SENATE AMENDMENT
    Bill No. CS for CS for SB 1064
    Amendment No. ___   Barcode 864796
                            CHAMBER ACTION
              Senate                               House
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       04/14/2004 11:25 AM         .                    
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11  Senator Saunders moved the following amendment:
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13         Senate Amendment 
14         On page 46, line 19, through
15            page 47, line 3, delete those lines
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17  and insert:  
18         (45)  Subject to the availability of funds, the agency
19  shall mandate a recipient's participation in a provider
20  lock-in program, when appropriate, if a recipient is found by
21  the agency to have used Medicaid goods or services at a
22  frequency or amount not medically necessary, limiting the
23  receipt of goods or services to medically necessary providers
24  after the 21-day appeal process has ended, for a period of
25  time that is reasonable and necessary to ensure that services
26  are appropriately used. The lock-in programs shall include,
27  but are not limited to, pharmacies, medical doctors, and
28  infusion clinics. The limitation does not apply to emergency
29  services and care provided to the recipient in a hospital
30  emergency department. The agency shall seek any federal
31  waivers necessary to implement this subsection. The agency
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    3:16 PM   04/08/04                               s1064.hc37.1a


                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 1064
    Amendment No. ___   Barcode 864796
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    3:16 PM   04/08/04                               s1064.hc37.1a