Florida Senate - 2011 SENATOR AMENDMENT
Bill No. CS for CS for CS for SB 1972
Barcode 969794
LEGISLATIVE ACTION
Senate . House
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Senator Negron moved the following:
1 Senate Amendment (with title amendment)
2
3 Delete lines 6024 - 6051
4 and insert:
5 (15) “Provider service network” means a network authorized
6 under s. 409.912(4)(d), reimbursed on a prepaid basis, operated
7 by a health care provider or group of affiliated health care
8 providers, and which directly provides health care services
9 under a Medicare, Medicaid, or Healthy Kids contract.
10 Section 82. Section 641.2019, Florida Statutes, is created
11 to read:
12 641.2019 Provider service network certificate of
13 authority.—A prepaid provider service network that applies for
14 and obtains a health care provider certificate pursuant to part
15 III of this chapter, meets the surplus requirements of s.
16 641.225, and meets all other applicable requirements of this
17 part may obtain a certificate of authority under s. 641.21. A
18 certified provider service network has the same rights and
19 responsibilities as a health maintenance organization certified
20 under this part.
21 Section 83. Subsection (2) of section 641.2261, Florida
22 Statutes, is amended to read:
23 641.2261 Application of solvency requirements to provider
24 sponsored organizations and Medicaid provider service networks.—
25 (2) Except for a provider service network seeking to obtain
26 a certificate of authority under s. 641.2019, the solvency
27 requirements in 42 C.F.R. s. 422.350, subpart H, and the
28 solvency requirements established in approved federal waivers
29 pursuant to chapter 409 apply to a Medicaid provider service
30 network rather than the solvency requirements of this part.
31
32 ================= T I T L E A M E N D M E N T ================
33 And the title is amended as follows:
34 Delete line 414
35 and insert:
36 that chapter; amending s. 641.2261, F.S.; limiting the
37 solvency requirements applicable to provider service
38 networks; amending s. 641.47, F.S.; redefining the