Senate Bill sb0394c1

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    Florida Senate - 2006                            CS for SB 394

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




    603-2004-06

  1                      A bill to be entitled

  2         An act relating to social services; amending s.

  3         393.0661, F.S.; deleting provisions requiring

  4         the Agency for Health Care Administration to

  5         make certain adjustments with respect to home

  6         and community-based services; requiring that

  7         the Agency for Persons with Disabilities report

  8         to the Governor and Legislature the financial

  9         status of home and community-based services

10         provided under a federally approved waiver;

11         requiring that the agency adjust the rates for

12         such services in order to remain within the

13         amount appropriated; amending s. 440.02, F.S.;

14         deleting provisions providing for the

15         expiration of an exemption from coverage under

16         workers' compensation law for certain clients

17         enrolled in the Medicaid program who are served

18         by Adult Day Training Services; providing an

19         effective date.

20  

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

22  

23         Section 1.  Subsection (4) of section 393.0661, Florida

24  Statutes, is amended, and subsection (5) is added to that

25  section, to read:

26         393.0661  Home and community-based services delivery

27  system; comprehensive redesign.--The Legislature finds that

28  the home and community-based services delivery system for

29  persons with developmental disabilities and the availability

30  of appropriated funds are two of the critical elements in

31  making services available. Therefore, it is the intent of the

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    Florida Senate - 2006                            CS for SB 394
    603-2004-06




 1  Legislature that the Agency for Persons with Disabilities

 2  shall develop and implement a comprehensive redesign of the

 3  system.

 4         (4)  Nothing in this section or in any administrative

 5  rule shall be construed to prevent or limit the Agency for

 6  Health Care Administration, in consultation with the Agency

 7  for Persons with Disabilities, from adjusting fees,

 8  reimbursement rates, lengths of stay, number of visits, or

 9  number of services, or from limiting enrollment, or making any

10  other adjustment necessary to comply with the availability of

11  moneys and any limitations or directions provided for in the

12  General Appropriations Act. If at any time, based upon an

13  analysis by the Agency for Health Care Administration in

14  consultation with the Agency for Persons with Disabilities,

15  the cost of home and community-based waiver services are

16  expected to exceed the appropriated amount, the Agency for

17  Health Care Administration may implement any adjustment,

18  including provider rate reductions, within 30 days in order to

19  remain within the appropriation.

20         (5)  The Agency for Persons with Disabilities shall

21  submit quarterly status reports to the Executive Office of the

22  Governor, the chair of the Senate Ways and Means Committee,

23  and the chair of the House Fiscal Council regarding the

24  financial status of home and community-based services provided

25  under the federally approved waiver, including, but not

26  limited to, the number of clients currently being served

27  through the program and information concerning the actual and

28  projected costs as compared to the amount of the appropriation

29  available to the program. If at any time an analysis by the

30  agency finds that the cost of services is expected to exceed

31  the amount appropriated, based on the current rates as

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    Florida Senate - 2006                            CS for SB 394
    603-2004-06




 1  implemented on November 1, 2003, the agency shall implement

 2  any adjustment that is necessary under subsection (4) in order

 3  to remain within the appropriation.

 4         Section 2.  Paragraph (d) of subsection (15) of section

 5  440.02, Florida Statutes, is amended to read:

 6         440.02  Definitions.--When used in this chapter, unless

 7  the context clearly requires otherwise, the following terms

 8  shall have the following meanings:

 9         (15)

10         (d)  "Employee" does not include:

11         1.  An independent contractor who is not engaged in the

12  construction industry.

13         a.  In order to meet the definition of independent

14  contractor, at least four of the following criteria must be

15  met:

16         (I)  The independent contractor maintains a separate

17  business with his or her own work facility, truck, equipment,

18  materials, or similar accommodations;

19         (II)  The independent contractor holds or has applied

20  for a federal employer identification number, unless the

21  independent contractor is a sole proprietor who is not

22  required to obtain a federal employer identification number

23  under state or federal regulations;

24         (III)  The independent contractor receives compensation

25  for services rendered or work performed and such compensation

26  is paid to a business rather than to an individual;

27         (IV)  The independent contractor holds one or more bank

28  accounts in the name of the business entity for purposes of

29  paying business expenses or other expenses related to services

30  rendered or work performed for compensation;

31  

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    Florida Senate - 2006                            CS for SB 394
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 1         (V)  The independent contractor performs work or is

 2  able to perform work for any entity in addition to or besides

 3  the employer at his or her own election without the necessity

 4  of completing an employment application or process; or

 5         (VI)  The independent contractor receives compensation

 6  for work or services rendered on a competitive-bid basis or

 7  completion of a task or a set of tasks as defined by a

 8  contractual agreement, unless such contractual agreement

 9  expressly states that an employment relationship exists.

10         b.  If four of the criteria listed in sub-subparagraph

11  a. do not exist, an individual may still be presumed to be an

12  independent contractor and not an employee based on full

13  consideration of the nature of the individual situation with

14  regard to satisfying any of the following conditions:

15         (I)  The independent contractor performs or agrees to

16  perform specific services or work for a specific amount of

17  money and controls the means of performing the services or

18  work.

19         (II)  The independent contractor incurs the principal

20  expenses related to the service or work that he or she

21  performs or agrees to perform.

22         (III)  The independent contractor is responsible for

23  the satisfactory completion of the work or services that he or

24  she performs or agrees to perform.

25         (IV)  The independent contractor receives compensation

26  for work or services performed for a commission or on a

27  per-job basis and not on any other basis.

28         (V)  The independent contractor may realize a profit or

29  suffer a loss in connection with performing work or services.

30         (VI)  The independent contractor has continuing or

31  recurring business liabilities or obligations.

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    Florida Senate - 2006                            CS for SB 394
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 1         (VII)  The success or failure of the independent

 2  contractor's business depends on the relationship of business

 3  receipts to expenditures.

 4         c.  Notwithstanding anything to the contrary in this

 5  subparagraph, an individual claiming to be an independent

 6  contractor has the burden of proving that he or she is an

 7  independent contractor for purposes of this chapter.

 8         2.  A real estate licensee, if that person agrees, in

 9  writing, to perform for remuneration solely by way of

10  commission.

11         3.  Bands, orchestras, and musical and theatrical

12  performers, including disk jockeys, performing in licensed

13  premises as defined in chapter 562, if a written contract

14  evidencing an independent contractor relationship is entered

15  into before the commencement of such entertainment.

16         4.  An owner-operator of a motor vehicle who transports

17  property under a written contract with a motor carrier which

18  evidences a relationship by which the owner-operator assumes

19  the responsibility of an employer for the performance of the

20  contract, if the owner-operator is required to furnish motor

21  vehicle equipment as identified in the written contract and

22  the principal costs incidental to the performance of the

23  contract, including, but not limited to, fuel and repairs,

24  provided a motor carrier's advance of costs to the

25  owner-operator when a written contract evidences the

26  owner-operator's obligation to reimburse such advance shall be

27  treated as the owner-operator furnishing such cost and the

28  owner-operator is not paid by the hour or on some other

29  time-measured basis.

30  

31  

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    Florida Senate - 2006                            CS for SB 394
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 1         5.  A person whose employment is both casual and not in

 2  the course of the trade, business, profession, or occupation

 3  of the employer.

 4         6.  A volunteer, except a volunteer worker for the

 5  state or a county, municipality, or other governmental entity.

 6  A person who does not receive monetary remuneration for

 7  services is presumed to be a volunteer unless there is

 8  substantial evidence that a valuable consideration was

 9  intended by both employer and employee. For purposes of this

10  chapter, the term "volunteer" includes, but is not limited to:

11         a.  Persons who serve in private nonprofit agencies and

12  who receive no compensation other than expenses in an amount

13  less than or equivalent to the standard mileage and per diem

14  expenses provided to salaried employees in the same agency or,

15  if such agency does not have salaried employees who receive

16  mileage and per diem, then such volunteers who receive no

17  compensation other than expenses in an amount less than or

18  equivalent to the customary mileage and per diem paid to

19  salaried workers in the community as determined by the

20  department; and

21         b.  Volunteers participating in federal programs

22  established under Pub. L. No. 93-113.

23         7.  Unless otherwise prohibited by this chapter, any

24  officer of a corporation who elects to be exempt from this

25  chapter. Such officer is not an employee for any reason under

26  this chapter until the notice of revocation of election filed

27  pursuant to s. 440.05 is effective.

28         8.  An officer of a corporation that is engaged in the

29  construction industry who elects to be exempt from the

30  provisions of this chapter, as otherwise permitted by this

31  chapter. Such officer is not an employee for any reason until

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    Florida Senate - 2006                            CS for SB 394
    603-2004-06




 1  the notice of revocation of election filed pursuant to s.

 2  440.05 is effective.

 3         9.  An exercise rider who does not work for a single

 4  horse farm or breeder, and who is compensated for riding on a

 5  case-by-case basis, provided a written contract is entered

 6  into prior to the commencement of such activity which

 7  evidences that an employee/employer relationship does not

 8  exist.

 9         10.  A taxicab, limousine, or other passenger

10  vehicle-for-hire driver who operates said vehicles pursuant to

11  a written agreement with a company which provides any

12  dispatch, marketing, insurance, communications, or other

13  services under which the driver and any fees or charges paid

14  by the driver to the company for such services are not

15  conditioned upon, or expressed as a proportion of, fare

16  revenues.

17         11.  A person who performs services as a sports

18  official for an entity sponsoring an interscholastic sports

19  event or for a public entity or private, nonprofit

20  organization that sponsors an amateur sports event. For

21  purposes of this subparagraph, such a person is an independent

22  contractor. For purposes of this subparagraph, the term

23  "sports official" means any person who is a neutral

24  participant in a sports event, including, but not limited to,

25  umpires, referees, judges, linespersons, scorekeepers, or

26  timekeepers. This subparagraph does not apply to any person

27  employed by a district school board who serves as a sports

28  official as required by the employing school board or who

29  serves as a sports official as part of his or her

30  responsibilities during normal school hours.

31  

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    Florida Senate - 2006                            CS for SB 394
    603-2004-06




 1         12.  Medicaid-enrolled clients under chapter 393 who

 2  are excluded from the definition of employment under s.

 3  443.1216(4)(d) and served by Adult Day Training Services under

 4  the Home and Community-Based or the Family and Supported

 5  Living Medicaid Waiver program in a sheltered workshop setting

 6  licensed by the United States Department of Labor for the

 7  purpose of training and earning less than the federal hourly

 8  minimum wage.

 9         13.  Medicaid-enrolled clients under chapter 393 who

10  are excluded from the definition of employment under s.

11  443.1216(4)(d) and served by Adult Day Training Services under

12  the Family and Supported Living Medicaid Waiver program in a

13  sheltered workshop setting licensed by the United States

14  Department of Labor for the purpose of training and earning

15  less than the federal hourly minimum wage. This subparagraph

16  expires July 1, 2006.

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

18  law.

19  

20          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
21                         Senate Bill 394

22                                 

23  Deletes provisions requiring the Agency for Health Care
    Administration to make certain adjustments to home and
24  community-based services.

25  Requires the Agency for Persons with Disabilities (APD) to
    report to the Governor and Legislature the financial status of
26  the home and community-based service waivers and authorizes
    APD to make adjustments necessary to remain within the
27  appropriation based on the November 1, 2003 rates.

28  Deletes provisions providing for the expiration of an
    exemption from the workers' compensation law for certain
29  clients enrolled in the Medicaid program who are served by
    adult day training services.
30  

31  

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