Florida Senate - 2005                      COMMITTEE AMENDMENT
    Bill No. SB 2-B
                        Barcode 175426
                            CHAMBER ACTION
              Senate                               House
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 1           Comm: FAV             .                    
       12/06/2005 09:43 AM         .                    
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11  The Committee on Health Care (Peaden) recommended the
12  following amendment:
13  
14         Senate Amendment (with title amendment) 
15         On page 36, between lines 21 and 22,
16  
17  insert:  
18         (7) The Office of Insurance Regulation shall conduct an
19  annual review of the Medicaid managed care pilot program's
20  risk-adjusted rate setting methodology as developed by the
21  agency. The Office of Insurance Regulation shall contract with
22  an independent actuary firm to assist in the annual review and
23  to provide technical expertise.
24         (a) After reviewing the actuarial analysis provided by
25  the agency, the Office of Insurance Regulation shall make
26  advisory recommendations to the Governor and the Legislature
27  regarding:
28         1. The methodology adopted by the agency for
29  risk-adjusted rates.
30         2. The risk-adjusted rate for each Medicaid eligibility
31  category in the demonstration program.
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    Florida Senate - 2005                      COMMITTEE AMENDMENT
    Bill No. SB 2-B
                        Barcode 175426
 1         3. Administrative and implementation issues regarding
 2  the use of risk-adjusted rates, including, but not limited to,
 3  cost, simplicity, client privacy, data accuracy, and data
 4  exchange.
 5         (b) For each annual review, the Office of Insurance
 6  Regulation shall solicit input concerning the agency's rate
 7  setting methodology from the Florida Association of Health
 8  Plans, the Florida Hospital Association, the Florida Medical
 9  Association, Medicaid recipient advocacy groups, and other
10  stakeholder representatives as necessary to obtain a broad
11  representation of perspectives on the effects of the agency's
12  adopted rate setting methodology and recommendations on
13  possible modifications to the methodology.
14         (c) The Office of Insurance Regulation shall submit its
15  findings and advisory recommendations to the Governor and the
16  Legislature no later than February 1 of each year for
17  consideration by the Legislature for inclusion in the General
18  Appropriations Act.
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21  ================ T I T L E   A M E N D M E N T ===============
22  And the title is amended as follows:
23         On page 2, line 28, delete
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25  and insert:
26         and Medicaid Services; requiring an annual
27         review by the Office of Insurance Regulation of
28         the pilot program's rate setting methodology;
29         providing that, if any
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