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





                                                  SENATE AMENDMENT

    Bill No. SB 2502

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Silver moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 11, line 31,

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16  insert:

17         Section 12.  For the purpose of implementing Specific

18  Appropriation 260 of the 1999-2000 General Appropriations Act,

19  paragraph (c) of subsection (3) of section 409.912, Florida

20  Statutes, 1998 Supplement, is 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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                                                  SENATE AMENDMENT

    Bill No. SB 2502

    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         (c)1.  A federally qualified health center or an entity

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

 6  entity owned by other migrant and community health centers

 7  receiving non-Medicaid financial support from the Federal

 8  Government to provide health care services on a prepaid or

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

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

11  chapter 641 by January 1, 1998, but shall be prohibited from

12  serving Medicaid recipients on a prepaid basis, until such

13  licensure has been obtained.  However, such an entity is

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

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

16         2.  For the 1999-2000 fiscal year only, the licensure

17  requirements under parts I and III of chapter 641 shall not

18  apply to 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  fix-sum basis to recipients. These entities are not prohibited

24  from serving Medicaid recipients on a prepaid basis. This

25  subparagraph expires July 1, 2000.

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27  (Redesignate subsequent sections.)

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

31  And the title is amended as follows:

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                                                  SENATE AMENDMENT

    Bill No. SB 2502

    Amendment No.    





 1         On page 2, line 16, following the semicolon

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 4         amending s. 409.912, F.S.; providing standards

 5         for certain prepaid health care services

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