Senate Bill sb1554c1

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    Florida Senate - 2004                           CS for SB 1554

    By the Committee on Health, Aging, and Long-Term Care; and
    Senator Saunders




    317-2061-04

  1                      A bill to be entitled

  2         An act relating to care for elderly persons;

  3         providing a short title; providing legislative

  4         findings; requiring the Agency for Health Care

  5         Administration and the Department of Elderly

  6         Affairs to assist private, not-for-profit

  7         organizations within specified counties in

  8         providing services under a federal program

  9         known as the Program of All-inclusive Care for

10         the Elderly; specifying the number of

11         enrollees; requiring the Agency for Health Care

12         Administration to contract with the private

13         organization providing the program under

14         specified conditions; providing an effective

15         date.

16  

17  Be It Enacted by the Legislature of the State of Florida:

18  

19         Section 1.  Program of All-inclusive Care for the

20  Elderly.--

21         (1)  This section may be cited as the "All-inclusive

22  Care for the Elderly Act."

23         (2)  The Legislature finds that:

24         (a)  The establishment of additional sites for the

25  Program of All-inclusive Care for the Elderly, as established

26  in Pub. L. No. 105-33, should be encouraged in this state as

27  one method to enhance the ability of frail and elderly persons

28  who are certified as needing placement in a residential

29  nursing home to delay the necessity of such placement as long

30  as possible.

31  

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    Florida Senate - 2004                           CS for SB 1554
    317-2061-04




 1         (b)  The Program of All-inclusive Care for the Elderly

 2  offers a means to help control state Medicaid costs for

 3  long-term care placements by using Medicare funding to help

 4  finance services that help to delay the need for long-term

 5  care.

 6         (c)  Lee County and the surrounding counties and Martin

 7  County represent large and growing regions wherein, due to

 8  demographic characteristics, significant opportunities exist

 9  to assist elderly persons in maintaining independence outside

10  nursing homes and wherein the state may reduce Medicaid

11  expenditures for providing long-term care.

12         (d)  Due to the relative newness and comprehensiveness

13  of the Program of All-inclusive Care for the Elderly, the

14  Agency for Health Care Administration and the Department of

15  Elderly Affairs must cooperate with private organizations

16  interested in providing services under the program.

17         (e)  There exists a need to develop a model for hospice

18  providers to offer nursing home diversion services as part of

19  the array of end-of-life care and services available to frail

20  and elderly persons.

21         (3)  The Agency for Health Care Administration and the

22  Department of Elderly Affairs shall assist a private,

23  not-for-profit organization located in Lee County and a

24  private, not-for-profit organization in Martin County, which

25  provide comprehensive services, including hospice care for

26  frail and elderly persons, to gain approval for providing

27  services under the Program of All-inclusive Care for the

28  Elderly.

29         (4)  By September 30, 2005, subject to federal approval

30  and provider readiness, the Agency for Health Care

31  Administration shall approve 50 initial enrollees in the

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    Florida Senate - 2004                           CS for SB 1554
    317-2061-04




 1  Program of All-inclusive Care for the Elderly within Lee

 2  County and the surrounding counties and in Martin County, and

 3  up to 200 enrollees within 2 years of operation, subject to

 4  the ability of a private organization to sufficiently expand

 5  capacity for additional enrollees. Authorization for

 6  enrollment levels greater than 200 is subject to documentation

 7  of each program's effectiveness.

 8         (5)  By July 1, 2005, and subject to an appropriation,

 9  the Agency for Health Care Administration shall contract with

10  a private, not-for-profit organization in Lee County and a

11  private not-for-profit organization in Martin County, as

12  specified in subsection (3), to provide services under the

13  Program of All-inclusive Care for the Elderly in Lee County

14  and the surrounding counties and in Martin County, subject to

15  federal approval of the provider application.

16         Section 2.  This act shall take effect July 1, 2004.

17  

18          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
19                         Senate Bill 1554

20                                 

21  The committee substitute makes the following changes to SB
    1554:
22  
    Includes Martin County as a county in which the Agency for
23  Health Care Administration and the Department of Elder Affairs
    are directed to assist a private, not-for-profit organization
24  that provides comprehensive services, including hospice
    services to the frail and elderly, to gain approval as Program
25  of All-inclusive Care for the Elderly site.

26  Changes the approval date to September 30, 2005, subject to
    federal approval and provider readiness, for the initial
27  enrollment of 50 individuals in the program.

28  

29  

30  

31  

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