House Bill 1575c1

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    Florida House of Representatives - 2000             CS/HB 1575

        By the Committee on Elder Affairs & Long-Term Care and
    Representatives Rubio, Fasano and Lacasa





  1                      A bill to be entitled

  2         An act relating to nursing homes; amending s.

  3         400.021, F.S.; defining "controlling person";

  4         amending s. 400.071, F.S.; providing additional

  5         license application requirements relating to

  6         certain financial or ownership interests of the

  7         applicant and specified others, including a

  8         controlling person; providing use of such

  9         information; amending s. 400.121, F.S.;

10         authorizing denial of a license application

11         based on disclosure of information

12         demonstrating financial or care-related

13         instability; amending s. 397.405, F.S.;

14         correcting a cross reference; providing an

15         effective date.

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

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19         Section 1.  Subsections (5) through (17) of section

20  400.021, Florida Statutes, are renumbered as subsections (6)

21  through (18), respectively, and a new subsection (5) is added

22  to said section to read:

23         400.021  Definitions.--When used in this part, unless

24  the context otherwise requires, the term:

25         (5)  "Controlling person" means:

26         (a)  A management company or other entity that directs

27  the overall operation of an institution.

28         (b)  Any person who serves as an officer of, is on the

29  board of directors of, or has 5 percent or more ownership

30  interest in a management company or other entity that operates

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  1  an institution or that contracts with another person for the

  2  operation of an institution.

  3         (c)  The applicant, including any person who serves as

  4  an officer, is on the board of directors or has 5 percent or

  5  more ownership interest in the applicant, or has 10 percent or

  6  more ownership interest in the facility. "Controlling person"

  7  does not mean a director of a not-for-profit corporation or

  8  organization if the director serves solely in a voluntary

  9  capacity for the corporation or organization, does not

10  regularly take part in the day-to-day operational decisions of

11  the corporation or organization, receives no remuneration for

12  his or her services on the corporation's or organization's

13  board of directors, and has no financial interest in the

14  corporation or organization, provided that the director and

15  the not-for-profit corporation or organization include in the

16  application a statement affirming that the director's

17  relationship to the corporation or organization satisfies the

18  requirements of this paragraph.

19         Section 2.  Subsection (2) of section 400.071, Florida

20  Statutes, is amended to read:

21         400.071  Application for license.--

22         (2)  The application shall be under oath and shall

23  contain the following:

24         (a)  The name, address, and social security number of

25  the applicant if an individual; if the applicant is a firm,

26  partnership, or association, its name, address, and employer

27  identification number (EIN), and the name and address of every

28  member; if the applicant is a corporation, its name, address,

29  and employer identification number (EIN), and the name and

30  address of its director and officers and of each person having

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    Florida House of Representatives - 2000             CS/HB 1575

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  1  at least a 5 percent interest in the corporation; and the name

  2  by which the facility is to be known.

  3         (b)  The name of any person whose name is required on

  4  the application under the provisions of paragraph (a) and who

  5  owns at least a 10 percent interest in any professional

  6  service, firm, association, partnership, or corporation

  7  providing goods, leases, or services to the facility for which

  8  the application is made, and the name and address of the

  9  professional service, firm, association, partnership, or

10  corporation in which such interest is held.

11         (c)  The location of the facility for which a license

12  is sought and an indication, as in the original application,

13  that such location conforms to the local zoning ordinances.

14         (d)  The name of the person or persons under whose

15  management or supervision the facility will be conducted,

16  including any controlling person, and the name of its licensed

17  administrator.

18         (e)  A signed affidavit disclosing any financial or

19  ownership interest that the applicant, or any person listed in

20  paragraph (d), has held within the last 5 years in any entity

21  licensed by this state or any other state to provide health or

22  residential care, which entity closed voluntarily or

23  involuntarily due to financial problems; has filed bankruptcy;

24  has had a judgement filed against it for unpaid debt; has had

25  a receiver appointed or a license denied, suspended, or

26  revoked; or has had an injunction issued against it which was

27  initiated by a regulatory agency. In conjunction with an

28  application for license renewal, this information may be used

29  by the agency as the basis for additional monitoring by the

30  agency of the licensed facility as specified in s. 400.118, if

31  the information demonstrates financial or care-related

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  1  instability. In conjunction with an application for initial or

  2  change-of-ownership licensure, this information may be

  3  considered by the agency in the decision to approve or deny

  4  the request for licensure if the information demonstrates

  5  financial or care-related instability.

  6         (f)(e)  The total number of beds and the total number

  7  of Medicare and Medicaid certified beds.

  8         (g)(f)  Information relating to the number, experience,

  9  and training of the employees of the facility and of the moral

10  character of the applicant and employees which the agency

11  requires by rule, including the name and address of any

12  nursing home with which the applicant or employees have been

13  affiliated through ownership or employment within 5 years of

14  the date of the application for a license and the record of

15  any criminal convictions involving the applicant and any

16  criminal convictions involving an employee if known by the

17  applicant after inquiring of the employee.  The applicant must

18  demonstrate that sufficient numbers of qualified staff, by

19  training or experience, will be employed to properly care for

20  the type and number of residents who will reside in the

21  facility.

22         (h)(g)  Copies of any civil verdict or judgment

23  involving the applicant rendered within the 10 years preceding

24  the application, relating to medical negligence, violation of

25  residents' rights, or wrongful death.  As a condition of

26  licensure, the licensee agrees to provide to the agency copies

27  of any new verdict or judgment involving the applicant,

28  relating to such matters, within 30 days after filing with the

29  clerk of the court.  The information required in this

30  paragraph shall be maintained in the facility's licensure file

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    Florida House of Representatives - 2000             CS/HB 1575

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  1  and in an agency database which is available as a public

  2  record.

  3         Section 3.  Subsection (7) is added to section 400.121,

  4  Florida Statutes, to read:

  5         400.121  Denial, suspension, revocation of license;

  6  moratorium on admissions; administrative fines; procedure;

  7  order to increase staffing.--

  8         (7)  The agency may deny an application for an initial

  9  or change-of-ownership license based upon the disclosure of

10  information as required in s. 400.071(2)(e) and (f) if such

11  information demonstrates financial or care-related

12  instability.

13         Section 4.  Subsection (2) of section 397.405, Florida

14  Statutes, is amended to read:

15         397.405  Exemptions from licensure.--The following are

16  exempt from the licensing provisions of this chapter:

17         (2)  A nursing home facility as defined in s.

18  400.021(11).

19         Section 5.  This act shall take effect July 1, 2000.

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