CODING: Words stricken are deletions; words underlined are additions.
                                                  SENATE AMENDMENT
    Bill No. CS for SB 2220
    Amendment No.    
                            CHAMBER ACTION
              Senate                               House
                                   .
                                   .
 1                                 .
                                   .
 2                                 .
                                   .
 3                                 .
                                   .
 4                                                                
 5
 6
 7
 8
 9
10                                                                
11  Senator Webster moved the following amendment:
12
13         Senate Amendment (with title amendment) 
14         On page 69, between lines 9 and 10,
15
16  insert:
17         Section 56.  Subsection (36) is added to section
18  409.912, Florida Statutes, 1998 Supplement, to read:
19         409.912  Cost-effective purchasing of health care.--The
20  agency shall purchase goods and services for Medicaid
21  recipients in the most cost-effective manner consistent with
22  the delivery of quality medical care.  The agency shall
23  maximize the use of prepaid per capita and prepaid aggregate
24  fixed-sum basis services when appropriate and other
25  alternative service delivery and reimbursement methodologies,
26  including competitive bidding pursuant to s. 287.057, designed
27  to facilitate the cost-effective purchase of a case-managed
28  continuum of care. The agency shall also require providers to
29  minimize the exposure of recipients to the need for acute
30  inpatient, custodial, and other institutional care and the
31  inappropriate or unnecessary use of high-cost services.
                                  1
    4:12 PM   04/22/99                              s2220c1c-12j02
                                                  SENATE AMENDMENT
    Bill No. CS for SB 2220
    Amendment No.    
 1         (36)  The agency shall enter into agreements with
 2  not-for-profit organizations based in this state for the
 3  purpose of providing vision screening.
 4
 5  (Redesignate subsequent sections.)
 6
 7
 8  ================ T I T L E   A M E N D M E N T ===============
 9  And the title is amended as follows:
10         On page 5, line 14, after the semicolon,
11
12  insert:
13         amending s. 409.912, F.S.; requiring the Agency
14         for Health Care Administration to enter into
15         agreements with certain organizations for
16         purposes of providing vision screening;
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
                                  2
    4:12 PM   04/22/99                              s2220c1c-12j02