HOUSE AMENDMENT
                                                Bill No. CS/HB 339
    Amendment No. ___ (for drafter's use only)
                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW
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11  Representative(s) Maygarden offered the following:
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13         Amendment (with title amendment) 
14         On page 1, lines 16-29,
15  remove from the bill:  all of said lines
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17  and insert in lieu thereof:  
18         (5)  OPEN HEART SURGERY.
19         (a)  When an application is made for a certificate of
20  need to establish an adult open heart surgery program in a
21  county in which none of the hospitals has an existing or
22  approved adult open heart surgery program, need for one
23  program shall be evaluated under special circumstances to
24  promote reasonable access to such a program within the
25  county.  The criteria on which the certificate of need is
26  reviewed in such circumstances shall favor approval in those
27  counties that can generate at least 1,200 annual hospital
28  discharges with a principal diagnosis of ischemic heart
29  disease.  County-specific need identified under these
30  circumstances shall exist independently of and in addition to
31  any district need identified under the standard numeric need
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    File original & 9 copies    04/09/01                          
    hap0008                     02:37 pm         00339-0002-971815

HOUSE AMENDMENT Bill No. CS/HB 339 Amendment No. ___ (for drafter's use only) 1 formula. 2 (b) An applicant for an adult open heart surgery 3 program who meets the special circumstances in paragraph (a) 4 shall, as a condition for approval, agree that the percentage 5 of admissions to its program which are Medicaid patients shall 6 be at least as great as the average percentage of Medicaid 7 patients admitted to open heart surgery programs in the 8 applicant's district; and shall also agree that the percentage 9 of admissions to its program which are charity patients shall 10 be at least as great as the average percentage of charity 11 patients admitted to open heart surgery programs in the 12 applicant's district. 13 (c) An applicant approved for an adult open heart 14 surgery program consistent with this subsection shall perform 15 a 12-month total of at least 250 open heart surgery operations 16 during the third year that such procedures are being 17 performed. Failure to meet this requirement is subject to 18 agency action as provided in s. 395.003(8). 19 20 21 ================ T I T L E A M E N D M E N T =============== 22 And the title is amended as follows: 23 On page 1, line 8, after the semicolon 24 25 insert: 26 requiring an agreement that a certain percent 27 of Medicaid and charity patients be served; 28 requiring a specified number of operations; 29 30 31 2 File original & 9 copies 04/09/01 hap0008 02:37 pm 00339-0002-971815