House Bill 2037

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    Florida House of Representatives - 2000                HB 2037

        By Representative Farkas






  1                      A bill to be entitled

  2         An act relating to the Agency for Health Care

  3         Administration; amending s. 20.42, F.S.;

  4         renaming and reorganizing the agency and

  5         removing it from under the Department of

  6         Business and Professional Regulation; creating

  7         the Department of Agency for Health Care

  8         Administration, also to be known as the Agency

  9         for Health Care Administration; providing for

10         appointment of the Secretary for Health Care

11         Administration by the Governor, subject to

12         confirmation by the Senate; providing for

13         responsibilities and administration of the

14         department; transferring all powers, duties and

15         functions, and funds of the Agency for Health

16         Care Administration of the Department of

17         Business and Professional Regulation to the

18         Department of Agency for Health Care

19         Administration; amending s. 440.134, F.S.;

20         providing exclusive jurisdiction of the

21         Department of Agency for Health Care

22         Administration over workers' compensation

23         managed care arrangements and investigations

24         regarding medical services provided under such

25         arrangements; providing for certain transfer of

26         positions and funds from the Department of

27         Labor and Employment Security; providing an

28         effective date.

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30  Be It Enacted by the Legislature of the State of Florida:

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    Florida House of Representatives - 2000                HB 2037

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  1         Section 1.  Section 20.42, Florida Statutes, is amended

  2  to read:

  3         20.42  Agency for Health Care Administration.--There is

  4  created the Department of Agency for Health Care

  5  Administration, also to be known as the Agency for Health Care

  6  Administration within the Department of Business and

  7  Professional Regulation. The agency shall be a separate budget

  8  entity, and the director of the agency shall be the agency

  9  head for all purposes. The agency shall not be subject to

10  control, supervision, or direction by the Department of

11  Business and Professional Regulation in any manner, including,

12  but not limited to, personnel, purchasing, transactions

13  involving real or personal property, and budgetary matters.

14         (1)  DIRECTOR OF HEALTH CARE ADMINISTRATION.--The head

15  of the department agency is the Secretary for Director of

16  Health Care Administration, who shall be appointed by the

17  Governor. The secretary director shall serve at the pleasure

18  of and report to the Governor, subject to confirmation by the

19  Senate. The requirement for Senate confirmation applies to any

20  person appointed on or after October 1, 1999.

21         (2)  ORGANIZATION OF THE AGENCY.--The department is

22  agency shall be organized as follows:

23         (a)  The Division of Health Quality Assurance, which

24  shall be responsible for health facility licensure and

25  inspection, consumer protection, certificates of need, health

26  facility cost regulation, investigation of consumer

27  complaints, and any other duty prescribed by statute or

28  agreement. The department is responsible for health

29  statistics, health policy and planning, workers' compensation

30  medical-related functions, managed care, the Medicaid program,

31  and the Florida Healthy Kids Corporation.

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    Florida House of Representatives - 2000                HB 2037

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  1         (b)  The Division of Health Policy and Cost Control,

  2  which shall be responsible for health policy, the State Center

  3  for Health Statistics, the development of The Florida Health

  4  Plan, certificate of need, state and local health planning

  5  under s. 408.033, and research and analysis.

  6         (c)  The Division of State Health Purchasing shall be

  7  responsible for the Medicaid program. The division shall also

  8  administer the contracts with the Florida Health Access

  9  Corporation program and the Florida Health Care Purchasing

10  Cooperative and the Florida Healthy Kids Corporation.

11         (d)  The Division of Administrative Services, which

12  shall be responsible for revenue management, budget,

13  personnel, and general services.

14         (3)  The secretary, for the department, shall

15  administer the affairs of the department and may allocate its

16  human resources and technological resources as necessary to

17  discharge the powers and duties of the department.

18         (3)  DEPUTY DIRECTOR FOR HEALTH QUALITY ASSURANCE.--The

19  director shall appoint a Deputy Director for Health Quality

20  Assurance who shall serve at the pleasure of, and be directly

21  responsible to, the director. The Deputy Director for Health

22  Quality Assurance shall be responsible for the Division of

23  Health Quality Assurance.

24         (4)  DEPUTY DIRECTOR FOR HEALTH POLICY AND COST

25  CONTROL.--The director shall appoint a Deputy Director for

26  Health Policy and Cost Control who shall serve at the pleasure

27  of, and be directly responsible to, the director. The Deputy

28  Director for Health Policy and Cost Control shall be

29  responsible for the Division of Health Policy and Cost

30  Control.

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  1         (5)  DEPUTY DIRECTOR FOR STATE HEALTH PURCHASING.--The

  2  director shall appoint a Deputy Director for State Health

  3  Purchasing who shall serve at the pleasure of, and be directly

  4  responsible to, the director. The Deputy Director for State

  5  Health Purchasing shall be responsible for the Division of

  6  State Health Purchasing.

  7         (6)  DEPUTY DIRECTOR OF ADMINISTRATIVE SERVICES.--The

  8  director shall appoint a Deputy Director of Administrative

  9  Services who shall serve at the pleasure of, and be directly

10  responsible to, the director. The deputy director shall be

11  responsible for the Division of Administrative Services.

12         Section 2.  All powers, duties and functions, rules,

13  records, personnel, property, and unexpended balances of

14  appropriations, allocations, or other funds of the Agency for

15  Health Care Administration within the Department of Business

16  and Professional Regulation are transferred by a type one

17  transfer, as defined in s. 20.06(1), Florida Statutes, to the

18  Department of Agency for Health Care Administration, as

19  created by this act.

20         Section 3.  Subsection (18) of section 440.134, Florida

21  Statutes, is amended to read:

22         440.134  Workers' compensation managed care

23  arrangement.--

24         (18)  The agency shall have exclusive jurisdiction over

25  workers' compensation managed care arrangements and to

26  investigate the quality of medical services provided by a

27  workers' compensation managed care arrangement. The agency may

28  suspend the authority of an insurer to offer a workers'

29  compensation managed care arrangement or order compliance

30  within 60 days, if it finds that:

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    Florida House of Representatives - 2000                HB 2037

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  1         (a)  The insurer is in substantial violation of its

  2  contracts;

  3         (b)  The insurer is unable to fulfill its obligations

  4  under outstanding contracts entered into with its employers;

  5         (c)  The insurer knowingly utilizes a provider who is

  6  furnishing or has furnished health care services and who does

  7  not have an existing license or other authority to practice or

  8  furnish health care services in this state;

  9         (d)  The insurer no longer meets the requirements for

10  the authorization as originally issued; or

11         (e)  The insurer has violated any lawful rule or order

12  of the agency or any provision of this section.

13         Section 4.  Effective October 1, 2000, 20

14  full-time-equivalent positions and $686,835 in salaries and

15  benefits, and $135,138 in expenses, are transferred by a type

16  two transfer, as defined in s. 20.06(2), Florida Statutes,

17  from the Workers' Compensation Administrative Trust Fund of

18  the Department of Labor and Employment Security to the Agency

19  for Health Care Administration to carry out the agency's

20  responsibilities under s. 440.134, Florida Statutes, relating

21  to workers' compensation managed care arrangements.

22         Section 5.  This act shall take effect October 1, 2000.

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    Florida House of Representatives - 2000                HB 2037

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  2                          HOUSE SUMMARY

  3
      Creates the Department of Agency for Health Care
  4    Administration, also to be known as the Agency for Health
      Care Administration. Transfers the Agency for Health Care
  5    Administration of the Department of Business and
      Professional Regulation to the new department. Provides
  6    for appointment of the Secretary for Health Care
      Administration by the Governor, subject to confirmation
  7    by the Senate. Provides for administration and
      responsibilities of the department. Provides exclusive
  8    jurisdiction of the department over workers' compensation
      managed care arrangements and investigations regarding
  9    medical services provided under such arrangements.
      Provides for transfer of 20 positions, and funds for
10    salaries, benefits, and expenses, from the Workers'
      Compensation Administrative Trust Fund of the Department
11    of Labor and Employment Security to the department to
      carry out the department's responsibilities relating to
12    workers' compensation managed care arrangements.

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