995132                                                     
Florida Senate - 2019                                Committee       Amendment
SPB2500                                                 AHS              19


The Committee on Appropriations (Gibson) recommended the following 
amendment:

Section: 03              EXPLANATION:

On Page: 053             Inserts proviso to specify $16,401,000 in 
                         nonrecurring funds from the Grants and Donations 
Spec App:  203           Trust Fund and $26,199,000 in nonrecurring funds 
                         from the Medical Care Trust Fund are provided for 
                         implementing cost based reimbursement for inpatient 
                         and outpatient services to statutory teaching 
                         hospitals designated as a Level 1 trauma center and 
                         whose commercial charity ratio exceeds 50 percent 
                         (Senate Form 1839).

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

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 053
203     Special Categories  101582
        Hospital Inpatient Services  IOEE

At the end of existing proviso language, following Specific 
Appropriation 203, INSERT:

From the funds in Specific Appropriations 203, 207, and 211, $16,401,000 
in nonrecurring funds from the Grants and Donations Trust Fund and 
$26,199,000 in nonrecurring funds from the Medical Care Trust Fund are 
provided to implement cost based reimbursement computed as multipliers 
of 1.2817 for inpatient services and 1.4139 for outpatient services for 
statutory teaching hospitals as defined in s. 408.07(44), Florida 
Statutes, designated as a Level I trauma center and whose commercial to 
charity ratio exceeds 50 percent. These funds shall be placed in reserve 
subject to the federal approval of a state plan amendment and federal 
approval of a Section 438.6(c) directed payment of a minimum fee 

 995132  Log:0122  BRM/BRM           03/25/19 11:34:24 PM  Senate  Page: 1
schedule calculated as a supplemental per member per month payment. Upon 
federal approval, the Agency for Health Care Administration may submit a 
budget amendment or budget amendments requesting release of the funds 
placed in reserve pursuant to chapter 216, Florida Statutes. In addition 
to the proposed amendment, the agency shall submit a proposed 
distribution model by entity and a proposed listing of entities 
contributing Intergovernmental Transfers to support the state match. 
Payments to providers under this section of proviso are contingent upon 
the nonfederal share being provided through intergovernmental transfers 
in the Grants and Donations Trust Fund. In the event the funds are not 
available in the Grants and Donations Trust Fund, the State of Florida 
is not obligated to make payments under this section of proviso (Senate 
Form 1839).






































 995132  Log:0122  BRM/BRM           03/25/19 11:34:24 PM  Senate  Page: 2