Senate Bill 2182

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    Florida Senate - 1998                                  SB 2182

    By Senator Cowin





    11-1349A-98

  1                      A bill to be entitled

  2         An act relating to health care; amending s.

  3         455.654, F.S., the "Patient Self-Referral Act

  4         of 1992"; redesignating the section as the

  5         "Patient Self-Referral Act"; redefining the

  6         term "referral"; providing an effective date.

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

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10         Section 1.  Subsection (1) and paragraph (k) of

11  subsection (3) of section 455.654, Florida Statutes, are

12  amended to read:

13         455.654  Financial arrangements between referring

14  health care providers and providers of health care services.--

15         (1)  SHORT TITLE.--This section may be cited as the

16  "Patient Self-Referral Act of 1992."

17         (3)  DEFINITIONS.--For the purpose of this section, the

18  word, phrase, or term:

19         (k)  "Referral" means any referral of a patient by a

20  health care provider for health care services, including,

21  without limitation:

22         1.  The forwarding of a patient by a health care

23  provider to another health care provider or to an entity which

24  provides or supplies designated health services or any other

25  health care item or service; or

26         2.  The request or establishment of a plan of care by a

27  health care provider, which includes the provision of

28  designated health services or other health care item or

29  service.

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    Florida Senate - 1998                                  SB 2182
    11-1349A-98




  1         3.  Except for the purposes of s. 455.661, the

  2  following orders, recommendations, or plans of care shall not

  3  constitute a referral by a health care provider:

  4         a.  By a radiologist for diagnostic-imaging services.

  5         b.  By a physician specializing in the provision of

  6  radiation therapy services for such services.

  7         c.  By a medical oncologist for drugs and solutions to

  8  be prepared and administered intravenously to such

  9  oncologist's patient, as well as for the supplies and

10  equipment used in connection therewith to treat such patient

11  for cancer and the complications thereof.

12         d.  By a cardiologist for cardiac catheterization

13  services.

14         e.  By a pathologist for diagnostic clinical laboratory

15  tests and pathological examination services, if furnished by

16  or under the supervision of such pathologist pursuant to a

17  consultation requested by another physician.

18         f.  By a health care provider who is the sole provider

19  or member of a group practice for designated health services

20  or other health care items or services that are prescribed or

21  provided solely for not less than 50 percent of such referring

22  health care provider's or group practice's own patients, and

23  that are provided or performed by or under the direct

24  supervision of such referring health care provider or group

25  practice.

26         g.  By a health care provider for services provided by

27  an ambulatory surgical center licensed under chapter 395.

28         h.  By a health care provider for diagnostic clinical

29  laboratory services where such services are directly related

30  to renal dialysis.

31         i.  By a urologist for lithotripsy services.

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    Florida Senate - 1998                                  SB 2182
    11-1349A-98




  1         j.  By a dentist for dental services performed by an

  2  employee of or health care provider who is an independent

  3  contractor with the dentist or group practice of which the

  4  dentist is a member.

  5         k.  By a physician for infusion therapy services to a

  6  patient of that physician or a member of that physician's

  7  group practice.

  8         l.  By a nephrologist for renal dialysis services and

  9  supplies.

10         Section 2.  This act shall take effect October 1, 1998.

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13                          SENATE SUMMARY

14    Revises the definition of the term "referral," as used in
      the "Patient Self-Referral Act."
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