Florida Senate - 2011                        COMMITTEE AMENDMENT
       Bill No. CS for SB 490
       
       
       
       
       
       
                                Barcode 857792                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/13/2011           .                                
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       The Committee on Budget Subcommittee on Criminal and Civil
       Justice Appropriations (Thrasher) recommended the following:
       
    1         Senate Amendment 
    2  
    3         Delete lines 167 - 178
    4  and insert:
    5  
    6         (5) Absent a written agreement between the third-party
    7  provider and the governmental body, the remuneration made
    8  pursuant to subsection (4) must be paid by the governmental body
    9  at a rate not to exceed the following:
   10         (a) For emergency services and care resulting in a
   11  discharge from the emergency room, and unrelated to an
   12  admission, provided by a hospital licensed under chapter 395, 75
   13  percent of the hospital’s billed charges;
   14         (b) For hospital inpatient services, 110 percent of the
   15  Medicare Part A prospective payment applicable to the specific
   16  hospital providing the inpatient services;
   17         (c) For all other outpatient services, 110 percent of the
   18  Medicare Part A Ambulatory Payment Classification or Part B for
   19  the specific provider of the outpatient services; and
   20         (d) For hospitals reporting a negative operating margin for
   21  the previous year to the Agency for Health Care Administration
   22  through hospital-audited financial data, the payments in
   23  paragraphs (b) and (c) shall be 125 percent of the applicable
   24  Medicare prospective payment.