Florida Senate - 2018                        COMMITTEE AMENDMENT
       Bill No. SB 444
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       The Committee on Health Policy (Book) recommended the following:
    1         Senate Amendment (with title amendment)
    3         Between lines 94 and 95
    4  insert:
    5         Section 2. (1) The Office of Program Policy Analysis and
    6  Government Accountability (OPPAGA) shall conduct a study of the
    7  Pregnancy Support Services Program within the Department of
    8  Health to evaluate the effectiveness and cost efficiency of the
    9  program and provide recommendations as to whether the program
   10  should be continued or eliminated.
   11         (2) As part of the study, OPPAGA must assess the
   12  effectiveness of the department’s financial and administrative
   13  oversight and monitoring of the Florida Pregnancy Care Network.
   14         (3) As part of determining the effectiveness of the
   15  program, the study must include, but need not be limited to, the
   16  collection and analysis of information pertaining to:
   17         (a) The use of state funding by the department, the
   18  network, and subcontractors, and how expenditures are tracked
   19  and accounted for through items such as financial statements or
   20  expenditure reports.
   21         (b) The percentage of funding used for:
   22         1. Direct client services, including the average amount of
   23  vouchers provided to eligible clients for services;
   24         2. Wellness services;
   25         3. Program awareness activities; and
   26         4. Communication activities.
   27         (c) The performance and outcome measures used by the
   28  department and the network to ensure quality of care, client
   29  satisfaction, and positive health outcomes for eligible clients,
   30  including the results of such measures.
   31         (d) The methods used by the department and the network to
   32  ensure that eligible clients receive accurate medical
   33  information.
   34         (e) The methods used by the department and the network to
   35  resolve complaints and grievances, including information about
   36  the number of complaints and grievances received and their
   37  disposition.
   38         (f) Network adequacy standards used to ensure the
   39  availability of pregnancy support and wellness services for
   40  eligible clients.
   41         (g) Fraud and abuse prevention measures implemented by the
   42  department and the network to ensure program accountability and
   43  to prevent the waste of state funds.
   44         (h) For the most recently completed fiscal year, if a
   45  corrective action plan or sanction was imposed on the network or
   46  its subcontractors, a description of the plan or sanction, the
   47  outcome of the plan or sanction, and the amount of monetary
   48  fines or penalties imposed, if any.
   49         (i) The controls used by the department to ensure that
   50  services provided by the network and its subcontractors are
   51  provided in a noncoercive manner and do not include any
   52  religious content. Such services may include client interviews
   53  or surveys.
   54         (j) The educational and medical qualifications of the
   55  network’s staff or the staff of the subcontractors who interact
   56  with eligible clients.
   57         (k) Citations of any medical statements included in
   58  informational materials provided by the network or its
   59  subcontractors to an eligible client.
   60         (l) Information about the ownership of each subcontractor
   61  and any financial or ownership interests with providers who
   62  receive vouchers to provide services to eligible clients.
   63         (m) Other audits, evaluative reports, or information
   64  pertaining to the program to ensure the delivery of high
   65  quality, cost-effective services to eligible clients.
   66         (4) By January 1, 2019, OPPAGA shall prepare and submit a
   67  report with its findings and recommendations to the President of
   68  the Senate, the Speaker of the House of Representatives, and the
   69  standing legislative committees that have substantive
   70  jurisdiction over health care services. The report must include
   71  all of the following:
   72         (a) Information about the network, its affiliated pregnancy
   73  support and resource organizations, and any other subcontractors
   74  to whom state funds are distributed for pregnancy support
   75  services.
   76         (b)The total amount of state funds appropriated and
   77  expended by fiscal year for the program since its inception.
   78         (c) If OPPAGA recommends program continuation,
   79  recommendations for program improvement and methods to ensure
   80  that eligible clients have access to the full range of referral
   81  information to make reproductive health decisions.
   83  ================= T I T L E  A M E N D M E N T ================
   84  And the title is amended as follows:
   85         Delete line 16
   86  and insert:
   87         based content in informational materials; requiring
   88         the Office of Program Policy Analysis and Government
   89         Accountability (OPPAGA) to conduct a study to evaluate
   90         the effectiveness and cost efficiency of the Pregnancy
   91         Support Services Program and provide recommendations
   92         as to whether the program should be continued;
   93         requiring that the study include the collection and
   94         analysis of specified information; requiring OPPAGA to
   95         submit a report of its findings and recommendations to
   96         the Legislature by a specified date; requiring that
   97         the report include specified information and
   98         recommendations; providing an