Florida Senate - 2012                        COMMITTEE AMENDMENT
       Bill No. SB 1884
       
       
       
       
       
       
                                Barcode 314786                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/31/2012           .                                
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       The Committee on Health Regulation (Garcia) recommended the
       following:
       
    1         Senate Amendment (with directory and title amendments)
    2  
    3         Delete lines 3349 - 3359
    4  and insert:
    5         409.975 Managed care plan accountability.—In addition to
    6  the requirements of s. 409.967, plans and providers
    7  participating in the managed medical assistance program shall
    8  comply with the requirements of this section.
    9         (1) PROVIDER NETWORKS.—Managed care plans must develop and
   10  maintain provider networks that meet the medical needs of their
   11  enrollees in accordance with standards established pursuant to
   12  s. 409.967(2)(b). Except as provided in this section, managed
   13  care plans may limit the providers in their networks based on
   14  credentials, quality indicators, and price.
   15         (e) Before the selection of managed care plans as specified
   16  in s. 409.966, each essential provider and each hospital that
   17  are necessary in order for a managed care plan to demonstrate an
   18  adequate network, as determined by the agency, are a part of
   19  that managed care plan’s network for purposes of the provider’s
   20  or hospital’s application for enrollment or expansion in the
   21  Medicaid program. A managed care plan’s payment under this
   22  section to an essential provider must be made in accordance with
   23  this section.
   24  
   25  
   26  ====== D I R E C T O R Y  C L A U S E  A M E N D M E N T ======
   27         And the directory clause is amended as follows:
   28         Between lines 3348 and 3349
   29  insert:
   30         Section 79. Effective upon this act becoming law, paragraph
   31  (e) is added to subsection (1) of section 409.975, Florida
   32  Statutes, to read:
   33  
   34  
   35  ================= T I T L E  A M E N D M E N T ================
   36         And the title is amended as follows:
   37         Between lines 310 and 311
   38  insert:
   39         amending s. 409.975, F.S.;