SB70-AA3,214,1 c. Ability to electronically exchange health information.

SB70-AA3,214,2 d. Clinical expertise.

SB70-AA3,214,3 e. Hospital and post-acute facility survey history over the past 3 years.

SB70-AA3,214,4 f. Acute care partner readmissions history over the past 3 years.

SB70-AA3,214,5 g. Discharge planning and patient intake resources.

SB70-AA3,214,10 h. Stability of finances to support the proposal, including matching funds that could be dedicated to the pilot program under this subsection. No applicant is required to provide matching funds or a contribution, but the advisory group and the department of health services may take into consideration the availability of matching funds or a contribution in evaluating an application.

SB70-AA3,214,12 5. The per diem rate requested to adequately compensate the hospital or hospitals and the post-acute facility or facilities.

SB70-AA3,214,13 6. A post-acute bed reserve rate.

SB70-AA3,214,15 7. Anticipated impediments to successful implementation and how the applicant partnership group intends to overcome the anticipated impediments.

SB70-AA3,214,16 (f) The advisory group formed under this subsection shall do all of the following:

SB70-AA3,214,20 1. Determine and recommend to the department an amount of the funding budgeted for the complex patient pilot program under s. 20.435 (7) (d) to be reserved for reconciliation to ensure that participants in the pilot program are held harmless from unanticipated financial loss.

SB70-AA3,215,2 2. Develop a methodology to evaluate the complex patient pilot program, including a recommendation on whether the department should contract with an independent organization to evaluate the complex patient pilot program. The department may contract with an independent organization to complete the evaluation described under this subdivision and, if the department does so, the department may pay the fee of the organization selected from the appropriation under s. 20.435 (7) (d).

SB70-AA3,215,5 3. Make recommendations to the secretary of health services regarding which partnership groups should receive designation as a participating site for the complex patient pilot program.

SB70-AA3,215,9 (g) 1. No later than 90 days after the effective date of this subdivision, the advisory group shall complete development of the request for proposal for partnership groups to be designated as participating sites in the complex patient pilot program and provide its recommendations to the secretary of health services.

SB70-AA3,215,14 2. No later than 150 days after the effective date of this subdivision, the advisory group shall review all applications submitted in response to the request for proposal and select up to 4 partnership groups to recommend to the secretary of health services for designation as participating sites for the complex patient pilot program under this subsection.

SB70-AA3,215,23 3. Between 6 months and 18 months after the effective date of this subdivision, the partnership groups designated by the department as participating sites in the complex patient pilot program shall implement the pilot program and meet quarterly with both the department and the advisory group or any independent organization hired by the department for the purpose of evaluating the pilot program to discuss experiences relating to the pilot program. From the appropriation under s. 20.435 (7) (d), the department shall provide payments to partnership groups designated as participating sites for care provided during the course of the pilot program under this subsection.

SB70-AA3,216,3 4. No later than June 30, 2025, the advisory group or any independent organization hired by the department for the purpose of evaluating the complex patient pilot program shall complete and submit to the secretary of health services an evaluation of the complex patient pilot program under this subsection, including a written report and recommendations.

SB70-AA3,9419 Section 9419. Effective dates; Health Services.

SB70-AA3,216,6 (1u) Complex patient pilot program. The repeal of s. 20.435 (7) (d) takes effect on July 1, 2025.”.

SB70-AA3,216,7 248. Page 374, line 11: after that line insert:

SB70-AA3,216,8 “ Section 273. 20.455 (1) (hn) of the statutes is created to read:

SB70-AA3,216,10 20.455 (1) (hn) Payments to relators. All moneys received by the department that are owed to a relator, to provide payments owed to a relator.

SB70-AA3,274 Section 274. 20.9315 of the statutes is created to read:

SB70-AA3,216,12 20.9315 False claims; actions by or on behalf of state. (1) In this section:

SB70-AA3,216,15 (a) 1. “Claim” means any request or demand, whether under a contract or otherwise, for money or property, whether the state has title to the money or property, that is any of the following:

SB70-AA3,216,16 a. Presented to an officer, employee, agent, or other representative of the state.

SB70-AA3,216,21 b. Made to a contractor, grantee, or other person if the money or property is to be spent or used on the state's behalf or to advance a state program or interest and if the state provides any portion of the money or property that is requested or demanded or will reimburse directly or indirectly the contractor, grantee, or other person for any portion of the money or property that is requested or demanded.

SB70-AA3,216,23 2. “Claim” includes a request or demand for services from a state agency or as part of a state program.

SB70-AA3,217,3 3. “Claim” does not include requests or demands for money or property that the state has paid to an individual as compensation for state employment or as an income subsidy with no restriction on that individual's use of the money or property.