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



                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
                                   .
                                   .
  1                                .
                                   .
  2                                .
                                   .
  3                                .
                                   .
  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

  6

  7

  8

  9

10  ______________________________________________________________

11  The Committee on Insurance offered the following:

12

13         Amendment 

14  Remove everything after the enacting clause

15

16  and insert:

17         Section 1.  Subsection (1) of section 651.015, Florida

18  Statutes, is amended to read:

19         651.015  Administration; forms; fees; rules;

20  fines.--The administration of this chapter is vested in the

21  department, which shall:

22         (1)  Prepare and furnish all forms necessary under the

23  provisions of this chapter in relation to applications for

24  provisional certificates of authority, certificates of

25  authority or renewals thereof, statements, examinations, and

26  other required reports. The department is authorized to accept

27  any application statement, report, or information submitted

28  electronically or by facsimile to comply with requirements in

29  this chapter or rules adopted under this section. The

30  department may adopt rules to implement the provisions of this

31  subsection.

                                  1

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)





  1         Section 2.  Paragraph (a) of subsection (1) and

  2  subsection (2) of section 651.035, Florida Statutes, are

  3  amended to read:

  4         651.035  Minimum liquid reserve requirements.--

  5         (1)  A provider shall maintain in escrow a minimum

  6  liquid reserve consisting of the applicable reserves specified

  7  in subsection (2).

  8         (2) (1)(a)  A provider shall maintain in escrow as a

  9  debt service reserve in and as a minimum liquid reserve an

10  amount equal to the aggregate amount of all principal and

11  interest payments due during the fiscal year on any mortgage

12  loan or other long-term financing of the facility, including

13  taxes and insurance as recorded in the audited financial

14  statements required under s. 651.026.  The amount shall

15  include any leasehold payments and all costs related to same.

16  If principal payments are not due during the fiscal year, the

17  provider shall maintain in escrow as a minimum liquid reserve

18  an amount equal to interest payments due during the next 12

19  months on any mortgage loan or other long-term financing of

20  the facility, including taxes and insurance. For the purpose

21  of this paragraph, the amount of property insurance premiums

22  used in calculating the debt service reserve shall not exceed

23  the amount paid in calendar year 1999. For providers initially

24  licensed during or after calendar year 1999, the amount of

25  property insurance premiums used in calculating the debt

26  service reserve shall not exceed the amount paid during the

27  first 12 months of facility operation. However, beginning

28  January 1, 2006, and each year thereafter, until the amount

29  maintained in escrow attributable to property insurance equals

30  100 percent of the premium, the provider shall increase the

31  amount maintained in escrow for property insurance by 10

                                  2

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)





  1  percent of the premium paid that year.

  2         (b)  A provider which has outstanding indebtedness

  3  which requires what is normally referred to as a "debt service

  4  reserve offset" to be held in escrow pursuant to a trust

  5  indenture or mortgage lien on the facility and for which the

  6  debt service reserve may only be used to pay principal and

  7  interest payments on the debt which the debtor is obligated to

  8  pay, and which may include taxes and insurance, may include

  9  such debt service reserve in its computation of its minimum

10  liquid reserve to satisfy this subsection, provided that the

11  provider furnishes to the Department of Insurance a copy of

12  the agreement under which such debt service is held, together

13  with a statement of the amount being held in escrow for the

14  debt service reserve, certified by the lender or trustee and

15  the provider to be correct.  The trustee shall provide the

16  department with any information concerning the debt service

17  reserve offset account upon request of the provider or the

18  department.

19         (c)(2)(a)  Each provider shall maintain in escrow an

20  operating reserve in an amount equal to 30 percent of the

21  total operating expenses projected in the feasibility study

22  required by s. 651.023 for the first 12 months of operation.

23  Thereafter, each provider shall maintain in escrow an

24  operating reserve in an amount equal to 15 percent of the

25  total operating expenses in the annual report filed pursuant

26  to s. 651.026.  Where a provider has been in operation for

27  more than 12 months, the total annual operating expenses shall

28  be determined by averaging the total annual operating expenses

29  reported to the department by the number of annual reports

30  filed with the department within the immediate preceding

31  3-year period subject to adjustment in the event there is a

                                  3

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)





  1  change in the number of facilities owned.  For purposes of

  2  this subsection, total annual operating expenses shall include

  3  all expenses of the facility except:  depreciation and

  4  amortization; interest, insurance and taxes included in

  5  subsection (1); extraordinary expenses which are adequately

  6  explained and documented in accordance with generally accepted

  7  accounting principles; liability insurance premiums in excess

  8  of those paid in calendar year 1999; and changes in the

  9  obligation to provide future services to current residents.

10  For providers initially licensed during or after calendar year

11  1999, liability insurance shall be included in the total

12  operating expenses in an amount not to exceed the premium paid

13  during the first 12 months of facility operation. Beginning

14  January 1, 1993, the operating reserves required under this

15  subsection shall be in an unencumbered account held in escrow

16  for the benefit of the residents.  Such funds may not be

17  encumbered or subject to any liens or charges by the escrow

18  agent or judgments, garnishments, or creditors' claims against

19  the provider or facility.  However, if a facility had a lien,

20  mortgage, trust indenture, or similar debt instrument in place

21  prior to January 1, 1993, which encumbered all or any part of

22  the reserves required by this subsection and such funds were

23  used to meet the requirements of this subsection, then such

24  arrangement may be continued, unless a refinancing or

25  acquisition has occurred, and the provider shall be in

26  compliance with this subsection.

27         (d)(b)  Each provider shall maintain in escrow a

28  renewal and replacement reserve in an amount equal to 15

29  percent of the total accumulated depreciation based on the

30  audited financial statement required to be filed pursuant to

31  s. 651.026, not to exceed 15 percent of the facility's average

                                  4

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)





  1  operating expenses for the past 3 fiscal years based on the

  2  audited financial statements for each of such years.  For a

  3  provider who is an operator of a facility but is not the owner

  4  and depreciation is not included as part of the provider's

  5  financial statement, the renewal and replacement reserve

  6  required by this paragraph shall equal 15 percent of the total

  7  operating expenses of the provider, as described in this

  8  section.  Each provider licensed prior to October 1, 1983,

  9  shall be required to fully fund the renewal and replacement

10  reserve by October 1, 2003, by multiplying the difference

11  between the former escrow requirement and the present escrow

12  requirement by the number of years the facility has been in

13  operation after October 1, 1983.

14         Section 3.  Subsection (8) of section 651.118, Florida

15  Statutes, is amended, and subsection (13) is added to said

16  section, to read:

17         651.118  Agency for Health Care Administration;

18  certificates of need; sheltered beds; community beds.--

19         (8)  A provider may petition the Agency for Health Care

20  Administration to use a designated number of sheltered nursing

21  home beds to provide extended congregate care as defined in s.

22  400.402 if the beds are in a distinct area of the nursing home

23  which can be adapted to meet the requirements for extended

24  congregate care. The provider may subsequently use such beds

25  as sheltered beds after notifying the agency of the intended

26  change. Any sheltered beds used to provide extended congregate

27  care pursuant to this subsection may only be provided to

28  residents.  Any sheltered beds used to provide extended

29  congregate care pursuant to this subsection may share common

30  areas, services, and staff with beds designated for nursing

31  home care, provided that all of the beds are under common

                                  5

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 781

    Amendment No. 1 (for drafter's use only)





  1  ownership. For the purposes of this subsection, fire and life

  2  safety codes applicable to nursing home facilities shall

  3  apply.

  4         (13)  Residents, as defined in this chapter, are not

  5  considered new admissions for the purpose of s.

  6  400.141(15)(d).

  7         Section 4.  This act shall take effect July 1, 2002.

  8

  9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  6

    File original & 9 copies    02/08/02
    hin0002                     08:15 am         00781-in  -951469