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





                                                  SENATE AMENDMENT

    Bill No. CS/HBs 3089 & 171, 1st Eng.

    Amendment No.    

                            CHAMBER ACTION
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11  Senators Geller and Gutman moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 6, between lines 23 and 24,

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16  insert:

17         Section 3.  Paragraph (a) of subsection (2) of section

18  400.23, Florida Statutes, is amended to read:

19         400.23  Rules; criteria; Nursing Home Advisory

20  Committee; evaluation and rating system; fee for review of

21  plans.--

22         (2)  Pursuant to the intention of the Legislature, the

23  agency, in consultation with the Department of Health and

24  Rehabilitative Services and the Department of Elderly Affairs,

25  shall adopt and enforce rules to implement this part, which

26  shall include reasonable and fair criteria in relation to:

27         (a)  The location and construction of the facility;

28  including fire and life safety, plumbing, heating, lighting,

29  ventilation, and other housing conditions which will ensure

30  the health, safety, and comfort of residents, including an

31  adequate call system.  The agency shall establish standards

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                                                  SENATE AMENDMENT

    Bill No. CS/HBs 3089 & 171, 1st Eng.

    Amendment No.    





 1  for facilities and equipment to increase the extent to which

 2  new facilities and a new wing or floor added to an existing

 3  facility after July 1, 1999, are structurally capable of

 4  serving as shelters only for residents, staff, and families of

 5  residents and staff, and equipped to be self-supporting during

 6  and immediately following disasters. The Agency for Health

 7  Care Administration shall work with facilities licensed under

 8  this part and report to the Governor and Legislature by April

 9  1, 1999, its recommendations for cost-effective renovation

10  standards to be applied to existing facilities. In making such

11  rules, the agency shall be guided by criteria recommended by

12  nationally recognized reputable professional groups and

13  associations with knowledge of such subject matters. The

14  agency shall update or revise such criteria as the need

15  arises. All nursing homes must comply with those lifesafety

16  code requirements and building code standards applicable at

17  the time of approval of their construction plans. The agency

18  may require alterations to a building if it determines that an

19  existing condition constitutes a distinct hazard to life,

20  health, or safety. The agency shall adopt fair and reasonable

21  rules setting forth conditions under which existing facilities

22  undergoing additions, alterations, conversions, renovations,

23  or repairs shall be required to comply with the most recent

24  updated or revised standards.

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26  (Redesignate subsequent sections.)

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

30  And the title is amended as follows:

31         On page 1, line 21, after the semicolon

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                                                  SENATE AMENDMENT

    Bill No. CS/HBs 3089 & 171, 1st Eng.

    Amendment No.    





 1  insert:

 2         amending s. 400.23, F.S.; amending rulemaking

 3         powers of the Agency for Health Care

 4         Administration relating to structural standards

 5         for nursing homes; requiring a report to the

 6         Governor and Legislature;

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