| 1 | A bill to be entitled |
| 2 | An act relating to the Florida KidCare program; amending |
| 3 | s. 409.814, F.S.; authorizing eligibility for coverage in |
| 4 | the Florida KidCare program for additional categories of |
| 5 | children; providing an effective date. |
| 6 |
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| 7 | Be It Enacted by the Legislature of the State of Florida: |
| 8 |
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| 9 | Section 1. Subsections (2) and (5) of section 409.814, |
| 10 | Florida Statutes, are amended to read: |
| 11 | 409.814 Eligibility.--A child who has not reached 19 years |
| 12 | of age whose family income is equal to or below 200 percent of |
| 13 | the federal poverty level is eligible for the Florida KidCare |
| 14 | program as provided in this section. For enrollment in the |
| 15 | Children's Medical Services Network, a complete application |
| 16 | includes the medical or behavioral health screening. If, |
| 17 | subsequently, an individual is determined to be ineligible for |
| 18 | coverage, he or she must immediately be disenrolled from the |
| 19 | respective Florida KidCare program component. |
| 20 | (2) A child who is not eligible for Medicaid, but who is |
| 21 | eligible for the Florida KidCare program, may obtain health |
| 22 | benefits coverage under any of the other components listed in s. |
| 23 | 409.813 if such coverage is approved and available in the county |
| 24 | in which the child resides. However, a child who is eligible for |
| 25 | Medikids, including those eligible under subsection (5), may |
| 26 | participate in the Florida Healthy Kids program only if the |
| 27 | child has a sibling participating in the Florida Healthy Kids |
| 28 | program and the child's county of residence permits such |
| 29 | enrollment. |
| 30 | (5) A child whose family income is above 200 percent of |
| 31 | the federal poverty level or a child who is excluded under the |
| 32 | provisions of subsection (4) may apply for coverage and shall be |
| 33 | allowed to participate in the Florida KidCare program, excluding |
| 34 | the Medicaid program, but is subject to the following |
| 35 | provisions: |
| 36 | (a) The family is not eligible for premium assistance |
| 37 | payments and must pay the full cost of the premium, including |
| 38 | any administrative costs. |
| 39 | (b) The agency is authorized to place limits on enrollment |
| 40 | in Medikids by these children in order to avoid adverse |
| 41 | selection. The number of children participating in Medikids |
| 42 | whose family income exceeds 200 percent of the federal poverty |
| 43 | level must not exceed 10 percent of total enrollees in the |
| 44 | Medikids program. |
| 45 | (c) The board of directors of the Florida Healthy Kids |
| 46 | Corporation is authorized to place limits on enrollment of these |
| 47 | children in order to avoid adverse selection. In addition, the |
| 48 | board is authorized to offer a reduced benefit package to these |
| 49 | children in order to limit program costs for such families. The |
| 50 | number of children participating in the Florida Healthy Kids |
| 51 | program whose family income exceeds 200 percent of the federal |
| 52 | poverty level must not exceed 10 percent of total enrollees in |
| 53 | the Florida Healthy Kids program. |
| 54 | (d) Children described in this subsection are not counted |
| 55 | in the annual enrollment ceiling for the Florida KidCare |
| 56 | program. |
| 57 | Section 2. This act shall take effect July 1, 2006. |