Senate Bill sb0672

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    Florida Senate - 2001                                   SB 672

    By Senators Mitchell, Smith, Lee and Miller





    4-369A-01

  1                      A bill to be entitled

  2         An act relating to financial responsibility for

  3         indigent hospital patients; amending s.

  4         154.306, F.S.; providing procedures for

  5         computing the maximum amount that specified

  6         counties must pay for the treatment of an

  7         indigent resident of the county at a hospital

  8         located outside the county; providing for the

  9         exclusion of active-duty military personnel and

10         certain institutionalized county residents from

11         state population estimates when calculating a

12         county's financial responsibility for such

13         hospital care; requiring the county of

14         residence to accept the hospital's

15         documentation of financial eligibility and

16         county residence; requiring that the

17         documentation meet specified criteria;

18         providing an effective date.

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20  Be It Enacted by the Legislature of the State of Florida:

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22         Section 1.  Present subsections (3) and (4) of section

23  154.306, Florida Statutes, are redesignated as subsections (4)

24  and (5), respectively, and a new subsection (3) is added to

25  that section, to read:

26         154.306  Financial responsibility for certified

27  residents who are qualified indigent patients treated at an

28  out-of-county participating hospital or regional referral

29  hospital.--Ultimate financial responsibility for treatment

30  received at a participating hospital or a regional referral

31  hospital by a qualified indigent patient who is a certified

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    Florida Senate - 2001                                   SB 672
    4-369A-01




  1  resident of a county in the State of Florida, but is not a

  2  resident of the county in which the participating hospital or

  3  regional referral hospital is located, is the obligation of

  4  the county of which the qualified indigent patient is a

  5  resident. Each county shall reimburse participating hospitals

  6  or regional referral hospitals as provided for in this part,

  7  and shall provide or arrange for indigent eligibility

  8  determination procedures and resident certification

  9  determination procedures as provided for in rules developed to

10  implement this part.  The agency, or any county determining

11  eligibility of a qualified indigent, shall provide to the

12  county of residence, upon request, a copy of any documents,

13  forms, or other information, as determined by rule, which may

14  be used in making an eligibility determination.

15         (3)  For the purpose of computing the maximum amount

16  that a county having a population of 100,000 or less may be

17  required to pay, the agency must reduce the official state

18  population estimates by the number of inmates and patients

19  residing in the county in institutions operated by the Federal

20  Government, the Department of Corrections, the Department of

21  Health, or the Department of Children and Family Services, and

22  by the number of active-duty military personnel residing in

23  the county, all of whom shall not be considered residents of

24  the county. However, a county is entitled to receive the

25  benefit of such a reduction in estimated population figures

26  only if the county accepts as valid and true, and does not

27  require any reverification of, the documentation of financial

28  eligibility and county residency which is provided to it by

29  the participating hospital or regional referral hospital. The

30  participating hospital or regional referral hospital must

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    Florida Senate - 2001                                   SB 672
    4-369A-01




  1  provide documentation that is complete and in the form

  2  required by s. 154.3105.

  3         Section 2.  This act shall take effect July 1, 2001.

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  6                          SENATE SUMMARY

  7    Provides procedures for computing the maximum amount that
      any county having a population of 100,000 or less must
  8    pay for the treatment of an indigent resident of the
      county at a hospital located outside the county. Provides
  9    for excluding active-duty military personnel and certain
      institutionalized county residents from state population
10    estimates when calculating a county's financial
      responsibility for such hospital care. Requires the
11    county of residence to accept the hospital's
      documentation of financial eligibility and county
12    residence. Requires that the documentation meet specified
      criteria.
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