HOUSE AMENDMENT Bill No. HB 1791
1	CHAMBER ACTION
2	Senate House
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12	Representative Kosmas offered the following:
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14	Amendment (with title amendment)
15	Between line(s) 343 and 344, insert:
16	Section 9. In order to implement Specific Appropriations
17	164, 167, 169, 172-173, 175, 177-179, 182-183, 185, and 192 of
18	the 2003-2004 General Appropriations Act, subsection (2) of
19	section 409.904, Florida Statutes, is amended to read:
20	409.904 Optional payments for eligible persons.--The
21	agency may make payments for medical assistance and related
22	services on behalf of the following persons who are determined
23	to be eligible subject to the income, assets, and categorical
24	eligibility tests set forth in federal and state law. Payment on
25	behalf of these Medicaid eligible persons is subject to the
26	availability of moneys and any limitations established by the
27	General Appropriations Act or chapter 216.
28	(2) A family, a pregnant woman, a child under age 18, a
29	person age 65 or over, or a blind or disabled person who would
30	be eligible under any group listed in s. 409.903(1), (2), or
31	(3), except that the income or assets of such family or person
32	exceed established limitations. For a family or person in this
33	group, medical expenses are deductible from income in accordance
34	with federal requirements in order to make a determination of
35	eligibility. A family or person in this group, known as the
36	"medically needy," is eligible to receive the same services as
37	other Medicaid recipients, with the exception of services in
38	skilled nursing facilities and intermediate care facilities for
39	the developmentally disabled.A caretaker relative or parent, a
40	pregnant woman, a child under age 19 who would otherwise qualify
41	for Florida Kidcare Medicaid, a child up to age 21 who would
42	otherwise qualify under s. 409.903(1), a person age 65 or over,
43	or a blind or disabled person, who would otherwise be eligible
44	for Florida Medicaid, except that the income or assets of such
45	family or person exceed established limitations. For a family or
46	person in one of these coverage groups, medical expenses are
47	deductible from income in accordance with federal requirements
48	in order to make a determination of eligibility. Expenses used
49	to meet spend-down liability are not reimbursable by Medicaid.
50	Effective May 1, 2003, when determining the eligibility of a
51	pregnant woman, a child, or an aged, blind, or disabled
52	individual, $270 shall be deducted from the countable income of
53	the filing unit. When determining the eligibility of the parent
54	or caretaker relative as defined by Title XIX of the Social
55	Security Act, the additional income disregard of $270 does not
56	apply. A family or person eligible under the coverage known as
57	the "medically needy," is eligible to receive the same services
58	as other Medicaid recipients, with the exception of services in
59	skilled nursing facilities and intermediate care facilities for
60	the developmentally disabled.
61	Section 10. The amendment of subsection (2) of s. 409.904,
62	Florida Statutes, by this act shall expire on July 1, 2004, and
63	the text of that subsection shall revert to that in existence on
64	April 30, 2003, except that any amendments to such text enacted
65	other than by this act shall be preserved and continue to
66	operate to the extent that such amendments are not dependent
67	upon the portions of such text which expire pursuant to the
68	provisions of this act.
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70	================= T I T L E A M E N D M E N T =================
71	Remove line(s) 18, and insert:
72	circumstances; amending s. 409.904, F.S.; revising eligibility
73	standards for certain Medicaid optional medical assistance;
74	amending s. 394.908, F.S.; providing for