Florida Senate - 2017 SENATOR AMENDMENT
Bill No. HB 7117, 1st Eng.
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LEGISLATIVE ACTION
Senate . House
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Floor: 1b/RE/2R .
05/03/2017 07:06 PM .
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Senator Garcia moved the following:
1 Senate Amendment to Amendment (449058) (with directory and
2 title amendments)
3
4 Between lines 636 and 637
5 insert:
6 (4) PLAN REQUIREMENTS.—An eligible plan must disclose any
7 business relationship that it has with any other eligible plan
8 that responds to the invitation to negotiate. The agency may not
9 select plans in the same region for the same managed care
10 program which have a business relationship with each other. The
11 agency may not select a long-term care provider service network
12 authorized under s. 409.912(2) in any region that has a business
13 relationship with a health maintenance organization licensed
14 under chapter 641, and may not select a long-term care provider
15 service network in any region that has a business relationship
16 with any entity that has a controlling interest in a health
17 maintenance organization licensed under chapter 641 or a common
18 parent of a health maintenance organization licensed under
19 chapter 641. An eligible plan that fails to comply with this
20 subsection is disqualified from participation in any region for
21 the first full contract period after the agency discovers the
22 business relationship. For the purpose of this section, the term
23 “business relationship” means a controlling interest, an
24 affiliate or subsidiary relationship, a common parent, or any
25 mutual interest in any limited partnership, limited liability
26 partnership, limited liability company, or other entity or
27 business association, including all wholly or partially owned
28 subsidiaries, parent companies, or affiliates of such entities,
29 business associations, or other enterprises, which exists for
30 the purpose of making a profit. The term does not include
31 subcontract arrangements unless the subcontract is between a
32 plan and an entity that is a parent, affiliate, or subsidiary of
33 the plan.
34
35 ====== D I R E C T O R Y C L A U S E A M E N D M E N T ======
36 And the directory clause is amended as follows:
37 Delete line 570
38 and insert:
39 amended, present subsections (4) and (5) are redesignated as
40 subsections (5) and (6), respectively, and a new subsection (4)
41 is added to that section, to read:
42
43 ================= T I T L E A M E N D M E N T ================
44 And the title is amended as follows:
45 Delete line 835
46 and insert:
47 of managed medical assistance plans; requiring an
48 eligible plan to disclose any business relationships
49 it has with other eligible plans that respond to an
50 invitation to negotiate; prohibiting the agency from
51 selecting plans under certain circumstances; providing
52 for disqualification of an eligible plan from
53 participation in any region under certain
54 circumstances; defining the term “business
55 relationship”; amending s.