CODING: Words stricken are deletions; words underlined are additions.
HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (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 & Human Services Appropriations
12 offered the following:
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14 Amendment (with title amendment)
15 Remove from the bill: Everything after the enacting clause
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17 and insert in lieu thereof:
18 Section 1. (1) There is created the Task Force on the
19 Availability and Affordability of Long-term Care, to study
20 issues related to the provision of long-term care to the
21 elderly in nursing homes and alternatives to nursing homes,
22 and to make recommendations to the Governor and the
23 Legislature. The task force shall, at a minimum, study and
24 make recommendations concerning the following:
25 (a) The availability of alternative housing and care
26 settings for the elderly, including the use of rent-subsidized
27 facilities, assisted living facilities, and adult family care
28 homes.
29 (b) The availability of community-based care
30 arrangements that support elderly individuals to age in place
31 in their own homes and in alternative housing and care
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HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (for drafter's use only)
1 settings.
2 (c) The role of family members in caring for elderly
3 relatives and ways in which quality family care can be
4 encouraged.
5 (d) The adequacy of reimbursements for the cost of
6 providing care to the elderly in nursing homes and in
7 alternative housing and care settings.
8 (e) The availability and affordability of
9 long-term-care insurance coverage and the potential for
10 funding long-term care through such coverage.
11 (f) The role of the certificate-of-need process in the
12 development of systems of long-term care for the elderly.
13 (g) The extent to which the quality of care in
14 long-term-care facilities in this state is compromised because
15 of market changes that affect the financial stability of the
16 long-term-care industry.
17 (h) The effect of lawsuits against nursing homes and
18 long-term care facilities on the cost of nursing home care and
19 on the financial stability of the nursing home industry in the
20 state.
21 (i) The kinds of incidents that lead to the filing of
22 lawsuits and the extent to which frivolous lawsuits are filed.
23 (j) The cost of liability insurance coverage for
24 long-term-care providers and the extent to which such costs
25 affect the affordability of care.
26 (k) The availability of liability insurance coverage
27 for long-term-care providers through Florida insurance
28 companies.
29 (l) The primary causes for recent bankruptcies facing
30 the nursing home industry.
31 (m) The additional costs to Medicaid, Medicare, and
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HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (for drafter's use only)
1 the family when a patient suffering from a preventable
2 condition has to be admitted to a hospital.
3 (n) The ways in which other states have promoted the
4 development of alternative and homebased care and what they
5 have learned from these innovations.
6 (o) The difference between the quality of care
7 provided by for-profit skilled nursing facilities and by
8 not-for-profit skilled nursing facilities.
9 (2) The task force shall be composed of 15 members, as
10 follows:
11 (a) The Lieutenant Governor, who shall serve as chair
12 of the task force.
13 (b) The Secretary of Elderly Affairs.
14 (c) The director of the state Medicaid program.
15 (d) A member of The Florida Bar, whose practice is
16 primarily elder law, appointed by The Florida Bar.
17 (e) A representative of the Florida Assisted Living
18 Association, appointed by the association.
19 (f) A representative of the Florida Association of
20 Homes for the Aging, appointed by the association.
21 (g) A representative of the insurance industry who has
22 experience in the insurance markets affecting long-term care,
23 appointed by the Governor in consultation with the President
24 of the Senate and the Speaker of the House of Representatives.
25 (h) A member to represent private sponsors of housing
26 for the elderly financed through the United States Department
27 of Housing and Urban Development, appointed by the Secretary
28 of Elderly Affairs.
29 (i) An investment banker who has experience in
30 long-term-care economics, appointed by the Governor in
31 consultation with the President of the Senate and the Speaker
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HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (for drafter's use only)
1 of the House of Representatives.
2 (j) An academic gerontologist appointed by the
3 Chancellor of the State University System.
4 (k) A physician whose specialty is geriatrics and who
5 is experienced in treating people with memory-related
6 disorders, appointed by the Florida Medical Association.
7 (l) A member of a Florida chapter of the American
8 Association of Retired Persons who has experience
9 administering a long-term care facility, appointed by the
10 Governor in consultation with the President of the Senate and
11 the Speaker of the House of Representatives.
12 (m) An individual who has experience with periodic
13 review of nursing homes and other long-term care facilities,
14 appointed by the Attorney General.
15 (n) A representative of the Florida Health Care
16 Association, appointed by the association.
17 (o) A local volunteer long-term care ombudsman with at
18 least two years of experience in assisting residents of
19 nursing homes and assisted living facilities, appointed by the
20 State Long-term Care Ombudsman.
21 (3) The task force shall conduct research, hold public
22 meetings, receive testimony, employ consultants, and undertake
23 other activities determined by its members to be necessary to
24 complete its responsibilities.
25 (4) The members of the task force may not delegate
26 their attendance or voting power to designees.
27 (5) The task force shall be located at the University
28 of South Florida for administrative purposes. The Florida
29 Policy Exchange Center on Aging at the University of South
30 Florida shall provide staff and support services to the task
31 force. Members of the task force shall serve without
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HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (for drafter's use only)
1 compensation, but are entitled to receive reimbursement for
2 travel and per diem as provided in section 112.061, Florida
3 Statutes.
4 (6) The appointments to the task force must be
5 completed within 30 days after the effective date of this act,
6 and the task force must hold its initial meeting within 45
7 days after the effective date of this act. The task force
8 shall submit a report containing its recommendations by
9 January 1, 2001, to the Governor, the President of the Senate,
10 and the Speaker of the House of Representatives. The
11 recommendations of the task force must include proposed
12 legislation. The task force shall expire on March 1, 2001.
13 Section 2. For the 2000-2001 fiscal year, the
14 nonrecurring sum of $200,000 is appropriated from the General
15 Revenue Fund to the University of South Florida for the
16 purposes of implementing this act.
17 Section 3. This act shall take effect upon becoming a
18 law.
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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 Remove from the title of the bill: the entire title
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25 and insert in lieu thereof:
26 A bill to be entitled
27 An act creating the Task Force on the
28 Availability and Affordability of Long-term
29 Care; providing for membership and duties;
30 providing for staff and expenses; requiring a
31 report; providing for the expiration of the
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HOUSE AMENDMENT
hbd-20 Bill No. HB 1993
Amendment No. (for drafter's use only)
1 task force; providing an appropriation;
2 providing an effective date.
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