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





                                                   HOUSE AMENDMENT

    dhs-21                              Bill No. HB 2329, 1st Eng.

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 4                                                                

 5                                           ORIGINAL STAMP BELOW

 6

 7

 8

 9

10                                                                

11  Representative(s) Peaden offered the following:

12

13         Amendment (with title amendment) 

14         On page 21, line 21, through page 23, line 5,

15  remove from the bill:  all of said lines

16

17  and insert in lieu thereof:

18         409.9119  Disproportionate share program for specialty

19  hospitals for children.--In addition to the payments made

20  under s. 409.911, the Agency for Health Care Administration

21  shall develop and implement a system under which

22  disproportionate share payments are made to those hospitals

23  that are licensed by the state as specialty hospitals for

24  children and were licensed on January 1, 2000, as specialty

25  hospitals for children. This system of payments must conform

26  to federal requirements and must distribute funds in each

27  fiscal year for which an appropriation is made by making

28  quarterly Medicaid payments. Notwithstanding s. 409.915,

29  counties are exempt from contributing toward the cost of this

30  special reimbursement for hospitals that serve a

31  disproportionate share of low-income patients.

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    File original & 9 copies    05/03/00
    hbd0011                     02:09 pm         02329-0005-692733




                                                   HOUSE AMENDMENT

    dhs-21                              Bill No. HB 2329, 1st Eng.

    Amendment No.     (for drafter's use only)





 1         (1)  The agency shall use the following formula to

 2  calculate the total amount earned for hospitals that

 3  participate in the specialty hospital for children

 4  disproportionate share program:

 5                      TAE = DSR x BMPD x MD

 6  Where:

 7         TAE = total amount earned by a specialty hospital for

 8  children.

 9         DSR = disproportionate share rate.

10         BMPD = base Medicaid per diem.

11         MD = Medicaid days.

12         (2)  The agency shall calculate the total additional

13  payment for hospitals that participate in the specialty

14  hospital for children disproportionate share program as

15  follows:

16

17                         TAP = (TAE x TA)

18                                         

19                               STAE

20  Where:

21         TAP = total additional payment for a specialty hospital

22  for children.

23         TAE = total amount earned by a specialty hospital for

24  children.

25         TA = total appropriation for the specialty hospital for

26  children disproportionate share program.

27         STAE = sum of total amount earned by each hospital that

28  participates in the specialty hospital for children

29  disproportionate share program.

30

31         (3)  A hospital may not receive any payments under this

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    File original & 9 copies    05/03/00
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                                                   HOUSE AMENDMENT

    dhs-21                              Bill No. HB 2329, 1st Eng.

    Amendment No.     (for drafter's use only)





 1  section until it achieves full compliance with the applicable

 2  rules of the agency. A hospital that is not in compliance for

 3  two or more consecutive quarters may not receive its share of

 4  the funds. Any forfeited funds must be distributed to the

 5  remaining participating specialty hospitals for children that

 6  are in compliance.

 7

 8

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

10  And the title is amended as follows:

11         On page 2, line 28,

12  remove from the title of the bill:  children's hospitals

13

14  and insert in lieu thereof:

15         specialty hospitals for children

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    File original & 9 copies    05/03/00
    hbd0011                     02:09 pm         02329-0005-692733