CODING: Words stricken are deletions; words underlined are additions.





                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    

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11  Senator Bankhead moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 25, between lines 2 and 3,

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16  insert:

17         Section 14.  Section 409.903, Florida Statutes, is

18  amended to read:

19         409.903  Mandatory payments for eligible persons.--The

20  agency department shall make payments for medical assistance

21  and related services on behalf of the following persons who

22  the agency department determines to be eligible, subject to

23  the income, assets, and categorical eligibility tests set

24  forth in federal and state law.  Payment on behalf of these

25  Medicaid eligible persons is subject to the availability of

26  moneys and any limitations established by the General

27  Appropriations Act or chapter 216.

28         (1)  Low-income families with children are eligible for

29  Medicaid provided they meet the following requirements:

30  Persons who receive payments from or are determined eligible

31  to participate in the WAGES Program, and certain persons who

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                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    





 1  would be eligible but do not meet certain technical

 2  requirements. This group includes, but is not limited to:

 3         (a)  The family includes a dependent child who is

 4  living with a caretaker relative. Low-income, single-parent

 5  families and their children.

 6         (b)  The family's income does not exceed the gross

 7  income test limit. Low-income, two-parent families in which at

 8  least one parent is disabled or otherwise incapacitated.

 9         (c)  The family's countable income and resources do not

10  exceed the applicable aid-to-families-with-dependent-children

11  (AFDC) income and resource standards under the AFDC state plan

12  in effect in July 1996, except as amended in the Medicaid

13  state plan to conform as closely as possible to the

14  requirements of the WAGES Program as created in s. 414.015, to

15  the extent permitted by federal law. Certain unemployed

16  two-parent families and their children.

17         (2)  A person who receives payments from, who is

18  determined eligible for, or who was eligible for but lost cash

19  benefits from the federal program known as the Supplemental

20  Security Income program (SSI).  This category includes a

21  low-income person age 65 or over and a low-income person under

22  age 65 considered to be permanently and totally disabled.

23         (3)  A child under age 21 living in a low-income,

24  two-parent family, and a child under age 7 living with a

25  nonrelative, if the income and assets of the family or child,

26  as applicable, do not exceed the resource limits under the

27  WAGES Program.

28         (4)  A child who is eligible under Title IV-E of the

29  Social Security Act for subsidized board payments, foster

30  care, or adoption subsidies, and a child for whom the state

31  has assumed temporary or permanent responsibility and who does

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                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    





 1  not qualify for Title IV-E assistance but is in foster care,

 2  shelter or emergency shelter care, or subsidized adoption.

 3         (5)  A pregnant woman for the duration of her pregnancy

 4  and for the post partum period as defined in federal law and

 5  rule, or a child under age 1, if either is living in a family

 6  that has an income which is at or below 150 percent of the

 7  most current federal poverty level, or, effective January 1,

 8  1992, that has an income which is at or below 185 percent of

 9  the most current federal poverty level.  Such a person is not

10  subject to an assets test. Further, a pregnant woman who

11  applies for eligibility for the Medicaid program through a

12  qualified Medicaid provider must be offered the opportunity,

13  subject to federal rules, to be made presumptively eligible

14  for the Medicaid program.

15         (6)  A child born after September 30, 1983, living in a

16  family that has an income which is at or below 100 percent of

17  the current federal poverty level, who has attained the age of

18  6, but has not attained the age of 19.  In determining the

19  eligibility of such a child, an assets test is not required.

20         (7)  A child living in a family that has an income

21  which is at or below 133 percent of the current federal

22  poverty level, who has attained the age of 1, but has not

23  attained the age of 6.  In determining the eligibility of such

24  a child, an assets test is not required.

25         (8)  A person who is age 65 or over or is determined by

26  the agency department to be disabled, whose income is at or

27  below 100 percent of the most current federal poverty level

28  and whose assets do not exceed limitations established by the

29  agency department.  However, the agency department may only

30  pay for premiums, coinsurance, and deductibles, as required by

31  federal law, unless additional coverage is provided for any or

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                                                  SENATE AMENDMENT

    Bill No. CS for CS for SB 484

    Amendment No.    





 1  all members of this group by s. 409.904(1).

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 3  (Redesignate subsequent sections.)

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 6  ================ T I T L E   A M E N D M E N T ===============

 7  And the title is amended as follows:

 8         On page 2, line 27, after the semicolon

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10  insert:

11         amending s. 409.903, F.S.; providing Medicaid

12         eligibility standards for certain persons;

13         conforming references;

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