SENATE AMENDMENT
Bill No. CS for SB 1558, 1st Eng.
Amendment No. ___ Barcode 471162
CHAMBER ACTION
Senate House
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11 Senators Sanderson and Wasserman Schultz moved the following
12 amendment to amendment (791604):
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14 Senate Amendment (with title amendment)
15 On page 287, between lines 19 and 20,
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17 insert:
18 Section 144. Paragraph (o) of subsection (3) of
19 section 456.053, Florida Statutes, is amended to read:
20 456.053 Financial arrangements between referring
21 health care providers and providers of health care services.--
22 (3) DEFINITIONS.--For the purpose of this section, the
23 word, phrase, or term:
24 (o) "Referral" means any referral of a patient by a
25 health care provider for health care services, including,
26 without limitation:
27 1. The forwarding of a patient by a health care
28 provider to another health care provider or to an entity which
29 provides or supplies designated health services or any other
30 health care item or service; or
31 2. The request or establishment of a plan of care by a
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SENATE AMENDMENT
Bill No. CS for SB 1558, 1st Eng.
Amendment No. ___ Barcode 471162
1 health care provider, which includes the provision of
2 designated health services or other health care item or
3 service.
4 3. The following orders, recommendations, or plans of
5 care shall not constitute a referral by a health care
6 provider:
7 a. By a radiologist for diagnostic-imaging services.
8 b. By a physician specializing in the provision of
9 radiation therapy services for such services.
10 c. By a medical oncologist for drugs and solutions to
11 be prepared and administered intravenously to such
12 oncologist's patient, as well as for the supplies and
13 equipment used in connection therewith to treat such patient
14 for cancer and the complications thereof.
15 d. By a cardiologist for cardiac catheterization
16 services.
17 e. By a pathologist for diagnostic clinical laboratory
18 tests and pathological examination services, if furnished by
19 or under the supervision of such pathologist pursuant to a
20 consultation requested by another physician.
21 f. By a health care provider who is the sole provider
22 or member of a group practice for designated health services
23 or other health care items or services that are prescribed or
24 provided solely for such referring health care provider's or
25 group practice's own patients, and that are provided or
26 performed by or under the direct supervision of such referring
27 health care provider or group practice; provided, however,
28 that effective July 1, 1999, a physician licensed pursuant to
29 chapter 458, chapter 459, chapter 460, or chapter 461 may
30 refer a patient to a sole provider or group practice for
31 diagnostic imaging services, excluding radiation therapy
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SENATE AMENDMENT
Bill No. CS for SB 1558, 1st Eng.
Amendment No. ___ Barcode 471162
1 services, for which the sole provider or group practice billed
2 both the technical and the professional fee for or on behalf
3 of the patient, if the referring physician has no investment
4 interest in the practice. The diagnostic imaging service
5 referred to a group practice or sole provider must be a
6 diagnostic imaging service normally provided within the scope
7 of practice to the patients of the group practice or sole
8 provider. The group practice or sole provider may accept no
9 more that 15 percent of their patients receiving diagnostic
10 imaging services from outside referrals, excluding radiation
11 therapy services.
12 g. By a health care provider for services provided by
13 an ambulatory surgical center licensed under chapter 395.
14 h. By a health care provider for diagnostic clinical
15 laboratory services where such services are directly related
16 to renal dialysis.
17 h.i. By a urologist for lithotripsy services.
18 i.j. By a dentist for dental services performed by an
19 employee of or health care provider who is an independent
20 contractor with the dentist or group practice of which the
21 dentist is a member.
22 j.k. By a physician for infusion therapy services to a
23 patient of that physician or a member of that physician's
24 group practice.
25 k.l. By a nephrologist for renal dialysis services and
26 supplies, except laboratory services.
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28 (Redesignate subsequent sections.)
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SENATE AMENDMENT
Bill No. CS for SB 1558, 1st Eng.
Amendment No. ___ Barcode 471162
1 ================ T I T L E A M E N D M E N T ===============
2 And the title is amended as follows:
3 On page 300, line 20, following the semicolon
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5 insert:
6 amending s. 456.053, F.S.; redefining the term
7 "referral" with respect to financial
8 arrangements between health care providers and
9 service providers;
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