Senate Bill sb1306c1

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2001                           CS for SB 1306

    By the Committee on Health, Aging and Long-Term Care; and
    Senators Sanderson and Miller




    317-1738-01

  1                      A bill to be entitled

  2         An act relating to Medicaid assistance for

  3         breast and cervical cancer treatment; creating

  4         the Mary Brogan Breast and Cervical Cancer

  5         Early Detection Program Act; amending s.

  6         409.904, F.S.; authorizing Medicaid

  7         reimbursement for medical assistance provided

  8         to certain persons for treatment of breast or

  9         cervical cancer; providing an effective date.

10

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

12

13         Section 1.  Section 381.93, Florida Statutes is created

14  to read:

15         381.93  Breast and cervical cancer early detection

16  program.--This section may be cited as the "Mary Brogan Breast

17  and Cervical Cancer Early Detection Program Act."

18         (1)  It is the intent of the Legislature to reduce the

19  rates of death due to breast and cervical cancer through early

20  diagnosis and increased access to early screening, diagnosis,

21  and treatment programs.

22         (2)  The Department of Health, using available federal

23  funds and state funds appropriated for that purpose, is

24  authorized to establish the Mary Brogan Breast and Cervical

25  Cancer Screening and Early Detection Program to provide

26  screening, diagnosis, evaluation, treatment, case management,

27  and followup and referral to the Agency for Health Care

28  Administration for coverage of treatment services.

29         (3)  The Mary Brogan Breast and Cervical Cancer Early

30  Detection Program shall be funded through grants for such

31  screening and early detection purposes from the federal

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    Florida Senate - 2001                           CS for SB 1306
    317-1738-01




  1  Centers for Disease Control and Prevention under Title XV of

  2  the Public Health Service Act, 42 U.S.C. 300k et seq.

  3          (4) The department shall limit enrollment in the

  4  program to persons with incomes up to and including 200

  5  percent of the federal poverty level. The department shall

  6  establish an eligibility process that includes an

  7  income-verification process to ensure that persons served

  8  under the program meet income guidelines.

  9         (5) The department may provide other breast and

10  cervical cancer screening and diagnostic services; however,

11  such services shall be funded separately through other sources

12  than this act.

13         Section 2.  Subsection (9) is added to section 409.904,

14  Florida Statutes, to read:

15         409.904  Optional payments for eligible persons.--The

16  agency may make payments for medical assistance and related

17  services on behalf of the following persons who are determined

18  to be eligible subject to the income, assets, and categorical

19  eligibility tests set forth in federal and state law.  Payment

20  on behalf of these Medicaid eligible persons is subject to the

21  availability of moneys and any limitations established by the

22  General Appropriations Act or chapter 216.

23         (9)  A woman who has not attained 65 years of age and

24  who has been screened for breast or cervical cancer by a

25  qualified entity under the Mary Brogan Breast and Cervical

26  Cancer Early Detection Program of the Department of Health and

27  needs treatment for breast or cervical cancer and is not

28  otherwise covered under creditable coverage, as defined in s.

29  2701(c) of the Public Health Service Act. For purposes of this

30  subsection, the term "qualified entity" means a county public

31  health department or other entity that has contracted with the

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    Florida Senate - 2001                           CS for SB 1306
    317-1738-01




  1  Department of Health to provide breast and cervical cancer

  2  screening services paid for under this act. In determining the

  3  eligibility of such a woman, an assets test is not required. A

  4  presumptive eligibility period begins on the date on which all

  5  eligibility criteria appear to be met and ends on the date

  6  determination is made with respect to the eligibility of such

  7  woman for services under the state plan or, in the case of

  8  such a woman who does not file an application, by the last day

  9  of the month following the month in which the presumptive

10  eligibility determination is made. A woman is eligible until

11  she gains creditable coverage, until treatment is no longer

12  necessary, or until attainment of 65 years of age.

13  Notwithstanding s. 216.292, the Department of Health shall

14  transfer general funds to the Agency for Health Care

15  Administration to fund the state-match requirements exceeding

16  the amount specified in the General Appropriations Act for

17  services to persons made eligible under this paragraph.

18         Section 3.  This act shall take effect July 1, 2001.

19

20          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
21                         Senate Bill 1306

22

23  The Committee Substitute for Senate Bill 1306 authorizes the
    Department of Health to use available federal and state
24  funding to establish the Mary Brogan Breast and Cervical
    Cancer Screening and Early Detection Program. The purpose of
25  the program is to provide screening, diagnosis, evaluation,
    treatment, case management, follow-up and referral to the
26  Agency for Health Care Administration for coverage of
    treatment services for certain women who have been screened
27  for breast or cervical cancer under the program. The Committee
    Substitute specifies the eligibility and enrollment
28  limitations. The Committee Substitute, rather than creating a
    new optional Medicaid service category, creates a new optional
29  Medicaid eligibility category for women who have been screened
    through the program and specifies eligibility criteria.
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