November 17, 2019
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995028                                                     
Committee
HA
Amendment
16
Florida Senate - 2010 SB7090 The Committee on Ways and Means (Altman) recommended the following amendment:
Section: 03
On Page: 058

Spec App: 191










EXPLANATION:
Redistributes Low Income Pool funding by increasing
$1,923,000 from the Grants and Donations Trust Fund
and $3,077,000 from the Medical Care Trust Fund for
Plantation Hospital in the funds distributed for
Medicaid low-income pool payments to hospitals
serving as a safety net in providing emergency,
specialized pediatric trauma services and inpatient
hospital care to low-income individuals. The
amendment reduces $1,923,000 from the Grants and
Donations Trust Fund and $3,077,000 from the Medical
Care Trust Fund from the funds distributed for
Medicaid low-income pool payments to hospital
provider access systems.
NET IMPACT ON: Total Funds General Revenue Trust Funds Recurring - 0 0 0 Non-Recurring - 0 0 0 ______________________________________________________________________________________ Positions & Amounts Positions & Amounts DELETE INSERT AGENCY FOR HEALTH CARE ADMINISTRATION Program: Health Care Services Medicaid Services To Individuals 68501400 In Section 03 On Page 058 191 Special Categories 101584 Low Income Pool IOEA DELETE the proviso following Specific Appropriation 191: From the funds in Specific Appropriation 191, $306,648,996 from the Grants and Donations Trust Fund and $490,670,288 from the Medical Care Trust Fund are provided for Medicaid low-income pool payments to hospitals provider access systems. The funding shall be distributed in a two-step allocation process. The first phase of the allocation process shall distribute payments to qualified hospitals based on the amount of local government funding provided for the uninsured and underinsured. 995028 Log:0033 CSK/CSK 03/24/10 06:12:36 PM Senate Page: 1
Payments to qualified hospitals shall be capped at 114.6 percent of the amount of local government funding it would have received for the uninsured and underinsured without the Low Income Pool program. The second phase of the allocation process is to distribute the remaining funds based on a ratio of a hospital's Medicaid days, charity care days, and 50 percent of bad debt days to the total Medicaid days, charity care days, and 50 percent of bad debt days of all qualifying hospitals. To receive funds in this distribution, the hospital's Medicaid days, charity care days and 50 percent of bad debt days divided by the hospital's total days must equal or exceed 10 percent. Of the funds allocated in the second phase, $2,419,573 shall be allocated to the rural hospitals and the remaining funds shall be allocated to the remaining hospitals that qualify for a distribution. All hospitals with accepted 2008 Financial Hospital Uniform Reporting System (FHURS) data are eligible for the second phase of the allocation process. From the funds in Specific Appropriation 191, $700,000 from the General Revenue Fund, $27,832,494 from the Grants and Donations Trust Fund and $45,254,931 from the Medical Care Trust Fund are provided to make Medicaid low-income pool payments to hospitals that serve as a safety net in providing emergency, specialized pediatric trauma services and inpatient hospital care to low-income individuals. These amounts shall be paid to the following: Jackson Memorial Hospital................................... 2,335,932 Shands Jacksonville Hospital................................ 32,039,960 All Children's Hospital..................................... 4,835,455 Shands Teaching Hospital.................................... 4,690,372 Tampa General Hospital...................................... 12,702,939 Orlando Regional Medical Center............................. 4,067,456 Lee Memorial Hospital/CMS................................... 867,236 St. Mary's Hospital......................................... 191,461 Miami Children's Hospital................................... 3,924,100 Broward General Medical Center.............................. 141,686 Tallahassee Memorial Healthcare............................. 40,075 St. Joseph's Hospital....................................... 15,501 Florida Hospital............................................ 40,568 Baptist Hospital of Pensacola............................... 314,758 Mt. Sinai Medical Center.................................... 6,682,827 Bayfront Medical Center..................................... 142,367 Sacred Heart Hospital....................................... 320,573 Naples Community Hospital................................... 184,159 Baptist Medical Center - Jacksonville....................... 250,000 Insert proviso following Specific Appropriation 191: From the funds in Specific Appropriation 191, $304,725,996 from the Grants and Donations Trust Fund and $487,593,288 from the Medical Care Trust Fund are provided for Medicaid low-income pool payments to hospitals provider access systems. The funding shall be distributed in a 995028 Log:0033 CSK/CSK 03/24/10 06:12:36 PM Senate Page: 2
two-step allocation process. The first phase of the allocation process shall distribute payments to qualified hospitals based on the amount of local government funding provided for the uninsured and underinsured. Payments to qualified hospitals shall be capped at 114.6 percent of the amount of local government funding it would have received for the uninsured and underinsured without the Low Income Pool program. The second phase of the allocation process is to distribute the remaining funds based on a ratio of a hospital's Medicaid days, charity care days, and 50 percent of bad debt days to the total Medicaid days, charity care days, and 50 percent of bad debt days of all qualifying hospitals. To receive funds in this distribution, the hospital's Medicaid days, charity care days and 50 percent of bad debt days divided by the hospital's total days must equal or exceed 10 percent. Of the funds allocated in the second phase, $2,419,573 shall be allocated to the rural hospitals and the remaining funds shall be allocated to the remaining hospitals that qualify for a distribution. All hospitals with accepted 2008 Financial Hospital Uniform Reporting System (FHURS) data are eligible for the second phase of the allocation process. From the funds in Specific Appropriation 191, $700,000 from the General Revenue Fund, $29,755,494 from the Grants and Donations Trust Fund and $48,331,931 from the Medical Care Trust Fund are provided to make Medicaid low-income pool payments to hospitals that serve as a safety net in providing emergency, specialized pediatric trauma services and inpatient hospital care to low-income individuals. These amounts shall be paid to the following: Jackson Memorial Hospital................................... 2,335,932 Shands Jacksonville Hospital................................ 32,039,960 All Children's Hospital..................................... 4,835,455 Shands Teaching Hospital.................................... 4,690,372 Tampa General Hospital...................................... 12,702,939 Orlando Regional Medical Center............................. 4,067,456 Lee Memorial Hospital/CMS................................... 867,236 St. Mary's Hospital......................................... 191,461 Miami Children's Hospital................................... 3,924,100 Broward General Medical Center.............................. 141,686 Tallahassee Memorial Healthcare............................. 40,075 St. Joseph's Hospital....................................... 15,501 Florida Hospital............................................ 40,568 Baptist Hospital of Pensacola............................... 314,758 Mt. Sinai Medical Center.................................... 6,682,827 Bayfront Medical Center..................................... 142,367 Sacred Heart Hospital....................................... 320,573 Naples Community Hospital................................... 184,159 Baptist Medical Center - Jacksonville....................... 250,000 Plantation Hospital......................................... 5,000,000
Line item amendments are accepted as part of the amendatory process. However, due to the necessity of using computerized systems this may entail a different placement within a budget entity or the renumbering of the specific appropriation items. Items printed in italics are computer codes and are not a part of the official text of this amendment.
995028 Log:0033 CSK/CSK 03/24/10 06:12:36 PM Senate Page: 3
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