FL S7100

Revises the definition of rural hospital to include hospitals classified as sole community hospitals under federal regulations with up to 340 licensed beds, and removes a specific exception for a constitutional charter county hospital impacted by the August 24, 1992 catastrophic event.

Updates the disproportionate share program to use average audited data from 2006, 2007, and 2008 (instead of 2005, 2006, and 2007) for calculating hospital Medicaid days and charity care for the 2014-2015 fiscal year.

Modifies managed care enrollment by eliminating the requirement that medically needy recipients must enroll in managed care plans and removes related premium payment obligations.

Adds Medicaid recipients residing in group homes licensed under chapter 393 to the list of persons exempt from mandatory managed care enrollment.

Requires the agency to contract with eligible managed care plans including provider service networks in each region, and mandates termination of contracts with provider service networks that no longer meet the definition due to changes in ownership or business structure, with a requirement to procure a replacement provider service network within 12 months.