Senate Bill sb1994c1

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    Florida Senate - 2005                           CS for SB 1994

    By the Committee on Health Care; and Senator Garcia





    587-1967-05

  1                      A bill to be entitled

  2         An act relating to Medicaid; amending s.

  3         409.906, F.S.; authorizing the Agency for

  4         Health Care Administration to pay for certain

  5         visual services prescribed to Medicaid

  6         recipients regardless of age; amending s.

  7         409.907, F.S.; requiring a hospital that is

  8         licensed in this state and is owned in whole or

  9         in part by a municipality or county to collect

10         specified information when purchasing or

11         contracting for medical supplies from a vendor;

12         requiring the hospital to exercise a

13         contracting preference for vendors that use the

14         greater number of employees residing in this

15         state under certain circumstances; providing an

16         effective date.

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

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20         Section 1.  Subsection (23) of section 409.906, Florida

21  Statutes, is amended to read:

22         409.906  Optional Medicaid services.--Subject to

23  specific appropriations, the agency may make payments for

24  services which are optional to the state under Title XIX of

25  the Social Security Act and are furnished by Medicaid

26  providers to recipients who are determined to be eligible on

27  the dates on which the services were provided. Any optional

28  service that is provided shall be provided only when medically

29  necessary and in accordance with state and federal law.

30  Optional services rendered by providers in mobile units to

31  Medicaid recipients may be restricted or prohibited by the

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    Florida Senate - 2005                           CS for SB 1994
    587-1967-05




 1  agency. Nothing in this section shall be construed to prevent

 2  or limit the agency from adjusting fees, reimbursement rates,

 3  lengths of stay, number of visits, or number of services, or

 4  making any other adjustments necessary to comply with the

 5  availability of moneys and any limitations or directions

 6  provided for in the General Appropriations Act or chapter 216.

 7  If necessary to safeguard the state's systems of providing

 8  services to elderly and disabled persons and subject to the

 9  notice and review provisions of s. 216.177, the Governor may

10  direct the Agency for Health Care Administration to amend the

11  Medicaid state plan to delete the optional Medicaid service

12  known as "Intermediate Care Facilities for the Developmentally

13  Disabled." Optional services may include:

14         (23)  CHILDREN'S VISUAL SERVICES.--The agency may pay

15  for visual examinations, eyeglasses, and eyeglass repairs for

16  a recipient younger than 21 years of age, if they are

17  prescribed by a licensed physician specializing in diseases of

18  the eye or by a licensed optometrist.

19         Section 2.  Paragraph (k) is added to subsection (3) of

20  section 409.907, Florida Statutes, to read:

21         409.907  Medicaid provider agreements.--The agency may

22  make payments for medical assistance and related services

23  rendered to Medicaid recipients only to an individual or

24  entity who has a provider agreement in effect with the agency,

25  who is performing services or supplying goods in accordance

26  with federal, state, and local law, and who agrees that no

27  person shall, on the grounds of handicap, race, color, or

28  national origin, or for any other reason, be subjected to

29  discrimination under any program or activity for which the

30  provider receives payment from the agency.

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    Florida Senate - 2005                           CS for SB 1994
    587-1967-05




 1         (3)  The provider agreement developed by the agency, in

 2  addition to the requirements specified in subsections (1) and

 3  (2), shall require the provider to:

 4         (k)  If a hospital is licensed under chapter 395 and

 5  its facilities are owned in whole or in part by a municipality

 6  or county, affirm that:

 7         1.  The hospital has established bidding procedures

 8  when purchasing or contracting for medical supplies to

 9  ascertain for each considered vendor the approximate number of

10  full-time employees located in this state, whether the vendor

11  maintains its corporate books and records in this state,

12  whether the vendor agrees to provide access voluntarily to

13  appropriate regulatory agencies to its books and records

14  related to Medicaid, and whether the account will be primarily

15  serviced by Florida employees; and

16         2.  When cost, quality, and service are not

17  significantly different, the hospital shall exercise a

18  contracting preference for vendors that use the greater number

19  of employees residing in this state in the operation and

20  servicing of the vendor's business for the hospital and for

21  those vendors that also provide voluntary access in this state

22  to appropriate regulatory agencies to records related to

23  Medicaid.

24         Section 3.  This act shall take effect July 1, 2005.

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    Florida Senate - 2005                           CS for SB 1994
    587-1967-05




 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1994

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 4  The committee substitute requires hospitals licensed in the
    state and owned in whole or part by a municipality or county
 5  to collect specified information when purchasing or
    contracting for medical supplies from a vendor and requires
 6  the hospital to exercise a contracting preference for vendors
    that use the greatest number of employees residing in this
 7  state under certain circumstances.

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