HOUSE AMENDMENT
                                        Bill No. HB 1753, 1st Eng.   Barcode 290067
    Amendment No. ___ (for drafter's use only)
                            CHAMBER ACTION
              Senate                               House
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11  Representative(s) Joyner and Gannon offered the following:
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13         Amendment (with title amendment) 
14         On page 8, line 19 through page 16, line 20,
15  remove from the bill:  all of said lines
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17  and insert in lieu thereof:  
18         Section 5.  Subsection (16) of Section 409.906, Florida
19  Statutes, is amended, and subsection (25) is added to said
20  subsection, to read:
21         409.906  Optional Medicaid services.--Subject to
22  specific appropriations, the agency may make payments for
23  services which are optional to the state under Title XIX of
24  the Social Security Act and are furnished by Medicaid
25  providers to recipients who are determined to be eligible on
26  the dates on which the services were provided.  Any optional
27  service that is provided shall be provided only when medically
28  necessary and in accordance with state and federal law.
29  Nothing in this section shall be construed to prevent or limit
30  the agency from adjusting fees, reimbursement rates, lengths
31  of stay, number of visits, or number of services, or making
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    File original & 9 copies    04/02/01                          
    hbd0001                     01:09 pm         01753-0059-290067

HOUSE AMENDMENT Bill No. HB 1753, 1st Eng. Barcode 290067 Amendment No. ___ (for drafter's use only) 1 any other adjustments necessary to comply with the 2 availability of moneys and any limitations or directions 3 provided for in the General Appropriations Act or chapter 216. 4 If necessary to safeguard the state's systems of providing 5 services to elderly and disabled persons and subject to the 6 notice and review provisions of s. 216.177, the Governor may 7 direct the Agency for Health Care Administration to amend the 8 Medicaid state plan to delete the optional Medicaid service 9 known as "Intermediate Care Facilities for the Developmentally 10 Disabled." Optional services may include: 11 (16) INTERMEDIATE CARE SERVICES.--The agency may pay 12 for 24-hour-a-day intermediate care nursing and rehabilitation 13 services rendered to a recipient in a nursing facility 14 licensed under part II of chapter 400, if the services are 15 ordered by and provided under the direction of a physician, 16 meet nursing home level of care criteria as determined by the 17 Comprehensive Assessment and Review Long-Term Care (CARE) 18 Program of the Department of Elderly Affairs, and do not meet 19 the definition of "general care" as used in the Medicaid 20 budget estimating process. 21 (25) ASSISTIVE CARE SERVICES.--The agency may pay for 22 assistive care services provided to recipients with functional 23 or cognitive impairments residing in assisted living 24 facilities, adult family-care homes, or residential treatment 25 facilities with 16 or fewer beds. These services may include 26 health support, assistance with the activities of daily living 27 and the instrumental acts of daily living, assistance with 28 medication administration, and arrangements for health care. 29 30 31 2 File original & 9 copies 04/02/01 hbd0001 01:09 pm 01753-0059-290067
HOUSE AMENDMENT Bill No. HB 1753, 1st Eng. Barcode 290067 Amendment No. ___ (for drafter's use only) 1 ================ T I T L E A M E N D M E N T =============== 2 And the title is amended as follows: 3 On page 1, lines 18-21, 4 remove from the title of the bill: all of said lines 5 6 and insert in lieu thereof: 7 amending s. 409.906, F.S.; providing additional 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 3 File original & 9 copies 04/02/01 hbd0001 01:09 pm 01753-0059-290067