HOUSE AMENDMENT
Bill No. HB 1885
Amendment No. ___ (for drafter's use only)
CHAMBER ACTION
Senate House
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5 ORIGINAL STAMP BELOW
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11 Representative(s) Littlefield offered the following:
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13 Amendment (with title amendment)
14 On page 14, between lines 16 and 17, of the bill
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17 Section 5. Paragraph (d) of subsection (3) of section
18 409.912, Florida Statutes, is amended 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.
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File original & 9 copies 04/20/01
hci0001 03:46 pm 01885-0061-863605
HOUSE AMENDMENT
Bill No. HB 1885
Amendment No. ___ (for drafter's use only)
1 (3) The agency may contract with:
2 (d) No more than four provider service networks for
3 demonstration projects to test Medicaid direct contracting.
4 The demonstration projects may be reimbursed on a
5 fee-for-service or prepaid basis. A provider service network
6 which is reimbursed by the agency on a prepaid basis shall be
7 exempt from parts I and III of chapter 641, but must meet
8 appropriate financial reserve, quality assurance, and patient
9 rights requirements as established by the agency. The agency
10 shall award contracts on a competitive bid basis and shall
11 select bidders based upon price and quality of care. Medicaid
12 recipients assigned to a demonstration project shall be chosen
13 equally from those who would otherwise have been assigned to
14 prepaid plans and MediPass. The agency is authorized to seek
15 federal Medicaid waivers as necessary to implement the
16 provisions of this section. A demonstration project awarded
17 pursuant to this paragraph shall be for 4 2 years from the
18 date of implementation.
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22 And the title is amended as follows:
23 On page 1, line 29,
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25 after the semicolon insert:
26 amending s. 409.912, F.S.; extending the
27 duration of provider service network
28 demonstration projects;
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File original & 9 copies 04/20/01
hci0001 03:46 pm 01885-0061-863605