Bill Text: FL S2082 | 2010 | Regular Session | Introduced

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Bill Title: Florida Kidcare Program [WPSC]

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2010-04-30 - Died in Committee on Health Regulation [S2082 Detail]

Download: Florida-2010-S2082-Introduced.html

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Florida Senate - 2010                                    SB 2082 
 
By Senator Rich 
34-00807C-10                                          20102082__ 
1                        A bill to be entitled 
2         An act relating to the Florida Kidcare program; 
3         amending s. 409.8132, F.S.; providing that children 
4         under the age of 1 may participate in the Medikids 
5         program; conforming cross-references; amending s. 
6         409.814, F.S.; requiring that children who are 
7         eligible for Kidcare be offered the opportunity to be 
8         made presumptively eligible; providing that children 
9         who are eligible for a state-sponsored health benefit 
10         plan and the subsidized Kidcare program may enroll in 
11         the program; providing that an eligible child who is a 
12         lawful immigrant may enroll in the Florida Kidcare 
13         program regardless of the child’s date of entry; 
14         conforming provisions to changes made by the act; 
15         amending s. 409.815, F.S.; authorizing Kidcare 
16         coverage for temporomandibular joint disease; amending 
17         s. 409.816, F.S.; conforming cross-references; 
18         amending s. 409.818, F.S.; conforming provisions to 
19         changes made by the act; amending s. 409.904, F.S.; 
20         providing that Medicaid-eligible children are deemed 
21         eligible for 12 months of coverage regardless of any 
22         change in circumstances; requiring that such children 
23         be offered the opportunity to be made presumptively 
24         eligible; providing that a pregnant woman is eligible 
25         for Medicaid for the duration of her pregnancy and for 
26         the postpartum period; amending s. 624.91, F.S., 
27         relating to the Florida Healthy Kids Corporation; 
28         conforming provisions to changes made by the act; 
29         expanding the membership of the board of directors of 
30         the Florida Healthy Kids Corporation; directing the 
31         Agency for Health Care Administration to implement the 
32         federal Family Opportunity Act; providing an effective 
33         date. 
34 
35  Be It Enacted by the Legislature of the State of Florida: 
36 
37         Section 1. Subsection (6) of section 409.8132, Florida 
38  Statutes, is amended to read: 
39         409.8132 Medikids program component.— 
40         (6) ELIGIBILITY.— 
41         (a) A child who has attained the age of 1 year but who is 
42  under the age of 5 years is eligible to enroll in the Medikids 
43  program component of the Florida Kidcare program, if the child 
44  is a member of a family that has a family income that which 
45  exceeds the Medicaid applicable income level as specified in s. 
46  409.903, but which is equal to or below 200 percent of the 
47  current federal poverty level. In determining the eligibility of 
48  such a child, an assets test is not required. A child who is 
49  eligible for Medikids may elect to enroll in Florida Healthy 
50  Kids coverage or employer-sponsored group coverage. However, a 
51  child who is eligible for Medikids may participate in the 
52  Florida Healthy Kids program only if the child has a sibling 
53  participating in the Florida Healthy Kids program and the 
54  child’s county of residence permits such enrollment. 
55         (b) The provisions of s. 409.814(3)-(8) are 409.814(3), 
56  (4), (5), and (6) shall be applicable to the Medikids program. 
57         Section 2. Section 409.814, Florida Statutes, is amended to 
58  read: 
59         409.814 Eligibility.—A child who has not reached 19 years 
60  of age whose family income is equal to or below 200 percent of 
61  the federal poverty level is eligible for the Florida Kidcare 
62  program as provided in this section. A child who is eligible 
63  under this section must be offered the opportunity to be made 
64  presumptively eligible. For enrollment in the Children’s Medical 
65  Services Network, a complete application includes the medical or 
66  behavioral health screening. If, subsequently, an enrolled 
67  individual is determined to be ineligible for coverage, he or 
68  she must be immediately be disenrolled from the respective 
69  Florida Kidcare program component. 
70         (1) A child who is eligible for Medicaid coverage under s. 
71  409.903 or s. 409.904 must be enrolled in Medicaid and is not 
72  eligible to receive health benefits under any other health 
73  benefits coverage authorized under the Florida Kidcare program. 
74         (2) A child who is not eligible for Medicaid, but who is 
75  eligible for the Florida Kidcare program, may obtain health 
76  benefits coverage under any of the other components listed in s. 
77  409.813 if such coverage is approved and available in the county 
78  in which the child resides. 
79         (3) A Title XXI-funded child who is eligible for the 
80  Florida Kidcare program and who is a child with special health 
81  care needs, as determined through a medical or behavioral 
82  screening instrument, is eligible for health benefits coverage 
83  from and shall be assigned to and may opt out of the Children’s 
84  Medical Services Network. 
85         (4) A child who is eligible for a state-sponsored health 
86  benefit plan through a family member or guardian employed by the 
87  state and who meets the eligibility requirements for the 
88  subsidized Florida Kidcare program may enroll in the subsidized 
89  Florida Kidcare program, subject to an appropriation or the 
90  availability of local contributions collected pursuant to s. 
91  624.91. 
92         (5) A child who is an immigrant lawfully residing in the 
93  United States and who meets the eligibility requirements for the 
94  Florida Kidcare program may enroll in the program regardless of 
95  the child’s date of entry. 
96         (6)(4) The following children are not eligible to receive 
97  Title XXI-funded premium assistance for health benefits coverage 
98  under the Florida Kidcare program, except under Medicaid if the 
99  child would have been eligible for Medicaid under s. 409.903 or 
100  s. 409.904 as of June 1, 1997: 
101         (a) A child who is eligible for coverage under a state 
102  health benefit plan on the basis of a family member’s employment 
103  with a public agency in the state. 
104         (a)(b) A child who is covered under a family member’s group 
105  health benefit plan or under other private or employer health 
106  insurance coverage, if the cost of the child’s participation is 
107  not greater than 5 percent of the family’s income. If a child is 
108  otherwise eligible for a subsidy under the Florida Kidcare 
109  program and the cost of the child’s participation in the family 
110  member’s health insurance benefit plan is greater than 5 percent 
111  of the family’s income, the child may enroll in the appropriate 
112  subsidized Kidcare program. 
113         (b)(c) A child who is seeking premium assistance for the 
114  Florida Kidcare program through employer-sponsored group 
115  coverage, if the child has been covered by the same employer’s 
116  group coverage during the 60 days before the family submitted 
117  prior to the family’s submitting an application for 
118  determination of eligibility under the program. 
119         (d) A child who is an alien, but who does not meet the 
120  definition of qualified alien, in the United States. 
121         (c)(e) A child who is an inmate of a public institution or 
122  a patient in an institution for mental diseases. 
123         (d)(f) A child who is otherwise eligible for premium 
124  assistance for the Florida Kidcare program and has had his or 
125  her coverage in an employer-sponsored or private health benefit 
126  plan voluntarily canceled in the last 60 days, except those 
127  children whose coverage was voluntarily canceled for good cause, 
128  including, but not limited to, the following circumstances: 
129         1. The cost of participation in an employer-sponsored 
130  health benefit plan is greater than 5 percent of the family’s 
131  income; 
132         2. The parent lost a job that provided an employer 
133  sponsored health benefit plan for children; 
134         3. The parent who had health benefits coverage for the 
135  child is deceased; 
136         4. The child has a medical condition that, without medical 
137  care, would cause serious disability, loss of function, or 
138  death; 
139         5. The employer of the parent canceled health benefits 
140  coverage for children; 
141         6. The child’s health benefits coverage ended because the 
142  child reached the maximum lifetime coverage amount; 
143         7. The child has exhausted coverage under a COBRA 
144  continuation provision; 
145         8. The health benefits coverage does not cover the child’s 
146  health care needs; or 
147         9. Domestic violence led to loss of coverage. 
148         (7)(5) A child who is otherwise eligible for the Florida 
149  Kidcare program and who has a preexisting condition that 
150  prevents coverage under another insurance plan as described in 
151  paragraph (6)(a) (4)(b) which would have disqualified the child 
152  for the Florida Kidcare program if the child were able to enroll 
153  in the plan is shall be eligible for Florida Kidcare coverage 
154  when enrollment is possible. 
155         (8)(6) A child whose family income is above 200 percent of 
156  the federal poverty level or a child who is excluded under the 
157  provisions of subsection (6) (4) may participate in the Florida 
158  Kidcare program as provided in s. 409.8132 or, if the child is 
159  ineligible for Medikids by reason of age, in the Florida Healthy 
160  Kids program, subject to the following provisions: 
161         (a) The family is not eligible for premium assistance 
162  payments and must pay the full cost of the premium, including 
163  any administrative costs. 
164         (b) The board of directors of the Florida Healthy Kids 
165  Corporation may offer a reduced benefit package to these 
166  children in order to limit program costs for such families. 
167         (9)(7) Once a child is enrolled in the Florida Kidcare 
168  program, the child is eligible for coverage under the program 
169  for 12 months without a redetermination or reverification of 
170  eligibility, if the family continues to pay the applicable 
171  premium. Eligibility for program components funded through Title 
172  XXI of the Social Security Act shall terminate when a child 
173  attains the age of 19. A child who has not attained the age of 5 
174  and who has been determined eligible for the Medicaid program is 
175  eligible for coverage for 12 months without a redetermination or 
176  reverification of eligibility. 
177         (10)(8) When determining or reviewing a child’s eligibility 
178  under the Florida Kidcare program, the applicant shall be 
179  provided with reasonable notice of changes in eligibility which 
180  may affect enrollment in one or more of the program components. 
181  If When a transition from one program component to another is 
182  authorized, there shall be cooperation between the program 
183  components and the affected family which promotes continuity of 
184  health care coverage. Any authorized transfers must be managed 
185  within the program’s overall appropriated or authorized levels 
186  of funding. Each component of the program shall establish a 
187  reserve to ensure that transfers between components will be 
188  accomplished within current year appropriations. These reserves 
189  shall be reviewed by each convening of the Social Services 
190  Estimating Conference to determine the adequacy of such reserves 
191  to meet actual experience. 
192         (11)(9) In determining the eligibility of a child, an 
193  assets test is not required. Each applicant shall provide 
194  documentation during the application process and the 
195  redetermination process, including, but not limited to, the 
196  following: 
197         (a) Each applicant’s Proof of family income, which must 
198  shall be verified electronically to determine financial 
199  eligibility for the Florida Kidcare program. Written 
200  documentation, which may include wages and earnings statements 
201  or pay stubs, W-2 forms, or a copy of the applicant’s most 
202  recent federal income tax return, are shall be required only if 
203  the electronic verification is not available or does not 
204  substantiate the applicant’s income. 
205         (b) Each applicant shall provide A statement from all 
206  applicable, employed family members that: 
207         1. Their employers do not sponsor health benefit plans for 
208  employees; 
209         2. the potential enrollee is not covered by an employer 
210  sponsored health benefit plan; or 
211         3. The potential enrollee is covered by an employer 
212  sponsored health benefit plan and the cost of the employer 
213  sponsored health benefit plan is more than 5 percent of the 
214  family’s income. 
215         (12)(10) Subject to paragraph (6)(a) (4)(b), the Florida 
216  Kidcare program shall withhold benefits from an enrollee if the 
217  program obtains evidence that the enrollee is no longer 
218  eligible, submitted incorrect or fraudulent information in order 
219  to establish eligibility, or failed to provide verification of 
220  eligibility. The applicant or enrollee shall be notified that 
221  because of such evidence program benefits will be withheld 
222  unless the applicant or enrollee contacts a designated 
223  representative of the program by a specified date, which must be 
224  within 10 working days after the date of notice, to discuss and 
225  resolve the matter. The program shall make every effort to 
226  resolve the matter within a timeframe that will not cause 
227  benefits to be withheld from an eligible enrollee. 
228         (13)(11) The following individuals may be subject to 
229  prosecution in accordance with s. 414.39: 
230         (a) An applicant obtaining or attempting to obtain benefits 
231  for a potential enrollee under the Florida Kidcare program if 
232  when the applicant knows or should have known that the potential 
233  enrollee does not qualify for the Florida Kidcare program. 
234         (b) An individual who assists an applicant in obtaining or 
235  attempting to obtain benefits for a potential enrollee under the 
236  Florida Kidcare program if when the individual knows or should 
237  have known that the potential enrollee does not qualify for the 
238  Florida Kidcare program. 
239         Section 3. Paragraph (f) of subsection (2) of section 
240  409.815, Florida Statutes, is amended to read: 
241         409.815 Health benefits coverage; limitations.— 
242         (2) BENCHMARK BENEFITS.—In order for health benefits 
243  coverage to qualify for premium assistance payments for an 
244  eligible child under ss. 409.810-409.821, the health benefits 
245  coverage, except for coverage under Medicaid and Medikids, must 
246  include the following minimum benefits, as medically necessary. 
247         (f) Outpatient services.—Covered services include 
248  preventive, diagnostic, therapeutic, palliative care, and other 
249  services authorized by the enrollee’s health benefits coverage 
250  provider and provided to an enrollee in the outpatient portion 
251  of a health facility licensed under chapter 395, except for the 
252  following limitations: 
253         1. Services must be authorized by the enrollee’s health 
254  benefits coverage provider; and 
255         2. Treatment for temporomandibular joint disease (TMJ) is 
256  specifically excluded. 
257         Section 4. Subsection (3) of section 409.816, Florida 
258  Statutes, is amended to read: 
259         409.816 Limitations on premiums and cost-sharing.—The 
260  following limitations on premiums and cost-sharing are 
261  established for the program. 
262         (3) Enrollees in families with a family income above 150 
263  percent of the federal poverty level who are not receiving 
264  coverage under the Medicaid program or who are not eligible 
265  under s. 409.814(8) 409.814(7) may be required to pay enrollment 
266  fees, premiums, copayments, deductibles, coinsurance, or similar 
267  charges on a sliding scale related to income, except that the 
268  total annual aggregate cost-sharing with respect to all children 
269  in a family may not exceed 5 percent of the family’s income. 
270  However, copayments, deductibles, coinsurance, or similar 
271  charges may not be imposed for preventive services, including 
272  well-baby and well-child care, age-appropriate immunizations, 
273  and routine hearing and vision screenings. 
274         Section 5. Paragraph (b) of subsection (1) of section 
275  409.818, Florida Statutes, is amended to read: 
276         409.818 Administration.—In order to implement ss. 409.810 
277  409.821, the following agencies shall have the following duties: 
278         (1) The Department of Children and Family Services shall: 
279         (b) Establish and maintain the eligibility determination 
280  process under the program except as specified in subsection (5). 
281  The department shall directly, or through the services of a 
282  contracted third-party administrator, establish and maintain a 
283  process for determining eligibility of children for coverage 
284  under the program. The eligibility determination process must be 
285  used solely for determining eligibility of applicants for health 
286  benefits coverage under the program. The eligibility 
287  determination process must include an initial determination of 
288  eligibility for any coverage offered under the program, as well 
289  as a redetermination or reverification of eligibility each 
290  subsequent 6 months. Effective January 1, 1999, a child who has 
291  not attained the age of 5 and who has been determined eligible 
292  for the Medicaid program is eligible for coverage for 12 months 
293  without a redetermination or reverification of eligibility. In 
294  conducting an eligibility determination, the department shall 
295  determine if the child has special health care needs. The 
296  department, in consultation with the Agency for Health Care 
297  Administration and the Florida Healthy Kids Corporation, shall 
298  develop procedures for redetermining eligibility which enable a 
299  family to easily update any change in circumstances which could 
300  affect eligibility. The department may accept changes in a 
301  family’s status as reported to the department by the Florida 
302  Healthy Kids Corporation without requiring a new application 
303  from the family. Redetermination of a child’s eligibility for 
304  Medicaid may not be linked to a child’s eligibility 
305  determination for other programs. 
306         Section 6. Subsections (6) and (7) of section 409.904, 
307  Florida Statutes, are amended to read: 
308         409.904 Optional payments for eligible persons.—The agency 
309  may make payments for medical assistance and related services on 
310  behalf of the following persons who are determined to be 
311  eligible subject to the income, assets, and categorical 
312  eligibility tests set forth in federal and state law. Payment on 
313  behalf of these Medicaid eligible persons is subject to the 
314  availability of moneys and any limitations established by the 
315  General Appropriations Act or chapter 216. 
316         (6) A child who has not attained the age of 19 who has been 
317  determined eligible for the Medicaid program is deemed to be 
318  eligible for a total of 6 months, regardless of changes in 
319  circumstances other than attainment of the maximum age. 
320  Effective January 1, 1999, a child who has not attained the age 
321  of 5 and who has been determined eligible for the Medicaid 
322  program is deemed to be eligible for a total of 12 months 
323  regardless of changes in circumstances other than attainment of 
324  the maximum age. Subject to federal regulations, a child who is 
325  eligible under this subsection must be offered the opportunity 
326  to be made presumptively eligible. 
327         (7) A pregnant woman for the duration of her pregnancy and 
328  for the postpartum period as defined in federal law and rule, or 
329  a child under 1 year of age who lives in a family that has an 
330  income above 185 percent of the most recently published federal 
331  poverty level, but which is at or below 200 percent of such 
332  poverty level. In determining the eligibility of such child, an 
333  assets test is not required. An individual A child who is 
334  eligible for Medicaid under this subsection must be offered the 
335  opportunity, subject to federal rules, to be made presumptively 
336  eligible. 
337         Section 7. Subsection (3), paragraph (b) of subsection (5), 
338  and paragraph (a) of subsection (6) of section 624.91, Florida 
339  Statutes, are amended to read: 
340         624.91 The Florida Healthy Kids Corporation Act.— 
341         (3) ELIGIBILITY FOR STATE-FUNDED ASSISTANCE.—Only the 
342  following individuals are eligible for state-funded assistance 
343  in paying Florida Healthy Kids premiums: 
344         (a) Residents of this state who are eligible for the 
345  Florida Kidcare program pursuant to s. 409.814. 
346         (b) Notwithstanding s. 409.814, Legal aliens who are 
347  enrolled in the Florida Healthy Kids program as of January 31, 
348  2004, who do not qualify for Title XXI federal funds because 
349  they are not qualified aliens as defined in s. 409.811. 
350         (5) CORPORATION AUTHORIZATION, DUTIES, POWERS.— 
351         (b) The Florida Healthy Kids Corporation shall: 
352         1. Arrange for the collection of any family, local 
353  contributions, or employer payment or premium, in an amount to 
354  be determined by the board of directors, to provide for payment 
355  of premiums for comprehensive insurance coverage and for the 
356  actual or estimated administrative expenses. 
357         2. Arrange for the collection of any voluntary 
358  contributions to provide for payment of Florida Kidcare program 
359  premiums for children who are not eligible for medical 
360  assistance under Title XIX or Title XXI of the Social Security 
361  Act. 
362         3. Subject to the provisions of s. 409.8134, accept 
363  voluntary supplemental local match contributions that comply 
364  with the requirements of Title XXI of the Social Security Act 
365  for the purpose of providing additional Florida Kidcare coverage 
366  in contributing counties under Title XXI. 
367         4. Establish the administrative and accounting procedures 
368  for the operation of the corporation. 
369         5. Establish, with consultation from appropriate 
370  professional organizations, standards for preventive health 
371  services and providers and comprehensive insurance benefits 
372  appropriate to children if, provided that such standards for 
373  rural areas do shall not limit primary care providers to board 
374  certified pediatricians. 
375         6. Determine eligibility for children seeking to 
376  participate in the Title XXI-funded components of the Florida 
377  Kidcare program consistent with the requirements specified in s. 
378  409.814, as well as the non-Title-XXI-eligible children as 
379  provided in subsection (3). 
380         7. Establish procedures under which providers of local 
381  match to, applicants to, and participants in the program may 
382  have grievances reviewed by an impartial body and reported to 
383  the board of directors of the corporation. 
384         8. Establish participation criteria and, if appropriate, 
385  contract with an authorized insurer, health maintenance 
386  organization, or third-party administrator to provide 
387  administrative services to the corporation. 
388         9. Establish enrollment criteria that include penalties or 
389  30-day waiting periods of 30 days for reinstatement of coverage 
390  upon voluntary cancellation for nonpayment of family premiums. 
391         10. Contract with authorized insurers or providers any 
392  provider of health care services, who meet meeting standards 
393  established by the corporation, for the provision of 
394  comprehensive insurance coverage to participants. Such standards 
395  must shall include criteria under which the corporation may 
396  contract with more than one provider of health care services in 
397  program sites. Health plans shall be selected through a 
398  competitive bid process. The Florida Healthy Kids Corporation 
399  shall purchase goods and services in the most cost-effective 
400  manner consistent with the delivery of quality medical care. The 
401  maximum administrative cost for a Florida Healthy Kids 
402  Corporation contract is shall be 15 percent. For health care 
403  contracts, the minimum medical loss ratio for a Florida Healthy 
404  Kids Corporation contract is shall be 85 percent. For dental 
405  contracts, the remaining compensation to be paid to the 
406  authorized insurer or provider must be at least under a Florida 
407  Healthy Kids Corporation contract shall be no less than an 
408  amount which is 85 percent of the premium; to the extent any 
409  contract provision does not provide for this minimum 
410  compensation, this section prevails shall prevail. The health 
411  plan selection criteria and scoring system, and the scoring 
412  results, must shall be available upon request for inspection 
413  after the bids have been awarded. 
414         11. Establish disenrollment criteria if in the event local 
415  matching funds are insufficient to cover enrollments. 
416         12. Develop and implement a plan to publicize the Florida 
417  Kidcare program, the eligibility requirements of the program, 
418  and the procedures for enrollment in the program and to maintain 
419  public awareness of the corporation and the program. 
420         13. Secure staff necessary to properly administer the 
421  corporation. Staff costs shall be funded from state and local 
422  matching funds and such other private or public funds as become 
423  available. The board of directors shall determine the number of 
424  staff members necessary to administer the corporation. 
425         14. In consultation with the partner agencies, provide a 
426  report on the Florida Kidcare program annually to the Governor, 
427  the Chief Financial Officer, the Commissioner of Education, the 
428  President of the Senate, the Speaker of the House of 
429  Representatives, and the Minority Leaders of the Senate and the 
430  House of Representatives. 
431         15. Provide information on a quarterly basis to the 
432  Legislature and the Governor which compares the costs and 
433  utilization of the full-pay enrolled population and the Title 
434  XXI-subsidized enrolled population in the Florida Kidcare 
435  program. The information, At a minimum, the information must 
436  include: 
437         a. The monthly enrollment and expenditure for full-pay 
438  enrollees in the Medikids and Florida Healthy Kids programs 
439  compared to the Title XXI-subsidized enrolled population; and 
440         b. The costs and utilization by service of the full-pay 
441  enrollees in the Medikids and Florida Healthy Kids programs and 
442  the Title XXI-subsidized enrolled population. 
443 
444  By February 1, 2010, the Florida Healthy Kids Corporation shall 
445  provide a study to the Legislature and the Governor on premium 
446  impacts to the subsidized portion of the program from the 
447  inclusion of the full-pay program, which must shall include 
448  recommendations on how to eliminate or mitigate possible impacts 
449  to the subsidized premiums. 
450         16. Establish benefit packages that conform to the 
451  provisions of the Florida Kidcare program, as created in ss. 
452  409.810-409.821. 
453         (6) BOARD OF DIRECTORS.— 
454         (a) The Florida Healthy Kids Corporation is shall operate 
455  subject to the supervision and approval of a board of directors 
456  chaired by the Chief Financial Officer or her or his designee, 
457  and composed of 12 11 other members selected for 3-year terms of 
458  office as follows: 
459         1. The Secretary of Health Care Administration, or his or 
460  her designee. 
461         2. One member appointed by the Commissioner of Education 
462  from the Office of School Health Programs of the Florida 
463  Department of Education. 
464         3. One member appointed by the Chief Financial Officer from 
465  among three members nominated by the Florida Pediatric Society. 
466         4. One member, appointed by the Governor, who represents 
467  the Children’s Medical Services Program. 
468         5. One member appointed by the Chief Financial Officer from 
469  among three members nominated by the Florida Hospital 
470  Association. 
471         6. One member, appointed by the Governor, who is an expert 
472  on child health policy. 
473         7. One member, appointed by the Chief Financial Officer, 
474  from among three members nominated by the Florida Academy of 
475  Family Physicians. 
476         8. One member, appointed by the Governor, who represents 
477  the state Medicaid program. 
478         9. One member, appointed by the Chief Financial Officer, 
479  from among three members nominated by the Florida Association of 
480  Counties. 
481         10. The State Health Officer, or her or his designee. 
482         11. The Secretary of Children and Family Services, or his 
483  or her designee. 
484         12. One member, appointed by the Governor, from among three 
485  members nominated by the Florida Dental Association. 
486         Section 8. Subject to appropriation, the Agency for Health 
487  Care Administration shall implement the federal Family 
488  Opportunity Act, ss. 6062-6071 of the Deficit Reduction Act of 
489  2005, to allow families whose income is up to 300 percent of the 
490  federal poverty level to buy Medicaid coverage for their 
491  disabled children. 
492         Section 9. This act shall take effect October 1, 2010. 
493