| 1 | The Health Care General Committee recommends the following: |
| 2 |
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| 3 | Council/Committee Substitute |
| 4 | Remove the entire bill and insert: |
| 5 | A bill to be entitled |
| 6 | An act relating to the Florida KidCare program; amending |
| 7 | s. 409.814, F.S.; providing for certain children who are |
| 8 | ineligible to participate in the Florida KidCare program |
| 9 | to be eligible for the Medikids program or the Florida |
| 10 | Healthy Kids program; requiring that the Agency for Health |
| 11 | Care Administration begin enrollment under the revised |
| 12 | program criteria by a specified date; providing an |
| 13 | effective date. |
| 14 |
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| 15 | Be It Enacted by the Legislature of the State of Florida: |
| 16 |
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| 17 | Section 1. Subsection (5) of section 409.814, Florida |
| 18 | Statutes, is amended to read: |
| 19 | 409.814 Eligibility.--A child who has not reached 19 years |
| 20 | of age whose family income is equal to or below 200 percent of |
| 21 | the federal poverty level is eligible for the Florida KidCare |
| 22 | program as provided in this section. For enrollment in the |
| 23 | Children's Medical Services Network, a complete application |
| 24 | includes the medical or behavioral health screening. If, |
| 25 | subsequently, an individual is determined to be ineligible for |
| 26 | coverage, he or she must immediately be disenrolled from the |
| 27 | respective Florida KidCare program component. |
| 28 | (5) A child whose family income is above 200 percent of |
| 29 | the federal poverty level or a child who is excluded under the |
| 30 | provisions of subsection (4) may participate in the Medikids |
| 31 | program as provided in s. 409.8132 or, if the child is |
| 32 | ineligible for Medikids by reason of age, in the Florida Healthy |
| 33 | Kids program Florida KidCare program, excluding the Medicaid |
| 34 | program, but is subject to the following provisions: |
| 35 | (a) The family is not eligible for premium assistance |
| 36 | payments and must pay the full cost of the premium, including |
| 37 | any administrative costs. |
| 38 | (b) The agency is authorized to place limits on enrollment |
| 39 | in Medikids by these children in order to avoid adverse |
| 40 | selection. The number of children participating in Medikids |
| 41 | whose family income exceeds 200 percent of the federal poverty |
| 42 | level must not exceed 10 percent of total enrollees in the |
| 43 | Medikids program. |
| 44 | (c) The board of directors of the Florida Healthy Kids |
| 45 | Corporation is authorized to place limits on enrollment of these |
| 46 | children in order to avoid adverse selection. In addition, the |
| 47 | board is authorized to offer a reduced benefit package to these |
| 48 | children in order to limit program costs for such families. The |
| 49 | number of children participating in the Florida Healthy Kids |
| 50 | program whose family income exceeds 200 percent of the federal |
| 51 | poverty level must not exceed 10 percent of total enrollees in |
| 52 | the Florida Healthy Kids program. |
| 53 | (d) Children described in this subsection are not counted |
| 54 | in the annual enrollment ceiling for the Florida KidCare |
| 55 | program. |
| 56 | Section 2. The Agency for Health Care Administration shall |
| 57 | begin enrollment under s. 409.814(5), Florida Statutes, as |
| 58 | amended by this act, by July 1, 2006. |
| 59 | Section 3. This act shall take effect July 1, 2006. |