Senate Bill 0650c1

    Florida Senate - 1998                            CS for SB 650

    By the Committee on Health Care and Senator Clary





    317-1654-98

  1                      A bill to be entitled

  2         An act relating to Medicaid; amending s.

  3         409.906, F.S.; authorizing the Agency for

  4         Health Care Administration to pay for certain

  5         types of services for the Healthy Start

  6         program, pursuant to a federal waiver;

  7         providing for certain limits on such services;

  8         directing the agency to seek such a waiver;

  9         providing an effective date.

10

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

12

13         Section 1.  Present subsections (11) through (22) of

14  section 409.906, F.S., are renumbered as subsections (12)

15  through (23), respectively, and a new subsection (11) is added

16  to that section to read:

17         409.906  Optional Medicaid services.--Subject to

18  specific appropriations, the agency may make payments for

19  services which are optional to the state under Title XIX of

20  the Social Security Act and are furnished by Medicaid

21  providers to recipients who are determined to be eligible on

22  the dates on which the services were provided.  Any optional

23  service that is provided shall be provided only when medically

24  necessary and in accordance with state and federal law.

25  Nothing in this section shall be construed to prevent or limit

26  the agency from adjusting fees, reimbursement rates, lengths

27  of stay, number of visits, or number of services, or making

28  any other adjustments necessary to comply with the

29  availability of moneys and any limitations or directions

30  provided for in the General Appropriations Act or chapter 216.

31  Optional services may include:

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






    Florida Senate - 1998                            CS for SB 650
    317-1654-98




  1         (11)  HEALTHY START SERVICES.--The agency may pay for a

  2  continuum of risk-appropriate medical and psychosocial

  3  services for the Healthy Start program in accordance with a

  4  federal waiver. The agency may not implement the federal

  5  waiver unless the waiver permits the state to limit enrollment

  6  or the amount, duration, and scope of services to ensure that

  7  expenditures will not exceed funds appropriated by the

  8  Legislature or available from local sources.

  9         Section 2.  The Agency for Health Care Administration,

10  working jointly with the Department of Health and the Florida

11  Association of Healthy Start Coalitions, is directed to seek a

12  federal waiver to secure Title XIX matching funds for the

13  Healthy Start program. The federal waiver application must

14  seek Medicaid matching funds utilizing appropriated general

15  revenue and local contributions.

16         Section 3.  This act shall take effect July 1, 1998.

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18          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
19                         Senate Bill 650

20

21
    Instead of amending ss. 383.011 and 409.912, F.S., amends s.
22  409.906, relating to optional Medicaid services, and creates
    an undesignated section of law.
23
    Makes clear that the federal Medicaid waiver sought will only
24  be implemented if it permits the state to limit enrollment or
    the amount, duration, and scope of services to ensure that
25  expenditures will not exceed funds appropriated by the
    legislature or available from local sources.
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