Florida Senate - 2024 COMMITTEE AMENDMENT
Bill No. SB 7016
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LEGISLATIVE ACTION
Senate . House
Comm: RCS .
01/11/2024 .
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The Committee on Fiscal Policy (Burton) recommended the
following:
1 Senate Amendment
2
3 Delete lines 6657 - 6784
4 and insert:
5 Section 85. Effective July 1, 2024, for the 2024-2025
6 fiscal year, the sums of $29,841,000 in recurring funds from the
7 General Revenue Fund and $40,159,000 in recurring funds from the
8 Medical Care Trust Fund are appropriated in the Graduate Medical
9 Education category to the Agency for Health Care Administration
10 for the Slots for Doctors Program established in s. 409.909,
11 Florida Statutes.
12 Section 86. Effective July 1, 2024, for the 2024-2025
13 fiscal year, the sums of $42,630,000 in recurring funds from the
14 Grants and Donations Trust Fund and $57,370,000 in recurring
15 funds from the Medical Care Trust Fund are appropriated in the
16 Graduate Medical Education category to the Agency for Health
17 Care Administration to provide to statutory teaching hospitals
18 as defined in s. 408.07(46), Florida Statutes, which provide
19 highly specialized tertiary care, including comprehensive stroke
20 and Level 2 adult cardiovascular services; NICU II and III; and
21 adult open heart; and which have more than 30 full-time
22 equivalent (FTE) residents over the Medicare cap in accordance
23 with the CMS-2552 provider 2021 fiscal year-end federal Centers
24 for Medicare and Medicaid Services Healthcare Cost Report, HCRIS
25 data extract on December 1, 2022, worksheet E-4, line 6 minus
26 worksheet E-4, line 5, shall be designated as a High Tertiary
27 Statutory Teaching Hospital and be eligible for funding
28 calculated on a per Graduate Medical Education resident-FTE
29 proportional allocation that shall be in addition to any other
30 Graduate Medical Education funding. Of these funds, $44,562,400
31 shall be first distributed to hospitals with greater than 500
32 unweighted fiscal year 2022-2023 FTEs. The remaining funds shall
33 be distributed proportionally based on the total unweighted
34 fiscal year 2022-2023 FTEs. Payments to providers under this
35 section are contingent upon the nonfederal share being provided
36 through intergovernmental transfers in the Grants and Donations
37 Trust Fund. In the event the funds are not available in the
38 Grants and Donations Trust Fund, the State of Florida is not
39 obligated to make payments under this section.
40 Section 87. Effective July 1, 2024, for the 2024-2025
41 fiscal year, the sums of $64,928,943 in recurring funds from the
42 General Revenue Fund and $87,379,156 in recurring funds from the
43 Medical Care Trust Fund are appropriated to the Agency for
44 Health Care Administration to establish a Pediatric Normal
45 Newborn, Pediatric Obstetrics, and Adult Obstetrics Diagnosis
46 Related Grouping (DRG) reimbursement methodology and increase
47 the existing marginal cost percentages for transplant
48 pediatrics, pediatrics, and neonates. The fiscal year 2024-2025
49 General Appropriations Act shall establish the DRG reimbursement
50 methodology for hospital inpatient services as directed in s.
51 409.905(5)(c), Florida Statutes.
52 Section 88. Effective October 1, 2024, for the 2024-2025
53 fiscal year, the sums of $14,888,903 in recurring funds from the
54 General Revenue Fund and $20,036,979 in recurring funds from the
55 Medical Care Trust Fund are appropriated to the Agency for
56 Health Care Administration to provide a Medicaid reimbursement
57 rate increase for dental care services. Health plans that
58 participate in the Statewide Medicaid Managed Care program shall
59 pass through the fee increase to providers in this
60 appropriation.
61 Section 89. Effective July 1, 2024, for the 2024-2025
62 fiscal year, the sums of $83,456,275 in recurring funds from the
63 General Revenue Fund and $112,312,609 in recurring funds from
64 the Operations and Maintenance Trust Fund are appropriated in
65 the Home and Community-Based Services Waiver category to the
66 Agency for Persons with Disabilities to provide a uniform
67 iBudget Waiver provider rate increase. The sum of $195,768,884
68 in recurring funds from the Medical Care Trust Fund is
69 appropriated in the Home and Community-Based Services Waiver
70 category to the Agency for Health Care Administration to
71 establish budget authority for Medicaid services.
72 Section 90. Effective July 1, 2024, for the 2024-2025
73 fiscal year, the sum of $11,525,152 in recurring funds from the
74 General Revenue Fund is appropriated in the Grants and Aids –
75 Community Mental Health Services category to the Department of
76 Children and Families to enhance crisis diversion through mobile
77 response teams established under s. 394.495, Florida Statutes,
78 by adding an additional 16 mobile response teams to ensure
79 coverage in every county.
80 Section 91. Effective July 1, 2024, for the 2024-2025
81 fiscal year, the sum of $10 million in recurring funds from the
82 General Revenue Fund is appropriated to the Department of Health
83 to implement the Health Care Screening and Services Grant
84 Program established in s. 381.9855, Florida Statutes, as created
85 by this act.
86 Section 92. Effective July 1, 2024, for the 2024-2025
87 fiscal year, the sum of $150,000 in nonrecurring funds from the
88 General Revenue Fund and $150,000 in nonrecurring funds from the
89 Medical Care Trust Fund are appropriated to the Agency for
90 Health Care Administration to contract with a vendor to develop
91 a reimbursement methodology for covered services at advanced
92 birth centers. The agency shall submit the reimbursement
93 methodology and estimated fiscal impact to the Executive Office
94 of the Governor’s Office of Policy and Budget, the chair of the
95 Senate Appropriations Committee, and the chair of the House
96 Appropriations Committee no later than December 31, 2024.
97 Section 93. Effective July 1, 2024, for the 2024-2025
98 fiscal year, the sum of $2.4 million in recurring funds from the
99 General Revenue Fund is appropriated to the Agency for Health
100 Care Administration for the purpose of providing behavioral
101 health family navigators in state-licensed specialty hospitals
102 providing comprehensive acute care services to children pursuant
103 to s. 395.002(28), Florida Statutes, to help facilitate early
104 access to mental health treatment. Each licensed specialty
105 hospital shall receive $600,000 from this appropriation.
106 Section 94. Effective October 1, 2024, for the 2024-2025
107 fiscal year, the sums of $12,238,469 in recurring funds from the
108 General Revenue Fund, $127,300 in recurring funds from the
109 Refugee Assistance Trust Fund, and $16,641,433 in recurring
110 funds from the Medical Care Trust Fund are appropriated to the
111 Agency for Health Care Administration to provide a Medicaid
112 reimbursement rate increase for private duty nursing services
113 provided by licensed practical nurses and registered nurses.
114 Health plans that participate in the Statewide Medicaid Managed
115 Care program shall pass through the fee increase to providers in
116 this appropriation.
117 Section 95. Effective October 1, 2024, for the 2024-2025
118 fiscal year, the sums of $14,580,660 in recurring funds from the
119 General Revenue Fund and $19,622,154 in recurring funds from the
120 Medical Care Trust Fund are appropriated to the Agency for
121 Health Care Administration to provide a Medicaid reimbursement
122 rate increase for occupational therapy, physical therapy, and
123 speech therapy providers. Health plans that participate in the
124 Statewide Medicaid Managed Care program shall pass through the
125 fee increase to providers in this appropriation.
126 Section 96. Effective October 1, 2024, for the 2024-2025
127 fiscal year, the sums of $9,666,352 in recurring funds from the
128 General Revenue Fund and $13,008,646 in recurring funds from the
129 Medical Care Trust Fund are appropriated to the Agency for
130 Health Care Administration to provide a Medicaid reimbursement
131 rate increase for Current Procedural Terminology codes 97153 and
132 97155 related to behavioral analysis services. Health plans that
133 participate in the Statewide Medicaid Managed Care program shall
134 pass through the fee increase to providers in this
135 appropriation.
136 Section 97. Effective July 1, 2024, for the 2024-2025
137 fiscal year, the sums of $585,758 in recurring funds and
138 $1,673,421 in nonrecurring funds from the General Revenue Fund,
139 $928,001 in recurring funds and $54,513 in nonrecurring funds
140 from the Health Care Trust Fund, $100,000 in nonrecurring funds
141 from the Administrative Trust Fund, and $585,758 in recurring
142 funds and $1,573,421 in nonrecurring funds from the Medical Care
143 Trust Fund are appropriated to the Agency for Health Care
144 Administration, and 20 full-time equivalent positions with the
145 associated salary rate of 1,247,140 are authorized for the
146 purpose of implementing this act.
147 Section 98. Effective July 1, 2024, for the 2024-2025
148 fiscal year, the sums of $2,389,146 in recurring funds and
149 $1,190,611 in nonrecurring funds from the General Revenue Fund
150 and $1,041,578 in recurring funds and $287,633 in nonrecurring
151 funds from the Medical Quality Assurance Trust Fund are
152 appropriated to the Department of Health, and 25 full-time
153 equivalent positions with the associated salary rate of
154 1,739,740, are authorized for the purpose of implementing this
155 act.