SENATE AMENDMENT
Bill No. CS for CS for SB 1178
Amendment No. ___ Barcode 734118
CHAMBER ACTION
Senate House
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11 Senator Miller moved the following amendment:
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13 Senate Amendment (with title amendment)
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15 page 5, line 26, delete those lines
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18 381.736 Florida Healthy People 2010 objectives.--
19 (1) The Department of Health shall, using existing
20 resources, monitor and report Florida's status on the Healthy
21 People 2010 goals and objectives currently tracked and
22 available to the department. The federal Healthy People 2010
23 goals and objectives are designed to measure and help to
24 improve the health of all Americans by advancing the following
25 goals:
26 (a) Increase the quality and years of healthy life.
27 (b) Eliminate health disparities among different
28 segments of the population.
29 (2) The department shall report to the Legislature by
30 December 31 of each year on the status of disparities in
31 health among minorities and nonminorities, using health
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Amendment No. ___ Barcode 734118
1 indicators currently available that are consistent with those
2 identified by the federal Healthy People 2010 goals and
3 objectives.
4 (3) To reduce negative health consequences that result
5 from ignoring racial and ethnic cultures, the department shall
6 work with minority physician networks to develop programs to
7 educate health care professionals about the importance of
8 culture in health status. These programs shall include, but
9 need not be limited to:
10 (a) The education of health care providers about the
11 prevalence of specific health conditions among certain
12 minority groups.
13 (b) The training of clinicians to be sensitive to
14 cultural diversity among patients and to recognize that
15 inherent biases can lead to disparate treatments.
16 (c) The creation of initiatives that educate
17 private-sector health care and managed care organizations
18 about the importance of cross-cultural training of health care
19 professionals and the effect of such training on the
20 professional-patient relationship.
21 (d) The fostering of increased use of interpreter
22 services in health care settings.
23 (4) The department shall work with and promote the
24 establishment of public and private partnerships with
25 charitable organizations, hospitals, and minority physician
26 networks to increase the proportion of health care
27 professionals from minority backgrounds.
28 (5) The department shall promote research on methods
29 by which to reduce disparities in health care at colleges and
30 universities that have historically large minority
31 enrollments, including centers of excellence in this state
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Amendment No. ___ Barcode 734118
1 identified by the National Center on Minority Health and
2 Health Disparities, by working with those colleges and
3 universities and with community representatives to encourage
4 local minority students to pursue professions in health care.
5 Section 2. Subsections (23), (24), (25), and (26) of
6 section 409.901, Florida Statutes, are renumbered as
7 subsections (24), (25), (26), and (27), respectively, and a
8 new subsection (23) is added to that section, to read:
9 409.901 Definitions; ss. 409.901-409.920.--As used in
10 ss. 409.901-409.920, except as otherwise specifically
11 provided, the term:
12 (23) "Minority physician network" means a network of
13 primary care physicians that is predominantly minority owned,
14 as defined in s. 288.703, which may have a collaborative
15 partnership with a public college or university and a
16 tax-exempt charitable corporation.
17 Section 3. Subsection (45) is added to section
18 409.912, Florida Statutes, to read:
19 409.912 Cost-effective purchasing of health care.--The
20 agency shall purchase goods and services for Medicaid
21 recipients in the most cost-effective manner consistent with
22 the delivery of quality medical care. The agency shall
23 maximize the use of prepaid per capita and prepaid aggregate
24 fixed-sum basis services when appropriate and other
25 alternative service delivery and reimbursement methodologies,
26 including competitive bidding pursuant to s. 287.057, designed
27 to facilitate the cost-effective purchase of a case-managed
28 continuum of care. The agency shall also require providers to
29 minimize the exposure of recipients to the need for acute
30 inpatient, custodial, and other institutional care and the
31 inappropriate or unnecessary use of high-cost services. The
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1 agency may establish prior authorization requirements for
2 certain populations of Medicaid beneficiaries, certain drug
3 classes, or particular drugs to prevent fraud, abuse, overuse,
4 and possible dangerous drug interactions. The Pharmaceutical
5 and Therapeutics Committee shall make recommendations to the
6 agency on drugs for which prior authorization is required. The
7 agency shall inform the Pharmaceutical and Therapeutics
8 Committee of its decisions regarding drugs subject to prior
9 authorization.
10 (45) The agency shall contract with an established
11 minority physician network that provides services to
12 historically underserved minority patients. The network must
13 provide cost-effective Medicaid services, comply with the
14 requirements to be a MediPass provider, and provide its
15 primary care physicians with access to data and other
16 management tools necessary to assist them in ensuring the
17 appropriate use of services, including inpatient hospital
18 services and pharmaceuticals.
19 (a) The agency shall provide for the development and
20 expansion of minority physician networks in each service area
21 to provide services to Medicaid recipients who are eligible to
22 participate under federal law and rules.
23 (b) The agency shall reimburse the minority physician
24 network as a fee-for-service provider or capitated rate
25 provider for Medicaid services and shall also pay a
26 case-management fee for primary care. Any savings shall be
27 divided, with one-half going to the minority physician network
28 and one-half going to the agency.
29 (c) Medicaid recipients who are enrolled in MediPass
30 shall be assigned to a minority physician network pursuant to
31 the assignment ratios provided in s. 409.9122.
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Bill No. CS for CS for SB 1178
Amendment No. ___ Barcode 734118
1 ================ T I T L E A M E N D M E N T ===============
2 And the title is amended as follows:
3 On page 1, lines 12-21, delete those lines
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6 professionals from minority backgrounds;
7 providing educational program guidelines;
8 amending s. 409.901, F.S.; defining the term
9 "minority physician network"; amending s.
10 409.912, F.S.; requiring the Agency for Health
11 Care Administration to contract for a Medicaid
12 minority physician network; providing
13 guidelines for the operation of the network;
14 providing an
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