Senate Bill 1940

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    Florida Senate - 1998                                  SB 1940

    By Senator Myers





    27-1671-98

  1                      A bill to be entitled

  2         An act relating to health care practitioners;

  3         requiring the Department of Health to develop

  4         guidelines for development of a standardized

  5         system for collecting and verifying core

  6         credentials of health care practitioners

  7         through certified credentials-verification

  8         entities; providing definitions; providing for

  9         a Credentials Verification Advisory Committee

10         to the department; requiring applicants for

11         licensure under ch. 458, ch. 459, ch. 460, or

12         ch. 461, F.S., to collect and submit initial

13         core-credentials data to a certified

14         credentials-verification entity; authorizing

15         certain health care entities to use a certified

16         credentials-verification entity to obtain

17         core-credentials data on health care

18         practitioners applying for privileges with the

19         entity; requiring the department to make

20         core-credentials data it collects on any

21         licensee available to a

22         credentials-verification entity; requiring the

23         department's procedures to meet national

24         standards; providing that credentialing

25         information furnished by the department must be

26         used solely for credentialing and

27         recredentialing; authorizing the department to

28         charge a reasonable fee; providing that health

29         care practitioners must have an opportunity to

30         review the core-credentials data; requiring the

31         secretary of the department to appoint a task

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    Florida Senate - 1998                                  SB 1940
    27-1671-98




  1         force to develop procedures for site visits;

  2         prohibiting health care practitioners from

  3         collecting duplicate core-credentials data from

  4         individual health care practitioners or from

  5         originating sources; providing rulemaking

  6         authority to the department; providing an

  7         effective date.

  8

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

10

11         Section 1.  Standardized system of verifying

12  credentials.--

13         (1)  As used in this section, the term:

14         (a)  "Certification" means a quality assessment program

15  from the National Committee for Quality Assurance, the Joint

16  Commission on Accreditation of Healthcare Organizations, and

17  other national accreditation organizations used to assess and

18  certify credentials-verification organizations and other

19  entities that verify the credentials of health care entities.

20         (b)  "Core credentials" means education, training,

21  continuing education, references, licensure,

22  drug-enforcement-administration certification, personal

23  identification number, board certification,

24  Education-Commission-for-Foreign-Medical-Graduate information,

25  hospital affiliations, managed-care-organization affiliations,

26  other institutional affiliations, professional-society

27  memberships, professional liability insurance, claims, suits,

28  Medicare and Medicaid sanctions, civil and criminal law

29  violations, practitioner-profiling data, special conditions of

30  impairment, and regulatory exemptions not previously reported

31  to the department in accordance with section 455.565, Florida

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    Florida Senate - 1998                                  SB 1940
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  1  Statutes, and the initial-licensure reporting requirements

  2  specified in the applicable practice act.

  3         (c)  "Credentialing" means the process of assessing and

  4  validating the qualifications of a licensed independent health

  5  care practitioner to provide patient care services in a health

  6  care facility or for any other health care entity.

  7         (d)  "Credentials-verification entity" means any

  8  program, entity, or organization that is organized and

  9  certified for the expressed purpose of collecting, verifying,

10  maintaining, and providing, as authorized by the health care

11  practitioner in accordance with the provisions of this

12  section, his or her core credentials to health care entities.

13         (e)  "Department" means the Department of Health.

14         (f)  "Health care entity" means any health care

15  facility or managed care organization licensed or certified to

16  provide approved medical and allied health services in this

17  state.

18         (g)  "Health care practitioner" means any person

19  licensed under chapter 458, chapter 459, chapter 460, or

20  chapter 461, Florida Statutes.

21         (h)  "Primary-source verification" means verification

22  of professional qualifications based on evidence obtained

23  directly from the issuing source of the qualification.

24         (i)  "National accrediting organization" means an

25  organization that awards accreditation to hospitals, managed

26  care organizations, or other health care organizations,

27  including the Joint Commission on the Accreditation of Health

28  Care Organizations and the National Committee for Quality

29  Assurance.

30         (j)  "Recredentialing" means the process by which a

31  credentials-verification entity verifies the credentials of a

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    Florida Senate - 1998                                  SB 1940
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  1  health care practitioner whose core credentials are currently

  2  on file with the entity.

  3         (k)  "Secondary-source verification" means confirmation

  4  of a professional qualification by means other than

  5  primary-source verification, as outlined by national

  6  accrediting organizations.

  7         (2)(a)  In accordance with the provisions of this

  8  section, the department shall develop guidelines for

  9  development of a standardized system for collecting and

10  verifying core credentials of health care practitioners

11  through certified credentials-verification entities to

12  eliminate duplication. Once the core credentials are

13  collected, the health care practitioner is not required to

14  resubmit the initial data when applying for practice

15  privileges with health care entities.

16         (b)  The department shall appoint a nine-member

17  Credentials-Verification Advisory Committee to assist with

18  development of guidelines for development of the

19  credentials-verification program.

20         (c)  The department, in consultation with the

21  Credentials-Verification Advisory Committee, shall develop a

22  standard from for the reporting of core-credentials data for

23  credentialing and recredentialing.

24         (d)  Individuals applying for licensure under chapter

25  458, chapter 459, chapter 460, or chapter 461, Florida

26  Statutes, are required to collect and submit initial

27  core-credentials data to a certified credentials-verification

28  entity. Applicants may decide which credentials-verification

29  entity they want to process and store their core-credentials

30  data.

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    Florida Senate - 1998                                  SB 1940
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  1         (3)  Health care entities that employ, contract with,

  2  or allow health care practitioners to treat their patients may

  3  use a certified credentials-verification entity to obtain

  4  core-credentials data on health care practitioners applying

  5  for privileges with their entity. Additional information

  6  required by the entity's credentialing process may be

  7  collected by the health care entity.

  8         (4)  Health care entities may contract with other

  9  entities to perform the functions required under subsection

10  (2).

11         (5)(a)  The department shall make any core-credentials

12  data it collects on any licensee available to a

13  credentials-verification entity on a one-time basis, provided

14  the licensee authorizes the release of the information.

15         (b)  Credentialing information furnished by the

16  department must be used solely for credentialing and

17  recredentialing.

18         (c)  The department may charge credentials-verification

19  entities a reasonable fee for accessing the core-credentials

20  data it maintains on applicants and licensees. The fee must be

21  set in consultation with the advisory committee and must not

22  exceed the actual cost of providing the data.

23         (6)  The credentials-verification entity may rely upon

24  core-credentials data from the department if the department

25  certifies that the information was obtained in accordance with

26  its primary-source verification procedures.

27         (7)  The department's credentials-verification

28  procedures must meet national standards, as outlined by

29  national accrediting organizations.

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    Florida Senate - 1998                                  SB 1940
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  1         (8)  Credentials-verification entities that do business

  2  in this state shall meet national standards, as outlined by

  3  national accrediting organizations.

  4         (9)  Health care entities shall be held harmless and

  5  shall not be liable if they rely on data obtained from a

  6  certified credentials-verification entity.

  7         (10)  Health care practitioners must have an

  8  opportunity to review the core-credentials data before it is

  9  stored in the data bank of a credentials-verification entity.

10         (11)  The secretary of the department shall appoint a

11  task force to develop procedures to expand the standardized

12  credentials-verification program to include site visits.

13         (12)  Health care entities may not attempt to collect

14  duplicate core-credentials data from individual health care

15  practitioners or from originating sources.

16         (13)  The department shall adopt rules necessary to

17  develop and implement a standardized credentials-verification

18  program.

19         Section 2.  This act shall take effect July 1, 1999.

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21            *****************************************

22                          SENATE SUMMARY

23    Requires the Department of Health to develop guidelines
      for development of a standardized system for collecting
24    and verifying core credentials of health care
      practitioners through certified credentials-verification
25    entities. Provides procedures, guidelines, standards, and
      rulemaking authority. Authorizes a fee. (See bill for
26    details.)

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