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Senator Wilson moved the following amendment:

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     Senate Amendment (with title amendment)

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     Between line(s) 1219 and 1220,

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insert:

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     Section 10.  Paragraph (i) of subsection (3) of section

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409.91211, Florida Statutes, as amended by chapter 2007-331, Laws

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of Florida, is amended to read:

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     409.91211  Medicaid managed care pilot program.--

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     (3)  The agency shall have the following powers, duties, and

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responsibilities with respect to the pilot program:

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     (i)  To implement a mechanism for providing information to

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Medicaid recipients for the purpose of selecting a capitated

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managed care plan. For each plan available to a recipient, the

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agency, at a minimum, shall ensure that the recipient is provided

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with:

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     1.  A list and description of the benefits provided.

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     2.  Information about cost sharing.

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     3.  Plan performance data, if available.

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     4.  An explanation of benefit limitations.

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     5.  Contact information, including identification of

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providers participating in the network, geographic locations, and

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transportation limitations.

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     6. Plan standards for granting services in excess of the

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plan's service caps.

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     7. Plan preferred drug lists, including listings of covered

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drugs according to the same therapeutic classification used in

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the agency's preferred drug list, and utilization review criteria

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for granting coverage of drugs not on the preferred drug list.

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     8. Information on the right to transitional coverage of

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services the recipient is receiving before enrollment in the

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plan.

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     9.6. Any other information the agency determines would

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facilitate a recipient's understanding of the plan or insurance

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that would best meet his or her needs.

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================ T I T L E  A M E N D M E N T ================

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And the title is amended as follows:

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     On line(s) 42, after the semicolon,

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insert:

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amending s. 409.91211, F.S.; requiring that Medicaid

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recipients receive plan standards for granting services in

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excess of the plan's services caps and preferred drug

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lists and information on the right to transitional

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coverage services for each plan;

4/9/2008  7:47:00 AM     33-07031-08