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  3. In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly th

In a sweeping overall inspection of its $21 billion Medicaid program, the Florida Legislature approved a bill to shift nearly th

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问题     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 Legislature’s 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.
【C5】
选项 A、plus
B、with
C、by
D、beyond
答案B
解析 从结构可知，要用介词短语作定语，说明Florida的情况，故选B项with。with可用来表示某人或物具有某种特征，这里描述佛罗里达州人民参与医疗保险的情况。A项plus“外加”用于补充说明，而前面并没有具体描述Florida的文字，故不存在补充说明。C项by“通过”通常表方式，不引导插入语。D项beyond“除……之外”，用于引出一个例外，而此处并没有例外情况。
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