Senate Bill sb1000
CODING: Words stricken are deletions; words underlined are additions.
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
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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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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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CODING: Words stricken are deletions; words underlined are additions.