Florida Senate - 2011 SB 406
By Senator Sobel
31-00523-11 2011406__
1 A bill to be entitled
2 An act relating to the Florida Kidcare program;
3 amending s. 1006.06, F.S.; requiring that the
4 application form for the school breakfast and lunch
5 programs also allow application for the Kidcare
6 program or provide information about applying for the
7 program; amending s. 624.91, F.S.; requiring the
8 Florida Healthy Kids Corporation to include use of the
9 school breakfast and lunch application form in the
10 corporation’s plan for publicizing the program;
11 providing an effective date.
12
13 Be It Enacted by the Legislature of the State of Florida:
14
15 Section 1. Subsection (7) is added to section 1006.06,
16 Florida Statutes, to read:
17 1006.06 School food service programs.—
18 (7) The application form for the lunch program under
19 subsection (4) and the breakfast program under subsection (5)
20 must allow the student to also apply for the Florida Kidcare
21 program under ss. 409.810-409.821. In the alternative, the
22 application form must provide information about the Kidcare
23 program as well as contact information or a link to the Kidcare
24 online application.
25 Section 2. Paragraph (b) of subsection (5) of section
26 624.91, Florida Statutes, is amended to read:
27 624.91 The Florida Healthy Kids Corporation Act.—
28 (5) CORPORATION AUTHORIZATION, DUTIES, POWERS.—
29 (b) The Florida Healthy Kids Corporation shall:
30 1. Arrange for the collection of any family, local
31 contributions, or employer payment or premium, in an amount to
32 be determined by the board of directors, to provide for payment
33 of premiums for comprehensive insurance coverage and for the
34 actual or estimated administrative expenses.
35 2. Arrange for the collection of any voluntary
36 contributions to provide for payment of Florida Kidcare program
37 premiums for children who are not eligible for medical
38 assistance under Title XIX or Title XXI of the Social Security
39 Act.
40 3. Subject to the provisions of s. 409.8134, accept
41 voluntary supplemental local match contributions that comply
42 with the requirements of Title XXI of the Social Security Act
43 for the purpose of providing additional Florida Kidcare coverage
44 in contributing counties under Title XXI.
45 4. Establish the administrative and accounting procedures
46 for the operation of the corporation.
47 5. Establish, with consultation from appropriate
48 professional organizations, standards for preventive health
49 services and providers and comprehensive insurance benefits
50 appropriate to children if, provided that such standards for
51 rural areas do shall not limit primary care providers to board
52 certified pediatricians.
53 6. Determine eligibility for children seeking to
54 participate in the Title XXI-funded components of the Florida
55 Kidcare program consistent with the requirements specified in s.
56 409.814, as well as the non-Title-XXI-eligible children as
57 provided in subsection (3).
58 7. Establish procedures under which providers of local
59 match to, applicants to, and participants in the program may
60 have grievances reviewed by an impartial body and reported to
61 the board of directors of the corporation.
62 8. Establish participation criteria and, if appropriate,
63 contract with an authorized insurer, health maintenance
64 organization, or third-party administrator to provide
65 administrative services to the corporation.
66 9. Establish enrollment criteria that include penalties or
67 30-day waiting periods of 30 days for reinstatement of coverage
68 upon voluntary cancellation for nonpayment of family premiums.
69 10. Contract with authorized insurers or providers any
70 provider of health care services, who meet meeting standards
71 established by the corporation, for the provision of
72 comprehensive insurance coverage to participants. Such standards
73 must shall include criteria under which the corporation may
74 contract with more than one provider of health care services in
75 program sites. Health plans shall be selected through a
76 competitive bid process. The Florida Healthy Kids Corporation
77 shall purchase goods and services in the most cost-effective
78 manner consistent with the delivery of quality medical care. The
79 maximum administrative cost for a Florida Healthy Kids
80 Corporation contract is shall be 15 percent. For health care
81 contracts, the minimum medical loss ratio for a Florida Healthy
82 Kids Corporation contract is shall be 85 percent. For dental
83 contracts, the remaining compensation to be paid to the
84 authorized insurer or provider must be at least under a Florida
85 Healthy Kids Corporation contract shall be no less than an
86 amount which is 85 percent of the premium, and; to the extent
87 any contract provision does not provide for this minimum
88 compensation, this section prevails shall prevail. The health
89 plan selection criteria and scoring system, and the scoring
90 results, shall be available upon request for inspection after
91 the bids have been awarded.
92 11. Establish disenrollment criteria if in the event local
93 matching funds are insufficient to cover enrollments.
94 12. Develop and implement a plan to publicize the Florida
95 Kidcare program, the eligibility requirements of the program,
96 and the procedures for enrollment in the program and to maintain
97 public awareness of the corporation and the program. Such plan
98 must include using the application form for the school lunch and
99 breakfast programs as provided under s. 1006.06(7).
100 13. Secure staff necessary to properly administer the
101 corporation. Staff costs shall be funded from state and local
102 matching funds and such other private or public funds as become
103 available. The board of directors shall determine the number of
104 staff members necessary to administer the corporation.
105 14. In consultation with the partner agencies, provide an
106 annual a report on the Florida Kidcare program annually to the
107 Governor, the Chief Financial Officer, the Commissioner of
108 Education, the President of the Senate, the Speaker of the House
109 of Representatives, and the Minority Leaders of the Senate and
110 the House of Representatives.
111 15. Provide information on a quarterly basis to the
112 Legislature and the Governor which compares the costs and
113 utilization of the full-pay enrolled population and the Title
114 XXI-subsidized enrolled population in the Florida Kidcare
115 program. The information, At a minimum, the information must
116 include:
117 a. The monthly enrollment and expenditure for full-pay
118 enrollees in the Medikids and Florida Healthy Kids programs
119 compared to the Title XXI-subsidized enrolled population; and
120 b. The costs and utilization by service of the full-pay
121 enrollees in the Medikids and Florida Healthy Kids programs and
122 the Title XXI-subsidized enrolled population.
123
124 By February 1, 2010, the Florida Healthy Kids Corporation shall
125 provide a study to the Legislature and the Governor on premium
126 impacts to the subsidized portion of the program from the
127 inclusion of the full-pay program, which must shall include
128 recommendations on how to eliminate or mitigate possible impacts
129 to the subsidized premiums.
130 16. Establish benefit packages that conform to the
131 provisions of the Florida Kidcare program, as created in ss.
132 409.810-409.821.
133 Section 3. This act shall take effect July 1, 2011.