SENATE AMENDMENT
    Bill No. SB 968
    Amendment No. ___   Barcode 092100
                            CHAMBER ACTION
              Senate                               House
                                   .                    
                                   .                    
 1                                 .                    
                                   .                    
 2                                 .                    
                                   .                    
 3                                 .                    
                                   .                    
 4  ______________________________________________________________
 5  
 6  
 7  
 8  
 9  
10  ______________________________________________________________
11  Senator Geller moved the following amendment to substitute
12  amendment (680820):
13  
14         Senate Amendment 
15         On page 2, line 23, through
16            page 3, line 23, delete those lines
17  
18  and insert:  
19         Section 2.  Paragraphs (r) and (s) are added to
20  subsection (3) of section 408.036, Florida Statutes, to read:
21         408.036  Projects subject to review.--
22         (3)  EXEMPTIONS.--Upon request, the following projects
23  are subject to exemption from the provisions of subsection
24  (1):
25         (r)  For the provision of adult open heart surgery
26  services in a hospital, the request for an exemption must
27  comply with the following criteria:
28         1.  The hospital must have at least 390 licensed beds
29  as of the date of the exemption request.
30         2.  The hospital shall demonstrate, for the 12-month
31  period ending 1 month prior to the date of the exemption
                                  1
    5:39 PM   04/30/01                                s0968b-29j01

SENATE AMENDMENT Bill No. SB 968 Amendment No. ___ Barcode 092100 1 request, at least 400 admissions to the hospital through its 2 emergency room of patients with the primary diagnosis of acute 3 myocardial infarction, and the performance of at least 1,000 4 diagnostic and therapeutic cardiac catheterizations. 5 3. The hospital shall certify that its provision of 6 open heart surgery services will be offered in conjunction 7 with a therapeutic cardiac catheterization program, will be 8 available to all patients without regard as to ability to pay, 9 will maintain sufficient and appropriate equipment and staff 10 to ensure quality and safety, will be available 24 hours a 11 day, 7 days a week, and will maintain appropriate volumes as 12 reasonably necessary to ensure quality and safety. 13 4. The exemption shall terminate if the agency 14 determines that the hospital has failed to comply with the 15 certifications set forth in subparagraph 3. In the event the 16 exemption terminates, the hospital will not again be eligible 17 to apply for an exemption until 2 years following the date of 18 termination. 19 (s) For the addition of an adult open heart surgery 20 program at a hospital that had 220 or more licensed and 21 approved beds on January 1, 2001; had no fewer than 50,000 22 emergency room visits in the calendar year immediately 23 preceding the year in which the request for exemption is 24 filed, had no fewer than 1,000 major diagnostic category five 25 patient discharges in the calendar year immediately preceding 26 the year in which the request for exemption is filed; 27 transferred no fewer than 200 patients to other facilities for 28 open heart surgery or angioplasty, combined, in the calendar 29 year immediately preceding the year in which the request for 30 exemption is filed; and is owned and operated by an 31 independent special district that owns and operates two or 2 5:39 PM 04/30/01 s0968b-29j01
SENATE AMENDMENT Bill No. SB 968 Amendment No. ___ Barcode 092100 1 more separate hospitals and one or more nursing homes. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 3 5:39 PM 04/30/01 s0968b-29j01