HOUSE AMENDMENT

                                        Bill No. HB 4119, 1st Eng.

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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10                                                                

11  Representative(s) Brooks offered the following:

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13         Amendment (with title amendment) 

14         On page 17, between lines 7 and 8,

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16  insert:

17         Section 13.  Paragraph (k) of subsection (3) of section

18  455.654, Florida Statutes, is amended to read:

19         455.654  Financial arrangements between referring

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

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

22  word, phrase, or term:

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

24  health care provider for health care services, including,

25  without limitation:

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

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

28  provides or supplies designated health services or any other

29  health care item or service; or

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

31  health care provider, which includes the provision of

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    File original & 9 copies    04/29/98
    hbd0001                     09:09 am         04119-0035-191139




                                                   HOUSE AMENDMENT

                                        Bill No. HB 4119, 1st Eng.

    Amendment No.     (for drafter's use only)





 1  designated health services or other health care item or

 2  service.

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

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

 5  constitute a referral by a health care provider:

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

 7         b.  By a physician specializing in the provision of

 8  radiation therapy services for such services.

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

10  be prepared and administered intravenously to such

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

12  equipment used in connection therewith to treat such patient

13  for cancer and the complications thereof.

14         d.  By a cardiologist for cardiac catheterization

15  services.

16         e.  By a pathologist for diagnostic clinical laboratory

17  tests and pathological examination services, if furnished by

18  or under the supervision of such pathologist pursuant to a

19  consultation requested by another physician.

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

21  or member of a group practice for designated health services

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

23  provided for not less than 75 percent of solely for such

24  referring health care provider's or group practice's own

25  patients, and that are provided or performed by or under the

26  direct supervision of such referring health care provider or

27  group practice. For a group practice, this exemption is

28  forfeited if the group practice accepts a referral from a

29  physician who is not a member of the group practice but who

30  has an investment interest in or is an investor in the group

31  practice.  For a sole provider, this exemption is forfeited if

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    File original & 9 copies    04/29/98
    hbd0001                     09:09 am         04119-0035-191139




                                                   HOUSE AMENDMENT

                                        Bill No. HB 4119, 1st Eng.

    Amendment No.     (for drafter's use only)





 1  the sole provider accepts a referral from a physician who has

 2  an investment interest in or is an investor in the sole

 3  provider's practice.

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

 5  an ambulatory surgical center licensed under chapter 395.

 6         h.  By a health care provider for diagnostic clinical

 7  laboratory services where such services are directly related

 8  to renal dialysis.

 9         i.  By a urologist for lithotripsy services.

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

11  employee of or health care provider who is an independent

12  contractor with the dentist or group practice of which the

13  dentist is a member.

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

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

16  group practice.

17         l.  By a nephrologist for renal dialysis services and

18  supplies.

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

22  And the title is amended as follows:

23         On page 2, line 2,

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25  after the semicolon insert:

26         amending s. 455.654, F.S.; revising an

27         exemption from the definition of "referral";

28         providing conditions for forfeiture of the

29         exemption;

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    File original & 9 copies    04/29/98
    hbd0001                     09:09 am         04119-0035-191139