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CS/CS/HB 939: Medicaid Recoveries

GENERAL BILL by Health and Human Services Committee ; Health Innovation Subcommittee ; Pigman ; (CO-INTRODUCERS) Campbell

Medicaid Recoveries; Requires change in principal to be reported by Medicaid provider to AHCA; revises provisions relating to AHCA's onsite inspection responsibilities; revises provisions relating to background screening; authorizes AHCA to enroll provider who is licensed in this state & provides diagnostic services through telecommunications technology; revises provisions relating to settlements of Medicaid claims; provides procedures for contesting amount of medical expense damages; provides conditions regarding admissible evidence, venue, & attorney fees & costs; revises grounds for terminating provider from program, for seeking certain remedies for violations, & for imposing certain sanctions; provides limitation on information AHCA may consider when making determination of overpayment; specifies records provider must present to contest overpayment; clarifies provision regarding accrued interest on certain payments withheld from provider; deletes requirement that agency place payments withheld from provider in suspended account & revises when provider must reimburse overpayments: revises membership requirements for Medicaid & Public Assistance Fraud Strike Force within DFS & provides for future review & repeal; amends provisions relating to interagency agreements to detect & deter Medicaid & public assistance fraud & provides for future review & repeal.

Effective Date: 7/1/2013
 Last Action: 6/10/2013 - Chapter No. 2013-150, companion bill(s) passed, see SB 1520 (Ch. 2013-48)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/20/2013 House • Filed
    3/4/2013 House • Referred to Health Innovation Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee -HJ 95
    3/5/2013 House • Introduced -HJ 95
    3/15/2013 House • On Committee agenda-- Health Innovation Subcommittee, 03/19/13, 2:00 pm, 306 HOB
    3/19/2013 House • CS by Health Innovation Subcommittee; YEAS 12 NAYS 0 -HJ 357
    3/26/2013 House • Pending review of CS under Rule 7.19(c)
    3/27/2013 House • Original reference(s) removed: Health Care Appropriations Subcommittee
    • CS referred to Health and Human Services Committee -HJ 355
    • Now in Health and Human Services Committee -HJ 355
    • CS by Health Innovation Subcommittee read 1st time -HJ 351
    4/2/2013 House • On Committee agenda-- Health and Human Services Committee, 04/04/13, 10:30 am, Morris Hall
    4/4/2013 House • CS/CS by- Health and Human Services Committee; YEAS 14 NAYS 4 -HJ 611
    4/12/2013 House • Pending review of CS -under Rule 7.19(c)
    • Placed on Calendar -HJ 610
    • CS/CS by Health and Human Services Committee read 1st time -HJ 607
    4/19/2013 House • Placed on Special Order Calendar, 04/23/13
    4/23/2013 House • Read 2nd time -HJ 716
    • Amendment(s) adopted (398593, 418209, 687787, 750201, 813629, 970049) -HJ 716
    • Placed on 3rd reading
    4/24/2013 House • Read 3rd time -HJ 814
    • CS passed as amended; YEAS 116 NAYS 0 -HJ 815
    4/24/2013 Senate • In Messages
    • Referred to Health Policy; Banking and Insurance; Appropriations Subcommittee on Health and Human Services; Appropriations -SJ 588
    • Received -SJ 588
    4/29/2013 Senate • Withdrawn from Health Policy; Banking and Insurance; Appropriations Subcommittee on Health and Human Services; Appropriations -SJ 729
    • Placed on Calendar, on 2nd reading -SJ 729
    • Substituted for CS/CS/SB 844 -SJ 729
    • Read 2nd time -SJ 729
    • Placed on 3rd reading
    4/30/2013 Senate • Read 3rd time -SJ 799
    • CS passed; YEAS 38 NAYS 0 -SJ 799
    4/30/2013 House • Ordered enrolled -HJ 1028
    5/28/2013 • Signed by Officers and presented to Governor
    6/7/2013 • Approved by Governor
    6/10/2013 • Chapter No. 2013-150, companion bill(s) passed, see SB 1520 (Ch. 2013-48)

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  • CS/CS/HB 939, Enrolled (Current Bill Version) Posted 4/30/2013 at 5:14 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (2)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 844 (c2) Medicaid Grimsley Similar Last Action: 4/29/2013 S Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) -SJ 729
    Location: Laid on Table     		Track This Bill
    S 1520 (er) Medicaid Appropriations Compare Last Action: 5/20/2013 Chapter No. 2013-48, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1500 (Ch. 2013-40)
    Location: Became Law     		Track This Bill

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    409.907 Medicaid provider agreements. Page 2 (pdf)
    409.910 Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable. Page 12 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 15 (pdf)
    409.920 Medicaid provider fraud. Page 28 (pdf)
    624.351 Medicaid and Public Assistance Fraud Strike Force. Page 29 (pdf)
    624.352 Interagency agreements to detect and deter Medicaid and public assistance fraud. Page 29 (pdf)

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  • CS/CS/HB 939, Engrossed 1 Posted 4/23/2013 at 6:54 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (2)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 844 (c2) Medicaid Grimsley Similar Last Action: 4/29/2013 S Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) -SJ 729
    Location: Laid on Table     		Track This Bill
    S 1520 (e1) Medicaid Appropriations Compare Last Action: 5/20/2013 Chapter No. 2013-48, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1500 (Ch. 2013-40)
    Location: Became Law     		Track This Bill

    Floor Votes (2)

    Date Chamber Result
    4/24/2013 6:24 PM House 116 Yeas - 0 Nays
    4/30/2013 10:24 AM Senate 38 Yeas - 0 Nays

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    409.907 Medicaid provider agreements. Page 2 (pdf)
    409.910 Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable. Page 12 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 15 (pdf)
    409.920 Medicaid provider fraud. Page 28 (pdf)
    624.351 Medicaid and Public Assistance Fraud Strike Force. Page 29 (pdf)
    624.352 Interagency agreements to detect and deter Medicaid and public assistance fraud. Page 29 (pdf)

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  • CS/CS/HB 939, Committee Substitute 2 Posted 4/12/2013 at 12:51 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 844 (c1) Medicaid Fraud Grimsley Compare Last Action: 4/29/2013 S Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) -SJ 729
    Location: Laid on Table     		Track This Bill

    Floor Amendments (6)

    Amendment Sponsor Filed Last Floor Action Format
    398593 - Amendment
    Remove lines 66-68     		Pigman 4/22/2013
    12:12 PM     		House: Adopted
    4/23/2013     		PDF
    687787 - Amendment
    Between lines 263 and 264, insert:     		Jones, M. 4/22/2013
    1:53 PM     		House: Adopted
    4/23/2013     		PDF
    970049 - Amendment
    Remove line 417 and insert:     		Pigman 4/22/2013
    12:12 PM     		House: Adopted
    4/23/2013     		PDF
    750201 - Amendment
    Remove line 605 and insert:     		Trujillo 4/22/2013
    1:55 PM     		House: Adopted
    4/23/2013     		PDF
    813629 - Amendment
    Remove line 617 and insert:     		Trujillo 4/22/2013
    1:55 PM     		House: Adopted
    4/23/2013     		PDF
    418209 - Amendment
    Between lines 633 and 634, insert:     		Trujillo 4/22/2013
    1:57 PM     		House: Adopted
    4/23/2013     		PDF

    Citations - Statutes (6)

    Citation Catchline Location in Bill Location In Bill Help
    409.907 Medicaid provider agreements. Page 2 (pdf)
    409.910 Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable. Page 10 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 13 (pdf)
    409.920 Medicaid provider fraud. Page 26 (pdf)
    624.351 Medicaid and Public Assistance Fraud Strike Force. Page 26 (pdf)
    624.352 Interagency agreements to detect and deter Medicaid and public assistance fraud. Page 27 (pdf)

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  • CS/HB 939, Committee Substitute 1 Posted 3/26/2013 at 10:41 AM

    Bill Text:   PDF
    Analyses:   Health and Human Services Committee (Post-Meeting) 4/12/2013 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 844 (c1) Medicaid Fraud Grimsley Similar Last Action: 4/29/2013 S Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) -SJ 729
    Location: Laid on Table     		Track This Bill

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    599067 - Amendment
    Between lines 255 and 256, insert:     		Pigman 4/3/2013
    6:07 PM     		Adopted without Objection
    4/4/2013     		PDF

    Citations - Statutes (5)

    Citation Catchline Location in Bill Location In Bill Help
    409.907 Medicaid provider agreements. Page 2 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 10 (pdf)
    409.920 Medicaid provider fraud. Page 22 (pdf)
    624.351 Medicaid and Public Assistance Fraud Strike Force. Page 23 (pdf)
    624.352 Interagency agreements to detect and deter Medicaid and public assistance fraud. Page 23 (pdf)

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  • HB 939, Original Filed Version Posted 2/20/2013 at 4:33 PM

    Bill Text:   PDF
    Analyses:   Health Innovation Subcommittee (Post-Meeting) 6/10/2013 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 844 (c1) Medicaid Fraud Grimsley Similar Last Action: 4/29/2013 S Laid on Table, companion bill(s) passed, see CS/CS/HB 939 (Ch. 2013-150), SB 1520 (Ch. 2013-48) -SJ 729
    Location: Laid on Table     		Track This Bill

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    725493 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Pigman 3/18/2013
    7:31 PM     		Adopted without Objection
    3/19/2013     		PDF

    Citations - Statutes (4)

    Citation Catchline Location in Bill Location In Bill Help
    409.907 Medicaid provider agreements. Page 2 (pdf)
    409.91212 Medicaid managed care fraud. Page 10 (pdf)
    409.913 Oversight of the integrity of the Medicaid program. Page 12 (pdf)
    409.920 Medicaid provider fraud. Page 25 (pdf)

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