995036
Florida Senate - 2011 Committee Amendment
SB7084 BJA 14SA
The Committee on Budget (Fasano) recommended the following LATE FILED
SUBSTITUTE AMENDMENT for 14 (995017):
Section: 04 EXPLANATION:
On Page: 120 This amendment requires that privatized health
services contracts providing for medical care,
Spec App: mental health care and dental care in the Department
of Corrections be awarded to two or more service
providers.
NET IMPACT ON: Total Funds General Revenue Trust Funds
Recurring - 0 0 0
Non-Recurring - 0 0 0
______________________________________________________________________________________
Positions & Amount Positions & Amount
DELETE INSERT
CORRECTIONS, DEPARTMENT OF
Program: Health Services 70250000
In Section 04 On Page 120
In Section 04, on Page 120, DELETE the following:
From the funds in Specific Appropriations 726 through 741, the
Department of Corrections shall issue a request for proposal, as defined
in section 287.057(1)(b), F.S., for the provision of comprehensive
health care services to inmates in the custody of the department,
excluding those inmates housed in institutions authorized under the
provisions of chapter 957, Florida Statutes. Comprehensive health care
services shall include physical health care services and dental
services, and excludes mental health services and pharmacy services.
From the funds in Specific Appropriation 726 through 741, the Department
of Corrections shall issue a request for proposal, as defined in section
287.057(1)(b), F.S., for the provision of mental health care services to
inmates in the custody of the department, excluding those inmates housed
in institutions authorized under the provisions of chapter 957, Florida
Statutes.
The department is authorized to award a bid or bids to one or more
private companies for the provision of services that are compatible to
995036 Log:0044 DMS/DMS 03/31/11 06:15:31 PM Senate Page: 1
standard Medicaid service levels at a cost of at least 18 percent less
than the department's Fiscal Year 2009-2010 health care expenditures.
The department may contract for services on a regional basis or may
contract for services on a statewide basis to achieve the greatest
efficiencies and cost savings.
The department shall notify the Governor's Office of Policy and Budget
and the chairs of the Senate Budget Committee and House Appropriations
Committee no later than September 1, 2011, of its intent to award a
contract.
The contracts for health services and mental health services shall be
effective no later than October 1, 2011, for a term of three years.
Contractors shall be responsible for maintaining electronic medical
files of each patient's health information and for providing that
information to the department upon request. Contractors shall report
utilization and encounter data to the department on a quarterly basis in
a format that is acceptable to the department.
In order to implement these privatization efforts, the department shall
submit a budget amendment to the Legislative Budget Commission, as well
as a plan for transitioning staff and operations. The budget amendment
shall place positions in reserve and transfer funds to the proper
appropriation categories in accordance with the provisions of chapter
216, Florida Statutes. Additional budget amendments may be submitted
during the 2011-2012 fiscal year as necessary for the proper alignment
of budget and positions.
From the funds in Specific Appropriation 726 through 741, the Department
of Corrections, or its designee, shall establish a pilot in the Health
Services Program to use a supply chain management company for the
purchase of health care products and supplies for facilities that are
operated by the department in Pinellas, Hillsborough, Manatee, Pasco,
Charlotte, DeSoto, Lee, Manatee, and Sarasota counties. The department
shall issue a request for proposal, as defined in section 287.057(1)(b),
Florida Statutes, to contract with a company for these services. The
department shall report any budget savings to the chairs of the Senate
Budget Committee and the House Appropriations Committee by February 1,
2012.
From the funds in Specific Appropriations 726 and 741, and in order to
reduce costs, the department may execute interagency agreements with the
Florida Department of Health or with county health departments (CHDs)
for the care and treatment of, and the dispensing of prescriptions for
inmates with HIV/AIDS or other Sexually Transmitted Diseases (STDs). In
areas that are not supported by a CHD, the Department of Corrections may
contract with federally qualified health care centers (FQHC) or
disproportionate share hospitals (DSH) for treatment and prescription
services for these inmates. If the department determines that a CHD,
FQHC or DSH can provide treatment and/or prescription services for other
995036 Log:0044 DMS/DMS 03/31/11 06:15:31 PM Senate Page: 2
medical conditions at a lower cost, the department may authorize the
CHD, FQHC or DSH to provide such services.
AND INSERT:
From the funds in Specific Appropriation 726 through 741, the Department
of Corrections shall issue a request for proposals, as defined in s.
287.057(1)(b), F.S. for the provision of comprehensive health care
services to inmates in the custody of the department, excluding those
inmates housed in institutions authorized under the provisions of
chapter 957, F.S. Comprehensive health care services shall include
physical health care services, dental services, and mental health
services.
The department is authorized to award bids to private companies for the
provision of services that are compatible to standard Medicaid service
levels at a cost of at least 7 percent less than the department's fiscal
year 2009-2010 health care expenditures. The department shall contract
for services on a regional basis with a minimum of 3 regions to achieve
the greatest efficiencies and cost savings and to promote competition
among vendors. The department shall not award more than one regional
contract to any one vendor in order to protect the state from the risk
of non-performance, cancellation or vendor attempts to renegotiate the
price after a contract is awarded and signed.
The department shall notify the Governor's Office of Policy and Budget
and the chairs of the Senate Budget Committee and the House
Appropriations Committee no later than September 1, 2011 of its intent
to award contracts.
The contracts for health services and mental health services shall be
effective no later than October 1, 2011 for a term of 5 years.
Contractors shall be responsible for maintaining electronic medical
files that are nationally certified by the Credentialing Committee for
Health Information Technology (CCHIT) for each patient's health
information and for providing that information to the department upon
request. Contractors shall report utilization and encounter data to the
department on a quarterly basis in a format that is acceptable to the
department. From these electronic health records the department shall
maintain a single statewide electronic health records system.
In order to implement these privatization efforts, the department shall
submit budget amendments to the Legislative Budget Commission as well as
a plan for transitioning staff and operations. The budget amendments
shall place department positions in reserve and transfer funds to the
proper appropriation categories in accordance with the provisions of
chapter 216, F.S. Additional budget amendments may be submitted during
the 2011-2012 fiscal year as necessary for the proper alignment of
budget and positions.
995036 Log:0044 DMS/DMS 03/31/11 06:15:31 PM Senate Page: 3
From the funds in Specific Appropriation 726 through 741, the Department
of Corrections, or its designee, shall establish a pilot in the Health
Services Program to use a supply chain management company for the
purchase of health care products and supplies for facilities that are
operated by the department in Pinellas, Hillsborough, Manatee, Pasco,
Charlotte, DeSoto, Lee, Manatee, and Sarasota counties. The department
shall issue a request for proposal, as defined in section 287.057(1)(b),
Florida Statutes, to contract with a company for these services. The
department shall report any budget savings to the chairs of the Senate
Budget Committee and the House Appropriations Committee by February 1,
2012.
From the funds in Specific Appropriations 726 and 741, and in order to
reduce costs, the department may execute interagency agreements with the
Florida Department of Health or with county health departments (CHDs)
for the care and treatment of, and the dispensing of prescriptions for
inmates with HIV/AIDS or other Sexually Transmitted Diseases (STDs). In
areas that are not supported by a CHD, the Department of Corrections may
contract with federally qualified health care centers (FQHC) or
disproportionate share hospitals (DSH) for treatment and prescription
services for these inmates. If the department determines that a CHD,
FQHC or DSH can provide treatment and/or prescription services for other
medical conditions at a lower cost, the department may authorize the
CHD, FQHC or DSH to provide such services.
995036 Log:0044 DMS/DMS 03/31/11 06:15:31 PM Senate Page: 4