Senate Bill sb1000c1

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                           CS for SB 1000

    By the Committee on Health and Human Services Appropriations;
    and Senator Peaden




    603-2244-06

  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 Miami-Dade County;

10         requiring the agency to evaluate the program

11         and report to the Legislature; requiring a plan

12         and timetable for statewide implementation

13         contingent on certain findings; specifying a

14         timeframe for implementing a certain form of

15         reimbursement; providing an appropriation;

16         providing an effective date.

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

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20         Section 1.  Comprehensive geriatric fall-prevention

21  program.--

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

23  establish a comprehensive geriatric fall-prevention program

24  for Medicaid recipients in Miami-Dade County. The program

25  shall be evidence-based and shall expand the geriatric

26  fall-prevention demonstration project awarded under contract

27  in 2002 by the Agency for Health Care Administration. The

28  program shall serve up to 7,000 Medicaid recipients during the

29  first year of operation and shall be in operation within 120

30  days after the effective date of this act.

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    Florida Senate - 2006                           CS for SB 1000
    603-2244-06




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

 2  and the clinical effectiveness of the program and report its

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

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

 5  indicate that the program is cost-effective and clinically

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

 7  statewide implementation. In evaluating the cost-effectiveness

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

 9  consider findings from program evaluations and site-visit

10  reports relating to the demonstration project described in

11  paragraph (a).

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

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

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

15  operation of the third year of program implementation, as

16  authorized under this section, services shall be reimbursed

17  only on a capitated, risk-adjusted basis.

18         Section 2.  The sums of $2,320,987 from the General

19  Revenue Fund and $3,307,013 from the Medical Care Trust Fund

20  are appropriated to the Agency for Health Care Administration

21  for the purposes of implementing the provisions of this act.

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

23  law.

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    Florida Senate - 2006                           CS for SB 1000
    603-2244-06




 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1000

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 4  Limits the program to Dade county only and removes specific
    references to actual contract numbers.
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    Reduces the number of individuals served by the program from
 6  8,000 to 7,000.

 7  Deletes legislative intent language requiring that the program
    be included as a certification or credentialing requirement of
 8  any plan choosing to participate in Medicaid reform that
    serves Medicaid recipients at risk for falls.
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    Provides an appropriation to the Agency for Health Care
10  Administration to implement the provisions in the bill.

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