Fiscal Year:
    
Primary Budget:
Comparison Budget:

   transfers  and  certified  state expenditures to support the state match
   required.  The  hospital  rate  enhancements  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.

 221   SPECIAL CATEGORIES
       PERSONAL CARE SERVICES
        FROM GENERAL REVENUE FUND  . . . . .       78,667,610
        FROM MEDICAL CARE TRUST FUND . . . .                       103,402,139

 222   SPECIAL CATEGORIES
       PHYSICIAN AND HEALTH CARE PRACTITIONER
        SERVICES
        FROM GENERAL REVENUE FUND  . . . . .       38,725,430
        FROM HEALTH CARE TRUST FUND  . . . .                         3,543,106
        FROM TOBACCO SETTLEMENT TRUST FUND .                        15,898,906
        FROM MEDICAL CARE TRUST FUND . . . .                        73,628,399
        FROM PUBLIC MEDICAL ASSISTANCE
         TRUST FUND  . . . . . . . . . . . .                         7,114,334
        FROM REFUGEE ASSISTANCE TRUST FUND .                        11,757,948

 223   SPECIAL CATEGORIES
       PREPAID HEALTH PLANS
        FROM GENERAL REVENUE FUND  . . . . .    6,683,301,594
        FROM HEALTH CARE TRUST FUND  . . . .                       150,269,926
        FROM TOBACCO SETTLEMENT TRUST FUND .                       228,263,416
        FROM GRANTS AND DONATIONS TRUST
         FUND  . . . . . . . . . . . . . . .                     2,052,589,510
        FROM MEDICAL CARE TRUST FUND . . . .                    10,073,833,182
        FROM PUBLIC MEDICAL ASSISTANCE
         TRUST FUND  . . . . . . . . . . . .                       831,549,921
        FROM REFUGEE ASSISTANCE TRUST FUND .                       144,424,121

   The  Agency for Health Care Administration is authorized to expend funds
   from the Grants and Donations Trust Fund and the Medical Care Trust Fund
   to  manage  a directed payment program for hospitals providing inpatient
   and  outpatient  services to Medicaid managed care enrollees. The agency
   is authorized to submit a budget amendment requesting spending authority
   to  manage  the program. Directed payments to hospitals pursuant to this
   section  of  proviso shall not be considered a component of the provider
   payment  calculation  specified in section 409.975(6), Florida Statutes,
   and  are  contingent  upon  the  nonfederal share being provided through
   intergovernmental  transfers  in the Grants and Donations Trust Fund. In
   the  event the funds are not available in the Grants and Donations Trust
   Fund,  the State of Florida is not obligated to make payments under this
   section of proviso.

   From  the  funds  in  Specific  Appropriation  223,  $4,000,000 from the
   General Revenue Fund and $5,374,268 from the Medical Care Trust Fund are
   provided for flexible services for persons with severe mental illness or
   substance  abuse  disorders,  including,  but  not limited to, temporary
   housing   assistance,   subject   to   federal  approval  under  section
   409.906(13)(d), Florida Statutes.

   From  the  funds  in Specific Appropriations 223 and 224, the Agency for
   Health  Care  Administration  is  authorized  to  expend  funds from the
   General  Revenue  Fund,  the  Grants  and  Donations Trust Fund, and the
   Medical  Care  Trust Fund to purchase prescription drugs pursuant to the
   parameters  of  the  Canadian  Prescription  Drug Importation Program as
   authorized  by  section  381.02035,  Florida  Statutes,  for  use in the
   Medicaid program, as outlined in section 381.02035(3), Florida Statutes,
   for Medicaid eligible persons.

   From  the  funds  in Specific Appropriation 223 and 235, $6,405,088 from
   the  General  Revenue  Fund  is  provided  to the Agency for Health Care
   Administration  to  begin  implementation of a tiered reimbursement rate
   design  for the State Inpatient Psychiatric (SIPP) program at the Agency
   for  Health  Care  Administration.  The agency is authorized to submit a
   budget  amendment requesting federal spending authority to implement the
   tiered reimbursement rate.

 224   SPECIAL CATEGORIES
       PRESCRIBED MEDICINE/DRUGS
        FROM GENERAL REVENUE FUND  . . . . .       37,159,400
        FROM HEALTH CARE TRUST FUND  . . . .                        23,416,496