Senate Bill sb1230e1
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    SB 1230                                  First Engrossed (ntc)
  1                      A bill to be entitled
  2         An act providing for the Interstate Compact on
  3         Adoption and Medical Assistance; creating s.
  4         409.406, F.S.; providing authority for the
  5         Department of Children and Family Services to
  6         enter into interstate agreements with other
  7         participating states for medical and other
  8         necessary services for special-needs children;
  9         establishing procedures for interstate delivery
10         of adoption assistance and related services and
11         benefits; providing for the adoption of
12         administrative rules; creating s. 409.407,
13         F.S.; prohibiting expansion of the state's
14         financial commitment; providing an effective
15         date.
16  
17  Be It Enacted by the Legislature of the State of Florida:
18  
19         Section 1.  Section 409.406, Florida Statutes, is
20  created to read:
21         409.406  Interstate Compact on Adoption and Medical
22  Assistance.--The Interstate Compact on Adoption and Medical
23  Assistance is enacted into law and entered into with all other
24  jurisdictions legally joining therein in form substantially as
25  follows:
26         INTERSTATE COMPACT ON ADOPTION AND MEDICAL ASSISTANCE
27                       ARTICLE I.  Findings
28  The Legislature finds that:
29         (a)  Special measures are required to find adoptive
30  families for children for whom state assistance is desirable
31  pursuant to s. 409.166 and to assure the protection of the
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    SB 1230                                  First Engrossed (ntc)
  1  interest of the children affected during the entire assistance
  2  period when the adoptive parents move to other states or are
  3  residents of another state.
  4         (b)  The providers of medical and other necessary
  5  services for children, with state assistance, encounter
  6  special difficulties when the provision of services takes
  7  place in other states.
  8                      ARTICLE II.  Purposes
  9  The purposes of the act are to:
10         (a)  Authorize the Department of Children and Family
11  Services to enter into interstate agreements with agencies of
12  other states to protect children for whom adoption assistance
13  is provided by the Department of Children and Family Services.
14         (b)  Provide procedures for interstate children's
15  adoption-assistance payments, including medical payments.
16                    ARTICLE III.  Definitions
17  As used in this compact, the term:
18         (a)  "Agency" means the Agency for Health Care
19  Administration.
20         (b)  "Department" means the Florida Department of
21  Children and Family Services.
22         (c)  "State" means a state of the United States, the
23  District of Columbia, the Commonwealth of Puerto Rico, the
24  United States Virgin Islands, Guam, the Commonwealth of the
25  Northern Mariana Islands, or a territory or possession of or
26  administered by the United States.
27         (d)  "Adoption-assistance state" means the state that
28  is signatory to an adoption-assistance agreement in a
29  particular case.
30         (e)  "Residence state" means the state where the child
31  resides.
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    SB 1230                                  First Engrossed (ntc)
  1         (f)  "Medical assistance" means the medical-assistance
  2  program authorized by Title XIX of the Social Security Act.
  3                 ARTICLE IV.  Compacts Authorized
  4  The Department of Children and Family Services, by and through
  5  its secretary, may participate in the development of and
  6  negotiate and enter into interstate compacts on behalf of this
  7  state with other states to implement the purposes of this act.
  8  Such a compact has the force and effect of law.
  9                 ARTICLE V.  Contents of Compacts
10  A compact entered into under this act must have the following
11  content:
12         (a)  A provision making it available for joinder by all
13  states;
14         (b)  A provision for withdrawal from the compact upon
15  written notice to the parties, but with a period of 1 year
16  between the date of the notice and the effective date of the
17  withdrawal;
18         (c)  A requirement that the protections afforded under
19  the compact continue in force for the duration of the adoption
20  assistance and are applicable to all children and their
21  adoptive parents who, on the effective date of the withdrawal,
22  are receiving adoption assistance from a party state other
23  than the one in which they are residents and have their
24  principal place of abode;
25         (d)  A requirement that each instance of adoption
26  assistance to which the compact applies be covered by an
27  adoption-assistance agreement in writing between the adoptive
28  parents and the state child welfare agency of the state which
29  undertakes to provide the adoption assistance, and further,
30  that any such agreement be expressly for the benefit of the
31  
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    SB 1230                                  First Engrossed (ntc)
  1  adopted child and enforceable by the adoptive parents, and the
  2  state agency providing the adoption assistance; and
  3         (e)  Such other provisions as are appropriate to the
  4  proper administration of the compact.
  5            ARTICLE VI.  Optional Contents of Compacts
  6  A compact entered into under this section may contain
  7  provisions in addition to those required pursuant to Article
  8  V, as follows:
  9         (a)  Provisions establishing procedures and entitlement
10  to medical and other necessary social services for the child
11  in accordance with applicable laws, even though the child and
12  the adoptive parents are in a state other than the one
13  responsible for or providing the services or the funds to
14  defray part or all of the costs thereof; and
15         (b)  Such other provisions as are appropriate or
16  incidental to the proper administration of the compact.
17                 ARTICLE VII.  Medical Assistance
18         (a)  A child with special needs who is a resident of
19  this state and who is the subject of an adoption-assistance
20  agreement with another state is entitled to receive a
21  medical-assistance identification from this state upon the
22  filing with the agency of a certified copy of the
23  adoption-assistance agreement obtained from the
24  adoption-assistance state. Pursuant to rules of the agency,
25  the adoptive parents shall at least annually show that the
26  agreement is still in force or has been renewed.
27         (b)  The terms of the compact entered into by the
28  department apply to children who are the subject of federal
29  adoption-assistance agreements. The state will provide the
30  benefits under this section to children who are the subject of
31  a state adoption assistance agreement, pursuant to the
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    SB 1230                                  First Engrossed (ntc)
  1  department and agency's determination that the adoption
  2  assistance state is a party to the compact and has reciprocity
  3  in provision of medical assistance to state adoption
  4  assistance children.
  5         (c)  The agency shall consider the holder of a
  6  medical-assistance identification pursuant to this section as
  7  any other holder of a medical-assistance identification under
  8  the laws of this state and shall process and make payment on
  9  claims on behalf of such holder in the same manner and under
10  the same conditions and procedures established for other
11  recipients of medical assistance.
12         (d)  The provisions of this article apply only to
13  medical assistance for children under adoption-assistance
14  agreements from states that have entered into a compact with
15  this state under which the other state provided medical
16  assistance to children with special needs under
17  adoption-assistance agreements made by this state. All other
18  children entitled to medical assistance pursuant to an
19  adoption-assistance agreement entered into by this state are
20  eligible to receive such assistance under the laws and
21  procedures applicable thereto.
22         (e)  The department shall adopt administrative rules
23  necessary for administering this section.
24               ARTICLE VIII.  Federal Participation
25  Consistent with federal law, the department and the agency, in
26  administering the provisions of this act and any compact
27  pursuant hereto must include in any state plan made pursuant
28  to the Adoption Assistance and Child Welfare Act of 1980 (Pub.
29  L. No. 96-272), Titles IV(E) and XIX of the Social Security
30  Act and any other applicable federal laws, the provision of
31  adoption assistance and medical assistance for which the
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    SB 1230                                  First Engrossed (ntc)
  1  Federal Government pays some or all of the cost. The
  2  department and the agency shall apply for and administer all
  3  relevant federal aid in accordance with law.
  4         Section 2.  Section 409.407, Florida Statutes, is
  5  created to read:
  6         409.407  Interstate agreements between the Department
  7  of Children and Family Services and agencies of other
  8  states.--The Department of Children and Family Services, which
  9  is authorized to enter into interstate agreements with
10  agencies of other states for the implementation of the
11  purposes of the Interstate Compact on Adoptions and Medical
12  Assistance pursuant to s. 409.406, may not expand the
13  financial commitment of the state beyond the financial
14  obligation of the adoption-assistance agreements and Medicaid.
15         Section 3.  This act shall take effect July 1, 2001.
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