Florida Senate - 2019                          SENATOR AMENDMENT
       Bill No. CS/CS/CS/HB 301, 2nd Eng.
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                Floor: 2/F/2R          .                                
             05/02/2019 10:23 AM       .                                

       Senator Flores moved the following:
    1         Senate Amendment (with title amendment)
    3         Between lines 167 and 168
    4  insert:
    5         Section 3. Present subsections (3), (4), and (5) of section
    6  409.977, Florida Statutes, are redesignated as subsections (4),
    7  (5), and (6), respectively, a new subsection (3) is added to
    8  that section, and subsection (1) of that section is amended, to
    9  read:
   10         409.977 Enrollment.—
   11         (1) The agency shall automatically enroll into a managed
   12  care plan those Medicaid recipients who do not voluntarily
   13  choose a plan pursuant to ss. s. 409.969 and 409.973(5)(b). The
   14  agency shall automatically enroll recipients in plans that meet
   15  or exceed the performance or quality standards established
   16  pursuant to s. 409.967 and may not automatically enroll
   17  recipients in a plan that is deficient in those performance or
   18  quality standards. When a specialty plan is available to
   19  accommodate a specific condition or diagnosis of a recipient,
   20  the agency shall assign the recipient to that plan. In the first
   21  year of the first contract term only, if a recipient was
   22  previously enrolled in a plan that is still available in the
   23  region, the agency shall automatically enroll the recipient in
   24  that plan unless an applicable specialty plan is available.
   25  Except as otherwise provided in this part, the agency may not
   26  engage in practices that are designed to favor one managed care
   27  plan over another.
   28         (3) For the purposes of transitioning enrollment related to
   29  the statewide Medicaid prepaid dental health program, improving
   30  access to care, and promoting dental provider participation in
   31  the program, the agency shall implement a process to reduce the
   32  disparity between the number of Medicaid recipients enrolled in
   33  the respective prepaid limited health service organizations
   34  licensed pursuant to chapter 636 and those contracted by the
   35  agency as of January 1, 2019. In order to decrease enrollment
   36  disparity among the contracted prepaid limited health service
   37  organizations in a timely manner, in determining an assignment
   38  on behalf of a Medicaid recipient if the recipient does not
   39  choose a contracted prepaid limited health service organization,
   40  the agency shall prioritize the prepaid limited health service
   41  organization with the lowest enrollment levels.
   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 15
   46  and insert:
   47         signature requirements; amending s. 409.977, F.S.;
   48         requiring the Agency for Health Care Administration to
   49         implement a certain process to automatically assign
   50         certain Medicaid recipients among contract prepaid
   51         limited health service organizations; amending s.
   52         440.381, F.S.;