Senate Bill sb1112c1

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    Florida Senate - 2003                           CS for SB 1112

    By the Committee on Health, Aging, and Long-Term Care; and
    Senators Saunders and Bennett




    317-1909-03

  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; specifying the number of

11         enrollees; requiring the Agency for Health Care

12         Administration to contract with the private

13         organization providing the program under

14         specified conditions; providing an effective

15         date.

16  

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

18  

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

20  elderly.--

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

22  Care for the Elderly Act."

23         (2)  The Legislature finds that:

24         (a)  The establishment of additional sites for the

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

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

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

28  who are certified as needing placement in a residential

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

30  as possible.

31  

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    Florida Senate - 2003                           CS for SB 1112
    317-1909-03




 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 approve 50 initial enrollees in the

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

31  County and the surrounding counties and up to 200 enrollees

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    Florida Senate - 2003                           CS for SB 1112
    317-1909-03




 1  within 2 years, subject to the ability of a private

 2  organization to sufficiently expand capacity for additional

 3  enrollees. Authorization for enrollment levels greater than

 4  200 is subject to documentation of the program effectiveness.

 5         (5)  By July 1, 2004, and subject to an appropriation,

 6  the Agency for Health Care Administration shall contract with

 7  a private, not-for-profit organization in Lee County, as

 8  specified in subsection (3), to provide services under the

 9  Program of All-inclusive Care for the Elderly in Lee County

10  and the surrounding counties, subject to federal approval of

11  the provider application.

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

13  

14          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
15                         Senate Bill 1112

16                                 

17  The Committee Substitute no longer requires the Agency for
    Health Care Administration to seek a federal waiver under the
18  Medicaid program to establish a Program of All-inclusive Care
    for the Elderly (PACE). The bill revises the date of
19  implementation from January 1, 2004, to July 1, 2004, and
    requires the Agency for Health Care Administration, rather
20  than the Department of Elderly Affairs to contract with a PACE
    provider in Lee County and surrounding counties, subject to
21  federal approval of the provider application.

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