SENATE AMENDMENT
Bill No. CS for CS for SB 1252
Amendment No. ___ Barcode 520542
CHAMBER ACTION
Senate House
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11 Senator Bennett moved the following amendment to amendment
12 (435458):
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14 Senate Amendment
15 On page 16, between lines 6 and 7,
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17 insert:
18 (y)1. For the provision of adult open-heart services
19 in a hospital located within the boundaries of Palm Beach,
20 Polk, Martin, St. Lucie, and Indian River Counties if the
21 following conditions are met: The exemption must be based upon
22 objective criteria and address and solve the twin problems of
23 geographic and temporal access. A hospital shall be exempt
24 from the certificate-of-need review for the establishment of
25 an open-heart-surgery program when the application for
26 exemption submitted under this paragraph complies with the
27 following criteria:
28 a. The applicant must certify that it will meet and
29 continuously maintain the minimum licensure requirements
30 adopted by the agency governing adult open-heart programs,
31 including the most current guidelines of the American College
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SENATE AMENDMENT
Bill No. CS for CS for SB 1252
Amendment No. ___ Barcode 520542
1 of Cardiology and American Heart Association Guidelines for
2 Adult Open Heart Programs.
3 b. The applicant must certify that it will maintain
4 sufficient appropriate equipment and health personnel to
5 ensure quality and safety.
6 c. The applicant must certify that it will maintain
7 appropriate times of operation and protocols to ensure
8 availability and appropriate referrals in the event of
9 emergencies.
10 d. The applicant can demonstrate that it is referring
11 300 or more patients per year from the hospital, including the
12 emergency room, for cardiac services at a hospital with
13 cardiac services, or that the average wait for transfer for 50
14 percent or more of the cardiac patients exceeds 4 hours.
15 e. The applicant is a general acute care hospital that
16 is in operation for 3 years or more.
17 f. The applicant is performing more than 300
18 diagnostic cardiac catheterization procedures per year,
19 combined inpatient and outpatient.
20 g. The applicant's payor mix at a minimum reflects the
21 community average for Medicaid, charity care, and self-pay
22 patients or the applicant must certify that it will provide a
23 minimum of 5 percent of Medicaid, charity care, and self-pay
24 to open-heart-surgery patients.
25 h. If the applicant fails to meet the established
26 criteria for open-heart programs or fails to reach 300
27 surgeries per year by the end of its third year of operation,
28 it must show cause why its exemption should not be revoked.
29 2. By December 31, 2004, and annually thereafter, the
30 Agency for Health Care Administration shall submit a report to
31 the Legislature providing information concerning the number of
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SENATE AMENDMENT
Bill No. CS for CS for SB 1252
Amendment No. ___ Barcode 520542
1 requests for exemption received under this paragraph and the
2 number of exemptions granted or denied.
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