Florida Senate - 2019                        COMMITTEE AMENDMENT
       Bill No. SB 778
       
       
       
       
       
       
                                Ì712346(Î712346                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/04/2019           .                                
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       Appropriations Subcommittee on Health and Human Services
       (Baxley) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 108 - 172
    4  and insert:
    5         (a)1. PACE organizations shall enroll participants at the
    6  levels funded each fiscal year in the General Appropriations
    7  Act.
    8         2. Each PACE organization shall annually submit information
    9  to the agency which reflects its reasonable capacity for growth
   10  to meet demonstrated community needs and which must be
   11  consistent with the pro forma or other projections submitted
   12  pursuant to paragraph (3)(a) or other projections of PACE census
   13  and demand growth. The agency, in consultation with the
   14  department, shall submit a report to the Social Services
   15  Estimating Conference summarizing such information.
   16         3. The agency shall include in its legislative budget
   17  request submitted pursuant to chapter 216 the amount of funding
   18  estimated by the Social Services Estimating Conference needed to
   19  fund demonstrated growth in community needs which is consistent
   20  with PACE census and demand growth.
   21         (b) Funds may be used within any PACE organization’s
   22  authorized geographic service area, regardless of county lines.
   23         (c) The department shall notify individuals who are
   24  determined to need the level of care required under the state
   25  Medicaid plan for coverage of nursing facility services that the
   26  PACE program is a service plan option and that enrollment in the
   27  PACE program is voluntary.
   28         (d) The agency shall notify individuals who are determined
   29  eligible for managed long-term care that the PACE program is
   30  available as a choice for a managed care plan pursuant to s.
   31  409.969 in statewide Medicaid managed care regions wherein a
   32  PACE organization operates.
   33         (5) ACCOUNTABILITY.—All PACE organizations must meet
   34  specific quality and performance standards established by the
   35  CMS and the agency for the PACE program. The agency shall
   36  oversee and monitor the PACE program and organizations based
   37  upon data and reports PACE organizations submit periodically to
   38  the agency and the CMS. A PACE organization is exempt from the
   39  requirements of chapter 641.
   40         Section 2. Subsection (4) of section 409.981, Florida
   41  Statutes, is amended to read:
   42         409.981 Eligible long-term care plans.—
   43         (4) PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY.
   44  Participation by the Program of All-inclusive Care for the
   45  Elderly (PACE) shall be pursuant to a contract with the agency
   46  and not subject to the procurement requirements or regional plan
   47  number limits of this section. PACE organizations shall plans
   48  may continue to provide services to participants individuals at
   49  such levels and enrollment caps as authorized by the General
   50  Appropriations Act pursuant to s. 430.84.
   51  
   52  ================= T I T L E  A M E N D M E N T ================
   53  And the title is amended as follows:
   54         Delete lines 16 - 39
   55  and insert:
   56         Government within a certain timeframe; requiring PACE
   57         organizations to enroll participants at certain
   58         levels; requiring PACE organizations to annually
   59         submit certain information to the agency; requiring
   60         the agency to submit a report to the Social Services
   61         Estimating Conference; requiring the agency to include
   62         certain information in its legislative budget request;
   63         providing that funds may be used within any PACE
   64         organization’s authorized geographic service area;
   65         requiring the department and the agency to provide
   66         certain notices to certain individuals; requiring PACE
   67         organizations to meet certain standards; requiring the
   68         agency to oversee and monitor the PACE program based
   69         on certain information; exempting PACE organizations
   70         from the requirements of ch. 641, F.S.; amending s.
   71         409.981, F.S.; conforming a provision to changes made
   72         by the act; providing an effective date.