Senate Bill sb1324c1

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    Florida Senate - 2005                           CS for SB 1324

    By the Committee on Health Care; and Senators Rich, Lynn,
    Wilson, Hill, Atwater, Klein and Dawson




    587-1749-05

  1                      A bill to be entitled

  2         An act relating to the Florida KidCare program;

  3         amending s. 409.8132, F.S.; providing for

  4         year-round enrollment in the Medikids program

  5         component of the Florida KidCare program;

  6         amending s. 409.8134, F.S.; providing for

  7         year-round enrollment in the Florida KidCare

  8         program; providing an effective date.

  9  

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

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12         Section 1.  Subsection (7) of section 409.8132, Florida

13  Statutes, is amended to read:

14         409.8132  Medikids program component.--

15         (7)  ENROLLMENT.--Enrollment in the Medikids program

16  component may only occur at any time throughout the year

17  during periodic open enrollment periods as specified in s.

18  409.8134. A child may not receive services under the Medikids

19  program until the child is enrolled in a managed care plan or

20  MediPass. Once determined eligible, an applicant may receive

21  choice counseling and select a managed care plan or MediPass.

22  The agency may initiate mandatory assignment for a Medikids

23  applicant who has not chosen a managed care plan or MediPass

24  provider after the applicant's voluntary choice period ends.

25  An applicant may select MediPass under the Medikids program

26  component only in counties that have fewer than two managed

27  care plans available to serve Medicaid recipients and only if

28  the federal Health Care Financing Administration determines

29  that MediPass constitutes "health insurance coverage" as

30  defined in Title XXI of the Social Security Act.

31  

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    Florida Senate - 2005                           CS for SB 1324
    587-1749-05




 1         Section 2.  Subsection (2) of section 409.8134, Florida

 2  Statutes, is amended to read:

 3         409.8134  Program enrollment and expenditure

 4  ceilings.--

 5         (2)  Upon a unanimous recommendation by representatives

 6  from each of the four Florida KidCare administrators, The

 7  Florida KidCare program may conduct an open enrollment at any

 8  time throughout the year period for the purpose of enrolling

 9  children eligible for all program components listed in s.

10  409.813 except Medicaid. The four Florida KidCare

11  administrators shall work together to ensure that the

12  year-round open enrollment period is announced statewide at

13  least 1 month before the open enrollment is to begin. Eligible

14  children shall be enrolled on a first-come, first-served basis

15  using the date the open enrollment application is received.

16  The potential open enrollment periods shall be January 1st

17  through January 30th and September 1st through September 30th.

18  Open Enrollment shall immediately cease when the enrollment

19  ceiling is reached. Year-round An open enrollment shall only

20  be held if the Social Services Estimating Conference

21  determines that sufficient federal and state funds will be

22  available to finance the increased enrollment through federal

23  fiscal year 2007. Any individual who is not enrolled,

24  including those added to the waiting list after March 11,

25  2004, must reapply by submitting a new application during the

26  next open enrollment period. However, the Children's Medical

27  Services Network may annually enroll up to 120 additional

28  children based on emergency disability criteria outside of the

29  open enrollment periods, and the cost of serving these

30  children must be managed within the KidCare program's

31  appropriated or authorized levels of funding. Except for the

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    Florida Senate - 2005                           CS for SB 1324
    587-1749-05




 1  Medicaid program, whenever the Social Services Estimating

 2  Conference determines that there are is presently, or will be

 3  by the end of the current fiscal year, insufficient funds to

 4  finance the current or projected enrollment in the Florida

 5  KidCare program, all additional enrollment must cease and

 6  additional enrollment may not resume until sufficient funds

 7  are available to finance such enrollment.

 8         Section 3.  This act shall take effect upon becoming a

 9  law.

10  

11          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
12                         Senate Bill 1324

13                                 

14  The committee substitute requires the KidCare principals to
    announce year-round enrollment in the program and changes the
15  effective date to upon becoming a law.

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