SENATE AMENDMENT
    Bill No. CS for CS for SB 2170
    Amendment No. ___   Barcode 484362
                            CHAMBER ACTION
              Senate                               House
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       04/23/2004 04:27 PM         .                    
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11  Senator Saunders moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 11, between lines 14 and 15,
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16  insert:  
17         Section 2.  Subsections (9), (10), and (11) are added
18  to section 395.003, Florida Statutes, to read:
19         395.003  Licensure; issuance, renewal, denial,
20  modification, suspension, and revocation.--
21         (9)  A hospital may not be licensed or relicensed if:
22         (a)  The diagnosis-related groups for 65 percent or
23  more of the discharges from the hospital, in the most recent
24  year for which data is available to the Agency for Health Care
25  Administration pursuant to s. 408.061, are for diagnosis,
26  care, and treatment of patients who have:
27         1.  Cardiac-related diseases and disorders classified
28  as diagnosis-related groups 103-145, 478-479, 514-518, or
29  525-527;
30         2.  Orthopedic-related diseases and disorders
31  classified as diagnosis-related groups 209-256, 471, 491,
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    1:28 PM   04/22/04                              s2170c2c-37c8j

SENATE AMENDMENT Bill No. CS for CS for SB 2170 Amendment No. ___ Barcode 484362 1 496-503, or 519-520; 2 3. Cancer-related diseases and disorders classified as 3 diagnosis-related groups 64, 82, 172, 173, 199, 200, 203, 4 257-260, 274, 275, 303, 306, 307, 318, 319, 338, 344, 346, 5 347, 363, 366, 367, 400-414, 473, or 492; or 6 4. Any combination of the above discharges. 7 (b) The hospital restricts its medical and surgical 8 services to primarily or exclusively cardiac, orthopedic, 9 surgical, or oncology specialties. 10 (10) A hospital licensed as of June 1, 2004, shall be 11 exempt from subsection (9) as long as the hospital maintains 12 the same ownership, facility street address, and range of 13 services that were in existence on June 1, 2004. Any transfer 14 of beds, or other agreements that result in the establishment 15 of a hospital or hospital services within the intent of this 16 section, shall be subject to subsection (9). Unless the 17 hospital is otherwise exempt under subsection (9), the agency 18 shall deny or revoke the license of a hospital that violates 19 any of the criteria set forth in that subsection. 20 (11) The agency may adopt rules implementing the 21 licensure requirements set forth in subsection (9). Within 14 22 days after rendering its decision on a license application or 23 revocation, the agency shall publish its proposed decision in 24 the Florida Administrative Weekly. Within 21 days after 25 publication of the agency's decision, any authorized person 26 may file a request for an administrative hearing. In 27 administrative proceedings challenging the approval, denial, 28 or revocation of a license pursuant to subsection (9), the 29 hearing must be based on the facts and law existing at the 30 time of the agency's proposed agency action. Existing 31 hospitals may initiate or intervene in an administrative 2 1:28 PM 04/22/04 s2170c2c-37c8j
SENATE AMENDMENT Bill No. CS for CS for SB 2170 Amendment No. ___ Barcode 484362 1 hearing to approve, deny, or revoke licensure under subsection 2 (9) based upon a showing that an established program will be 3 substantially affected by the issuance or renewal of a license 4 to a hospital within the same district or service area. 5 6 (Redesignate subsequent sections.) 7 8 9 ================ T I T L E A M E N D M E N T =============== 10 And the title is amended as follows: 11 On page 1, line 8, after the semicolon, 12 13 insert: 14 amending s. 395.003, F.S.; providing additional 15 conditions for the licensure or relicensure of 16 hospitals; exempting currently licensed 17 hospitals; 18 19 20 21 22 23 24 25 26 27 28 29 30 31 3 1:28 PM 04/22/04 s2170c2c-37c8j