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





                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    

                            CHAMBER ACTION
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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 4, between lines 2 and 3,

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16  insert:

17         Section 5.  Present subsections (6) through (10) of

18  section 394.4615, Florida Statutes, are redesignated as

19  subsections (7) through (11), respectively, and a new

20  subsection (6) is added to that section to read:

21         394.4615  Clinical records; confidentiality.--

22         (6)  Clinical records relating to a Medicaid recipient

23  shall be furnished to the Medicaid Fraud Control Unit in the

24  Department of Legal Affairs, upon request.

25         Section 6.  Paragraph (k) is added to subsection (4) of

26  section 395.3025, Florida Statutes, to read:

27         395.3025  Patient and personnel records; copies;

28  examination.--

29         (4)  Patient records are confidential and must not be

30  disclosed without the consent of the person to whom they

31  pertain, but appropriate disclosure may be made without such

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                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    





 1  consent to:

 2         (k)  The Medicaid Fraud Control Unit in the Department

 3  of Legal Affairs pursuant to s. 409.920.

 4         Section 7.  Subsection (6) is added to section

 5  400.0077, Florida Statutes, to read:

 6         400.0077  Confidentiality.--

 7         (6)  This section does not limit the subpoena power of

 8  the Attorney General pursuant to s. 409.920(8)(b).

 9         Section 8.  Section 400.494, Florida Statutes, is

10  amended to read:

11         400.494  Information about patients confidential.--

12         (1)  Information about patients received by persons

13  employed by, or providing services to, a home health agency or

14  received by the licensing agency through reports or inspection

15  shall be confidential and exempt from the provisions of s.

16  119.07(1) and shall not be disclosed to any person other than

17  the patient without the written consent of that patient or the

18  patient's guardian.

19         (2)  This section does not apply to information

20  lawfully requested by the Medicaid Fraud Control Unit of the

21  Department of Legal Affairs.

22         Section 9.  Subsection (7) is added to section

23  409.9071, Florida Statutes, to read:

24         409.9071  Medicaid provider agreements for school

25  districts certifying state match.--

26         (7)  The agency's and school districts' confidentiality

27  is waived. They shall provide any information or documents

28  relating to this section to the Medicaid Fraud Control Unit in

29  the Department of Legal Affairs, upon request pursuant to its

30  authority under s. 409.920.

31         Section 10.  Paragraph (b) of subsection (8) of section

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                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    





 1  409.920, Florida Statutes, is amended to read:

 2         409.920  Medicaid provider fraud.--

 3         (8)  In carrying out the duties and responsibilities

 4  under this subsection, the Attorney General may:

 5         (b)  Subpoena witnesses or materials, including medical

 6  records relating to Medicaid recipients, within or outside the

 7  state and, through any duly designated employee, administer

 8  oaths and affirmations and collect evidence for possible use

 9  in either civil or criminal judicial proceedings.

10         Section 11.  Section 409.9205, Florida Statutes, is

11  amended to read:

12         409.9205  Medicaid Fraud Control Unit; law enforcement

13  officers.--All investigators employed by the Medicaid Fraud

14  Control Unit who have been certified under s. 943.1395 are law

15  enforcement officers of the state.  Such investigators have

16  the authority to conduct criminal investigations, bear arms,

17  make arrests, and apply for, serve, and execute search

18  warrants, arrest warrants, and capias, and other process

19  throughout the state pertaining to Medicaid fraud as described

20  in this chapter.  The Attorney General shall provide

21  reasonable notice of criminal investigations conducted by the

22  Medicaid Fraud Control Unit to, and coordinate those

23  investigations with, the sheriffs of the respective counties.

24  Investigators employed by the Medicaid Fraud Control Unit are

25  not eligible for membership in the Special Risk Class of the

26  Florida Retirement System under s. 121.0515.

27         Section 12.  Section 430.608, Florida Statutes, is

28  amended to read:

29         430.608  Confidentiality of information.--Identifying

30  information about elderly persons who receive services under

31  ss. 430.601-430.606, which is received through files, reports,

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                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    





 1  inspection, or otherwise by the department or by authorized

 2  departmental employees, by persons who volunteer services, or

 3  by persons who provide services to elderly persons under ss.

 4  430.601-430.606 through contracts with the department, is

 5  confidential and exempt from the provisions of s. 119.07(1)

 6  and s. 24(a), Art. I of the State Constitution. Such

 7  information may not be disclosed publicly in such a manner as

 8  to identify an elderly person, unless that person or the

 9  person's legal guardian provides written consent.

10         (2)  This section does not, however, limit the subpoena

11  authority of the Medicaid Fraud Control Unit of the Department

12  of Legal Affairs pursuant to s. 409.920(8)(b).

13         Section 13.  Subsection (8) of subsection 455.667,

14  Florida Statutes, is amended to read:

15         455.667  Ownership and control of patient records;

16  report or copies of records to be furnished.--

17         (8)(a)  All patient records obtained by the department

18  and any other documents maintained by the department which

19  identify the patient by name are confidential and exempt from

20  s. 119.07(1) and shall be used solely for the purpose of the

21  department and the appropriate regulatory board in its

22  investigation, prosecution, and appeal of disciplinary

23  proceedings. The records shall not be available to the public

24  as part of the record of investigation for and prosecution in

25  disciplinary proceedings made available to the public by the

26  department or the appropriate board.

27         (b)  Notwithstanding paragraph (a), all patient records

28  obtained by the department and any other documents maintained

29  by the department which relate to a current or former Medicaid

30  recipient shall be provided to the Medicaid Fraud Control Unit

31  in the Department of Legal Affairs, upon request.

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                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    





 1

 2  (Redesignate subsequent sections.)

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 4

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

 6  And the title is amended as follows:

 7         On page 1, line 15, after the semicolon,

 8

 9  insert:

10         amending s. 394.4615, F.S.; requiring that

11         clinical records be furnished to the unit upon

12         request; amending s. 395.3025, F.S.; allowing

13         patient records to be furnished to the unit;

14         amending s. 400.0077, F.S.; providing that

15         certain confidentiality provisions do not limit

16         the subpoena power of the Attorney General;

17         amending s. 400.494, F.S.; providing that

18         certain confidentiality provisions relating to

19         home health agencies do not apply to

20         information requested by the unit; amending s.

21         409.9071, F.S.; waiving confidentiality and

22         requiring that certain information regarding

23         Medicaid provider agreements with school

24         districts be provided to the unit; amending s.

25         409.920, F.S.; clarifying the Attorney

26         General's power to subpoena medical records

27         relating to Medicaid recipients; amending s.

28         409.9205, F.S.; authorizing investigators

29         employed by the unit to serve process; amending

30         s. 430.608, F.S.; providing that certain

31         confidentiality provisions pertaining to the

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                                                  SENATE AMENDMENT

    Bill No. SB 1336

    Amendment No.    





 1         Department of Elderly Affairs do not limit the

 2         subpoena authority of the unit; amending s.

 3         455.667, F.S.; providing that certain

 4         confidential records held by the Department of

 5         Business and Professional Regulation must be

 6         provided to the unit;

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