Bill No. CS/HB 7081
Amendment No. 415561
Senate House

1Representative Bean offered the following:
3     Amendment (with directory and title amendments)
4     Remove lines 145-233 and insert:
5     408.909  Health flex plans.--
6     (5)  ELIGIBILITY.--Eligibility to enroll in an approved
7health flex plan is limited to residents of this state who:
8     (a)1.  Are 64 years of age or younger;
9     2.(b)  Have a family income equal to or less than 300200
10percent of the federal poverty level;
11     (c)  Are eligible under a federally approved Medicaid
12demonstration waiver and reside in Palm Beach County or Miami-
13Dade County;
14     3. (d)  Are not covered by a private insurance policy and
15are not eligible for coverage through a public health insurance
16program, such as Medicare or Medicaid, unless specifically
17authorized under paragraph (c), or another public health care
18program, such as Kidcare, and have not been covered at any time
19during the past 6 months, except that:
20     a.  A person who was covered under an individual health
21maintenance contract issued by a health maintenance organization
22licensed under part I of chapter 641 that also was an approved
23health flex plan on October 1, 2008, may apply for coverage in
24the same health maintenance organization's health flex plan
25without a lapse in coverage if all other eligibility
26requirements are met; or
27     b.  A person who was covered under Medicaid or Kidcare and
28lost eligibility for the Medicaid or Kidcare subsidy due to
29income restrictions within 90 days prior to applying for health
30care coverage through an approved health flex plan may apply for
31coverage in a health flex plan without a lapse in coverage if
32all other eligibility requirements are met; and
33     4.(e)  Have applied for health care coverage as an
34individual through an approved health flex plan and have agreed
35to make any payments required for participation, including
36periodic payments or payments due at the time health care
37services are provided; or
38     (b)  Are part of an employer group at least 75 percent of
39the employees of which have a family income equal to or less
40than 300 percent of the federal poverty level and which employee
41group is not covered by a private health insurance policy and
42has not been covered at any time during the past 6 months. If
43the health flex plan entity is a health insurer, health plan, or
44health maintenance organization licensed under Florida law, only
4550 percent of the employees must meet the income requirements
46for the purpose of this paragraph.
47     (10)  EXPIRATION.--This section expires July 1, 2013 2008.
D I R E C T O R Y  A M E N D M E N T
53     Remove lines 142-44 and insert:
54     Section 2.  Subsections (5) and (10) of section 408.909,
55Florida Statutes, are amended to read:
T I T L E  A M E N D M E N T
61     Remove lines 7-13 and insert:
62subsidy; amending s. 408.909, F.S.; revising eligibility
63requirements; providing certain exemptions from the 6-month
64lapse in coverage requirement; eliminating the expiration date
65of the health flex plan; creating

CODING: Words stricken are deletions; words underlined are additions.