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





                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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10                                                                

11  Senator Myers moved the following amendment:

12

13         Senate Amendment (with title amendment) 

14         On page 14, between lines 28 and 29,

15

16  insert:

17         Section 9.  Paragraph (g) of subsection (5) of section

18  458.320, Florida Statutes, is amended to read:

19         458.320  Financial responsibility.--

20         (5)  The requirements of subsections (1), (2), and (3)

21  shall not apply to:

22         (g)  Any person holding an active license under this

23  chapter who agrees to meet all of the following criteria:

24         1.  Upon the entry of an adverse final judgment arising

25  from a medical malpractice arbitration award, from a claim of

26  medical malpractice either in contract or tort, or from

27  noncompliance with the terms of a settlement agreement arising

28  from a claim of medical malpractice either in contract or

29  tort, the licensee shall pay the judgment creditor the lesser

30  of the entire amount of the judgment with all accrued interest

31  or either $100,000, if the physician is licensed pursuant to

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  this chapter but does not maintain hospital staff privileges,

 2  or $250,000, if the physician is licensed pursuant to this

 3  chapter and maintains hospital staff privileges, within 60

 4  days after the date such judgment became final and subject to

 5  execution, unless otherwise mutually agreed to in writing by

 6  the parties.  Such adverse final judgment shall include any

 7  cross-claim, counterclaim, or claim for indemnity or

 8  contribution arising from the claim of medical malpractice.

 9  Upon notification of the existence of an unsatisfied judgment

10  or payment pursuant to this subparagraph, the department shall

11  notify the licensee by certified mail that he or she shall be

12  subject to disciplinary action unless, within 30 days from the

13  date of mailing, he or she either:

14         a.  Shows proof that the unsatisfied judgment has been

15  paid in the amount specified in this subparagraph; or

16         b.  Furnishes the department with a copy of a timely

17  filed notice of appeal and either:

18         (I)  A copy of a supersedeas bond properly posted in

19  the amount required by law; or

20         (II)  An order from a court of competent jurisdiction

21  staying execution on the final judgment pending disposition of

22  the appeal.

23         2.  The Department of Health shall issue an emergency

24  order suspending the license of any licensee who, after 30

25  days following receipt of a notice from the Department of

26  Health, has failed to: satisfy a medical malpractice claim

27  against him or her; furnish the Department of Health a copy of

28  a timely filed notice of appeal; furnish the Department of

29  Health a copy of a supersedeas bond properly posted in the

30  amount required by law; or furnish the Department of Health an

31  order from a court of competent jurisdiction staying execution

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  on the final judgment pending disposition of the appeal.

 2         3.  Upon the next meeting of the probable cause panel

 3  of the board following 30 days after the date of mailing the

 4  notice of disciplinary action to the licensee, the panel shall

 5  make a determination of whether probable cause exists to take

 6  disciplinary action against the licensee pursuant to

 7  subparagraph 1.

 8         4.  If the board determines that the factual

 9  requirements of subparagraph 1. are met, it shall take

10  disciplinary action as it deems appropriate against the

11  licensee. Such disciplinary action shall include, at a

12  minimum, probation of the license with the restriction that

13  the licensee must make payments to the judgment creditor on a

14  schedule determined by the board to be reasonable and within

15  the financial capability of the physician. Notwithstanding any

16  other disciplinary penalty imposed, the disciplinary penalty

17  may include suspension of the license for a period not to

18  exceed 5 years.  In the event that an agreement to satisfy a

19  judgment has been met, the board shall remove any restriction

20  on the license.

21         5.  The licensee has completed a form supplying

22  necessary information as required by the department.

23

24  A licensee who meets the requirements of this paragraph shall

25  be required either to post notice in the form of a sign

26  prominently displayed in the reception area and clearly

27  noticeable by all patients or to and provide a written

28  statement to any person to whom medical services are being

29  provided.  A copy of the written statement shall be given to

30  each patient to sign, acknowledging receipt thereof, and the

31  signed copy shall be maintained in the patient's file.  If the

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  patient refuses to sign or is unable to sign the written

 2  statement, the licensee shall so note it on the form.  Such

 3  sign or and statement shall state: "Under Florida law,

 4  physicians are generally required to carry medical malpractice

 5  insurance or otherwise demonstrate financial responsibility to

 6  cover potential claims for medical malpractice.  YOUR DOCTOR

 7  HAS DECIDED NOT TO CARRY MEDICAL MALPRACTICE INSURANCE.  This

 8  is permitted under Florida law subject to certain conditions.

 9  Florida law imposes penalties against noninsured physicians

10  who fail to satisfy adverse judgments arising from claims of

11  medical malpractice.  This notice is provided pursuant to

12  Florida law."

13         Section 10.  Paragraph (g) of section (5) of section

14  459.0085, Florida Statutes, is amended to read:

15         459.0085  Financial responsibility.--

16         (5)  The requirements of subsections (1), (2), and (3)

17  shall not apply to:

18         (g)  Any person holding an active license under this

19  chapter who agrees to meet all of the following criteria:

20         1.  Upon the entry of an adverse final judgment arising

21  from a medical malpractice arbitration award, from a claim of

22  medical malpractice either in contract or tort, or from

23  noncompliance with the terms of a settlement agreement arising

24  from a claim of medical malpractice either in contract or

25  tort, the licensee shall pay the judgment creditor the lesser

26  of the entire amount of the judgment with all accrued interest

27  or either $100,000, if the osteopathic physician is licensed

28  pursuant to this chapter but does not maintain hospital staff

29  privileges, or $250,000, if the osteopathic physician is

30  licensed pursuant to this chapter and maintains hospital staff

31  privileges, within 60 days after the date such judgment became

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    10:07 AM   04/20/98                             s2128c1c-27c7b




                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  final and subject to execution, unless otherwise mutually

 2  agreed to in writing by the parties. Such adverse final

 3  judgment shall include any cross-claim, counterclaim, or claim

 4  for indemnity or contribution arising from the claim of

 5  medical malpractice. Upon notification of the existence of an

 6  unsatisfied judgment or payment pursuant to this subparagraph,

 7  the department shall notify the licensee by certified mail

 8  that he or she shall be subject to disciplinary action unless,

 9  within 30 days from the date of mailing, the licensee either:

10         a.  Shows proof that the unsatisfied judgment has been

11  paid in the amount specified in this subparagraph; or

12         b.  Furnishes the department with a copy of a timely

13  filed notice of appeal and either:

14         (I)  A copy of a supersedeas bond properly posted in

15  the amount required by law; or

16         (II)  An order from a court of competent jurisdiction

17  staying execution on the final judgment, pending disposition

18  of the appeal.

19         2.  The Department of Health shall issue an emergency

20  order suspending the license of any licensee who, after 30

21  days following receipt of a notice from the Department of

22  Health, has failed to: satisfy a medical malpractice claim

23  against him or her; furnish the Department of Health a copy of

24  a timely filed notice of appeal; furnish the Department of

25  Health a copy of a supersedeas bond properly posted in the

26  amount required by law; or furnish the Department of Health an

27  order from a court of competent jurisdiction staying execution

28  on the final judgment pending disposition of the appeal.

29         3.  Upon the next meeting of the probable cause panel

30  of the board following 30 days after the date of mailing the

31  notice of disciplinary action to the licensee, the panel shall

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    10:07 AM   04/20/98                             s2128c1c-27c7b




                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  make a determination of whether probable cause exists to take

 2  disciplinary action against the licensee pursuant to

 3  subparagraph 1.

 4         4.  If the board determines that the factual

 5  requirements of subparagraph 1. are met, it shall take

 6  disciplinary action as it deems appropriate against the

 7  licensee. Such disciplinary action shall include, at a

 8  minimum, probation of the license with the restriction that

 9  the licensee must make payments to the judgment creditor on a

10  schedule determined by the board to be reasonable and within

11  the financial capability of the osteopathic physician.

12  Notwithstanding any other disciplinary penalty imposed, the

13  disciplinary penalty may include suspension of the license for

14  a period not to exceed 5 years.  In the event that an

15  agreement to satisfy a judgment has been met, the board shall

16  remove any restriction on the license.

17         5.  The licensee has completed a form supplying

18  necessary information as required by the department.

19

20  A licensee who meets the requirements of this paragraph shall

21  be required either to post notice in the form of a sign

22  prominently displayed in the reception area and clearly

23  noticeable by all patients or to and provide a written

24  statement to any person to whom medical services are being

25  provided.  A copy of the written statement shall be given to

26  each patient to sign, acknowledging receipt thereof, and the

27  signed copy shall be maintained in the patient's file.  If the

28  patient refuses to sign or is unable to sign the written

29  statement, the licensee shall so note it on the form.  Such

30  sign or and statement shall state: "Under Florida law,

31  osteopathic physicians are generally required to carry medical

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    10:07 AM   04/20/98                             s2128c1c-27c7b




                                                  SENATE AMENDMENT

    Bill No. CS for SB 2128

    Amendment No.    





 1  malpractice insurance or otherwise demonstrate financial

 2  responsibility to cover potential claims for medical

 3  malpractice. YOUR OSTEOPATHIC PHYSICIAN HAS DECIDED NOT TO

 4  CARRY MEDICAL MALPRACTICE INSURANCE. This is permitted under

 5  Florida law subject to certain conditions.  Florida law

 6  imposes strict penalties against noninsured osteopathic

 7  physicians who fail to satisfy adverse judgments arising from

 8  claims of medical malpractice. This notice is provided

 9  pursuant to Florida law."

10

11  (Redesignate subsequent sections.)

12

13

14  ================ T I T L E   A M E N D M E N T ===============

15  And the title is amended as follows:

16         On page 1, line 24, after the semicolon

17

18  insert:

19         amending ss. 458.320 and 459.0085, F.S.;

20         revising notice requirements of financial

21         responsibility for physicians and osteopathic

22         physicians;

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