Senate Bill sb0418

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    Florida Senate - 2001                                   SB 418

    By the Committee on Education





    304-263A-01

  1                      A bill to be entitled

  2         An act relating to public records and meetings;

  3         repealing s. 240.2995(6), F.S., which contains

  4         a declaration that meetings of the governing

  5         board of a university health services support

  6         organization are public and a requirement that

  7         certain records be made available to the

  8         Department of Insurance; amending s. 240.2996,

  9         F.S.; requiring such an organization to make

10         certain records available to the Department of

11         Insurance; revising those records of such

12         organizations pertaining to marketing plans and

13         managed care contracts and those committee,

14         governing board, and peer review panel meetings

15         which are exempted from open-records and

16         open-meetings requirements; providing for

17         recording proceedings at meetings; prescribing

18         a schedule for release of records; providing

19         findings of public necessity; providing for

20         subsequent repeal and legislative review;

21         providing an effective date.

22

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

24

25         Section 1.  Subsection (6) of section 240.2995, Florida

26  Statutes, is repealed.

27         Section 2.  Section 240.2996, Florida Statutes, is

28  amended to read:

29         240.2996  University health services support

30  organization; confidentiality of information.--

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  1         (1)  All meetings of a governing board of a university

  2  health services support organization and all university health

  3  services support organization records shall be open and

  4  available to the public in accordance with s. 286.011 and s.

  5  24(b), Art. I of the State Constitution and chapter 119 and s.

  6  24(a), Art. I of the State Constitution, respectively, unless

  7  made confidential or exempt by law. Records required by the

  8  Department of Insurance to discharge its duties shall be made

  9  available to the department upon request.

10         (2)  The following university health services support

11  organization's records and information are confidential and

12  exempt from the provisions of s. 119.07(1) and s. 24(a), Art.

13  I of the State Constitution:

14         (a)  Contracts for managed care arrangements under

15  which the university health services support organization

16  provides health care services, including preferred provider

17  organization contracts, health maintenance organization

18  contracts, alliance network arrangements, and exclusive

19  provider organization contracts, and any documents directly

20  relating to the negotiation, performance, and implementation

21  of any such contracts for managed care arrangements or

22  alliance network arrangements. As used in this paragraph, the

23  term "managed care" means systems or techniques generally used

24  by third-party payors or their agents to affect access to and

25  control payment for health care services. Managed-care

26  techniques most often include one or more of the following:

27  prior, concurrent, and retrospective review of the medical

28  necessity and appropriateness of services or site of services;

29  contracts with selected health care providers; financial

30  incentives or disincentives related to the use of specific

31  providers, services, or service sites; controlled access to

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  1  and coordination of services by a case manager; and payor

  2  efforts to identify treatment alternatives and modify benefit

  3  restrictions for high-cost patient care.

  4         (b)  Each A university health services support

  5  organization's marketing plan the disclosure of which plans

  6  for marketing its services, which services are or may

  7  reasonably be expected by the organization's governing board

  8  to be used by a competitor or an affiliated provider of the

  9  organization to frustrate, circumvent, or exploit the purpose

10  of the plan before it is implemented and which is not

11  otherwise known or cannot be legally obtained by a competitor

12  or an affiliated provider provided by competitors of the

13  organization or its affiliated providers.  However, documents

14  that are submitted to the organization's governing board as

15  part of the board's approval of the organization's budget, and

16  the budget itself, are not confidential and exempt.

17         (c)  Trade secrets, as defined in s. 688.002, including

18  reimbursement methodologies and rates.

19         (d)  The records of the peer review panels, committees,

20  governing board, and agents of the university health services

21  support organization which relate solely to the evaluation of

22  health care services and professional credentials of health

23  care providers and physicians employed by or providing

24  services under contract to the university health services

25  support organization.  The exemptions created by this

26  paragraph shall not be construed to impair any otherwise

27  established rights of an individual health care provider to

28  inspect documents concerning the determination of such

29  provider's professional credentials.

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  1  The exemptions in this subsection are subject to the Open

  2  Government Sunset Review Act of 1995 in accordance with s.

  3  119.15 and shall stand repealed on October 2, 2001, unless

  4  reviewed and saved from repeal through reenactment by the

  5  Legislature.

  6         (3)(a)  Any portion of a governing board or peer review

  7  panel or committee meeting during which a confidential and

  8  exempt contract, document, record, marketing plan, or trade

  9  secret, as provided for in subsection (2), is discussed is

10  exempt from the provisions of s. 286.011 and s. 24(b), Art. I

11  of the State Constitution.

12         (b)1.  All portions of any governing board meeting

13  which are closed to the public to discuss the organization's

14  marketing plan shall be recorded by a certified court

15  reporter. The reporter shall record the times of commencement

16  and termination of the meeting, all discussion and

17  proceedings, the names of all persons present at any time, and

18  the names of all persons speaking. No portion of the meeting

19  shall be off the record. The court reporter's notes shall be

20  fully transcribed and maintained by the organization's records

21  custodian within a reasonable time after the meeting.

22         2.  The closed meeting shall be restricted to

23  discussion of the organization's marketing plan.

24         3.  The transcript shall become public 2 years after

25  the date of the governing board meeting or at an earlier date

26  if the marketing plan discussed at the meeting has been

27  publicly disclosed by the organization or implemented to the

28  extent that confidentiality of the marketing plan is no longer

29  necessary. If a discrete part of a marketing plan has been

30  publicly disclosed by the organization or has been implemented

31  to the extent that confidentiality of that portion of the plan

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  1  is no longer necessary, the organization shall redact the

  2  transcript and release only that part that records discussion

  3  of the nonconfidential part of the marketing plan, unless such

  4  disclosure would divulge any part of the marketing plan which

  5  remains confidential.

  6         (c)1.  All portions of any governing board meeting

  7  which are closed to the public to discuss managed care

  8  contracts shall be recorded by a certified court reporter. The

  9  reporter shall record the times of commencement and

10  termination of the meeting, all discussion and proceedings,

11  the names of all persons present at any time, and the names of

12  all persons speaking. No portion of the meeting shall be off

13  the record. The court reporter's notes shall be fully

14  transcribed and maintained by the organization's records

15  custodian within a reasonable time after the meeting.

16         2.  The closed meeting shall be restricted to

17  discussion of managed care contracts.

18         3.  The transcript shall become public 2 years after

19  the termination or completion of the term of the contract or

20  at an earlier date if the managed care contract discussed at

21  the meeting has been publicly disclosed by the organization or

22  implemented to the extent that confidentiality of the contract

23  is no longer necessary. If a discrete part of a contract has

24  been publicly disclosed by the organization or has been

25  implemented to the extent that confidentiality of that portion

26  of the contract is no longer necessary, the organization shall

27  redact the contract and release only that part that records

28  discussion of the nonconfidential part of the contract, unless

29  such disclosure would divulge any part of the contract which

30  remains confidential. The exemption in this subsection is

31  subject to the Open Government Sunset Review Act of 1995 in

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  1  accordance with s. 119.15 and shall stand repealed on October

  2  2, 2001, unless reviewed and saved from repeal through

  3  reenactment by the Legislature.

  4         (4)  Those portions of any public record, such as a

  5  tape recording, minutes, and notes, generated during that

  6  portion of a governing board or peer review panel or committee

  7  meeting which is closed to the public pursuant to this

  8  section, which contain information relating to contracts,

  9  documents, records, marketing plans, or trade secrets which

10  are made confidential and exempt by this section, are

11  confidential and exempt from the provisions of s. 119.07(1)

12  and s. 24(a), Art. I of the State Constitution. The exemptions

13  in this subsection are subject to the Open Government Sunset

14  Review Act of 1995 in accordance with s. 119.15 and shall

15  stand repealed on October 2, 2001, unless reviewed and saved

16  from repeal through reenactment by the Legislature.

17         (5)  The exemptions from s. 119.07(1) and s. 24(a),

18  Art. I of the State Constitution and s. 286.011 and s. 24(b),

19  Art. I of the State Constitution provided in this section do

20  not apply if the governing board of a university health

21  services support organization votes to lease, sell, or

22  transfer all or any substantial part of the facilities or

23  property of the university health services support

24  organization to a nonpublic entity.

25         (6)  Any person may petition a court of competent

26  jurisdiction for an order for the public release of those

27  portions of any public record, such as a tape recording,

28  minutes, or notes, generated during that portion of a

29  governing board meeting which is closed to the public pursuant

30  to subsection (3), which record is made confidential and

31  exempt by subsection (4). Any action pursuant to this

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  1  subsection must be brought in the county where the principal

  2  office of the university health services support organization

  3  is located, as reflected in the records of the Secretary of

  4  State. In any order for the public release of a record

  5  pursuant to this subsection, the court shall make a finding

  6  that a compelling public interest is served by the release of

  7  the record or portions thereof which exceeds the public

  8  necessity for maintaining the confidentiality of such record

  9  as described in s. 2, chapter 96-171, Laws of Florida, and

10  that the release of the record will not cause damage to or

11  adversely affect the interests of private persons, business

12  entities, the university health services support organization,

13  or the affiliated university.

14         (7)(a)  Those portions of any public record, such as a

15  tape recording, minutes, or notes, generated during that

16  portion of a governing board meeting at which negotiations for

17  contracts for managed-care arrangements occur, are reported

18  on, or are acted on by the governing board, which record is

19  made confidential and exempt by subsection (4), shall cease to

20  be exempt at the same time as the transcript of the meeting

21  becomes available to the public.

22         (b)1.  All portions of any meeting of a governing board

23  which are closed to the public pursuant to this subsection

24  shall be recorded by a certified court reporter. The reporter

25  shall record the times of commencement and termination of the

26  meeting, all discussion and proceedings, the names of all

27  persons present at any time, and the names of all persons

28  speaking. No portion of the meeting shall be off the record.

29  The court reporter's notes shall be fully transcribed and

30  maintained by the organization's records custodian within a

31  reasonable time after the meeting.

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  1         2.  The closed meeting shall be restricted to

  2  negotiations for contracts for managed care arrangements,

  3  reports on negotiations, and actions taken by the governing

  4  board on negotiations.

  5         3.  The transcript shall become public:

  6         a.  Two records 2 years after the termination or

  7  completion of the term of the contract to which such

  8  negotiations relate;

  9         b.  Two or, if no contract was executed, 2 years after

10  the termination of the negotiations, if no contract was

11  executed; or.

12         c.  At an earlier date if the record discussed,

13  reported on, or acted on at the meeting has been publicly

14  disclosed by the organization or implemented to the extent

15  that confidentiality of the record is no longer necessary. If

16  a discrete part of the record has been publicly disclosed by

17  the organization or has been implemented to the extent that

18  confidentiality of that portion of the record is no longer

19  necessary, the organization shall redact the record and

20  release only that part that discloses the nonconfidential part

21  of the record, unless such disclosure would divulge any part

22  of the record which remains confidential.

23         (c)  Notwithstanding paragraph (2)(a) and subsection

24  (4), a university health services support organization must

25  make available, upon request, the title and general

26  description of a contract for managed-care arrangements, the

27  names of the contracting parties, and the duration of the

28  contract term. Each contract All contracts for managed-care

29  arrangements which is are made confidential and exempt by

30  paragraph (2)(a), except those portions of any contract

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  1  containing trade secrets which are made confidential and

  2  exempt by paragraph (2)(c), shall become public:

  3         1.  Two 2 years after the termination or completion of

  4  the term of the contract; or.

  5         2.  At an earlier date if the contract has been

  6  publicly disclosed by the organization or implemented to the

  7  extent that confidentiality is no longer necessary. If a

  8  discrete part of a contract has been publicly disclosed by the

  9  organization or has been implemented to the extent that

10  confidentiality of that portion of the contract is no longer

11  necessary, the organization shall redact the contract and

12  release only that part that contains the nonconfidential part

13  of the contract, unless such disclosure would divulge any part

14  of the contract which remains confidential.

15         (8)  A university health services support organization

16  may petition a court of competent jurisdiction to continue the

17  confidentiality of any public record made nonconfidential by

18  this section, upon a showing of good cause. In determining

19  good cause, the court shall balance the property, privacy, and

20  economic interests of any affected person or business entity

21  with those of the university health services support

22  organization and with the public interest and must make a

23  finding that a substantial public interest is served by the

24  continued confidentiality of the public record for an

25  additional time period. The length of time for this continued

26  exemption may be no longer than is necessary to protect that

27  substantial public interest.

28         (9)  This act does not preclude discovery of records

29  and information that are otherwise discoverable under the

30  Florida Rules of Civil Procedure or any statutory provision

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  1  allowing discovery or presuit disclosure of such records and

  2  information for the purpose of civil actions.

  3         Section 3.  (1)  Public academic health sciences

  4  centers must compete with the private sector to obtain

  5  revenues for their services. The Legislature authorized state

  6  universities to establish university health service's support

  7  organizations to serve as the corporate entities through which

  8  public colleges of medicine may participate as partners in

  9  integrated health care delivery organizations and to enter

10  into, for the benefit of the university academic health

11  sciences centers, arrangements with other entities as

12  providers in other integrated health care systems or similar

13  entities. University health services support organizations are

14  subject to the state's public records and public meetings

15  laws.

16         (2)  The Legislature finds that the governing board of

17  a university health services support organization will not

18  discuss, debate, or participate in actions related to the

19  organization's marketing plan if the governing board's

20  discussions and records of these discussions are open to the

21  public and result in advanced or immediate disclosure of the

22  organization's marketing plans to its affiliated providers or

23  private sector competitors. The Legislature also finds that it

24  is a public necessity that the governing boards of these

25  organizations be involved in the discussions of the

26  organization's marketing plans. Consequently, the Legislature

27  finds that it is a public necessity for the marketing plans of

28  a university health services support organization, as well as

29  the tape recordings, notes, minutes, and transcripts that are

30  recorded pursuant to section 240.2996, Florida Statutes, to be

31  confidential and exempt from section 119.07(1), Florida

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  1  Statutes. The Legislature also finds that it is a public

  2  necessity that those portions of the organization's governing

  3  board meeting, committee meeting, or peer review panel meeting

  4  during which any confidential and exempt marketing plan of the

  5  organization is discussed be confidential and exempt from

  6  section 286.011, Florida Statutes. These exemptions protect

  7  the organization from competitors' gaining ready access to its

  8  marketing plans which would provide an unfair business

  9  advantage for competitors. Advanced or immediate disclosure of

10  the marketing plans would adversely affect the organization in

11  the marketplace.

12         (3)  The Legislature finds that the governing board of

13  a university health services support organization will not

14  discuss contracts and related documents if the governing

15  board's discussions and records of these discussions are open

16  to the public and result in advanced or immediate disclosure

17  to its private sector competitors. The Legislature also finds

18  that it is a public necessity that the governing boards of

19  these organizations be involved in the discussions of the

20  organization's contracts and related documents. The

21  Legislature finds that it is a public necessity for all

22  contracts for managed care arrangements under which the

23  university health services support organization provides

24  health care services and any documents relating to the

25  negotiation, performance, and implementation of these

26  contracts for managed care arrangements or alliance network

27  arrangements to be confidential and exempt from section

28  119.07(1), Florida Statutes. It is no less a public necessity

29  that the tape recordings, notes, minutes, and transcripts that

30  are recorded pursuant to section 240.2996, Florida Statutes,

31  be confidential and exempt from section 119.07(1), Florida

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  1  Statutes. The Legislature also finds that it is a public

  2  necessity that those portions of the organization's governing

  3  board meeting, committee meeting, or peer review panel meeting

  4  during which any confidential and exempt contracts and related

  5  documents are discussed be confidential and exempt from

  6  section 286.011, Florida Statutes. The contracts and related

  7  documents include utilization review and quality assurance

  8  methods and techniques, as well as proprietary business

  9  information such as reimbursement methodologies and rates.

10  These exemptions protect the organization from the

11  competitors' gaining ready access to its contracts and related

12  documents which would provide an unfair business advantage for

13  competitors. Advanced or immediate disclosure of the contracts

14  and related documents would adversely affect the business

15  interests of the organization and its actual or potential

16  contractors in the marketplace.

17         (4)  The Legislature finds that it is a public

18  necessity that trade secrets, as defined in section 688.002,

19  Florida Statutes, including reimbursement methodologies and

20  rates, as well as the tape recordings, notes, minutes, and

21  transcripts that are recorded pursuant to section 240.2996,

22  Florida Statutes, be confidential and exempt from section

23  119.07(1), Florida Statutes. The Legislature also finds that

24  it is a public necessity that those portions of the meetings

25  of the organization's governing board, committee, or peer

26  review panel during which any confidential and exempt trade

27  secret or proprietary business information is discussed be

28  confidential and exempt from section 286.011, Florida

29  Statutes. These exemptions protect the organization's

30  proprietary business information and the trade secret and

31  proprietary business information that the organization obtains

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  1  from private entities doing business with the organization.

  2  Disclosing trade secrets and proprietary business information

  3  in the organization's possession to competitors would

  4  negatively affect the business interests of the organization

  5  and private entities doing business with the organization and

  6  adversely affect these entities in the marketplace.

  7         (5)  The Legislature finds that it is a public

  8  necessity to make confidential and exempt from section

  9  119.07(1), Florida Statutes, the records of the university

10  health services support organization that are used by its peer

11  review panels, committees, governing board, and agents to

12  evaluate health care services and health care providers'

13  professional credentials. It is no less a public necessity

14  that the tape recordings, notes, minutes, and transcripts that

15  are recorded pursuant to section 240.2996, Florida Statutes,

16  be confidential and exempt from section 119.07(1), Florida

17  Statutes. The Legislature also finds that it is a public

18  necessity that those portions of the meetings of the

19  organization's governing board, committee, or peer review

20  panel during which any confidential and exempt information is

21  discussed be confidential and exempt from section 286.011,

22  Florida Statutes. These exemptions protect information of a

23  sensitive personal nature concerning health care providers and

24  physicians who are employed by or under contract with the

25  organization to provide services and who are subject to the

26  organization's peer review and credentialing process. If

27  disclosed, the information would defame individual health care

28  providers and physicians or cause unwarranted damage to their

29  good names or reputations. Without the exemptions, information

30  necessary to the peer review and credentialing process could

31  not be obtained and meaningful review would not be possible.

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  1         Section 4.  Sections 240.2995 and 240.2996, Florida

  2  Statutes, are repealed January 7, 2003, and shall be reviewed

  3  by the Legislature prior to that date.

  4         Section 5.  This act shall take effect upon becoming a

  5  law.

  6

  7            *****************************************

  8                          SENATE SUMMARY

  9    Reinstates, with modifications, the exemption of records
      of university health services support organizations from
10    open-records requirements, after review under the Open
      Government Sunset Review Act. Exempts meetings of the
11    governing boards, committees, and peer review panels of
      such organizations from open-meeting requirements and
12    provides for recording the proceedings of such bodies and
      making the records so made public according to a stated
13    schedule. Repeals, effective January 7, 2003, provisions
      relating to university health services support
14    organizations.

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