House Bill 0357

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    Florida House of Representatives - 1999                 HB 357

        By Representative Fasano






  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         "strategic plan" for purposes of provisions

  5         which provide for the confidentiality of such

  6         plans and of meetings relating thereto;

  7         providing an exemption from open meetings

  8         requirements for meetings at which such plans

  9         are modified or approved by the hospital's

10         governing board; providing for future review

11         and repeal; providing conditions for the early

12         release of transcripts of meetings at which

13         such plans are discussed; prohibiting public

14         hospitals from taking certain specified actions

15         at closed meetings; requiring certain notice;

16         providing a finding of public necessity;

17         providing an effective date.

18

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

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21         Section 1.  Subsection (4) of section 395.3035, Florida

22  Statutes, is amended, subsection (6) is renumbered as

23  subsection (8), and new subsections (6) and (7) are added to

24  said section, to read:

25         395.3035  Confidentiality of public hospital records

26  and meetings.--

27         (2)  The following public hospital records and

28  information are confidential and exempt from the provisions of

29  s. 119.07(1) 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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    Florida House of Representatives - 1999                 HB 357

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  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, including written plans for marketing its

13  services, are modified or approved by the governing board are

14  exempt from the provisions of s. 286.011 and s. 24(b), Art. I

15  of the State Constitution. This paragraph is subject to the

16  Open Government Sunset Review Act of 1995 in accordance with

17  s. 119.15 and shall stand repealed on October 2, 2004, unless

18  reviewed and saved from repeal through reenactment by the

19  Legislature.

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

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

22  The reporter shall record the times of commencement and

23  termination of the meeting, all discussion and proceedings,

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

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

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

27  transcribed and maintained by the hospital records custodian

28  within a reasonable time after the meeting.  The transcript

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

30  meeting or at an earlier date if the governing board

31  determines that the strategic plan discussed, reported on,

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  1  modified, or approved at the meeting has been fully

  2  implemented or the circumstances do not require the transcript

  3  of the meeting to remain confidential.

  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         (i)  Market the services of the hospital and its

19  ancillary facilities; or

20         (j)  Any combination of paragraphs (a)-(i);

21

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

23  describe the existing operations of a public hospital or other

24  public health care facility which implement or execute the

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

26  document would disclose any part of a strategic plan which has

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

28  exempt from the public records laws. Records that describe

29  operations are not exempt, except as specifically provided

30  herein.

31

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    Florida House of Representatives - 1999                 HB 357

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

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

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

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

  5  with s. 286.011.

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

  7  necessity that strategic plans of public hospitals, and notes

  8  and transcripts which are recorded pursuant to s.

  9  395.3035(4)(c), Florida Statutes, be confidential and exempt

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

11  further finds that it is a public necessity that those

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

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

14  approved be confidential and exempt from the public meeting

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

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

17  advantaged citizens and visitors. Yet public hospitals, unlike

18  most agencies that provide services to the public, must

19  compete directly with their private sector counterparts.

20  Because the economic survival of Florida's public hospitals

21  depends on their ability to obtain revenues from services they

22  provide in competition with their private-sector counterparts,

23  disclosure of information that puts public hospitals at a

24  competitive disadvantage will reduce their revenues and, thus,

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

26  strategic plan, as that term is defined in s. 395.3035(6),

27  Florida Statutes, contains critical proprietary information

28  which, if released before the plan is fully implemented or

29  circumstances no longer require it to remain confidential,

30  would make it exceptionally difficult, if not impossible, for

31  a public hospital to compete effectively in the marketplace

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    Florida House of Representatives - 1999                 HB 357

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  1  against private hospitals whose records are not required to be

  2  open to the public. Therefore, it is a public necessity that

  3  strategic plans of public hospitals, governing board

  4  discussions of their strategic plans, and records

  5  memorializing those discussions be confidential and exempt

  6  from the public records and public meeting laws of this state.

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

  8  law.

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11                          HOUSE SUMMARY

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      Defines "strategic plan" for purposes of provisions which
13    provide for the confidentiality of a public hospital's
      strategic plans and of meetings relating thereto.
14    Provides an exemption from open meetings requirements for
      meetings at which such plans are modified or approved by
15    the hospital's governing board. Provides for future
      review and repeal of said exemption. Specifies
16    circumstances under which transcripts of such meetings
      may be kept confidential for less than 3 years from the
17    date of the meeting. Requires that approval of a binding
      agreement to sell, lease, merge, or consolidate a public
18    hospital be made at a meeting that is open to the public
      and noticed according to public meeting requirements.
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