995049 GENERAL APPROPRIATIONS BILL Committee Amendment SB2000 BHA 6 Senator(s)Negron moved the following amendment:Section: 03 EXPLANATION: On Page: 039 This amendment moves $700,000 and proviso from the Agency for Health Care Administration to the Spec App: 174 Department of Children and Families authorizing a study to determine whether the current eligiblity system (the FLORIDA system) should be updated or replaced. NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 0 0 0 Non-Recurring - 0 0 0 ______________________________________________________________________________________ Positions & Amount Positions & Amount DELETE INSERT AGENCY FOR HEALTH CARE ADMINISTRATION Program: Health Care Services Executive Direction And Support Services 68500200 In Section 03 On Page 039 174 Special Categories 100777 Contracted Services IOEA 1000 From General Revenue Fund 19,114,381 18,764,381 CA -350,000 FSI2NR -350,000 In Section 03 On Page 040 2474 From Medical Care Trust Fund 55,033,270 54,683,270 CA -350,000 FSI3NR -350,000 In Section 03, on Page 39, DELETE the following: From the funds in Specific Appropriation 174, $350,000 in nonrecurring funds from the General Revenue Fund and $350,000 in nonrecurring funds from the Medical Care Trust Fund shall be used to contract with Gartner, Inc., and Information Technology Research Company, to complete a feasibility study for developing an internet-based system for eligibility determination for Medicaid and the Children's Health Insurance Program (CHIP) established in Senate Bill995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 1 1988 or similar legislation and that complies with all applicable state and federal laws including the standards and conditions of the U.S. Department of Health and Human Services/Centers for Medicare and Medicaid Services (CMS) final rule published in the April 19, 2011, vol. 76, NO. 75 of the Federal Register. The feasibility study shall include an analysis of two options for implementation of the Medicaid and CHIP eligibility determination system: (1) remediation and enhancement of the state's legacy eligibility determination system known as the Automated Community Connection to Economic Self-Sufficiency Florida or ACCESS Florida, and (2) develop of a new system that would support the Medicaid and CHIP eligibility determination and enrollment services. The analysis of both options must include, but not be limited to, a cost benefit analysis and a project risk assessment. The completed feasibility study along with the Agency for Health Care Administration's recommendation for remediating the current system or developing a new system based on the results of the feasibility study, must be submitted for consideration and approval by the Legislative Budget Commission no later than December 1, 2012. CHILDREN AND FAMILY SERVICES, DEPARTMENT OF Administration Program: Executive Leadership Executive Direction And Support Services 60900101 In Section 03 On Page 060 298 Data Processing Services 210008 Children And Families Data Center IOEH 1000 From General Revenue Fund 14,656,169 15,006,169 CA 350,000 FSI2NR 350,000 2021 From Administrative Trust Fund 6,533,019 6,883,019 CA 350,000 FSI2NR 350,000 Immediately following Specific Appropriation 298, INSERT: From the funds in Specific Appropriation 298, $350,000 in nonrecurring funds from the General Revenue Fund and $350,000 in nonrecurring funds from the Administrative Trust Fund shall be used to complete a feasibility study for developing an internet-based system for eligibility determination for Medicaid and the Children's Health Insurance Program (CHIP) established in Senate Bill 1988 or similar legislation and that complies with all applicable state and federal laws including the standards and conditions of the U.S. Department of Health and Human Services/Centers for Medicare and Medicaid Services (CMS) final rule published in the April 19, 2011, vol. 76, NO. 75 of the Federal Register.995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 2 The feasibility study shall include an analysis of two options for implementation of the Medicaid and CHIP eligibility determination system: (1) remediation and enhancement of the state's legacy eligibility determination system known as the Automated Community Connection to Economic Self-Sufficiency Florida or ACCESS Florida, and (2) develop of a new system that would support the Medicaid and CHIP eligibility determination and enrollment services. The analysis of both options must include, but not be limited to, a cost benefit analysis and a project risk assessment. The completed feasibility study along with the Department of Children and Family Services's recommendation for remediating the current system or developing a new system based on the results of the feasibility study, must be submitted for consideration and approval by the Legislative Budget Commission no later than December 1, 2012. In Section 03 On Page 059 295 Qualified Expenditure Category 200083 Florida's Public Assistance Eligibility System IOEA DELETE the proviso immediately following Specific Appropriation 295: From the funds in Specific Appropriation 295, the nonrecurring sum of $3,365,955 from the Operations and Maintenance Trust Fund and the nonrecurring sum of $30,293,595 from the Federal Grants Trust Funds are contingent upon Senate Bill 1988 or similar legislation relating to the development and implementation of an eligibility determination system for Medicaid and the Children's Health Insurance Program (CHIP), becoming law. The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. AND INSERT: From the funds in Specific Appropriation 295, the nonrecurring sum of $3,365,955 from the Operations and Maintenance Trust Fund and the nonrecurring sum of $30,293,595 from the Federal Grants Trust Funds are contingent upon Senate Bill 1988 or similar legislation relating to the development and implementation of an eligibility determination system for Medicaid and the Children's Health Insurance Program (CHIP), becoming law. The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 298 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 3 and spending plans. In Section 03 On Page 060 296 Qualified Expenditure Category 200085 Child Dependency System Redesign IOEA DELETE the proviso immediately following Specific Appropriation 296: From the funds in Specific Appropriation 296, the nonrecurring sum of $2,540,000 from the Federal Grants Trust Fund and the nonrecurring sum of $1,960,000 from the Operations and Maintenance Trust Fund shall be used by the Department of Children and Family Services to fund programming changes to the Florida Safe Families Network (FSFN) system. The programming changes include the requirements identified in the January 2011 compliance assessment completed by the U.S. Department of Health & Human Services Administration for Children and Families as not currently being in the FSFN system and needed in order to comply with all federal Statewide Automated Child Welfare Information Systems (SACWIS) requirements. The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. From the funds in Specific Appropriation 296, the nonrecurring sum of $1,950,000 from the Social Services Block Grant Trust Fund and the sum of $6,000,000 from the Welfare Transition Trust Fund shall be used by the department to fund enhancements to the Florida Safe Families Network (FSFN). The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. AND INSERT: From the funds in Specific Appropriation 296, the nonrecurring sum of $2,540,000 from the Federal Grants Trust Fund and the nonrecurring sum of $1,960,000 from the Operations and Maintenance Trust Fund shall be used by the Department of Children and Family Services to fund programming changes to the Florida Safe Families Network (FSFN) system. The programming changes include the requirements identified in the January 2011 compliance assessment completed by the U.S. Department of Health & Human Services Administration for Children and Families as not currently being in the FSFN system and needed in order to comply with all federal Statewide Automated Child Welfare Information Systems (SACWIS) requirements. The department is authorized to submit budget amendments requesting quarterly release of funds based on the995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 4 recommendation approved by the Legislative Budget Commission pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. From the funds in Specific Appropriation 296, the nonrecurring sum of $1,950,000 from the Social Services Block Grant Trust Fund and the sum of $6,000,000 from the Welfare Transition Trust Fund shall be used by the department to fund enhancements to the Florida Safe Families Network (FSFN). The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. 300 Data Processing Services 210022 Northwood Shared Resource Center IOEH Immediately following Specific Appropriation 300, DELETE: From the funds in Specific Appropriation 300, the Department of Children and Family Services and the Northwood Shared Resource Center (NSRC) shall submit a report providing options and recommendations for reducing the data center service costs of the FLORIDA System. The NSRC and department shall base their report on the results of the feasibility study approved by the Legislative Budget Commission in accordance with Specific Appropriation 174. The report shall be submitted to the Executive Office of the Governor, the chair of the Senate Budget Committee, the chair of the House Appropriations Committee by January 15, 2013. AND INSERT: From the funds in Specific Appropriation 300, the Department of Children and Family Services and the Northwood Shared Resource Center (NSRC) shall submit a report providing options and recommendations for reducing the data center service costs of the FLORIDA System. The NSRC and department shall base their report on the results of the feasibility study approved by the Legislative Budget Commission in accordance with Specific Appropriation 298. The report shall be submitted to the Executive Office of the Governor, the chair of the Senate Budget Committee, the chair of the House Appropriations Committee by January 15, 2013. Program: Support Services Information Technology 60900202 In Section 03 On Page 061 313 Qualified Expenditure Category 200083 Florida's Public Assistance Eligibility995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 5 System IOEA Immediately following Specific Appropriation 313, DELETE: From the funds in Specific Appropriation 313, the nonrecurring sum of 32,525,565 from the Working Capital Trust Fund is contingent upon Senate Bill 1988 or similar legislation relating to the development and implementation of an eligibility determination system for Medicaid and the Children's Health Insurance Program (CHIP), becoming law. The Department of Children and Families Services is authorized to submit budget amendments requesting quarterly release of these funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. AND INSERT: From the funds in Specific Appropriation 313, the nonrecurring sum of 32,525,565 from the Working Capital Trust Fund is contingent upon Senate Bill 1988 or similar legislation relating to the development and implementation of an eligibility determination system for Medicaid and the Children's Health Insurance Program (CHIP), becoming law. The Department of Children and Families Services is authorized to submit budget amendments requesting quarterly release of these funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 298 pursuant to the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. In Section 03 On Page 062 314 Qualified Expenditure Category 200085 Child Dependency System Redesign IOEA DELETE the proviso immediately following Specific Appropriation 314: From the funds in Specific Appropriation 314, the nonrecurring sum of $4,500,000 from the Working Capital Trust Fund shall be used by the Department of Children and Family Services to fund programming changes to the Florida Safe Families Network (FSFN) system. The programming changes include the requirements identified in the January 2011 compliance assessment completed by the U.S. Department of Health & Human Services Administration for Children and Families as not currently being in the FSFN system and needed in order to comply with all federal Statewide Automated Child Welfare Information Systems (SACWIS) requirements. The department is authorized to submit budget amendments requesting quarterly release of these funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 6 spending plans. From the Funds in Specific Appropriation 314, the nonrecurring sum of $7,950,000 from the Working Capital Trust Fund shall be used by the department to fund enhancements to the Florida Safe Families Network (FSFN). The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission in Specific Appropriation 174 pursuant to the provisions of Chapter 216, Florida Statutes. Request for release of funds shall include detailed operational work and spending plans. AND INSERT: From the funds in Specific Appropriation 314, the nonrecurring sum of $4,500,000 from the Working Capital Trust Fund shall be used by the Department of Children and Family Services to fund programming changes to the Florida Safe Families Network (FSFN) system. The programming changes include the requirements identified in the January 2011 compliance assessment completed by the U.S. Department of Health & Human Services Administration for Children and Families as not currently being in the FSFN system and needed in order to comply with all federal Statewide Automated Child Welfare Information Systems (SACWIS) requirements. The department is authorized to submit budget amendments requesting quarterly release of these funds based on the recommendation approved by the Legislative Budget Commission pursuant the provisions of Chapter 216, Florida Statutes. Requests for release of funds shall include detailed operational work and spending plans. From the Funds in Specific Appropriation 314, the nonrecurring sum of $7,950,000 from the Working Capital Trust Fund shall be used by the department to fund enhancements to the Florida Safe Families Network (FSFN). The department is authorized to submit budget amendments requesting quarterly release of funds based on the recommendation approved by the Legislative Budget Commission pursuant to the provisions of Chapter 216, Florida Statutes. Request for release of funds shall include detailed operational work and spending plans.995049 Log:0024 RCH/RCH 02/21/12 09:29:20 PM Senate Page: 7