Senate Bill sb1476c1

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    Florida Senate - 2001                           CS for SB 1476

    By the Committee on Health, Aging and Long-Term Care; and
    Senator Dawson




    317-1809-01

  1                      A bill to be entitled

  2         An act relating to the Florida Kidcare Act;

  3         amending ss. 409.811, 409.8132, 409.814,

  4         409.818, 409.904, 624.91, F.S.; defining the

  5         term "Florida Kidcare program"; deleting

  6         certain limitations on enrolling in the

  7         Medikids program; revising criteria for Kidcare

  8         program components; extending the period that a

  9         child is eligible for coverage without a

10         redetermination of eligibility; deleting

11         obsolete provisions; providing for state

12         funding of the Kidcare program; requiring

13         uniform and joint administration of Kidcare

14         program implementation; requiring joint

15         development of a plan for Kidcare eligibility

16         determinations and plan implementation by a

17         date certain; creating s. 409.81753, F.S.;

18         providing for Kidcare program providers;

19         requiring the Department of Health to develop

20         and implement uniform provider standards for

21         Kidcare components; providing an effective

22         date.

23

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

25

26         Section 1.  Present subsections (14) through (27) of

27  section 409.811, Florida Statutes, are redesignated as

28  subsections (15) through (28), respectively, and a new

29  subsection (14) is added to that section, to read:

30         409.811  Definitions relating to Florida Kidcare

31  Act.--As used in ss. 409.810-409.820, the term:

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  1         (14)  "Florida Kidcare program" means the child health

  2  insurance program that includes children's Medicaid coverage,

  3  Medikids, the Florida Healthy Kids Corporation, Children's

  4  Medical Services, and any employer-sponsored health insurance

  5  programs approved under ss. 409.810-409.820. Any child

  6  enrolled in the Medicaid program is a participant in the

  7  Florida Kidcare program, regardless of whether the child was

  8  enrolled using the simplified application process or whether

  9  the child receives other public benefits.

10         Section 2.  Subsection (7) of section 409.8132, Florida

11  Statutes, is amended to read:

12         409.8132  Medikids program component.--

13         (7)  ENROLLMENT.--Enrollment in the Medikids program

14  component may only occur during periodic open enrollment

15  periods as specified by the agency. An applicant may apply for

16  enrollment in the Medikids program component and proceed

17  through the eligibility determination process at any time

18  throughout the year. However, enrollment in Medikids shall not

19  begin until the next open enrollment period; and a child may

20  not receive services under the Medikids program until the

21  child is enrolled in a managed care plan or MediPass. In

22  addition, once determined eligible, an applicant may receive

23  choice counseling and select a managed care plan or MediPass.

24  The agency may initiate mandatory assignment for a Medikids

25  applicant who has not chosen a managed care plan or MediPass

26  provider after the applicant's voluntary choice period ends.

27  An applicant may select MediPass under the Medikids program

28  component only in counties that have fewer than two managed

29  care plans available to serve Medicaid recipients and only if

30  the federal Health Care Financing Administration determines

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  1  that MediPass constitutes "health insurance coverage" as

  2  defined in Title XXI of the Social Security Act.

  3         Section 3.  Section 409.814, Florida Statutes, is

  4  amended to read:

  5         409.814  Eligibility.--A child whose family income is

  6  equal to or below 200 percent of the federal poverty level is

  7  eligible for the Florida Kidcare program as provided in this

  8  section. In determining the eligibility of such a child, an

  9  assets test is not required. An applicant under 19 years of

10  age who, based on a complete application, appears to be

11  eligible for the Medicaid component of the Florida Kidcare

12  program is presumed eligible for coverage under Medicaid,

13  subject to federal rules. A child who has been deemed

14  presumptively eligible for Medicaid shall not be enrolled in a

15  managed care plan until the child's full eligibility

16  determination for Medicaid has been completed. The Florida

17  Healthy Kids Corporation and other federally approved entities

18  may, subject to compliance with applicable requirements of the

19  Agency for Health Care Administration and the Department of

20  Children and Family Services, be designated as an entity to

21  conduct presumptive eligibility determinations. An applicant

22  under 19 years of age who, based on a complete application,

23  appears to be eligible for the Medikids, Florida Healthy Kids,

24  or Children's Medical Services network program component, who

25  is screened as ineligible for Medicaid and prior to the

26  monthly verification of the applicant's enrollment in Medicaid

27  or of eligibility for coverage under the state employee health

28  benefit plan, may be enrolled in and begin receiving coverage

29  from the appropriate program component on the first day of the

30  month following the receipt of a completed application.  For

31  enrollment in the Children's Medical Services network, a

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  1  complete application includes the medical or behavioral health

  2  screening. If, after verification, an individual is determined

  3  to be ineligible for coverage, he or she must be disenrolled

  4  from the respective Title XXI-funded Kidcare program

  5  component.

  6         (1)  A child who is eligible for Medicaid coverage

  7  under s. 409.903 or s. 409.904 must be enrolled in Medicaid

  8  and is not eligible to receive health benefits under any other

  9  health benefits coverage authorized under ss. 409.810-409.820.

10         (2)  A child who is not eligible for Medicaid, but who

11  is eligible for the Florida Kidcare program, may obtain

12  coverage under any of the other types of health benefits

13  coverage authorized in ss. 409.810-409.820 if such coverage is

14  approved and available in the county in which the child

15  resides. However, a child who is eligible for Medikids may

16  participate in the Florida Healthy Kids program only if the

17  child has a sibling participating in the Florida Healthy Kids

18  program and the child's county of residence permits such

19  enrollment.

20         (3)  A child who is eligible for the Florida Kidcare

21  program who is a child with special health care needs, as

22  determined through a medical or behavioral screening

23  instrument, is eligible for health benefits coverage from and

24  shall be referred to the Children's Medical Services network.

25         (4)  The following children are not eligible to receive

26  premium assistance for health benefits coverage under ss.

27  409.810-409.820, except under Medicaid if the child would have

28  been eligible for Medicaid under s. 409.903 or s. 409.904 as

29  of June 1, 1997:

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  1         (a)  A child who is eligible for coverage under a state

  2  health benefit plan on the basis of a family member's

  3  employment with a public agency in the state.

  4         (a)(b)  A child who is covered under a group health

  5  benefit plan or under other health insurance coverage,

  6  excluding coverage provided under the Florida Healthy Kids

  7  Corporation as established under s. 624.91.

  8         (c)  A child who is seeking premium assistance for

  9  employer-sponsored group coverage, if the child has been

10  covered by the same employer's group coverage during the 6

11  months prior to the family's submitting an application for

12  determination of eligibility under the Florida Kidcare

13  program.

14         (d)  A child who is an alien, but who does not meet the

15  definition of qualified alien, in the United States.

16         (b)(e)  A child who is an inmate of a public

17  institution or a patient in an institution for mental

18  diseases.

19

20  Children who are ineligible for federal funding under Title

21  XIX and Title XXI of the Social Security Act may be enrolled

22  in the Kidcare program based upon family income, and their

23  coverage shall be provided by state funds. Other funds may be

24  contributed toward the cost of the program on a voluntary

25  basis.

26         (5)  A child whose family income is above 200 percent

27  of the federal poverty level or a child who is excluded under

28  the provisions of subsection (4) may participate in the

29  Florida Kidcare program, excluding the Medicaid program, but

30  is subject to the following provisions:

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  1         (a)  The family is not eligible for premium assistance

  2  payments and must pay the full cost of the premium, including

  3  any administrative costs.

  4         (b)  The agency is authorized to place limits on

  5  enrollment in Medikids by these children in order to avoid

  6  adverse selection.  The number of children participating in

  7  Medikids whose family income exceeds 200 percent of the

  8  federal poverty level must not exceed 10 percent of total

  9  enrollees in the Medikids program.

10         (c)  The board of directors of the Florida Healthy Kids

11  Corporation is authorized to place limits on enrollment of

12  these children in order to avoid adverse selection. In

13  addition, the board is authorized to offer a reduced benefit

14  package to these children in order to limit program costs for

15  such families. The number of children participating in the

16  Florida Healthy Kids program whose family income exceeds 200

17  percent of the federal poverty level must not exceed 10

18  percent of total enrollees in the Florida Healthy Kids

19  program.

20         (d)  Children described in this subsection are not

21  counted in the annual enrollment ceiling for the Florida

22  Kidcare program.

23         (6)  Once a child is enrolled in the Florida Kidcare

24  program, the child is eligible for coverage under the program

25  for 12 6 months without a redetermination or reverification of

26  eligibility, if the family continues to pay the applicable

27  premium. Effective January 1, 1999, a child who has not

28  attained the age of 5 and who has been determined eligible for

29  the Medicaid program is eligible for coverage for 12 months

30  without a redetermination or reverification of eligibility.

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  1         (7)  When determining or reviewing a child's

  2  eligibility under the program, the applicant shall be provided

  3  with reasonable notice of changes in eligibility which may

  4  affect enrollment in one or more of the program components.

  5  In order to promote continuity of health care coverage when a

  6  transition from one program component to another is

  7  appropriate, the transition shall occur without any gaps in

  8  coverage, provided that all required premiums are paid there

  9  shall be cooperation between the program components and the

10  affected family which promotes continuity of health care

11  coverage.

12         Section 4.  Section 409.81753, Florida Statutes, is

13  created to read:

14         409.81753  Kidcare providers.--All children in the

15  Kidcare program shall be provided with a medical home. The

16  Department of Health, in consultation with the Florida Healthy

17  Kids Corporation, shall develop and implement uniform provider

18  standards to be applied to all Kidcare components.

19         Section 5.  Section 409.818, Florida Statutes, is

20  amended to read:

21         409.818  Administration.--All agencies implementing the

22  Kidcare program shall administer the program to provide a

23  seamless system and continuity of care. All children eligible

24  for Kidcare shall be issued a uniform Kidcare Card to document

25  their eligibility. Children who become ineligible for one

26  program component shall be reviewed for eligibility for

27  coverage in another program component and, if eligible, shall

28  automatically be transferred to such program component.  There

29  shall be a single eligibility determination process, and a

30  single contractor shall be selected to determine eligibility

31  for the KidCare program.  The KidCare program is defined as

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  1  including Medicaid, Medikids, the Children's Medical Services

  2  Network, and the Florida Healthy Kids Corporation. The single

  3  eligibility determination process shall facilitate the timely

  4  enrollment of eligible children and transitions between

  5  program components, and allow for preenrollment of an unborn

  6  child into the Medicaid program.  The Department of Health, in

  7  conjunction with the Department of Children and Family

  8  Services, the Agency for Health Care Administration, and the

  9  Healthy Kids Corporation, shall coordinate the development of

10  the single eligibility process and request for proposal or

11  invitation to negotiate for the selection of a contracted

12  third-party administrator with whom the program components

13  shall contract to perform eligibility determination functions.

14  An interim progress report to the Governor, the President of

15  the Senate, and the Speaker of the House is due no later than

16  February 1, 2002, with implementation to occur no later than

17  June 30, 2002. In order to implement ss. 409.810-409.820, the

18  following agencies shall have the following duties:

19         (1)  The Department of Children and Family Services

20  shall:

21         (a)  Develop a simplified eligibility application

22  mail-in form to be used for determining the eligibility of

23  children for coverage under the Florida Kidcare program, in

24  consultation with the agency, the Department of Health, and

25  the Florida Healthy Kids Corporation. The simplified

26  eligibility application form must include an item that

27  provides an opportunity for the applicant to indicate whether

28  coverage is being sought for a child with special health care

29  needs. Families applying for children's Medicaid coverage must

30  also be able to use the simplified application form without

31  having to pay a premium.

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  1         (b)  Establish and maintain the eligibility

  2  determination process under the program except as specified in

  3  subsection (5). The department shall directly, or through the

  4  services of a contracted third-party administrator, establish

  5  and maintain a process for determining eligibility of children

  6  for coverage under the program. The eligibility determination

  7  process must be used solely for determining eligibility of

  8  applicants for health benefits coverage under the program. The

  9  eligibility determination process must include an initial

10  determination of eligibility for any coverage offered under

11  the Florida Kidcare program, as well as a redetermination or

12  reverification of eligibility each subsequent 12 6 months.

13  Effective January 1, 1999, a child who has not attained the

14  age of 5 and who has been determined eligible for the Medicaid

15  program is eligible for coverage for 12 months without a

16  redetermination or reverification of eligibility. In

17  conducting an eligibility determination, the department shall

18  determine if the child has special health care needs. The

19  department, in consultation with the Agency for Health Care

20  Administration and the Florida Healthy Kids Corporation, shall

21  develop procedures for redetermining eligibility which enable

22  a family to easily update any change in circumstances which

23  could affect eligibility. The department may accept changes in

24  a family's status as reported to the department by the Florida

25  Healthy Kids Corporation without requiring a new application

26  from the family. Redetermination of a child's eligibility for

27  Medicaid may not be linked to a child's eligibility

28  determination for other programs.

29         (c)  Inform program applicants about eligibility

30  determinations and provide information about eligibility of

31  applicants to Medicaid, Medikids, the Children's Medical

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  1  Services network, and the Florida Healthy Kids Corporation,

  2  and to insurers and their agents, through a centralized

  3  coordinating office.

  4         (d)  Adopt rules necessary for conducting program

  5  eligibility functions.

  6         (2)  The Department of Health shall:

  7         (a)  Design an eligibility intake process for the

  8  program, in coordination with the Department of Children and

  9  Family Services, the agency, and the Florida Healthy Kids

10  Corporation. The eligibility intake process may include local

11  intake points that are determined by the Department of Health

12  in coordination with the Department of Children and Family

13  Services.

14         (b)  Design and implement program outreach activities

15  under s. 409.819.

16         (c)  Chair a state-level coordinating council to review

17  and make recommendations concerning the implementation and

18  operation of the program. The coordinating council shall

19  include representatives from the department, the Department of

20  Children and Family Services, the agency, the Florida Healthy

21  Kids Corporation, the Department of Insurance, local

22  government, health insurers, health maintenance organizations,

23  health care providers, families participating in the program,

24  and organizations representing low-income families.

25         (d)  In consultation with the Florida Healthy Kids

26  Corporation and the Department of Children and Family

27  Services, establishing a toll-free telephone line to assist

28  families with questions about the program.

29         (e)  Adopt rules necessary to implement outreach

30  activities.

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  1         (3)  The Agency for Health Care Administration, under

  2  the authority granted in s. 409.914(1), shall:

  3         (a)  Calculate the premium assistance payment necessary

  4  to comply with the premium and cost-sharing limitations

  5  specified in s. 409.816. The premium assistance payment for

  6  each enrollee in a health insurance plan participating in the

  7  Florida Healthy Kids Corporation shall equal the premium

  8  approved by the Florida Healthy Kids Corporation and the

  9  Department of Insurance pursuant to ss. 627.410 and 641.31,

10  less any enrollee's share of the premium established within

11  the limitations specified in s. 409.816. The premium

12  assistance payment for each enrollee in an employer-sponsored

13  health insurance plan approved under ss. 409.810-409.820 shall

14  equal the premium for the plan adjusted for any benchmark

15  benefit plan actuarial equivalent benefit rider approved by

16  the Department of Insurance pursuant to ss. 627.410 and

17  641.31, less any enrollee's share of the premium  established

18  within the limitations specified in s. 409.816. In calculating

19  the premium assistance payment levels for children with family

20  coverage, the agency shall set the premium assistance payment

21  levels for each child proportionately to the total cost of

22  family coverage.

23         (b)  Annually calculate the program enrollment ceiling

24  based on estimated per child premium assistance payments and

25  the estimated appropriation available for the program.

26         (c)  Make premium assistance payments to health

27  insurance plans on a periodic basis. The agency may use its

28  Medicaid fiscal agent or a contracted third-party

29  administrator in making these payments.  The agency may

30  require health insurance plans that participate in the

31  Medikids program or employer-sponsored group health insurance

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  1  to collect premium payments from an enrollee's family.

  2  Participating health insurance plans shall report premium

  3  payments collected on behalf of enrollees in the program to

  4  the agency in accordance with a schedule established by the

  5  agency.

  6         (d)  Monitor compliance with quality assurance and

  7  access standards developed under s. 409.820.

  8         (e)  Establish a mechanism for investigating and

  9  resolving complaints and grievances from program applicants,

10  enrollees, and health benefits coverage providers, and

11  maintain a record of complaints and confirmed problems. In the

12  case of a child who is enrolled in a health maintenance

13  organization, the agency must use the provisions of s. 641.511

14  to address grievance reporting and resolution requirements.

15         (f)  Approve health benefits coverage for participation

16  in the program, following certification by the Department of

17  Insurance under subsection (4).

18         (g)  Adopt rules that comply with Title XXI of the

19  Social Security Act necessary for calculating premium

20  assistance payment levels, calculating the program enrollment

21  ceiling, making premium assistance payments, monitoring access

22  and quality assurance standards, investigating and resolving

23  complaints and grievances, administering the Medikids program,

24  and approving health benefits coverage.

25

26  The agency is designated the lead state agency for Title XXI

27  of the Social Security Act for purposes of receipt of federal

28  funds, for reporting purposes, and for ensuring compliance

29  with federal and state regulations and rules.

30         (4)  The Department of Insurance shall certify that

31  health benefits coverage plans that seek to provide services

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  1  under the Florida Kidcare program, except those offered

  2  through the Florida Healthy Kids Corporation or the Children's

  3  Medical Services network, meet, exceed, or are actuarially

  4  equivalent to the benchmark benefit plan and that health

  5  insurance plans will be offered at an approved rate. In

  6  determining actuarial equivalence of benefits coverage, the

  7  Department of Insurance and health insurance plans must comply

  8  with the requirements of s. 2103 of Title XXI of the Social

  9  Security Act. The department shall adopt rules necessary for

10  certifying health benefits coverage plans.

11         (5)  The Florida Healthy Kids Corporation shall retain

12  its functions as authorized in s. 624.91, including

13  eligibility determination for participation in the Healthy

14  Kids program.

15         (6)  The agency, the Department of Health, the

16  Department of Children and Family Services, the Florida

17  Healthy Kids Corporation, and the Department of Insurance,

18  after consultation with and approval of the Speaker of the

19  House of Representatives and the President of the Senate, are

20  authorized to make program modifications that are necessary to

21  overcome any objections of the United States Department of

22  Health and Human Services to obtain approval of the state's

23  child health insurance plan under Title XXI of the Social

24  Security Act.

25         Section 6.  Subsections (6), (7), and (8) of section

26  409.904, Florida Statutes, are amended to read:

27         409.904  Optional payments for eligible persons.--The

28  agency may make payments for medical assistance and related

29  services on behalf of the following persons who are determined

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

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

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

  2  availability of moneys and any limitations established by the

  3  General Appropriations Act or chapter 216.

  4         (6)  A child born before October 1, 1983, living in a

  5  family that has an income which is at or below 133 100 percent

  6  of the current federal poverty level, who has attained the age

  7  of 6, but has not attained the age of 19, and who would be

  8  eligible in s. 409.903(6), if the child had been born on or

  9  after such date.  In determining the eligibility of such a

10  child, an assets test is not required. A child who is eligible

11  for Medicaid under this subsection must be offered the

12  opportunity, subject to federal rules, to be made

13  presumptively eligible in accordance with federal law by any

14  entity authorized under federal law. A child who has been

15  deemed presumptively eligible for Medicaid shall not be

16  enrolled in a managed care plan until the child's full

17  eligibility determination for Medicaid has been completed.

18         (7)  A child who has not attained the age of 19 who has

19  been determined eligible for the Medicaid program is deemed to

20  be eligible for a total of 12 6 months, regardless of changes

21  in circumstances other than attainment of the maximum age.

22  Effective January 1, 1999, a child who has not attained the

23  age of 5 and who has been determined eligible for the Medicaid

24  program is deemed to be eligible for a total of 12 months

25  regardless of changes in circumstances other than attainment

26  of the maximum age.

27         (8)  A pregnant woman for the duration of her pregnancy

28  and for the postpartum period, as defined in federal law and

29  rule, and a child under 1 year of age, who lives in a family

30  that has an income above 185 percent of the current most

31  recently published federal poverty level, but which is at or

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  1  below 200 percent of such poverty level. A pregnant woman who

  2  applies for eligibility for the Medicaid program through a

  3  qualified Medicaid provider shall be offered the opportunity

  4  to be made presumptively eligible in accordance with federal

  5  law by any entity authorized under federal law. In determining

  6  the eligibility of such child, an assets test is not required.

  7  A child who is eligible for Medicaid under this subsection

  8  must be offered the opportunity, subject to federal rules, to

  9  be made presumptively eligible.

10         Section 7.  Paragraph (b) of subsection (2) and

11  paragraph (b) of subsection (4) of section 624.91, Florida

12  Statutes, are amended to read:

13         624.91  The Florida Healthy Kids Corporation Act.--

14         (2)  LEGISLATIVE INTENT.--

15         (b)  It is the intent of the Legislature that the

16  Florida Healthy Kids Corporation serve as one of several

17  providers of services to children eligible for medical

18  assistance under Title XXI of the Social Security Act.

19  Although the corporation may serve other children, the

20  Legislature intends the primary recipients of services

21  provided through the corporation be school-age children with a

22  family income at or below 200 percent of the federal poverty

23  level, who do not qualify for Medicaid.  It is also the intent

24  of the Legislature that state and local government Florida

25  Healthy Kids funds, to the extent permissible under federal

26  law, be used to obtain matching federal dollars.

27         (4)  CORPORATION AUTHORIZATION, DUTIES, POWERS.--

28         (b)  The Florida Healthy Kids Corporation shall phase

29  in a program to:

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  1         1.  Organize school children groups to facilitate the

  2  provision of comprehensive health insurance coverage to

  3  children;

  4         2.  Arrange for the collection of any family, voluntary

  5  local contributions, or employer payment or premium, in an

  6  amount to be determined by the board of directors, to provide

  7  for payment of premiums for comprehensive insurance coverage

  8  and for the actual or estimated administrative expenses;

  9         3.  Establish the administrative and accounting

10  procedures for the operation of the corporation;

11         4.  Establish, with consultation from appropriate

12  professional organizations, standards for preventive health

13  services and providers and comprehensive insurance benefits

14  appropriate to children; provided that such standards for

15  rural areas shall not limit primary care providers to

16  board-certified pediatricians;

17         5.  Establish eligibility criteria which children must

18  meet in order to participate in the program;

19         5.6.  Establish procedures under which applicants to

20  and participants in the program may have grievances reviewed

21  by an impartial body and reported to the board of directors of

22  the corporation;

23         6.7.  Establish participation criteria and, if

24  appropriate, contract with an authorized insurer, health

25  maintenance organization, or insurance administrator to

26  provide administrative services to the corporation;

27         7.8.  Establish enrollment criteria which shall include

28  year-round enrollment penalties or waiting periods of not

29  fewer than 60 days for reinstatement of coverage upon

30  voluntary cancellation for nonpayment of family premiums;

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  1         9.  If a space is available, establish a special open

  2  enrollment period of 30 days' duration for any child who is

  3  enrolled in Medicaid or Medikids if such child loses Medicaid

  4  or Medikids eligibility and becomes eligible for the Florida

  5  Healthy Kids program;

  6         8.10.  Contract with authorized insurers or any

  7  provider of health care services, meeting standards

  8  established by the corporation, for the provision of

  9  comprehensive insurance coverage to participants.  Such

10  standards shall include criteria under which the corporation

11  may contract with more than one provider of health care

12  services in program sites. Health plans shall be selected

13  through a competitive bid process. The selection of health

14  plans shall be based primarily on quality criteria established

15  by the board. The health plan selection criteria and scoring

16  system, and the scoring results, shall be available upon

17  request for inspection after the bids have been awarded;

18         9.11.  Participate in the development and

19  implementation of Develop and implement a plan to publicize

20  the Kidcare program Florida Healthy Kids Corporation, the

21  eligibility requirements of the program, and the procedures

22  for enrollment in the program and to maintain public awareness

23  of the corporation and the program;

24         10.12.  Secure staff necessary to properly administer

25  the corporation. Staff costs shall be funded from state and

26  local matching funds and such other private or public funds as

27  become available. The board of directors shall determine the

28  number of staff members necessary to administer the

29  corporation;

30         11.13.  As appropriate, enter into contracts with local

31  school boards or other federally approved entities agencies to

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    Florida Senate - 2001                           CS for SB 1476
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  1  provide onsite information, enrollment, and other services

  2  necessary to the operation of the corporation;

  3         12.14.  Provide a report on an annual basis to the

  4  Governor, Insurance Commissioner, Commissioner of Education,

  5  Senate President, Speaker of the House of Representatives, and

  6  Minority Leaders of the Senate and the House of

  7  Representatives.;

  8         15.  Each fiscal year, establish a maximum number of

  9  participants by county, on a statewide basis, who may enroll

10  in the program without the benefit of local matching funds.

11  Thereafter, the corporation may establish local matching

12  requirements for supplemental participation in the program.

13  The corporation may vary local matching requirements and

14  enrollment by county depending on factors which may influence

15  the generation of local match, including, but not limited to,

16  population density, per capita income, existing local tax

17  effort, and other factors. The corporation also may accept

18  in-kind match in lieu of cash for the local match requirement

19  to the extent allowed by Title XXI of the Social Security Act;

20  and

21         13.16.  Establish eligibility criteria, premium and

22  cost-sharing requirements, and benefit packages which conform

23  to the provisions of the Florida Kidcare program, as created

24  in ss. 409.810-409.820.

25         Section 8.  This act shall take effect October 1, 2001.

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    Florida Senate - 2001                           CS for SB 1476
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  1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  2                         Senate Bill 1476

  3

  4  The Committee Substitute for Senate Bill 1476 restores current
    statutory provisions for the Medikids program; reduces
  5  eligibility under Kidcare to 200 percent of the Federal
    Poverty Level; requires a single eligibility process,
  6  including facilitation of the timely pre-enrollment of unborn
    children into Medicaid, coordination by the Department of
  7  Health of development of the single eligibility process, and
    procurement of a single third-party administrator with whom
  8  all program components are required to contract to perform
    eligibility determination functions, with implementation by
  9  June 30, 2002; clarifies that local governments may make
    voluntary contributions; restores the authority of the Healthy
10  Kids Corporation to establish eligibility criteria which
    conform to the provisions of the Florida Kidcare Program, and
11  corrects inconsistencies regarding continuous eligibility for
    Medicaid.
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