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FL S0340

Bill

Status

Failed

5/2/2014

Primary Sponsor

Community Affairs

Click for details

Origin

Senate

2014 Regular Session

AI Summary

  • Creates a statewide Medicaid prepaid dental program separate from the Medicaid managed medical assistance program, to be implemented statewide across all Florida counties.

  • Requires the Agency for Health Care Administration to contract with at least two licensed prepaid dental health plans with extensive experience administering Medicaid dental benefits and maintaining statewide dental provider networks.

  • Mandates the agency obtain federal approval through state plan amendments or waivers before enrollment begins, with enrollment required no later than September 1, 2015.

  • Establishes an 85 percent medical loss ratio requirement for participating dental plans, with calculations based on uniform financial data computed on a statewide basis consistent with federal regulations.

  • Requires annual reports to the Governor and Legislature comparing utilization data, program costs, plan compliance, access to care effects, and oral health indicators among Medicaid recipients.

  • Removes the requirement that managed care plans provide pediatric dental services, shifting this responsibility to the new prepaid dental program.

Legislative Description

Statewide Prepaid Dental Program

Last Action

Died in Governmental Oversight and Accountability

5/2/2014

Committee Referrals

Governmental Oversight and Accountability3/25/2014
Community Affairs1/9/2014
Health Policy11/7/2013

Full Bill Text

No bill text available