To adopt the current Health and Human Services Poverty Guidelines for the 48 Contiguous States and the District of Columbia (Poverty Guidelines) and to delete incorrect references to the Office of Management and Budget (OMB) contained in the rule.

DEPARTMENT OF HEALTH

Division of Family Health Services

RULE NO.:RULE TITLE:

64F-16.006Sliding Fee Scale

PURPOSE AND EFFECT:  To adopt the current Health and Human Services Poverty Guidelines for the 48 Contiguous States and the District of Columbia (Poverty Guidelines) and to delete incorrect references to the Office of Management and Budget (OMB) contained in the rule.

SUMMARY: Adopts the current poverty guidelines for the 48 contiguous states and removes incorrect references to the Office of Management and Budget.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The agency has determined this amendment will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: Based on the SERC checklist, this rulemaking will not have an adverse impact or regulatory costs in excess of $1 million within five years as established in s. 120.541(2)(a), F.S.

Any person who wishes to provide information regarding the statement of estimated regulatory costs, or to provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 154.011 FS.

LAW IMPLEMENTED: 154.011 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAR.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Phil Street, Bin A05, 4052 Bald Cypress Way, Tallahassee, FL  32399, [phone], [e-mail]

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

64F-16.006 Sliding Fee Scale.

(1) Persons with net family incomes between 101 and 200 percent of the Health and Human Services Poverty Guidelines for the 48 Contiguous States and the District of Columbia (Poverty Guidelines), as published in the January 25, 2016 January 23, 2009 rendition of the Federal Register, incorporated by reference and available at http://flrules.Gateway/reference.asp?No=Ref-#### or https://aspe.hhs.gov/poverty-guidelines  http://aspe.hhs.gov/poverty/ or per subsection 64F-16.001(6), F.A.C., 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 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) Persons with incomes at or below 100 percent of the OMB poverty guidelines shall pay no fee.

(b) Persons with incomes at 101 to 119 percent of the OMB poverty guidelines shall pay 17 percent of the full fee.

(c) Persons with incomes at 120 to 139 percent of the OMB poverty guidelines shall pay 33 percent of the full fee.

(d) Persons with incomes at 140 to 159 percent of the OMB poverty guidelines shall pay 50 percent of the full fee.

(e) Persons with incomes at 160 to 179 percent of the OMB poverty guidelines shall pay 67 percent of the full fee.

(f) Persons with incomes at 180 to 199 percent of the OMB poverty guidelines shall pay 83 percent of the full fee.

(g) Persons with incomes at or above 200 percent of the OMB poverty guidelines shall pay the full fee.

(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 (g) No change.

(h) For family planning services only, persons with net family incomes between 101 percent and 250 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:

1. Persons with incomes at or below 100 percent of the poverty guidelines shall pay no fee.

2. Persons with incomes at 101 to 129 percent of the poverty guidelines shall pay 17 percent of the full fee.

3. Persons with incomes at 130 to 159 percent of the poverty guidelines shall pay 33 percent of the full fee.

4. Persons with incomes at 160 to 189 percent of the poverty guidelines shall pay 50 percent of the full fee.

5. Persons with incomes at 190 to 219 percent of the poverty guidelines shall pay 67 percent of the full fee.

6. Persons with incomes at 220 to 250 percent of the poverty guidelines shall pay 83 percent of the full fee.

7. Persons with incomes at or above 251 percent of the 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 (3)(a) through (h) above.

Rulemaking 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, 6-30-10,            .

 

NAME OF PERSON ORIGINATING PROPOSED RULE:  Phil Street

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Celeste Philip. MD, MPH, Surgeon General and Secretary

DATE PROPOSED RULE APPROVED BY AGENCY HEAD:  September 1, 2016

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR:  June 16, 2016