Florida Senate - 2012                        COMMITTEE AMENDMENT
       Bill No. SB 1646
       
       
       
       
       
       
                                Barcode 909684                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/28/2012           .                                
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       The Committee on Budget Subcommittee on Health and Human
       Services Appropriations (Garcia) recommended the following:
       
    1         Senate Substitute for Amendment (544742) (with title
    2  amendment)
    3  
    4         Between lines 55 and 56
    5  insert:
    6         Section 2. (1) The Legislature finds that Florida must
    7  expand its graduate medical education to meet the medical needs
    8  of its residents. The Association of American Medical Colleges
    9  ranked Florida 43rd nationally in numbers of medical residents
   10  per 100,000 population. Approximately 2,700 additional medical
   11  residency positions are required in this state simply to meet
   12  the national average per population. In accordance with these
   13  findings, the Agency for Health Care Administration shall
   14  establish a demonstration project by allowing prepaid managed
   15  care organizations providing behavioral health services to
   16  patients in Miami-Dade County to fund a residency program
   17  sponsored by Florida International University and administered
   18  by a federally qualified health center.
   19         (2) The Agency for Health Care Administration shall
   20  authorize managed care organizations providing behavioral health
   21  services directly or indirectly to Medicaid patients in Miami
   22  Dade County to allocate up to 1 percent of the medical loss
   23  ratio to fund a new psychiatric graduate medical education
   24  program located at a federally qualified health center and
   25  sponsored by Florida International University Wertheim College
   26  of Medicine. The university shall select a federally qualified
   27  health center that has a large general psychiatric practice with
   28  the capacity to implement a new psychiatry residency program and
   29  a demonstrated commitment to establishing a new psychiatry
   30  residency program.
   31         (3) Payments pursuant to this section shall be made to
   32  Florida International University for the design, development,
   33  and operation of the psychiatric residency program and are
   34  deemed to be payments for behavioral health services and not
   35  administrative services. Any managed care organization
   36  allocating funds under this section must enter into an agreement
   37  with Florida International University making provision for
   38  recurring annual payments to Florida International University of
   39  up to 1 percent of the medical loss ratio for behavioral health
   40  services provided to Medicaid patients in Miami-Dade County to
   41  support the psychiatry residency program.
   42         (4) Each January 1, beginning in 2014 and for the duration
   43  of the demonstration project, the agency shall submit to the
   44  Governor, the President of the Senate, and the Speaker of the
   45  House of Representatives an annual report on the success and
   46  outcomes achieved by the demonstration project, which must
   47  include a recommendation as to whether the demonstration project
   48  should be continued, terminated, or expanded.
   49  
   50  ================= T I T L E  A M E N D M E N T ================
   51         And the title is amended as follows:
   52         Delete lines 3 - 5
   53  and insert:
   54         An act relating to Medicaid; amending s. 409.905,
   55         F.S.; revising the date for adjusting hospital
   56         inpatient rates; requiring that the Agency for Health
   57         Care Administration create a demonstration project to
   58         address funding issues related to the Medicaid
   59         program’s share of medical residency training
   60         expenditures; providing for a federally qualified
   61         health center to establish a graduate medical
   62         education program in Miami-Dade County through Florida
   63         International University; providing requirements for
   64         the agreement between the university and managed care
   65         organizations allocating funds for the project;
   66         requiring that the Agency for Health Care
   67         Administration provide an annual report to the
   68         Governor and Legislature; providing an effective date.