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.
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17 Be It Enacted by the Legislature of the State of Florida:
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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.
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CODING: Words stricken are deletions; words underlined are additions.
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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CODING: Words stricken are deletions; words underlined are additions.
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.
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14 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
COMMITTEE SUBSTITUTE FOR
15 Senate Bill 1112
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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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