Florida Senate - 2015                        COMMITTEE AMENDMENT
       Bill No. CS for SB 2-A
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  06/02/2015           .                                

       The Committee on Appropriations (Galvano) recommended the
    1         Senate Amendment (with title amendment)
    3         Delete lines 613 - 625
    4  and insert:
    5         409.731 Program expiration.—
    6         (1) The Florida Health Insurance Affordability Exchange
    7  Program expires at the end of the state fiscal year in which any
    8  of these conditions occurs:
    9         (a) The federal match contribution for the newly eligible
   10  under the Affordable Care Act falls below 90 percent.
   11         (b) The federal match contribution falls below the
   12  increased Federal Medical Assistance Percentage for medical
   13  assistance for newly eligible mandatory individuals as specified
   14  in the Affordable Care Act.
   15         (c) The federal match for the FHIX program and the Medicaid
   16  program are blended under federal law or regulation in such a
   17  manner that causes the overall federal contribution to diminish
   18  when compared to separate, nonblended federal contributions.
   19         (2) Provided the conditions specified in subsection (1)
   20  have not previously occurred, the Florida Health Insurance
   21  Affordability Exchange Program shall expire on July 1, 2018,
   22  unless reviewed and reenacted by the Legislature.
   23         (3)The Health Outcomes Review Commission is established to
   24  assess the following indicators:
   25         (a) Patient outcomes.Selected measures from the National
   26  Healthcare Quality Report or similarly credible sources will be
   27  applied to FHIX enrollees and compared to outcomes for Managed
   28  Medical Assistance enrollees and uninsured patients.
   29         (b) Fiscal impact.Actual annual state general revenue
   30  expenditures for the FHIX program will be compared to predicted
   31  expenditures.
   32         (c) Access to care.Potentially preventable hospitalization
   33  rates for acute and chronic conditions and potentially
   34  preventable emergency department visits among FHIX enrollees
   35  will be compared to Managed Medical Assistance enrollees and
   36  uninsured patients.
   37         (4)The Health Outcomes Review Commission shall consist of
   38  nine members appointed by the Governor, the President of the
   39  Senate, and the Speaker of the House. The Governor and each
   40  presiding officer shall appoint one healthcare professional, one
   41  private business representative, and one elected official.
   42         (5)The commission shall be appointed no later than January
   43  1, 2017, and shall meet regularly to select specific indicators,
   44  review preliminary data, and develop a framework for a final
   45  report. Staff support shall be provided to the commission by the
   46  Agency for Health Care Administration.
   47         (6)The commission’s final report shall be submitted to the
   48  Governor, the President of the Senate, and the Speaker of the
   49  House by January 1, 2018.
   51  ================= T I T L E  A M E N D M E N T ================
   52  And the title is amended as follows:
   53         Delete line 31
   54  and insert:
   55         for program expiration; providing for the
   56         establishment of a commission; providing purposes for
   57         the commission and for the appointment of members;
   58         requiring a commission report to be submitted to the
   59         Governor and Legislature; repealing s. 408.70, F.S.,