CS for CS for CS for SB 1972 Summary

• Medicaid Managed Care Program: Establishes a statewide integrated managed care program requiring all Medicaid recipients to enroll in managed care plans by December 31, 2011, with exemptions for certain groups (institutionalized persons, developmental disabilities, hospice recipients, etc.).

• Hospital District Funding: Exempts hospital districts from contributing to community redevelopment agencies and restricts ad valorem revenues dispersed to other entities to health care services only.

• Medicaid Eligibility & Conditions: Restricts Medicaid eligibility to U.S. citizens and qualified noncitizens; increases fraud forfeiture periods to 10 years; imposes $10 monthly premiums; requires participation in health improvement programs (smoking cessation, weight loss, substance abuse recovery).

• Provider Liability Limits: Caps liability for Medicaid providers at $200,000 per claimant/$300,000 per occurrence (recoverable through legislative appropriation if exceeded); establishes similar caps for low-income pool recipients.

• Teaching Hospital Protections: Extends sovereign immunity to nonprofit colleges/universities with medical schools and their employees providing patient services in teaching hospitals through affiliation agreements.