995149                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2500                                                  AHS              8


Senator(s) Braynon moved the following amendment:

Section: 03              EXPLANATION:

On Page: 058             Provides that funds received by a facility beyond 
                         current levels be used for patient care or quality 
Spec App:  217           improvements for nursing home residents.

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
        Medicaid Long Term Care  68501500

        In Section 03  On Page 058
217     Special Categories  102233
        Nursing Home Care  IOEE

Following Specific Appropriation 217, DELETE:

From  the  funds  in Specific Appropriation 217, $5,000,000 in recurring
funds from the General Revenue Fund, $17,115,783 in recurring funds from
the  Grants  and Donations Trust Fund and $35,507,414 in recurring funds
from  the  Medical  Care  Trust  Fund  are provided to fund a three year
transition   period   to   implement  the  prospective  payment  system,
guaranteeing  all providers the greater of their 2016 cost based rate or
the  PPS  rate  calculated  in  accordance  with  the  new  methodology.
Provider  gains are capped at 4.075% so that all potential losses can be
prevented.

AND INSERT:

From  the  funds  in Specific Appropriation 217, $5,000,000 in recurring
funds from the General Revenue Fund, $17,115,783 in recurring funds from
the  Grants  and Donations Trust Fund and $35,507,414 in recurring funds
from  the  Medical  Care  Trust  Fund  are provided to fund a three year
transition   period   to   implement  the  prospective  payment  system,
guaranteeing  all providers the greater of their 2016 cost based rate or

 995149  Log:0025  RTF/RTF           04/10/17 05:47:08 PM  Senate  Page: 1
the  PPS  rate  calculated  in  accordance  with  the  new  methodology.
Provider  gains are capped at 4.075% so that all potential losses can be
prevented. Any additional funds beyond current levels that a facility 
receives must be spent on patient care or quality improvement for 
Florida Medicaid nursing home residents. At the end of each year, each 
facility that received additional funds beyond current levels must sign 
and submit to the agency an attestation that details how the additional 
funds were spent.











































 995149  Log:0025  RTF/RTF           04/10/17 05:47:08 PM  Senate  Page: 2