| 1 | The Health Care Appropriations Committee recommends the |
| 2 | following: |
| 3 |
|
| 4 | Council/Committee Substitute |
| 5 | Remove the entire bill and insert: |
| 6 | A bill to be entitled |
| 7 | An act relating to a Medicaid comprehensive geriatric fall |
| 8 | prevention program; creating s. 409.91212, F.S.; requiring |
| 9 | the Agency for Health Care Administration to establish a |
| 10 | Medicaid comprehensive geriatric fall prevention program; |
| 11 | directing the agency to develop the program as an |
| 12 | expansion of a certain pilot project conducted in Miami- |
| 13 | Dade County; requiring the agency to evaluate the program |
| 14 | and report to the Legislature; requiring a plan and |
| 15 | timetable for statewide implementation contingent upon |
| 16 | certain findings; specifying a timeframe for implementing |
| 17 | a certain form of reimbursement; providing a contingent |
| 18 | effective date. |
| 19 |
|
| 20 | Be It Enacted by the Legislature of the State of Florida: |
| 21 |
|
| 22 | Section 1. Section 409.91212, Florida Statutes, is created |
| 23 | to read: |
| 24 | 409.91212 Medicaid comprehensive geriatric fall prevention |
| 25 | program.-- |
| 26 | (1)(a) The Agency for Health Care Administration shall |
| 27 | establish a Medicaid comprehensive geriatric fall prevention |
| 28 | program in Miami-Dade County. The program shall be evidence |
| 29 | based and shall expand the geriatric fall prevention |
| 30 | demonstration project awarded under contract in 2002 by the |
| 31 | Agency for Health Care Administration. The program shall serve |
| 32 | 8,000 Medicaid recipients 60 years of age or older during the |
| 33 | first year of operation and shall be in operation within 120 |
| 34 | days after the effective date of this act. |
| 35 | (b) The agency shall evaluate the cost-effectiveness and |
| 36 | clinical effectiveness of the program and report its findings to |
| 37 | the President of the Senate and the Speaker of the House of |
| 38 | Representatives by January 1, 2009. If the findings indicate the |
| 39 | program is cost-effective and clinically effective, the report |
| 40 | shall include a plan and timetable for statewide implementation. |
| 41 | In evaluating the cost-effectiveness and clinical effectiveness |
| 42 | of the program, the agency must consider findings from program |
| 43 | evaluations and site visit reports relating to the demonstration |
| 44 | project described in paragraph (a). |
| 45 | (2) Services provided under subsection (1) shall be |
| 46 | reimbursed on the same basis as provided for under the |
| 47 | demonstration project contracts described in subsection (1). |
| 48 | Beginning on the first day of operation in the third year of |
| 49 | program implementation, as authorized under this section, |
| 50 | services shall be reimbursed only on a capitated, risk-adjusted |
| 51 | basis. |
| 52 | Section 2. This act shall take effect July 1, 2006, only |
| 53 | if a specific appropriation to fund the Medicaid comprehensive |
| 54 | geriatric fall prevention program is made in the General |
| 55 | Appropriations Act for fiscal year 2006-2007. |