SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 151036
CHAMBER ACTION
Senate House
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04/26/2004 11:01 AM .
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11 Senator Peaden moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 127, between lines 21 and 22,
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16 insert:
17 Section 51. 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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SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 151036
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 may contract on a capitated, prepaid,
11 or fixed-sum basis with a laboratory service provider to
12 provide statewide laboratory services for Medicaid recipients.
13 The contract is not subject to any requirement of the Florida
14 Insurance Code.
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16 (Redesignate subsequent sections.)
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20 And the title is amended as follows:
21 On page 12, line 13, after the second semicolon,
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23 insert:
24 amending s. 409.912, F.S.; authorizing the
25 Agency for Health Care Administration to
26 contract for laboratory services for Medicaid
27 recipients;
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