995142
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2500                                                  HHS              61


Senator(s): Myers
moved the following amendment:



Section: 03
EXPLANATION:

On Page: 000             
Provides authorization for the Agency for Health Care

Administration to apply for a federal waiver or to

Spec App:                
identify enhancements to improve trauma center

reimbursements.









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

                                                  Positions & Amounts   Positions & Amounts
                                                      DELETE         INSERT

        BUSINESS AND PROFESSIONAL REGULATION, 
        DEPARTMENT OF: AGENCY FOR HEALTH CARE 
        ADMINISTRATION
        Medicaid Services

        In Section 03  On Page 000

        On page 80 following existing proviso under the title 
        "Medicaid Services" and preceding Specific 
        Appropriation 224, INSERT:

        From the funds in Specific Appropriations 224, 225A
        and 225B, the Agency for Health Care Administration
        in consultation with the Department of Health shall
        develop a Trauma Care Medicaid Waiver Program for
        reimbursement to trauma centers for the care of
        Medicaid eligible persons.  The waiver may include
        provisions for expedited eligibility determination,
        limited presumptive eligibility, reimbursement rate
        modifications and streamlined reimbursement
        procedures.  Implementation of any waiver is
        contingent upon federal approval of the waiver and
        the availability of state matching funds in the
        Agency for Health Care Administration, the
        Department of Health or other local match. 
        Subsequent to federal approval and upon
        determination of adequate state matching funds, the

     995142  Log:0237  PEB/MGL           03/24/99 10:53:44 PM  Senate  Page: 1
        Agency for Health Care Administration may seek
        additional budget authority to implement the
        approved waiver subject to the consultation
        provisions of Chapter 216, Florida Statutes.  If the
        agency determines that a waiver is not required to
        achieve these improvements, they shall report those
        findings to the Governor, the House and the Senate
        no later than November 1, 1999.  The agency may not
        implement these enhancements unless specific
        legislative authorization is obtained. 

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.









































     995142  Log:0237  PEB/MGL           03/24/99 10:53:44 PM  Senate  Page: 2