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



                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Russell offered the following:

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13         Amendment (with title amendment) 

14  remove from the bill:  everything after the enacting clause,

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16  and insert in lieu thereof:

17         Section 1.  (1)  There is created the Task Force on the

18  Availability and Affordability of Long-term Care, to study

19  issues related to the provision of long-term care to the

20  elderly in nursing homes and alternatives to nursing homes,

21  and to make recommendations to the Governor and the

22  Legislature. The task force shall, at a minimum, study and

23  make recommendations concerning the following:

24         (a)  The availability of alternative housing and care

25  settings for the elderly, including the use of rent-subsidized

26  facilities, assisted living facilities, and adult family care

27  homes.

28         (b)  The availability of community-based care

29  arrangements that support elderly individuals to age in place

30  in their own homes and in alternative housing and care

31  settings.

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                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)





  1         (c)  The role of family members in caring for elderly

  2  relatives and ways in which quality family care can be

  3  encouraged.

  4         (d)  The adequacy of reimbursements for the cost of

  5  providing care to the elderly in nursing homes and in

  6  alternative housing and care settings.

  7         (e)  The availability and affordability of

  8  long-term-care insurance coverage and the potential for

  9  funding long-term care through such coverage.

10         (f)  The role of the certificate-of-need process in the

11  development of systems of long-term care for the elderly.

12         (g)  The extent to which the quality of care in

13  long-term-care facilities in this state is compromised because

14  of market changes that affect the financial stability of the

15  long-term-care industry.

16         (h)  The effect of lawsuits against nursing homes and

17  long-term care facilities on the cost of nursing home care and

18  on the financial stability of the nursing home industry in the

19  state.

20         (i)  The kinds of incidents that lead to the filing of

21  lawsuits and the extent to which frivolous lawsuits are filed.

22         (j)  The cost of liability insurance coverage for

23  long-term-care providers and the extent to which such costs

24  affect the affordability of care.

25         (k)  The availability of liability insurance coverage

26  for long-term-care providers through Florida insurance

27  companies.

28         (l)  The primary causes for recent bankruptcies facing

29  the nursing home industry.

30         (m)  The additional costs to Medicaid, Medicare, and

31  the family when a patient suffering from a preventable

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                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)





  1  condition has to be admitted to a hospital.

  2         (n)  The ways in which other states have promoted the

  3  development of alternative and home-based care and what they

  4  have learned from these innovations.

  5         (o)  The difference between the quality of care

  6  provided by for-profit skilled nursing facilities and by

  7  not-for-profit skilled nursing facilities.

  8         (p)  An evaluation of how the quality of care in the

  9  long-term care facilities of this state compare with the

10  quality of care in such facilities in other states.

11         (2)  The task force shall be composed of 19 members, as

12  follows:

13         (a)  The Lieutenant Governor, who shall serve as chair

14  of the task force.

15         (b)  The Secretary of Elderly Affairs.

16         (c)  The director of the state Medicaid program.

17         (d)  A member of The Florida Bar, appointed by The

18  Florida Bar.

19         (e)  A representative of the Florida Assisted Living

20  Association, appointed by the association.

21         (f)  A representative of the Florida Association of

22  Homes for the Aging, appointed by the association.

23         (g)  A representative of the insurance industry who has

24  experience in the insurance markets affecting long-term care,

25  appointed by the Governor in consultation with the President

26  of the Senate and the Speaker of the House of Representatives.

27         (h)  A member to represent private sponsors of housing

28  for the elderly financed through the United States Department

29  of Housing and Urban Development, appointed by the Secretary

30  of Elderly Affairs.

31         (i)  An investment banker who has experience in

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                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)





  1  long-term-care economics, appointed by the Governor in

  2  consultation with the President of the Senate and the Speaker

  3  of the House of Representatives.

  4         (j)  An academic gerontologist appointed by the

  5  Chancellor of the State University System.

  6         (k)  A physician whose specialty is geriatrics and who

  7  is experienced in treating people with memory-related

  8  disorders, appointed by the Florida Medical Association.

  9         (l)  A member of a Florida chapter of the American

10  Association of Retired Persons who has experience

11  administering a long-term care facility, appointed by the

12  Governor in consultation with the President of the Senate and

13  the Speaker of the House of Representatives.

14         (m)  An individual who has experience with periodic

15  review of nursing homes and other long-term care facilities,

16  appointed by the Attorney General.

17         (n)  A representative of the Florida Health Care

18  Association, appointed by the association.

19         (o)  A local volunteer long-term care ombudsman with at

20  least two years of experience in assisting residents of

21  nursing homes and assisted living facilities, appointed by the

22  State Long-term Care Ombudsman.

23         (p)  Two consumer representatives, one appointed by the

24  President of the Senate and one appointed by the Speaker of

25  the House of Representatives.

26         (q)  Two members of the Legislature, one appointed by

27  the President of the Senate and one appointed by the Speaker

28  of the House of Representatives.

29         (3)  The task force shall conduct research, hold public

30  meetings, receive testimony, employ consultants, and undertake

31  other activities determined by its members to be necessary to

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                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)





  1  complete its responsibilities.

  2         (4)  The members of the task force may not delegate

  3  their attendance or voting power to designees.

  4         (5)  The task force shall be located at the University

  5  of South Florida for administrative purposes. The Florida

  6  Policy Exchange Center on Aging at the University of South

  7  Florida shall provide staff and support services to the task

  8  force. Members of the task force shall serve without

  9  compensation, but are entitled to receive reimbursement for

10  travel and per diem as provided in section 112.061, Florida

11  Statutes.

12         (6)  The appointments to the task force must be

13  completed within 30 days after the effective date of this act,

14  and the task force must hold its initial meeting within 45

15  days after the effective date of this act.  The task force

16  shall submit a report containing its recommendations by

17  January 1, 2001, to the Governor, the President of the Senate,

18  and the Speaker of the House of Representatives. The

19  recommendations of the task force must include proposed

20  legislation. The task force shall expire on March 1, 2001.

21         Section 2.  For the 2000-2001 fiscal year, the

22  nonrecurring sum of $200,000 is appropriated from the General

23  Revenue Fund to the University of South Florida for the

24  purposes of implementing this act.

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

26  law.

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28

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

30  And the title is amended as follows:

31  remove from the title of the bill:  the entire title

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                                                   HOUSE AMENDMENT

    dhs-21                       Bill No. CS for SB 1222, 1st Eng.

    Amendment No. ___ (for drafter's use only)





  1  and insert in lieu thereof:

  2                      A bill to be entitled

  3         An act creating the Task Force on the

  4         Availability and Affordability of Long-term

  5         Care; providing for membership and duties;

  6         providing for staff and expenses; requiring a

  7         report; providing for the expiration of the

  8         task force; providing an appropriation;

  9         providing an effective date.

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