SENATE AMENDMENT
    Bill No. SB 418   Barcode 543142
    Amendment No. ___
                            CHAMBER ACTION
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11  Senator Pruitt moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         Delete everything after the enacting clause
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16  and insert:  
17         Section 1.  Subsection (6) of section 240.2995, Florida
18  Statutes, is repealed.
19         Section 2.  Notwithstanding the October 2, 2001, repeal
20  of said subsections scheduled pursuant to the Open Government
21  Sunset Review Act of 1995, subsections (2), (3), and (4) of
22  section 240.2996, Florida Statutes, are reenacted and amended,
23  and subsection (1) of said section is amended, to read:
24         240.2996  University health services support
25  organization; confidentiality of information.--
26         (1)  All meetings of a governing board of a university
27  health services support organization and all university health
28  services support organization records shall be open and
29  available to the public in accordance with s. 286.011 and s.
30  24(b), Art. I of the State Constitution and chapter 119 and s.
31  24(a), Art. I of the State Constitution, respectively, unless
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    2:24 PM   04/03/01                                s0418c-27X01

SENATE AMENDMENT Bill No. SB 418 Barcode 543142 Amendment No. ___ 1 made confidential or exempt by law. Records required by the 2 Department of Insurance to discharge its duties shall be made 3 available to the department upon request. 4 (2) The following university health services support 5 organization's records and information are confidential and 6 exempt from the provisions of s. 119.07(1) and s. 24(a), Art. 7 I of the State Constitution: 8 (a) Contracts for managed care arrangements under 9 which the university health services support organization 10 provides health care services, including preferred provider 11 organization contracts, health maintenance organization 12 contracts, alliance network arrangements, and exclusive 13 provider organization contracts, and any documents directly 14 relating to the negotiation, performance, and implementation 15 of any such contracts for managed care arrangements or 16 alliance network arrangements. As used in this paragraph, the 17 term "managed care" means systems or techniques generally used 18 by third-party payors or their agents to affect access to and 19 control payment for health care services. Managed-care 20 techniques most often include one or more of the following: 21 prior, concurrent, and retrospective review of the medical 22 necessity and appropriateness of services or site of services; 23 contracts with selected health care providers; financial 24 incentives or disincentives related to the use of specific 25 providers, services, or service sites; controlled access to 26 and coordination of services by a case manager; and payor 27 efforts to identify treatment alternatives and modify benefit 28 restrictions for high-cost patient care. 29 (b) Each A university health services support 30 organization's marketing plan the disclosure of which plans 31 for marketing its services, which services are or may 2 2:24 PM 04/03/01 s0418c-27X01
SENATE AMENDMENT Bill No. SB 418 Barcode 543142 Amendment No. ___ 1 reasonably be expected by the organization's governing board 2 to be used by a competitor or an affiliated provider of the 3 organization to frustrate, circumvent, or exploit the purposes 4 of the plan before it is implemented and which is not 5 otherwise known or cannot be legally obtained by a competitor 6 or an affiliated provider provided by competitors of the 7 organization or its affiliated providers. However, documents 8 that are submitted to the organization's governing board as 9 part of the board's approval of the organization's budget, and 10 the budget itself, are not confidential and exempt. 11 (c) Trade secrets, as defined in s. 688.002, including 12 reimbursement methodologies and rates. 13 (d) The records of the peer review panels, committees, 14 governing board, and agents of the university health services 15 support organization which relate solely to the evaluation of 16 health care services and professional credentials of health 17 care providers and physicians employed by or providing 18 services under contract to the university health services 19 support organization. The exemptions created by this 20 paragraph shall not be construed to impair any otherwise 21 established rights of an individual health care provider to 22 inspect documents concerning the determination of such 23 provider's professional credentials. 24 25 The exemptions in this subsection are subject to the Open 26 Government Sunset Review Act of 1995 in accordance with s. 27 119.15 and shall stand repealed on October 2, 2001, unless 28 reviewed and saved from repeal through reenactment by the 29 Legislature. 30 (3) Any portion of a governing board or peer review 31 panel or committee meeting during which a confidential and 3 2:24 PM 04/03/01 s0418c-27X01
SENATE AMENDMENT Bill No. SB 418 Barcode 543142 Amendment No. ___ 1 exempt contract, document, record, marketing plan, or trade 2 secret, as provided for in subsection (2), is discussed is 3 exempt from the provisions of s. 286.011 and s. 24(b), Art. I 4 of the State Constitution. The exemption in this subsection 5 is subject to the Open Government Sunset Review Act of 1995 in 6 accordance with s. 119.15 and shall stand repealed on October 7 2, 2001, unless reviewed and saved from repeal through 8 reenactment by the Legislature. 9 (4) Those portions of any public record, such as a 10 tape recording, minutes, and notes, generated during that 11 portion of a governing board or peer review panel or committee 12 meeting which is closed to the public pursuant to this 13 section, which contain information relating to contracts, 14 documents, records, marketing plans, or trade secrets which 15 are made confidential and exempt by this section, are 16 confidential and exempt from the provisions of s. 119.07(1) 17 and s. 24(a), Art. I of the State Constitution. The exemptions 18 in this subsection are subject to the Open Government Sunset 19 Review Act of 1995 in accordance with s. 119.15 and shall 20 stand repealed on October 2, 2001, unless reviewed and saved 21 from repeal through reenactment by the Legislature. 22 Section 3. This act shall take effect October 1, 2001. 23 24 25 ================ T I T L E A M E N D M E N T =============== 26 And the title is amended as follows: 27 Delete everything before the enacting clause 28 29 and insert: 30 A bill to be entitled 31 An act relating to public records and meetings 4 2:24 PM 04/03/01 s0418c-27X01
SENATE AMENDMENT Bill No. SB 418 Barcode 543142 Amendment No. ___ 1 exemptions for university health services 2 support organizations; repealing s. 3 240.2995(6), F.S., which provides that meetings 4 of the governing board of a university health 5 services support organization are public and 6 requires that certain records be made available 7 to the Department of Insurance; amending s. 8 240.2996, F.S., which provides exemptions from 9 public records and meetings requirements for 10 certain contracts and related documents, 11 marketing plans, trade secrets, and evaluation 12 records of such organizations, for meetings at 13 which any of such records or information is 14 discussed, and for records of such meetings; 15 reenacting such exemptions and removing the 16 October 2, 2001, repeal thereof scheduled under 17 the Open Government Sunset Review Act of 1995; 18 narrowing the type of marketing plans exempted; 19 requiring university health services support 20 organizations to make certain records available 21 to the Department of Insurance; providing an 22 effective date. 23 24 25 26 27 28 29 30 31 5 2:24 PM 04/03/01 s0418c-27X01