Florida Senate - 2019                        COMMITTEE AMENDMENT
       Bill No. PCS (192902) for SB 7078
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/19/2019           .                                

       The Committee on Appropriations (Flores) recommended the
    1         Senate Amendment to Amendment (520116) (with title
    2  amendment)
    4         Between lines 4 and 5
    5  insert:
    6         Section 1. It is the intent of the Legislature to promote
    7  programs and initiatives that help make available preventive and
    8  educational dental services for the citizens of the state, as
    9  well as provide quality dental treatment services. The
   10  geographic characteristics among the citizens of the state are
   11  distinctive and vary from region to region, with such citizens
   12  having unique needs regarding access to dental care. The
   13  Legislature recognizes that maintaining good oral health is
   14  integral to the overall health status of individuals and that
   15  the good health of the residents of this state is an important
   16  contributing factor in economic development. Better health,
   17  including better oral health, increases workplace productivity,
   18  reduces the burden of health care costs, and improves the
   19  cognitive development of children, resulting in a reduction of
   20  missed school days.
   21         Section 2. Section 381.4019, Florida Statutes, is created
   22  to read:
   23         381.4019Dental Student Loan Repayment Program.—The
   24  Legislature shall establish the Dental Student Loan Repayment
   25  Program to promote access to dental care by supporting qualified
   26  dentists who treat medically underserved populations in dental
   27  health professional shortage areas or medically underserved
   28  areas.
   29         (1)As used in this section, the term:
   30         (a)“Dental health professional shortage area” means a
   31  geographic area designated as such by the Health Resources and
   32  Services Administration of the United States Department of
   33  Health and Human Services.
   34         (b)“Department” means the Department of Health.
   35         (c)“Loan program” means the Dental Student Loan Repayment
   36  Program.
   37         (d)“Medically underserved area” means a geographic area,
   38  an area having a special population, or a facility which is
   39  designated by department rule as a health professional shortage
   40  area as defined by federal regulation and which has a shortage
   41  of dental health professionals who serve Medicaid recipients and
   42  other low-income patients.
   43         (e)“Public health program” means a county health
   44  department, the Children’s Medical Services program, a federally
   45  funded community health center, a federally funded migrant
   46  health center, or other publicly funded or nonprofit health care
   47  program designated by the department.
   48         (2)The department shall establish a dental student loan
   49  repayment program to benefit Florida-licensed dentists who
   50  demonstrate, as required by department rule, active employment
   51  in a public health program that serves Medicaid recipients and
   52  other low-income patients and is located in a dental health
   53  professional shortage area or a medically underserved area.
   54         (3)The department shall award funds from the loan program
   55  to repay the student loans of a dentist who meets the
   56  requirements of subsection (2).
   57         (a)An award may not exceed $50,000 per year per eligible
   58  dentist.
   59         (b)Only loans to pay the costs of tuition, books, dental
   60  equipment and supplies, uniforms, and living expenses may be
   61  covered.
   62         (c)All repayments shall be contingent upon continued proof
   63  of eligibility and shall be made directly to the holder of the
   64  loan. The state shall bear no responsibility for the collection
   65  of any interest charges or other remaining balances.
   66         (d)A dentist is eligible to receive funds under the loan
   67  program for at least 1 year, up to a maximum of 5 years.
   68         (e)The department shall limit the number of new dentists
   69  participating in the loan program to not more than 10 per fiscal
   70  year.
   71         (4)A dentist is no longer eligible to receive funds under
   72  the loan program if the dentist:
   73         (a)Is no longer employed by a public health program that
   74  meets the requirements of subsection (2).
   75         (b)Ceases to participate in the Florida Medicaid program.
   76         (c)Has disciplinary action taken against his or her
   77  license by the Board of Dentistry for a violation of s. 466.028.
   78         (5)The department shall adopt rules to administer the loan
   79  program.
   80         (6) Implementation of the loan program is subject to
   81  legislative appropriation.
   82         Section 3. Section 381.40195, Florida Statutes, is created
   83  to read:
   84         381.40195Donated Dental Services Program.—
   85         (1)This act may be cited as the “Donated Dental Services
   86  Act.”
   87         (2)As used in this section, the term:
   88         (a)“Department” means the Department of Health.
   89         (b)“Program” means the Donated Dental Services Program as
   90  established pursuant to subsection (3).
   91         (3)The department shall establish the Donated Dental
   92  Services Program for the purpose of providing comprehensive
   93  dental care through a network of volunteer dentists and other
   94  dental providers to needy, disabled, elderly, and medically
   95  compromised individuals who cannot afford necessary treatment
   96  but are ineligible for public assistance. An eligible individual
   97  may receive treatment in a volunteer dentist’s or participating
   98  dental provider’s private office or at any other suitable
   99  location. An eligible individual is not required to pay any fee
  100  or cost associated with the treatment he or she receives.
  101         (4)The department shall implement and administer the
  102  program. The department shall contract with a nonprofit
  103  organization that has experience in providing similar services
  104  or administering similar programs. The contract must specify the
  105  responsibilities of the nonprofit organization, which may
  106  include, but are not limited to:
  107         (a)Maintaining a network of volunteer dentists and other
  108  dental providers, including, but not limited to, dental
  109  specialists and dental laboratories, to provide comprehensive
  110  dental services to eligible individuals.
  111         (b)Maintaining a system to refer eligible individuals to
  112  the appropriate volunteer dentist or participating dental
  113  provider.
  114         (c)Developing a public awareness and marketing campaign to
  115  promote the program and educate eligible individuals about its
  116  availability and services.
  117         (d)Providing the necessary administrative and technical
  118  support to administer the program.
  119         (e)Submitting an annual report to the department which
  120  must include, at a minimum:
  121         1.Financial data relating to administering the program.
  122         2.Demographic data and other information relating to the
  123  eligible individuals who are referred to and receive treatment
  124  through the program.
  125         3.Demographic data and other information relating to the
  126  volunteer dentists and participating dental providers who
  127  provide dental services through the program.
  128         4.Any other data or information that the department may
  129  require.
  130         (f)Performing any other program-related duties and
  131  responsibilities as required by the department.
  132         (5)The department shall adopt rules to administer the
  133  program.
  134         (6) Implementation of the program is subject to legislative
  135  appropriation.
  137  ================= T I T L E  A M E N D M E N T ================
  138  And the title is amended as follows:
  139         Delete line 366
  140  and insert:
  141         An act relating to health care; providing legislative
  142         intent; creating s. 381.4019, F.S.; establishing the
  143         Dental Student Loan Repayment Program to support
  144         dentists who practice in public health programs
  145         located in certain underserved areas; providing
  146         definitions; requiring the Department of Health to
  147         establish a dental student loan repayment program for
  148         specified purposes; providing for the award of funds;
  149         providing the maximum number of years funds may be
  150         awarded; providing eligibility requirements; requiring
  151         the department to adopt rules; specifying that
  152         implementation of the program is subject to
  153         legislative appropriation; creating s. 381.40195,
  154         F.S.; providing a short title; providing definitions;
  155         requiring the Department of Health to establish the
  156         Donated Dental Services Program to provide
  157         comprehensive dental care to certain eligible
  158         individuals; requiring the department to contract with
  159         a nonprofit organization to implement and administer
  160         the program; specifying minimum contractual
  161         responsibilities; requiring the department to adopt
  162         rules; specifying that implementation of the program
  163         is subject to legislative appropriation; amending s.
  164         395.1012,