Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 838
Barcode 482962
CHAMBER ACTION
Senate House
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05/03/2005 11:38 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 69, line 24, through
15 page 71, line 7, delete those lines
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18 (f) The agency shall apply for federal waivers from
19 the Centers for Medicare and Medicaid Services to allow
20 recipients to purchase health care coverage through an
21 employer-sponsored health insurance plan instead of through a
22 Medicaid-certified plan. This provision shall be known as the
23 opt-out option.
24 1. A recipient who chooses the Medicaid opt-out option
25 shall have an opportunity for a specified period of time, as
26 authorized under a waiver granted by the Centers for Medicare
27 and Medicaid Services, to select and enroll in a
28 Medicaid-certified plan. If the recipient remains in the
29 employer-sponsored plan after the specified period, the
30 recipient shall remain in the opt-out program for at least 1
31 year or until the recipient no longer has access to
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Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 838
Barcode 482962
1 employer-sponsored coverage, until the employer's open
2 enrollment period for a person who opts out in order to
3 participate in employer-sponsored coverage, or until the
4 person is no longer eligible for Medicaid, whichever time
5 period is shorter.
6 2. Notwithstanding any other provision of this
7 section, coverage, cost sharing, and any other component of
8 employer-sponsored health insurance shall be governed by
9 applicable state and federal laws.
10 (5) This section does not authorize the agency to
11 implement any provision of s. 1115 of the Social Security Act
12 experimental, pilot, or demonstration project waiver to reform
13 the state Medicaid program in any part of the state other than
14 the two geographic areas specified in this section unless
15 approved by the Legislature.
16 (6) The agency shall develop and submit for approval
17 applications for waivers of applicable federal laws and
18 regulations as necessary to implement the managed care pilot
19 project as defined in this section. The agency shall post all
20 waiver applications under this section on its Internet website
21 30 days before submitting the applications to the United
22 States Centers for Medicare and Medicaid Services. All waiver
23 applications shall be provided for review and comment to the
24 appropriate committees of the Senate and House of
25 Representatives for at least 10 working days prior to
26 submission. All waivers submitted to and approved by the
27 United States Centers for Medicare and Medicaid Services under
28 this section must be submitted to the appropriate committees
29 of the Senate and the House of Representatives in order to
30 obtain authority for implementation as required by s.
31 409.912(11), before program implementation. The appropriate
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9:28 PM 05/01/05 s0838c2c-02-j18
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 838
Barcode 482962
1 committees shall recommend whether to approve the
2 implementation of the waivers to the Legislature or to the
3 Legislative Budget Commission if the Legislature is not in
4 session. The agency shall submit a plan containing a detailed
5 timeline for implementation and budgetary projections of the
6 effect of the pilot program on the total Medicaid budget for
7 the 2006-2007 through 2009-2010 fiscal years.
8 (7) Upon review and approval of the applications for
9 waivers of applicable federal laws and regulations to
10 implement the managed care pilot program by the Legislature,
11 the agency may initiate adoption of rules pursuant to ss.
12 120.536(1) and 120.54 to implement and administer the managed
13 care pilot program as provided in this section.
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17 And the title is amended as follows:
18 On page 3, lines 9-11, delete those lines
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20 and insert:
21 pilot program; requiring that the agency submit
22 any waivers to the Legislature for approval
23 before implementation; allowing the agency to
24 develop rules; requiring that
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