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



                                                  SENATE AMENDMENT

    Bill No. CS for SB 726

    Amendment No. ___   Barcode 804108

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11  Senator Lawson moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 3, line 28, delete that line

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16  and insert:

17         Section 2.  Effective July 1, 2003, paragraph (o) of

18  subsection (3) of section 456.053, Florida Statutes, as

19  amended by this act, is amended to read:

20         456.053  Financial arrangements between referring

21  health care providers and providers of health care services.--

22         (3)  DEFINITIONS.--For the purpose of this section, the

23  word, phrase, or term:

24         (o)  "Referral" means any referral of a patient by a

25  health care provider for health care services, including,

26  without limitation:

27         1.  The forwarding of a patient by a health care

28  provider to another health care provider or to an entity which

29  provides or supplies designated health services or any other

30  health care item or service; or

31         2.  The request or establishment of a plan of care by a

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 726

    Amendment No. ___   Barcode 804108





  1  health care provider, which includes the provision of

  2  designated health services or other health care item or

  3  service.

  4         3.  The following orders, recommendations, or plans of

  5  care shall not constitute a referral by a health care

  6  provider:

  7         a.  By a radiologist for diagnostic-imaging services.

  8         b.  By a physician specializing in the provision of

  9  radiation therapy services for such services.

10         c.  By a medical oncologist for drugs and solutions to

11  be prepared and administered intravenously to such

12  oncologist's patient, as well as for the supplies and

13  equipment used in connection therewith to treat such patient

14  for cancer and the complications thereof.

15         d.  By a cardiologist for cardiac catheterization

16  services.

17         e.  By a pathologist for diagnostic clinical laboratory

18  tests and pathological examination services, if furnished by

19  or under the supervision of such pathologist pursuant to a

20  consultation requested by another physician.

21         f.  By a health care provider who is the sole provider

22  or member of a group practice for designated health services

23  or other health care items or services that are prescribed or

24  provided solely for such referring health care provider's or

25  group practice's own patients, and that are provided or

26  performed by or under the direct supervision of such referring

27  health care provider or group practice; provided, however,

28  that effective July 1, 1999, a physician licensed pursuant to

29  chapter 458, chapter 459, chapter 460, or chapter 461 may

30  refer a patient to a sole provider or group practice for

31  diagnostic imaging services, excluding radiation therapy

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 726

    Amendment No. ___   Barcode 804108





  1  services, for which the sole provider or group practice billed

  2  both the technical and the professional fee for or on behalf

  3  of the patient, if the referring physician has no investment

  4  interest in the practice. The diagnostic imaging service

  5  referred to a group practice or sole provider must be a

  6  diagnostic imaging service normally provided within the scope

  7  of practice to the patients of the group practice or sole

  8  provider. The group practice or sole provider may accept no

  9  more that 15 percent of their patients receiving diagnostic

10  imaging services from outside referrals, excluding radiation

11  therapy services.

12         g.  By a health care provider for services provided by

13  an ambulatory surgical center licensed under chapter 395.

14         h.  By a urologist for lithotripsy services.

15         i.  By a dentist for dental services performed by an

16  employee of or health care provider who is an independent

17  contractor with the dentist or group practice of which the

18  dentist is a member.

19         j.  By a physician for infusion therapy services to a

20  patient of that physician or a member of that physician's

21  group practice.

22         k.  By a nephrologist for renal dialysis services and

23  supplies, except laboratory services.

24         l.  By a health care provider whose principal

25  professional practice consists of treating patients in their

26  private residences for services to be rendered in such private

27  residences. For purposes of this sub-subparagraph, the term

28  "private residences" includes patient's private homes,

29  independent living centers, and assisted living facilities,

30  but does not include skilled nursing facilities.

31         Section 3.  Except as otherwise expressly provided in

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 726

    Amendment No. ___   Barcode 804108





  1  this act, this act shall take effect July 1, 2002.

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  4  ================ T I T L E   A M E N D M E N T ===============

  5  And the title is amended as follows:

  6         On page 1, line 8, after the semicolon,

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  8  insert:

  9         providing for future repeal of the list of

10         practices that constitute exceptions;

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