Senate Bill sb0240c1

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2005                            CS for SB 240

    By the Committee on Health Care; and Senator Lynn





    587-840-05

  1                      A bill to be entitled

  2         An act relating to emergency electrical service

  3         in nursing home facilities; amending s. 400.23,

  4         F.S.; requiring that each nursing home have an

  5         emergency electrical system that is capable of

  6         providing electrical service for a specified

  7         period during an interruption of the normal

  8         electrical supply; providing requirements for

  9         priority in restoring electrical power to

10         nursing homes; requiring that the state use

11         federal disaster funds to purchase generators

12         for use by nursing homes if such funds are

13         available; requiring an adjustment of the

14         Medicaid rate for the purpose of reimbursing

15         nursing homes for the cost of acquiring

16         emergency generators; providing an effective

17         date.

18  

19  Be It Enacted by the Legislature of the State of Florida:

20  

21         Section 1.  Paragraph (d) of subsection (2) of section

22  400.23, Florida Statutes, is amended to read:

23         400.23  Rules; evaluation and deficiencies; licensure

24  status.--

25         (2)  Pursuant to the intention of the Legislature, the

26  agency, in consultation with the Department of Health and the

27  Department of Elderly Affairs, shall adopt and enforce rules

28  to implement this part, which shall include reasonable and

29  fair criteria in relation to:

30         (d)  The equipment essential to the health and welfare

31  of the residents. This equipment must include an onsite

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    Florida Senate - 2005                            CS for SB 240
    587-840-05




 1  emergency electrical system that is designed to provide the

 2  resident-occupied areas of the facility with sufficient

 3  electrical power to keep the facility within normal

 4  operational parameters for up to 72 hours when normal

 5  electrical service has been interrupted. The design,

 6  installation, and maintenance of the emergency electrical

 7  equipment must be in compliance with the Florida Building Code

 8  for nursing homes. Each nursing home licensed before July 1,

 9  2005, must be in compliance with the requirements of this

10  paragraph by July 1, 2006.

11         Section 2.  Companies that supply electrical power

12  shall restore power to nursing home facilities as

13  expeditiously as possible following a hurricane or other

14  disaster that results in loss of power. If power is not

15  restored in a timely manner, nursing homes shall be given

16  priority over other facilities for generators provided by the

17  state. The Division of Emergency Management and each affected

18  county shall designate a local representative for nursing

19  homes who shall serve as a liaison to nursing home facilities

20  in the area affected by the hurricane or other disaster and

21  monitor the status of residents in those facilities. If a

22  nursing home facility has high-acuity residents who are

23  dependent on electric-assistive devices or if the health and

24  safety of the residents are threatened because of the lack of

25  electrical power, the nursing home representative shall

26  recommend to the local emergency operations center that the

27  nursing home receive priority over other facilities for power

28  restoration or generator power.

29         Section 3.  If federal disaster funds are available to

30  the state for purchasing generators, the state shall use the

31  funds to purchase generators that can be loaned to nursing

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    Florida Senate - 2005                            CS for SB 240
    587-840-05




 1  homes that lose electrical power during a hurricane or other

 2  disaster.

 3         Section 4.  The Medicaid rate for providers shall be

 4  adjusted in order to allow reimbursement over a 5-year period

 5  for the Medicaid portion of the costs incurred to meet the

 6  requirements for emergency generators provided in section

 7  400.23(2)(d), Florida Statutes.

 8         Section 5.  This act shall take effect July 1, 2005.

 9  

10          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
11                         Senate Bill 240

12                                 

13  The committee substitute differs from SB 240 in the following
    ways:
14  
    The Agency for Health Care Administration must adopt rules to
15  require a nursing home to have an on-site emergency electrical
    system to provide electrical power to the resident-occupied
16  areas of the nursing home for a period of 72 hours. The
    emergency electrical equipment must be in compliance with the
17  Florida Building Code.

18  Companies that supply electrical power must restore power to
    nursing home facilities as expeditiously as possible. If power
19  restoration is not done in a timely manner, nursing homes must
    have priority for state provision of a generator.
20  
    State and county emergency operations centers must designate a
21  local nursing home representative to serve as a liaison to
    other nursing home facilities. The representative will be
22  responsible for recommending nursing homes for priority in the
    restoration of power or the provision of a generator.
23  
    If federal disaster funds are available that could be used by
24  the state to purchase generators, the state should use the
    funds to purchase generators that could be loaned to nursing
25  homes that lose electrical power during a hurricane or other
    disaster.
26  
    The Medicaid rate for providers must be adjusted to allow
27  reimbursement over a 5-year period for the Medicaid portion of
    the costs incurred by nursing homes to meet the requirements
28  for emergency generators.

29  

30  

31  

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