FL H5003

Education Funding: Establishes a Funding Compression and Hold Harmless Allocation under the FEFP to provide additional funds to districts with below-average per-FTE funding and those experiencing district cost differential decreases; suspends the FTE decline allocation for 2020-2021; specifies charter school capital outlay funding from state appropriations, with a discretionary millage trigger beginning in FY 2021-2022; and creates the Florida Institute of Politics at Florida State University as a bipartisan civic engagement center.

Medicaid Reimbursement and Hospital Funding: Extends for one year provisions governing inpatient DRG, outpatient EAPG, and nursing home prospective payment rates as set in the General Appropriations Act; updates disproportionate share hospital payment calculations to use averaged 2012-2014 audited data; adds a unit cost increase for nursing home reimbursement beginning July 1, 2020; and requires essential Medicaid providers to offer contracts with managed care plans in their regions, with supplemental payment withholding for bad-faith negotiations.

Medicaid System Modernization and Managed Care: Requires AHCA to replace the Florida Medicaid Management Information System (FMMIS) with the modular Florida Health Care Connection (FX) system governed by a 14+ member executive steering committee; establishes a home health performance incentive program with withheld managed care rate funds released only upon documented compliance; and authorizes new PACE program contracts serving up to 800 total enrollees across Escambia/Okaloosa/Santa Rosa, Miami-Dade, and Hillsborough/Hernando/Pasco counties.

Medicaid Eligibility and Evaluation: Extends modified retroactive Medicaid eligibility provisions (90 days for children/pregnant women, first day of application month for nonpregnant adults) through July 1, 2021, and requires AHCA to submit by March 1, 2021 an evaluation of the retroactive eligibility waiver's impacts on enrollment continuity, provider uncompensated care, and enrollee financial burden.

Environmental and Water Resources: Dedicates a minimum of the lesser of 25% or $200 million annually from the Land Acquisition Trust Fund for Everglades projects, including $32 million per year through 2023-2024 for the Long-Term Plan and $64 million to the Everglades Trust Fund for the EAA reservoir; allocates the lesser of 7.6% or $50 million annually for spring restoration; directs $5 million annually through 2025-2026 for Lake Apopka restoration; and caps Inland Protection Trust Fund payments at $10 million per year for ethanol/biodiesel fuel damage repairs.

Multi-use Corridors and Transportation: Extends the M-CORES corridor task force final report deadline to November 15, 2020, with task forces evaluating economic, environmental, hurricane evacuation, and land use impacts; requires DOT to fully fund Strategic Intermodal System projects approved by the Secretary in May 2019 where construction commenced, prioritized over all nonhighway SIS capacity projects; and requires Legislative Budget Commission approval for DOT work program amendments adding new projects exceeding $3 million.

Criminal Justice and Courts: Sets flat fee limits for private court-appointed counsel ranging from $1,000 (misdemeanors) to $25,000 (capital cases), with extraordinary fees capped at 200% of flat fees or hourly rates of $75-$100; extends DOC authority to request additional positions when inmate population exceeds December 2019 projections by 1-2%; redirects $1.67 from Article V traffic assessments and $250 from identity theft surcharges to the Indigent Criminal Defense Trust Fund; and restricts state-funded inmate postsecondary education to those with more than 24 months remaining on sentences.

Cybersecurity and Technology: Extends the Florida Cybersecurity Task Force final report deadline to February 1, 2021 (expiration May 1, 2021), chaired by the Lieutenant Governor and tasked with identifying high-risk cybersecurity issues and recommending remediation; requires DFS to replace FLAIR and CMS accounting components with an integrated enterprise system overseen by a steering committee requiring 8 affirmative votes with the CFO on the prevailing side.

Health and Human Services Programs: Extends medical marijuana rulemaking exemptions to July 1, 2021 while removing authorization for uncertified laboratory use; appropriates $35.3 million ($19.6 million General Revenue, $15.7 million federal) for the Guardianship Assistance Program; maintains the 85% minimum medical loss ratio for Florida Healthy Kids Corporation insurers; and authorizes DOH budget amendments for public health emergencies and increased HIV/AIDS federal funding.

State Administration and Housing: Requires DMS to maintain identical PPO and HMO health plans for state employees in 2020-2021; sets the online procurement fee at 0.7%; limits appropriation category transfers to 5% or $250,000 (whichever is greater); permits Housing Trust Fund revenues to be used as provided in the GAA for 2020-2021; and establishes a Triumph Gulf Coast-funded Rebuild Florida Revolving Loan Fund for businesses impacted by Hurricane Michael.