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Senators Wilson and Rich moved the following amendment:

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     Senate Amendment (with title amendment)

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     Between lines 1219 and 1220,

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insert:

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     Section 10.  Paragraph (ee) is added to subsection (3) of

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section 409.91211, Florida Statutes, as amended by chapter 2007-

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331, Laws of Florida, to read:

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     409.91211  Medicaid managed care pilot program.--

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     (3)  The agency shall have the following powers, duties, and

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responsibilities with respect to the pilot program:

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     (ee) To develop improvement benchmarks in the areas of

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health plan and system readiness, timely claims processing,

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implementation of a consolidated complaint-tracking system that

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has analytical capabilities for producing trending reports, and

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receipt and validations of encounter data, including paid and

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denied claims. Before the program may be expanded beyond the

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pilot project counties, the improvement benchmarks must be met,

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encounter data sufficient to conduct assessments of cost-

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effectiveness and quality of care must be available, and access

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to care must be available. Future audits or evaluations of cost-

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effectiveness must examine indicators of cost-shifting,

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including, but not limited to, increases in emergency room

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admissions, incarceration rates, use of indigent drug program

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funds, outsourcing, and administrative costs.

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================ T I T L E  A M E N D M E N T ================

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And the title is amended as follows:

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     On line 42, after the first semicolon,

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and insert:

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amending s. 409.91211, F.S.; requiring that the Agency for

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Health Care Administration develop certain benchmarks

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concerning the Medicaid managed care pilot program;

4/9/2008  7:51:00 AM     33-07029-08