HB 245

1	A bill to be entitled
2	An act relating to the Florida Kidcare program; amending
3	s. 1006.06, F.S.; requiring that the application form for
4	the school breakfast and lunch programs also allow
5	application for the Kidcare program or provide information
6	about applying for the program; amending s. 624.91, F.S.;
7	requiring the Florida Healthy Kids Corporation to include
8	use of the school breakfast and lunch application form in
9	the corporation's plan for publicizing the program;
10	providing an effective date.
11
12	Be It Enacted by the Legislature of the State of Florida:
13
14	Section 1.  Subsection (7) is added to section 1006.06,
15	Florida Statutes, to read:
16	1006.06  School food service programs.-
17	(7)  The application form for the lunch program under
18	subsection (4) and the breakfast program under subsection (5)
19	must allow the student to also apply for the Florida Kidcare
20	program under ss. 409.810-409.821. In the alternative, the
21	application form must provide information about the Kidcare
22	program as well as contact information or a link to the Kidcare
23	online application.
24	Section 2.  Paragraph (b) of subsection (5) of section
25	624.91, Florida Statutes, is amended to read:
26	624.91  The Florida Healthy Kids Corporation Act.-
27	(5)  CORPORATION AUTHORIZATION, DUTIES, POWERS.-
28	(b)  The Florida Healthy Kids Corporation shall:
29	1.  Arrange for the collection of any family, local
30	contributions, or employer payment or premium, in an amount to
31	be determined by the board of directors, to provide for payment
32	of premiums for comprehensive insurance coverage and for the
33	actual or estimated administrative expenses.
34	2.  Arrange for the collection of any voluntary
35	contributions to provide for payment of Florida Kidcare program
36	premiums for children who are not eligible for medical
37	assistance under Title XIX or Title XXI of the Social Security
38	Act.
39	3.  Subject to the provisions of s. 409.8134, accept
40	voluntary supplemental local match contributions that comply
41	with the requirements of Title XXI of the Social Security Act
42	for the purpose of providing additional Florida Kidcare coverage
43	in contributing counties under Title XXI.
44	4.  Establish the administrative and accounting procedures
45	for the operation of the corporation.
46	5.  Establish, with consultation from appropriate
47	professional organizations, standards for preventive health
48	services and providers and comprehensive insurance benefits
49	appropriate to children if, provided that such standards for
50	rural areas do shall not limit primary care providers to board-
51	certified pediatricians.
52	6.  Determine eligibility for children seeking to
53	participate in the Title XXI-funded components of the Florida
54	Kidcare program consistent with the requirements specified in s.
55	409.814, as well as the non-Title-XXI-eligible children as
56	provided in subsection (3).
57	7.  Establish procedures under which providers of local
58	match to, applicants to, and participants in the program may
59	have grievances reviewed by an impartial body and reported to
60	the board of directors of the corporation.
61	8.  Establish participation criteria and, if appropriate,
62	contract with an authorized insurer, health maintenance
63	organization, or third-party administrator to provide
64	administrative services to the corporation.
65	9.  Establish enrollment criteria that include penalties or
66	30-day waiting periods of 30 days for reinstatement of coverage
67	upon voluntary cancellation for nonpayment of family premiums.
68	10.  Contract with authorized insurers or providers any
69	provider of health care services, who meet meeting standards
70	established by the corporation, for the provision of
71	comprehensive insurance coverage to participants. Such standards
72	must shall include criteria under which the corporation may
73	contract with more than one provider of health care services in
74	program sites. Health plans shall be selected through a
75	competitive bid process. The Florida Healthy Kids Corporation
76	shall purchase goods and services in the most cost-effective
77	manner consistent with the delivery of quality medical care. The
78	maximum administrative cost for a Florida Healthy Kids
79	Corporation contract is shall be 15 percent. For health care
80	contracts, the minimum medical loss ratio for a Florida Healthy
81	Kids Corporation contract is shall be 85 percent. For dental
82	contracts, the remaining compensation to be paid to the
83	authorized insurer or provider must be at least under a Florida
84	Healthy Kids Corporation contract shall be no less than an
85	amount which is 85 percent of the premium, and; to the extent
86	any contract provision does not provide for this minimum
87	compensation, this section prevails shall prevail. The health
88	plan selection criteria and scoring system, and the scoring
89	results, shall be available upon request for inspection after
90	the bids have been awarded.
91	11.  Establish disenrollment criteria if in the event local
92	matching funds are insufficient to cover enrollments.
93	12.  Develop and implement a plan to publicize the Florida
94	Kidcare program, the eligibility requirements of the program,
95	and the procedures for enrollment in the program and to maintain
96	public awareness of the corporation and the program. Such plan
97	must include using the application form for the school lunch and
98	breakfast programs as provided under s. 1006.06(7).
99	13.  Secure staff necessary to properly administer the
100	corporation. Staff costs shall be funded from state and local
101	matching funds and such other private or public funds as become
102	available. The board of directors shall determine the number of
103	staff members necessary to administer the corporation.
104	14.  In consultation with the partner agencies, provide an
105	annual a report on the Florida Kidcare program annually to the
106	Governor, the Chief Financial Officer, the Commissioner of
107	Education, the President of the Senate, the Speaker of the House
108	of Representatives, and the Minority Leaders of the Senate and
109	the House of Representatives.
110	15.  Provide information on a quarterly basis to the
111	Legislature and the Governor which compares the costs and
112	utilization of the full-pay enrolled population and the Title
113	XXI-subsidized enrolled population in the Florida Kidcare
114	program. The information, At a minimum, the information must
115	include:
116	a.  The monthly enrollment and expenditure for full-pay
117	enrollees in the Medikids and Florida Healthy Kids programs
118	compared to the Title XXI-subsidized enrolled population; and
119	b.  The costs and utilization by service of the full-pay
120	enrollees in the Medikids and Florida Healthy Kids programs and
121	the Title XXI-subsidized enrolled population.
122
123	By February 1, 2010, the Florida Healthy Kids Corporation shall
124	provide a study to the Legislature and the Governor on premium
125	impacts to the subsidized portion of the program from the
126	inclusion of the full-pay program, which must shall include
127	recommendations on how to eliminate or mitigate possible impacts
128	to the subsidized premiums.
129	16.  Establish benefit packages that conform to the
130	provisions of the Florida Kidcare program, as created in ss.
131	409.810-409.821.
132	Section 3.  This act shall take effect July 1, 2011.

CODING: Words stricken are deletions; words underlined are additions.