Florida Senate - 2017                          SENATOR AMENDMENT
       Bill No. HB 7117, 1st Eng.
       
       
       
       
       
       
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                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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               Floor: 1a/RE/2R         .                                
             05/03/2017 07:06 PM       .                                
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       Senator Garcia moved the following:
       
    1         Senate Amendment to Amendment (449058) (with directory and
    2  title amendments)
    3  
    4         Between lines 636 and 637
    5  insert:
    6         (4) PLAN REQUIREMENTS.—An eligible plan must disclose any
    7  business relationship that it has with any other eligible plan
    8  that responds to the invitation to negotiate. The agency may not
    9  select plans in the same region for the same managed care
   10  program which have a business relationship with each other. The
   11  agency may not select a provider service network authorized
   12  under s. 409.912(2) in any region that has a business
   13  relationship with a health maintenance organization licensed
   14  under chapter 641, and may not select a provider service network
   15  in any region that has a business relationship with any entity
   16  that has an ownership or controlling interest in a health
   17  maintenance organization licensed under chapter 641 or a common
   18  parent of a health maintenance organization licensed under
   19  chapter 641. An eligible plan that fails to comply with this
   20  subsection is disqualified from participation in any region for
   21  the first full contract period after the discovery of the
   22  business relationship by the agency. For the purpose of this
   23  section, the term “business relationship” means an ownership or
   24  controlling interest, an affiliate or subsidiary relationship, a
   25  common parent, or any mutual interest in any limited
   26  partnership, limited liability partnership, limited liability
   27  company, or other entity or business association, including all
   28  wholly or partially owned subsidiaries, majority-owned
   29  subsidiaries, parent companies, or affiliates of such entities,
   30  business associations, or other enterprises, which exists for
   31  the purpose of making a profit. The term does not include
   32  subcontract arrangements, unless the subcontract is between a
   33  plan and an entity that is a parent, affiliate or subsidiary of
   34  the plan.
   35  
   36  ====== D I R E C T O R Y  C L A U S E  A M E N D M E N T ======
   37  And the directory clause is amended as follows:
   38         Delete line 570
   39  and insert:
   40  amended, present subsections (4) and (5) are redesignated as
   41  subsections (5) and (6), respectively, and a new subsection (4)
   42  is added to that section, to read:
   43  
   44  ================= T I T L E  A M E N D M E N T ================
   45  And the title is amended as follows:
   46         Delete line 835
   47  and insert:
   48         of managed medical assistance plans; requiring a plan
   49         to disclose any business relationships it has with
   50         other eligible plans that respond to an invitation to
   51         negotiate; prohibiting the agency from selecting plans
   52         under certain circumstances; providing for
   53         disqualification from participation in any region
   54         under certain circumstances; defining the term
   55         “business relationship”; amending s.