Senate Bill 1012

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



    Florida Senate - 1999                                  SB 1012

    By Senator Carlton





    24-834B-99                                              See HB

  1                      A bill to be entitled

  2         An act relating to public hospital meetings and

  3         records; amending s. 395.3035, F.S.; defining

  4         the term "strategic plan" for purposes of

  5         provisions which provide for the

  6         confidentiality of such plans and of meetings

  7         relating thereto; providing an exemption from

  8         open meetings requirements for meetings at

  9         which such plans are modified or approved by

10         the hospital's governing board; providing for

11         future review and repeal; providing conditions

12         for the early release of transcripts of

13         meetings at which such plans are discussed;

14         prohibiting public hospitals from taking

15         certain specified actions at closed meetings;

16         requiring certain notice; providing a finding

17         of public necessity; providing an effective

18         date.

19

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

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22         Section 1.  Subsections (2) and (4) of section

23  395.3035, Florida Statutes, are amended, present subsection

24  (6) is renumbered as subsection (8), and new subsections (6)

25  and (7) are added to that section, to read:

26         395.3035  Confidentiality of public hospital records

27  and meetings.--

28         (2)  The following public hospital records and

29  information are confidential and exempt from the provisions of

30  s. 119.07(1) and s. 24(a), Art. I of the State Constitution:

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    Florida Senate - 1999                                  SB 1012
    24-834B-99                                              See HB




  1         (b)  A public hospital's strategic plans, including

  2  plans for marketing its services, which services are or may

  3  reasonably be expected by the hospital's governing board to be

  4  provided by competitors of the hospital. However, documents

  5  that are submitted to the hospital's governing board as part

  6  of the board's approval of the hospital's budget, and the

  7  budget itself, are not confidential and exempt.

  8         (4)(a)  Those portions of a board meeting at which the

  9  written strategic plans, including written plans for marketing

10  its services, are discussed or reported on are exempt from the

11  provisions of s. 286.011 and s. 24(b), Art. I of the State

12  Constitution.

13         (b)  Those portions of a board meeting at which written

14  strategic plans are modified or approved by the governing

15  board are exempt from the provisions of s. 286.011 and s.

16  24(b), Art. I of the State Constitution. This paragraph is

17  subject to the Open Government Sunset Review Act of 1995 in

18  accordance with s. 119.15 and shall stand repealed on October

19  2, 2004, unless reviewed and saved from repeal through

20  reenactment by the Legislature.

21         (c)  All portions of any board meeting which are closed

22  to the public shall be recorded by a certified court reporter.

23  The reporter shall record the times of commencement and

24  termination of the meeting, all discussion and proceedings,

25  the names of all persons present at any time, and the names of

26  all persons speaking. No portion of the meeting shall be off

27  the record.  The court reporter's notes shall be fully

28  transcribed and maintained by the hospital records custodian

29  within a reasonable time after the meeting.  The transcript

30  shall become public 3 years after the date of the board

31  meeting or at an earlier date if the strategic plan discussed,

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    Florida Senate - 1999                                  SB 1012
    24-834B-99                                              See HB




  1  reported on, modified, or approved at the meeting has been

  2  implemented to the extent that confidentiality of the

  3  strategic plan is no longer necessary.

  4         (6)  For purposes of this section, the term "strategic

  5  plan" means any record which describes actions or activities

  6  to:

  7         (a)  Initiate or acquire a new health service;

  8         (b)  Expand an existing health service;

  9         (c)  Acquire additional facilities;

10         (d)  Expand existing facilities;

11         (e)  Change all or part of the use of an existing

12  facility or a newly acquired facility;

13         (f)  Acquire, merge, or consolidate with another health

14  care facility or health care provider;

15         (g)  Enter into a shared service arrangement with

16  another health care provider;

17         (h)  Enter into a transaction permitted by s. 155.40;

18  or

19         (i)  Any combination of paragraphs (a)-(i);

20

21  The term "strategic plan" does not include records that

22  describe the existing operations of a public hospital or other

23  public health care facility which implement or execute the

24  provisions of a strategic plan, unless disclosure of any such

25  document would divulge any part of a strategic plan which has

26  not been fully implemented or is a record that is otherwise

27  exempt from the public records laws. Records that describe

28  operations are not exempt, except as specifically provided in

29  this section.

30         (7)  A public hospital may not approve a binding

31  agreement to sell, lease, merge, or consolidate the hospital

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    Florida Senate - 1999                                  SB 1012
    24-834B-99                                              See HB




  1  at any closed meeting of the board. Any such approval must be

  2  made at a meeting open to the public and noticed in accordance

  3  with s. 286.011.

  4         Section 2.  The Legislature finds that it is a public

  5  necessity that strategic plans of public hospitals, and notes

  6  and transcripts which are recorded pursuant to section

  7  395.3035(4)(c), Florida Statutes, be confidential and exempt

  8  from the public records laws of this state. The Legislature

  9  further finds that it is a public necessity that those

10  portions of a public hospital's governing board meeting during

11  which a strategic plan is discussed, reported on, modified, or

12  approved be confidential and exempt from the public meeting

13  laws of this state. The public hospitals in this state are

14  often the safety-net providers of health care to our less

15  advantaged residents and visitors. Yet public hospitals,

16  unlike most agencies that provide services to the public, must

17  compete directly with their private-sector counterparts.

18  Because the economic survival of Florida's public hospitals

19  depends on their ability to obtain revenues from services they

20  provide in competition with their private-sector counterparts,

21  disclosure of information that puts public hospitals at a

22  competitive disadvantage will reduce their revenues and, thus,

23  their ability to provide medical services to the indigent. A

24  strategic plan, as that term is defined in section

25  395.3035(6), Florida Statutes, if released before the plan is

26  implemented or circumstances no longer require it to remain

27  confidential, would make it exceptionally difficult, if not

28  impossible, for a public hospital to compete effectively in

29  the marketplace against private hospitals whose records are

30  not required to be open to the public. Therefore, it is a

31  public necessity that strategic plans of public hospitals,

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






    Florida Senate - 1999                                  SB 1012
    24-834B-99                                              See HB




  1  governing board discussions of their strategic plans, and

  2  records memorializing those discussions be confidential and

  3  exempt from the public records and public meeting laws of this

  4  state.

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

  6  law.

  7

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  9                       LEGISLATIVE SUMMARY

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      Defines the term "strategic plan" for purposes of
11    provisions that provide for the confidentiality of a
      public hospital's strategic plans and its meetings
12    concerning them. Exempts from open meetings requirements
      those meetings at which such plans are modified or
13    approved by the hospital's governing board. Provides for
      future review and repeal of the exemption. Specifies
14    circumstances under which transcripts of such meetings
      may be kept confidential for less than 3 years from the
15    date of the meeting. Requires that approval of a binding
      agreement to sell, lease, merge, or consolidate a public
16    hospital be made at a meeting that is open to the public
      and for which public notice has been given.
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