Senate Bill sb0972

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    Florida Senate - 2006                                   SB 972

    By Senator Rich





    34-555A-06

  1                      A bill to be entitled

  2         An act relating to the Florida KidCare program;

  3         amending s. 409.814, F.S.; providing for

  4         certain children who are ineligible to

  5         participate in the Florida KidCare program to

  6         be eligible for the Medikids program or the

  7         Florida Healthy Kids program; requiring that

  8         the Agency for Health Care Administration begin

  9         enrollment under the revised program criteria

10         by a specified date; providing an effective

11         date.

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

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15         Section 1.  Subsection (5) of section 409.814, Florida

16  Statutes, is amended to read:

17         409.814  Eligibility.--A child who has not reached 19

18  years of age whose family income is equal to or below 200

19  percent of the federal poverty level is eligible for the

20  Florida KidCare program as provided in this section. For

21  enrollment in the Children's Medical Services Network, a

22  complete application includes the medical or behavioral health

23  screening. If, subsequently, an individual is determined to be

24  ineligible for coverage, he or she must immediately be

25  disenrolled from the respective Florida KidCare program

26  component.

27         (5)  A child whose family income is above 200 percent

28  of the federal poverty level or a child who is excluded under

29  the provisions of subsection (4) may participate in the

30  Medikids program as provided in s. 409.8132 or, if the child

31  is ineligible for Medikids by reason of age, in the Florida

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    Florida Senate - 2006                                   SB 972
    34-555A-06




 1  Healthy Kids program, the Florida KidCare program, excluding

 2  the Medicaid program, but is subject to the following

 3  provisions:

 4         (a)  The family is not eligible for premium assistance

 5  payments and must pay the full cost of the premium, including

 6  any administrative costs.

 7         (b)  The agency is authorized to place limits on

 8  enrollment in Medikids by these children in order to avoid

 9  adverse selection. The number of children participating in

10  Medikids whose family income exceeds 200 percent of the

11  federal poverty level must not exceed 10 percent of total

12  enrollees in the Medikids program.

13         (c)  The board of directors of the Florida Healthy Kids

14  Corporation is authorized to place limits on enrollment of

15  these children in order to avoid adverse selection. In

16  addition, the board is authorized to offer a reduced benefit

17  package to these children in order to limit program costs for

18  such families. The number of children participating in the

19  Florida Healthy Kids program whose family income exceeds 200

20  percent of the federal poverty level must not exceed 10

21  percent of total enrollees in the Florida Healthy Kids

22  program.

23         (d)  Children described in this subsection are not

24  counted in the annual enrollment ceiling for the Florida

25  KidCare program.

26         Section 2.  The Agency for Health Care Administration

27  shall begin enrollment under s. 409.814(5), Florida Statutes,

28  as amended by this act, by July 1, 2006.

29         Section 3.  This act shall take effect July 1, 2006.

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    Florida Senate - 2006                                   SB 972
    34-555A-06




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 2                          SENATE SUMMARY

 3    Provides for certain children who are ineligible to
      participate in the Florida KidCare program to be eligible
 4    for the Medikids program or the Florida Healthy Kids
      program. Requires the Agency for Health Care
 5    Administration to begin enrollment under the revised
      criteria by July 1, 2006.
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