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





                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1945

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

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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10                                                                

11  The Committee on Health Care Services offered the following:

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13         Amendment (with title amendment) 

14         On page 1, lines 17-29,

15  remove from the bill:  all of said lines

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17  and insert in lieu thereof:

18         (7)  "Other qualified provider" means an entity:

19         (a)  Licensed under chapter 400 that meets all the

20  financial and quality assurance requirements for a provider

21  service network as specified in s. 409.912, is exempt from

22  chapter 641, and can demonstrate a long-term care continuum;

23  or

24         (b)  Licensed under part VII of chapter 626, and

25  contracts with entities licensed under chapter 400 and can

26  demonstrate a long-term care continuum.

27         Section 2.  Paragraph (e) of subsection (3) of section

28  430.704, Florida Statutes, is amended to read:

29         430.704  Evaluation of long-term care through the pilot

30  projects.--

31         (3)  The department shall evaluate:

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    File original & 9 copies    04/14/00
    hci0001                     09:19 am         01945-hcs -094415




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1945

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





 1         (e)  Criteria for selecting the managed care

 2  organizations and other qualified providers, including, but

 3  not limited to, quality assurance processes, grievance

 4  procedures, service costs, accessibility, adequacy of provider

 5  networks, and administrative costs.

 6         Section 3.  Subsection (1) of section 430.707, Florida

 7  Statutes, is amended to read:

 8         430.707  Contracts.--

 9         (1)  The department, in consultation with the agency,

10  shall select and contract with managed care organizations and

11  with other qualified providers to provide long-term care

12  within community diversion pilot project areas. Other

13  qualified providers may contract to provide long-term care

14  within community diversion project areas on a fee for service

15  or capitated basis and are exempt from all licensure and

16  authorization requirements under the Florida Insurance Code

17  with respect to their provision of long-term care within

18  community diversion pilot project areas.

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

22  And the title is amended as follows:

23         On page 1, lines 5-8,

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

25

26  and insert in lieu thereof:

27         amending s. 430.704, F.S.; authorizing the

28         department to evaluate criteria for selecting

29         other qualified providers to provide long-term

30         care through pilot projects; amending s.

31         430.707, F.S.; authorizing the Department of

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    File original & 9 copies    04/14/00
    hci0001                     09:19 am         01945-hcs -094415




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1945

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





 1         Elderly Affairs to contract with other

 2         qualified providers to provide long-term care

 3         within pilot project areas; providing that

 4         other qualified providers may provide long-term

 5         care on a fee for service basis or a capitated

 6         basis and are exempt from licensure and

 7         authorization requirements under the Florida

 8         Insurance Code; providing

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    File original & 9 copies    04/14/00
    hci0001                     09:19 am         01945-hcs -094415