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





                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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10                                                                

11  The Committee on Governmental Operations offered the

12  following:

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14         Amendment (with title amendment) 

15  Remove from the bill:  Everything after the enacting clause

16

17  and insert in lieu thereof:

18         Section 1.  Paragraph (b) of subsection (2) and

19  subsection (4) of section 395.3035, Florida Statutes, are

20  amended, present subsection (6) is renumbered as subsection

21  (8), and new subsections (6) and (7) are added to that

22  section, to read:

23         395.3035  Confidentiality of public hospital records

24  and meetings.--

25         (2)  The following public hospital records and

26  information of any hospital which is subject to chapter 119

27  and s. 24(a), Art. I of the State Constitution are

28  confidential and exempt from the provisions of s. 119.07(1)

29  and s. 24(a), Art. I of the State Constitution:

30         (b)  A public hospital's Strategic plans, including

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

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    File original & 9 copies    02/18/99
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)





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

 2  provided by competitors of the hospital. However, documents

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

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

 5  budget itself, are not confidential and exempt.

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

 7  written strategic plans, including written plans for marketing

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

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

10  Constitution.

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

12  strategic plans are modified or approved by the governing

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

14  24(b), Art. I of the State Constitution. This paragraph is

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

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

17  2, 2004, unless reviewed and saved from repeal through

18  reenactment by the Legislature.

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

20  to the public pursuant to this subsection shall be recorded by

21  a certified court reporter.  The reporter shall record the

22  times of commencement and termination of the meeting, all

23  discussion and proceedings, the names of all persons present

24  at any time, and the names of all persons speaking. No portion

25  of the meeting shall be off the record.  The court reporter's

26  notes shall be fully transcribed and maintained by the

27  hospital records custodian within a reasonable time after the

28  meeting.  The transcript shall become public 3 years after the

29  date of the board meeting or at an earlier date if the

30  strategic plan discussed, reported on, modified, or approved

31  at the meeting has been implemented to the extent that

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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)





 1  confidentiality of the strategic plan is no longer necessary.

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

 3  plan" means any record which describes actions or activities

 4  to:

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

 6         (b)  Expand an existing health service;

 7         (c)  Acquire by purchase or lease additional

 8  facilities;

 9         (d)  Expand existing facilities;

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

11  facility or a newly acquired facility;

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

13  care facility or health care provider;

14         (g)  Enter into a shared service arrangement with

15  another health care provider;

16         (h)  Enter into or terminate a joint venture or a

17  transaction permitted by s. 155.40; or

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

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

21  describe the existing operations of a hospital or other

22  health care facility which implement or execute the provisions

23  of a strategic plan, unless disclosure of any such document

24  would divulge any part of a strategic plan which has not been

25  fully implemented or is a record that is otherwise exempt from

26  the public records laws. Records that describe operations are

27  not exempt, except as specifically provided in this section.

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

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

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

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

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    File original & 9 copies    02/18/99
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)





 1  with s. 286.011.

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

 3  necessity that strategic plans of public hospitals, and notes

 4  and transcripts which are recorded pursuant to section

 5  395.3035(4)(c), Florida Statutes, be confidential and exempt

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

 7  further finds that it is a public necessity that those

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

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

10  approved be confidential and exempt from the public meeting

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

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

13  advantaged residents and visitors. Yet public hospitals,

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

15  compete directly with their private-sector counterparts.

16  Because the economic survival of Florida's public hospitals

17  depends on their ability to obtain revenues from services they

18  provide in competition with their private-sector counterparts,

19  disclosure of information that puts public hospitals at a

20  competitive disadvantage will reduce their revenues and, thus,

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

22  strategic plan, as that term is defined in section

23  395.3035(6), Florida Statutes, if released before the plan is

24  implemented or circumstances no longer require it to remain

25  confidential, would make it exceptionally difficult, if not

26  impossible, for a public hospital to compete effectively in

27  the marketplace against private hospitals whose records are

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

29  public necessity that strategic plans of public hospitals,

30  governing board discussions of their strategic plans, and

31  records memorializing those discussions be confidential and

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    File original & 9 copies    02/18/99
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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)





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

 2  state.  The Legislature further finds that it is a public

 3  necessity to clarify that the records and meetings of any

 4  privately-operated hospital which is subject to the public

 5  records and open meetings laws of this state are exempt in the

 6  same manner and to the same extent as are records and meetings

 7  of publicly-operated hospitals and as otherwise provided by

 8  law.

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

10  law.

11

12

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

14  And the title is amended as follows:

15         On page 1, lines 2 through 17,

16  remove from the title of the bill:  all of said lines

17

18  and insert in lieu thereof:

19         An act relating to hospital meetings and

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

21         the term "strategic plan" for purposes of

22         provisions which provide for the

23         confidentiality of such plans and of meetings

24         relating thereto; providing an exemption from

25         open meetings requirements for meetings at

26         which such plans are modified or approved by

27         the hospital's governing board; providing for

28         future review and repeal; providing conditions

29         for the early release of transcripts of

30         meetings at which such plans are discussed;

31         prohibiting public hospitals from taking

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                                                   HOUSE AMENDMENT

                                                   Bill No. HB 357

    Amendment No. 01 (for drafter's use only)





 1         certain specified actions at closed meetings;

 2         requiring certain notice; providing a finding

 3         of public necessity; providing an effective

 4         date.

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    File original & 9 copies    02/18/99
    hgo0002                     08:29 am         00357-go  -190707