| 1 | Kendrick offered the following: |
| 2 | Remove line(s) 20 through 30, and insert: |
| 3 | (4) The following children are not eligible to receive |
| 4 | premium assistance for health benefits coverage under the |
| 5 | Florida KidCare program, except under Medicaid if the child |
| 6 | would have been eligible for Medicaid under s. 409.903 or s. |
| 7 | 409.904 as of June 1, 1997: |
| 8 | (a) A child who is eligible for coverage under a state |
| 9 | health benefit plan on the basis of a family member's employment |
| 10 | with a public agency in the state. |
| 11 | (f)(g) A child who is otherwise eligible for KidCare and |
| 12 | who has a preexisting condition that prevents coverage under |
| 13 | another insurance plan as described in paragraph (a) (b) which |
| 14 | would have disqualified the child for KidCare if the child were |
| 15 | able to enroll in the plan shall be eligible for KidCare |
| 16 | coverage when enrollment is possible. |
| 17 | (8) In determining the eligibility of a child, an assets |
| 18 | test is not required. Each applicant shall provide written |
| 19 | documentation during the application process and the |
| 20 | redetermination process, including, but not limited to, the |
| 21 | following: |
| 22 | (a) Proof of family income, which must include a copy of |
| 23 | the applicant's most recent supported by copies of any federal |
| 24 | income tax return. In the absence of a federal income tax |
| 25 | return, an applicant may submit for the prior year, any wages |
| 26 | and earnings statements (pay stubs), (W-2 forms), or and any |
| 27 | other appropriate documents document. |
| 28 | (9) Subject to paragraph (4)(a)(b) and s. 624.91(3), the |
| 29 | Florida KidCare program shall withhold benefits from an enrollee |
| 30 | if the program obtains evidence that the enrollee is no longer |
| 31 | eligible, submitted incorrect or fraudulent information in order |
| 32 | to establish eligibility, or failed to provide verification of |
| 33 | eligibility. The applicant or enrollee shall be notified that |
| 34 | because of such evidence program benefits will be withheld |
| 35 | unless the applicant or enrollee contacts a designated |
| 36 | representative of the program by a specified date, which must be |
| 37 | within 10 days after the date of notice, to discuss and resolve |
| 38 | the matter. The program shall make every effort to resolve the |
| 39 | matter within a timeframe that will not cause benefits to be |
| 40 | withheld from an eligible enrollee. |
| 41 |
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| 42 | =========== D I R E C T O R Y A M E N D M E N T ========== |
| 43 | Remove line(s) 9 and 10, and insert: |
| 44 | Section 1. Paragraphs (b) through (f) of subsection (4) of |
| 45 | section 409.814, Florida Statutes, are redesignated as |
| 46 | paragraphs (a) through (e), respectively, and present paragraphs |
| 47 | (a) and (g) of subsection (4), paragraph (a) of subsection (8), |
| 48 | and subsection (9) of said section are amended to read: |
| 49 |
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| 50 | ================ T I T L E A M E N D M E N T ============= |
| 51 | Remove line(s) 3 and 4, and insert: |
| 52 | s. 409.814, F.S.; revising eligibility requirements to receive |
| 53 | premium assistance for health benefits coverage under the |
| 54 | Florida KidCare program; revising provisions relating to |
| 55 | documentation required for determination of eligibility; |
| 56 | correcting references; |