Florida Senate - 2006                      COMMITTEE AMENDMENT
    Bill No. SB 790
                        Barcode 202778
                            CHAMBER ACTION
              Senate                               House
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       01/25/2006 05:45 PM         .                    
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11  The Committee on Health Care (Peaden) recommended the
12  following amendment:
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14         Senate Amendment (with title amendment) 
15         On page 4, between lines 13 and 14,
16  
17  insert:  
18         Section 2.  Subsection (1) of section 408.040, Florida
19  Statutes, is amended to read:
20         408.040  Conditions and monitoring.--
21         (1)(a)  The agency may issue a certificate of need, or
22  an exemption, predicated upon statements of intent expressed
23  by an applicant in the application for a certificate of need
24  or an exemption. Any conditions imposed on a certificate of
25  need or an exemption based on such statements of intent shall
26  be stated on the face of the certificate of need or in the
27  exemption approval.
28         (b)  The agency may consider, in addition to the other
29  criteria specified in s. 408.035, a statement of intent by the
30  applicant that a specified percentage of the annual patient
31  days at the facility will be utilized by patients eligible for
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    9:00 AM   01/18/06                             s0790c-he02-j01

Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 790 Barcode 202778 1 care under Title XIX of the Social Security Act. Any 2 certificate of need issued to a nursing home in reliance upon 3 an applicant's statements that a specified percentage of 4 annual patient days will be utilized by residents eligible for 5 care under Title XIX of the Social Security Act must include a 6 statement that such certification is a condition of issuance 7 of the certificate of need. The certificate-of-need program 8 shall notify the Medicaid program office and the Department of 9 Elderly Affairs when it imposes conditions as authorized in 10 this paragraph in an area in which a community diversion pilot 11 project is implemented. 12 (c) A certificateholder or an exemption holder may 13 apply to the agency for a modification of conditions imposed 14 under paragraph (a) or paragraph (b). If the holder of a 15 certificate of need or an exemption demonstrates good cause 16 why the certificate or exemption should be modified, the 17 agency shall reissue the certificate of need or exemption with 18 such modifications as may be appropriate. The agency shall by 19 rule define the factors constituting good cause for 20 modification. 21 (d) If a nursing home is located in a county where a 22 long-term care community diversion pilot project has been 23 implemented under s. 430.705 or in a county where an 24 integrated, fixed-payment delivery system for Medicaid 25 recipients who are 60 years of age or older has been 26 implemented under s. 409.912(5), the nursing home may request 27 a reduction in the percentage of annual patient days utilized 28 by residents who are eligible for care under Title XIX of the 29 Social Security Act, which is a condition of the nursing 30 home's certificate of need. The agency shall automatically 31 grant the nursing home's request if the reduction is not more 2 9:00 AM 01/18/06 s0790c-he02-j01
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 790 Barcode 202778 1 than 15 percent of the nursing home's annual 2 Medicaid-patient-days condition. A nursing home may submit 3 only one request every 2 years for an automatic reduction. A 4 requesting nursing home must notify the agency in writing at 5 least 60 days in advance of its intent to reduce its annual 6 Medicaid-patient-days condition by not more than 15 percent. 7 The agency must acknowledge the request in writing and must 8 change its records to reflect the revised certificate-of-need 9 condition. This paragraph expires June 30, 2011. 10 (e)(d) If the holder of a certificate of need or an 11 exemption fails to comply with a condition upon which the 12 issuance of the certificate or exemption was predicated, the 13 agency may assess an administrative fine against the 14 certificateholder or exemption holder in an amount not to 15 exceed $1,000 per failure per day. Failure to annually report 16 compliance with any condition upon which the issuance of the 17 certificate or exemption was predicated constitutes 18 noncompliance. In assessing the penalty, the agency shall take 19 into account as mitigation the degree of noncompliance. 20 Proceeds of such penalties shall be deposited in the Public 21 Medical Assistance Trust Fund. 22 23 (Redesignate subsequent sections.) 24 25 26 ================ T I T L E A M E N D M E N T =============== 27 And the title is amended as follows: 28 On page 1, line 7, after the semicolon, 29 30 insert: 31 amending s. 408.040, F.S.; authorizing nursing 3 9:00 AM 01/18/06 s0790c-he02-j01
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 790 Barcode 202778 1 homes in certain counties to request a 2 reduction in their annual Medicaid patient 3 days; requiring the Agency for Health Care 4 Administration to automatically grant such a 5 request if the nursing home meets certain 6 conditions; providing for future repeal; 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 4 9:00 AM 01/18/06 s0790c-he02-j01