SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 172464
CHAMBER ACTION
Senate House
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04/26/2004 10:55 AM .
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11 Senator Wilson moved the following substitute for amendment
12 (730992):
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14 Senate Amendment (with title amendment)
15 On page 127, between lines 21 and 22,
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17 insert:
18 Section 51. Subsection (44) of section 409.912,
19 Florida Statutes, is amended, and subsection (45) is added to
20 that section, to read:
21 409.912 Cost-effective purchasing of health care.--The
22 agency shall purchase goods and services for Medicaid
23 recipients in the most cost-effective manner consistent with
24 the delivery of quality medical care. The agency shall
25 maximize the use of prepaid per capita and prepaid aggregate
26 fixed-sum basis services when appropriate and other
27 alternative service delivery and reimbursement methodologies,
28 including competitive bidding pursuant to s. 287.057, designed
29 to facilitate the cost-effective purchase of a case-managed
30 continuum of care. The agency shall also require providers to
31 minimize the exposure of recipients to the need for acute
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SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 172464
1 inpatient, custodial, and other institutional care and the
2 inappropriate or unnecessary use of high-cost services. The
3 agency may establish prior authorization requirements for
4 certain populations of Medicaid beneficiaries, certain drug
5 classes, or particular drugs to prevent fraud, abuse, overuse,
6 and possible dangerous drug interactions. The Pharmaceutical
7 and Therapeutics Committee shall make recommendations to the
8 agency on drugs for which prior authorization is required. The
9 agency shall inform the Pharmaceutical and Therapeutics
10 Committee of its decisions regarding drugs subject to prior
11 authorization.
12 (44) The agency may contract on a prepaid or fixed-sum
13 basis with appropriately licensed prepaid dental health plans
14 to provide dental services, provided administrative expenses
15 do not exceed 15 percent of the contract.
16 (45) The agency may contract on a capitated, prepaid,
17 or fixed-sum basis with a laboratory service provider to
18 provide statewide laboratory services for Medicaid recipients.
19 The contract is not subject to any requirement of the Florida
20 Insurance Code.
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22 (Redesignate subsequent sections.)
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26 And the title is amended as follows:
27 On page 12, line 13, after the second semicolon,
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29 insert:
30 amending s. 409.912, F.S.; providing a limit on
31 certain expenses; authorizing the Agency for
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1:17 PM 04/24/04 s2910c3c-3324t
SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 172464
1 Health Care Administration to contract for
2 laboratory services for Medicaid recipients;
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