995036                                                     
Florida Senate - 2011                                Committee       Amendment
SB7084                                                  BJA             14SA


The Committee on Budget (Fasano) recommended the following LATE FILED 
SUBSTITUTE AMENDMENT for 14 (995017):

Section: 04              EXPLANATION:

On Page: 120             This amendment requires that privatized health 
                         services contracts providing for medical care, 
Spec App:                mental health care and dental care in the Department 
                         of Corrections be awarded to two or more service 
                         providers.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        CORRECTIONS, DEPARTMENT OF
        Program: Health Services  70250000

        In Section 04  On Page 120

In Section 04, on Page 120, DELETE the following:

From   the  funds  in  Specific  Appropriations  726  through  741,  the
Department of Corrections shall issue a request for proposal, as defined
in  section  287.057(1)(b),  F.S.,  for  the  provision of comprehensive
health  care  services  to  inmates  in  the  custody of the department,
excluding  those  inmates  housed  in  institutions authorized under the
provisions  of  chapter 957, Florida Statutes. Comprehensive health care
services   shall  include  physical  health  care  services  and  dental
services, and excludes mental health services and pharmacy services.

From the funds in Specific Appropriation 726 through 741, the Department
of Corrections shall issue a request for proposal, as defined in section
287.057(1)(b), F.S., for the provision of mental health care services to
inmates in the custody of the department, excluding those inmates housed
in  institutions authorized under the provisions of chapter 957, Florida
Statutes.

The  department  is  authorized  to  award  a bid or bids to one or more
private  companies  for the provision of services that are compatible to

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standard  Medicaid  service levels at a cost of at least 18 percent less
than  the  department's  Fiscal Year 2009-2010 health care expenditures.
The  department  may  contract  for  services on a regional basis or may
contract  for  services  on  a  statewide  basis to achieve the greatest
efficiencies and cost savings.

The  department  shall notify the Governor's Office of Policy and Budget
and  the  chairs of the Senate Budget Committee and House Appropriations
Committee  no  later  than  September  1, 2011, of its intent to award a
contract.

The  contracts  for  health services and mental health services shall be
effective  no  later  than  October  1, 2011, for a term of three years.
Contractors  shall  be  responsible  for  maintaining electronic medical
files  of  each  patient's  health  information  and  for providing that
information  to  the  department upon request.  Contractors shall report
utilization and encounter data to the department on a quarterly basis in
a format that is acceptable to the department.

In  order to implement these privatization efforts, the department shall
submit  a budget amendment to the Legislative Budget Commission, as well
as  a  plan for transitioning staff and operations. The budget amendment
shall  place  positions  in  reserve  and  transfer  funds to the proper
appropriation  categories  in  accordance with the provisions of chapter
216,  Florida  Statutes.   Additional budget amendments may be submitted
during  the  2011-2012 fiscal year as necessary for the proper alignment
of budget and positions.

From the funds in Specific Appropriation 726 through 741, the Department
of  Corrections,  or its designee, shall establish a pilot in the Health
Services  Program  to  use  a  supply  chain  management company for the
purchase  of  health  care products and supplies for facilities that are
operated  by  the  department in Pinellas, Hillsborough, Manatee, Pasco,
Charlotte,  DeSoto, Lee, Manatee, and Sarasota counties.  The department
shall issue a request for proposal, as defined in section 287.057(1)(b),
Florida  Statutes,  to  contract  with a company for these services. The
department  shall  report any budget savings to the chairs of the Senate
Budget  Committee  and the House Appropriations Committee by February 1,
2012.

From  the  funds in Specific Appropriations 726 and 741, and in order to
reduce costs, the department may execute interagency agreements with the
Florida  Department  of  Health or with county health departments (CHDs)
for  the  care and treatment of, and the dispensing of prescriptions for
inmates  with HIV/AIDS or other Sexually Transmitted Diseases (STDs). In
areas that are not supported by a CHD, the Department of Corrections may
contract   with  federally  qualified  health  care  centers  (FQHC)  or
disproportionate  share  hospitals  (DSH) for treatment and prescription
services  for  these  inmates.  If the department determines that a CHD,
FQHC or DSH can provide treatment and/or prescription services for other

 995036  Log:0044  DMS/DMS           03/31/11 06:15:31 PM  Senate  Page: 2
medical  conditions  at  a  lower cost, the department may authorize the
CHD, FQHC or DSH to provide such services.

AND INSERT:

From the funds in Specific Appropriation 726 through 741, the Department 
of Corrections shall issue a request for proposals, as defined in s. 
287.057(1)(b), F.S. for the provision of comprehensive health care 
services to inmates in the custody of the department, excluding those 
inmates housed in institutions authorized under the provisions of 
chapter 957, F.S.  Comprehensive health care services shall include 
physical health care services, dental services, and mental health 
services.

The department is authorized to award bids to private companies for the 
provision of services that are compatible to standard Medicaid service 
levels at a cost of at least 7 percent less than the department's fiscal 
year 2009-2010 health care  expenditures. The department shall contract 
for services on a regional basis with a minimum of 3 regions to achieve 
the greatest efficiencies and cost savings and to promote competition 
among vendors.  The department shall not award more than one regional 
contract to any one vendor in order to protect the state from the risk 
of non-performance, cancellation or vendor attempts to renegotiate the 
price after a contract is awarded and signed.

The department shall notify the Governor's Office of Policy and Budget 
and the chairs of the Senate Budget Committee and the House 
Appropriations Committee no later than September 1, 2011 of its intent 
to award contracts.

The contracts for health services and mental health services shall be 
effective no later than October 1, 2011 for a term of 5 years.  
Contractors shall be responsible for maintaining electronic medical 
files that are nationally certified by the Credentialing Committee for 
Health Information Technology (CCHIT) for each patient's health 
information and for providing that information to the department upon 
request. Contractors shall report utilization and encounter data to the 
department on a quarterly basis in a format that is acceptable to the 
department.  From these electronic health records the department shall 
maintain a single statewide electronic health records system.

In order to implement these privatization efforts, the department shall 
submit budget amendments to the Legislative Budget Commission as well as 
a plan for transitioning staff and operations. The budget amendments 
shall place department positions in reserve and transfer funds to the 
proper appropriation categories in accordance with the provisions of 
chapter 216, F.S.  Additional budget amendments may be submitted during 
the 2011-2012 fiscal year as necessary for the proper alignment of 
budget and positions.


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From the funds in Specific Appropriation 726 through 741, the Department
of  Corrections,  or its designee, shall establish a pilot in the Health
Services  Program  to  use  a  supply  chain  management company for the
purchase  of  health  care products and supplies for facilities that are
operated  by  the  department in Pinellas, Hillsborough, Manatee, Pasco,
Charlotte,  DeSoto, Lee, Manatee, and Sarasota counties.  The department
shall issue a request for proposal, as defined in section 287.057(1)(b),
Florida  Statutes,  to  contract  with a company for these services. The
department  shall  report any budget savings to the chairs of the Senate
Budget  Committee  and the House Appropriations Committee by February 1,
2012.

From  the  funds in Specific Appropriations 726 and 741, and in order to
reduce costs, the department may execute interagency agreements with the
Florida  Department  of  Health or with county health departments (CHDs)
for  the  care and treatment of, and the dispensing of prescriptions for
inmates  with HIV/AIDS or other Sexually Transmitted Diseases (STDs). In
areas that are not supported by a CHD, the Department of Corrections may
contract   with  federally  qualified  health  care  centers  (FQHC)  or
disproportionate  share  hospitals  (DSH) for treatment and prescription
services  for  these  inmates.  If the department determines that a CHD,
FQHC or DSH can provide treatment and/or prescription services for other
medical  conditions  at  a  lower cost, the department may authorize the
CHD, FQHC or DSH to provide such services.



























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