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The Florida Senate

HB 1091: Medicaid Provider Accountability

GENERAL BILL by Nunez

Medicaid Provider Accountability; Requires background screening of persons who provide personal care or services for reimbursement under consumer-directed care program; extends period of time that provider must retain certain medical & Medicaid-related records under provider agreements with AHCA; requires provider to report change of principal in writing to agency within specified period of time; authorizes agency to perform certain inspections before entering into provider agreement; removes provision that exempts certain providers & programs from agency onsite inspections; specifies applicability of background investigations with regard to principals of certain hospitals & nursing homes; removes provision permitting proof of compliance with background screening requirements to be retroactive; expands agency authority with respect to conducting Medicaid fraud, abuse, overpayment, & recipient neglect reviews & investigations; extends time period for retention of certain records by Medicaid provider; requires agency to seek remedy provided by law for certain actions by provider; requires agency to base determination of overpayment to provider on certain information available before issuance of audit report; requires timeframe for establishment of payment arrangements for provider to reimburse agency for overpayments & fines; requires agency to terminate provider's participation in Medicaid program if provider fails to reimburse overpayment or pay fine imposed by agency within specified period of time; expands conditions under which person who reports fraud or suspected fraudulent acts by Medicaid provider may be granted immunity from civil liability.

Effective Date: 7/1/2012
Last Action: 3/9/2012 House - Died in Health and Human Services Quality Subcommittee, companion bill(s) passed, see CS/CS/CS/HB 943 (Ch. 2012-73)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    12/20/2011 House • Filed
    1/9/2012 House • Referred to Health and Human Services Quality Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 106
    1/10/2012 House • Introduced -HJ 106
    3/9/2012 House • Died in Health and Human Services Quality Subcommittee, companion bill(s) passed, see CS/CS/CS/HB 943 (Ch. 2012-73)

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  • HB 1091, Original Filed Version (Current Bill Version) Posted 12/20/2011 at 11:22 AM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 943 (er) Background Screening Holder Compare Last Action: 4/8/2012 Chapter No. 2012-73
    Location: Became Law
    S 320 (c2) Background Screening Storms Compare Last Action: 3/6/2012 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 943 (Ch. 2012-73) -SJ 880
    Location: Laid on Table
    S 1316 (c2) Health Care Gaetz Compare Last Action: 3/9/2012 S Died on Calendar, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 653 (Ch. 2012-64), CS/CS/CS/HB 711 (Ch. 2012-66), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: On Special Order Calendar

    Citations - Statutes (4)

    Citation Catchline Location in Bill Location In Bill Help
    409.221 Consumer-directed care program. Page 3 (pdf)
    409.907 Medicaid provider agreements. Page 3 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 10 (pdf)
    409.920 Medicaid provider fraud. Page 24 (pdf)

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