Florida Senate - 2011                          SENATOR AMENDMENT
       Bill No. CS/HB 7109, 2nd Eng.
       
       
       
       
       
       
                                Barcode 820070                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                 Floor: WD/2R          .                                
             05/05/2011 04:55 PM       .                                
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       Senator Rich moved the following:
       
    1         Senate Amendment to Amendment (351842) (with title
    2  amendment)
    3  
    4         Between lines 569 and 570
    5  insert:
    6         Section 11. Subsection (4) of section 409.814, Florida
    7  Statutes, is amended to read:
    8         409.814 Eligibility.—A child who has not reached 19 years
    9  of age whose family income is equal to or below 200 percent of
   10  the federal poverty level is eligible for the Florida Kidcare
   11  program as provided in this section. For enrollment in the
   12  Children’s Medical Services Network, a complete application
   13  includes the medical or behavioral health screening. If,
   14  subsequently, an individual is determined to be ineligible for
   15  coverage, he or she must immediately be disenrolled from the
   16  respective Florida Kidcare program component.
   17         (4) The following children are not eligible to receive
   18  Title XXI-funded premium assistance for health benefits coverage
   19  under the Florida Kidcare program, except under Medicaid if the
   20  child would have been eligible for Medicaid under s. 409.903 or
   21  s. 409.904 as of June 1, 1997:
   22         (a) A child who is eligible for coverage under a state
   23  health benefit plan on the basis of a family member’s employment
   24  with a public agency in the state.
   25         (a)(b) A child who is covered under a family member’s group
   26  health benefit plan or under other private or employer health
   27  insurance coverage, if the cost of the child’s participation is
   28  not greater than 5 percent of the family’s income. If a child is
   29  otherwise eligible for a subsidy under the Florida Kidcare
   30  program and the cost of the child’s participation in the family
   31  member’s health insurance benefit plan is greater than 5 percent
   32  of the family’s income, the child may enroll in the appropriate
   33  subsidized Kidcare program.
   34         (b)(c) A child who is seeking premium assistance for the
   35  Florida Kidcare program through employer-sponsored group
   36  coverage, if the child has been covered by the same employer’s
   37  group coverage during the 60 days prior to the family’s
   38  submitting an application for determination of eligibility under
   39  the program.
   40         (c)(d) A child who is an alien, but who does not meet the
   41  definition of qualified alien, in the United States.
   42         (d)(e) A child who is an inmate of a public institution or
   43  a patient in an institution for mental diseases.
   44         (e)(f) A child who is otherwise eligible for premium
   45  assistance for the Florida Kidcare program and has had his or
   46  her coverage in an employer-sponsored or private health benefit
   47  plan voluntarily canceled in the last 60 days, except those
   48  children whose coverage was voluntarily canceled for good cause,
   49  including, but not limited to, the following circumstances:
   50         1. The cost of participation in an employer-sponsored
   51  health benefit plan is greater than 5 percent of the family’s
   52  income;
   53         2. The parent lost a job that provided an employer
   54  sponsored health benefit plan for children;
   55         3. The parent who had health benefits coverage for the
   56  child is deceased;
   57         4. The child has a medical condition that, without medical
   58  care, would cause serious disability, loss of function, or
   59  death;
   60         5. The employer of the parent canceled health benefits
   61  coverage for children;
   62         6. The child’s health benefits coverage ended because the
   63  child reached the maximum lifetime coverage amount;
   64         7. The child has exhausted coverage under a COBRA
   65  continuation provision;
   66         8. The health benefits coverage does not cover the child’s
   67  health care needs; or
   68         9. Domestic violence led to loss of coverage.
   69         Section 12. Effective July 1, 2011, and notwithstanding s.
   70  409.814(4)(a), Florida Statutes, a child who is eligible for
   71  coverage under a state health benefit plan on the basis of a
   72  family member’s employment with a public agency in the state is
   73  eligible to participate in and receive Title XXI-funded coverage
   74  from the Florida KidCare program if the child is otherwise
   75  eligible.
   76  
   77  ================= T I T L E  A M E N D M E N T ================
   78         And the title is amended as follows:
   79         Between lines 4002 and 4003
   80  insert:
   81         amending s. 409.814, F.S.; deleting a provision that
   82         prohibits a child who is eligible for coverage under a
   83         state health benefit plan on the basis of a family
   84         member’s employment with a state agency from receiving
   85         premium assistance for health benefits under Kidcare;
   86         providing that a child who is eligible for coverage
   87         under a state health benefit plan on the basis of a
   88         family member’s employment with a state agency is
   89         eligible to participate in and receive coverage under
   90         KidCare;