House Bill hb0283

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    Florida House of Representatives - 2002                 HB 283

        By the Committee on State Administration and
    Representative Brummer





  1                      A bill to be entitled

  2         An act relating to public records and meeting

  3         exemptions for statewide or district managed

  4         care ombudsman committees; amending s. 641.67,

  5         F.S., which provides an exemption from public

  6         records requirements for patient records and

  7         certain identifying information held by

  8         statewide or district managed care ombudsman

  9         committees; reenacting such exemption for the

10         district managed care ombudsman committees and

11         removing the October 2, 2002, repeal thereof

12         scheduled under the Open Government Sunset

13         Review Act of 1995; repealing such exemption

14         for the statewide managed care ombudsman

15         committee; amending s. 641.68, F.S., which

16         provides an exemption from public meeting

17         requirements for any portion of a meeting

18         conducted by statewide or district managed care

19         ombudsman committees where patient records and

20         certain identifying information are discussed;

21         reenacting such exemption for the district

22         managed care ombudsman committees and removing

23         the October 2, 2002, repeal thereof scheduled

24         under the Open Government Sunset Review Act of

25         1995; repealing such exemption for the

26         statewide managed care ombudsman committee;

27         removing public necessity statements; providing

28         an effective date.

29

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

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    Florida House of Representatives - 2002                 HB 283

    688-191-02






  1         Section 1.  Notwithstanding the October 2, 2002, repeal

  2  of said section scheduled pursuant to the Open Government

  3  Sunset Review Act of 1995, section 641.67, Florida Statutes,

  4  is reenacted and amended to read:

  5         641.67  Statewide or District managed care ombudsman

  6  committee; exemption from public records requirements;

  7  exceptions.--

  8         (1)  The following information is confidential and

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

10  I of the State Constitution:

11         (1)(a)  Patient records held by the statewide or a

12  district managed care ombudsman committee created under s.

13  641.60 or s. 641.65.

14         (2)(b)  The name or identity of a complainant who files

15  a complaint with the statewide or a district managed care

16  ombudsman committee, including any problem identified by the

17  ombudsman committee as a result of an investigation, unless

18  the complainant provides written consent that authorizes the

19  release of his or her name or unless a court of competent

20  jurisdiction orders that the name or identity of a complainant

21  be disclosed.

22         (3)  Any problem identified by a district managed care

23  ombudsman committee as a result of an investigation.

24

25  Exemptions created under this subsection are subject to the

26  Open Government Sunset Review Act of 1995, in accordance with

27  s. 119.15, and shall stand repealed on October 2, 2002, unless

28  reviewed and saved from repeal by reenactment of the

29  Legislature.

30         (2)  The Legislature finds that it is a public

31  necessity that patient records and any other identifying

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    Florida House of Representatives - 2002                 HB 283

    688-191-02






  1  information concerning a complainant held by the statewide or

  2  a district managed care ombudsman committee be held

  3  confidential and exempt from the public records law. The

  4  Legislature finds that the citizens of Florida benefit from

  5  the thorough investigation and prompt resolution of complaints

  6  regarding the quality of care provided by managed care

  7  programs. Investigation of complaints regarding quality of

  8  care often requires careful review of a patient's medical

  9  record. Such records, as well as other information contained

10  in the complaint, often concern matters of a personal and

11  private nature. Disclosure to the public of a patient's

12  medical record, a complainant's identity, or other personal

13  information would significantly discourage the filing of

14  complaints. Consequently, the quality of care provided to the

15  public would suffer. Therefore, the Legislature finds that the

16  harm to the individual and the public in disclosing patient

17  records and identifying information substantially outweighs

18  the public benefit in allowing such disclosure.

19         Section 2.  Notwithstanding the October 2, 2002, repeal

20  of said section scheduled pursuant to the Open Government

21  Sunset Review Act of 1995, section 641.68, Florida Statutes,

22  is reenacted and amended to read:

23         641.68  Statewide or District managed care ombudsman

24  committee; exemption from public meeting requirements.--

25         (1)  That portion of a committee meeting conducted by

26  the statewide or a district managed care ombudsman committee

27  created under s. 641.60 or s. 641.65, where patient records

28  and information identifying a complainant are discussed, is

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

30  of the State Constitution. The exemption created under this

31  subsection is subject to the Open Government Sunset Review Act

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    Florida House of Representatives - 2002                 HB 283

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  1  of 1995, in accordance with s. 119.15, and shall stand

  2  repealed on October 2, 2002, unless reviewed and saved from

  3  repeal by reenactment of the Legislature.

  4         (2)  The exemption created under subsection (1)

  5  overrides the important public policy of public access to

  6  portions of certain public discussions of governmental

  7  agencies because of the need to maintain consistency in the

  8  law relating to the management and handling of information of

  9  a personal and sensitive nature involving private individuals.

10  It is important that the statewide or a district managed care

11  ombudsman committee be able to discuss such personal and

12  sensitive information in detail so that an accurate evaluation

13  can be made of the facts contained in a complaint.

14  Dissemination to the public of information about a health

15  maintenance organization or other managed care organization

16  that is obtained through a complaint would have a chilling

17  effect on the willingness of persons with knowledge of any

18  substandard quality-of-care activities of such organizations

19  to provide such information to the statewide or a district

20  managed care ombudsman committee. Based on the evaluation of

21  such committees, certain remedial actions may be required of

22  health maintenance organizations or other managed care

23  organizations which will serve to enhance overall quality of

24  care rendered by any specific company involved and potentially

25  the entire managed care industry. Furthermore, such

26  information may provide grounds for investigation by the

27  Agency for Health Care Administration or may assist the agency

28  in carrying out its responsibilities of protecting the public.

29         Section 3.  This act shall take effect October 1, 2002.

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    Florida House of Representatives - 2002                 HB 283

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  2                          HOUSE SUMMARY

  3
      Reenacts the public records and public meeting exemptions
  4    for patient records and certain identifying information
      held by district managed care ombudsman committees, and
  5    for portions of meetings of such committees where such
      records or information is discussed, and removes the
  6    October 2, 2002, repeal thereof scheduled under the Open
      Government Sunset Review Act of 1995. Removes those
  7    exemptions for the statewide managed care ombudsman
      committee.
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