Florida Senate - 2019 SENATOR AMENDMENT Bill No. CS/CS/CS/HB 301, 2nd Eng. Ì243984LÎ243984 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) 2 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. 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 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.;