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Senator Peaden moved the following amendment:

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     Senate Amendment (with title amendment)

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     Between line(s) 301 and 302

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insert:

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     Section 4.  Paragraph (b) of subsection (5) of section

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624.91, Florida Statutes, is amended to read:

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     624.91  The Florida Healthy Kids Corporation Act.--

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     (5)  CORPORATION AUTHORIZATION, DUTIES, POWERS.--

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     (b)  The Florida Healthy Kids Corporation shall:

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     1.  Arrange for the collection of any family, local

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contributions, or employer payment or premium, in an amount to be

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determined by the board of directors, to provide for payment of

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premiums for comprehensive insurance coverage and for the actual

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or estimated administrative expenses.

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     2.  Arrange for the collection of any voluntary

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contributions to provide for payment of premiums for children who

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are not eligible for medical assistance under Title XXI of the

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Social Security Act.

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     3.  Subject to the provisions of s. 409.8134, accept

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voluntary supplemental local match contributions that comply with

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the requirements of Title XXI of the Social Security Act for the

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purpose of providing additional coverage in contributing counties

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under Title XXI.

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     4.  Establish the administrative and accounting procedures

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for the operation of the corporation.

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     5.  Establish, with consultation from appropriate

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professional organizations, standards for preventive health

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services and providers and comprehensive insurance benefits

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appropriate to children, provided that such standards for rural

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areas shall not limit primary care providers to board-certified

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pediatricians.

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     6.  Determine eligibility for children seeking to

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participate in the Title XXI-funded components of the Florida

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Kidcare program consistent with the requirements specified in s.

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409.814, as well as the non-Title-XXI-eligible children as

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provided in subsection (3).

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     7.  Establish procedures under which providers of local

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match to, applicants to and participants in the program may have

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grievances reviewed by an impartial body and reported to the

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board of directors of the corporation.

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     8.  Establish participation criteria and, if appropriate,

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contract with an authorized insurer, health maintenance

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organization, or third-party administrator to provide

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administrative services to the corporation.

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     9.  Establish enrollment criteria which shall include

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penalties or waiting periods of not fewer than 60 days for

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reinstatement of coverage upon voluntary cancellation for

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nonpayment of family premiums.

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     10.  Contract with authorized insurers or any provider of

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health care services, meeting standards established by the

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corporation, for the provision of comprehensive insurance

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coverage to participants. Such standards shall include criteria

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under which the corporation may contract with more than one

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provider of health care services in program sites. Health plans

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shall be selected through a competitive bid process. The Florida

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Healthy Kids Corporation shall purchase goods and services in the

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most cost-effective manner consistent with the delivery of

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quality medical care. The maximum administrative cost for a

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Florida Healthy Kids Corporation contract shall be 15 percent.

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For health care contracts, the minimum medical loss ratio for a

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Florida Healthy Kids Corporation contract shall be 85 percent.

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For dental contracts, the remaining compensation to be paid to

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the authorized insurer or provider under a Florida Healthy Kids

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Corporation contract shall be no less than an amount which is 85

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percent of premium; to the extent any contract provision does not

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provide for this minimum compensation, this section shall

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prevail. The health plan selection criteria and scoring system,

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and the scoring results, shall be available upon request for

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inspection after the bids have been awarded.

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     11.  Establish disenrollment criteria in the event local

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matching funds are insufficient to cover enrollments.

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     12.  Develop and implement a plan to publicize the Florida

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Healthy Kids Corporation, the eligibility requirements of the

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program, and the procedures for enrollment in the program and to

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maintain public awareness of the corporation and the program.

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     13.  Secure staff necessary to properly administer the

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corporation. Staff costs shall be funded from state and local

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matching funds and such other private or public funds as become

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available. The board of directors shall determine the number of

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staff members necessary to administer the corporation.

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     14.  Provide a report annually to the Governor, Chief

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Financial Officer, Commissioner of Education, Senate President,

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Speaker of the House of Representatives, and Minority Leaders of

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the Senate and the House of Representatives.

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     15. Provide information on a quarterly basis to the

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Legislature and the Governor which compares the costs and

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utilization of the full-pay enrolled population and the Title

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XXI-subsidized enrolled population in the KidCare program. The

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information, at a minimum, must include:

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     a. The monthly enrollment and expenditure for full-pay

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enrollees in the Medikids and Florida Healthy Kids programs

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compared to the Title XXI-subsidized enrolled population; and

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     b. The costs and utilization by service of the full-pay

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enrollees in the Medikids and Florida Healthy Kids programs and

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the Title XXI-subsidized enrolled population.

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By February 1, 2009, the Florida Healthy Kids Corporation shall

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provide a study to the Legislature and the Governor on premium

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impacts to the subsidized portion of the program from the

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inclusion of the full-pay program, which shall include

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recommendations on how to eliminate or mitigate possible impacts

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to the subsidized premiums.

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     16.15. Establish benefit packages which conform to the

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provisions of the Florida Kidcare program, as created in ss.

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409.810-409.820.

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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) 51, after the first semicolon,

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insert:

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amending s. 624.91, F.S.; revising the duties of the

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Florida Healthy Kids Corporation;

4/8/2008  3:08:00 PM     2-06953-08