House Bill hb0961

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




    Florida House of Representatives - 2001                 HB 961

        By Representative Carassas






  1                      A bill to be entitled

  2         An act relating to nursing homes and related

  3         health care facilities; amending s. 400.235,

  4         F.S.; revising membership and terms of the

  5         Governor's Panel on Excellence in Long-Term

  6         Care; providing for selection of a panel chair;

  7         providing a definition; amending s. 400.4195,

  8         F.S.; providing conditions under which the

  9         prohibition against payment of referral fees by

10         assisted living facilities does not apply;

11         providing an effective date.

12

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

14

15         Section 1.  Paragraph (a) of subsection (3) of section

16  400.235, Florida Statutes, is amended to read:

17         400.235  Nursing home quality and licensure status;

18  Gold Seal Program.--

19         (3)(a)1.  The Gold Seal Program shall be developed and

20  implemented by the Governor's Panel on Excellence in Long-Term

21  Care, which shall operate under the authority of the Executive

22  Office of the Governor. For the purposes of staggering the

23  terms of the panel members and notwithstanding the conditions

24  of the original appointments, the terms of all panel members

25  shall expire on September 30, 2001. The panel shall be

26  composed of the following members appointed effective October

27  1, 2001:

28         a.  A consumer advocate for senior citizens, appointed

29  by the Governor, to serve a 4-year term.

30         b.  Two persons with expertise in the fields of quality

31  management, service delivery excellence, or public-sector

                                  1

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






    Florida House of Representatives - 2001                 HB 961

    757-104B-01






  1  accountability, appointed by the Governor, to serve 3-year

  2  terms.

  3         c.  A consumer advocate for senior citizens, appointed

  4  by the Secretary of Elderly Affairs, to serve a 4-year term.

  5         d.  An active member of a nursing facility family and

  6  resident care council, appointed by the Secretary of Elderly

  7  Affairs, to serve a 1-year term.

  8         e.  A member of the University Consortium on Aging,

  9  appointed by the Secretary of Elderly Affairs, to serve a

10  2-year term.

11         f.  The State Long-Term Care Ombudsman, to serve an

12  indefinite term.

13         g.  A consumer advocate for senior citizens, appointed

14  by the Florida Life Care Residents Association, to serve a

15  3-year term.

16         h.  A consumer advocate for senior citizens, appointed

17  by the Secretary of Health, to serve a 2-year term.

18         i.  A consumer advocate for senior citizens, appointed

19  by the Director of Health Care Administration, to serve a

20  4-year term.

21         j.  The Deputy Director for State Health Purchasing of

22  the Agency for Health Care Administration, to serve an

23  indefinite term.

24         k.  One person appointed by the Florida Association of

25  Homes for the Aging, to serve a 1-year term.

26         l.  One person appointed by the Florida Health Care

27  Association, to serve a 2-year term.

28         m.  A member of the Florida Silver Hair Legislature

29  appointed by the Florida Silver Hair Legislature, to serve a

30  1-year term.

31

                                  2

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






    Florida House of Representatives - 2001                 HB 961

    757-104B-01






  1         n.  A member of the Florida State Council of Senior

  2  Citizens appointed by the Florida State Council of Senior

  3  Citizens, to serve a 2-year term.

  4

  5  Thereafter, all panel members except those appointed under

  6  subparagraphs f. and j. shall be appointed to serve 4-year

  7  terms. The panel shall be composed of three persons appointed

  8  by the Governor, to include a consumer advocate for senior

  9  citizens and two persons with expertise in the fields of

10  quality management, service delivery excellence, or public

11  sector accountability; three persons appointed by the

12  Secretary of Elderly Affairs, to include an active member of a

13  nursing facility family and resident care council and a member

14  of the University Consortium on Aging; the State Long-Term

15  Care Ombudsman; one person appointed by the Florida Life Care

16  Residents Association; one person appointed by the Secretary

17  of Health; two persons appointed by the Secretary of Health

18  Care Administration; one person appointed by the Florida

19  Association of Homes for the Aging; and one person appointed

20  by the Florida Health Care Association. Vacancies on the panel

21  shall be filled in the same manner as the original

22  appointments. A panel member may not be appointed to serve

23  more than two consecutive 4-year terms.

24         2.  Panel members shall select the panel chair by a

25  majority vote at the panel's first meeting after all panel

26  members have been appointed.

27         3.  For purposes of this paragraph, the term "consumer

28  advocate for senior citizens" means a person who:

29         a.  Receives no money from the nursing home industry in

30  the form of wages, contributions, or gifts and has no

31  relatives who receive such wages, contributions, or gifts;

                                  3

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






    Florida House of Representatives - 2001                 HB 961

    757-104B-01






  1         b.  Is not an employee of the Agency for Health Care

  2  Administration, the Department of Health, or the Department of

  3  Elderly Affairs; and

  4         c.  Is either a member of an organized senior advocacy

  5  group or has had or currently has a relative in a nursing

  6  home.

  7         Section 2.  Section 400.4195, Florida Statutes, is

  8  amended to read:

  9         400.4195  Rebates prohibited; penalties.--

10         (1)  It is unlawful for any assisted living facility

11  licensed under this part to contract or promise to pay or

12  receive any commission, bonus, kickback, or rebate or engage

13  in any split-fee arrangement in any form whatsoever with any

14  physician, surgeon, organization, agency, or person, either

15  directly or indirectly, for residents referred to an assisted

16  living facility licensed under this part unless the following

17  conditions are met:.

18         (a)  Payment is made to an independent marketing agency

19  that represents the facility under a nonexclusive contract.

20         (b)  The independent marketing agency represents

21  multiple facilities with different owners.

22         (c)  The independent marketing agency clearly indicates

23  to referred residents, prior to referral, all facilities

24  represented by the agency. A facility may employ or contract

25  with persons to market the facility, provided the employee or

26  contract provider clearly indicates that he or she represents

27  the facility.

28         (2)  A person or agency independent of the facility may

29  provide placement or referral services for a fee to

30  individuals seeking assistance in finding a suitable facility;

31  however, any fee paid for placement or referral services must

                                  4

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






    Florida House of Representatives - 2001                 HB 961

    757-104B-01






  1  be paid by the individual looking for a facility, not by the

  2  facility.

  3         (3)(2)  A violation of this section shall be considered

  4  patient brokering and is punishable as provided in s. 817.505.

  5         Section 3.  This act shall take effect upon becoming a

  6  law.

  7

  8            *****************************************

  9                          HOUSE SUMMARY

10
      Revises membership and terms of the Governor's Panel on
11    Excellence in Long-Term Care. Provides for selection of a
      panel chair. Defines the term "consumer advocate for
12    senior citizens" for purposes of appointments to the
      panel. Provides that payments made to an independent
13    marketing agency by an assisted living facility for
      referral of residents to that facility are not prohibited
14    if the agency represents the facility under a
      nonexclusive contract and represents multiple facilities
15    with different owners, and clearly indicates to referred
      residents, prior to referral, all the facilities
16    represented.

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  5

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