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





                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1447

    Amendment No. 1 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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11  The Committee on Health Care Services 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.  This act shall be known as the "Florida

18  Ticket to Work and Work Incentives Act of 2000."

19         Section 2.  Subsection (8) is added to section 409.904,

20  Florida Statutes, to read:

21         409.904  Optional payments for eligible persons.--The

22  agency may make payments for medical assistance and related

23  services on behalf of the following persons who are determined

24  to be eligible subject to the income, assets, and categorical

25  eligibility tests set forth in federal and state law.  Payment

26  on behalf of these Medicaid eligible persons is subject to the

27  availability of moneys and any limitations established by the

28  General Appropriations Act or chapter 216.

29         (8)  Subject to specific federal authorization, a

30  person who, but for earnings in excess of the limit

31  established under s. 1905(q)(2)(B) of the Social Security Act,

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1447

    Amendment No. 1 (for drafter's use only)





 1  would be considered for receiving supplemental security

 2  income, who is at least 16 but less than 65 years of age, and

 3  whose assets, resources, and earned or unearned income, or

 4  both, do not exceed 250 percent of the most current federal

 5  poverty level. Such persons may be eligible for Medicaid

 6  services as part of a Medicaid buy-in established under s.

 7  409.914(2) specifically designed to accommodate those persons

 8  made eligible for such a buy-in by Title II of Pub. L. No.

 9  106-170. Such buy-in shall include income-related premiums and

10  cost sharing.

11         Section 3.  Subject to a specific appropriation, the

12  Agency for Health Care Administration is directed to seek a

13  federal grant, demonstration project, or waiver, as may be

14  authorized by the United States Department of Health and Human

15  Services, for purposes of establishing a Medicaid buy-in

16  program or other programs to assist individuals with

17  disabilities in gaining employment. The services to be

18  provided are those required to enable such individuals to gain

19  or keep employment. The grant, demonstration project, or

20  waiver shall be submitted to the Secretary of Health and Human

21  Services at such time, in such manner, and containing such

22  information as the secretary shall require, as authorized

23  under Title II of Pub. L. No. 106-170, the "Ticket to Work and

24  Work Incentives Act of 1999."

25         Section 4.  This act shall take effect October 1, 2000.

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

29  And the title is amended as follows:

30         On page 1, lines 2-11,

31  remove from the title of the bill:  all of said lines

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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1447

    Amendment No. 1 (for drafter's use only)





 1  and insert in lieu thereof:

 2         An act relating to Medicaid eligibility;

 3         providing a short title; amending s. 409.904,

 4         F.S.; providing Medicaid eligibility for

 5         certain disabled persons under a Medicaid

 6         buy-in program, subject to specific federal

 7         authorization; directing the Agency for Health

 8         Care Administration to seek a federal grant,

 9         demonstration project, or waiver for

10         establishment of such buy-in program, subject

11         to a specific appropriation; providing an

12         effective date.

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    File original & 9 copies    04/14/00
    hci0001                     09:11 am         01447-hcs -810971