Florida Senate - 2013                        COMMITTEE AMENDMENT
       Bill No. SB 966
       
       
       
       
       
       
                                Barcode 373656                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/15/2013           .                                
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       The Committee on Health Policy (Bean) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Paragraphs (d) and (e) of subsection (12) of
    6  section 112.0455, Florida Statutes, are amended to read:
    7         112.0455 Drug-Free Workplace Act.—
    8         (12) DRUG-TESTING STANDARDS; LABORATORIES.—
    9         (d) The laboratory shall submit to the Agency for Health
   10  Care Administration a monthly report with statistical
   11  information regarding the testing of employees and job
   12  applicants. The reports shall include information on the methods
   13  of analyses conducted, the drugs tested for, the number of
   14  positive and negative results for both initial and confirmation
   15  tests, and any other information deemed appropriate by the
   16  Agency for Health Care Administration. No monthly report shall
   17  identify specific employees or job applicants.
   18         (d)(e) Laboratories shall provide technical assistance to
   19  the employer, employee, or job applicant for the purpose of
   20  interpreting any positive confirmed test results which could
   21  have been caused by prescription or nonprescription medication
   22  taken by the employee or job applicant.
   23         Section 2. Paragraph (n) of subsection (1) of section
   24  154.11, Florida Statutes, is amended to read:
   25         154.11 Powers of board of trustees.—
   26         (1) The board of trustees of each public health trust shall
   27  be deemed to exercise a public and essential governmental
   28  function of both the state and the county and in furtherance
   29  thereof it shall, subject to limitation by the governing body of
   30  the county in which such board is located, have all of the
   31  powers necessary or convenient to carry out the operation and
   32  governance of designated health care facilities, including, but
   33  without limiting the generality of, the foregoing:
   34         (n) To appoint originally the staff of physicians to
   35  practice in a any designated facility owned or operated by the
   36  board and to approve the bylaws and rules to be adopted by the
   37  medical staff of a any designated facility owned and operated by
   38  the board, such governing regulations to be in accordance with
   39  the standards of the Joint Commission, the American Osteopathic
   40  Association/Healthcare Facilities Accreditation Program, or a
   41  national accrediting organization that is approved by the
   42  Centers for Medicare and Medicaid Services and whose standards
   43  incorporate comparable licensure regulations required by the
   44  state on the Accreditation of Hospitals which provide, among
   45  other things, for the method of appointing additional staff
   46  members and for the removal of staff members.
   47         Section 3. Section 385.2035, Florida Statutes, is created
   48  to read:
   49         385.2035Resource for research in the prevention and
   50  treatment of diabetes.—The Florida Hospital Sanford-Burnham
   51  Translational Research Institute for Metabolism and Diabetes is
   52  designated as a resource in this state for research in the
   53  prevention and treatment of diabetes.
   54         Section 4. Subsection (2) of section 394.741, Florida
   55  Statutes, is amended to read:
   56         394.741 Accreditation requirements for providers of
   57  behavioral health care services.—
   58         (2) Notwithstanding any provision of law to the contrary,
   59  accreditation shall be accepted by the agency and department in
   60  lieu of the agency’s and department’s facility licensure onsite
   61  review requirements and shall be accepted as a substitute for
   62  the department’s administrative and program monitoring
   63  requirements, except as required by subsections (3) and (4),
   64  for:
   65         (a) An Any organization from which the department purchases
   66  behavioral health care services which that is accredited by the
   67  Joint Commission, American Osteopathic Association/the
   68  Healthcare Facilities Accreditation Program, a national
   69  accrediting organization that is approved by the Centers for
   70  Medicare and Medicaid Services and whose standards incorporate
   71  comparable licensure regulations required by the state, on
   72  Accreditation of Healthcare Organizations or the Council on
   73  Accreditation for Children and Family Services, or CARF
   74  International for the has those services that are being
   75  purchased by the department accredited by CARF—the
   76  Rehabilitation Accreditation Commission.
   77         (b) A Any mental health facility licensed by the agency or
   78  a any substance abuse component licensed by the department which
   79  that is accredited by the Joint Commission, the American
   80  Osteopathic Association/Healthcare Facilities Accreditation
   81  Program, a national accrediting organization that is approved by
   82  the Centers for Medicare and Medicaid Services and whose
   83  standards incorporate comparable licensure regulations required
   84  by the state, CARF International on Accreditation of Healthcare
   85  Organizations, CARF—the Rehabilitation Accreditation Commission,
   86  or the Council on Accreditation of Children and Family Services.
   87         (c) A Any network of providers from which the department or
   88  the agency purchases behavioral health care services accredited
   89  by the Joint Commission, the American Osteopathic
   90  Association/Healthcare Facilities Accreditation Program, a
   91  national accrediting organization that is approved by the
   92  Centers for Medicare and Medicaid Services and whose standards
   93  incorporate comparable licensure regulations required by the
   94  state, CARF International on Accreditation of Healthcare
   95  Organizations, CARF—the Rehabilitation Accreditation Commission,
   96  the Council on Accreditation of Children and Family Services, or
   97  the National Committee for Quality Assurance. A provider
   98  organization that , which is part of an accredited network, is
   99  afforded the same rights under this part.
  100         Section 5. Subsection (3) of section 395.0161, Florida
  101  Statutes, is amended to read:
  102         395.0161 Licensure inspection.—
  103         (3) In accordance with s. 408.805, an applicant or licensee
  104  shall pay a fee for each license application submitted under
  105  this part, part II of chapter 408, and applicable rules. With
  106  the exception of state-operated licensed facilities, each
  107  facility licensed under this part shall pay to the agency, at
  108  the time of inspection, the following fees:
  109         (a) Inspection for licensure.—A fee shall be paid which is
  110  not less than $8 per hospital bed, nor more than $12 per
  111  hospital bed, except that the minimum fee shall be $400 per
  112  facility.
  113         (b) Inspection for lifesafety only.—A fee shall be paid
  114  which is not less than 75 cents per hospital bed, nor more than
  115  $1.50 per hospital bed, except that the minimum fee shall be $40
  116  per facility.
  117         Section 6. Section 395.1046, Florida Statutes, is repealed.
  118         Section 7. Section 395.3038, Florida Statutes, is amended
  119  to read:
  120         395.3038 State-listed primary stroke centers and
  121  comprehensive stroke centers; notification of hospitals.—
  122         (1) The agency shall make available on its website and to
  123  the department a list of the name and address of each hospital
  124  that meets the criteria for a primary stroke center and the name
  125  and address of each hospital that meets the criteria for a
  126  comprehensive stroke center. The list of primary and
  127  comprehensive stroke centers must shall include only those
  128  hospitals that attest in an affidavit submitted to the agency
  129  that the hospital meets the named criteria, or those hospitals
  130  that attest in an affidavit submitted to the agency that the
  131  hospital is certified as a primary or a comprehensive stroke
  132  center by the Joint Commission, the American Osteopathic
  133  Association/Healthcare Facilities Accreditation Program, or a
  134  national accrediting organization that is approved by the
  135  Centers for Medicare and Medicaid Services and whose standards
  136  incorporate comparable licensure regulations required by the
  137  state on Accreditation of Healthcare Organizations.
  138         (2)(a) If a hospital no longer chooses to meet the criteria
  139  for a primary or comprehensive stroke center, the hospital shall
  140  notify the agency and the agency shall immediately remove the
  141  hospital from the list.
  142         (b)1. This subsection does not apply if the hospital is
  143  unable to provide stroke treatment services for a period of time
  144  not to exceed 2 months. The hospital shall immediately notify
  145  all local emergency medical services providers when the
  146  temporary unavailability of stroke treatment services begins and
  147  when the services resume.
  148         2. If stroke treatment services are unavailable for more
  149  than 2 months, the agency shall remove the hospital from the
  150  list of primary or comprehensive stroke centers until the
  151  hospital notifies the agency that stroke treatment services have
  152  been resumed.
  153         (3) The agency shall notify all hospitals in this state by
  154  February 15, 2005, that the agency is compiling a list of
  155  primary stroke centers and comprehensive stroke centers in this
  156  state. The notice shall include an explanation of the criteria
  157  necessary for designation as a primary stroke center and the
  158  criteria necessary for designation as a comprehensive stroke
  159  center. The notice shall also advise hospitals of the process by
  160  which a hospital might be added to the list of primary or
  161  comprehensive stroke centers.
  162         (3)(4) The agency shall adopt by rule criteria for a
  163  primary stroke center which are substantially similar to the
  164  certification standards for primary stroke centers of the Joint
  165  Commission, the American Osteopathic Association/Healthcare
  166  Facilities Accreditation Program, or a national accrediting
  167  organization that is approved by the Centers for Medicare and
  168  Medicaid Services and whose standards incorporate comparable
  169  licensure regulations required by the state on Accreditation of
  170  Healthcare Organizations.
  171         (4)(5) The agency shall adopt by rule criteria for a
  172  comprehensive stroke center. However, if the Joint Commission,
  173  the American Osteopathic Association/Healthcare Facilities
  174  Accreditation Program, or a national accrediting organization
  175  that is approved by the Centers for Medicare and Medicaid
  176  Services and whose standards incorporate comparable licensure
  177  regulations required by the state on Accreditation of Healthcare
  178  Organizations establishes criteria for a comprehensive stroke
  179  center, the agency shall establish criteria for a comprehensive
  180  stroke center which are substantially similar to those criteria
  181  established by the Joint Commission, the American Osteopathic
  182  Association/Healthcare Facilities Accreditation Program, or such
  183  national accrediting organization on Accreditation of Healthcare
  184  Organizations.
  185         (5)(6) This act is not a medical practice guideline and may
  186  not be used to restrict the authority of a hospital to provide
  187  services for which it is licensed has received a license under
  188  chapter 395. The Legislature intends that all patients be
  189  treated individually based on each patient’s needs and
  190  circumstances.
  191         Section 8. Paragraph (c) of subsection (1) of section
  192  395.701, Florida Statutes, is amended to read:
  193         395.701 Annual assessments on net operating revenues for
  194  inpatient and outpatient services to fund public medical
  195  assistance; administrative fines for failure to pay assessments
  196  when due; exemption.—
  197         (1) For the purposes of this section, the term:
  198         (c) “Hospital” means a health care institution as defined
  199  in s. 395.002(12), but does not include any hospital operated by
  200  a state the agency or the Department of Corrections.
  201         Section 9. Section 395.7015, Florida Statutes, is repealed.
  202         Section 10. Section 395.7016, Florida Statutes, is amended
  203  to read:
  204         395.7016 Annual appropriation.—The Legislature shall
  205  appropriate each fiscal year from either the General Revenue
  206  Fund or the Agency for Health Care Administration Tobacco
  207  Settlement Trust Fund an amount sufficient to replace the funds
  208  lost due to reduction by chapter 2000-256, Laws of Florida, of
  209  the assessment on other health care entities under s. 395.7015,
  210  and the reduction by chapter 2000-256 in the assessment on
  211  hospitals under s. 395.701, and to maintain federal approval of
  212  the reduced amount of funds deposited into the Public Medical
  213  Assistance Trust Fund under s. 395.701, as state match for the
  214  state’s Medicaid program.
  215         Section 11. Subsection (3) of section 397.403, Florida
  216  Statutes, is amended to read:
  217         397.403 License application.—
  218         (3) The department shall accept proof of accreditation by
  219  CARF International, the Commission on Accreditation of
  220  Rehabilitation Facilities(CARF) or the Joint Commission, the
  221  American Osteopathic Association/Healthcare Facilities
  222  Accreditation Program, or a national accrediting organization
  223  that is approved by the Centers for Medicare and Medicaid
  224  Services and whose standards incorporate comparable licensure
  225  regulations required by the state; or through another any other
  226  nationally recognized certification process that is acceptable
  227  to the department and meets the minimum licensure requirements
  228  under this chapter, in lieu of requiring the applicant to submit
  229  the information required by paragraphs (1)(a)-(c).
  230         Section 12. Subsection (1) of section 400.925, Florida
  231  Statutes, is amended to read:
  232         400.925 Definitions.—As used in this part, the term:
  233         (1) “Accrediting organizations” means the Joint Commission,
  234  the American Osteopathic Association/Healthcare Facilities
  235  Accreditation Program, a national accrediting organization that
  236  is approved by the Centers for Medicare and Medicaid Services
  237  and whose standards incorporate comparable licensure regulations
  238  required by the state, on Accreditation of Healthcare
  239  Organizations or other national accrediting accreditation
  240  agencies whose standards for accreditation are comparable to
  241  those required by this part for licensure.
  242         Section 13. Paragraph (g) of subsection (1) and subsection
  243  (7) of section 400.9935, Florida Statutes, are amended to read:
  244         400.9935 Clinic responsibilities.—
  245         (1) Each clinic shall appoint a medical director or clinic
  246  director who shall agree in writing to accept legal
  247  responsibility for the following activities on behalf of the
  248  clinic. The medical director or the clinic director shall:
  249         (g) Conduct systematic reviews of clinic billings to ensure
  250  that the billings are not fraudulent or unlawful. Upon discovery
  251  of an unlawful charge, the medical director or clinic director
  252  shall take immediate corrective action. If the clinic performs
  253  only the technical component of magnetic resonance imaging,
  254  static radiographs, computed tomography, or positron emission
  255  tomography, and provides the professional interpretation of such
  256  services, in a fixed facility that is accredited by the Joint
  257  Commission, the American Osteopathic Association/Healthcare
  258  Facilities Accreditation Program, on Accreditation of Healthcare
  259  Organizations or the Accreditation Association for Ambulatory
  260  Health Care, Inc., or a national accrediting organization that
  261  is approved by the Centers for Medicare and Medicaid Services
  262  and whose standards incorporate comparable licensure regulations
  263  required by the state; and the American College of Radiology;
  264  and if, in the preceding quarter, the percentage of scans
  265  performed by that clinic which was billed to all personal injury
  266  protection insurance carriers was less than 15 percent, the
  267  chief financial officer of the clinic may, in a written
  268  acknowledgment provided to the agency, assume the responsibility
  269  for the conduct of the systematic reviews of clinic billings to
  270  ensure that the billings are not fraudulent or unlawful.
  271         (7)(a) Each clinic engaged in magnetic resonance imaging
  272  services must be accredited by the Joint Commission, the
  273  American Osteopathic Association/Healthcare Facilities
  274  Accreditation Program, a national accrediting organization that
  275  is approved by the Centers for Medicare and Medicaid Services
  276  and whose standards incorporate comparable licensure regulations
  277  required by the state, on Accreditation of Healthcare
  278  Organizations, the American College of Radiology, or the
  279  Accreditation Association for Ambulatory Health Care, Inc.,
  280  within 1 year after licensure. A clinic that is accredited by
  281  the American College of Radiology or that is within the original
  282  1-year period after licensure and replaces its core magnetic
  283  resonance imaging equipment shall be given 1 year after the date
  284  on which the equipment is replaced to attain accreditation.
  285  However, a clinic may request a single, 6-month extension if it
  286  provides evidence to the agency establishing that, for good
  287  cause shown, such clinic cannot be accredited within 1 year
  288  after licensure, and that such accreditation will be completed
  289  within the 6-month extension. After obtaining accreditation as
  290  required by this subsection, each such clinic must maintain
  291  accreditation as a condition of renewal of its license. A clinic
  292  that files a change of ownership application must comply with
  293  the original accreditation timeframe requirements of the
  294  transferor. The agency shall deny a change of ownership
  295  application if the clinic is not in compliance with the
  296  accreditation requirements. When a clinic adds, replaces, or
  297  modifies magnetic resonance imaging equipment and the
  298  accrediting accreditation agency requires new accreditation, the
  299  clinic must be accredited within 1 year after the date of the
  300  addition, replacement, or modification but may request a single,
  301  6-month extension if the clinic provides evidence of good cause
  302  to the agency.
  303         (b) The agency may deny the application or revoke the
  304  license of an any entity formed for the purpose of avoiding
  305  compliance with the accreditation provisions of this subsection
  306  and whose principals were previously principals of an entity
  307  that was unable to meet the accreditation requirements within
  308  the specified timeframes. The agency may adopt rules as to the
  309  accreditation of magnetic resonance imaging clinics.
  310         Section 14. Subsections (1) and (2) of section 402.7306,
  311  Florida Statutes, are amended to read:
  312         402.7306 Administrative monitoring of child welfare
  313  providers, and administrative, licensure, and programmatic
  314  monitoring of mental health and substance abuse service
  315  providers.—The Department of Children and Family Services, the
  316  Department of Health, the Agency for Persons with Disabilities,
  317  the Agency for Health Care Administration, community-based care
  318  lead agencies, managing entities as defined in s. 394.9082, and
  319  agencies who have contracted with monitoring agents shall
  320  identify and implement changes that improve the efficiency of
  321  administrative monitoring of child welfare services, and the
  322  administrative, licensure, and programmatic monitoring of mental
  323  health and substance abuse service providers. For the purpose of
  324  this section, the term “mental health and substance abuse
  325  service provider” means a provider who provides services to this
  326  state’s priority population as defined in s. 394.674. To assist
  327  with that goal, each such agency shall adopt the following
  328  policies:
  329         (1) Limit administrative monitoring to once every 3 years
  330  if the child welfare provider is accredited by the Joint
  331  Commission, a national accrediting organization that is approved
  332  by the Centers for Medicare and Medicaid Services and whose
  333  standards incorporate comparable licensure regulations required
  334  by the state, CARF International the Commission on Accreditation
  335  of Rehabilitation Facilities, or the Council on Accreditation.
  336  If the accrediting body does not require documentation that the
  337  state agency requires, that documentation shall be requested by
  338  the state agency and may be posted by the service provider on
  339  the data warehouse for the agency’s review. Notwithstanding the
  340  survey or inspection of an accrediting organization specified in
  341  this subsection, an agency specified in and subject to this
  342  section may continue to monitor the service provider as
  343  necessary with respect to:
  344         (a) Ensuring that services for which the agency is paying
  345  are being provided.
  346         (b) Investigating complaints or suspected problems and
  347  monitoring the service provider’s compliance with any resulting
  348  negotiated terms and conditions, including provisions relating
  349  to consent decrees that are unique to a specific service and are
  350  not statements of general applicability.
  351         (c) Ensuring compliance with federal and state laws,
  352  federal regulations, or state rules if such monitoring does not
  353  duplicate the accrediting organization’s review pursuant to
  354  accreditation standards.
  355  
  356  Medicaid certification and precertification reviews are exempt
  357  from this subsection to ensure Medicaid compliance.
  358         (2) Limit administrative, licensure, and programmatic
  359  monitoring to once every 3 years if the mental health or
  360  substance abuse service provider is accredited by the Joint
  361  Commission, the American Osteopathic Association/Healthcare
  362  Facilities Accreditation Program, a national accrediting
  363  organization that is approved by the Centers for Medicare and
  364  Medicaid Services and whose standards incorporate comparable
  365  licensure regulations required by the state, CARF International
  366  the Commission on Accreditation of Rehabilitation Facilities, or
  367  the Council on Accreditation. If the services being monitored
  368  are not the services for which the provider is accredited, the
  369  limitations of this subsection do not apply. If the accrediting
  370  body does not require documentation that the state agency
  371  requires, that documentation, except documentation relating to
  372  licensure applications and fees, must be requested by the state
  373  agency and may be posted by the service provider on the data
  374  warehouse for the agency’s review. Notwithstanding the survey or
  375  inspection of an accrediting organization specified in this
  376  subsection, an agency specified in and subject to this section
  377  may continue to monitor the service provider as necessary with
  378  respect to:
  379         (a) Ensuring that services for which the agency is paying
  380  are being provided.
  381         (b) Investigating complaints, identifying problems that
  382  would affect the safety or viability of the service provider,
  383  and monitoring the service provider’s compliance with any
  384  resulting negotiated terms and conditions, including provisions
  385  relating to consent decrees that are unique to a specific
  386  service and are not statements of general applicability.
  387         (c) Ensuring compliance with federal and state laws,
  388  federal regulations, or state rules if such monitoring does not
  389  duplicate the accrediting organization’s review pursuant to
  390  accreditation standards.
  391  
  392  Federal certification and precertification reviews are exempt
  393  from this subsection to ensure Medicaid compliance.
  394         Section 15. Subsection (4) of section 408.061, Florida
  395  Statutes, is amended to read:
  396         408.061 Data collection; uniform systems of financial
  397  reporting; information relating to physician charges;
  398  confidential information; immunity.—
  399         (4) Within 120 days after the end of its fiscal year, each
  400  health care facility, excluding continuing care facilities,
  401  hospitals operated by state agencies, and nursing homes as
  402  defined in s. 408.07(14) and (37), shall file with the agency,
  403  on forms adopted by the agency and based on the uniform system
  404  of financial reporting, its actual financial experience for that
  405  fiscal year, including expenditures, revenues, and statistical
  406  measures. Such data may be based on internal financial reports
  407  which are certified to be complete and accurate by the provider.
  408  However, hospitals’ actual financial experience shall be their
  409  audited actual experience. Every nursing home shall submit to
  410  the agency, in a format designated by the agency, a statistical
  411  profile of the nursing home residents. The agency, in
  412  conjunction with the Department of Elderly Affairs and the
  413  Department of Health, shall review these statistical profiles
  414  and develop recommendations for the types of residents who might
  415  more appropriately be placed in their homes or other
  416  noninstitutional settings.
  417         Section 16. Subsection (4) of section 408.20, Florida
  418  Statutes, is amended to read:
  419         408.20 Assessments; Health Care Trust Fund.—
  420         (4) Hospitals operated by state agencies the Department of
  421  Children and Family Services, the Department of Health, or the
  422  Department of Corrections are exempt from the assessments
  423  required under this section.
  424         Section 17. Paragraph (a) of subsection (3) of section
  425  409.966, Florida Statutes, is amended to read:
  426         409.966 Eligible plans; selection.—
  427         (3) QUALITY SELECTION CRITERIA.—
  428         (a) The invitation to negotiate must specify the criteria
  429  and the relative weight of the criteria that will be used for
  430  determining the acceptability of the reply and guiding the
  431  selection of the organizations with which the agency negotiates.
  432  In addition to criteria established by the agency, the agency
  433  shall consider the following factors in the selection of
  434  eligible plans:
  435         1. Accreditation by the National Committee for Quality
  436  Assurance, the Joint Commission, the American Osteopathic
  437  Association/Healthcare Facilities Accreditation Program, a
  438  national accrediting organization that is approved by the
  439  Centers for Medicare and Medicaid Services and whose standards
  440  incorporate comparable licensure regulations required by the
  441  state, or another nationally recognized accrediting body.
  442         2. Experience serving similar populations, including the
  443  organization’s record in achieving specific quality standards
  444  with similar populations.
  445         3. Availability and accessibility of primary care and
  446  specialty physicians in the provider network.
  447         4. Establishment of community partnerships with providers
  448  that create opportunities for reinvestment in community-based
  449  services.
  450         5. Organization commitment to quality improvement and
  451  documentation of achievements in specific quality improvement
  452  projects, including active involvement by organization
  453  leadership.
  454         6. Provision of additional benefits, particularly dental
  455  care and disease management, and other initiatives that improve
  456  health outcomes.
  457         7. Evidence that an eligible plan has written agreements or
  458  signed contracts or has made substantial progress in
  459  establishing relationships with providers before the plan
  460  submitting a response.
  461         8. Comments submitted in writing by an any enrolled
  462  Medicaid provider relating to a specifically identified plan
  463  participating in the procurement in the same region as the
  464  submitting provider.
  465         9. Documentation of policies and procedures for preventing
  466  fraud and abuse.
  467         10. The business relationship an eligible plan has with
  468  another any other eligible plan that responds to the invitation
  469  to negotiate.
  470         Section 18. Paragraph (e) of subsection (2) of section
  471  409.967, Florida Statutes, is amended to read:
  472         409.967 Managed care plan accountability.—
  473         (2) The agency shall establish such contract requirements
  474  as are necessary for the operation of the statewide managed care
  475  program. In addition to any other provisions the agency may deem
  476  necessary, the contract must require:
  477         (e) Continuous improvement.—The agency shall establish
  478  specific performance standards and expected milestones or
  479  timelines for improving performance over the term of the
  480  contract.
  481         1. Each managed care plan shall establish an internal
  482  health care quality improvement system, including enrollee
  483  satisfaction and disenrollment surveys. The quality improvement
  484  system must include incentives and disincentives for network
  485  providers.
  486         2. Each plan must collect and report the Health Plan
  487  Employer Data and Information Set (HEDIS) measures, as specified
  488  by the agency. These measures must be published on the plan’s
  489  website in a manner that allows recipients to reliably compare
  490  the performance of plans. The agency shall use the HEDIS
  491  measures as a tool to monitor plan performance.
  492         3. Each managed care plan must be accredited by the
  493  National Committee for Quality Assurance, the Joint Commission,
  494  a national accrediting organization that is approved by the
  495  Centers for Medicare and Medicaid Services and whose standards
  496  incorporate comparable licensure regulations required by the
  497  state, or another nationally recognized accrediting body, or
  498  have initiated the accreditation process, within 1 year after
  499  the contract is executed. The agency shall suspend automatic
  500  assignment under ss. 409.977 and 409.984 for a any plan not
  501  accredited within 18 months after executing the contract, the
  502  agency shall suspend automatic assignment under s. 409.977 and
  503  409.984.
  504         4. By the end of the fourth year of the first contract
  505  term, the agency shall issue a request for information to
  506  determine whether cost savings could be achieved by contracting
  507  for plan oversight and monitoring, including analysis of
  508  encounter data, assessment of performance measures, and
  509  compliance with other contractual requirements.
  510         Section 19. Paragraph (b) of subsection (3) of section
  511  430.80, Florida Statutes, is amended to read:
  512         430.80 Implementation of a teaching nursing home pilot
  513  project.—
  514         (3) To be designated as a teaching nursing home, a nursing
  515  home licensee must, at a minimum:
  516         (b) Participate in a nationally recognized accrediting
  517  accreditation program and hold a valid accreditation, such as
  518  the accreditation awarded by the Joint Commission on
  519  Accreditation of Healthcare Organizations, a national
  520  accrediting organization that is approved by the Centers for
  521  Medicare and Medicaid Services and whose standards incorporate
  522  comparable licensure regulations required by the state, or, at
  523  the time of initial designation, possess a Gold Seal Award as
  524  conferred by the state on its licensed nursing home;
  525         Section 20. Paragraphs (b) and (d) of subsection (9) of
  526  section 440.102, Florida Statutes, are amended to read:
  527         440.102 Drug-free workplace program requirements.—The
  528  following provisions apply to a drug-free workplace program
  529  implemented pursuant to law or to rules adopted by the Agency
  530  for Health Care Administration:
  531         (9) DRUG-TESTING STANDARDS FOR LABORATORIES.—
  532         (b) A laboratory may analyze initial or confirmation test
  533  specimens only if:
  534         1. The laboratory obtains a license under part II of
  535  chapter 408 and s. 112.0455(17). Each applicant for licensure
  536  and each licensee must comply with all requirements of this
  537  section, part II of chapter 408, and applicable rules.
  538         2. The laboratory has written procedures to ensure the
  539  chain of custody.
  540         3. The laboratory follows proper quality control
  541  procedures, including, but not limited to:
  542         a. The use of internal quality controls, including the use
  543  of samples of known concentrations which are used to check the
  544  performance and calibration of testing equipment, and periodic
  545  use of blind samples for overall accuracy.
  546         b. An internal review and certification process for drug
  547  test results, conducted by a person qualified to perform that
  548  function in the testing laboratory.
  549         c. Security measures implemented by the testing laboratory
  550  to preclude adulteration of specimens and drug test results.
  551         d. Other necessary and proper actions taken to ensure
  552  reliable and accurate drug test results.
  553         (d) The laboratory shall submit to the Agency for Health
  554  Care Administration a monthly report with statistical
  555  information regarding the testing of employees and job
  556  applicants. The report must include information on the methods
  557  of analysis conducted, the drugs tested for, the number of
  558  positive and negative results for both initial tests and
  559  confirmation tests, and any other information deemed appropriate
  560  by the Agency for Health Care Administration. A monthly report
  561  must not identify specific employees or job applicants.
  562         Section 21. Paragraph (a) of subsection (2) of section
  563  440.13, Florida Statutes, is amended to read:
  564         440.13 Medical services and supplies; penalty for
  565  violations; limitations.—
  566         (2) MEDICAL TREATMENT; DUTY OF EMPLOYER TO FURNISH.—
  567         (a) Subject to the limitations specified elsewhere in this
  568  chapter, the employer shall furnish to the employee such
  569  medically necessary remedial treatment, care, and attendance for
  570  such period as the nature of the injury or the process of
  571  recovery may require, which is in accordance with established
  572  practice parameters and protocols of treatment as provided for
  573  in this chapter, including medicines, medical supplies, durable
  574  medical equipment, orthoses, prostheses, and other medically
  575  necessary apparatus. Remedial treatment, care, and attendance,
  576  including work-hardening programs or pain-management programs
  577  accredited by CARF International, the Commission on
  578  Accreditation of Rehabilitation Facilities or Joint Commission,
  579  the American Osteopathic Association/Healthcare Facilities
  580  Accreditation Program, or a national accrediting organization
  581  that is approved by the Centers for Medicare and Medicaid
  582  Services and whose standards incorporate comparable licensure
  583  regulations required by the state, on the Accreditation of
  584  Health Organizations or pain-management programs affiliated with
  585  medical schools, shall be considered as covered treatment only
  586  when such care is given based on a referral by a physician as
  587  defined in this chapter. Medically necessary treatment, care,
  588  and attendance does not include chiropractic services in excess
  589  of 24 treatments or rendered 12 weeks beyond the date of the
  590  initial chiropractic treatment, whichever comes first, unless
  591  the carrier authorizes additional treatment or the employee is
  592  catastrophically injured.
  593  
  594  Failure of the carrier to timely comply with this subsection
  595  shall be a violation of this chapter and the carrier shall be
  596  subject to penalties as provided for in s. 440.525.
  597         Section 22. Section 456.0125, Florida Statutes, is created
  598  to read:
  599         456.0125 Standardized Credentials Collection and
  600  Verification Program for physicians.—
  601         (1) It is the intent of the Legislature to establish the
  602  Standardized Credentials Collection and Verification Program to
  603  designate an entity to act as a repository for the core
  604  credentials data of physicians and to ensure that this
  605  information is collected only once unless a correction, update,
  606  or modification is required. The Legislature further intends
  607  that the credentials collection and verification entity, the
  608  department, health care entities, and physicians work
  609  cooperatively to ensure the integrity and accuracy of the
  610  program. A physician, an insurance company operating in
  611  accordance with chapter 624 which offers health insurance
  612  coverage under part VI of chapter 627, a health maintenance
  613  organization as defined in s. 641.19, or an entity licensed
  614  under chapter 395 must participate in the program.
  615         (2) As used in this section, the term:
  616         (a) “Accredited” or “certified” means approved by a
  617  national accrediting organization as defined in this subsection,
  618  another nationally recognized and accepted organization
  619  authorized by the department to assess and certify a credentials
  620  collection and verification program, or another entity or
  621  organization that verifies the credentials of a physician.
  622         (b) “Core credentials data” means data that are verified by
  623  a primary source as defined in this subsection and that include
  624  professional education, professional training, licensure,
  625  current Drug Enforcement Administration certification, specialty
  626  board certification, Educational Commission for Foreign Medical
  627  Graduates certification, and final disciplinary action reported
  628  pursuant to s. 456.039(1)(a)8.
  629         (c) “Credential” or “credentialing” means the process by
  630  which the qualifications of a licensed physician or an applicant
  631  for licensure as a physician are assessed and verified.
  632         (d) “Credentials collection and verification entity” or
  633  “CCVE” means an organization controlled by a statewide
  634  association of physicians of all specialties licensed pursuant
  635  to chapter 458 or chapter 459 which has been in existence since
  636  July 1, 2003, and was selected by the department to collect and
  637  store credentialing data, documents, and information.
  638         (e) “Drug Enforcement Administration certification” means
  639  certification issued by the Drug Enforcement Administration for
  640  purposes of administration or prescription of controlled
  641  substances. Submission of such certification under this section
  642  must include evidence that the certification is current and must
  643  also include all current addresses to which the certification is
  644  issued.
  645         (f) “Health care entity” means:
  646         1. A health care facility licensed pursuant to chapter 395;
  647         2. An entity licensed by the Department of Insurance as a
  648  prepaid health care plan, a health maintenance organization, or
  649  an insurer that provides coverage for health care services
  650  through a network of health care providers or similar
  651  organizations licensed under chapter 627, chapter 636, chapter
  652  641, or chapter 651; or
  653         3. An accredited medical school in the state.
  654         (g) “National accrediting organization” means an
  655  organization that awards accreditation or certification to
  656  hospitals, managed care organizations, CCVEs, or other health
  657  care entities, including, but not limited to, the Joint
  658  Commission, the American Osteopathic Association/Healthcare
  659  Facilities Accreditation Program, URAC, and the National
  660  Committee for Quality Assurance (NCQA).
  661         (h) “Physician” means a person licensed or, for
  662  credentialing purposes only, a person applying for licensure
  663  pursuant to chapter 458 or chapter 459.
  664         (i) “Primary source verification” means verification of
  665  professional qualifications based on evidence obtained directly
  666  from the issuing source of the applicable qualification, any
  667  other source deemed as a primary source for verification by the
  668  department, or an accrediting organization as defined in this
  669  subsection approved by the department.
  670         (j) “Professional training” means an internship, residency,
  671  or fellowship related to the profession for which the physician
  672  is licensed or seeking licensure.
  673         (k) “Specialty board certification” means certification in
  674  a specialty issued by a specialty board that is recognized by a
  675  board as defined in s. 456.001 and that regulates the profession
  676  for which the physician is licensed or seeking licensure.
  677         (3) The Standardized Credentials Collection and
  678  Verification Program is established and shall be administered by
  679  the department, as follows:
  680         (a) Each physician shall report all core credentials data
  681  to the CCVE and notify the CCVE within 45 days after any
  682  corrections, updates, or modifications are made to the core
  683  credentials data. Failure to report and update information as
  684  required under this paragraph constitutes a ground for
  685  disciplinary action under the respective licensing chapter and
  686  s. 456.072(1)(k). If a licensee or person applying for initial
  687  licensure fails to report and update information as required
  688  under this paragraph, the department or board, as appropriate,
  689  may:
  690         1. For a person applying for initial licensure, refuse to
  691  issue a license.
  692         2. For a licensee, issue a citation pursuant to s. 456.077
  693  and assess a fine, as determined by rule by the board or the
  694  department.
  695         (b) The department:
  696         1. By January 1, 2014, shall contract with one CCVE to
  697  collect and store credentialing data, documents, and
  698  information. The CCVE must be fully accredited or certified by a
  699  national accrediting organization. If a CCVE fails to maintain
  700  full accreditation or certification or to provide data
  701  authorized by a physician, the department may terminate the
  702  contract with the CCVE.
  703         2. Shall require the CCVE to maintain liability insurance
  704  sufficient to meet the certification or accreditation
  705  requirements established under this section.
  706         3. May designate by rule additional elements of the core
  707  credentials data required under this section.
  708         (c) The CCVE shall:
  709         1. Maintain a complete current file of applicable core
  710  credentials data on each physician.
  711         2. If authorized by the physician, release the core
  712  credentials data and any corrections, updates, and modifications
  713  to the data that are otherwise confidential or exempt from the
  714  provisions of s. 119.07(1) and s. 24(a), Art. I of the State
  715  Constitution to a health care entity.
  716         3. Develop standardized forms on which a physician may
  717  initially report and authorize the release of core credentials
  718  data and subsequently report corrections, updates, and
  719  modifications to that data.
  720         (d) A health care entity:
  721         1. Shall use the CCVE to obtain core credentials data,
  722  including corrections, updates, and modifications, on any
  723  physician being considered for or renewing membership in,
  724  privileges with, or participation in any plan or program with
  725  the health care entity.
  726         2. May not request core credentials data from the
  727  physician.
  728         (4) This section does not restrict the authority of a
  729  health care entity to credential, approve, or deny an
  730  application for hospital staff membership, clinical privileges,
  731  or participation in a managed care network.
  732         (5) A health care entity may rely upon any data that has
  733  been verified by the CCVE to meet the primary source
  734  verification requirements of a national accrediting
  735  organization.
  736         (6) The department shall adopt rules necessary to develop
  737  and implement the program established under this section.
  738         Section 23. Subsection (1) of section 627.645, Florida
  739  Statutes, is amended to read:
  740         627.645 Denial of health insurance claims restricted.—
  741         (1) A No claim for payment under a health insurance policy
  742  or self-insured program of health benefits for treatment, care,
  743  or services in a licensed hospital that which is accredited by
  744  the Joint Commission, the American Osteopathic
  745  Association/Healthcare Facilities Accreditation Program, a
  746  national accrediting organization that is approved by the
  747  Centers for Medicare and Medicaid Services and whose standards
  748  incorporate comparable licensure regulations required by the
  749  state, on the Accreditation of Hospitals, the American
  750  Osteopathic Association, or CARF International may not the
  751  Commission on the Accreditation of Rehabilitative Facilities
  752  shall be denied because such hospital lacks major surgical
  753  facilities and is primarily of a rehabilitative nature, if such
  754  rehabilitation is specifically for treatment of physical
  755  disability.
  756         Section 24. Paragraph (c) of subsection (2) of section
  757  627.668, Florida Statutes, is amended to read:
  758         627.668 Optional coverage for mental and nervous disorders
  759  required; exception.—
  760         (2) Under group policies or contracts, inpatient hospital
  761  benefits, partial hospitalization benefits, and outpatient
  762  benefits consisting of durational limits, dollar amounts,
  763  deductibles, and coinsurance factors shall not be less favorable
  764  than for physical illness generally, except that:
  765         (c) Partial hospitalization benefits shall be provided
  766  under the direction of a licensed physician. For purposes of
  767  this part, the term “partial hospitalization services” is
  768  defined as those services offered by a program that is
  769  accredited by the Joint Commission, the American Osteopathic
  770  Association/Healthcare Facilities Accreditation Program, or a
  771  national accrediting organization approved by the Centers for
  772  Medicare and Medicaid Services and whose standards incorporate
  773  comparable licensure regulations required by the state; on
  774  Accreditation of Hospitals (JCAH) or that is in compliance with
  775  equivalent standards. Alcohol rehabilitation programs accredited
  776  by the Joint Commission on Accreditation of Hospitals or
  777  approved by the state and licensed drug abuse rehabilitation
  778  programs shall also be qualified providers under this section.
  779  In a given any benefit year, if partial hospitalization services
  780  or a combination of inpatient and partial hospitalization are
  781  used utilized, the total benefits paid for all such services may
  782  shall not exceed the cost of 30 days after of inpatient
  783  hospitalization for psychiatric services, including physician
  784  fees, which prevail in the community in which the partial
  785  hospitalization services are rendered. If partial
  786  hospitalization services benefits are provided beyond the limits
  787  set forth in this paragraph, the durational limits, dollar
  788  amounts, and coinsurance factors thereof need not be the same as
  789  those applicable to physical illness generally.
  790         Section 25. Subsection (3) of section 627.669, Florida
  791  Statutes, is amended to read:
  792         627.669 Optional coverage required for substance abuse
  793  impaired persons; exception.—
  794         (3) The benefits provided under this section are shall be
  795  applicable only if treatment is provided by, or under the
  796  supervision of, or is prescribed by, a licensed physician or
  797  licensed psychologist and if services are provided in a program
  798  that is accredited by the Joint Commission, the American
  799  Osteopathic Association/Healthcare Facilities Accreditation
  800  Program, or a national accrediting organization that is approved
  801  by the Centers for Medicare and Medicaid Services and whose
  802  standards incorporate comparable licensure regulations required
  803  by the state on Accreditation of Hospitals or that is approved
  804  by the state.
  805         Section 26. Paragraph (a) of subsection (1) of section
  806  627.736, Florida Statutes, is amended to read:
  807         627.736 Required personal injury protection benefits;
  808  exclusions; priority; claims.—
  809         (1) REQUIRED BENEFITS.—An insurance policy complying with
  810  the security requirements of s. 627.733 must provide personal
  811  injury protection to the named insured, relatives residing in
  812  the same household, persons operating the insured motor vehicle,
  813  passengers in the motor vehicle, and other persons struck by the
  814  motor vehicle and suffering bodily injury while not an occupant
  815  of a self-propelled vehicle, subject to subsection (2) and
  816  paragraph (4)(e), to a limit of $10,000 in medical and
  817  disability benefits and $5,000 in death benefits resulting from
  818  bodily injury, sickness, disease, or death arising out of the
  819  ownership, maintenance, or use of a motor vehicle as follows:
  820         (a) Medical benefits.—Eighty percent of all reasonable
  821  expenses for medically necessary medical, surgical, X-ray,
  822  dental, and rehabilitative services, including prosthetic
  823  devices and medically necessary ambulance, hospital, and nursing
  824  services if the individual receives initial services and care
  825  pursuant to subparagraph 1. within 14 days after the motor
  826  vehicle accident. The medical benefits provide reimbursement
  827  only for:
  828         1. Initial services and care that are lawfully provided,
  829  supervised, ordered, or prescribed by a physician licensed under
  830  chapter 458 or chapter 459, a dentist licensed under chapter
  831  466, or a chiropractic physician licensed under chapter 460 or
  832  that are provided in a hospital or in a facility that owns, or
  833  is wholly owned by, a hospital. Initial services and care may
  834  also be provided by a person or entity licensed under part III
  835  of chapter 401 which provides emergency transportation and
  836  treatment.
  837         2. Upon referral by a provider described in subparagraph
  838  1., followup services and care consistent with the underlying
  839  medical diagnosis rendered pursuant to subparagraph 1. which may
  840  be provided, supervised, ordered, or prescribed only by a
  841  physician licensed under chapter 458 or chapter 459, a
  842  chiropractic physician licensed under chapter 460, a dentist
  843  licensed under chapter 466, or, to the extent permitted by
  844  applicable law and under the supervision of such physician,
  845  osteopathic physician, chiropractic physician, or dentist, by a
  846  physician assistant licensed under chapter 458 or chapter 459 or
  847  an advanced registered nurse practitioner licensed under chapter
  848  464. Followup services and care may also be provided by any of
  849  the following persons or entities:
  850         a. A hospital or ambulatory surgical center licensed under
  851  chapter 395.
  852         b. An entity wholly owned by one or more physicians
  853  licensed under chapter 458 or chapter 459, chiropractic
  854  physicians licensed under chapter 460, or dentists licensed
  855  under chapter 466 or by such practitioners and the spouse,
  856  parent, child, or sibling of such practitioners.
  857         c. An entity that owns or is wholly owned, directly or
  858  indirectly, by a hospital or hospitals.
  859         d. A physical therapist licensed under chapter 486, based
  860  upon a referral by a provider described in this subparagraph.
  861         e. A health care clinic licensed under part X of chapter
  862  400 which is accredited by the Joint Commission, the American
  863  Osteopathic Association/Healthcare Facilities Accreditation
  864  Program, a national accrediting organization that is approved by
  865  the Centers for Medicare and Medicaid Services and whose
  866  standards incorporate comparable licensure regulations required
  867  by the state, on Accreditation of Healthcare Organizations, the
  868  American Osteopathic Association, CARF International the
  869  Commission on Accreditation of Rehabilitation Facilities, or the
  870  Accreditation Association for Ambulatory Health Care, Inc., or
  871         (I) Has a medical director licensed under chapter 458,
  872  chapter 459, or chapter 460;
  873         (II) Has been continuously licensed for more than 3 years
  874  or is a publicly traded corporation that issues securities
  875  traded on an exchange registered with the United States
  876  Securities and Exchange Commission as a national securities
  877  exchange; and
  878         (III) Provides at least four of the following medical
  879  specialties:
  880         (A) General medicine.
  881         (B) Radiography.
  882         (C) Orthopedic medicine.
  883         (D) Physical medicine.
  884         (E) Physical therapy.
  885         (F) Physical rehabilitation.
  886         (G) Prescribing or dispensing outpatient prescription
  887  medication.
  888         (H) Laboratory services.
  889         3. Reimbursement for services and care provided in
  890  subparagraph 1. or subparagraph 2. up to $10,000 if a physician
  891  licensed under chapter 458 or chapter 459, a dentist licensed
  892  under chapter 466, a physician assistant licensed under chapter
  893  458 or chapter 459, or an advanced registered nurse practitioner
  894  licensed under chapter 464 has determined that the injured
  895  person had an emergency medical condition.
  896         4. Reimbursement for services and care provided in
  897  subparagraph 1. or subparagraph 2. is limited to $2,500 if a any
  898  provider listed in subparagraph 1. or subparagraph 2. determines
  899  that the injured person did not have an emergency medical
  900  condition.
  901         5. Medical benefits do not include massage as defined in s.
  902  480.033 or acupuncture as defined in s. 457.102, regardless of
  903  the person, entity, or licensee providing massage or
  904  acupuncture, and a licensed massage therapist or licensed
  905  acupuncturist may not be reimbursed for medical benefits under
  906  this section.
  907         6. The Financial Services Commission shall adopt by rule
  908  the form that must be used by an insurer and a health care
  909  provider specified in sub-subparagraph 2.b., sub-subparagraph
  910  2.c., or sub-subparagraph 2.e. to document that the health care
  911  provider meets the criteria of this paragraph. Such , which rule
  912  must include a requirement for a sworn statement or affidavit.
  913  
  914  Only insurers writing motor vehicle liability insurance in this
  915  state may provide the required benefits of this section, and
  916  such insurer may not require the purchase of any other motor
  917  vehicle coverage other than the purchase of property damage
  918  liability coverage as required by s. 627.7275 as a condition for
  919  providing such benefits. Insurers may not require that property
  920  damage liability insurance in an amount greater than $10,000 be
  921  purchased in conjunction with personal injury protection. Such
  922  insurers shall make benefits and required property damage
  923  liability insurance coverage available through normal marketing
  924  channels. An insurer writing motor vehicle liability insurance
  925  in this state who fails to comply with such availability
  926  requirement as a general business practice violates part IX of
  927  chapter 626, and such violation constitutes an unfair method of
  928  competition or an unfair or deceptive act or practice involving
  929  the business of insurance. An insurer committing such violation
  930  is subject to the penalties provided under that part, as well as
  931  those provided elsewhere in the insurance code.
  932         Section 27. Subsection (12) of section 641.495, Florida
  933  Statutes, is amended to read:
  934         641.495 Requirements for issuance and maintenance of
  935  certificate.—
  936         (12) The provisions of part I of chapter 395 do not apply
  937  to a health maintenance organization that, on or before January
  938  1, 1991, provides not more than 10 outpatient holding beds for
  939  short-term and hospice-type patients in an ambulatory care
  940  facility for its members, provided that such health maintenance
  941  organization maintains current accreditation by the Joint
  942  Commission on Accreditation of Health Care Organizations, , a
  943  national accrediting organization that is approved by the
  944  Centers for Medicare and Medicaid Services and whose standards
  945  incorporate comparable licensure regulations required by the
  946  state, the Accreditation Association for Ambulatory Health Care,
  947  Inc., or the National Committee for Quality Assurance.
  948         Section 28. Subsection (2) of section 766.1015, Florida
  949  Statutes, is amended to read:
  950         766.1015 Civil immunity for members of or consultants to
  951  certain boards, committees, or other entities.—
  952         (2) Such committee, board, group, commission, or other
  953  entity must be established in accordance with state law, or in
  954  accordance with requirements of the Joint Commission, the
  955  American Osteopathic Association/Healthcare Facilities
  956  Accreditation Program, or a national accrediting organization
  957  that is approved by the Centers for Medicare and Medicaid
  958  Services and whose standards incorporate comparable licensure
  959  regulations required by the state on Accreditation of Healthcare
  960  Organizations, established and duly constituted by one or more
  961  public or licensed private hospitals or behavioral health
  962  agencies, or established by a governmental agency. To be
  963  protected by this section, the act, decision, omission, or
  964  utterance may not be made or done in bad faith or with malicious
  965  intent.
  966         Section 29. This act shall take effect July 1, 2013.
  967  
  968  ================= T I T L E  A M E N D M E N T ================
  969         And the title is amended as follows:
  970         Delete everything before the enacting clause
  971  and insert:
  972                        A bill to be entitled                      
  973         An act relating to health care; amending s. 112.0455,
  974         F.S.; deleting a monthly reporting requirement for
  975         laboratories; amending s. 154.11, F.S.; revising
  976         references to certain accrediting organizations to
  977         conform to changes made by the act; creating s.
  978         385.2035, F.S.; designating the Florida Hospital
  979         Sanford-Burnham Translational Research Institute for
  980         Metabolism and Diabetes as a resource for diabetes
  981         research in this state; amending s. 394.741, F.S.;
  982         revising references to certain accrediting
  983         organizations to conform to changes made by the act;
  984         amending s. 395.0161, F.S.; deleting a requirement
  985         that hospitals pay certain inspection fees at the time
  986         of the inspection; repealing s. 395.1046, F.S.,
  987         relating to the investigation by the Agency for Health
  988         Care Administration of certain complaints against
  989         hospitals; amending s. 395.3038, F.S.; deleting an
  990         obsolete provision relating to stroke centers;
  991         revising references to certain accrediting
  992         organizations to conform; amending s. 395.701, F.S.;
  993         revising the definition of the term “hospital” for
  994         purposes of annual assessments on net operating
  995         revenues for inpatient and outpatient services to fund
  996         public medical assistance; repealing s. 395.7015,
  997         F.S., relating to annual assessments on health care
  998         entities; amending s. 397.7016, F.S.; revising a
  999         cross-reference to conform to changes made by the act;
 1000         amending ss. 397.403, 400.925, 400.9935, and 402.7306,
 1001         F.S.; revising references to certain accrediting
 1002         organizations to conform to changes made by the act;
 1003         amending s. 408.061, F.S.; exempting hospitals
 1004         operated by state agencies from certain annual fiscal
 1005         experience reporting requirements; amending s. 408.20,
 1006         F.S.; exempting hospitals operated by state agencies
 1007         from certain assessments; amending ss. 409.966,
 1008         409.967, and 430.80, F.S.; revising references to
 1009         certain accrediting organizations to conform to
 1010         changes made by the act; amending s. 440.102, F.S.;
 1011         revising certain drug-testing standards for
 1012         laboratories; deleting a requirement that a laboratory
 1013         must comply with certain criteria to conduct an
 1014         initial analysis of test specimens; deleting a monthly
 1015         reporting requirement for laboratories; amending s.
 1016         440.13, F.S.; revising references to certain
 1017         accrediting organizations to conform to changes made
 1018         by the act; creating s. 456.0125, F.S.; providing
 1019         legislative intent; providing definitions; creating
 1020         the Standardized Credentials Collection and
 1021         Verification Program for physicians; providing
 1022         procedures and requirements with respect to the
 1023         program; authorizing the Department of Health to adopt
 1024         rules to develop and implement the program; amending
 1025         ss. 627.645, 627.668, 627.669, 627.736, 641.495, and
 1026         766.1015, F.S.; revising references to certain
 1027         accrediting organizations to conform to changes made
 1028         by the act; providing an effective date.