Florida Senate - 2011 SENATOR AMENDMENT
Bill No. CS/HB 7109, 2nd Eng.
Barcode 686708
LEGISLATIVE ACTION
Senate . House
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Floor: WD/3R .
05/06/2011 11:11 AM .
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Senator Bennett moved the following:
1 Senate Amendment to Amendment (351842) (with directory
2 amendment)
3
4 Delete lines 466 - 512
5 and insert:
6 (c) The agency shall adjust a hospital’s current inpatient
7 per diem rate to reflect the cost of serving the Medicaid
8 population at that institution if:
9 1. The hospital experiences an increase in Medicaid
10 caseload by more than 25 percent in any year, primarily
11 resulting from the closure of a hospital in the same service
12 area occurring after July 1, 1995;
13 2. The hospital’s Medicaid per diem rate is at least 25
14 percent below the Medicaid per patient cost for that year; or
15 3. The hospital is located in a county that has six or
16 fewer general acute care hospitals, began offering obstetrical
17 services on or after September 1999, and has submitted a request
18 in writing to the agency for a rate adjustment after July 1,
19 2000, but before September 30, 2000, in which case such
20 hospital’s Medicaid inpatient per diem rate shall be adjusted to
21 cost, effective July 1, 2002.
22
23 By October 1 of each year, the agency must provide estimated
24 costs for any adjustment in a hospital inpatient per diem rate
25 to the Executive Office of the Governor, the House of
26 Representatives General Appropriations Committee, and the Senate
27 Appropriations Committee. Before the agency implements a change
28 in a hospital’s inpatient per diem rate pursuant to this
29 paragraph, the Legislature must have specifically appropriated
30 sufficient funds in the General Appropriations Act to support
31 the increase in cost as estimated by the agency. This paragraph
32 expires June 30, 2012.
33 (d) Effective July 1, 2012, the agency shall implement a
34 methodology for establishing base reimbursement rates for each
35 hospital based on allowable costs, as defined by the agency.
36 Rates shall be calculated annually and take effect July 1 of
37 each year based on the most recent complete and accurate cost
38 report submitted by each hospital. Adjustments may not be made
39 to the rates after September 30 of the state fiscal year in
40 which the rate takes effect. Errors in cost reporting or
41 calculation of rates discovered after September 30 must be
42 reconciled in a subsequent rate period. The agency may not make
43 any adjustment to a hospital’s reimbursement rate more than 5
44 years after a hospital is notified of an audited rate
45 established by the agency. The requirement that the agency may
46 not make any adjustment to a hospital’s reimbursement rate more
47 than 5 years after a hospital is notified of an audited rate
48 established by the agency is remedial and applies to actions by
49 providers involving Medicaid claims for hospital services.
50 Hospital rates shall be subject to such limits or ceilings as
51 may be established in law or described in the agency’s hospital
52 reimbursement plan. Specific exemptions to the limits or
53 ceilings may be provided in the General Appropriations Act.
54 (h) The agency shall develop a plan to convert inpatient
55
56 ====== D I R E C T O R Y C L A U S E A M E N D M E N T ======
57 And the directory clause is amended as follows:
58 Delete lines 355 - 357
59 and insert:
60 Section 9. Subsections (2) and (4) and paragraph (c) of
61 subsection (5) of section 409.905, Florida Statutes, are
62 amended, present paragraphs (d) through (f) are redesignated as
63 paragraphs (e) through (g) respectively, and new paragraphs (d)
64 and (g) are added to subsection (5), to read:
65