Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for CS for SB 240
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/26/2017           .                                

       The Committee on Appropriations (Lee) recommended the following:
    1         Senate Amendment (with title amendment)
    3         Delete lines 24 - 58
    4  and insert:
    5         Section 1. Subsection (4) of section 409.973, Florida
    6  Statutes, is amended to read:
    7         409.973 Benefits.—
    8         (4) PRIMARY CARE INITIATIVE.—Each plan operating in the
    9  managed medical assistance program shall establish a program to
   10  encourage enrollees to establish a relationship with their
   11  primary care provider. Plans shall provide enrollees with the
   12  opportunity to enter into a direct primary care agreement with
   13  identified network primary care providers. Plans are encouraged
   14  to enter into alternative payment arrangements with primary care
   15  providers in their networks to allow for the election by a
   16  recipient for a direct primary care agreement within the
   17  Statewide Medicaid Managed Care program. In addition, each plan
   18  shall:
   19         (a) Provide information to each enrollee on the importance
   20  of and procedure for selecting a primary care provider, and
   21  thereafter automatically assign to a primary care provider any
   22  enrollee who fails to choose a primary care provider.
   23         (b) If the enrollee was not a Medicaid recipient before
   24  enrollment in the plan, assist the enrollee in scheduling an
   25  appointment with the primary care provider. If possible the
   26  appointment should be made within 30 days after enrollment in
   27  the plan. For enrollees who become eligible for Medicaid between
   28  January 1, 2014, and December 31, 2015, the appointment should
   29  be scheduled within 6 months after enrollment in the plan.
   30         (c) Report to the agency the number of enrollees assigned
   31  to each primary care provider within the plan’s network.
   32         (d) Report to the agency the number of enrollees who have
   33  not had an appointment with their primary care provider within
   34  their first year of enrollment.
   35         (e) Report to the agency the number of emergency room
   36  visits by enrollees who have not had at least one appointment
   37  with their primary care provider.
   39  ================= T I T L E  A M E N D M E N T ================
   40  And the title is amended as follows:
   41         Delete lines 3 - 9
   42  and insert:
   43         409.973, F.S.; requiring plans operating in the
   44         managed medical assistance program to provide
   45         enrollees an opportunity to enter into a direct
   46         primary care agreement with identified network primary
   47         care providers; encouraging such plans to enter into
   48         alternative payment arrangements with network primary
   49         care providers for a specified purpose; creating s.