SENATE AMENDMENT
    Bill No. CS for CS for SB 2092
    Amendment No. ___   Barcode 974490
                            CHAMBER ACTION
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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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    8:17 AM   04/26/01                              s2092c2c-31c3f

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. 19 20 (Redesignate subsequent sections.)k 21 22 23 ================ T I T L E A M E N D M E N T =============== 24 And the title is amended as follows: 25 On page 2, line 7, after the semicolon, 26 27 insert: 28 amending s. 409.912, F.S.; extending the 29 duration of certain demonstration projects to 30 test Medicaid direct contracting; 31 2 8:17 AM 04/26/01 s2092c2c-31c3f