| 1 | Representative Galvano offered the following: |
| 2 |
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| 3 | Amendment (with directory and title amendments) |
| 4 | Remove lines 317-343 and insert: |
| 5 | (c) For 2 fiscal years beginning July 1, 2008, and ending |
| 6 | June 30, 2010, the Agency for Health Care Administration may not |
| 7 | shall adjust a hospital's current inpatient per diem rate to |
| 8 | reflect the cost of serving the Medicaid population at that |
| 9 | institution if: |
| 10 | 1. The hospital experiences an increase in Medicaid |
| 11 | caseload by more than 25 percent in any year, primarily |
| 12 | resulting from the closure of a hospital in the same service |
| 13 | area occurring after July 1, 1995; |
| 14 | 2. The hospital's Medicaid per diem rate is at least 25 |
| 15 | percent below the Medicaid per patient cost for that year; or |
| 16 | 3. The hospital is located in a county that has five or |
| 17 | fewer hospitals, began offering obstetrical services on or after |
| 18 | September 1999, and has submitted a request in writing to the |
| 19 | agency for a rate adjustment after July 1, 2000, but before |
| 20 | September 30, 2000, in which case such hospital's Medicaid |
| 21 | inpatient per diem rate shall be adjusted to cost, effective |
| 22 | July 1, 2002. |
| 23 |
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| 24 | No later than October 1 of each year, the agency must provide |
| 25 | estimated costs for any adjustment in a hospital inpatient per |
| 26 | diem pursuant to this paragraph to the Executive Office of the |
| 27 | Governor, the House of Representatives General Appropriations |
| 28 | Committee, and the Senate Appropriations Committee. Before the |
| 29 | agency implements a change in a hospital's inpatient per diem |
| 30 | rate pursuant to this paragraph, the Legislature must have |
| 31 | specifically appropriated sufficient funds in the General |
| 32 | Appropriations Act to support the increase in cost as estimated |
| 33 | by the agency. |
| 34 |
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| 35 | ----------------------------------------------------- |
| 36 | D I R E C T O R Y A M E N D M E N T |
| 37 | Remove lines 290-293 and insert: |
| 38 | Section 4. Paragraph (c) of subsection (5) of section |
| 39 | 409.905, Florida Statutes, is amended to read: |
| 40 |
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| 41 |
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| 42 | ----------------------------------------------------- |
| 43 | T I T L E A M E N D M E N T |
| 44 | Remove lines 21-22 and insert: |
| 45 | 409.905, F.S.; prohibiting payment for certain hospital |
| 46 | inpatient per diem rate adjustment for 2 fiscal years; amending |
| 47 | s. 409.906, |