House Bill 1519e3

CODING: Words stricken are deletions; words underlined are additions.







                                          HB 1519, Third Engrossed



  1                      A bill to be entitled

  2         An act relating to rural hospitals; amending

  3         ss. 395.602 and 408.07, F.S.; revising the

  4         definition of "rural hospital" to increase the

  5         allowable number of licensed beds; amending s.

  6         409.9116, F.S.; providing that rural hospitals

  7         designated after July 1, 1998, shall not be

  8         included in the rural hospital disproportionate

  9         share of financial assistance programs unless

10         additional appropriations are provided;

11         providing an effective date.

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13  Be It Enacted by the Legislature of the State of Florida:

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15         Section 1.  Paragraph (e) of subsection (2) of section

16  395.602, Florida Statutes, is amended to read:

17         395.602  Rural hospitals.--

18         (2)  DEFINITIONS.--As used in this part:

19         (e)  "Rural hospital" means an acute care hospital

20  licensed under this chapter, with 100 85 licensed beds or

21  less, which has an emergency room and is located in an area

22  defined as rural by the United States Census, and which is:

23         1.  The sole provider within a county with a population

24  density of no greater than 100 persons per square mile; or

25         2.  An acute care hospital, in a county with a

26  population density of no greater than 100 persons per square

27  mile, which is at least 30 minutes of travel time, on normally

28  traveled roads under normal traffic conditions, from any other

29  acute care hospital within the same county; or

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                                          HB 1519, Third Engrossed



  1         3.  A hospital supported by a tax district or

  2  subdistrict whose boundaries encompass a population of 100

  3  persons or less per square mile.

  4         Section 2.  Subsection (47) of section 408.07, Florida

  5  Statutes, is amended to read:

  6         408.07  Definitions.--As used in this chapter, with the

  7  exception of ss. 408.031-408.045, the term:

  8         (47)  "Rural hospital" means an acute care hospital

  9  licensed under chapter 395, with 100 85 licensed beds or

10  fewer, which has an emergency room and is located in an area

11  defined as rural by the United States Census, and which is:

12         (a)  The sole provider within a county with a

13  population density of no greater than 100 persons per square

14  mile;

15         (b)  An acute care hospital, in a county with a

16  population density of no greater than 100 persons per square

17  mile, which is at least 30 minutes of travel time, on normally

18  traveled roads under normal traffic conditions, from another

19  acute care hospital within the same county; or

20         (c)  A hospital supported by a tax district or

21  subdistrict whose boundaries encompass a population of 100

22  persons or less per square mile.

23         Section 3.  Subsection (7) is added to section

24  409.9116, Florida Statutes, to read:

25         409.9116 Disproportionate share/financial assistance

26  program for rural hospitals.--In addition to the payments made

27  under s. 409.911, the Agency for Health Care Administration

28  shall administer a federally matched disproportionate share

29  program and a state-funded financial assistance program for

30  statutory rural hospitals.  The agency shall make

31  disproportionate share payments to statutory rural hospitals


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                                          HB 1519, Third Engrossed



  1  that qualify for such payments and financial assistance

  2  payments to statutory rural hospitals that do not qualify for

  3  disproportionate share payments.  The disproportionate share

  4  program payments shall be limited by and conform with federal

  5  requirements.  In fiscal year 1993-1994, available funds shall

  6  be distributed in one payment, as soon as practicable after

  7  the effective date of this act.  In subsequent fiscal years,

  8  funds shall be distributed quarterly in each fiscal year for

  9  which an appropriation is made.  Notwithstanding the

10  provisions of s. 409.915, counties are exempt from

11  contributing toward the cost of this special reimbursement for

12  hospitals serving a disproportionate share of low-income

13  patients.

14         (7)  This section only applies to hospitals that were

15  defined as statutory rural hospitals, or their successor in

16  interest hospitals, prior to July 1, 1998, unless additional

17  funds are provided for such hospitals by the General

18  Appropriations Act.

19         Section 4.  This act shall take effect July 1 of the

20  year in which enacted.

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