Bill Text: FL H0245 | 2011 | Regular Session | Introduced


Bill Title: Florida Kidcare Program

Spectrum: Moderate Partisan Bill (Democrat 8-2)

Status: (Introduced - Dead) 2011-05-07 - Indefinitely postponed and withdrawn from consideration [H0245 Detail]

Download: Florida-2011-H0245-Introduced.html
HB 245

1
A bill to be entitled
2An act relating to the Florida Kidcare program; amending
3s. 1006.06, F.S.; requiring that the application form for
4the school breakfast and lunch programs also allow
5application for the Kidcare program or provide information
6about applying for the program; amending s. 624.91, F.S.;
7requiring the Florida Healthy Kids Corporation to include
8use of the school breakfast and lunch application form in
9the corporation's plan for publicizing the program;
10providing an effective date.
11
12Be It Enacted by the Legislature of the State of Florida:
13
14     Section 1.  Subsection (7) is added to section 1006.06,
15Florida Statutes, to read:
16     1006.06  School food service programs.-
17     (7)  The application form for the lunch program under
18subsection (4) and the breakfast program under subsection (5)
19must allow the student to also apply for the Florida Kidcare
20program under ss. 409.810-409.821. In the alternative, the
21application form must provide information about the Kidcare
22program as well as contact information or a link to the Kidcare
23online application.
24     Section 2.  Paragraph (b) of subsection (5) of section
25624.91, Florida Statutes, is amended to read:
26     624.91  The Florida Healthy Kids Corporation Act.-
27     (5)  CORPORATION AUTHORIZATION, DUTIES, POWERS.-
28     (b)  The Florida Healthy Kids Corporation shall:
29     1.  Arrange for the collection of any family, local
30contributions, or employer payment or premium, in an amount to
31be determined by the board of directors, to provide for payment
32of premiums for comprehensive insurance coverage and for the
33actual or estimated administrative expenses.
34     2.  Arrange for the collection of any voluntary
35contributions to provide for payment of Florida Kidcare program
36premiums for children who are not eligible for medical
37assistance under Title XIX or Title XXI of the Social Security
38Act.
39     3.  Subject to the provisions of s. 409.8134, accept
40voluntary supplemental local match contributions that comply
41with the requirements of Title XXI of the Social Security Act
42for the purpose of providing additional Florida Kidcare coverage
43in contributing counties under Title XXI.
44     4.  Establish the administrative and accounting procedures
45for the operation of the corporation.
46     5.  Establish, with consultation from appropriate
47professional organizations, standards for preventive health
48services and providers and comprehensive insurance benefits
49appropriate to children if, provided that such standards for
50rural areas do shall not limit primary care providers to board-
51certified pediatricians.
52     6.  Determine eligibility for children seeking to
53participate in the Title XXI-funded components of the Florida
54Kidcare program consistent with the requirements specified in s.
55409.814, as well as the non-Title-XXI-eligible children as
56provided in subsection (3).
57     7.  Establish procedures under which providers of local
58match to, applicants to, and participants in the program may
59have grievances reviewed by an impartial body and reported to
60the board of directors of the corporation.
61     8.  Establish participation criteria and, if appropriate,
62contract with an authorized insurer, health maintenance
63organization, or third-party administrator to provide
64administrative services to the corporation.
65     9.  Establish enrollment criteria that include penalties or
6630-day waiting periods of 30 days for reinstatement of coverage
67upon voluntary cancellation for nonpayment of family premiums.
68     10.  Contract with authorized insurers or providers any
69provider of health care services, who meet meeting standards
70established by the corporation, for the provision of
71comprehensive insurance coverage to participants. Such standards
72must shall include criteria under which the corporation may
73contract with more than one provider of health care services in
74program sites. Health plans shall be selected through a
75competitive bid process. The Florida Healthy Kids Corporation
76shall purchase goods and services in the most cost-effective
77manner consistent with the delivery of quality medical care. The
78maximum administrative cost for a Florida Healthy Kids
79Corporation contract is shall be 15 percent. For health care
80contracts, the minimum medical loss ratio for a Florida Healthy
81Kids Corporation contract is shall be 85 percent. For dental
82contracts, the remaining compensation to be paid to the
83authorized insurer or provider must be at least under a Florida
84Healthy Kids Corporation contract shall be no less than an
85amount which is 85 percent of the premium, and; to the extent
86any contract provision does not provide for this minimum
87compensation, this section prevails shall prevail. The health
88plan selection criteria and scoring system, and the scoring
89results, shall be available upon request for inspection after
90the bids have been awarded.
91     11.  Establish disenrollment criteria if in the event local
92matching funds are insufficient to cover enrollments.
93     12.  Develop and implement a plan to publicize the Florida
94Kidcare program, the eligibility requirements of the program,
95and the procedures for enrollment in the program and to maintain
96public awareness of the corporation and the program. Such plan
97must include using the application form for the school lunch and
98breakfast programs as provided under s. 1006.06(7).
99     13.  Secure staff necessary to properly administer the
100corporation. Staff costs shall be funded from state and local
101matching funds and such other private or public funds as become
102available. The board of directors shall determine the number of
103staff members necessary to administer the corporation.
104     14.  In consultation with the partner agencies, provide an
105annual a report on the Florida Kidcare program annually to the
106Governor, the Chief Financial Officer, the Commissioner of
107Education, the President of the Senate, the Speaker of the House
108of Representatives, and the Minority Leaders of the Senate and
109the House of Representatives.
110     15.  Provide information on a quarterly basis to the
111Legislature and the Governor which compares the costs and
112utilization of the full-pay enrolled population and the Title
113XXI-subsidized enrolled population in the Florida Kidcare
114program. The information, At a minimum, the information must
115include:
116     a.  The monthly enrollment and expenditure for full-pay
117enrollees in the Medikids and Florida Healthy Kids programs
118compared to the Title XXI-subsidized enrolled population; and
119     b.  The costs and utilization by service of the full-pay
120enrollees in the Medikids and Florida Healthy Kids programs and
121the Title XXI-subsidized enrolled population.
122
123By February 1, 2010, the Florida Healthy Kids Corporation shall
124provide a study to the Legislature and the Governor on premium
125impacts to the subsidized portion of the program from the
126inclusion of the full-pay program, which must shall include
127recommendations on how to eliminate or mitigate possible impacts
128to the subsidized premiums.
129     16.  Establish benefit packages that conform to the
130provisions of the Florida Kidcare program, as created in ss.
131409.810-409.821.
132     Section 3.  This act shall take effect July 1, 2011.


CODING: Words stricken are deletions; words underlined are additions.
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