House Bill 4045
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Florida House of Representatives - 2000 HB 4045
By the Committee on Rules & Calendar and Representative
Arnall
1 A bill to be entitled
2 An act relating to obsolete, expired, or
3 repealed provisions of law; repealing various
4 provisions of law that have become obsolete,
5 have had their effect, have served their
6 purpose, or have been impliedly repealed or
7 superseded; repealing s. 154.013, F.S.,
8 relating to county primary health care panels;
9 amending s. 154.011, F.S.; deleting a cross
10 reference, to conform; repealing s. 154.12(2),
11 F.S., relating to the legal status of county
12 public health trusts with respect to a repealed
13 provision of law relating to the filing of
14 caveats; repealing s. 154.3105, F.S., relating
15 to a work group to develop rules for the Health
16 Care Responsibility Act; amending ss. 154.308
17 and 154.309, F.S.; deleting cross references,
18 to conform; repealing s. 381.0408, F.S.,
19 relating to the Public Health Partnership
20 Council on Stroke; repealing s. 408.0014, F.S.,
21 the Florida Health Access Corporation Act;
22 amending ss. 20.42 and 409.9117, F.S.; deleting
23 references, to conform; repealing s. 408.004,
24 F.S., relating to the Florida Health Plan;
25 repealing ss. 408.002, 408.005, and 408.006,
26 F.S., relating to legislative findings and
27 intent and to development goals and strategies,
28 to conform; amending ss. 408.061, 408.15,
29 408.301, and 408.704, F.S.; deleting
30 references, to conform; repealing s. 408.01,
31 F.S., relating to the voluntary private health
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1 insurance coverage and insurance cost
2 containment program; repealing s. 408.02(9),
3 F.S., relating to a demonstration project on
4 the effectiveness of practice parameters with
5 respect to the costs of defensive medicine and
6 professional liability insurance; repealing s.
7 408.062(1)(g), F.S., relating to development of
8 an alternative uniform system of financial
9 reporting of gross revenues per adjusted
10 admission; amending s. 408.7071, F.S.; deleting
11 provisions relating to development of a
12 standardized claim form for insurers and health
13 care providers licensed in this state and to
14 the committee appointed for such purpose;
15 repealing s. 409.908(12)(c) and (22), F.S.,
16 relating to a report on the effect of the
17 resource-based relative value scale fee
18 schedule on utilization of Medicaid services
19 and to implementation of changes in the
20 Medicaid reimbursement methodology for
21 facilities formerly known as ICF/DD facilities;
22 repealing s. 514.081, F.S., relating to a
23 saving clause applicable to provisions
24 governing construction, modification, and
25 operation of public swimming pools and bathing
26 facilities; amending s. 636.045, F.S.; deleting
27 obsolete provisions relating to minimum surplus
28 requirements for prepaid limited health service
29 organizations; repealing s. 859.03, F.S.,
30 relating to wrapping and labeling requirements
31 applicable to the sale of morphine; repealing
2
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1 s. 859.05, F.S., relating to a prohibition on
2 the sale or other disposition of narcotics
3 except by prescription; repealing s. 35, ch.
4 93-129, Laws of Florida, relating to a work
5 group on rural health care; repealing s. 19,
6 ch. 96-403, Laws of Florida, relating to a task
7 force on the organization and structure of
8 state health programs; repealing s. 3, ch.
9 98-21, Laws of Florida, relating to a rural
10 hospital redefinition study group; repealing s.
11 1, ch. 98-305, Laws of Florida, relating to the
12 Prostate Cancer Task Force; repealing s. 4, ch.
13 99-214, Laws of Florida, relating to a school
14 nurse training study group; repealing s. 6, ch.
15 99-393, Laws of Florida, relating to an
16 advisory group on submission and payment of
17 health claims; repealing s. 192, ch. 99-397,
18 Laws of Florida, relating to the task force on
19 the funding of the Public Medical Assistance
20 Trust Fund; amending ch. 99-226, Laws of
21 Florida, relating to the Medicaid Formulary
22 study panel; providing an effective date.
23
24 Be It Enacted by the Legislature of the State of Florida:
25
26 Section 1. Section 154.013, Florida Statutes, is
27 repealed.
28 Section 2. Subsection (1) of section 154.011, Florida
29 Statutes, is amended to read:
30 154.011 Primary care services.--
31
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1 (1) It is the intent of the Legislature that all 67
2 counties offer primary care services through contracts, as
3 required by s. 154.01(3), for Medicaid recipients and other
4 qualified low-income persons. Therefore, beginning July 1,
5 1987, the Department of Health is directed, to the extent that
6 funds are appropriated, to develop a plan to implement a
7 program in cooperation with each county. The department shall
8 coordinate with the county's primary care panel, as created by
9 s. 154.013, or with the county's governing body if no primary
10 care panel is appointed. Such primary care programs shall be
11 phased-in and made operational as additional resources are
12 appropriated, and shall be subject to the following:
13 (a) The department shall enter into contracts with the
14 county governing body for the purpose of expanding primary
15 care coverage. The county governing body shall have the
16 option of organizing the primary care programs through county
17 health departments or through county public hospitals owned
18 and operated directly by the county. The department shall, as
19 its first priority, maximize the number of counties
20 participating in the primary care programs under this section,
21 but shall establish priorities for funding based on need and
22 the willingness of counties to participate. The department
23 shall select counties for programs through a formal
24 request-for-proposal process that requires compliance with
25 program standards for cost-effective quality care and seeks to
26 maximize access throughout the county.
27 (b) Each county's primary care program may utilize any
28 or all of the following options of providing services:
29 offering services directly through the county health
30 departments; contracting with individual or group
31 practitioners for all or part of the service; or developing
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1 service delivery models which are organized through the county
2 health departments but which utilize other service or delivery
3 systems available, such as federal primary care programs or
4 prepaid health plans. In addition, counties shall have the
5 option of pooling resources and joining with neighboring
6 counties in order to fulfill the intent of this section.
7 (c) Each primary care program shall conform to the
8 requirements and specifications of the department, and shall
9 at a minimum:
10 1. Adopt a minimum eligibility standard of at least
11 100 percent of the federal nonfarm poverty level.
12 2. Provide a comprehensive mix of preventive and
13 illness care services.
14 3. Be family oriented and be easily accessible
15 regardless of income, physical status, or geographical
16 location.
17 4. Ensure 24-hour telephone access and offer evening
18 and weekend clinic services.
19 5. Offer continuity of care over time.
20 6. Make maximum use of existing providers and closely
21 coordinate its services and funding with existing federal
22 primary care programs, especially in rural counties, to ensure
23 efficient use of resources.
24 7. Have a sliding fee schedule based on income for
25 eligible persons above 100 percent of the federal nonfarm
26 poverty level.
27 8. Include quality assurance provisions and procedures
28 for evaluation.
29 9. Provide early periodic screening diagnostic and
30 treatment services for Medicaid-eligible children.
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1 10. Fully utilize and coordinate with rural hospitals
2 for outpatient services, including contracting for services
3 when advisable in terms of cost-effectiveness and feasibility.
4 Section 3. Subsection (2) of section 154.12, Florida
5 Statutes, is repealed.
6 Section 4. Section 154.3105, Florida Statutes, is
7 repealed.
8 Section 5. Subsection (1) of section 154.308, Florida
9 Statutes, is amended to read:
10 154.308 Determination of patient's eligibility;
11 spend-down program.--
12 (1) The agency, pursuant to s. 154.3105, shall adopt
13 rules which provide statewide eligibility determination
14 procedures, forms, and criteria which shall be used by all
15 counties for determining whether a person financially
16 qualifies as indigent for the purposes of this part.
17 (a) The criteria used to determine eligibility must be
18 uniform statewide and include, at a minimum, which assets, if
19 any, may be included in the determination, which verification
20 of income shall be required, which categories of persons shall
21 be eligible, and any other criteria which may be determined as
22 necessary.
23 (b) The methodology for determining financial
24 eligibility must be uniform statewide such that any county or
25 the state could determine whether a person is a qualified
26 indigent.
27 Section 6. Subsection (1) of section 154.309, Florida
28 Statutes, is amended to read:
29 154.309 Certification of county of residence.--
30 (1) The agency, pursuant to s. 154.3105, shall adopt
31 rules for certification determination procedures which provide
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1 criteria to be used for determining a qualified indigent's
2 county of residence. Such criteria must include, at a
3 minimum, how and to what extent residency shall be verified
4 and how a hospital shall be notified of a patient's
5 certification or the inability to certify a patient.
6 Section 7. Section 381.0408, Florida Statutes, is
7 repealed.
8 Section 8. Section 408.0014, Florida Statutes, is
9 repealed.
10 Section 9. Paragraphs (b) and (c) of subsection (2) of
11 section 20.42, Florida Statutes, are amended to read:
12 20.42 Agency for Health Care Administration.--There is
13 created the Agency for Health Care Administration within the
14 Department of Business and Professional Regulation. The agency
15 shall be a separate budget entity, and the director of the
16 agency shall be the agency head for all purposes. The agency
17 shall not be subject to control, supervision, or direction by
18 the Department of Business and Professional Regulation in any
19 manner, including, but not limited to, personnel, purchasing,
20 transactions involving real or personal property, and
21 budgetary matters.
22 (2) ORGANIZATION OF THE AGENCY.--The agency shall be
23 organized as follows:
24 (b) The Division of Health Policy and Cost Control,
25 which shall be responsible for health policy, the State Center
26 for Health Statistics, the development of The Florida Health
27 Plan, certificate of need, state and local health planning
28 under s. 408.033, and research and analysis.
29 (c) The Division of State Health Purchasing shall be
30 responsible for the Medicaid program. The division shall also
31 administer the contracts with the Florida Health Access
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1 Corporation program and the Florida Health Care Purchasing
2 Cooperative and the Florida Healthy Kids Corporation.
3 Section 10. Paragraph (h) of subsection (2) of section
4 409.9117, Florida Statutes, is amended to read:
5 409.9117 Primary care disproportionate share
6 program.--
7 (2) In the establishment and funding of this program,
8 the agency shall use the following criteria in addition to
9 those specified in s. 409.911, payments may not be made to a
10 hospital unless the hospital agrees to:
11 (h) Work with the Florida Healthy Kids Corporation,
12 the Florida Health Care Purchasing Cooperative, the Florida
13 Health Access Corporation, and business health coalitions, as
14 appropriate, to develop a feasibility study and plan to
15 provide a low-cost comprehensive health insurance plan to
16 persons who reside within the area and who do not have access
17 to such a plan.
18
19 Any hospital that fails to comply with any of the provisions
20 of this subsection, or any other contractual condition, may
21 not receive payments under this section until full compliance
22 is achieved.
23 Section 11. Sections 408.002, 408.004, 408.005, and
24 408.006, Florida Statutes, are repealed.
25 Section 12. Paragraph (a) of subsection (4) of section
26 408.061, Florida Statutes, is amended to read:
27 408.061 Data collection; uniform systems of financial
28 reporting; information relating to physician charges;
29 confidentiality of patient records; immunity.--
30 (4)(a) Within 120 days after the end of its fiscal
31 year, each health care facility shall file with the agency, on
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1 forms adopted by the agency and based on the uniform system of
2 financial reporting, its actual financial experience for that
3 fiscal year, including expenditures, revenues, and statistical
4 measures. Such data may be based on internal financial
5 reports which are certified to be complete and accurate by the
6 provider. However, hospitals' actual financial experience
7 shall be their audited actual experience. Nursing homes that
8 do not participate in the Medicare or Medicaid programs shall
9 also submit audited actual experience. Every nursing home
10 shall submit to the agency, in a format designated by the
11 agency, a statistical profile of the nursing home residents.
12 The agency, in conjunction with the Department of Elderly
13 Affairs and the Department of Health, shall review these
14 statistical profiles and develop recommendations for the types
15 of residents who might more appropriately be placed in their
16 homes or other noninstitutional settings. The agency shall
17 include its findings in the final Florida Health Plan which
18 must be submitted to the Legislature by December 31, 1993.
19 Included in the findings shall be outcome data and cost
20 differential data as part of patient profiles.
21 Section 13. Subsections (6) and (7) of section 408.15,
22 Florida Statutes, are amended to read:
23 408.15 Powers of the agency.--In addition to the
24 powers granted to the agency elsewhere in this chapter, the
25 agency is authorized to:
26 (6) Apply for and receive and accept grants, gifts,
27 and other payments, including property and services, from any
28 governmental or other public and private entity or person and
29 make arrangements as to the use of same, including undertaking
30 special studies and other projects related to The Florida
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1 Health Plan. Funds obtained under this subsection may be used
2 as matching funds for public or private grants.
3 (7) Seek federal statutory changes and any waivers of
4 federal laws or regulations that will aid in implementing The
5 Florida Health Plan and related health care reforms. This may
6 include seeking amendments to:
7 (a) The Employee Retirement and Income Security Act of
8 1974 to permit greater state regulation of employer insurance
9 plans.
10 (b) The Medicaid program to permit alternative
11 organizational alignments, elimination of all program
12 eligibility requirements except income, and a moratorium on
13 further federal mandates.
14 (c) The Medicare program to seek state administration
15 of benefits, provider payments, or case management of
16 beneficiaries.
17 (d) Federal tax laws to permit a 100-percent tax
18 deduction for all private health insurance plans, including
19 those of self-employed persons and unincorporated employers,
20 and reform of the flexible sharing account requirements to
21 maximize pretax health care expenditures.
22 (e) Other federal programs to permit full
23 implementation of The Florida Health Plan and related state
24 health care reforms.
25 Section 14. Section 408.301, Florida Statutes, is
26 amended to read:
27 408.301 Legislative findings.--The Legislature has
28 found that access to quality, affordable, health care for all
29 Floridians is an important goal for the state. The
30 Legislature has charged the Agency for Health Care
31 Administration with the responsibility of developing the
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1 Florida Health Plan for assuring access to health care for all
2 Floridians. At the same time, The Legislature recognizes that
3 there are Floridians with special health care and social needs
4 which require particular attention. The people served by the
5 Department of Children and Family Services and the Department
6 of Health are examples of citizens with special needs. The
7 Legislature further recognizes that the Medicaid program is an
8 intricate part of the service delivery system for the special
9 needs citizens served by or through the Department of Children
10 and Family Services and the Department of Health. The Agency
11 for Health Care Administration is not a service provider and
12 does not develop or direct programs for the special needs
13 citizens served by or through the Department of Children and
14 Family Services and the Department of Health. Therefore, it is
15 the intent of the Legislature that the Agency for Health Care
16 Administration work closely with the Department of Children
17 and Family Services and the Department of Health in developing
18 plans for assuring access to all Floridians in order to assure
19 that the needs of special citizens are met.
20 Section 15. Paragraph (b) of subsection (5) of section
21 408.704, Florida Statutes, is amended to read:
22 408.704 Agency duties and responsibilities related to
23 community health purchasing alliances.--The agency shall
24 assist in developing a statewide system of community health
25 purchasing alliances. To this end, the agency is responsible
26 for:
27 (5) Establishing a data system for accountable health
28 partnerships.
29 (b) The advisory data committee shall issue a report
30 and recommendations on each of the following subjects as each
31 is completed. A final report covering all subjects must be
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1 included in the final Florida Health Plan to be submitted to
2 the Legislature on December 31, 1993. The report shall
3 include recommendations regarding:
4 1. Types of data to be collected. Careful
5 consideration shall be given to other data collection projects
6 and standards for electronic data interchanges already in
7 process in this state and nationally, to evaluating and
8 recommending the feasibility and cost-effectiveness of various
9 data collection activities, and to ensuring that data
10 reporting is necessary to support the evaluation of providers
11 with respect to cost containment, access, quality, control of
12 expensive technologies, and customer satisfaction analysis.
13 Data elements to be collected from providers include prices,
14 utilization, patient outcomes, quality, and patient
15 satisfaction. The completion of this task is the first
16 priority of the advisory data committee. The agency shall
17 begin implementing these data collection activities
18 immediately upon receipt of the recommendations, but no later
19 than January 1, 1994. The data shall be submitted by
20 hospitals, other licensed health care facilities, pharmacists,
21 and group practices as defined in s. 455.654(3)(f).
22 2. A standard data set, a standard cost-effective
23 format for collecting the data, and a standard methodology for
24 reporting the data to the agency, or its designee, and to the
25 alliances. The reporting mechanisms must be designed to
26 minimize the administrative burden and cost to health care
27 providers and carriers. A methodology shall be developed for
28 aggregating data in a standardized format for making
29 comparisons between accountable health partnerships which
30 takes advantage of national models and activities.
31
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1 3. Methods by which the agency should collect,
2 process, analyze, and distribute the data.
3 4. Standards for data interpretation. The advisory
4 data committee shall actively solicit broad input from the
5 provider community, carriers, the business community, and the
6 general public.
7 5. Structuring the data collection process to:
8 a. Incorporate safeguards to ensure that the health
9 care services utilization data collected is reviewed by
10 experienced, practicing physicians licensed to practice
11 medicine in this state;
12 b. Require that carrier customer satisfaction data
13 conclusions are validated by the agency;
14 c. Protect the confidentiality of medical information
15 to protect the patient's identity and to protect the privacy
16 of individual physicians and patients. Proprietary data
17 submitted by insurers, providers, and purchasers are
18 confidential pursuant to s. 408.061; and
19 d. Afford all interested professional medical and
20 hospital associations and carriers a minimum of 60 days to
21 review and comment before data is released to the public.
22 6. Developing a data collection implementation
23 schedule, based on the data collection capabilities of
24 carriers and providers.
25 Section 16. Section 408.01, Florida Statutes, is
26 repealed.
27 Section 17. Subsection (9) of section 408.02, Florida
28 Statutes, is repealed.
29 Section 18. Paragraph (g) of subsection (1) of section
30 408.062, Florida Statutes, is repealed.
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1 Section 19. Section 408.7071, Florida Statutes, is
2 amended to read:
3 408.7071 Standardized claim form.--
4 (1) The Agency for Health Care Administration shall
5 develop a standardized claim claims form to be used by
6 insurers and health care providers licensed in this state.
7 (2) In order to develop the standardized claim form,
8 the agency shall appoint a 15-person committee. The committee
9 shall consist of:
10 (a) The director of the Agency for Health Care
11 Administration, or the director's designee.
12 (b) The Insurance Commissioner, or the commissioner's
13 designee.
14 (c) Two representatives of hospitals.
15 (d) Five representatives of physicians: two licensed
16 under chapter 458, one licensed under chapter 459, one
17 licensed under chapter 460, and one licensed under chapter
18 461.
19 (e) Two representatives of health insurers.
20 (f) Two representatives of health maintenance
21 organizations.
22 (g) Two representatives of consumers.
23 (3) The committee shall issue a draft of the
24 standardized claims form to the Agency for Health Care
25 Administration by October 1, 1993. The agency may return the
26 form to the committee for modification on a schedule that
27 allows the agency to include the standardized claim form in
28 the final Florida Health Plan, which must be submitted to the
29 Legislature by December 1, 1993.
30
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1 Section 20. Paragraph (c) of subsection (12) and
2 subsection (22) of section 409.908, Florida Statutes, are
3 repealed.
4 Section 21. Section 514.081, Florida Statutes, is
5 repealed.
6 Section 22. Section 636.045, Florida Statutes, is
7 amended to read:
8 636.045 Minimum surplus requirements.--
9 (1) Except as provided in subsection (2), Each prepaid
10 limited health service organization must at all times maintain
11 a minimum surplus in an amount which is the greater of
12 $150,000 or 10 percent of total liabilities. Any prepaid
13 limited health service organization which had a valid
14 certificate of authority issued pursuant to part I, part II,
15 or part III of chapter 637, or chapter 638, before October 1,
16 1993, must maintain the surplus required on September 30,
17 1993, until the following dates, and then shall increase its
18 surplus as follows:
19
20 Date Amount
21 January 1, 1994.................................The greater of
22 $100,000 or 6 percent
23 of total liabilities,
24 whichever is greater.
25 January 1, 1995.................................The greater of
26 $125,000 or 8 percent
27 of total liabilities,
28 whichever is greater.
29 January 1, 1996.................................The greater of
30 $150,000 or 10 percent
31 of total liabilities,
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1 whichever is greater.
2
3 (2) The department may not issue a certificate of
4 authority on or after October 1, 1993, unless the prepaid
5 limited health service organization has a minimum surplus in
6 an amount of $150,000 or 10 percent of liabilities, whichever
7 is the greater amount.
8 Section 23. Section 859.03, Florida Statutes, is
9 repealed.
10 Section 24. Section 859.05, Florida Statutes, is
11 repealed.
12 Section 25. Section 35 of chapter 93-129, Laws of
13 Florida, is repealed.
14 Section 26. Section 19 of chapter 96-403, Laws of
15 Florida, is repealed.
16 Section 27. Section 3 of chapter 98-21, Laws of
17 Florida, is repealed.
18 Section 28. Section 1 of chapter 98-305, Laws of
19 Florida, is repealed.
20 Section 29. Section 4 of chapter 99-214, Laws of
21 Florida, is repealed.
22 Section 30. Section 6 of chapter 99-393, Laws of
23 Florida, is repealed.
24 Section 31. Section 192 of chapter 99-397, Laws of
25 Florida, is repealed.
26 Section 32. The proviso language following Specific
27 Appropriation 224 of chapter 99-226, Laws of Florida, is
28 amended to read:
29
30 224 SALARIES AND BENEFITS POSITIONS 884
31 FROM GENERAL REVENUE FUND........ 12,856,783
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1 FROM ADMINISTRATIVE TRUST FUND........ 22,992,867
2 FROM GRANTS AND DONATIONS TRUST FUND........ 187,973
3
4 From the funds in Specific Appropriation 224,
5 the Agency for Health Care Administration in
6 conjunction with the Department of Children and
7 Families shall conduct a feasibility study
8 related to the development and implementation
9 of a system to automate patient applications
10 for nursing home care under the Medicaid
11 program.
12
13 The Agency for Health Care Administration and
14 the Department of Children and Families shall
15 evaluate the potential cost effectiveness of
16 conducting the demonstration project, document
17 potential savings to the state and provide a
18 written report to the chairmen of the Senate
19 Budget Committee and the House Fiscal
20 Responsibility Council and to the Governor no
21 later than February 1, 2000.
22
23 From the funds in Specific Appropriation 224
24 and 225B the agency shall provide support for
25 the Medicaid Formulary study panel.
26
27 The Medicaid Formulary study panel is created
28 and shall consist of the following nine
29 members: three members appointed by the
30 Governor to include the Director of the Agency
31 for Health Care Administration; three members
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1 appointed by the Speaker of the House of
2 Representatives to include a Member of the
3 House of Representatives; and three members
4 appointed by the President of the Senate, to
5 include a Member of the Senate. The Governor
6 shall appoint a chairperson of the panel from
7 among the panel membership. The panel shall be
8 placed for administrative purposes within the
9 Agency for Health Care Administration. Staff
10 support for the panel shall be provided by the
11 Agency for Health Care Administration.
12
13 The panel shall prepare recommendations on the
14 advisability, feasibility and cost
15 effectiveness of implementing an appropriate
16 formulary for the Medicaid program. Included
17 within the recommendations shall be proposals
18 which will ensure quality of care, enhance
19 patient safety, support appropriate
20 utilization, and maximize cost efficiency. In
21 addition, the panel shall when making their
22 recommendations, include studying the pros and
23 cons of an Open Formulary versus a Restricted
24 Formulary, and the impact a formulary will have
25 on the overall Medicaid program.
26
27 In addition, the panel must prepare a plan
28 which must include, but is not limited to, the
29 following specific components: recommended time
30 lines for implementation; an appropriate
31 communication plan to providers and Medicaid
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1 beneficiaries; a plan to obtain all required
2 waivers from the federal government;
3 identification of cost savings through a
4 combination of changes in prescription drug
5 utilization, enhanced patient compliance, and
6 reduced purchasing costs; development of
7 appropriate clinical protocols and guidelines;
8 identification of administrative resources to
9 support the program; multi-year projections for
10 benchmarks for additional cost savings; and an
11 ongoing evaluation plan that includes cost and
12 quality measures. However, the agency shall not
13 implement a formulary without specific
14 legislative authorization.
15
16 Travel and per diem costs of panel members
17 shall be the responsibility of the appointing
18 agency.
19
20 The panel shall present its report to the
21 Governor, the Speaker of the House of
22 Representatives, and the President of the
23 Senate by no later than January 15, 2000.
24 Section 33. This act shall take effect upon becoming a
25 law.
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28
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1 *****************************************
2 HOUSE SUMMARY
3
Repeals various provisions of law that have become
4 obsolete, have had their effect, have served their
purpose, or have been impliedly repealed or superseded.
5 Repeals or deletes provisions relating to county primary
health care panels; the legal status of county public
6 health trusts with respect to a repealed provision of law
relating to the filing of caveats; a work group to
7 develop rules for the Health Care Responsibility Act; the
Public Health Partnership Council on Stroke; the Florida
8 Health Access Corporation Act; the Florida Health Plan;
the voluntary private health insurance coverage and
9 insurance cost containment program; a demonstration
project on the effectiveness of practice parameters with
10 respect to the costs of defensive medicine and
professional liability insurance; development of an
11 alternative uniform system of financial reporting of
gross revenues per adjusted admission; development of a
12 standardized claim form for insurers and health care
providers licensed in this state and to the committee
13 appointed for such purpose; a report on the effect of the
resource-based relative value scale fee schedule on
14 utilization of Medicaid services; implementation of
changes in the Medicaid reimbursement methodology for
15 facilities formerly known as ICF/DD facilities; a saving
clause applicable to provisions governing construction,
16 modification, and operation of public swimming pools and
bathing facilities; minimum surplus requirements for
17 prepaid limited health service organizations; wrapping
and labeling requirements applicable to the sale of
18 morphine; a prohibition on the sale or other disposition
of narcotics except by prescription; a work group on
19 rural health care; a task force on the organization and
structure of state health programs; a rural hospital
20 redefinition study group; the Prostate Cancer Task Force;
a school nurse training study group; an advisory group on
21 submission and payment of health claims; and the Medicaid
Formulary study panel.
22
23
24
25
26
27
28
29
30
31
20