SENATE AMENDMENT
    Bill No. CS for CS for SB 2170
    Amendment No. ___   Barcode 845616
                            CHAMBER ACTION
              Senate                               House
                                   .                    
                                   .                    
 1                  21/AD/2R       .                    
       04/23/2004 04:37 PM         .                    
 2                                 .                    
                                   .                    
 3                                 .                    
                                   .                    
 4  ______________________________________________________________
 5  
 6  
 7  
 8  
 9  
10  ______________________________________________________________
11  Senator Saunders moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         On page 134, between lines 21 and 22,
15  
16  insert:  
17         Section 111.  Subsections (1) and (2) of section
18  400.487, Florida Statutes, are amended to read:
19         400.487  Home health service agreements; physician's,
20  physician's assistant's, and advanced registered nurse
21  practitioner's treatment orders; patient assessment;
22  establishment and review of plan of care; provision of
23  services; orders not to resuscitate.--
24         (1)  Services provided by a home health agency must be
25  covered by an agreement between the home health agency and the
26  patient or the patient's legal representative specifying the
27  home health services to be provided, the rates or charges for
28  services paid with private funds, and the sources method of
29  payment, which may include Medicare, Medicaid, private
30  insurance, personal funds, or a combination thereof. A home
31  health agency providing skilled care must make an assessment
                                  1
    7:54 AM   04/23/04                              s2170c2c-37c3c

SENATE AMENDMENT Bill No. CS for CS for SB 2170 Amendment No. ___ Barcode 845616 1 of the patient's needs within 48 hours after the start of 2 services. 3 (2) When required by the provisions of chapter 464; 4 part I, part III, or part V of chapter 468; or chapter 486, 5 the attending physician, physician's assistant, or advanced 6 registered nurse practitioner, acting within his or her 7 respective scope of practice, shall for a patient who is to 8 receive skilled care must establish treatment orders for a 9 patient who is to receive skilled care. The treatment orders 10 must be signed by the physician, physician's assistant, or 11 advanced registered nurse practitioner before a claim for 12 payment for the skilled services is submitted by the home 13 health agency. If the claim is submitted to a managed care 14 organization, the treatment orders must be signed in the time 15 allowed under the provider agreement. The treatment orders 16 shall within 30 days after the start of care and must be 17 reviewed, as frequently as the patient's illness requires, by 18 the physician, physician's assistant, or advanced registered 19 nurse practitioner in consultation with the home health agency 20 personnel that provide services to the patient. 21 22 (Redesignate subsequent sections.) 23 24 25 ================ T I T L E A M E N D M E N T =============== 26 And the title is amended as follows: 27 On page 10, line 28, after the semicolon, 28 29 insert: 30 amending s. 400.487, F.S.; revising home health 31 agency service agreements and treatment orders; 2 7:54 AM 04/23/04 s2170c2c-37c3c