Florida Senate - 2011 SENATOR AMENDMENT
Bill No. SB 2102
Barcode 404700
LEGISLATIVE ACTION
Senate . House
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Senator Rich moved the following:
1 Senate Amendment (with title amendment)
2
3 Between lines 687 and 688
4 insert:
5 (6) KIDCARE PROGRAM ELIGIBILITY.—Effective July 1, 2011,
6 and notwithstanding s. 409.814(4)(a), Florida Statutes, a child
7 who is eligible for coverage under a state health benefit plan
8 on the basis of a family member’s employment with a public
9 agency in the state is eligible to participate in and receive
10 Title XXI-funded coverage from the Florida KidCare program if
11 the child is otherwise eligible.
12 Section 8. Subsection (4) of section 409.814, Florida
13 Statutes, is amended to read:
14 409.814 Eligibility.—A child who has not reached 19 years
15 of age whose family income is equal to or below 200 percent of
16 the federal poverty level is eligible for the Florida Kidcare
17 program as provided in this section. For enrollment in the
18 Children’s Medical Services Network, a complete application
19 includes the medical or behavioral health screening. If,
20 subsequently, an individual is determined to be ineligible for
21 coverage, he or she must immediately be disenrolled from the
22 respective Florida Kidcare program component.
23 (4) The following children are not eligible to receive
24 Title XXI-funded premium assistance for health benefits coverage
25 under the Florida Kidcare program, except under Medicaid if the
26 child would have been eligible for Medicaid under s. 409.903 or
27 s. 409.904 as of June 1, 1997:
28 (a) A child who is eligible for coverage under a state
29 health benefit plan on the basis of a family member’s employment
30 with a public agency in the state.
31 (a)(b) A child who is covered under a family member’s group
32 health benefit plan or under other private or employer health
33 insurance coverage, if the cost of the child’s participation is
34 not greater than 5 percent of the family’s income. If a child is
35 otherwise eligible for a subsidy under the Florida Kidcare
36 program and the cost of the child’s participation in the family
37 member’s health insurance benefit plan is greater than 5 percent
38 of the family’s income, the child may enroll in the appropriate
39 subsidized Kidcare program.
40 (b)(c) A child who is seeking premium assistance for the
41 Florida Kidcare program through employer-sponsored group
42 coverage, if the child has been covered by the same employer’s
43 group coverage during the 60 days prior to the family’s
44 submitting an application for determination of eligibility under
45 the program.
46 (c)(d) A child who is an alien, but who does not meet the
47 definition of qualified alien, in the United States.
48 (d)(e) A child who is an inmate of a public institution or
49 a patient in an institution for mental diseases.
50 (e)(f) A child who is otherwise eligible for premium
51 assistance for the Florida Kidcare program and has had his or
52 her coverage in an employer-sponsored or private health benefit
53 plan voluntarily canceled in the last 60 days, except those
54 children whose coverage was voluntarily canceled for good cause,
55 including, but not limited to, the following circumstances:
56 1. The cost of participation in an employer-sponsored
57 health benefit plan is greater than 5 percent of the family’s
58 income;
59 2. The parent lost a job that provided an employer
60 sponsored health benefit plan for children;
61 3. The parent who had health benefits coverage for the
62 child is deceased;
63 4. The child has a medical condition that, without medical
64 care, would cause serious disability, loss of function, or
65 death;
66 5. The employer of the parent canceled health benefits
67 coverage for children;
68 6. The child’s health benefits coverage ended because the
69 child reached the maximum lifetime coverage amount;
70 7. The child has exhausted coverage under a COBRA
71 continuation provision;
72 8. The health benefits coverage does not cover the child’s
73 health care needs; or
74 9. Domestic violence led to loss of coverage.
75
76 ================= T I T L E A M E N D M E N T ================
77 And the title is amended as follows:
78 Delete line 37
79 and insert:
80 providing that a child who is eligible for coverage
81 under a state health benefit plan on the basis of a
82 family member’s employment with a public agency in the
83 state is eligible to participate in and receive Title
84 XXI-funded coverage from the Florida KidCare program
85 if the child is otherwise eligible; amending s.
86 409.814, F.S.; deleting a provision that prohibits a
87 child who is eligible for coverage under a state
88 health benefit plan on the basis of a family member’s
89 employment with a public agency in the state from
90 receiving Title XXI-funded premium assistance for
91 health benefits coverage under the Florida Kidcare
92 program; providing an effective date.