HOUSE AMENDMENT

                                                  Bill No. HB 1905

    Amendment No. 05 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

 6

 7

 8

 9

10                                                                

11  The Committee on Health & Human Services Appropriations

12  offered the following:

13

14         Amendment to Amendment (500503) (with title amendment) 

15         On page 11, line 3 through page 12, line 1,

16  remove from the amendment:  all of said lines

17

18         And on page 7, between lines 5 and 6,

19

20  insert:

21         (9)  ANNUAL REPORT ON GRADUATE MEDICAL EDUCATION;

22  COMMITTEE.--The Board of Regents, the Executive Office of the

23  Governor, the Department of Health, and the Agency for Health

24  Care Administration shall collaborate to establish a committee

25  that shall produce an annual report on graduate medical

26  education. To the maximum extent feasible, the committee shall

27  have the same membership as the Graduate Medical Education

28  Study Committee, established by proviso accompanying Specific

29  Appropriation 191 of the 1999-2000 General Appropriations Act.

30  The report shall be provided to the Governor, the President of

31  Senate, and the Speaker of the House of Representatives by

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    File original & 9 copies    04/26/00
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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1905

    Amendment No. 05 (for drafter's use only)





 1  January 15 annually. Committee members shall serve without

 2  compensation. From the funds provided pursuant to s.

 3  381.0403(3), the committee is authorized to expend a maximum

 4  of $75,000 per year to provide for administrative costs and

 5  contractual services. The report shall address the following:

 6         (a)  The role of residents and medical faculty in the

 7  provision of health care.

 8         (b)  The relationship of graduate medical education to

 9  the state's physician workforce.

10         (c)  The costs of training medical residents for

11  hospitals, medical schools, teaching hospitals, including all

12  hospital-medical affiliations, practice plans at all of the

13  medical schools, and municipalities.

14         (d)  The availability and adequacy of all sources of

15  revenue to support graduate medical education and recommend

16  alternative sources of funding for graduate medical education.

17         (e)  The use of state and federal appropriated funds

18  for graduate medical education by hospitals receiving such

19  funds.

20

21

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

23  And the title is amended as follows:

24         On page 12, line 11, through page 13, line 10, of the

25  amendment

26  remove:  all of said lines

27

28  and insert in lieu thereof:

29         An act relating to health care; amending s.

30         381.0403, F.S.; placing an emphasis on primary

31         care physicians rather than family physicians;

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    File original & 9 copies    04/26/00
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                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1905

    Amendment No. 05 (for drafter's use only)





 1         modifying the provisions relating to the

 2         funding of graduate medical education; defining

 3         primary care specialties; establishing a

 4         program for graduate medical education

 5         innovations; creating a process regarding the

 6         release of funds; requiring an annual report on

 7         graduate medical education; establishing a

 8         committee for report purposes; providing

 9         requirements for the report; amending s.

10         408.07, F.S.; modifying the definition of

11         "teaching hospital"; amending s. 409.905, F.S.;

12         increasing the Medicaid reimbursement

13         limitation for certain hospital outpatient

14         services; amending s. 409.908, F.S.; providing

15         exceptions to Medicaid reimbursement

16         limitations for certain hospital inpatient

17         care; authorizing the agency to receive certain

18         funds for such exceptional reimbursements;

19         providing an exemption from county contribution

20         requirements; increasing the Medicaid

21         reimbursement limitation for certain hospital

22         outpatient care; authorizing the agency to

23         receive certain funds for such outpatient care;

24         removing authority for additional reimbursement

25         for hospitals participating in the

26         extraordinary disproportionate share program;

27         providing an exemption from county contribution

28         requirements; providing an effective date.

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    File original & 9 copies    04/26/00
    hap0011                     01:16 pm         01905-hhs -263709