Florida Senate - 2006                      COMMITTEE AMENDMENT
    Bill No. SB 1190
                        Barcode 551812
                            CHAMBER ACTION
              Senate                               House
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 1           Comm: FAV             .                    
       03/22/2006 05:33 PM         .                    
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11  The Committee on Health Care (Atwater) recommended the
12  following amendment:
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14         Senate Amendment (with title amendment) 
15         Delete everything after the enacting clause
16  
17  and insert:  
18         Section 1.  Section 155.40, Florida Statutes, is
19  amended to read:
20         155.40  Sale or lease of county, district, or municipal
21  hospital; effect of sale.--
22         (1)  In order that citizens and residents of the state
23  may receive quality health care, any county, district, or
24  municipal hospital organized and existing under the laws of
25  this state, acting by and through its governing board, shall
26  have the authority to sell or lease such hospital to a
27  for-profit or not-for-profit Florida corporation, and enter
28  into leases or other contracts with a for-profit or
29  not-for-profit Florida corporation for the purpose of
30  operating and managing such hospital and any or all of its
31  facilities of whatsoever kind and nature.  The term of any
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Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 1190 Barcode 551812 1 such lease, contract, or agreement and the conditions, 2 covenants, and agreements to be contained therein shall be 3 determined by the governing board of such county, district, or 4 municipal hospital. The governing board of the hospital must 5 find that the sale, lease, or contract is in the best 6 interests of the public and must state the basis of such 7 finding. If the governing board of a county, district, or 8 municipal hospital decides to lease the hospital, it must give 9 notice in accordance with paragraph (4)(a) or paragraph 10 (4)(b). 11 (2) Any such lease, contract, or agreement made 12 pursuant hereto shall: 13 (a) Provide that the articles of incorporation of such 14 for-profit or not-for-profit corporation be subject to the 15 approval of the board of directors or board of trustees of 16 such hospital; 17 (b) Require that any not-for-profit corporation become 18 qualified under s. 501(c)(3) of the United States Internal 19 Revenue Code; 20 (c) Provide for the orderly transition of the 21 operation and management of such facilities; 22 (d) Provide for the return of such facility to the 23 county, municipality, or district upon the termination of such 24 lease, contract, or agreement; and 25 (e) Provide for the continued treatment of indigent 26 patients pursuant to the Florida Health Care Responsibility 27 Act and pursuant to chapter 87-92, Laws of Florida. 28 (3) Any sale, lease, or contract entered into pursuant 29 to this section prior to the effective date of this act must 30 have complied with the requirements of subsection (2) in 31 effect at the time of the sale, lease, or contract. It is the 2 11:45 AM 03/21/06 s1190d-he25-txm
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 1190 Barcode 551812 1 intent of the Legislature that this section does not impose 2 any further requirements with respect to the formation of any 3 for-profit or not-for-profit Florida corporation, the 4 composition of the board of directors of any Florida 5 corporation, or the manner in which control of the hospital is 6 transferred to the Florida corporation. 7 (4) In the event the governing board of a county, 8 district, or municipal hospital elects to sell or lease the 9 hospital, the board shall: 10 (a) Negotiate the terms of the sale or lease with a 11 for-profit or not-for-profit Florida corporation and publicly 12 advertise the meeting at which the proposed sale or lease will 13 be considered by the governing board of the hospital in 14 accordance with s. 286.0105; or 15 (b) Publicly advertise the offer to accept proposals 16 in accordance with s. 255.0525 and receive proposals from all 17 interested and qualified purchasers. 18 19 Any sale must be for fair market value, and any sale or lease 20 must comply with all applicable state and federal antitrust 21 laws. 22 (5) In the event a hospital operated by a for-profit 23 or not-for-profit Florida corporation receives annually more 24 than $100,000 in revenues from the county, district, or 25 municipality that owns the hospital, the Florida corporation 26 must be accountable to the county, district, or municipality 27 with respect to the manner in which the funds are expended by 28 either: 29 (a) Having the revenues subject to annual 30 appropriations by the county, district, or municipality; or 31 (b) Where there is a contract to provide revenues to 3 11:45 AM 03/21/06 s1190d-he25-txm
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 1190 Barcode 551812 1 the hospital, the term of which is longer than 12 months, the 2 governing board of the county, district, or municipality must 3 be able to modify the contract upon 12 months notice to the 4 hospital. 5 6 A not-for-profit corporation that is subject to this 7 subsection and that does not currently comply with the 8 accountability requirements in this subsection shall have 12 9 months after the effective date of this act to modify any 10 contracts with the county, district, or municipality in a 11 manner that is consistent with this subsection. 12 (6) Unless otherwise expressly stated in the lease 13 documents, the transaction involving the sale or lease of a 14 hospital shall not be construed as: 15 (a) A transfer of a governmental function from the 16 county, district, or municipality to the private purchaser or 17 lessee; 18 (b) Constituting a financial interest of the public 19 lessor in the private lessee; or 20 (c) Making a private lessee an integral part of the 21 public lessor's decisionmaking process. 22 (7) The lessee of a hospital, under pursuant to this 23 section or any special act of the Legislature, operating under 24 a lease is shall not be construed to be "acting on behalf of" 25 the lessor as that term is used in statute, unless the lease 26 document expressly provides to the contrary. 27 (8) Unless otherwise expressly stated in the sale 28 documents, the transaction involving the sale of a hospital 29 shall not be construed as: 30 (a) A transfer of a governmental function from the 31 county, district, or municipality to the private purchaser; 4 11:45 AM 03/21/06 s1190d-he25-txm
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 1190 Barcode 551812 1 (b) Constituting a financial interest of the public 2 seller in the private purchaser; or 3 (c) Making a private purchaser an integral part of the 4 public seller's decisionmaking process. 5 (9)(a) The purchaser of a hospital, under this section 6 or any special act of the Legislature, operating after a sale 7 of the hospital is not "acting on behalf of" the seller as 8 that term is used in statute, unless the sale document 9 expressly provides to the contrary. 10 (b) The purchaser of a hospital, under this section or 11 any special act of the Legislature, operating after a sale of 12 the hospital shall not be construed as an "agency" within the 13 meaning of s. 119.011(2), unless the sale document expressly 14 provides to the contrary. 15 Section 2. This act shall take effect July 1, 2006. 16 17 18 ================ T I T L E A M E N D M E N T =============== 19 And the title is amended as follows: 20 Delete everything before the enacting clause 21 22 and insert: 23 A bill to be entitled 24 An act relating to the sale or lease of a 25 county, district, or municipal hospital; 26 amending s. 155.40, F.S.; providing for the 27 effect of the sale of a public hospital to a 28 private purchaser; providing that the purchaser 29 of a public hospital is not acting on behalf of 30 the public entity seller and is not an agency 31 within the meaning of ch. 119, F.S., unless the 5 11:45 AM 03/21/06 s1190d-he25-txm
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 1190 Barcode 551812 1 sale document expressly provides to the 2 contrary; providing an effective date. 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 6 11:45 AM 03/21/06 s1190d-he25-txm