HOUSE AMENDMENT Bill No. SB 390
1	CHAMBER ACTION
2	Senate House
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12	Representatives Kosmas, Joyner, Gannon, Justice, Rich, Bucher,
13	Wiles, Richardson, Cusack, Vana, Seiler, Meadows, Roberson,
14	Ritter, Wishner, Gottlieb, and Gelber offered the following:
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16	Amendment (with title amendment)
17	On page 3, line 28, through page 4, line 29,
18	remove: all of said lines
19	and insert:
20	Section 2. Effective upon this act becoming a law, and
21	applicable retroactively to May 1, 2003, subsection (2) of
22	section 409.904, Florida Statutes, is amended to read:
23	409.904 Optional payments for eligible persons.--The
24	agency may make payments for medical assistance and related
25	services on behalf of the following persons who are determined
26	to be eligible subject to the income, assets, and categorical
27	eligibility tests set forth in federal and state law. Payment
28	on behalf of these Medicaid eligible persons is subject to the
29	availability of moneys and any limitations established by the
30	General Appropriations Act or chapter 216.
31	(2) A caretaker relative or parent, a pregnant woman, a
32	child under age 19 who would otherwise qualify for Florida
33	Kidcare Medicaid, a child up to age 21 who would otherwise
34	qualify under s. 409.903(1), a person age 65 or over, or a blind
35	or disabled person, who would otherwise be eligible for Florida
36	Medicaid, except that the income or assets of such family or
37	person exceed established limitations. For a family or person in
38	one of these coverage groups, medical expenses are deductible
39	from income in accordance with federal requirements in order to
40	make a determination of eligibility. Expenses used to meet
41	spend-down liability are not reimbursable by Medicaid. Effective
42	JulyMay1, 2003, when determining the eligibility of a pregnant
43	woman, a child, or an aged, blind, or disabled individual, $270
44	shall be deducted from the countable income of the filing unit.
45	When determining the eligibility of the parent or caretaker
46	relative as defined by Title XIX of the Social Security Act, the
47	additional income disregard of $270 does not apply. A family or
48	person eligible under the coverage known as the "medically
49	needy," is eligible to receive the same services as other
50	Medicaid recipients, with the exception of services in skilled
51	nursing facilities and intermediate care facilities for the
52	developmentally disabled.
53	Section 3. The nonrecurring sums of $8,265,777 from the
54	General Revenue Fund, $2,505,224 from the Grants and Donations
55	Trust Fund, and $11,727,287 from the Medical Care Trust Fund are
56	appropriated to the Agency for Health Care Administration to
57	implement section 2 of this act during the 2002-2003 fiscal
58	year. This section shall take effect upon this act becoming a
59	law and shall apply retroactively to May 1, 2003.
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61	================= T I T L E A M E N D M E N T =================
62	On page 1, line(s) 6-8,
63	remove: all of said lines
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65	and insert: amending s. 409.904, F.S.; postponing the effective
66	date of changes to standards for eligibility for certain
67	optional medical assistance, including coverage under the
68	medically needy program; providing appropriations; providing for
69	retroactive applicability; amending s.