Florida Senate - 2011                                     SB 406
       By Senator Sobel
       31-00523-11                                            2011406__
    1                        A bill to be entitled                      
    2         An act relating to the Florida Kidcare program;
    3         amending s. 1006.06, F.S.; requiring that the
    4         application form for the school breakfast and lunch
    5         programs also allow application for the Kidcare
    6         program or provide information about applying for the
    7         program; amending s. 624.91, F.S.; requiring the
    8         Florida Healthy Kids Corporation to include use of the
    9         school breakfast and lunch application form in the
   10         corporation’s plan for publicizing the program;
   11         providing an effective date.
   13  Be It Enacted by the Legislature of the State of Florida:
   15         Section 1. Subsection (7) is added to section 1006.06,
   16  Florida Statutes, to read:
   17         1006.06 School food service programs.—
   18         (7) The application form for the lunch program under
   19  subsection (4) and the breakfast program under subsection (5)
   20  must allow the student to also apply for the Florida Kidcare
   21  program under ss. 409.810-409.821. In the alternative, the
   22  application form must provide information about the Kidcare
   23  program as well as contact information or a link to the Kidcare
   24  online application.
   25         Section 2. Paragraph (b) of subsection (5) of section
   26  624.91, Florida Statutes, is amended to read:
   27         624.91 The Florida Healthy Kids Corporation Act.—
   29         (b) The Florida Healthy Kids Corporation shall:
   30         1. Arrange for the collection of any family, local
   31  contributions, or employer payment or premium, in an amount to
   32  be determined by the board of directors, to provide for payment
   33  of premiums for comprehensive insurance coverage and for the
   34  actual or estimated administrative expenses.
   35         2. Arrange for the collection of any voluntary
   36  contributions to provide for payment of Florida Kidcare program
   37  premiums for children who are not eligible for medical
   38  assistance under Title XIX or Title XXI of the Social Security
   39  Act.
   40         3. Subject to the provisions of s. 409.8134, accept
   41  voluntary supplemental local match contributions that comply
   42  with the requirements of Title XXI of the Social Security Act
   43  for the purpose of providing additional Florida Kidcare coverage
   44  in contributing counties under Title XXI.
   45         4. Establish the administrative and accounting procedures
   46  for the operation of the corporation.
   47         5. Establish, with consultation from appropriate
   48  professional organizations, standards for preventive health
   49  services and providers and comprehensive insurance benefits
   50  appropriate to children if, provided that such standards for
   51  rural areas do shall not limit primary care providers to board
   52  certified pediatricians.
   53         6. Determine eligibility for children seeking to
   54  participate in the Title XXI-funded components of the Florida
   55  Kidcare program consistent with the requirements specified in s.
   56  409.814, as well as the non-Title-XXI-eligible children as
   57  provided in subsection (3).
   58         7. Establish procedures under which providers of local
   59  match to, applicants to, and participants in the program may
   60  have grievances reviewed by an impartial body and reported to
   61  the board of directors of the corporation.
   62         8. Establish participation criteria and, if appropriate,
   63  contract with an authorized insurer, health maintenance
   64  organization, or third-party administrator to provide
   65  administrative services to the corporation.
   66         9. Establish enrollment criteria that include penalties or
   67  30-day waiting periods of 30 days for reinstatement of coverage
   68  upon voluntary cancellation for nonpayment of family premiums.
   69         10. Contract with authorized insurers or providers any
   70  provider of health care services, who meet meeting standards
   71  established by the corporation, for the provision of
   72  comprehensive insurance coverage to participants. Such standards
   73  must shall include criteria under which the corporation may
   74  contract with more than one provider of health care services in
   75  program sites. Health plans shall be selected through a
   76  competitive bid process. The Florida Healthy Kids Corporation
   77  shall purchase goods and services in the most cost-effective
   78  manner consistent with the delivery of quality medical care. The
   79  maximum administrative cost for a Florida Healthy Kids
   80  Corporation contract is shall be 15 percent. For health care
   81  contracts, the minimum medical loss ratio for a Florida Healthy
   82  Kids Corporation contract is shall be 85 percent. For dental
   83  contracts, the remaining compensation to be paid to the
   84  authorized insurer or provider must be at least under a Florida
   85  Healthy Kids Corporation contract shall be no less than an
   86  amount which is 85 percent of the premium, and; to the extent
   87  any contract provision does not provide for this minimum
   88  compensation, this section prevails shall prevail. The health
   89  plan selection criteria and scoring system, and the scoring
   90  results, shall be available upon request for inspection after
   91  the bids have been awarded.
   92         11. Establish disenrollment criteria if in the event local
   93  matching funds are insufficient to cover enrollments.
   94         12. Develop and implement a plan to publicize the Florida
   95  Kidcare program, the eligibility requirements of the program,
   96  and the procedures for enrollment in the program and to maintain
   97  public awareness of the corporation and the program. Such plan
   98  must include using the application form for the school lunch and
   99  breakfast programs as provided under s. 1006.06(7).
  100         13. Secure staff necessary to properly administer the
  101  corporation. Staff costs shall be funded from state and local
  102  matching funds and such other private or public funds as become
  103  available. The board of directors shall determine the number of
  104  staff members necessary to administer the corporation.
  105         14. In consultation with the partner agencies, provide an
  106  annual a report on the Florida Kidcare program annually to the
  107  Governor, the Chief Financial Officer, the Commissioner of
  108  Education, the President of the Senate, the Speaker of the House
  109  of Representatives, and the Minority Leaders of the Senate and
  110  the House of Representatives.
  111         15. Provide information on a quarterly basis to the
  112  Legislature and the Governor which compares the costs and
  113  utilization of the full-pay enrolled population and the Title
  114  XXI-subsidized enrolled population in the Florida Kidcare
  115  program. The information, At a minimum, the information must
  116  include:
  117         a. The monthly enrollment and expenditure for full-pay
  118  enrollees in the Medikids and Florida Healthy Kids programs
  119  compared to the Title XXI-subsidized enrolled population; and
  120         b. The costs and utilization by service of the full-pay
  121  enrollees in the Medikids and Florida Healthy Kids programs and
  122  the Title XXI-subsidized enrolled population.
  124  By February 1, 2010, the Florida Healthy Kids Corporation shall
  125  provide a study to the Legislature and the Governor on premium
  126  impacts to the subsidized portion of the program from the
  127  inclusion of the full-pay program, which must shall include
  128  recommendations on how to eliminate or mitigate possible impacts
  129  to the subsidized premiums.
  130         16. Establish benefit packages that conform to the
  131  provisions of the Florida Kidcare program, as created in ss.
  132  409.810-409.821.
  133         Section 3. This act shall take effect July 1, 2011.