Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for SB 240
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                   Comm: WD            .                                
                  02/21/2017           .                                

       The Committee on Health Policy (Lee) recommended the following:
    1         Senate Amendment (with title amendment)
    3         Before line 20
    4  insert:
    5         Section 1. Subsection (4) of section 409.977, Florida
    6  Statutes, is amended, present subsection (5) of that section is
    7  redesignated as subsection (6), and a new subsection (5) is
    8  added to that section, to read:
    9         409.977 Enrollment.—
   10         (4) The agency shall:
   11         (a) Develop a process to enable a recipient with access to
   12  employer-sponsored health care coverage to opt out of all
   13  managed care plans and to use Medicaid financial assistance to
   14  pay for the recipient’s share of the cost in such employer
   15  sponsored coverage.
   16         (b) Contingent upon federal approval, the agency shall also
   17  enable recipients with access to other insurance or related
   18  products providing access to health care services created
   19  pursuant to state law, including any product available under the
   20  Florida Health Choices Program, or any health exchange, to opt
   21  out.
   22         (c) Provide The amount of financial assistance provided for
   23  each recipient in an amount may not to exceed the amount of the
   24  Medicaid premium that would have been paid to a managed care
   25  plan for that recipient opting to receive services under this
   26  subsection.
   27         (d)The agency shall Seek federal approval to require
   28  Medicaid recipients with access to employer-sponsored health
   29  care coverage to enroll in that coverage and use Medicaid
   30  financial assistance to pay for the recipient’s share of the
   31  cost for such coverage. The amount of financial assistance
   32  provided for each recipient may not exceed the amount of the
   33  Medicaid premium that would have been paid to a managed care
   34  plan for that recipient.
   35         (5) For the 2017-2018 statewide Medicaid managed medical
   36  assistance program procurement process, the agency must consider
   37  respondents’ proposals in response to requests for information
   38  on the feasibility, structure, and possible cost savings of
   39  direct primary care agreements in coordination with the managed
   40  care plans as a service delivery option.
   42  ================= T I T L E  A M E N D M E N T ================
   43  And the title is amended as follows:
   44         Delete line 2
   45  and insert:
   46         An act relating to direct primary care; amending s.
   47         409.977, F.S.; requiring the Agency for Health Care
   48         Administration to provide specified financial
   49         assistance to certain Medicaid recipients; requiring
   50         the agency to include certain proposals in response to
   51         requests for information relating to direct primary
   52         care agreements during a certain timeframe of the
   53         statewide Medicaid managed medical assistance program
   54         procurement process; creating s.