SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Brown-Waite moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 7, lines 13-31, delete those lines,

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16  and insert:

17         Section 2. Paragraph (c) of subsection (4) of section

18  409.912, Florida Statutes, is repealed, paragraphs (b) and (d)

19  of subsection (3) and subsection (13) of that section are

20  amended, and subsection (34) is added to that section 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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    5:49 PM   04/22/98                               s0484.hc10.f1




                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    





 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         (b)  An entity that is providing comprehensive

 5  inpatient and outpatient mental health care services to

 6  certain Medicaid recipients in Hillsborough, Highlands,

 7  Hardee, Manatee, and Polk Counties, through a capitated,

 8  prepaid arrangement pursuant to the federal waiver provided

 9  for by s. 409.905(5). Such an entity must become licensed

10  under chapter 624, chapter 636, or chapter 641 by December 31,

11  1998, and is exempt from the provisions of part I of chapter

12  641 until then. However, if the entity assumes risk, the

13  Department of Insurance shall develop appropriate regulatory

14  requirements by rule under the insurance code before the

15  entity becomes operational.

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

19  And the title is amended as follows:

20         On page 1, between lines 12 and 13,

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22  insert:

23         modifying the licensure requirements for a

24         provider of services under a pilot project;

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    5:49 PM   04/22/98                               s0484.hc10.f1