| 1 | Representative Galvano offered the following: |
| 2 |
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| 3 | Amendment to Amendment (954111) (with title amendment) |
| 4 | Between lines 31 and 32 insert: |
| 5 | Section 2. Subsections (9), (10), and (11) are added to |
| 6 | section 395.003, Florida Statutes, to read: |
| 7 | 395.003 Licensure; issuance, renewal, denial, |
| 8 | modification, suspension, and revocation.-- |
| 9 | (9) A hospital may not be licensed or relicensed if: |
| 10 | (a) The diagnosis-related groups for 65 percent or more of |
| 11 | the discharges from the hospital, in the most recent year for |
| 12 | which data is available to the Agency for Health Care |
| 13 | Administration pursuant to s. 408.061, are for diagnosis, care, |
| 14 | and treatment of patients who have: |
| 15 | 1. Cardiac-related diseases and disorders classified as |
| 16 | diagnosis-related groups 103-145, 478-479, 514-518, or 525-527; |
| 17 | 2. Orthopedic-related diseases and disorders classified as |
| 18 | diagnosis-related groups 209-256, 471, 491, 496-503, or 519-520; |
| 19 | 3. Cancer-related diseases and disorders classified as |
| 20 | diagnosis-related groups 64, 82, 172, 173, 199, 200, 203, 257- |
| 21 | 260, 274, 275, 303, 306, 307, 318, 319, 338, 344, 346, 347, 363, |
| 22 | 366, 367, 400-414, 473, or 492; or |
| 23 | 4. Any combination of the above discharges. |
| 24 | (b) The hospital restricts its medical and surgical |
| 25 | services to primarily or exclusively cardiac, orthopedic, |
| 26 | surgical, or oncology specialties. |
| 27 | (10) A hospital licensed as of June 1, 2004, shall be |
| 28 | exempt from subsection (9) as long as the hospital maintains the |
| 29 | same ownership, facility street address, and range of services |
| 30 | that were in existence on June 1, 2004. Any transfer of beds, or |
| 31 | other agreements that result in the establishment of a hospital |
| 32 | or hospital services within the intent of this section, shall be |
| 33 | subject to subsection (9). Unless the hospital is otherwise |
| 34 | exempt under subsection (9), the agency shall deny or revoke the |
| 35 | license of a hospital that violates any of the criteria set |
| 36 | forth in that subsection. |
| 37 | (11) The agency may adopt rules implementing the licensure |
| 38 | requirements set forth in subsection (9). Within 14 days after |
| 39 | rendering its decision on a license application or revocation, |
| 40 | the agency shall publish its proposed decision in the Florida |
| 41 | Administrative Weekly. Within 21 days after publication of the |
| 42 | agency's decision, any authorized person may file a request for |
| 43 | an administrative hearing. In administrative proceedings |
| 44 | challenging the approval, denial, or revocation of a license |
| 45 | pursuant to subsection (9), the hearing must be based on the |
| 46 | facts and law existing at the time of the agency's proposed |
| 47 | agency action. Existing hospitals may initiate or intervene in |
| 48 | an administrative hearing to approve, deny, or revoke licensure |
| 49 | under subsection (9) based upon a showing that an established |
| 50 | program will be substantially affected by the issuance or |
| 51 | renewal of a license to a hospital within the same district or |
| 52 | service area. |
| 53 |
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| 54 | ================ T I T L E A M E N D M E N T ============= |
| 55 | Remove line 3953 and insert: |
| 56 | conforming, or removing references; amending s. 395.003, F.S.; |
| 57 | providing additional conditions for the licensure or relicensure |
| 58 | of hospitals; exempting currently licensed hospitals; amending |
| 59 | ss. 395.0197, |