CODING: Words stricken are deletions; words underlined are additions.



                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 1150

    Amendment No. ___   Barcode 374700

                            CHAMBER ACTION
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11  Senator Saunders moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 5, between lines 12 and 13,

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16  insert:

17         Section 3.  Paragraph (d) of subsection (5) of section

18  400.179, Florida Statutes, is amended to read:

19         400.179  Sale or transfer of ownership of a nursing

20  facility; liability for Medicaid underpayments and

21  overpayments.--

22         (5)  Because any transfer of a nursing facility may

23  expose the fact that Medicaid may have underpaid or overpaid

24  the transferor, and because in most instances, any such

25  underpayment or overpayment can only be determined following a

26  formal field audit, the liabilities for any such underpayments

27  or overpayments shall be as follows:

28         (d)  Where the transfer involves a facility that has

29  been leased by the transferor:

30         1.  The transferee shall, as a condition to being

31  issued a license by the agency, acquire, maintain, and provide

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                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 1150

    Amendment No. ___   Barcode 374700





  1  proof to the agency of a bond with a term of 30 months,

  2  renewable annually, in an amount not less than the total of 3

  3  months Medicaid payments to the facility computed on the basis

  4  of the preceding 12-month average Medicaid payments to the

  5  facility.

  6         2.  The leasehold operator may meet the bond

  7  requirement through other arrangements acceptable to the

  8  department.

  9         3.  All existing nursing facility licensees, operating

10  the facility as a leasehold, shall acquire, maintain, and

11  provide proof to the agency of the 30-month bond required in

12  subparagraph 1., above, on and after July 1, 1993, for each

13  license renewal.

14         4.  It shall be the responsibility of all nursing

15  facility operators, operating the facility as a leasehold, to

16  renew the 30-month bond and to provide proof of such renewal

17  to the agency annually at the time of application for license

18  renewal.

19         5.  Any failure of the nursing facility operator to

20  acquire, maintain, renew annually, or provide proof to the

21  agency shall be grounds for the agency to deny, cancel,

22  revoke, or suspend the facility license to operate such

23  facility and to take any further action, including, but not

24  limited to, enjoining the facility, asserting a moratorium, or

25  applying for a receiver, deemed necessary to ensure compliance

26  with this section and to safeguard and protect the health,

27  safety, and welfare of the facility's residents.

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29  Notwithstanding any provision of this section to the contrary,

30  a lease agreement required as a condition of bond financing or

31  refinancing under s. 154.213 by a health facilities authority

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                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 1150

    Amendment No. ___   Barcode 374700





  1  or under s. 159.30 by a county or municipality is not a

  2  leasehold for purposes of this paragraph and is not subject to

  3  the bond required under this paragraph.

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  5  (Redesignate subsequent sections.)

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  8  ================ T I T L E   A M E N D M E N T ===============

  9  And the title is amended as follows:

10         On page 1, line 10, after the semicolon,

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12  insert:

13         amending s. 400.179, F.S.; providing an

14         exception to the requirement that a nursing

15         facility subject to sale or transfer obtain a

16         bond;

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