February 26, 2020
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Amendment CaShTmL-570386.HTM
                                                  SENATE AMENDMENT
    Bill No. CS for SB 2000
    Amendment No. ___   Barcode 570386
                            CHAMBER ACTION
              Senate                               House
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       03/03/2004 11:15 AM         .                    
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11  Senators Peaden and Dockery moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         On page 15, line 5, through
15            page 20, line 21, delete those lines
16  
17  and insert:  
18         Section 8.  Subsections (3) through (7) of section
19  624.91, Florida Statutes, are renumbered as subsections (4)
20  through (8), respectively, present subsections (2) and (4) of
21  that section are amended, and a new subsection (3) is added to
22  that section, to read:
23         624.91  The Florida Healthy Kids Corporation Act.--
24         (2)  LEGISLATIVE INTENT.--
25         (a)  The Legislature finds that increased access to
26  health care services could improve children's health and
27  reduce the incidence and costs of childhood illness and
28  disabilities among children in this state. Many children do
29  not have comprehensive, affordable health care services
30  available. It is the intent of the Legislature that the
31  Florida Healthy Kids Corporation provide comprehensive health
                                  1
    7:57 AM   03/03/04                              s2000c1c-02j10

SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 insurance coverage to such children. The corporation is 2 encouraged to cooperate with any existing health service 3 programs funded by the public or the private sector and to 4 work cooperatively with the Florida Partnership for School 5 Readiness. 6 (b) It is the intent of the Legislature that the 7 Florida Healthy Kids Corporation serve as one of several 8 providers of services to children eligible for medical 9 assistance under Title XXI of the Social Security Act. 10 Although the corporation may serve other children, the 11 Legislature intends the primary recipients of services 12 provided through the corporation be school-age children with a 13 family income below 200 percent of the federal poverty level, 14 who do not qualify for Medicaid. It is also the intent of the 15 Legislature that state and local government Florida Healthy 16 Kids funds be used to continue and expand coverage, subject to 17 specific appropriations in the General Appropriations Act, to 18 children not eligible for federal matching funds under Title 19 XXI. 20 (3) ELIGIBILITY FOR STATE-FUNDED ASSISTANCE.--Only the 21 following individuals are eligible for state-funded assistance 22 in paying Florida Healthy Kids premiums: 23 (a) Residents of this state who are eligible for the 24 Florida KidCare program pursuant to s. 409.814. 25 (b) Notwithstanding s. 409.814, legal aliens who are 26 enrolled in the Florida Healthy Kids program as of January 31, 27 2004, who do not qualify for Title XXI federal funds because 28 they are not qualified aliens as defined in s. 409.811. 29 (c) Notwithstanding s. 409.814, individuals who have 30 attained the age of 19 as of March 31, 2004, who were 31 receiving Florida Healthy Kids benefits prior to the enactment 2 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 of the Florida KidCare program. This paragraph shall be 2 repealed March 31, 2005. 3 (d) Notwithstanding s. 409.814, state employee 4 dependents who were enrolled in the Florida Healthy Kids 5 program as of January 31, 2004. Such individuals shall remain 6 eligible until January 1, 2005. 7 (5)(4) CORPORATION AUTHORIZATION, DUTIES, POWERS.-- 8 (a) There is created the Florida Healthy Kids 9 Corporation, a not-for-profit corporation. 10 (b) The Florida Healthy Kids Corporation shall: 11 1. Arrange for the collection of any family, local 12 contributions, or employer payment or premium, in an amount to 13 be determined by the board of directors, to provide for 14 payment of premiums for comprehensive insurance coverage and 15 for the actual or estimated administrative expenses.; 16 2. Arrange for the collection of any voluntary contributions 17 to provide for payment of premiums for children who are not 18 eligible for medical assistance under Title XXI of the Social 19 Security Act. Each fiscal year, the corporation shall 20 establish a local match policy for the enrollment of 21 non-Title-XXI-eligible children in the Healthy Kids program. 22 By May 1 of each year, the corporation shall provide written 23 notification of the amount to be remitted to the corporation 24 for the following fiscal year under that policy. Local match 25 sources may include, but are not limited to, funds provided by 26 municipalities, counties, school boards, hospitals, health 27 care providers, charitable organizations, special taxing 28 districts, and private organizations. The minimum local match 29 cash contributions required each fiscal year and local match 30 credits shall be determined by the General Appropriations Act. 31 The corporation shall calculate a county's local match rate 3 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 based upon that county's percentage of the state's total 2 non-Title-XXI expenditures as reported in the corporation's 3 most recently audited financial statement. In awarding the 4 local match credits, the corporation may consider factors 5 including, but not limited to, population density, per capita 6 income, and existing child-health-related expenditures and 7 services.; 8 3. Subject to the provisions of s. 409.8134, accept 9 voluntary supplemental local match contributions that comply 10 with the requirements of Title XXI of the Social Security Act 11 for the purpose of providing additional coverage in 12 contributing counties under Title XXI.; 13 4. Establish the administrative and accounting 14 procedures for the operation of the corporation.; 15 5. Establish, with consultation from appropriate 16 professional organizations, standards for preventive health 17 services and providers and comprehensive insurance benefits 18 appropriate to children,; provided that such standards for 19 rural areas shall not limit primary care providers to 20 board-certified pediatricians.; 21 6. Determine Establish eligibility for criteria which 22 children seeking must meet in order to participate in the 23 Title XXI-funded components of the Florida KidCare program 24 consistent with the requirements specified in s. 409.814, as 25 well as the non-Title-XXI-eligible children as provided in 26 subsection (3).; 27 7. Establish procedures under which providers of local 28 match to, applicants to and participants in the program may 29 have grievances reviewed by an impartial body and reported to 30 the board of directors of the corporation.; 31 8. Establish participation criteria and, if 4 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 appropriate, contract with an authorized insurer, health 2 maintenance organization, or third-party insurance 3 administrator to provide administrative services to the 4 corporation.; 5 9. Establish enrollment criteria which shall include 6 penalties or waiting periods of not fewer than 60 days for 7 reinstatement of coverage upon voluntary cancellation for 8 nonpayment of family premiums.; 9 10. If a space is available, establish a special open 10 enrollment period of 30 days' duration for any child who is 11 enrolled in Medicaid or Medikids if such child loses Medicaid 12 or Medikids eligibility and becomes eligible for the Florida 13 Healthy Kids program; 14 10.11. Contract with authorized insurers or any 15 provider of health care services, meeting standards 16 established by the corporation, for the provision of 17 comprehensive insurance coverage to participants. Such 18 standards shall include criteria under which the corporation 19 may contract with more than one provider of health care 20 services in program sites. Health plans shall be selected 21 through a competitive bid process. The Florida Healthy Kids 22 Corporation shall purchase goods and services in the most 23 cost-effective manner consistent with the delivery of quality 24 medical care. The maximum administrative cost for a Florida 25 Healthy Kids Corporation contract shall be 15 percent. The 26 minimum medical loss ratio for a Florida Healthy Kids 27 Corporation contract shall be 85 percent. The selection of 28 health plans shall be based primarily on quality criteria 29 established by the board. The health plan selection criteria 30 and scoring system, and the scoring results, shall be 31 available upon request for inspection after the bids have been 5 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 awarded.; 2 11.12. Establish disenrollment criteria in the event 3 local matching funds are insufficient to cover enrollments.; 4 12.13. Develop and implement a plan to publicize the 5 Florida Healthy Kids Corporation, the eligibility requirements 6 of the program, and the procedures for enrollment in the 7 program and to maintain public awareness of the corporation 8 and the program.; 9 13.14. Secure staff necessary to properly administer 10 the corporation. Staff costs shall be funded from state and 11 local matching funds and such other private or public funds as 12 become available. The board of directors shall determine the 13 number of staff members necessary to administer the 14 corporation.; 15 15. As appropriate, enter into contracts with local 16 school boards or other agencies to provide onsite information, 17 enrollment, and other services necessary to the operation of 18 the corporation; 19 14.16. Provide a report annually to the Governor, 20 Chief Financial Officer, Commissioner of Education, Senate 21 President, Speaker of the House of Representatives, and 22 Minority Leaders of the Senate and the House of 23 Representatives.; 24 17. Each fiscal year, establish a maximum number of 25 participants, on a statewide basis, who may enroll in the 26 program; and 27 15.18. Establish eligibility criteria, premium and 28 cost-sharing requirements, and benefit packages which conform 29 to the provisions of the Florida KidCare Kidcare program, as 30 created in ss. 409.810-409.820. 31 (c) Coverage under the corporation's program is 6 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 secondary to any other available private coverage held by, or 2 applicable to, the participant child or family member. 3 Insurers under contract with the corporation are the payors of 4 last resort and must coordinate benefits with any other 5 third-party payor that may be liable for the participant's 6 medical care The corporation may establish procedures for 7 coordinating benefits under this program with benefits under 8 other public and private coverage. 9 (d) The Florida Healthy Kids Corporation shall be a 10 private corporation not for profit, organized pursuant to 11 chapter 617, and shall have all powers necessary to carry out 12 the purposes of this act, including, but not limited to, the 13 power to receive and accept grants, loans, or advances of 14 funds from any public or private agency and to receive and 15 accept from any source contributions of money, property, 16 labor, or any other thing of value, to be held, used, and 17 applied for the purposes of this act. 18 19 (Redesignate subsequent sections.) 20 21 22 ================ T I T L E A M E N D M E N T =============== 23 And the title is amended as follows: 24 On page 2, lines 8-13, delete those lines 25 26 and insert: 27 amending s. 624.91, F.S.; removing the 28 requirement for the Florida Healthy Kids 29 Corporation to work with the Florida 30 Partnership for School Readiness; limiting 31 eligibility for state-funded assistance in 7 7:57 AM 03/03/04 s2000c1c-02j10
SENATE AMENDMENT Bill No. CS for SB 2000 Amendment No. ___ Barcode 570386 1 paying Florida Healthy Kids premiums; providing 2 for future repeal of certain provisions; 3 providing additional criteria for the 4 corporation to determine eligibility; 5 eliminating authority to establish an open 6 enrollment period; revising the corporation's 7 purchasing criteria; removing a restriction; 8 eliminating authority to contract with certain 9 entities; eliminating authority to establish a 10 maximum number of participants; eliminating 11 authority to establish eligibility criteria or 12 premium and cost-sharing requirements; 13 providing that contracted insurers are the 14 payors of last resort; requiring contracted 15 insurers to coordinate benefits with certain 16 payors; requiring the 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8 7:57 AM 03/03/04 s2000c1c-02j10
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