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





                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1991

    Amendment No. 5 (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
                                   .
                                   .
 1                                 .
                                   .
 2                                 .
                                   .
 3                                 .
                                   .
 4                                                                

 5                                           ORIGINAL STAMP BELOW

 6

 7

 8

 9

10                                                                

11  The Committee on Health Care Licensing & Regulation offered

12  the following:

13

14         Amendment (with title amendment) 

15         On page 15, line 6, of the bill

16

17  insert:

18         Section 10.  (1)  Emergency Services Task

19  Force.--Effective July 1, 2000, there is hereby created the

20  Emergency Services Task Force.  The task force shall be

21  appointed by the Secretary of the Department of Health and the

22  Executive Director of the Agency for Health Care

23  Administration and shall consist of:

24         a.  The Secretary of the Department of Health or his

25  designee;

26         b.  The Executive Director of the Agency for Health

27  Care Administration or his designee;

28         c.  One representative from the Executive Office of the

29  Governor;

30         d.  One representative from a non-profit hospital;

31         e.  One representative from a for-profit hospital;

                                  1

    File original & 9 copies    03/31/00
    hcs0005                     12:11 pm         01991-hcl -110307




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1991

    Amendment No. 5 (for drafter's use only)





 1         f.  One representative from a statutory rural hospital;

 2         g.  One representative from a statutory teaching

 3  hospital;

 4         h.  One emergency physician;

 5         i.  Two physicians from a specialty utilized in the

 6  provision of emergency services and care;

 7         j.  One physician representing the Board of Medicine;

 8         k.  One representative from a private emergency medical

 9  services provider;

10         l.  One representative from a county emergency medical

11  services provider;

12         m.  One representative from a municipality emergency

13  medical services provider; and

14         n.  One emergency medical services medical director.

15         (2)  Sponsoring agencies or organizations must fund the

16  travel and related expenses of their appointed members on the

17  commission.  The task force shall be staffed by employees of

18  the Department of Health.

19         (3)  The task force shall study and make

20  recommendations concerning:

21         a.  Trends and issues relating to legislative,

22  regulatory, or private sector solutions for handling staffing

23  and coverage of physicians and other ancillary services and

24  providers relative to provision of hospital-based emergency

25  services and care.

26         b.  Trends and issues relating to legislative,

27  regulatory, local community, or other solutions for the

28  handling of hospital diversion of emergency medical services

29  or closure of hospital emergency departments.

30         c.  The impact of unfunded mandates and uncompensated

31  care on the provision of emergency services and care,

                                  2

    File original & 9 copies    03/31/00
    hcs0005                     12:11 pm         01991-hcl -110307




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1991

    Amendment No. 5 (for drafter's use only)





 1  including but not limited to the costs of uncompensated or

 2  under-compensated care borne by physicians, hospitals, and

 3  emergency medical services providers in Florida relative to

 4  emergency services and care; the impact of uncompensated or

 5  under-compensated care on maintaining hospital-based emergency

 6  services and care; the costs and effects of financing

 7  24-hour-a-day, 365-days-a-year availability of emergency

 8  services and care; the costs and availability of physician

 9  coverage; and the impact of uncompensated or under-compensated

10  care on emergency medical services.

11         d.  The factors affecting specialty physician coverage

12  of emergency services and care and recommendations for

13  addressing specialty physician emergency care coverage in

14  Florida hospitals or communities.

15         e.  The factors affecting diversion of emergency

16  medical services or closing of hospitals to emergency medical

17  services and recommendations that address the handling of such

18  occurrences relative to the continued provision of emergency

19  medical services within the community, and development of

20  recommendations relative to policies or procedures relative to

21  handling such diversion or closing of hospital emergency

22  medical facilities.

23         (4)  The advisory group shall be appointed and convened

24  by July 1, 2000, and shall meet in Tallahassee or in other

25  areas of the state as agreed upon by the Secretary of the

26  Department of Health and the Executive Director of the Agency

27  for Health Care Administration.  The advisory group shall

28  submit its recommendations in a report, by January 1, 2001, to

29  the President of the Senate and the Speaker of the House of

30  Representatives.  This provision shall be repealed on July 1,

31  2001.

                                  3

    File original & 9 copies    03/31/00
    hcs0005                     12:11 pm         01991-hcl -110307




                                                   HOUSE AMENDMENT

                                                  Bill No. HB 1991

    Amendment No. 5 (for drafter's use only)





 1

 2  (Renumber subsequent sections)

 3

 4

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

 6  And the title is amended as follows:

 7         On page 1, line 24, after "references;"

 8

 9  insert: creating the Emergency Services Task Force;

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  4

    File original & 9 copies    03/31/00
    hcs0005                     12:11 pm         01991-hcl -110307