Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for SB 240
       
       
       
       
       
       
                                Ì168396WÎ168396                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/21/2017           .                                
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       The Committee on Health Policy (Lee) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Before line 20
    4  insert:
    5         Section 1. Subsection (4) of section 409.977, Florida
    6  Statutes, is amended to read:
    7         409.977 Enrollment.—
    8         (4) The agency shall:
    9         (a) Develop a process to enable a recipient with access to
   10  employer-sponsored health care coverage to opt out of all
   11  managed care plans and to use Medicaid financial assistance to
   12  pay for the recipient’s share of the cost in such employer
   13  sponsored coverage.
   14         (b) Contingent upon federal approval, the agency shall also
   15  enable recipients with access to other insurance or related
   16  products providing access to health care services created
   17  pursuant to state law, including any product available under the
   18  Florida Health Choices Program, or any health exchange, to opt
   19  out.
   20         (c) Provide The amount of financial assistance provided for
   21  each recipient in an amount may not to exceed the amount of the
   22  Medicaid premium which that would have been paid to a managed
   23  care plan for that recipient opting to receive services under
   24  this subsection.
   25         (d) The agency shall Seek federal approval to require
   26  Medicaid recipients with access to employer-sponsored health
   27  care coverage to enroll in that coverage and use Medicaid
   28  financial assistance to pay for the recipient’s share of the
   29  cost for such coverage. The amount of financial assistance
   30  provided for each recipient may not exceed the amount of the
   31  Medicaid premium that would have been paid to a managed care
   32  plan for that recipient.
   33         (e) By January 1, 2018, resubmit an appropriate federal
   34  waiver or waiver amendment to the Centers for Medicare and
   35  Medicaid Services, the United States Department of Health and
   36  Human Services, or any other designated federal entity to
   37  incorporate the election by a recipient for a direct primary
   38  care agreement within the Statewide Medicaid Managed Care
   39  program.
   40  
   41  ================= T I T L E  A M E N D M E N T ================
   42  And the title is amended as follows:
   43         Delete line 2
   44  and insert:
   45         An act relating to direct primary care; amending s.
   46         409.977, F.S.; requiring the Agency for Health Care
   47         Administration to provide specified financial
   48         assistance to certain Medicaid recipients; requiring
   49         the agency to resubmit, by a specified date, certain
   50         federal waivers or waiver amendments to specified
   51         federal entities to incorporate recipient elections of
   52         certain direct primary care agreements; creating s.