Florida Senate - 2009                             CS for SB 1346
       
       
       
       By the Committee on Health and Human Services Appropriations;
       and Senator Peaden
       
       
       
       603-05117-09                                          20091346c1
    1                        A bill to be entitled                      
    2         An act relating to trust funds; amending s. 20.425,
    3         F.S.; providing an additional source of funds for the
    4         Grants and Donations Trust Fund within the Agency for
    5         Health Care Administration; amending s. 215.5601,
    6         F.S., relating to the Lawton Chiles Endowment Fund;
    7         revising the date of reversion of undisbursed balances
    8         in the fund; amending s. 400.179, F.S.; requiring that
    9         a leasehold licensee fee be deposited into the Grants
   10         and Donations Trust Fund of the agency; amending s.
   11         409.916, F.S.; requiring that funds from nursing home
   12         facility quality assessments, certain grants and
   13         donations, and leasehold licensee fees be deposited
   14         into the Grant and Donations Trust Fund of the agency;
   15         amending ss. 893.165 and 938.23, F.S.; requiring that
   16         certain assessments for alcohol and drug abuse
   17         treatment programs and collected by the clerks of the
   18         circuit courts be deposited into the Grants and
   19         Donations Trust Fund of the Department of Children and
   20         Family Services; providing an effective date.
   21  
   22  Be It Enacted by the Legislature of the State of Florida:
   23  
   24         Section 1. Subsection (2) of section 20.425, Florida
   25  Statutes, is amended to read:
   26         20.425 Agency for Health Care Administration; trust funds.
   27  The following trust funds shall be administered by the Agency
   28  for Health Care Administration:
   29         (2) Grants and Donations Trust Fund.
   30         (a) Funds to be credited to and uses of the trust fund
   31  shall be administered in accordance with the provisions of ss.
   32  215.32, 400.179, and 409.916.
   33         (b) Notwithstanding the provisions of s. 216.301 and
   34  pursuant to s. 216.351, any balance in the trust fund at the end
   35  of any fiscal year shall remain in the trust fund at the end of
   36  the year and shall be available for carrying out the purposes of
   37  the trust fund.
   38         Section 2. Paragraph (e) of subsection (5) of section
   39  215.5601, Florida Statutes, as amended by section 3 of chapter
   40  2009-2, Laws of Florida, is amended to read:
   41         215.5601 Lawton Chiles Endowment Fund.—
   42         (5) AVAILABILITY OF FUNDS; USES.—
   43         (e) Notwithstanding s. 216.301 and pursuant to s. 216.351,
   44  all unencumbered balances of appropriations from each
   45  department’s respective Tobacco Settlement Trust Fund as of June
   46  30 or undisbursed balances as of September 30 December 31 shall
   47  revert to the endowment’s principal. Unencumbered balances in
   48  the Biomedical Research Trust Fund shall be managed as provided
   49  in s. 20.435(8)(b).
   50         Section 3. Paragraph (d) of subsection 2 of section
   51  400.179, Florida Statutes, is amended to read:
   52         400.179 Liability for Medicaid underpayments and
   53  overpayments.—
   54         (2) Because any transfer of a nursing facility may expose
   55  the fact that Medicaid may have underpaid or overpaid the
   56  transferor, and because in most instances, any such underpayment
   57  or overpayment can only be determined following a formal field
   58  audit, the liabilities for any such underpayments or
   59  overpayments shall be as follows:
   60         (d) Where the transfer involves a facility that has been
   61  leased by the transferor:
   62         1. The transferee shall, as a condition to being issued a
   63  license by the agency, acquire, maintain, and provide proof to
   64  the agency of a bond with a term of 30 months, renewable
   65  annually, in an amount not less than the total of 3 months’
   66  Medicaid payments to the facility computed on the basis of the
   67  preceding 12-month average Medicaid payments to the facility.
   68         2. A leasehold licensee may meet the requirements of
   69  subparagraph 1. by payment of a nonrefundable fee, paid at
   70  initial licensure, paid at the time of any subsequent change of
   71  ownership, and paid annually thereafter, in the amount of 1
   72  percent of the total of 3 months’ Medicaid payments to the
   73  facility computed on the basis of the preceding 12-month average
   74  Medicaid payments to the facility. If a preceding 12-month
   75  average is not available, projected Medicaid payments may be
   76  used. The fee shall be deposited into the Grants and Donations
   77  Health Care Trust Fund and shall be accounted for separately as
   78  a Medicaid nursing home overpayment account. These fees shall be
   79  used at the sole discretion of the agency to repay nursing home
   80  Medicaid overpayments. The agency is authorized to transfer
   81  funds to the Grants and Donations Trust Fund for such
   82  repayments. Payment of this fee shall not release the licensee
   83  from any liability for any Medicaid overpayments, nor shall
   84  payment bar the agency from seeking to recoup overpayments from
   85  the licensee and any other liable party. As a condition of
   86  exercising this lease bond alternative, licensees paying this
   87  fee must maintain an existing lease bond through the end of the
   88  30-month term period of that bond. The agency is herein granted
   89  specific authority to promulgate all rules pertaining to the
   90  administration and management of this account, including
   91  withdrawals from the account, subject to federal review and
   92  approval. This provision shall take effect upon becoming law and
   93  shall apply to any leasehold license application. The financial
   94  viability of the Medicaid nursing home overpayment account shall
   95  be determined by the agency through annual review of the account
   96  balance and the amount of total outstanding, unpaid Medicaid
   97  overpayments owing from leasehold licensees to the agency as
   98  determined by final agency audits.
   99         3. The leasehold licensee may meet the bond requirement
  100  through other arrangements acceptable to the agency. The agency
  101  is herein granted specific authority to promulgate rules
  102  pertaining to lease bond arrangements.
  103         4. All existing nursing facility licensees, operating the
  104  facility as a leasehold, shall acquire, maintain, and provide
  105  proof to the agency of the 30-month bond required in
  106  subparagraph 1., above, on and after July 1, 1993, for each
  107  license renewal.
  108         5. It shall be the responsibility of all nursing facility
  109  operators, operating the facility as a leasehold, to renew the
  110  30-month bond and to provide proof of such renewal to the agency
  111  annually.
  112         6. Any failure of the nursing facility operator to acquire,
  113  maintain, renew annually, or provide proof to the agency shall
  114  be grounds for the agency to deny, revoke, and suspend the
  115  facility license to operate such facility and to take any
  116  further action, including, but not limited to, enjoining the
  117  facility, asserting a moratorium pursuant to part II of chapter
  118  408, or applying for a receiver, deemed necessary to ensure
  119  compliance with this section and to safeguard and protect the
  120  health, safety, and welfare of the facility’s residents. A lease
  121  agreement required as a condition of bond financing or
  122  refinancing under s. 154.213 by a health facilities authority or
  123  required under s. 159.30 by a county or municipality is not a
  124  leasehold for purposes of this paragraph and is not subject to
  125  the bond requirement of this paragraph.
  126         Section 4. Section 409.916, Florida Statutes, is amended to
  127  read:
  128         409.916 Grants and Donations Trust Fund.—
  129         (1) The agency shall deposit any funds received from
  130  pharmaceutical manufacturers and all other funds received by the
  131  agency from any other person as the result of a Medicaid cost
  132  containment strategy, in the nature of a rebate, grant, or other
  133  similar mechanism into the Grants and Donations Trust Fund.
  134         (2) Funds received from pharmaceutical manufacturers shall
  135  be used as the state portion for funding Medicaid prescribed
  136  drug services. However, at least $75,000 may be appropriated
  137  from the Grants and Donations Trust Fund for Medicaid research
  138  and development activities as specified in the General
  139  Appropriations Act.
  140         (3) Receipts from the agency’s share of Medicaid fraud and
  141  abuse recoupments and fines shall be deposited into the Grants
  142  and Donations Trust Fund for purposes established by law and the
  143  General Appropriations Act.
  144         (4)Nursing home quality assessment fees received from
  145  Medicaid providers shall be deposited into the Grants and
  146  Donations Trust Fund and used for purposes established by law
  147  and the General Appropriations Act.
  148         (5)Funds received through grants and donations from the
  149  state and from counties, local governments, public entities, and
  150  taxing districts shall be deposited into the Grants and
  151  Donations Trust Fund and used for purposes established by law
  152  and the General Appropriations Act.
  153         (6)Funds received from the leasehold licensee fee pursuant
  154  to s. 400.179(2)(d)2. shall be deposited into the Grants and
  155  Donations Trust Fund and used for purposes established by law
  156  and the General Appropriations Act.
  157         Section 5. Paragraph (b) of subsection (3) of section
  158  893.165, Florida Statutes, is amended to read:
  159         893.165 County alcohol and other drug abuse treatment or
  160  education trust funds.—
  161         (3)
  162         (b) Assessments collected by clerks of circuit courts
  163  having more than one county in the circuit, for any county in
  164  the circuit which does not have a County Alcohol and Other Drug
  165  Abuse Trust Fund, shall be remitted to the Department of
  166  Children and Family Services, in accordance with administrative
  167  rules adopted, for deposit into the department’s Community
  168  Alcohol and Other Drug Abuse Services Grants and Donations Trust
  169  Fund for distribution pursuant to the guidelines and priorities
  170  developed by the department.
  171         Section 6. Subsection (2) of section 938.23, Florida
  172  Statutes, is amended to read:
  173         938.23 Assistance grants for alcohol and other drug abuse
  174  programs.—
  175         (2) All assessments authorized by this section shall be
  176  collected by the clerk of court and remitted to the
  177  jurisdictional county as described in s. 893.165(2) for deposit
  178  into the County Alcohol and Other Drug Abuse Trust Fund or
  179  remitted to the Department of Revenue for deposit into the
  180  Community Alcohol and Other Drug Abuse Services Grants and
  181  Donations Trust Fund of the Department of Children and Family
  182  Services pursuant to guidelines and priorities developed by the
  183  department. If a County Alcohol and Other Drug Abuse Trust Fund
  184  has not been established for any jurisdictional county,
  185  assessments collected by the clerk of court shall be remitted to
  186  the Department of Revenue for deposit into the Community Alcohol
  187  and Other Drug Abuse Services Grants and Donations Trust Fund of
  188  the Department of Children and Family Services.
  189         Section 7. This act shall take effect July 1, 2009.