| 1 | Representative(s) Vana offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Between line(s) 73 and 74, insert: |
| 5 | Section 2. Subsections (2) and (5) of section 409.814, |
| 6 | Florida Statutes, are amended to read: |
| 7 | 409.814 Eligibility.--A child who has not reached 19 years |
| 8 | of age whose family income is equal to or below 200 percent of |
| 9 | the federal poverty level is eligible for the Florida KidCare |
| 10 | program as provided in this section. For enrollment in the |
| 11 | Children's Medical Services Network, a complete application |
| 12 | includes the medical or behavioral health screening. If, |
| 13 | subsequently, an individual is determined to be ineligible for |
| 14 | coverage, he or she must immediately be disenrolled from the |
| 15 | respective Florida KidCare program component. |
| 16 | (2) A child who is not eligible for Medicaid, but who is |
| 17 | eligible for the Florida KidCare program, may obtain health |
| 18 | benefits coverage under any of the other components listed in s. |
| 19 | 409.813 if such coverage is approved and available in the county |
| 20 | in which the child resides. However, a child who is eligible for |
| 21 | Medikids, including those eligible under subsection (5), may |
| 22 | participate in the Florida Healthy Kids program only if the |
| 23 | child has a sibling participating in the Florida Healthy Kids |
| 24 | program and the child's county of residence permits such |
| 25 | enrollment. |
| 26 | (5) A child whose family income is above 200 percent of |
| 27 | the federal poverty level or a child who is excluded under the |
| 28 | provisions of subsection (4) may apply for coverage and shall be |
| 29 | allowed to participate in the Florida KidCare program, excluding |
| 30 | the Medicaid program, but is subject to the following |
| 31 | provisions: |
| 32 | (a) The family is not eligible for premium assistance |
| 33 | payments and must pay the full cost of the premium, including |
| 34 | any administrative costs. |
| 35 | (b) The agency is authorized to place limits on enrollment |
| 36 | in Medikids by these children in order to avoid adverse |
| 37 | selection. The number of children participating in Medikids |
| 38 | whose family income exceeds 200 percent of the federal poverty |
| 39 | level must not exceed 10 percent of total enrollees in the |
| 40 | Medikids program. |
| 41 | (c) The board of directors of the Florida Healthy Kids |
| 42 | Corporation is authorized to place limits on enrollment of these |
| 43 | children in order to avoid adverse selection. In addition, the |
| 44 | board is authorized to offer a reduced benefit package to these |
| 45 | children in order to limit program costs for such families. The |
| 46 | number of children participating in the Florida Healthy Kids |
| 47 | program whose family income exceeds 200 percent of the federal |
| 48 | poverty level must not exceed 10 percent of total enrollees in |
| 49 | the Florida Healthy Kids program. |
| 50 | (d) Children described in this subsection are not counted |
| 51 | in the annual enrollment ceiling for the Florida KidCare |
| 52 | program. |
| 53 |
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| 54 | ================ T I T L E A M E N D M E N T ============= |
| 55 | Remove line(s) 3 and insert: |
| 56 | delaying a nursing home staffing increase; amending s. 409.814, |
| 57 | F.S.; granting more children access to the Florida KidCare |
| 58 | program; amending s. |