Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1130
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       Appropriations Subcommittee on Health and Human Services (Book)
       recommended the following:
    1         Senate Amendment (with title amendment)
    3         Between lines 95 and 96
    4  insert:
    5         Section 2. (1) The Office of Program Policy Analysis and
    6  Government Accountability (OPPAGA) shall conduct a study of the
    7  pregnancy support services program to evaluate the effectiveness
    8  and cost efficiency of the program and provide recommendations
    9  on whether the program should be continued or eliminated. The
   10  report must include information about the Florida Pregnancy Care
   11  Network, its affiliated pregnancy support and resource
   12  organizations, and any other subcontractors to whom state funds
   13  are expended for pregnancy support services. The report must
   14  also include the total amount of state funds appropriated and
   15  expended by fiscal year for the pregnancy support services
   16  program since its inception.
   17         (2) As part of the study, OPPAGA must assess the
   18  effectiveness of the Department of Health’s financial and
   19  administrative oversight and monitoring of the network.
   20         (3) As part of determining the effectiveness of the
   21  program, the study must include, but need not be limited to,
   22  gathering information pertaining to:
   23         (a) The use of state funding by the department, the
   24  network, and subcontractors, and how expenditures are tracked
   25  and accounted for through items such as financial statements or
   26  expenditure reports.
   27         (b) The percentage of funding used for:
   28         1. Direct client services, including the average amount of
   29  a voucher provided to eligible clients for services;
   30         2. Wellness services;
   31         3. Program awareness activities; and
   32         4. Communication activities.
   33         (c) The performance and outcome measures used by the
   34  department and the network to ensure quality of care, client
   35  satisfaction, and positive health outcomes for eligible clients,
   36  including the most recent results.
   37         (d) The methods used by the department and the network to
   38  ensure that eligible clients receive accurate medical
   39  information.
   40         (e) The methods used by the department and the network to
   41  resolve complaints and grievances, including information about
   42  the number of complaints and grievances received and their
   43  disposition.
   44         (f) Network adequacy standards used to ensure the
   45  availability of pregnancy support and wellness services for
   46  eligible clients.
   47         (g) Fraud and abuse measures implemented by the department
   48  and the network to ensure program accountability and to prevent
   49  waste of state funds.
   50         (h) For the most recently completed fiscal year, if a
   51  corrective action plan or sanction was imposed on the network or
   52  its subcontractors, a description, the outcome, and the amount
   53  of monetary fines or penalties, if any.
   54         (i) The controls used by the department to ensure that
   55  services provided by the network and its subcontractors are
   56  provided in a noncoercive manner and do not include any
   57  religious content. Such services may include client interviews
   58  or surveys.
   59         (j) The educational and medical qualifications of the
   60  network’s staff or the staff of the subcontractors who interact
   61  with eligible clients.
   62         (k) Citations of any medical statements included in
   63  informational materials provided by the network or its
   64  subcontractors to an eligible client.
   65         (l) Information about the ownership of each subcontractor
   66  and any financial or ownership interests with providers who
   67  receive vouchers to provide services to eligible clients.
   68         (m) Other audits, evaluative reports, or information
   69  pertaining to the pregnancy support services program to ensure
   70  the delivery of high-quality, cost-effective services to
   71  eligible clients.
   72         (4) If OPPAGA recommends program continuation, it shall
   73  include recommendations for program improvement and methods to
   74  ensure that eligible clients have access to the full range of
   75  referral information to make reproductive health decisions.
   76         (5) OPPAGA shall submit a report with its findings and
   77  recommendations to the President of the Senate, the Speaker of
   78  the House of Representatives, and the standing legislative
   79  committees that have substantive jurisdiction over health care
   80  services by January 1, 2018.
   82  ================= T I T L E  A M E N D M E N T ================
   83  And the title is amended as follows:
   84         Delete line 16
   85  and insert:
   86         religious content; requiring the Office of Program
   87         Policy Analysis and Government Accountability to
   88         conduct a study to evaluate the effectiveness and cost
   89         efficiency of the pregnancy support services program
   90         and provide recommendations on whether the program
   91         should be continued; providing criteria to be included
   92         in the study and in a report; requiring the report to
   93         be submitted to the Legislature by a specified date;
   94         providing an effective date.