Florida Senate - 2005                      COMMITTEE AMENDMENT
    Bill No. CS for SB 2-B
                        Barcode 524770
                            CHAMBER ACTION
              Senate                               House
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 1           Comm: UNFAV           .                    
       12/07/2005 12:25 PM         .                    
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11  The Committee on Ways and Means (Miller) recommended the
12  following amendment:
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14         Senate Amendment 
15         On page 17, line 11, through
16            page 18, line 14, delete those lines
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18  and insert:  
19         (2)  The Legislature intends for the capitated managed
20  care pilot program to:
21         (a)  Provide recipients in Medicaid fee-for-service or
22  the MediPass program a comprehensive and coordinated capitated
23  managed care system for all health care services specified in
24  ss. 409.905 and 409.906 which may not vary in amount,
25  duration, or scope. For purposes of this section, the term
26  "capitated managed care plan" includes health maintenance
27  organizations authorized under chapter 641, exclusive provider
28  organizations authorized under chapter 627, health insurers
29  authorized under chapter 624, and provider service networks
30  that elect to be paid fee-for-service for up to 3 years as
31  authorized under this section.
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    Florida Senate - 2005                      COMMITTEE AMENDMENT
    Bill No. CS for SB 2-B
                        Barcode 524770
 1         (b)  Stabilize Medicaid expenditures under the pilot
 2  program compared to Medicaid expenditures in the pilot area
 3  for the 3 years before implementation of the pilot program,
 4  while ensuring:
 5         1.  Consumer education and choice.
 6         2.  Access to medically necessary services.
 7         3.  Coordination of preventative, acute, and long-term
 8  care.
 9         4.  Reductions in unnecessary service utilization.
10         (c)  Provide an opportunity to evaluate the feasibility
11  of statewide implementation of capitated managed care networks
12  as a replacement for the current Medicaid fee-for-service and
13  MediPass systems.
14         (3)  The agency shall have the following powers,
15  duties, and responsibilities with respect to the development
16  of a pilot program:
17         (a)  To implement develop and recommend a system to
18  deliver all mandatory services specified in s. 409.905 and all
19  optional services specified in s. 409.906, as approved by the
20  Centers for Medicare and Medicaid Services and the Legislature
21  in the waiver pursuant to this section. Services to recipients
22  under plan benefits shall include emergency services provided
23  under s. 409.9128.
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