SENATE AMENDMENT

    Bill No. CS for SB 2348

    Amendment No. 2

                            CHAMBER ACTION
              Senate                               House
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11  The Committee on Health, Aging and Long-Term Care recommended

12  the following amendment:

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14         Senate Amendment 

15         On page 11, line 8, through page 13, line 12, delete

16  those lines

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18  and insert:

19         (16)  Each nurse registry shall prepare and maintain a

20  comprehensive emergency management plan that is consistent

21  with the criteria in this subsection and with the local

22  special needs plan. The plan shall be updated annually. The

23  plan shall specify how the nurse registry shall facilitate the

24  provision of continuous care by persons referred for contract

25  to persons who are registered pursuant to s. 252.355 during an

26  emergency that interrupts the provision of care or services in

27  private residencies.

28         (a)  All persons referred for contract who care for

29  persons registered pursuant to s. 252.355 must include in the

30  patient record a description of how care will be continued

31  during a disaster or emergency that interrupts the provision

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2348

    Amendment No. 2





 1  of care in the patient's home. It shall be the responsibility

 2  of the person referred for contract to ensure that continuous

 3  care is provided.

 4         (b)  Each nurse registry shall maintain a current

 5  prioritized list of patients in private residencies who are

 6  registered pursuant to s. 252.355 and are under the care of

 7  persons referred for contract and who need continued services

 8  during an emergency. This list shall indicate, for each

 9  patient, if the client is to be transported to a special needs

10  shelter and if the patient is receiving skilled nursing

11  services. Nurse registries shall make this list available to

12  county health departments and to local emergency management

13  agencies upon request.

14         (c)  Each person referred for contract who is caring

15  for a patient who is registered pursuant to s. 252.355 shall

16  provide a list of their patient's medication and equipment

17  needs to the nurse registry. Each person referred for contract

18  shall make this information available to county health

19  departments and to local emergency management agencies upon

20  request.

21         (d)  Each person referred for contract shall not be

22  required to continue to provide care to patients in emergency

23  situations that are beyond their control and that make it

24  impossible to provide services, such as when roads are

25  impassable or when patients do not go to the location

26  specified in their patient records.

27         (e)  The comprehensive emergency management plan

28  required by this subsection is subject to review and approval

29  by the county health department. During its review, the county

30  health department shall ensure that, at a minimum, the local

31  emergency management agency, the Agency for Health Care

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    9:00 PM   04/13/99                                 s2348.hc.02




                                                  SENATE AMENDMENT

    Bill No. CS for SB 2348

    Amendment No. 2





 1  Administration and the local chapter of the American Red Cross

 2  or other lead sheltering agency are given the opportunity to

 3  review the plan. The county health department shall complete

 4  its review within 60 days after receipt of the plan and shall

 5  either approve the plan or advise the nurse registry of

 6  necessary revisions.

 7         (f)  The Agency for Health Care Administration shall

 8  adopt rules establishing minimum criteria for the

 9  comprehensive emergency management plan and plan updates

10  required by this subsection, with the concurrency of the

11  Department of Health and in consultation with the Department

12  of Community Affairs.

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    9:00 PM   04/13/99                                 s2348.hc.02