Senate Bill sb1112

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    Florida Senate - 2003                                  SB 1112

    By Senator Saunders





    37-359A-03

  1                      A bill to be entitled

  2         An act relating to care for elderly persons;

  3         providing a short title; providing legislative

  4         findings; requiring the Agency for Health Care

  5         Administration and the Department of Elderly

  6         Affairs to assist a private, not-for-profit

  7         organization within a specified county in

  8         providing services under a federal program

  9         known as the Program of All-inclusive Care for

10         the Elderly; requiring the Agency for Health

11         Care Administration to seek federal waivers

12         necessary under the Medicaid program;

13         specifying the number of enrollees; requiring

14         the Department of Elderly Affairs to contract

15         with the private organization providing the

16         program; providing an effective date.

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18  Be It Enacted by the Legislature of the State of Florida:

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20         Section 1.  Program of all-inclusive care for the

21  elderly.--

22         (1)  This section may be cited as the "All-inclusive

23  Care for the Elderly Act."

24         (2)  The Legislature finds that:

25         (a)  The establishment of additional sites for the

26  Program of All-inclusive Care for the Elderly, as established

27  in Pub. L. No. 105-33, should be encouraged in this state as

28  one method to enhance the ability of frail and elderly persons

29  who are certified as needing placement in a residential

30  nursing home to delay the necessity of such placement as long

31  as possible.

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    Florida Senate - 2003                                  SB 1112
    37-359A-03




  1         (b)  The Program of All-inclusive Care for the Elderly

  2  offers a means to help control state Medicaid costs for

  3  long-term care placements by using Medicare funding to help

  4  finance services that help to delay the need for long-term

  5  care.

  6         (c)  Lee County and the surrounding counties represent

  7  a large and growing region wherein, due to demographic

  8  characteristics, a significant opportunity exists to assist

  9  elderly persons in maintaining independence outside nursing

10  homes and wherein the state may reduce Medicaid expenditures

11  for providing long-term care.

12         (d)  Due to the relative newness and comprehensiveness

13  of the Program of All-inclusive Care for the Elderly, the

14  Agency for Health Care Administration and the Department of

15  Elderly Affairs must cooperate with private organizations

16  interested in providing services under the program.

17         (e)  There exists a need to develop a model for hospice

18  providers to offer nursing home diversion services as part of

19  the array of end-of-life care and services available to frail

20  and elderly persons.

21         (3)  The Agency for Health Care Administration and the

22  Department of Elderly Affairs shall assist a private,

23  not-for-profit organization located in Lee County, which

24  provides comprehensive services including hospice care for

25  frail and elderly persons, to gain approval for providing

26  services under the Program of All-inclusive Care for the

27  Elderly.

28         (4)  By September 30, 2003, the Agency for Health Care

29  Administration shall:

30         (a)  Identify and seek any federal waiver necessary

31  under the Medicaid program to expedite establishment of the

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    Florida Senate - 2003                                  SB 1112
    37-359A-03




  1  Program for All-inclusive Care for the Elderly within Lee

  2  County and the surrounding counties; and

  3         (b)  Approve 50 initial enrollees in the program and up

  4  to 200 enrollees within 2 years, subject to the ability of a

  5  private organization to sufficiently expand capacity for

  6  additional enrollees. Authorization for enrollment levels

  7  greater than 200 is subject to documentation of the program

  8  effectiveness.

  9         (5)  By January 1, 2004, the Department of Elderly

10  Affairs shall contract with a private, not-for-profit

11  organization in Lee County, as specified in subsection (3), to

12  provide services under the Program of All-inclusive Care for

13  the Elderly in Lee County and the surrounding counties.

14         Section 2.  This act shall take effect July 1, 2003.

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17                          SENATE SUMMARY

18    Creates the "All-inclusive Care for the Elderly Act."
      Requires that the Agency for Health Care Administration
19    and the Department of Elderly Affairs assist a private,
      not-for-profit organization in Lee County in providing
20    services for elderly persons under the Program of
      All-inclusive Care for the Elderly. Provides for initial
21    development of the program. Provides requirements for
      enrollment. (See bill for details.)
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