Senate Bill sb1000

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    Florida Senate - 2006                                  SB 1000

    By Senator Peaden





    2-749-06

  1                      A bill to be entitled

  2         An act relating to Medicaid; providing for a

  3         comprehensive geriatric fall-prevention

  4         program; requiring the Agency for Health Care

  5         Administration to establish a Medicaid

  6         comprehensive geriatric fall-prevention

  7         program; directing the agency to develop the

  8         program as an expansion of a certain pilot

  9         project conducted in Broward and Miami-Dade

10         Counties; requiring the agency to evaluate the

11         program and report to the Legislature;

12         requiring a plan and timetable for statewide

13         implementation contingent on certain findings;

14         specifying a timeframe for implementing a

15         certain form of reimbursement; providing

16         legislative intent; providing an effective

17         date.

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

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21         Section 1.  Comprehensive geriatric fall-prevention

22  program.--

23         (1)(a)  The Agency for Health Care Administration shall

24  establish a comprehensive geriatric fall-prevention program

25  for Medicaid recipients in Broward County and Miami-Dade

26  County. The program shall be evidence-based and shall expand

27  the geriatric fall-prevention demonstration project developed

28  under state contracts M0337 and M0509 that were awarded by the

29  agency in 2003 and 2004. The program shall serve 8,000

30  Medicaid recipients during the first year of operation and

31  

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    Florida Senate - 2006                                  SB 1000
    2-749-06




 1  shall be in operation within 120 days after the effective date

 2  of this act.

 3         (b)  The agency shall evaluate the cost-effectiveness

 4  and the clinical effectiveness of the program and report its

 5  findings to the President of the Senate and the Speaker of the

 6  House of Representatives by January 1, 2009. If the findings

 7  indicate that the program is cost-effective and clinically

 8  effective, the report must include a plan and timetable for

 9  statewide implementation. In evaluating the cost-effectiveness

10  and the clinical effectiveness of the program, the agency must

11  consider findings from program evaluations and site-visit

12  reports relating to the demonstration project described in

13  paragraph (a).

14         (2)  Services provided under subsection (1) shall be

15  paid for on the same basis as in the demonstration contracts

16  described in subsection (1). Beginning on the first day of

17  operation of the third year of program implementation, as

18  authorized under this section, services shall be reimbursed

19  only on a capitated, risk-adjusted basis.

20         (3)  It is the intent of the Legislature that the

21  Medicaid comprehensive geriatric fall-prevention program

22  authorized by this section be incorporated into the Medicaid

23  program, as provided in ss. 409.901-409.920, Florida Statutes,

24  and included by the Agency for Health Care Administration as a

25  requirement for certification or credentialing of any health

26  plan to participate in the integrated, fixed-payment delivery

27  system for Medicaid recipients who are 60 years of age or

28  older as established in s. 409.912(5), Florida Statutes, and

29  in the certification or credentialing of any health plan

30  participating in the Medicaid managed care pilot program as

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    Florida Senate - 2006                                  SB 1000
    2-749-06




 1  established in s. 409.91211, Florida Statutes, which enrolls

 2  Medicaid recipients who are at risk for geriatric falls.

 3         Section 2.  This act shall take effect upon becoming a

 4  law.

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 6            *****************************************

 7                          SENATE SUMMARY

 8    Provides for a comprehensive geriatric fall-prevention
      program. Requires the Agency for Health Care
 9    Administration to establish a Medicaid comprehensive
      geriatric fall-prevention program. Directs the agency to
10    develop the program as an expansion of a certain pilot
      project conducted in Broward and Miami-Dade Counties.
11    Requires the agency to evaluate the program and report to
      the Legislature. Requires a plan and timetable for
12    statewide implementation contingent on certain findings.
      Specifies a timeframe for implementing a certain form of
13    reimbursement. Provides legislative intent.

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