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



                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    

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11  Senator Bankhead moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 0, delete everything after the enacting clause

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16  and insert:

17         Section 1.  (1)(a)  There is created the Task Force on

18  Health Care Organization in Volusia County.

19         (b)  The task force shall study the tax revenues

20  generated from health care services provided within Volusia

21  County and the county's health care resources and determine if

22  the health care needs of the residents of the county are being

23  met in the most efficient manner possible. The task force

24  shall review how initiatives have been organized for funding

25  health care services within other counties, including, but not

26  limited to, the special health care taxing district in Palm

27  Beach County and the sales tax initiative for funding health

28  care for indigents in Hillsborough County. The task force

29  shall also evaluate whether it is appropriate for a single

30  governmental entity to be responsible for purchasing health

31  care services as well as delivering health care services.

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                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    





  1         (c)  The task force shall conduct a thorough review of

  2  all publicly funded health care services provided in Volusia

  3  County and recommend the most efficient system of

  4  administering a health care system and the most efficient

  5  method of providing health care services. The task force

  6  shall:

  7         1.  Review how various areas in the state provide

  8  health care, including areas that do not have a dedicated

  9  source of tax revenues. The review must compare the per-capita

10  cost of health care services delivered in areas that have a

11  dedicated source of tax revenues with the per-capita cost of

12  health care services delivered in areas that do not have a

13  dedicated source of tax revenues, and must identify the

14  strengths and weaknesses of each method of funding.

15         2.  Determine whether there is a need to provide public

16  funds for health care services in Volusia County.

17         3.  Recommend the extent to which a publicly funded

18  health care delivery system is needed, the level of tax

19  support needed, and a system of administration and service

20  delivery, if the task force determines that a publicly funded

21  health care delivery system is necessary for Volusia County.

22         4.  Recommend how the existing publicly funded health

23  care delivery system should be modified to complement the

24  existing private-sector health care delivery system, if the

25  task force determines that a publicly funded health care

26  delivery system is not necessary in Volusia County.

27         (2)  The task force shall be composed of 17 members,

28  who shall serve until the task force expires by operation of

29  law, and who shall be appointed as follows:

30         (a)  One member appointed by the Florida League of

31  Health Systems.

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                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    





  1         (b)  One member appointed by the Florida Hospital

  2  Association.

  3         (c)  One member appointed by the Association of

  4  Community Hospitals and Health Systems of Florida.

  5         (d)  One member appointed by the Tax Cap Committee.

  6         (e)  One member appointed by Florida TaxWatch.

  7         (f)  Nine members, each appointed by a single member of

  8  the Volusia County Legislative Delegation.

  9         (g)  One member of the Volusia County Council,

10  appointed by the chairperson of the council.

11         (h)  One member appointed by the President of the

12  Senate.

13         (i)  One member appointed by the Speaker of the House

14  of Representatives.

15         (3)  Failure to appoint a member to the task force does

16  not invalidate the task force. The first meeting of the task

17  force must be held within 45 days after this act becomes a

18  law.

19         (4)(a)  The operation and activities of the task force

20  shall be funded by a proportionate assessment on each hospital

21  taxing district. A total of not more than $250,000 shall be

22  assessed. The Southeast Volusia Hospital District shall be

23  assessed not more than $45,000, the West Volusia Hospital

24  Authority shall be assessed not more than $67,500, and the

25  Halifax Hospital Medical Center shall be assessed not more

26  than $137,500. Any funds that remain upon expiration of the

27  task force shall be proportionally divided and returned to the

28  respective hospital taxing district.

29         (b)  The task force shall contract with a public

30  institution of higher learning within the state for purposes

31  of staffing and producing a final report of its findings and

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                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    





  1  recommendations. The Governor, the President of the Senate,

  2  the Speaker of the House of Representatives, the Volusia

  3  County Legislative Delegation, the Volusia County Council, the

  4  Halifax Hospital Medical Center, the Southeast Volusia

  5  Hospital District, the West Volusia Hospital Authority, and

  6  the District Four Health Planning Council shall each receive

  7  an official copy of the final report of the task force. The

  8  final report is due by January 15, 1998, with an interim

  9  report on the study presented to the delegation due by

10  November 15, 1997.

11         (c)  The Volusia County Council shall provide meeting

12  facilities and administrative support, free of charge,

13  including an equipped office that will accommodate the task

14  force.

15         (5)  The task force shall expire on June 1, 1998.

16         Section 2.  Notwithstanding any other law, the millage

17  rate of the Southeast Volusia Hospital Taxing District and the

18  millage rate of the Halifax Hospital Taxing District are

19  capped at the rate in place as of January 1, 1997, for each

20  respective district. The millage rate of the West Volusia

21  Hospital Authority is capped at 1.52 mills.  The millage rate

22  of each hospital taxing district may be adjusted downward at

23  any time by the governing authority of each respective

24  district. The authority to set millage rates shall be restored

25  to the governing authorities of the hospital taxing districts

26  within Volusia County only after specific legislative action

27  is taken based on the recommendations generated by the task

28  force created by this act.

29         Section 3.  This act shall take effect upon becoming a

30  law.

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                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    





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

  2  And the title is amended as follows:

  3         Delete everything before the enacting clause

  4

  5  and insert:

  6                      A bill to be entitled

  7         An act relating to Volusia County; creating the

  8         Task Force on Health Care Organization in

  9         Volusia County; requiring the task force to

10         determine if the health care needs of county

11         residents are being met; requiring that the

12         task force make recommendations for

13         administering and providing health care

14         services within the county; providing for the

15         appointment of members to the task force;

16         providing for funding the activities of the

17         task force through a proportionate assessment

18         on each hospital taxing district within the

19         county; requiring that the task force contract

20         with an institution of higher learning for

21         assistance in producing a final report;

22         requiring the task force to provide an official

23         copy of its final report to the Governor, the

24         President of the Senate, the Speaker of the

25         House of Representatives, the Volusia County

26         Legislative Delegation, the Volusia County

27         Council, the Halifax Hospital Medical Center,

28         the Southeast Volusia Hospital District, the

29         West Volusia Hospital Authority, and the

30         District Four Health Planning Council;

31         providing for expiration of the task force;

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                                                  SENATE AMENDMENT

    Bill No. SB 2530

    Amendment No.    





  1         capping the millage rate within each of the

  2         three hospital taxing districts within Volusia

  3         County; providing that the millage rates may be

  4         adjusted downward; authorizing the governing

  5         authority of each respective hospital taxing

  6         district to set millage rates after specific

  7         legislative action is taken based on the

  8         recommendations of the task force; providing an

  9         effective date.

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