64F-16.006: Sliding Fee Scale
PURPOSE AND EFFECT: The Department proposes to amend the existing language in this chapter.
SUBJECT AREA TO BE ADDRESSED: The rule amendments makes substantive changes to the sliding fee scale for purposes of family planning.
SPECIFIC AUTHORITY: 154.011(5) FS.
LAW IMPLEMENTED: 154.011 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE WEEKLY.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Margaret Rankin, Infant Maternal and Reproductive Health, 4052 Bald Cypress Way, Bin #A-13, Tallahassee, Florida 32399
THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:
64F-16.006 Sliding Fee Scale.
(1) Persons with net family incomes between 101 and 200 percent of the Federal Office of Management and Budget poverty guidelines shall be charged a fee on a sliding scale based on the following increments. For family planning services only, persons with incomes between 101 percent 200 and 250 percent of poverty shall be charged on a sliding fee scale as described in paragraph 64F-16.006(3)(h), F.A.C., below:
(a) through (f) No change.
(2) No change.
(3) This sliding fee scale applies to recipients of integrated family health and communicable disease control services, with the following exceptions:
(a) through (e) No change.
(f) Clients served by CHDs and their subcontractors shall not be denied family planning services for failure or inability to pay a prescribed fee, regardless of their income; however certain family planning methods the family planning services of inserting Norplant, and including male and female sterilization, shall be limited depending on the availability of funds to pay for these services.
(g) Clients shall not be denied pregnancy testing for failure or inability to pay a fee.
(h) For family planning services only, persons with net family incomes between 101 percent and 250 200 percent of the Federal Office of Management and Budget poverty guidelines shall charged a fee on a sliding scale based on the following increments:
1. Persons with incomes at or below 100 percent of the OMB poverty guidelines shall pay no fee. Persons with incomes at 200 to 224 percent of the OMB poverty guidelines shall pay 90 percent of the full fee for family planning services.
2. Persons with incomes at 101 to 129 percent of the OMB poverty guidelines shall pay 17 percent of the full fee. Persons with incomes at 225 to 249 percent of the OMB poverty guidelines shall pay 95 percent of the full fee for family planning services.
3. Persons with incomes at 130 to 159 percent of the OMB poverty guidelines shall pay 33 percent of the full fee. Persons with incomes at or above 250 percent of the OMB poverty guidelines shall pay the full fee for family planning services.
4. Persons with incomes at 160 to 189 percent of the OMB poverty guidelines shall pay 50 percent of the full fee.
5. Persons with incomes at 190 to 219 percent of the OMB poverty guidelines shall pay 67 percent of the full fee.
6. Persons with incomes at 220 to 250 percent of the OMB poverty guidelines shall pay 83 percent of the full fee.
7. Persons with incomes at or above 251 percent of the OMB poverty guidelines shall pay the full fee.
(4) Persons with net family incomes above 200 percent of the OMB poverty guidelines shall be charged the full fee promulgated by the department or the relevant board of county commissioners, with the exception of those groups listed in paragraphs (a) through (h) above.
Rulemaking Specific Authority 154.011(5) FS. Law Implemented 154.011 FS. History–New 10-14-93, Amended 8-2-94, 4-29-96, Formerly 10D-121.007, Amended 6-24-02, 6-17-03,________.