995071                                                     
Committee
HA
Amendment
10
GENERAL APPROPRIATIONS BILL SB2700 Senator(s) Negron, Haridopolos, and Gaetz moved the following amendment:
Section: 03
On Page: 052

Spec App: 176


EXPLANATION:
Adds proviso directing the Agency for Health Care
Administration to prepare a federal Medicaid waiver
to permit the state, through legislative enactment,
to manage the Medicaid program within an annually
specified appropriation.
NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 0 0 0 Non-Recurring - 0 0 0 ______________________________________________________________________________________ Positions & Amounts Positions & Amounts DELETE INSERT AGENCY FOR HEALTH CARE ADMINISTRATION Program: Health Care Services Medicaid Services To Individuals 68501400 In Section 03 On Page 052 176 Special Categories 100062 Adult Vision And Hearing Services IOEE Insert proviso above Specific Appropriation 176 : From the funds in Specific Appropriations 176 through 223, the agency shall prepare a federal Medicaid waiver to permit the state, through legislative enactment, to limit annual spending on the Medicaid program to the amount appropriated in the state budget. The waiver request shall include authorization for the legislature to make changes to optional eligibility groups and services in order to prevent spending more in any fiscal year than is appropriated. In addition the waiver shall request authority to revise the benefit structure and delivery system to allow Medicaid recipients to be integrated into the private insurance market through the use of state vouchers. The wavier shall include a provision to require Medicaid recipients with higher incomes to participate in program costs through coinsurance and deductibles and to be provided incentives for cost effective utilization of the health care system. The agency shall submit the waiver application to the Legislative Budget Commission for approval by September 30, 2010, before submission to the federal Centers for Medicare and Medicaid Services. 995071 Log:0025 CSK/CSK 03/29/10 07:03:50 PM Senate Page: 1
Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items. Items printed in italics are computer codes and are not a part of the official text of this amendment.
995071 Log:0025 CSK/CSK 03/29/10 07:03:50 PM Senate Page: 2