In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly three million Medicaid recipients into managed-care programs【C1】______saving money and improving services. 'Medicaid has grown faster than any other part of our budget,' said State Senator Joe Negron, who took the【C2】______on the bill. 'It is【C3】______out funding for education, economic development and other parts of the budget that are equally【C4】______.' If signed into law as expected, the bill will make Florida,【C5】______one of the largest number of Medicaid patients and a high rate of those who are not insured, one of the biggest states to jump【C6】______entirely from a traditional Medicaid payment system into managed care. The bill, a【C7】______between the House and the Senate versions, would allow the state to decide how much to spend on Medicaid each year,【C8】______in the profits of managed-care companies if they exceed 5 percent and punish networks that【C9】______contracts. To help ensure【C10】______care for patients, the bill would【C11】______require plans to include specialists and provide higher refund rates to doctors. Patients would be charged $10 monthly premiums and $100【C12】______they showed up at the emergency room with a non-emergency. The state and managed -care companies would control which services to provide to Medicaid patients. In so doing, the legislation would【C13】______the existing fee-for-service system, in which the state pays providers for each service, a practice that has led to widespread care【C14】______. Refund rates have dropped so low that many doctors【C15】______not to treat Medicaid patients. The Legislatures bill seeks to【C16】______those issues with the requirement that plans include specialists and the higher repayment rates to doctors. Another good news for doctors and hospitals is a【C17】______that limits the amount they would have to pay out in【C18】______caused by not proper practice, for pain and suffering to $300,000 for each Medicaid claimant. Senator Negron said the upper limit was【C19】______because doctors who treat Medicaid patients are basically providing a public service and should be【C20】______to do so. 【C1】