages under s. 772.73. In any action in which the recipient

  5  has no right to intervene, or does not exercise his or her

  6  right to intervene, any amounts recovered under this

  7  subsection shall be the property of the agency, and the

  8  recipient shall have no right or interest in such recovery.

  9         (18)(20)  In recovering any payments in accordance with

10  this section, the department is authorized to make appropriate

11  settlements.

12         (19)(21)  Notwithstanding any provision in this section

13  to the contrary, the department shall not be required to seek

14  reimbursement from a liable third party on claims for which

15  the department determines that the amount it reasonably

16  expects to recover will be less than the cost of recovery, or

17  that recovery efforts will otherwise not be cost-effective.

18         (20)(22)  Entities providing health insurance as

19  defined in s. 624.603, and health maintenance organizations

20  and prepaid health clinics as defined in chapter 641, shall

21  provide such records and information as are necessary to

22  accomplish the purpose of this section, unless such

23  requirement results in an unreasonable burden.

24         (a)  The secretary of the department and the Insurance

25  Commissioner shall enter into a cooperative agreement for

26  requesting and obtaining information necessary to effect the

27  purpose and objective of this section.

28         1.  The department shall request only that information

29  necessary to determine whether health insurance as defined

30  pursuant to s. 624.603, or those health services provided

31  pursuant to chapter 641, could be, should be, or have been


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                                          HB 3077, First Engrossed



  1  claimed and paid with respect to items of medical care and

  2  services furnished to any person eligible for services under

  3  this section.

  4         2.  All information obtained pursuant to subparagraph

  5  1. is confidential and exempt from s. 119.07(1).

  6         3.  The cooperative agreement or rules adopted under

  7  this subsection may include financial arrangements to

  8  reimburse the reporting entities for reasonable costs or a

  9  portion thereof incurred in furnishing the requested

10  information. Neither the cooperative agreement nor the rules

11  shall require the automation of manual processes to provide

12  the requested information.

13         (b)  The department and the Department of Insurance

14  jointly shall adopt rules for the development and

15  administration of the cooperative agreement. The rules shall

16  include the following:

17         1.  A method for identifying those entities subject to

18  furnishing information under the cooperative agreement.

19         2.  A method for furnishing requested information.

20         3.  Procedures for requesting exemption from the

21  cooperative agreement based on an unreasonable burden to the

22  reporting entity.

23         (21)(23)  The department is authorized to adopt rules

24  to implement the provisions of this section and federal

25  requirements.

26         Section 2.  Paragraph (a) of subsection (9) of section

27  624.424, Florida Statutes, is amended to read:

28         624.424  Annual statement and other information.--

29         (9)(a)  Each authorized insurer shall, pursuant to s.

30  409.910(20) s. 409.910(22), provide records and information to

31  the Department of Health and Rehabilitative Services to


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                                          HB 3077, First Engrossed



  1  identify potential insurance coverage for claims filed with

  2  that department and its fiscal agents for payment of medical

  3  services under the Medicaid program.

  4         Section 3.  This act shall take effect upon becoming a

  5  law and shall operate retroactively to July 1, 1994, except

  6  that any action filed prior to March 1, 1998, any appeal of

  7  such action, any matter related to such action, any

  8  enforcement of the terms of a settlement agreement entered in

  9  such action, or any action filed prior to March 1, 1998, in

10  which the parties have agreed to settle and the trial court

11  has approved the settlement agreement, whether or not the time

12  to appeal the approval of such settlement has expired, may

13  proceed under the law as it existed on the date of the filing

14  of such action, except that the amendments to Section

15  409.910(15), Florida Statutes, renumbered as Section

16  409.910(14), Florida Statutes, shall be applicable to such

17  action. If any settlement agreement entered in an action filed

18  prior to March 1, 1998, is overturned, canceled, or

19  terminated, or is altered in any material manner by subsequent

20  court order, such action may proceed under the law as it

21  existed on the date of the filing of such action, except that

22  the amendments to Section 409.910(15), Florida Statutes,

23  renumbered as Section 409.910(14), Florida Statutes, shall be

24  applicable to such action.

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