| 1 | Representative(s) Galvano offered the following: |
| 2 |
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| 3 | Amendment (with directory and title amendments) |
| 4 | Remove line(s) 113-155 and insert: |
| 5 | (9) The Agency for Health Care Administration shall create |
| 6 | a Medicaid Disproportionate Share Council. |
| 7 | (a) The purpose of the council is to study and make |
| 8 | recommendations regarding: |
| 9 | 1. The formula for the regular disproportionate share |
| 10 | program and alternative financing options. |
| 11 | 2. Enhanced Medicaid funding through the Special Medicaid |
| 12 | Payment program. |
| 13 | 3. The federal status of the upper-payment-limit funding |
| 14 | option and how this option may be used to promote health care |
| 15 | initiatives determined by the council to be state health care |
| 16 | priorities. |
| 17 | 4. The development of the low-income pool plan as required |
| 18 | by the federal Centers for Medicare and Medicaid Services using |
| 19 | the objectives established in s. 409.91211(1)(c). |
| 20 | (b) The council shall include representatives of the |
| 21 | Executive Office of the Governor and of the agency; |
| 22 | representatives from teaching, public, private nonprofit, |
| 23 | private for-profit, and family practice teaching hospitals; and |
| 24 | representatives from other groups as needed. The agency must |
| 25 | ensure that there is fair representation of each group specified |
| 26 | in this paragraph. |
| 27 | (c) The council shall submit its findings and |
| 28 | recommendations to the Governor and the Legislature no later |
| 29 | than March February 1 of each year. |
| 30 | (d) This subsection shall stand repealed June 30, 2006, |
| 31 | unless reviewed and saved from repeal through reenactment by the |
| 32 | Legislature. |
| 33 | (10) The Agency for Health Care Administration shall |
| 34 | create a Medicaid Low-Income Pool Council by July 1, 2006. The |
| 35 | Low-Income Pool Council shall consist of 17 members, including |
| 36 | three representatives of statutory teaching hospitals, three |
| 37 | representatives of public hospitals, three representatives of |
| 38 | nonprofit hospitals, three representatives of for-profit |
| 39 | hospitals, two representatives of rural hospitals, two |
| 40 | representatives of units of local government which contribute |
| 41 | funding, and one representative of family practice teaching |
| 42 | hospitals. The council shall: |
| 43 | (a) Make recommendations on the financing of the low- |
| 44 | income pool and the disproportionate share hospital program and |
| 45 | the distribution of their funds. |
| 46 | (b) Advise the Agency for Health Care Administration on |
| 47 | the development of the low-income pool plan required by the |
| 48 | federal Centers for Medicare and Medicaid Services pursuant to |
| 49 | the Medicaid reform waiver. |
| 50 | (c) Advise the Agency for Health Care Administration on |
| 51 | the distribution of hospital funds used to adjust inpatient |
| 52 | hospital rates, rebase rates, or otherwise exempt hospitals from |
| 53 | reimbursement limits as financed by intergovernmental transfers. |
| 54 | (d) Submit its findings and recommendations to the |
| 55 | Governor and the Legislature no later than February 1 of each |
| 56 | year. |
| 57 |
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| 58 | =========== D I R E C T O R Y A M E N D M E N T ========== |
| 59 | Remove line(s) 102 and insert: |
| 60 | Statutes, is amended, and subsection (10) is added to that |
| 61 | section, to read: |
| 62 |
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| 63 | ================ T I T L E A M E N D M E N T ============= |
| 64 | Remove line(s) 9-12 and insert: |
| 65 | reference; amending s. 409.911, F.S.; adding a duty to the |
| 66 | Medicaid Disproportionate Share Council; providing a future |
| 67 | repeal of the Disproportionate Share Council; creating the |
| 68 | Medicaid Low-Income Pool Council; providing for membership and |
| 69 | duties; amending s. 409.912, F.S.; providing an |