HOUSE AMENDMENT Bill No. HB 81A
1	CHAMBER ACTION
2	Senate House
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12	Representative Murman offered the following:
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14	Amendment (with title amendment)
15	Remove line(s) 609-620, and insert:
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17	(x) For consolidation or combination of licensed nursing
18	homes or transfer of beds between licensed nursing homes within
19	the same planning subdistrict, by providers that operate
20	multiple nursing homes within that planning subdistrict,
21	provided there is no increase in the planning subdistrict total
22	of nursing home beds and the relocation does not exceed 30 miles
23	from the original location.
24	(4) A request for exemption under subsection (3) may be
25	made at any time and is not subject to the batching requirements
26	of this section. The request shall be supported by such
27	documentation as the agency requires by rule. The agency shall
28	assess a fee of $250 for each request for exemption submitted
29	under subsection (3).
30	Section 8. Section 52 of chapter 2001-45, Laws of Florida,
31	is amended to read:
32	Section 52. (1)Notwithstanding the establishment of need
33	as provided for in chapter 408, Florida Statutes, no certificate
34	of need for additional community nursing home beds shall be
35	approved by the agency until July 1, 2006.
36	(2)The Legislature finds that the continued growth in the
37	Medicaid budget for nursing home care has constrained the
38	ability of the state to meet the needs of its elderly residents
39	through the use of less restrictive and less institutional
40	methods of long-term care. It is therefore the intent of the
41	Legislature to limit the increase in Medicaid nursing home
42	expenditures in order to provide funds to invest in long-term
43	care that is community-based and provides supportive services in
44	a manner that is both more cost-effective and more in keeping
45	with the wishes of the elderly residents of this state.
46	(3)This moratorium on certificates of need shall not
47	apply to sheltered nursing home beds in a continuing care
48	retirement community certified by the Department of Insurance
49	pursuant to chapter 651, Florida Statutes.
50	(4)(a) This moratorium on certificates of need shall not
51	apply, and a certificate of need for additional community
52	nursing home beds may be approved, for a county that meets the
53	following circumstances:
54	1. The county has no community nursing home beds.
55	2. The lack of community nursing home beds occurs because
56	all nursing home beds in the county that were licensed on July
57	1, 2001, have subsequently closed.
58	(b) The certificate-of-need review for such circumstances
59	shall be subject to the comparative review process consistent
60	with the provisions of s. 408.039, Florida Statutes, and the
61	number of beds may not exceed the number of beds lost by the
62	county after July 1, 2001.
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65	================= T I T L E A M E N D M E N T =================
66	Remove line(s) 45, and insert:
67	of mental health services beds; amending s. 51, Ch. 2001-45,
68	Laws of Florida; specifying nonapplication of a moratorium of
69	certificates of need and authorizing approval of certain
70	certificates of need for certain counties under certain
71	circumstances; providing review requirements and bed
72	limitations; amending s. 408.038, F.S.;