Senate Bill sb1178c1
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Florida Senate - 2004 CS for SB 1178
By the Committee on Health, Aging, and Long-Term Care; and
Senators Miller and Lawson
317-1295-04
1 A bill to be entitled
2 An act relating to minority health care;
3 creating s. 381.736, F.S.; providing for the
4 Department of Health to develop a Florida
5 Healthy People 2010 Program; providing program
6 goals and guidelines; requiring a report to the
7 Legislature; amending s. 409.901, F.S.;
8 defining the term "minority physician network";
9 amending s. 409.912, F.S.; requiring the Agency
10 for Health Care Administration to provide a
11 Medicaid minority physician network; providing
12 guidelines for the operation of the network;
13 providing an effective date.
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15 Be It Enacted by the Legislature of the State of Florida:
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17 Section 1. Section 381.736, Florida Statutes, is
18 created to read:
19 381.736 Florida Healthy People 2010 Program.--
20 (1) The Department of Health shall develop and
21 implement, using existing resources, the Florida Healthy
22 People 2010 Program, based upon the federal Healthy People
23 2010 Program, designed to improve the health of all Americans
24 by advancing the following goals:
25 (a) Increase the quality and years of healthy life;
26 and
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 regarding progress in meeting the
31 program's goals and shall report on the status of disparities
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Florida Senate - 2004 CS for SB 1178
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1 in health among minorities and nonminorities, using health
2 indicators that are consistent with those identified by the
3 federal Healthy People 2010 Program.
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; and
21 (d) The fostering of increased use of interpreter
22 services in health care settings.
23 (4) The department shall work with the establishment
24 of public and private partnerships with charitable
25 organizations, hospitals, and minority physician networks to
26 increase the proportion of health care professionals from
27 minority backgrounds.
28 (5) The department shall work with and promote
29 research on methods by which to reduce disparities in health
30 care at colleges and universities that have historically large
31 minority enrollments, including centers of excellence in this
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1 state identified by the National Center on Minority Health and
2 Health Disparities, by working with the colleges,
3 universities, and community representatives to encourage local
4 minority students to pursue professions in health care.
5 Section 2. Subsection (23) is added to section
6 409.901, Florida Statutes, to read:
7 409.901 Definitions; ss. 409.901-409.920.--As used in
8 ss. 409.901-409.920, except as otherwise specifically
9 provided, the term:
10 (23) For the purposes of this section, the term
11 "minority physician network" means a network of primary care
12 physicians that is predominantly minority-owned, as defined in
13 s. 288.703, which has a collaborative partnership with a
14 public college or university and a tax-exempt charitable
15 corporation.
16 Section 3. Subsection (45) is added to section
17 409.912, Florida Statutes, to read:
18 409.912 Cost-effective purchasing of health care.--The
19 agency shall purchase goods and services for Medicaid
20 recipients in the most cost-effective manner consistent with
21 the delivery of quality medical care. The agency shall
22 maximize the use of prepaid per capita and prepaid aggregate
23 fixed-sum basis services when appropriate and other
24 alternative service delivery and reimbursement methodologies,
25 including competitive bidding pursuant to s. 287.057, designed
26 to facilitate the cost-effective purchase of a case-managed
27 continuum of care. The agency shall also require providers to
28 minimize the exposure of recipients to the need for acute
29 inpatient, custodial, and other institutional care and the
30 inappropriate or unnecessary use of high-cost services. The
31 agency may establish prior authorization requirements for
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Florida Senate - 2004 CS for SB 1178
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1 certain populations of Medicaid beneficiaries, certain drug
2 classes, or particular drugs to prevent fraud, abuse, overuse,
3 and possible dangerous drug interactions. The Pharmaceutical
4 and Therapeutics Committee shall make recommendations to the
5 agency on drugs for which prior authorization is required. The
6 agency shall inform the Pharmaceutical and Therapeutics
7 Committee of its decisions regarding drugs subject to prior
8 authorization.
9 (45) The agency shall contract with an established
10 minority physician network that provides services to
11 historically underserved minority patients. The network must
12 provide cost-effective Medicaid services, comply with the
13 requirements to be a MediPass provider, and provide its
14 primary care physicians with access to data and other
15 management tools necessary to assist them in ensuring the
16 appropriate use of services, including inpatient hospital
17 services and pharmaceuticals.
18 (a) The agency shall provide for the development and
19 expansion of minority physician networks in each service area
20 to provide services to Medicaid recipients who are eligible to
21 participate under federal law and rules.
22 (b) The agency shall reimburse the minority physician
23 network as a fee-for-service provider for Medicaid services
24 and shall also pay a case-management fee for primary care. Any
25 savings shall be divided, with one half going to the minority
26 physician network and one half going to the agency.
27 (c) Medicaid recipients who are enrolled in MediPass
28 shall be assigned to a minority physician network pursuant to
29 the assignment ratios provided in s. 409.9122.
30 Section 4. This act shall take effect July 1, 2004.
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Florida Senate - 2004 CS for SB 1178
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1 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
COMMITTEE SUBSTITUTE FOR
2 Senate Bill 1178
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4 The committee substitute makes the following changes to SB
1178:
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Requires DOH to work with, rather than provide support to,
6 minority physician networks to: develop programs to educate
health care professionals about the importance of culture in
7 health status; establish public and private partnerships with
charitable organizations, hospitals, and minority physician
8 networks to increase the proportion of health care
professionals from minority backgrounds; and promote research
9 on methods by which to reduce disparities in health care at
colleges and universities that have historically large
10 minority enrollments, including centers of excellence in the
state identified by the National Center on Minority Health and
11 Health Disparities, by working with colleges, universities,
and community representatives to encourage minority college
12 students to pursue professions in health care.
13 Provides that the definition of minority physician applies
only to that section of the bill.
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Any savings to the MediPass program under the minority
15 physician network pilot project shall be split equally between
AHCA and the minority physician network.
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