Florida Senate - 2013                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 966
                                Barcode 495738                          
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       Senators Latvala, Joyner, and Bean moved the following:
    1         Senate Amendment (with title amendment)
    3         Delete lines 818 - 1073
    4  and insert:
    5         Section 13. Subsection (14) of section 395.4025, Florida
    6  Statutes, is amended, and subsections (15) through (17) are
    7  added to that section, to read:
    8         395.4025 Trauma centers; selection; quality assurance;
    9  records.—
   10         (14) A trauma center that is designated as a Level I, Level
   11  II, or pediatric trauma center on or before April 25, 2013,
   12  shall retain such designation unless the department determines
   13  that the trauma center is no longer able to comply with the
   14  adopted standards for such centers. A trauma center
   15  provisionally approved as a Level II trauma center on or before
   16  April 25, 2013, may complete the application process through
   17  verification by the department as a Level II trauma center
   18  Notwithstanding any other provisions of this section and rules
   19  adopted pursuant to this section, until the department has
   20  conducted the review provided under s. 395.402, only hospitals
   21  located in trauma services areas where there is no existing
   22  trauma center may apply.
   23         (15) The department may not designate a Level I trauma
   24  center or Level II trauma center within 8 miles of an existing
   25  Level I trauma center. After April 25, 2013, the department may
   26  not designate a new Level I trauma center or Level II trauma
   27  center in a county that has an existing Level I trauma center or
   28  within 75 miles of an existing Level I trauma center. However,
   29  an existing Level I trauma center may request the Level II
   30  trauma center designation of, and the department shall so
   31  designate, another hospital or hospitals within 75 miles of the
   32  requesting Level I trauma center if the hospital or hospitals:
   33         (a) Share a license number and license certificate number
   34  with the requesting Level I trauma center; or
   35         (b) Demonstrate a formal trauma affiliation agreement with
   36  the requesting Level I trauma center which complies with
   37  statutory requirements to maintain an inclusive trauma system
   38  and addresses all of the following:
   39         1. The acceptance of all medically necessary transfers.
   40         2. The clinical protocols and other clinical arrangements
   41  appropriate for continuity of care and high-quality care.
   42         (16) Notwithstanding part II of chapter 395, the department
   43  may designate a hospital as a Level II trauma center if the
   44  hospital is located:
   45         (a) In a trauma service area that has a population of more
   46  than 600,000 persons;
   47         (b) In a county that has a population density of fewer than
   48  200 persons per square mile and a population of more than
   49  180,000 persons;
   50         (c) In a county that does not have a designated or
   51  provisional trauma center; and
   52         (d) At least 35 miles by ground transport from the nearest
   53  trauma center.
   54         (17) The department shall submit to the President of the
   55  Senate and the Speaker of the House of Representatives on or
   56  before September 1, 2013, the following items:
   57         (a) A report of the results of its external review of this
   58  state’s trauma system conducted by the American College of
   59  Surgeons.
   60         (b) A proposed comprehensive legislative rewrite, if deemed
   61  necessary, as a result of the external review, of part II of
   62  chapter 395, with such detailed statutory language as to no
   63  longer necessitate the need to have rules governing the
   64  provision of trauma care.
   66  ================= T I T L E  A M E N D M E N T ================
   67         And the title is amended as follows:
   68         Delete lines 59 - 82
   69  and insert:
   70         organizations to conform; amending s. 395.4025, F.S.;
   71         retaining trauma center designations for centers
   72         designated or provisionally approved by a specified
   73         date; prohibiting the Department of Health from
   74         designating certain trauma centers as Level I or Level
   75         II; providing an exception under certain
   76         circumstances; authorizing the department to designate
   77         a hospital as a Level II trauma center under certain
   78         circumstances; requiring the department to submit a
   79         report and proposed legislation to the Legislature by
   80         a specified date; amending s. 395.701, F.S.; revising
   81         the