Florida Senate - 2011                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1972
       
       
       
       
       
       
                                Barcode 377806                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/06/2011           .                                
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       The Committee on Budget Subcommittee on Health and Human
       Services Appropriations (Garcia) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete line 3828
    4  and insert:
    5         (c) Notwithstanding the limitation provided in this
    6  subsection, qualified plans must include the following essential
    7  providers in their networks:
    8         1. Faculty plans of state medical schools;
    9         2. Regional perinatal intensive care centers as defined in
   10  s. 383.16; and
   11         3. Hospitals licensed as a children’s specialty hospital as
   12  defined in s. 395.002.
   13  
   14  Qualified plans that have not contracted with all statewide
   15  essential providers as of the first date of recipient enrollment
   16  must continue to negotiate in good faith. Payments to physicians
   17  on the faculty of nonparticipating state medical schools must be
   18  made at the applicable Medicaid rate. Payments for services
   19  rendered by a regional perinatal intensive care center must be
   20  at the applicable Medicaid rate as of the first day of the
   21  contract between the agency and the plan. Payments to a
   22  nonparticipating specialty children’s hospital must equal the
   23  highest rate established by contract between that provider and
   24  any other Medicaid managed care plan.
   25         (d) Qualified plans and providers shall engage in good
   26  
   27  ================= T I T L E  A M E N D M E N T ================
   28         And the title is amended as follows:
   29         Delete line 189
   30  and insert:
   31         certain circumstances; requiring plans to include
   32         certain providers; requiring plans to monitor the