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



                                                   HOUSE AMENDMENT

                                                  Bill No. SB 1766

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

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Peaden offered the following:

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13         Amendment (with title amendment) 

14         On page 6, line 6, through page 7, line 5,

15  remove from the bill:  all of said lines

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17  and insert in lieu thereof:

18         Section 4.  Section 408.30, Florida Statutes, is

19  repealed.

20         Section 5.  Paragraph (f) of subsection (35) of section

21  409.912, Florida Statutes, is repealed, and paragraph (c) of

22  subsection (3) of said section is amended to read:

23         409.912  Cost-effective purchasing of health care.--The

24  agency shall purchase goods and services for Medicaid

25  recipients in the most cost-effective manner consistent with

26  the delivery of quality medical care.  The agency shall

27  maximize the use of prepaid per capita and prepaid aggregate

28  fixed-sum basis services when appropriate and other

29  alternative service delivery and reimbursement methodologies,

30  including competitive bidding pursuant to s. 287.057, designed

31  to facilitate the cost-effective purchase of a case-managed

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                                                   HOUSE AMENDMENT

                                                  Bill No. SB 1766

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





  1  continuum of care. The agency shall also require providers to

  2  minimize the exposure of recipients to the need for acute

  3  inpatient, custodial, and other institutional care and the

  4  inappropriate or unnecessary use of high-cost services.

  5         (3)  The agency may contract with:

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

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

  8  entity owned by other migrant and community health centers

  9  receiving non-Medicaid financial support from the Federal

10  Government to provide health care services on a prepaid or

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

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

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

14  serving Medicaid recipients on a prepaid basis, until such

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

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

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

18         2.  Until March 1, 2000, only, the licensure

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

20  apply to a federally qualified health center, an entity owned

21  by one or more federally qualified health centers, or an

22  entity owned by other migrant and community health centers

23  receiving non-Medicaid financial support from the Federal

24  Government to provide health care services on a prepaid or

25  fixed-sum basis to recipients. These entities are not

26  prohibited from serving Medicaid recipients on a prepaid

27  basis. This subparagraph expires March 1, 2000.

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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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                                                   HOUSE AMENDMENT

                                                  Bill No. SB 1766

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





  1         On page 1, lines 14-18,

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

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  4  and insert in lieu thereof:

  5         filing of caveats; repealing s. 408.30, F.S.,

  6         relating to an obsolete rule-saving clause for

  7         the Health Care Cost Containment Board;

  8         amending s. 409.912, F.S., and repealing

  9         paragraph (35)(f), relating to applicability of

10         provisions authorizing a 1997-1998 outpatient

11         specialty services pilot project; deleting an

12         obsolete date and provision relating to

13         requirements under which federally qualified

14         health centers can be Medicaid prepaid plan

15         providers; repealing s.

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    File original & 9 copies    05/04/00
    hci0001                     11:47 am         01766-0005-871153