SENATE AMENDMENT

    Bill No. SB 2502

    Amendment No. ___   Barcode 502766

                            CHAMBER ACTION
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11  Senator Peaden moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 92, between lines 3 and 4,

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16  insert:

17         Section 31.  In order to implement specific

18  appropriation 210 of the 2002-2003 General Appropriations Act,

19  subsection (11) of section 409.908, Florida Statutes, is

20  amended to read:

21         409.908  Reimbursement of Medicaid providers.--Subject

22  to specific appropriations, the agency shall reimburse

23  Medicaid providers, in accordance with state and federal law,

24  according to methodologies set forth in the rules of the

25  agency and in policy manuals and handbooks incorporated by

26  reference therein.  These methodologies may include fee

27  schedules, reimbursement methods based on cost reporting,

28  negotiated fees, competitive bidding pursuant to s. 287.057,

29  and other mechanisms the agency considers efficient and

30  effective for purchasing services or goods on behalf of

31  recipients.  Payment for Medicaid compensable services made on

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                                                  SENATE AMENDMENT

    Bill No. SB 2502

    Amendment No. ___   Barcode 502766





  1  behalf of Medicaid eligible persons is subject to the

  2  availability of moneys and any limitations or directions

  3  provided for in the General Appropriations Act or chapter 216.

  4  Further, nothing in this section shall be construed to prevent

  5  or limit the agency from adjusting fees, reimbursement rates,

  6  lengths of stay, number of visits, or number of services, or

  7  making any other adjustments necessary to comply with the

  8  availability of moneys and any limitations or directions

  9  provided for in the General Appropriations Act, provided the

10  adjustment is consistent with legislative intent.

11         (11)  A provider of independent laboratory services

12  shall be reimbursed on the basis of competitive bidding or for

13  the least of the amount billed by the provider, the provider's

14  usual and customary charge, or the Medicaid maximum allowable

15  fee established by the agency.

16         Section 32.  Effective July 1, 2003, subsection (11) of

17  section 409.908, Florida Statutes, as amended by subsection 31

18  of this act, is amended to read:

19         409.908  Reimbursement of Medicaid providers.--Subject

20  to specific appropriations, the agency shall reimburse

21  Medicaid providers, in accordance with state and federal law,

22  according to methodologies set forth in the rules of the

23  agency and in policy manuals and handbooks incorporated by

24  reference therein.  These methodologies may include fee

25  schedules, reimbursement methods based on cost reporting,

26  negotiated fees, competitive bidding pursuant to s. 287.057,

27  and other mechanisms the agency considers efficient and

28  effective for purchasing services or goods on behalf of

29  recipients.  Payment for Medicaid compensable services made on

30  behalf of Medicaid eligible persons is subject to the

31  availability of moneys and any limitations or directions

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    12:00 PM   03/06/02                               s2502c-01m0a




                                                  SENATE AMENDMENT

    Bill No. SB 2502

    Amendment No. ___   Barcode 502766





  1  provided for in the General Appropriations Act or chapter 216.

  2  Further, nothing in this section shall be construed to prevent

  3  or limit the agency from adjusting fees, reimbursement rates,

  4  lengths of stay, number of visits, or number of services, or

  5  making any other adjustments necessary to comply with the

  6  availability of moneys and any limitations or directions

  7  provided for in the General Appropriations Act, provided the

  8  adjustment is consistent with legislative intent.

  9         (11)  A provider of independent laboratory services

10  shall be reimbursed on the basis of competitive bidding or for

11  the least of the amount billed by the provider, the provider's

12  usual and customary charge, or the Medicaid maximum allowable

13  fee established by the agency.

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15  (Redesignate subsequent sections.)

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

19  And the title is amended as follows:

20         On page 3, line 25, after the semicolon,

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22  insert:

23         amending s. 409.908, F.S.; revising criteria

24         for the reimbursement of providers of

25         independent laboratory services;

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