HOUSE AMENDMENT Bill No. HB 843
1	CHAMBER ACTION
2	Senate House
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12	Representative Green offered the following:
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14	Amendment
15	Remove line(s) 30-78, and insert:
16	(b) Have an income equal to or less than 200 percent of
17	the federal poverty level;:
18	1. Between 88 and 120 percent of the federal poverty
19	level;
20	2. Between 88 and 150 percent of the federal poverty level
21	if the Federal Government increases the federal Medicaid match
22	for persons between 100 and 150 percent of the federal poverty
23	level; or
24	3. Between 88 percent of the federal poverty level and a
25	level that can be supported with funds provided in the General
26	Appropriations Act for the program offered under this section
27	along with federal matching funds approved by the Federal
28	Government under a s. 1115 waiver. The agency is authorized to
29	submit and implement a federal waiver pursuant to this
30	subparagraph. The agency shall design a pharmacy benefit that
31	includes annual per-member benefit limits and cost-sharing
32	provisions and limits enrollment to available appropriations and
33	matching federal funds. Prior to implementing this program, the
34	agency must submit a budget amendment pursuant to chapter 216;
35	(c) Are eligible for both Medicare and Medicaid;
36	(d) Have exhausted pharmacy benefits under Medicare,
37	Medicaid, or any other insurance planAre not enrolled in a
38	Medicare health maintenance organization that provides a
39	pharmacy benefit; and
40	(e) Request to be enrolled in the program.
41	(3) BENEFITS.--Eligible individuals shall receive a
42	discount for prescription drugsMedications covered under the
43	pharmaceutical expense assistance program are those covered
44	under the Medicaid program in s. 409.906(20)(19). Monthly
45	benefit payments shall be limited to $80 per program
46	participant. Participants are required to make a 10-percent
47	coinsurance payment for each prescription purchased through this
48	program.
49	(a) Eligible individuals with incomes equal to or less
50	than 120 percent of the federal poverty level shall receive a
51	discount of 100 percent for the first $160 worth of prescription
52	drugs they receive each month, subject to copayments that the
53	agency requires on these benefits. For all other prescription
54	drugs received each month, eligible individuals shall receive a
55	discount of 50 percent.
56	(b) Eligible individuals with incomes of more than 120
57	percent but not more than 150 percent of the federal poverty
58	level shall receive a discount of 50 percent.
59	(c) Eligible individuals with incomes of more than 150
60	percent but not more than 175 percent of the federal poverty
61	level shall receive a discount of 41 percent.
62	(d) Eligible individuals with incomes of more than 175
63	percent but not more than 200 percent of the federal poverty
64	level shall receive a discount of 37 percent.
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