995049                                                     
GENERAL APPROPRIATIONS BILL                          Committee       Amendment
SB2000                                                  BHA              6


Senator(s) Negron moved the following amendment:

Section: 03              EXPLANATION:

On Page: 039             This amendment moves $700,000 and proviso from the 
                         Agency for Health Care Administration to the 
Spec App:  174           Department of Children and Families authorizing a 
                         study to determine whether the current eligiblity 
                         system (the FLORIDA system) should be updated or 
                         replaced.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Executive Direction And Support Services  68500200

        In Section 03  On Page 039
174     Special Categories  100777
        Contracted Services  IOEA

   1000   From General Revenue Fund               19,114,381     18,764,381
       CA -350,000  FSI2NR -350,000  

        In Section 03  On Page 040

   2474   From Medical Care Trust Fund            55,033,270     54,683,270
       CA -350,000  FSI3NR -350,000  

In Section 03, on Page 39, DELETE the following:

From   the   funds   in   Specific   Appropriation   174,   $350,000  in
nonrecurring  funds  from  the  General  Revenue  Fund  and  $350,000 in
nonrecurring  funds  from  the  Medical Care Trust Fund shall be used to
contract   with  Gartner,  Inc.,  and  Information  Technology  Research
Company,   to   complete   a   feasibility   study   for  developing  an
internet-based system for eligibility determination for Medicaid and the
Children's  Health  Insurance  Program (CHIP) established in Senate Bill

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 1
1988  or similar legislation and that complies with all applicable state
and  federal  laws  including  the  standards and conditions of the U.S.
Department   of  Health  and  Human  Services/Centers  for  Medicare and
Medicaid Services (CMS) final rule published in the April 19, 2011, vol.
76, NO. 75 of the Federal Register.

The  feasibility  study  shall  include  an  analysis of two options for
implementation  of  the  Medicaid  and  CHIP  eligibility  determination
system:    (1)   remediation  and  enhancement  of  the  state's  legacy
eligibility  determination  system  known  as  the  Automated  Community
Connection  to  Economic Self-Sufficiency Florida or ACCESS Florida, and
(2)  develop  of  a  new system that would support the Medicaid and CHIP
eligibility determination and enrollment services.  The analysis of both
options must include, but not be limited to, a cost benefit analysis and
a project risk assessment.

The  completed  feasibility  study along with the Agency for Health Care
Administration's  recommendation  for  remediating the current system or
developing  a  new system based on the results of the feasibility study,
must  be  submitted  for  consideration  and approval by the Legislative
Budget Commission no later than December 1, 2012.

        CHILDREN AND FAMILY SERVICES, DEPARTMENT 
        OF
        Administration
        Program: Executive Leadership
        Executive Direction And Support Services  60900101

        In Section 03  On Page 060
298     Data Processing Services  210008
        Children And Families Data Center  IOEH

   1000   From General Revenue Fund               14,656,169     15,006,169
       CA 350,000  FSI2NR 350,000  
   2021   From Administrative Trust Fund           6,533,019      6,883,019
       CA 350,000  FSI2NR 350,000  

Immediately following Specific Appropriation 298, INSERT:

From   the   funds   in   Specific   Appropriation   298,   $350,000  in
nonrecurring  funds  from  the  General  Revenue  Fund  and  $350,000 in
nonrecurring  funds  from  the  Administrative Trust Fund shall be used 
to complete   a   feasibility   study   for  developing  an
internet-based system for eligibility determination for Medicaid and the
Children's  Health  Insurance  Program (CHIP) established in Senate Bill
1988  or similar legislation and that complies with all applicable state
and  federal  laws  including  the  standards and conditions of the U.S.
Department   of  Health  and  Human  Services/Centers  for  Medicare and
Medicaid Services (CMS) final rule published in the April 19, 2011, vol.
76, NO. 75 of the Federal Register.

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 2

The  feasibility  study  shall  include  an  analysis of two options for
implementation  of  the  Medicaid  and  CHIP  eligibility  determination
system:    (1)   remediation  and  enhancement  of  the  state's  legacy
eligibility  determination  system  known  as  the  Automated  Community
Connection  to  Economic Self-Sufficiency Florida or ACCESS Florida, and
(2)  develop  of  a  new system that would support the Medicaid and CHIP
eligibility determination and enrollment services.  The analysis of both
options must include, but not be limited to, a cost benefit analysis and
a project risk assessment.

The  completed  feasibility  study along with the Department of Children 
and Family Services's  recommendation  for  remediating the current 
system or developing  a  new system based on the results of the 
feasibility study, must  be  submitted  for  consideration  and approval 
by the Legislative Budget Commission no later than December 1, 2012.

        In Section 03  On Page 059
295     Qualified Expenditure Category  200083
        Florida's Public Assistance Eligibility                
        System  IOEA

DELETE the proviso immediately following Specific Appropriation 295:

From  the  funds  in Specific Appropriation 295, the nonrecurring sum of
$3,365,955  from  the  Operations  and  Maintenance  Trust  Fund and the
nonrecurring  sum of $30,293,595 from the Federal Grants Trust Funds are
contingent  upon Senate Bill 1988 or similar legislation relating to the
development  and  implementation  of an eligibility determination system
for  Medicaid  and  the  Children's  Health  Insurance  Program  (CHIP),
becoming  law.  The department is authorized to submit budget amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission in Specific Appropriation
174  pursuant  to  the  provisions  of  Chapter  216,  Florida Statutes.
Requests  for  release  of funds shall include detailed operational work
and spending plans.

AND INSERT:

From  the  funds  in Specific Appropriation 295, the nonrecurring sum of
$3,365,955  from  the  Operations  and  Maintenance  Trust  Fund and the
nonrecurring  sum of $30,293,595 from the Federal Grants Trust Funds are
contingent  upon Senate Bill 1988 or similar legislation relating to the
development  and  implementation  of an eligibility determination system
for  Medicaid  and  the  Children's  Health  Insurance  Program  (CHIP),
becoming  law.  The department is authorized to submit budget amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission in Specific Appropriation 
298 pursuant  to  the provisions  of  Chapter  216,  Florida Statutes.  
Requests  for  release  of funds shall include detailed operational work

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 3
and spending plans.

        In Section 03  On Page 060
296     Qualified Expenditure Category  200085
        Child Dependency System Redesign  IOEA

DELETE the proviso immediately following Specific Appropriation 296:

From  the  funds  in Specific Appropriation 296, the nonrecurring sum of
$2,540,000  from  the Federal Grants Trust Fund and the nonrecurring sum
of  $1,960,000  from  the Operations and Maintenance Trust Fund shall be
used  by  the  Department  of  Children  and  Family  Services  to  fund
programming  changes to the Florida Safe Families Network (FSFN) system.
The  programming  changes  include  the  requirements  identified in the
January  2011  compliance assessment completed by the U.S. Department of
Health  & Human Services Administration for Children and Families as not
currently  being  in  the FSFN system and needed in order to comply with
all  federal  Statewide  Automated  Child  Welfare  Information  Systems
(SACWIS)  requirements.  The  department  is authorized to submit budget
amendments   requesting   quarterly   release  of  funds  based  on  the
recommendation approved by the Legislative Budget Commission in Specific
Appropriation  174  pursuant  to  the provisions of Chapter 216, Florida
Statutes.   Requests   for  release  of  funds  shall  include  detailed
operational work and spending plans.

From  the  funds  in Specific Appropriation 296, the nonrecurring sum of
$1,950,000  from  the Social Services Block Grant Trust Fund and the sum
of  $6,000,000  from  the Welfare Transition Trust Fund shall be used by
the department to fund enhancements to the Florida Safe Families Network
(FSFN).  The  department  is  authorized  to  submit  budget  amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission in Specific Appropriation
174  pursuant  to  the  provisions  of  Chapter  216,  Florida Statutes.
Requests  for  release  of funds shall include detailed operational work
and spending plans.

AND INSERT:

From  the  funds  in Specific Appropriation 296, the nonrecurring sum of
$2,540,000  from  the Federal Grants Trust Fund and the nonrecurring sum
of  $1,960,000  from  the Operations and Maintenance Trust Fund shall be
used  by  the  Department  of  Children  and  Family  Services  to  fund
programming  changes to the Florida Safe Families Network (FSFN) system.
The  programming  changes  include  the  requirements  identified in the
January  2011  compliance assessment completed by the U.S. Department of
Health  & Human Services Administration for Children and Families as not
currently  being  in  the FSFN system and needed in order to comply with
all  federal  Statewide  Automated  Child  Welfare  Information  Systems
(SACWIS)  requirements.  The  department  is authorized to submit budget
amendments   requesting   quarterly   release  of  funds  based  on  the

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 4
recommendation approved by the Legislative Budget Commission pursuant  
to  the provisions of Chapter 216, Florida Statutes.   Requests   for  
release  of  funds  shall  include  detailed operational work and 
spending plans.

From  the  funds  in Specific Appropriation 296, the nonrecurring sum of
$1,950,000  from  the Social Services Block Grant Trust Fund and the sum
of  $6,000,000  from  the Welfare Transition Trust Fund shall be used by
the department to fund enhancements to the Florida Safe Families Network
(FSFN).  The  department  is  authorized  to  submit  budget  amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission pursuant  to  the  
provisions  of  Chapter  216,  Florida Statutes. Requests  for  release  
of funds shall include detailed operational work and spending plans.

300     Data Processing Services  210022
        Northwood Shared Resource Center  IOEH

Immediately following Specific Appropriation 300, DELETE:

From  the  funds  in  Specific  Appropriation  300,  the  Department  of
Children  and  Family  Services and the Northwood Shared Resource Center
(NSRC)  shall  submit a report providing options and recommendations for
reducing  the  data center service costs of the FLORIDA System. The NSRC
and department shall base their report on the results of the feasibility
study  approved  by the Legislative Budget Commission in accordance with
Specific  Appropriation  174.  The  report  shall  be  submitted  to the
Executive  Office  of  the  Governor,  the  chair  of  the Senate Budget
Committee,  the  chair  of the House Appropriations Committee by January
15, 2013.

AND INSERT:

From  the  funds  in  Specific  Appropriation  300,  the  Department  of
Children  and  Family  Services and the Northwood Shared Resource Center
(NSRC)  shall  submit a report providing options and recommendations for
reducing  the  data center service costs of the FLORIDA System. The NSRC
and department shall base their report on the results of the feasibility
study  approved  by the Legislative Budget Commission in accordance with 
Specific Appropriation 298.  The  report shall  be  submitted  to the 
Executive  Office  of  the  Governor,  the  chair  of  the Senate Budget 
Committee,  the  chair  of the House Appropriations Committee by January 
15, 2013.

        Program: Support Services
        Information Technology  60900202

        In Section 03  On Page 061
313     Qualified Expenditure Category  200083
        Florida's Public Assistance Eligibility                

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 5
        System  IOEA

Immediately following Specific Appropriation 313, DELETE:

From  the  funds  in Specific Appropriation 313, the nonrecurring sum of
32,525,565 from the Working Capital Trust Fund is contingent upon Senate
Bill  1988  or  similar  legislation  relating  to  the  development and
implementation  of  an eligibility determination system for Medicaid and
the  Children's  Health  Insurance  Program  (CHIP),  becoming  law. The
Department  of  Children  and  Families Services is authorized to submit
budget  amendments  requesting quarterly release of these funds based on
the  recommendation  approved  by  the  Legislative Budget Commission in
Specific  Appropriation  174  pursuant to the provisions of Chapter 216,
Florida  Statutes.  Requests for release of funds shall include detailed
operational work and spending plans.

AND INSERT:

From  the  funds  in Specific Appropriation 313, the nonrecurring sum of
32,525,565 from the Working Capital Trust Fund is contingent upon Senate
Bill  1988  or  similar  legislation  relating  to  the  development and
implementation  of  an eligibility determination system for Medicaid and
the  Children's  Health  Insurance  Program  (CHIP),  becoming  law. The
Department  of  Children  and  Families Services is authorized to submit
budget  amendments  requesting quarterly release of these funds based on
the  recommendation  approved  by  the  Legislative Budget Commission in
Specific  Appropriation  298  pursuant to the provisions of Chapter 216,
Florida  Statutes.  Requests for release of funds shall include detailed
operational work and spending plans.

        In Section 03  On Page 062
314     Qualified Expenditure Category  200085
        Child Dependency System Redesign  IOEA

DELETE the proviso immediately following Specific Appropriation 314:

From  the  funds  in Specific Appropriation 314, the nonrecurring sum of
$4,500,000  from  the  Working  Capital  Trust Fund shall be used by the
Department  of  Children and Family Services to fund programming changes
to  the  Florida  Safe  Families  Network (FSFN) system. The programming
changes   include  the  requirements  identified  in  the  January  2011
compliance assessment completed by the U.S. Department of Health & Human
Services Administration for Children and Families as not currently being
in  the  FSFN  system  and  needed  in  order to comply with all federal
Statewide   Automated   Child   Welfare   Information  Systems  (SACWIS)
requirements.  The  department is authorized to submit budget amendments
requesting  quarterly release of these funds based on the recommendation
approved  by the Legislative Budget Commission in Specific Appropriation
174  pursuant  the provisions of Chapter 216, Florida Statutes. Requests
for  release  of  funds  shall  include  detailed  operational  work and

 995049  Log:0024  RCH/RCH           02/21/12 09:29:20 PM  Senate  Page: 6
spending plans.

From  the  Funds  in Specific Appropriation 314, the nonrecurring sum of
$7,950,000  from  the  Working  Capital Trust Fund  shall be used by the
department  to  fund  enhancements  to the Florida Safe Families Network
(FSFN).  The  department  is  authorized  to  submit  budget  amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission in Specific Appropriation
174  pursuant  to  the  provisions  of  Chapter  216,  Florida Statutes.
Request for release of funds shall include detailed operational work and
spending plans.

AND INSERT:

From  the  funds  in Specific Appropriation 314, the nonrecurring sum of
$4,500,000  from  the  Working  Capital  Trust Fund shall be used by the
Department  of  Children and Family Services to fund programming changes
to  the  Florida  Safe  Families  Network (FSFN) system. The programming
changes   include  the  requirements  identified  in  the  January  2011
compliance assessment completed by the U.S. Department of Health & Human
Services Administration for Children and Families as not currently being
in  the  FSFN  system  and  needed  in  order to comply with all federal
Statewide   Automated   Child   Welfare   Information  Systems  (SACWIS)
requirements.  The  department is authorized to submit budget amendments
requesting  quarterly release of these funds based on the recommendation
approved  by the Legislative Budget Commission pursuant  the provisions 
of Chapter 216, Florida Statutes. Requests for  release  of  funds  
shall  include  detailed  operational  work and spending plans.

From  the  Funds  in Specific Appropriation 314, the nonrecurring sum of
$7,950,000  from  the  Working  Capital Trust Fund  shall be used by the
department  to  fund  enhancements  to the Florida Safe Families Network
(FSFN).  The  department  is  authorized  to  submit  budget  amendments
requesting  quarterly  release  of  funds  based  on  the recommendation
approved  by the Legislative Budget Commission pursuant  to  the  
provisions  of  Chapter  216,  Florida Statutes. Request for release of 
funds shall include detailed operational work and spending plans.














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