Florida Senate - 2009                        COMMITTEE AMENDMENT
       Bill No. PCS (426188) for SB 1658
       
       
       
       
       
       
                                Barcode 192602                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/01/2009           .                                
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       The Committee on Health and Human Services Appropriations (Rich)
       recommended the following:
       
    1         Senate Amendment (with directory and title amendments)
    2  
    3         Between lines 287 and 288
    4  insert:
    5         (5) HOSPITAL INPATIENT SERVICES.—The agency shall pay for
    6  all covered services provided for the medical care and treatment
    7  of a recipient who is admitted as an inpatient by a licensed
    8  physician or dentist to a hospital licensed under part I of
    9  chapter 395. However, the agency shall limit the payment for
   10  inpatient hospital services for a Medicaid recipient 21 years of
   11  age or older to 45 days or the number of days necessary to
   12  comply with the General Appropriations Act.
   13         (c) The agency for Health Care Administration shall adjust
   14  a hospital’s current inpatient per diem rate to reflect the cost
   15  of serving the Medicaid population at that institution if:
   16         1. The hospital experiences an increase in Medicaid
   17  caseload by more than 25 percent in any year, primarily
   18  resulting from the closure of a hospital in the same service
   19  area occurring after July 1, 1995;
   20         2. The hospital’s Medicaid per diem rate is at least 25
   21  percent below the Medicaid per patient cost for that year; or
   22         3. The hospital is located in a county that has six five or
   23  fewer general acute care hospitals, began offering obstetrical
   24  services on or after September 1999, and has submitted a request
   25  in writing to the agency for a rate adjustment after July 1,
   26  2000, but before September 30, 2000, in which case such
   27  hospital’s Medicaid inpatient per diem rate shall be adjusted to
   28  cost, effective July 1, 2002.
   29  
   30  By No later than October 1 of each year, the agency must provide
   31  estimated costs for any adjustment in a hospital inpatient per
   32  diem rate pursuant to this paragraph to the Executive Office of
   33  the Governor, the House of Representatives General
   34  Appropriations Committee, and the Senate Appropriations
   35  Committee. Before the agency implements a change in a hospital’s
   36  inpatient per diem rate pursuant to this paragraph, the
   37  Legislature must have specifically appropriated sufficient funds
   38  in the General Appropriations Act to support the increase in
   39  cost as estimated by the agency.
   40  
   41  ====== D I R E C T O R Y  C L A U S E  A M E N D M E N T ======
   42         And the directory clause is amended as follows:
   43         Delete lines 208 - 209
   44  and insert:
   45         Section 6. Subsection (4) and paragraph (c) of subsection
   46  (5) of section 409.905, Florida Statutes, are amended to read:
   47  
   48  ================= T I T L E  A M E N D M E N T ================
   49         And the title is amended as follows:
   50         Delete line 19
   51  and insert:
   52  
   53         health services; revising the criteria for adjusting a
   54         hospital’s inpatient per diem rate; amending s.
   55         409.908, F.S.; requiring