Senate Bill 0954
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Florida Senate - 2000 SB 954
By Senator Saunders
25-341B-00
1 A bill to be entitled
2 An act relating to health care; amending s.
3 395.701, F.S.; providing for an assessment
4 against hospitals for inpatient services;
5 amending s. 408.904, F.S.; increasing benefits
6 for certain persons who receive hospital
7 outpatient services; amending s. 408.905, F.S.;
8 increasing benefits furnished by Medicaid
9 providers to recipients of hospital outpatient
10 services; amending s. 905.908, F.S.; increasing
11 reimbursement to hospitals for outpatient care;
12 repealing s. 395.7015, F.S., relating to
13 assessments against certain health care
14 entities; providing appropriations; providing
15 effective dates.
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17 WHEREAS, the Legislature finds that the Public Medical
18 Assistance Trust Fund is not uniformly applied to all health
19 care entities, and
20 WHEREAS, the responsibility for indigent care is a
21 broad societal problem, not to be placed just on those who
22 provide or receive health care, and
23 WHEREAS, the economic conditions that exist today for
24 health care entities are different than those conditions
25 existing when the assessment was instituted in 1984, and
26 consequently this assessment places a greater burden on the
27 taxed entities, NOW, THEREFORE,
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29 Be It Enacted by the Legislature of the State of Florida:
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Florida Senate - 2000 SB 954
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1 Section 1. Subsection (2) of section 395.701, Florida
2 Statutes, is amended to read:
3 395.701 Annual assessments on net operating revenues
4 to fund public medical assistance; administrative fines for
5 failure to pay assessments when due; exemption.--
6 (2) There is imposed upon each hospital an assessment
7 in an amount equal to 1.5 percent of the annual net operating
8 revenue for inpatient services for each hospital, such revenue
9 to be determined by the agency, based on the actual experience
10 of the hospital as reported to the agency. Within 6 months
11 after the end of each hospital fiscal year, the agency shall
12 certify the amount of the assessment for each hospital. The
13 assessment shall be payable to and collected by the agency in
14 equal quarterly amounts, on or before the first day of each
15 calendar quarter, beginning with the first full calendar
16 quarter that occurs after the agency certifies the amount of
17 the assessment for each hospital. All moneys collected
18 pursuant to this subsection shall be deposited into the Public
19 Medical Assistance Trust Fund.
20 Section 2. Paragraph (c) of subsection (2) of section
21 408.904, Florida Statutes, is amended to read:
22 408.904 Benefits.--
23 (2) Covered health services include:
24 (c) Hospital outpatient services. Those services
25 provided to a member in the outpatient portion of a hospital
26 licensed under part I of chapter 395, up to a limit of $2,000
27 $1,000 per calendar year per member, that are preventive,
28 diagnostic, therapeutic, or palliative.
29 Section 3. Subsection (6) of section 409.905, Florida
30 Statutes, is amended to read:
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Florida Senate - 2000 SB 954
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1 409.905 Mandatory Medicaid services.--The agency may
2 make payments for the following services, which are required
3 of the state by Title XIX of the Social Security Act,
4 furnished by Medicaid providers to recipients who are
5 determined to be eligible on the dates on which the services
6 were provided. Any service under this section shall be
7 provided only when medically necessary and in accordance with
8 state and federal law. Nothing in this section shall be
9 construed to prevent or limit the agency from adjusting fees,
10 reimbursement rates, lengths of stay, number of visits, number
11 of services, or any other adjustments necessary to comply with
12 the availability of moneys and any limitations or directions
13 provided for in the General Appropriations Act or chapter 216.
14 (6) HOSPITAL OUTPATIENT SERVICES.--The agency shall
15 pay for preventive, diagnostic, therapeutic, or palliative
16 care and other services provided to a recipient in the
17 outpatient portion of a hospital licensed under part I of
18 chapter 395, and provided under the direction of a licensed
19 physician or licensed dentist, except that payment for such
20 care and services is limited to $2,000 $1,000 per state fiscal
21 year per recipient, unless an exception has been made by the
22 agency, and with the exception of a Medicaid recipient under
23 age 21, in which case the only limitation is medical
24 necessity.
25 Section 4. Paragraph (a) of subsection (1) of section
26 409.908, Florida Statutes, is amended to read:
27 409.908 Reimbursement of Medicaid providers.--Subject
28 to specific appropriations, the agency shall reimburse
29 Medicaid providers, in accordance with state and federal law,
30 according to methodologies set forth in the rules of the
31 agency and in policy manuals and handbooks incorporated by
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Florida Senate - 2000 SB 954
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1 reference therein. These methodologies may include fee
2 schedules, reimbursement methods based on cost reporting,
3 negotiated fees, competitive bidding pursuant to s. 287.057,
4 and other mechanisms the agency considers efficient and
5 effective for purchasing services or goods on behalf of
6 recipients. Payment for Medicaid compensable services made on
7 behalf of Medicaid eligible persons is subject to the
8 availability of moneys and any limitations or directions
9 provided for in the General Appropriations Act or chapter 216.
10 Further, nothing in this section shall be construed to prevent
11 or limit the agency from adjusting fees, reimbursement rates,
12 lengths of stay, number of visits, or number of services, or
13 making any other adjustments necessary to comply with the
14 availability of moneys and any limitations or directions
15 provided for in the General Appropriations Act, provided the
16 adjustment is consistent with legislative intent.
17 (1) Reimbursement to hospitals licensed under part I
18 of chapter 395 must be made prospectively or on the basis of
19 negotiation.
20 (a) Reimbursement for inpatient care is limited as
21 provided for in s. 409.905(5). Reimbursement for hospital
22 outpatient care is limited to $2,000 $1,000 per state fiscal
23 year per recipient, except for:
24 1. Such care provided to a Medicaid recipient under
25 age 21, in which case the only limitation is medical
26 necessity;
27 2. Renal dialysis services; and
28 3. Other exceptions made by the agency.
29 Section 5. (1) The sum of is appropriated from
30 the General Revenue Fund to the Public Medical Assistance
31 Trust Fund to replace the revenues lost due to the repeal of
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Florida Senate - 2000 SB 954
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1 section 395.7015, Florida Statutes, and to maintain federal
2 financial participation.
3 (2) The sum of is appropriated from the General
4 Revenue Fund to the Public Medical Assistance Trust Fund to
5 provide for the increased reimbursement to hospitals for
6 hospital outpatient care.
7 Section 6. Section 395.7015, Florida Statutes, is
8 repealed.
9 Section 7. This act shall take effect July 1, 2000,
10 except that the amendment to section 395.701, Florida
11 Statutes, by this act shall take effect only upon the receipt
12 by the Agency for Health Care Administration of written
13 confirmation from the federal Health Care Financing
14 Administration that the changes contained in such amendment
15 will not adversely affect the use of the remaining assessments
16 as state match for the state's Medicaid program.
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19 SENATE SUMMARY
20 Provides for an assessment of 1.5 percent of the annual
net operating revenues for inpatient services of
21 hospitals to fund public medical assistance. Increases to
$2,000 the limit on benefits for hospital outpatient
22 services for persons enrolled in the MedAccess program.
Increases to $2,000 the benefits furnished by Medicaid
23 providers to recipients of hospital outpatient services.
Increases to $2,000 the amount of reimbursement to
24 hospitals for outpatient care. Repeals s. 395.7015, F.S.,
relating to assessments on defined health care entities.
25 Provides appropriations.
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