Florida Senate - 2019 COMMITTEE AMENDMENT Bill No. SB 778 Ì712346(Î712346 LEGISLATIVE ACTION Senate . House . . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— 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
plans48 may continue toprovide services to participants individualsat 49 such levels and enrollment capsas 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.