Senate Bill sb1332
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    By Senator Fasano
    11-999-06
  1                      A bill to be entitled
  2         An act relating to the Coordinated Health Care
  3         Information and Transparency Act; specifying
  4         the purpose of the act; amending s. 20.42,
  5         F.S., relating to the Agency for Health Care
  6         Administration; conforming provisions to
  7         changes made by the act; amending s. 408.05,
  8         F.S.; renaming the State Center for Health
  9         Statistics as the Florida Center for Health
10         Information and Policy Analysis; revising the
11         center's duties; authorizing the Agency for
12         Health Care Administration to manage and
13         monitor certain grants; requiring the agency to
14         oversee and manage health care data from
15         certain state agencies; deleting the agency's
16         requirement to establish the Comprehensive
17         Health Information System Trust Fund; renaming
18         the State Comprehensive Health Information
19         System Advisory Council as the State Consumer
20         Health Information and Policy Advisory Council;
21         revising the membership of the State Consumer
22         Health Information and Policy Advisory Council;
23         providing duties of the council; amending s.
24         408.061, F.S.; providing that data submitted by
25         health care providers may include professional
26         organizations and specialty board affiliations;
27         requiring the Secretary of Health Care
28         Administration to ensure the coordination of
29         health care data; amending s. 408.062, F.S.;
30         revising the number of most frequently
31         prescribed medicines for which the retail
                                  1
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         prices may be statistically collected for a
 2         special study; revising the date by which the
 3         agency must make available on its Internet
 4         website certain drug prices; deleting a
 5         requirement that a provider hospital assist the
 6         agency in determining the impact of ch. 408,
 7         F.S., on caesarean section rates; deleting the
 8         requirement for an annual report; providing an
 9         effective date.
10  
11  Be It Enacted by the Legislature of the State of Florida:
12  
13         Section 1.  (1)  This act may be cited as the
14  "Coordinated Health Care Information and Transparency Act."
15         (2)  The purpose of this act is to provide for better
16  coordination of health information for purposes of public
17  health, policy analysis, and transparency of consumer health
18  care information.
19         Section 2.  Subsection (3) of section 20.42, Florida
20  Statutes, is amended to read:
21         20.42  Agency for Health Care Administration.--
22         (3)  The department shall be the chief health policy
23  and planning entity for the state. The department is
24  responsible for health facility licensure, inspection, and
25  regulatory enforcement; investigation of consumer complaints
26  related to health care facilities and managed care plans; the
27  implementation of the certificate of need program; the
28  operation of the Florida State Center for Health Information
29  and Policy Analysis Statistics; the administration of the
30  Medicaid program; the administration of the contracts with the
31  Florida Healthy Kids Corporation; the certification of health
                                  2
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  maintenance organizations and prepaid health clinics as set
 2  forth in part III of chapter 641; and any other duties
 3  prescribed by statute or agreement.
 4         Section 3.  Section 408.05, Florida Statutes, is
 5  amended to read:
 6         408.05  Florida State Center for Health Information and
 7  Policy Analysis Statistics.--
 8         (1)  ESTABLISHMENT.--The agency shall establish a
 9  Florida State Center for Health Information and Policy
10  Analysis Statistics.  The center shall establish a
11  comprehensive health information system to provide for the
12  collection, compilation, coordination, analysis, indexing,
13  dissemination, and utilization of both purposefully collected
14  and extant health-related data and statistics.  The center
15  shall be staffed with public health experts, biostatisticians,
16  information system analysts, health policy experts,
17  economists, and other staff necessary to carry out its
18  functions.
19         (2)  HEALTH-RELATED DATA STATISTICS.--The comprehensive
20  health information system operated by the Florida State Center
21  for Health Information and Policy Analysis Statistics shall
22  identify the best available data sources and coordinate the
23  compilation of extant health-related data and statistics or
24  purposefully collect data concerning on:
25         (a)  The extent and nature of illness and disability of
26  the state population, including life expectancy, the incidence
27  of various acute and chronic illnesses, and infant and
28  maternal morbidity and mortality.
29         (b)  The impact of illness and disability of the state
30  population on the state economy and on other aspects of the
31  well-being of the people in this state.
                                  3
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (c)  Environmental, social, and other health hazards.
 2         (d)  Health knowledge and practices of the people in
 3  this state and determinants of health and nutritional
 4  practices and status.
 5         (e)  Health resources, including physicians, dentists,
 6  nurses, and other health professionals, by specialty and type
 7  of practice and acute, long-term care and other institutional
 8  care facility supplies and specific services provided by
 9  hospitals, nursing homes, home health agencies, and other
10  health care facilities.
11         (f)  Utilization of health care by type of provider.
12         (g)  Health care costs and financing, including trends
13  in health care prices and costs, the sources of payment for
14  health care services, and federal, state, and local
15  expenditures for health care.
16         (h)  Family formation, growth, and dissolution.
17         (i)  The extent of public and private health insurance
18  coverage in this state.
19         (j)  The quality of care provided by various health
20  care providers.
21         (3)  COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order
22  to produce comparable and uniform health information and
23  statistics for the development of policy recommendations, the
24  agency shall perform the following functions:
25         (a)  Coordinate the activities of state agencies
26  involved in the design and implementation of the comprehensive
27  health information system.
28         (b)  Undertake research, development, and evaluation
29  respecting the comprehensive health information system.
30         (c)  Review the statistical activities of state
31  agencies the Department of Health to ensure assure that they
                                  4
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  are consistent with the comprehensive health information
 2  system.
 3         (d)  Develop written agreements with local, state, and
 4  federal agencies for the sharing of health-care-related data
 5  or using the facilities and services of such agencies.  State
 6  agencies, local health councils, and other agencies under
 7  contract with a state agency the Department of Health shall
 8  assist the center in obtaining, compiling, and transferring
 9  health-care-related data maintained by state and local
10  agencies. Written agreements must specify the types, methods,
11  and periodicity of data exchanges and specify the types of
12  data that will be transferred to the center.
13         (e)  The agency shall establish by rule the types of
14  data collected, compiled, processed, used, or shared.
15  Decisions regarding center data sets should be made based on
16  consultation with the Consumer Comprehensive Health
17  Information and Policy System Advisory Council and other
18  public and private users regarding the types of data which
19  should be collected and their uses.
20         (f)  The center shall establish standardized means for
21  collecting health information and statistics under laws and
22  rules administered by the agency.
23         (g)  Establish minimum health-care-related data sets
24  which are necessary on a continuing basis to fulfill the
25  collection requirements of the center and which shall be used
26  by state agencies in collecting and compiling
27  health-care-related data.  The agency shall periodically
28  review ongoing health care data collections of the Department
29  of Health and other state agencies to determine if the
30  collections are being conducted in accordance with the
31  established minimum sets of data.
                                  5
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (h)  Establish advisory standards to assure the quality
 2  of health statistical and epidemiological data collection,
 3  processing, and analysis by local, state, and private
 4  organizations.
 5         (i)  Prescribe standards for the publication of
 6  health-care-related data reported pursuant to this section
 7  which ensure the reporting of accurate, valid, reliable,
 8  complete, and comparable data.  Such standards should include
 9  advisory warnings to users of the data regarding the status
10  and quality of any data reported by or available from the
11  center.
12         (j)  Prescribe standards for the maintenance and
13  preservation of the center's data.  This should include
14  methods for archiving data, retrieval of archived data, and
15  data editing and verification.
16         (k)  Ensure that strict quality control measures are
17  maintained for the dissemination of data through publications,
18  studies, or user requests.
19         (l)  Develop, in conjunction with the State Consumer
20  Comprehensive Health Information and Policy System Advisory
21  Council, and implement a long-range plan for making available
22  health care quality measures performance outcome and financial
23  data that will allow consumers to compare health care
24  services. The health care quality measures performance
25  outcomes and financial data the agency must make available
26  shall include, but is not limited to, pharmaceuticals,
27  physicians, health care facilities, and health plans and
28  managed care entities. The agency shall submit the initial
29  plan to the Governor, the President of the Senate, and the
30  Speaker of the House of Representatives by January 1, 2006,
31  and shall update the plan and report on the status of its
                                  6
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  implementation annually thereafter. The agency shall also make
 2  the plan and status report available to the public on its
 3  Internet website. As part of the plan, the agency shall
 4  identify the process and timeframes for implementation, any
 5  barriers to implementation, and recommendations of changes in
 6  the law that may be enacted by the Legislature to eliminate
 7  the barriers. As preliminary elements of the plan, the agency
 8  shall:
 9         1.  Make available health care quality measures that
10  include, but are not limited to, process measures,
11  patient-safety measures, inpatient quality indicators,
12  preventable adverse drug events, performance measures,
13  performance outcome and patient charge data collected from
14  health care facilities pursuant to s. 408.061(1)(a) and (2).
15  The agency shall determine which conditions, and procedures,
16  health care quality measures performance outcomes, and patient
17  charge data to disclose based upon input from the council.
18  When determining which conditions and procedures are to be
19  disclosed, the council and the agency shall consider variation
20  in costs, variation in outcomes, and magnitude of variations
21  and other relevant information. When determining which health
22  care quality measures performance outcomes to disclose, the
23  agency:
24         a.  Shall consider such factors as volume of cases;
25  average patient charges; average length of stay; complication
26  rates; mortality rates; and infection rates, among others,
27  which shall be adjusted for case mix and severity, if
28  applicable.
29         b.  May consider such additional measures that are
30  adopted by the Centers for Medicare and Medicaid Studies,
31  National Quality Forum, the Joint Commission on Accreditation
                                  7
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  of Healthcare Organizations, the Agency for Healthcare
 2  Research and Quality, the Centers for Disease Control and
 3  Prevention, or a similar national entity that establishes
 4  standards to measure the performance of health care providers,
 5  or by other states.
 6  
 7  When determining which patient charge data to disclose, the
 8  agency shall consider such measures as average charge, average
 9  net revenue per adjusted patient day, average cost per
10  adjusted patient day, and average cost per admission, among
11  others.
12         2.  Make available performance measures, benefit
13  design, and premium cost data from health plans licensed
14  pursuant to chapter 627 or chapter 641. The agency shall
15  determine which performance outcome and member and subscriber
16  cost data to disclose, based upon input from the council. When
17  determining which data to disclose, the agency shall consider
18  information that may be required by either individual or group
19  purchasers to assess the value of the product, which may
20  include membership satisfaction, quality of care, current
21  enrollment or membership, coverage areas, accreditation
22  status, premium costs, plan costs, premium increases, range of
23  benefits, copayments and deductibles, accuracy and speed of
24  claims payment, credentials of physicians, number of
25  providers, names of network providers, and hospitals in the
26  network. Health plans shall make available to the agency any
27  such data or information that is not currently reported to the
28  agency or the office.
29         3.  Determine the method and format for public
30  disclosure of data reported pursuant to this paragraph. The
31  agency shall make its determination based upon input from the
                                  8
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  Consumer Comprehensive Health Information and Policy System
 2  Advisory Council. At a minimum, the data shall be made
 3  available on the agency's Internet website in a manner that
 4  allows consumers to conduct an interactive search that allows
 5  them to view and compare the information for specific
 6  providers. The website must include such additional
 7  information as is determined necessary to ensure that the
 8  website enhances informed decisionmaking among consumers and
 9  health care purchasers, which shall include, at a minimum,
10  appropriate guidance on how to use the data and an explanation
11  of why the data may vary from provider to provider. The data
12  specified in subparagraph 1. shall be released no later than
13  January 1, 2006, for the reporting of infection rates, and no
14  later than October 1, 2005, for mortality rates and
15  complication rates. The data specified in subparagraph 2.
16  shall be released no later than October 1, 2006.
17         (4)  TECHNICAL ASSISTANCE.--The center shall provide
18  technical assistance to persons or organizations engaged in
19  health planning activities in the effective use of statistics
20  collected and compiled by the center.  The center shall also
21  provide the following additional technical assistance
22  services:
23         (a)  Establish procedures identifying the circumstances
24  under which, the places at which, the persons from whom, and
25  the methods by which a person may secure data from the center,
26  including procedures governing requests, the ordering of
27  requests, timeframes for handling requests, and other
28  procedures necessary to facilitate the use of the center's
29  data.  To the extent possible, the center should provide
30  current data timely in response to requests from public or
31  private agencies.
                                  9
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (b)  Provide assistance to data sources and users in
 2  the areas of database design, survey design, sampling
 3  procedures, statistical interpretation, and data access to
 4  promote improved health-care-related data sets.
 5         (c)  Identify health care data gaps and provide
 6  technical assistance to seek cooperative agreements with other
 7  public or private organizations for meeting documented health
 8  care data needs.
 9         (d)  Assist other organizations in developing
10  statistical abstracts of their data sets which that could be
11  used by the center.
12         (e)  Provide statistical support to state agencies with
13  regard to the use of databases maintained by the center.
14         (f)  To the extent possible, respond to multiple
15  requests for information not currently collected by the center
16  or available from other sources by initiating data collection.
17         (g)  Maintain detailed information on data maintained
18  by other local, state, federal, and private agencies in order
19  to advise those who use the center of potential sources of
20  data which are requested but which are not available from the
21  center.
22         (h)  Respond to requests for data which are not
23  available in published form by initiating special computer
24  runs on data sets available to the center.
25         (i)  Monitor innovations in health information
26  technology, informatics, and the exchange of health
27  information and maintain a repository of technical resources
28  for support of the Florida Health Information Network.
29         (j)  Administer, manage, and monitor grants to
30  not-for-profit organizations, regional health information
31  organizations, public health departments or state agencies
                                  10
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  that submit proposals for planning, implementation, or
 2  training projects to advance the Florida Health Information
 3  Network. Any grant contract shall be evaluated to ensure the
 4  effective outcome of the health information project.
 5         (k)  Initiate, oversee, manage, and evaluate the
 6  integration of health care data from each state agency that
 7  collects, stores, and reports on health care issues, and make
 8  that data available to any health care practitioner through
 9  the Florida Health Information Network.
10         (5)  PUBLICATIONS; REPORTS; SPECIAL STUDIES.--The
11  center shall provide for the widespread dissemination of data
12  which it collects and analyzes.  The center shall have the
13  following publication, reporting, and special study functions:
14         (a)  The center shall publish and make available
15  periodically to agencies and individuals health statistics
16  publications of general interest, including consumer reports
17  concerning health plans and satisfaction surveys for HMOs HMO
18  report cards; publications providing health statistics on
19  topical health policy issues; publications that provide health
20  status profiles of the people in this state; and other topical
21  health statistics publications.
22         (b)  The center shall publish, make available, and
23  disseminate, promptly and as widely as practicable, the
24  results of special health surveys, health care research, and
25  health care evaluations conducted or supported under this
26  section.  Any publication by the center must include a
27  statement of the limitations on the quality, accuracy, and
28  completeness of the data.
29         (c)  The center shall provide indexing, abstracting,
30  translation, publication, and other services leading to a more
31  effective and timely dissemination of health care statistics.
                                  11
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (d)  The center shall be responsible for publishing and
 2  disseminating an annual report on the center's activities.
 3         (e)  The center shall be responsible, to the extent
 4  resources are available, for conducting a variety of special
 5  studies and surveys to expand the health care information and
 6  statistics available for health policy analyses, particularly
 7  for the review of public policy issues.  The center shall
 8  develop a process by which users of the center's data are
 9  periodically surveyed regarding critical data needs and the
10  results of the survey considered in determining which special
11  surveys or studies will be conducted. The center shall select
12  problems in health care for research, policy analyses, or
13  special data collections on the basis of their local,
14  regional, or state importance; the unique potential for
15  definitive research on the problem; and opportunities for
16  application of the study findings.
17         (6)  PROVIDER DATA REPORTING.--This section does not
18  confer on the agency the power to demand or require that a
19  health care provider or professional furnish information,
20  records of interviews, written reports, statements, notes,
21  memoranda, or data other than as expressly required by law.
22         (6)(7)  BUDGET; FEES; TRUST FUND.--
23         (a)  The Legislature intends that funding for the
24  Florida State Center for Health Information and Policy
25  Analysis Statistics be appropriated from the General Revenue
26  Fund.
27         (b)  The Florida State Center for Health Information
28  and Policy Analysis Statistics may apply for and receive and
29  accept grants, gifts, and other payments, including property
30  and services, from any governmental or other public or private
31  entity or person and make arrangements as to the use of same,
                                  12
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  including the undertaking of special studies and other
 2  projects relating to health-care-related topics.  Funds
 3  obtained pursuant to this paragraph may not be used to offset
 4  annual appropriations from the General Revenue Fund.
 5         (c)  The center may charge such reasonable fees for
 6  services as the agency prescribes by rule.  The established
 7  fees may not exceed the reasonable cost for such services.
 8  Fees collected may not be used to offset annual appropriations
 9  from the General Revenue Fund.
10         (d)  The agency shall establish a Comprehensive Health
11  Information System Trust Fund as the repository of all funds
12  appropriated to, and fees and grants collected for, services
13  of the State Center for Health Statistics. Any funds, other
14  than funds appropriated to the center from the General Revenue
15  Fund, which are raised or collected by the agency for the
16  operation of the center and which are not needed to meet the
17  expenses of the center for its current fiscal year shall be
18  available to the agency in succeeding years.
19         (7)(8)  STATE CONSUMER COMPREHENSIVE HEALTH INFORMATION
20  AND POLICY SYSTEM ADVISORY COUNCIL.--
21         (a)  There is established in the agency the State
22  Consumer Comprehensive Health Information and Policy System
23  Advisory Council to assist the center in reviewing the
24  comprehensive health information system, including the
25  identification, collection, standardization, sharing, and
26  coordination of health-related data, including fraud and abuse
27  data and professional and facility licensing data, among
28  federal, state, local, and private entities and to recommend
29  improvements for purposes of public health, policy analysis,
30  and transparency of consumer health care information such
31  system. The council shall consist of the following members:
                                  13
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         1.  An employee of the Executive Office of the
 2  Governor, to be appointed by the Governor.
 3         2.  An employee of the Office of Insurance Regulation,
 4  to be appointed by the director of the office.
 5         3.  An employee of the Department of Education, to be
 6  appointed by the Commissioner of Education.
 7         4.  Ten persons, to be appointed by the Secretary of
 8  Health Care Administration, representing other state and local
 9  agencies, state universities, the Florida Association of
10  business/health coalitions, local health councils,
11  professional health-care-related associations, consumers, and
12  purchasers.
13         (b)  Each member of the council shall be appointed to
14  serve for a term of 2 4 years following from the date of
15  appointment, except that a vacancy shall be filled by
16  appointment for the remainder of the term. and except that:
17         1.  Three of the members initially appointed by the
18  Director of Health Care Administration shall each be appointed
19  for a term of 3 years.
20         2.  Two of the members initially appointed by the
21  Director of Health Care Administration shall each be appointed
22  for a term of 2 years.
23         3.  Two of the members initially appointed by the
24  Director of Health Care Administration shall each be appointed
25  for a term of 1 year.
26         (c)  The council may meet at the call of its chair, at
27  the request of the agency department, or at the request of a
28  majority of its membership, but at least quarterly.
29         (d)  Members shall elect a chair and a vice chair
30  annually.
31  
                                  14
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (e)  A majority of the members constitutes a quorum,
 2  and the affirmative vote of a majority of a quorum is
 3  necessary to take action.
 4         (f)  The council shall maintain minutes of each meeting
 5  and shall make such minutes available to any person.
 6         (g)  Members of the council shall serve without
 7  compensation but are shall be entitled to receive
 8  reimbursement for per diem and travel expenses as provided in
 9  s. 112.061.
10         (h)  The council's duties and responsibilities include,
11  but are not limited to:
12         1.  Developing a mission statement, goals, and plan of
13  action, based on the guiding principles specified in s.
14  282.3032, for the identifying, collecting, standardizing,
15  sharing, and coordinating health-related data among federal,
16  state, and local government and private-sector entities.
17         2.  Developing a review process to ensure cooperative
18  planning among agencies that collect or maintain
19  health-related data.
20         3.  Creating ad hoc, issue-oriented technical
21  workgroups, as needed to make recommendations to the council.
22         (8)(9)  Nothing in This section does not shall limit,
23  restrict, affect, or control the collection, analysis,
24  release, or publication of data by any state agency pursuant
25  to its statutory authority, duties, or responsibilities.
26         Section 4.  Paragraph (b) of subsection (1) and
27  subsection (10) of section 408.061, Florida Statutes, are
28  amended to read:
29         408.061  Data collection; uniform systems of financial
30  reporting; information relating to physician charges;
31  confidential information; immunity.--
                                  15
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1         (1)
 2         (b)  Data to be submitted by health care providers may
 3  include, but are not limited to: affiliations with
 4  professional organizations and specialty boards, Medicare and
 5  Medicaid participation, types of services offered to patients,
 6  amount of revenue and expenses of the health care provider,
 7  and such other data which are reasonably necessary to study
 8  utilization patterns. Data submitted shall be certified by the
 9  appropriate duly authorized representative or employee of the
10  health care provider that the information submitted is true
11  and accurate.
12         (10)  The agency shall be the primary source for
13  collection and dissemination of health care data. No other
14  agency of state government may gather data from a health care
15  provider licensed or regulated under this chapter without
16  first determining if the data is currently being collected by
17  the agency and affirmatively demonstrating that it would be
18  more cost-effective for an agency of state government other
19  than the agency to gather the health care data. The secretary
20  director shall ensure that health care data collected by the
21  divisions within the agency is coordinated. It is the express
22  intent of the Legislature that all health care data be
23  collected by a single source within the agency and that other
24  divisions within the agency, and all other agencies of state
25  government, obtain data for analysis, regulation, and public
26  dissemination purposes from that single source. Confidential
27  information may be released to other governmental entities or
28  to parties contracting with the agency to perform agency
29  duties or functions as needed in connection with the
30  performance of the duties of the receiving entity. The
31  
                                  16
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  receiving entity or party shall retain the confidentiality of
 2  such information as provided for herein.
 3         Section 5.  Paragraphs (h) and (j) of subsection (1)
 4  and subsection (2) of section 408.062, Florida Statutes, are
 5  amended to read:
 6         408.062  Research, analyses, studies, and reports.--
 7         (1)  The agency shall conduct research, analyses, and
 8  studies relating to health care costs and access to and
 9  quality of health care services as access and quality are
10  affected by changes in health care costs. Such research,
11  analyses, and studies shall include, but not be limited to:
12         (h)  The collection of a statistically valid sample of
13  data on the retail prices charged by pharmacies for the 100 50
14  most frequently prescribed medicines from any pharmacy
15  licensed by this state as a special study authorized by the
16  Legislature to be performed by the agency quarterly. If the
17  drug is available generically, price data shall be reported
18  for the generic drug and price data of a brand-named drug for
19  which the generic drug is the equivalent shall be reported.
20  The agency shall make available on its Internet website for
21  each pharmacy, no later than October 1, 2006 2005, drug prices
22  for a 30-day supply at a standard dose. The data collected
23  shall be reported for each drug by pharmacy and by
24  metropolitan statistical area or region and updated quarterly.
25         (j)  The making available on its Internet website
26  beginning no later than October 1, 2004, and in a hard-copy
27  format upon request, of patient charge, volumes, length of
28  stay, and performance outcome indicators collected from health
29  care facilities pursuant to s. 408.061(1)(a) for specific
30  medical conditions, surgeries, and procedures provided in
31  inpatient and outpatient facilities as determined by the
                                  17
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  agency. In making the determination of specific medical
 2  conditions, surgeries, and procedures to include, the agency
 3  shall consider such factors as volume, severity of the
 4  illness, urgency of admission, individual and societal costs,
 5  and whether the condition is acute or chronic. Performance
 6  outcome indicators shall be risk adjusted or severity
 7  adjusted, as applicable, using nationally recognized risk
 8  adjustment methodologies or software consistent with the
 9  standards of the Agency for Healthcare Research and Quality
10  and as selected by the agency. The website shall also provide
11  an interactive search that allows consumers to view and
12  compare the information for specific facilities, a map that
13  allows consumers to select a county or region, definitions of
14  all of the data, descriptions of each procedure, and an
15  explanation about why the data may differ from facility to
16  facility. Such public data shall be updated quarterly. The
17  agency shall submit an annual status report on the collection
18  of data and publication of health care quality measures
19  performance outcome indicators to the Governor, the Speaker of
20  the House of Representatives, the President of the Senate, and
21  the substantive legislative committees with the first status
22  report due January 1, 2005.
23         (2)  The agency may assess annually the caesarean
24  section rate in Florida hospitals in this state using the
25  analysis methodology that the agency determines most
26  appropriate. The data from this assessment shall be published
27  periodically on the agency's website. To assist the agency in
28  determining the impact of this chapter on Florida hospitals'
29  caesarean section rates, each provider hospital, as defined in
30  s. 383.336, shall notify the agency of the date of
31  implementation of the practice parameters and the date of the
                                  18
CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2006                                  SB 1332
    11-999-06
 1  first meeting of the hospital peer review board created
 2  pursuant to this chapter. The agency shall use these dates in
 3  monitoring any change in provider hospital caesarean section
 4  rates. An annual report based on this monitoring and
 5  assessment shall be submitted to the Governor, the Speaker of
 6  the House of Representatives, and the President of the Senate
 7  by the agency, with the first annual report due January 1,
 8  1993.
 9         Section 6.  This act shall take effect upon becoming a
10  law.
11  
12            *****************************************
13                          SENATE SUMMARY
14    Renames the State Center for Health Statistics as the
      Florida Center for Health Information and Policy
15    Analysis. Revises the center's duties. Authorizes the
      Agency for Health Care Administration to manage and
16    monitor certain grants. Requires the agency to oversee
      and manage health care data from certain state agencies.
17    Deletes the agency's requirement to establish the
      Comprehensive Health Information System Trust Fund.
18    Renames the State Comprehensive Health Information System
      Advisory Council as the State Consumer Comprehensive
19    Health Information and Policy Advisory Council. Revises
      the membership of the State Consumer Health Information
20    and Policy Advisory Council. Provides duties of the
      council. Provides that data submitted by health care
21    providers may include professional organizations and
      specialty board affiliations. Requires the Secretary of
22    Health Care Administration to ensure the coordination of
      health care data. Revises the number of most frequently
23    prescribed medicines for which the retail prices may be
      statistically collected for a special study. Revises the
24    date by which the agency shall make available on its
      Internet website certain drug prices. Deletes a
25    requirement that a provider hospital assist the agency in
      determining the impact of ch. 408, F.S., on caesarean
26    section rates.
27  
28  
29  
30  
31  
                                  19
CODING: Words stricken are deletions; words underlined are additions.