SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 730992
CHAMBER ACTION
Senate House
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04/24/2004 03:15 PM .
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11 Senator Peaden moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 127, between lines 21 and 22,
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16 insert:
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20 And the title is amended as follows:
21 Section 51. Subsection (45) is added to section
22 409.912, Florida Statutes, to read:
23 409.912 Cost-effective purchasing of health care.--The
24 agency shall purchase goods and services for Medicaid
25 recipients in the most cost-effective manner consistent with
26 the delivery of quality medical care. The agency shall
27 maximize the use of prepaid per capita and prepaid aggregate
28 fixed-sum basis services when appropriate and other
29 alternative service delivery and reimbursement methodologies,
30 including competitive bidding pursuant to s. 287.057, designed
31 to facilitate the cost-effective purchase of a case-managed
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1:43 PM 04/23/04 s2910c3c-02c4t
SENATE AMENDMENT
Bill No. CS for CS for CS for SB 2910
Amendment No. ___ Barcode 730992
1 continuum of care. The agency shall also require providers to
2 minimize the exposure of recipients to the need for acute
3 inpatient, custodial, and other institutional care and the
4 inappropriate or unnecessary use of high-cost services. The
5 agency may establish prior authorization requirements for
6 certain populations of Medicaid beneficiaries, certain drug
7 classes, or particular drugs to prevent fraud, abuse, overuse,
8 and possible dangerous drug interactions. The Pharmaceutical
9 and Therapeutics Committee shall make recommendations to the
10 agency on drugs for which prior authorization is required. The
11 agency shall inform the Pharmaceutical and Therapeutics
12 Committee of its decisions regarding drugs subject to prior
13 authorization.
14 (45) The agency may contract on a capitated, prepaid,
15 or fixed-sum basis with a laboratory service provider to
16 provide statewide laboratory services for Medicaid recipients.
17 The contract is not subject to any requirement of the Florida
18 Insurance Code.
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20 (Redesignate subsequent sections.)
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24 And the title is amended as follows:
25 On page 12, line 13, after the second semicolon,
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27 insert:
28 amending s. 409.912, F.S.; authorizing the
29 Agency for Health Care Administration to
30 contract for laboratory services for Medicaid
31 recipients;
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