House Bill 0959e2

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                                          HB 959, Second Engrossed



  1                      A bill to be entitled

  2         An act relating to indigent health care;

  3         amending s. 154.306, F.S.; providing for

  4         excluding active-duty military personnel and

  5         certain institutionalized county residents from

  6         state population estimates when calculating a

  7         county's financial responsibility for

  8         hospitals' treatment of specific counties'

  9         indigent residents; amending s. 212.055, F.S.;

10         expanding the authorized use of the indigent

11         care discretionary sales surtax to include

12         trauma centers; renaming the surtax; requiring

13         the plan set out in the ordinance to include

14         additional provisions concerning Level I trauma

15         centers; providing requirements for annual

16         disbursements to hospitals on October 1 to be

17         in recognition of the Level I trauma status and

18         to be in addition to a base contract amount

19         plus any negotiated additions to indigent care

20         funding; authorizing certain counties to levy a

21         voter-approved indigent care discretionary

22         sales surtax; providing for the surtax to be

23         conditioned upon approval by a majority vote of

24         the electors; limiting the rate of the surtax;

25         providing requirements for the ordinance

26         adopted by the governing body of the county

27         which imposes the surtax; providing for

28         proceeds of the surtax to be used to provide

29         health care services to qualified residents;

30         defining "qualified residents"; providing for

31         the administration of proceeds collected


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                                          HB 959, Second Engrossed



  1         pursuant to the surtax; limiting the total

  2         amount of certain local option sales surtaxes

  3         that may be imposed by a county; providing

  4         effective dates.

  5

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

  7

  8         Section 1.  Subsection (5) is added to section 154.306,

  9  Florida Statutes, to read:

10         154.306  Financial responsibility for certified

11  residents who are qualified indigent patients treated at an

12  out-of-county participating hospital or regional referral

13  hospital.--Ultimate financial responsibility for treatment

14  received at a participating hospital or a regional referral

15  hospital by a qualified indigent patient who is a certified

16  resident of a county in the State of Florida, but is not a

17  resident of the county in which the participating hospital or

18  regional referral hospital is located, is the obligation of

19  the county of which the qualified indigent patient is a

20  resident. Each county shall reimburse participating hospitals

21  or regional referral hospitals as provided for in this part,

22  and shall provide or arrange for indigent eligibility

23  determination procedures and resident certification

24  determination procedures as provided for in rules developed to

25  implement this part.  The agency, or any county determining

26  eligibility of a qualified indigent, shall provide to the

27  county of residence, upon request, a copy of any documents,

28  forms, or other information, as determined by rule, which may

29  be used in making an eligibility determination.

30         (5)  For the purpose of computing the maximum amount

31  that a county at or below 100,000 in population may be


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                                          HB 959, Second Engrossed



  1  required to pay, the agency must reduce the official state

  2  population estimates by the number of inmates and patients

  3  residing in the county in institutions operated by the Federal

  4  Government, the Department of Corrections, the Department of

  5  Health, or the Department of Children and Family Services, and

  6  by the number of active-duty military personnel residing in

  7  the county, all of whom shall shall not be considered

  8  residents of the county, provided that the county agrees to

  9  accept such documents, forms, or other information used to

10  certify financial eligibility and county residency, provided

11  by the participating hospital or regional referral hospital to

12  the county residence as valid and true without requiring

13  reverification by the county of residence, and provided such

14  documentation is complete and in the form required by s.

15  154.3105.

16         Section 2.  Effective upon this act becoming a law,

17  subsection (4) of section 212.055, Florida Statutes, is

18  amended and subsection (7) is added to that section to read:

19         212.055  Discretionary sales surtaxes; legislative

20  intent; authorization and use of proceeds.--It is the

21  legislative intent that any authorization for imposition of a

22  discretionary sales surtax shall be published in the Florida

23  Statutes as a subsection of this section, irrespective of the

24  duration of the levy.  Each enactment shall specify the types

25  of counties authorized to levy; the rate or rates which may be

26  imposed; the maximum length of time the surtax may be imposed,

27  if any; the procedure which must be followed to secure voter

28  approval, if required; the purpose for which the proceeds may

29  be expended; and such other requirements as the Legislature

30  may provide.  Taxable transactions and administrative

31  procedures shall be as provided in s. 212.054.


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                                          HB 959, Second Engrossed



  1         (4)  INDIGENT CARE AND TRAUMA CENTER SURTAX.--

  2         (a)  The governing body in each county the government

  3  of which is not consolidated with that of one or more

  4  municipalities, which has a population of at least 800,000

  5  residents and is not authorized to levy a surtax under

  6  subsection (5) or subsection (6), may levy, pursuant to an

  7  ordinance either approved by an extraordinary vote of the

  8  governing body or conditioned to take effect only upon

  9  approval by a majority vote of the electors of the county

10  voting in a referendum, a discretionary sales surtax at a rate

11  that may not exceed 0.5 percent.

12         (b)  If the ordinance is conditioned on a referendum, a

13  statement that includes a brief and general description of the

14  purposes to be funded by the surtax and that conforms to the

15  requirements of s. 101.161 shall be placed on the ballot by

16  the governing body of the county.  The following questions

17  shall be placed on the ballot:

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19                     FOR THE. . . .CENTS TAX

20                   AGAINST THE. . . .CENTS TAX

21

22         (c)  The ordinance adopted by the governing body

23  providing for the imposition of the surtax shall set forth a

24  plan for providing health care services to qualified

25  residents, as defined in paragraph (d).  Such plan and

26  subsequent amendments to it shall fund a broad range of health

27  care services for both indigent persons and the medically

28  poor, including, but not limited to, primary care and

29  preventive care as well as hospital care. The plan must also

30  address the services to be provided by the Level I trauma

31  center. It shall emphasize a continuity of care in the most


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                                          HB 959, Second Engrossed



  1  cost-effective setting, taking into consideration both a high

  2  quality of care and geographic access.  Where consistent with

  3  these objectives, it shall include, without limitation,

  4  services rendered by physicians, clinics, community hospitals,

  5  mental health centers, and alternative delivery sites, as well

  6  as at least one regional referral hospital where appropriate.

  7  It shall provide that agreements negotiated between the county

  8  and providers, including hospitals with a Level I trauma

  9  center, will include reimbursement methodologies that take

10  into account the cost of services rendered to eligible

11  patients, recognize hospitals that render a disproportionate

12  share of indigent care, provide other incentives to promote

13  the delivery of charity care, promote the advancement of

14  technology in medical services, recognize the level of

15  responsiveness to medical needs in trauma cases, and require

16  cost containment including, but not limited to, case

17  management. It must also provide that any hospitals that are

18  owned and operated by government entities on May 21, 1991,

19  must, as a condition of receiving funds under this subsection,

20  afford public access equal to that provided under s. 286.011

21  as to meetings of the governing board, the subject of which is

22  budgeting resources for the rendition of charity care as that

23  term is defined in the Florida Hospital Uniform Reporting

24  System (FHURS) manual referenced in s. 408.07.  The plan shall

25  also include innovative health care programs that provide

26  cost-effective alternatives to traditional methods of service

27  delivery and funding.

28         (d)  For the purpose of this subsection, the term

29  "qualified resident" means residents of the authorizing county

30  who are:

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                                          HB 959, Second Engrossed



  1         1.  Qualified as indigent persons as certified by the

  2  authorizing county;

  3         2.  Certified by the authorizing county as meeting the

  4  definition of the medically poor, defined as persons having

  5  insufficient income, resources, and assets to provide the

  6  needed medical care without using resources required to meet

  7  basic needs for shelter, food, clothing, and personal

  8  expenses; or not being eligible for any other state or federal

  9  program, or having medical needs that are not covered by any

10  such program; or having insufficient third-party insurance

11  coverage.  In all cases, the authorizing county is intended to

12  serve as the payor of last resort; or

13         3.  Participating in innovative, cost-effective

14  programs approved by the authorizing county.

15         (e)  Moneys collected pursuant to this subsection

16  remain the property of the state and shall be distributed by

17  the Department of Revenue on a regular and periodic basis to

18  the clerk of the circuit court as ex officio custodian of the

19  funds of the authorizing county. The clerk of the circuit

20  court shall:

21         1.  Maintain the moneys in an indigent health care

22  trust fund;

23         2.  Invest any funds held on deposit in the trust fund

24  pursuant to general law; and

25         3.  Disburse the funds, including any interest earned,

26  to any provider of health care services, as provided in

27  paragraphs (c) and (d), upon directive from the authorizing

28  county. However, if a county has a population of at least

29  800,000 residents and has levied the surtax authorized in this

30  subsection, notwithstanding any directive from the authorizing

31  county, on October 1 of each calendar year, the clerk of the


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                                          HB 959, Second Engrossed



  1  court shall issue a check in the amount of $6.5 million to a

  2  hospital in its jurisdiction that has a Level I trauma center

  3  or shall issue a check in the amount of $3.5 million to a

  4  hospital in its jurisdiction that has a Level I trauma center

  5  if that county enacts and implements a hospital lien law in

  6  accordance with chapter 98-499, Laws of Florida. The issuance

  7  of the checks on October 1 of each year is provided in

  8  recognition of the Level I trauma center status and shall be

  9  in addition to the base contract amount received during fiscal

10  year 1999-2000 and any additional amount negotiated to the

11  base contract. If the hospital receiving funds for its Level I

12  trauma center status requests such funds to be used to

13  generate federal matching funds under Medicaid, the clerk of

14  the court shall instead issue a check to the Agency for Health

15  Care Administration to accomplish that purpose to the extent

16  that it is allowed through the General Appropriations Act.

17         (f)  Notwithstanding any other provision of this

18  section, a county shall not levy local option sales surtaxes

19  authorized in this subsection and subsections (2) and (3) in

20  excess of a combined rate of 1 percent.

21         (g)  This subsection expires October 1, 2005.

22         (7)  VOTER-APPROVED INDIGENT CARE SURTAX.--

23         (a)  The governing body in each county that has a

24  population of less than 800,000 residents may levy an indigent

25  care surtax pursuant to an ordinance conditioned to take

26  effect only upon approval by a majority vote of the electors

27  of the county voting in a referendum. The surtax may be levied

28  at a rate not to exceed 0.5 percent, except that if a publicly

29  supported medical school is located in the county, the rate

30  shall not exceed 1 percent.

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                                          HB 959, Second Engrossed



  1         (b)  A statement that includes a brief and general

  2  description of the purposes to be funded by the surtax and

  3  that conforms to the requirements of s. 101.161 shall be

  4  placed on the ballot by the governing body of the county. The

  5  following questions shall be placed on the ballot:

  6

  7                     FOR THE. . . .CENTS TAX

  8                   AGAINST THE. . . .CENTS TAX

  9

10         (c)  The ordinance adopted by the governing body

11  providing for the imposition of the surtax must set forth a

12  plan for providing health care services to qualified

13  residents, as defined in paragraph (d). The plan and

14  subsequent amendments to it shall fund a broad range of health

15  care services for indigent persons and the medically poor,

16  including, but not limited to, primary care and preventive

17  care, as well as hospital care. It shall emphasize a

18  continuity of care in the most cost-effective setting, taking

19  into consideration a high quality of care and geographic

20  access. Where consistent with these objectives, it shall

21  include, without limitation, services rendered by physicians,

22  clinics, community hospitals, mental health centers, and

23  alternative delivery sites, as well as at least one regional

24  referral hospital where appropriate. It shall provide that

25  agreements negotiated between the county and providers shall

26  include reimbursement methodologies that take into account the

27  cost of services rendered to eligible patients, recognize

28  hospitals that render a disproportionate share of indigent

29  care, provide other incentives to promote the delivery of

30  charity care, and require cost containment, including, but not

31  limited to, case management. The plan must also include


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                                          HB 959, Second Engrossed



  1  innovative health care programs that provide cost-effective

  2  alternatives to traditional methods of service delivery and

  3  funding.

  4         (d)  For the purpose of this subsection, "qualified

  5  residents" means residents of the authorizing county who are:

  6         1.  Qualified as indigent persons as certified by the

  7  authorizing county;

  8         2.  Certified by the authorizing county as meeting the

  9  definition of the medically poor, defined as persons having

10  insufficient income, resources, and assets to provide the

11  needed medical care without using resources required to meet

12  basic needs for shelter, food, clothing, and personal

13  expenses; not being eligible for any other state or federal

14  program or having medical needs that are not covered by any

15  such program; or having insufficient third-party insurance

16  coverage. In all cases, the authorizing county shall serve as

17  the payor of last resort; or

18         3.  Participating in innovative, cost-effective

19  programs approved by the authorizing county.

20         (e)  Moneys collected pursuant to this subsection

21  remain the property of the state and shall be distributed by

22  the Department of Revenue on a regular and periodic basis to

23  the clerk of the circuit court as ex officio custodian of the

24  funds of the authorizing county. The clerk of the circuit

25  court shall:

26         1.  Maintain the moneys in an indigent health care

27  trust fund.

28         2.  Invest any funds held on deposit in the trust fund

29  pursuant to general law.

30         3.  Disburse the funds, including any interest earned,

31  to any provider of health care services, as provided in


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                                          HB 959, Second Engrossed



  1  paragraphs (c) and (d), upon directive from the authorizing

  2  county.

  3         (f)  Notwithstanding any other provision of this

  4  section, a county may not levy local option sales surtaxes

  5  authorized in this subsection and subsections (2) and (3) in

  6  excess of a combined rate of 1 percent or, if a publicly

  7  supported medical school is located in the county, in excess

  8  of a combined rate of 1.5 percent.

  9         Section 3.  Except as otherwise provided herein, this

10  act shall take effect July 1, 2000.

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