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ENROLLED HB 5001, ENGROSSED 1 2024 LEGISLATURE ______________________________________________________________________________ SECTION 3 - HUMAN SERVICES Documentation and Coding Adjustment (per year)....... 1/3 of 1% Level I Trauma Add On ............................... 17% Level II or Level II and Pediatric Add On ........... 11% Pediatric Trauma Add On ............................. 4% From the funds in Specific Appropriations 208, 211, and 215, $36,187,179 from the General Revenue Fund and $48,699,471 from the Medical Care Trust Fund are provided to nonprofit hospitals that as of January 1, 2022, are separately licensed by the state as specialty hospitals providing comprehensive acute care services to children pursuant to section 395.002(28), Florida Statutes, as of the date of enactment of this bill into law, and remain so licensed and qualify for the High-Medicaid DRG and EAPG Policy Adjustor. Payments to these hospitals must be distributed to qualifying hospitals proportionately via average per claim (per discharge) amounts through the DRG and EAPG payment method based on each hospital’s total of Simulated DRG and Trauma Add-On Payments plus Simulated EAPG payments to the total of these payments for all qualifying hospitals. Payment of these funds to an individual qualifying specialty hospital is contingent on that hospital entering into full network contracts with each applicable Medicaid managed care plan in the state by July 30, 2024, for a term of the entire fiscal year at a minimum. 209 SPECIAL CATEGORIES REGULAR DISPROPORTIONATE SHARE FROM GENERAL REVENUE FUND . . . . . 8,250,551 FROM MEDICAL CARE TRUST FUND . . . . 2,294,800 The funds in Specific Appropriation 209 are provided to the Agency for Health Care Administration for the purpose of implementing the Disproportionate Share Hospital Program. The Agency for Health Care Administration is authorized to expend funds from the General Revenue Fund, Grants and Donations Trust Fund, and Medical Care Trust Fund to implement the Disproportionate Share Hospital Program. The Agency is authorized to submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting spending authority to manage the program. The budget amendment must include a proposed distribution model by entity and a proposed listing of entities contributing intergovernmental transfers and certified state expenditures to support the state match required. Disproportionate Share Hospital Program payments to providers are contingent upon the nonfederal share being provided through intergovernmental transfers in the Grants and Donations Trust Fund and certified state expenditures. In the event that these funds are not available, the State of Florida is not obligated to make payments under this section of proviso. From the funds in Specific Appropriation 209, $1,705,200 in nonrecurring funds from the General Revenue Fund, and $2,294,800 in nonrecurring funds from the Medical Care Trust Fund are provided to Baptist Health Care Pensacola (HF 1439) (SF 3148). The Agency for Health Care Administration shall include Baptist Health Care Pensacola in the agency’s proposed Disproportionate Share Hospital distribution model. 210 SPECIAL CATEGORIES HOSPITAL INSURANCE BENEFITS FROM GENERAL REVENUE FUND . . . . . 1,286,482 FROM MEDICAL CARE TRUST FUND . . . . 1,731,303 211 SPECIAL CATEGORIES HOSPITAL OUTPATIENT SERVICES FROM GENERAL REVENUE FUND . . . . . 42,900,252 FROM MEDICAL CARE TRUST FUND . . . . 85,867,273 FROM PUBLIC MEDICAL ASSISTANCE TRUST FUND . . . . . . . . . . . . 20,768,022 FROM REFUGEE ASSISTANCE TRUST FUND . 2,796,870 From the funds in Specific Appropriation 211, the Agency for Health Care Administration shall implement an Enhanced Ambulatory Patient Grouping (EAPG) reimbursement methodology for hospital outpatient services as directed in section 409.905(6)(b), Florida Statutes. Ambulatory Surgical Center Base Rate......$237.14 Hospital Outpatient Base Rate.............$390.01 Rural Hospital Provider Adjustor...........1.5328 High Medicaid Provider Adjustor............2.0930 Documentation and Coding Adjustment............0% 73