SENATE AMENDMENT
Bill No. CS for CS for SB 2092
Amendment No. ___ Barcode 974490
CHAMBER ACTION
Senate House
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11 Senator Sanderson moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 16, between lines 2 and 3,
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16 insert:
17 Section 7. Paragraph (d) of subsection (3) of section
18 409.912, Florida Statutes, is amended to read:
19 409.912 Cost-effective purchasing of health care.--The
20 agency shall purchase goods and services for Medicaid
21 recipients in the most cost-effective manner consistent with
22 the delivery of quality medical care. The agency shall
23 maximize the use of prepaid per capita and prepaid aggregate
24 fixed-sum basis services when appropriate and other
25 alternative service delivery and reimbursement methodologies,
26 including competitive bidding pursuant to s. 287.057, designed
27 to facilitate the cost-effective purchase of a case-managed
28 continuum of care. The agency shall also require providers to
29 minimize the exposure of recipients to the need for acute
30 inpatient, custodial, and other institutional care and the
31 inappropriate or unnecessary use of high-cost services.
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SENATE AMENDMENT
Bill No. CS for CS for SB 2092
Amendment No. ___ Barcode 974490
1 (3) The agency may contract with:
2 (d) No more than four provider service networks for
3 demonstration projects to test Medicaid direct contracting.
4 The demonstration projects may be reimbursed on a
5 fee-for-service or prepaid basis. A provider service network
6 which is reimbursed by the agency on a prepaid basis shall be
7 exempt from parts I and III of chapter 641, but must meet
8 appropriate financial reserve, quality assurance, and patient
9 rights requirements as established by the agency. The agency
10 shall award contracts on a competitive bid basis and shall
11 select bidders based upon price and quality of care. Medicaid
12 recipients assigned to a demonstration project shall be chosen
13 equally from those who would otherwise have been assigned to
14 prepaid plans and MediPass. The agency is authorized to seek
15 federal Medicaid waivers as necessary to implement the
16 provisions of this section. A demonstration project awarded
17 pursuant to this paragraph shall be for 4 2 years from the
18 date of implementation.
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20 (Redesignate subsequent sections.)k
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24 And the title is amended as follows:
25 On page 2, line 7, after the semicolon,
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28 amending s. 409.912, F.S.; extending the
29 duration of certain demonstration projects to
30 test Medicaid direct contracting;
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