Florida Senate - 2011                        COMMITTEE AMENDMENT
       Bill No. SB 1972
       
       
       
       
       
       
                                Barcode 105336                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/30/2011           .                                
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       The Committee on Health Regulation (Garcia) recommended the
       following:
       
    1         Senate Amendment 
    2  
    3         Delete lines 3394 - 3395
    4  and insert:
    5         	(l) Utilizing a tiered approach, organizations that
    6  are based in Florida and have operational functions performed in
    7  Florida, either performed in-house or through contractual
    8  arrangements, by Florida-employed staff. The highest number of
    9  points shall be awarded to any plan with all or substantially
   10  all of its operational functions performed in the state. The
   11  second highest number of points shall be awarded to any plan
   12  with a majority of its operational functions performed in the
   13  state. The agency may establish a third tier; however, no
   14  preference points shall be awarded to plans that perform only
   15  community outreach, medical director functions, and state
   16  administrative functions in the state. For purposes of this
   17  paragraph, operational functions include claims processing,
   18  member services, provider relations, utilization and prior
   19  authorization, case management, disease and quality functions,
   20  and finance and administration. For purposes of this paragraph,
   21  based in Florida means the entity's principal office is in
   22  Florida and that the plan is not a subsidiary, directly or
   23  indirectly through one or more subsidiaries, of or a joint
   24  venture with any other entity whose principal office is not
   25  located in the state.
   26         (m) For long-term care plans, additional criteria as
   27  specified in s. 409.976(3).
   28