Florida Senate - 2005                        SENATOR AMENDMENT
    Bill No. CS for SB 2-B
                        Barcode 523350
                            CHAMBER ACTION
              Senate                               House
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 3         Floor: 9/F/2R           .                    
       12/07/2005 05:03 PM         .                    
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11  Senator Miller moved the following amendment:
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13         Senate Amendment 
14         On page 17, line 11, through
15            page 18, line 14, delete those lines
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17  and insert:  
18         (2)  The Legislature intends for the capitated managed
19  care pilot program to:
20         (a)  Provide recipients in Medicaid fee-for-service or
21  the MediPass program a comprehensive and coordinated capitated
22  managed care system for all health care services specified in
23  ss. 409.905 and 409.906 which may not vary in amount,
24  duration, or scope. For purposes of this section, the term
25  "capitated managed care plan" includes health maintenance
26  organizations authorized under chapter 641, exclusive provider
27  organizations authorized under chapter 627, health insurers
28  authorized under chapter 624, and provider service networks
29  that elect to be paid fee-for-service for up to 3 years as
30  authorized under this section.
31         (b)  Stabilize Medicaid expenditures under the pilot
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    Florida Senate - 2005                        SENATOR AMENDMENT
    Bill No. CS for SB 2-B
                        Barcode 523350
 1  program compared to Medicaid expenditures in the pilot area
 2  for the 3 years before implementation of the pilot program,
 3  while ensuring:
 4         1.  Consumer education and choice.
 5         2.  Access to medically necessary services.
 6         3.  Coordination of preventative, acute, and long-term
 7  care.
 8         4.  Reductions in unnecessary service utilization.
 9         (c)  Provide an opportunity to evaluate the feasibility
10  of statewide implementation of capitated managed care networks
11  as a replacement for the current Medicaid fee-for-service and
12  MediPass systems.
13         (3)  The agency shall have the following powers,
14  duties, and responsibilities with respect to the development
15  of a pilot program:
16         (a)  To implement develop and recommend a system to
17  deliver all mandatory services specified in s. 409.905 and all
18  optional services specified in s. 409.906, as approved by the
19  Centers for Medicare and Medicaid Services and the Legislature
20  in the waiver pursuant to this section. Services to recipients
21  under plan benefits shall include emergency services provided
22  under s. 409.9128.
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