Senate Bill sb1332c1

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    Florida Senate - 2006                           CS for SB 1332

    By the Committee on Health Care; and Senator Fasano





    587-1742-06

  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 for staggered terms of office;

24         authorizing the reappointment of members to the

25         council; providing duties of the council;

26         amending s. 408.061, F.S.; providing that data

27         submitted by health care providers may include

28         professional organizations and specialty board

29         affiliations; requiring the Secretary of Health

30         Care Administration to ensure the coordination

31         of health care data; amending s. 408.062, F.S.;

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    Florida Senate - 2006                           CS for SB 1332
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 1         revising the number of most frequently

 2         prescribed medicines for which the retail

 3         prices may be statistically collected for a

 4         special study; revising the date by which the

 5         agency must make available on its Internet

 6         website certain drug prices; deleting a

 7         requirement that a provider hospital assist the

 8         agency in determining the impact of ch. 408,

 9         F.S., on caesarean section rates; deleting the

10         requirement for an annual report; authorizing

11         the agency to develop an electronic health

12         information network; providing an effective

13         date.

14  

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

16  

17         Section 1.  (1)  This act may be cited as the

18  "Coordinated Health Care Information and Transparency Act."

19         (2)  The purpose of this act is to provide for better

20  coordination of health information for purposes of public

21  health, policy analysis, and transparency of consumer health

22  care information.

23         Section 2.  Subsection (3) of section 20.42, Florida

24  Statutes, is amended to read:

25         20.42  Agency for Health Care Administration.--

26         (3)  The department shall be the chief health policy

27  and planning entity for the state. The department is

28  responsible for health facility licensure, inspection, and

29  regulatory enforcement; investigation of consumer complaints

30  related to health care facilities and managed care plans; the

31  implementation of the certificate of need program; the

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    Florida Senate - 2006                           CS for SB 1332
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 1  operation of the Florida State Center for Health Information

 2  and Policy Analysis Statistics; the administration of the

 3  Medicaid program; the administration of the contracts with the

 4  Florida Healthy Kids Corporation; the certification of health

 5  maintenance organizations and prepaid health clinics as set

 6  forth in part III of chapter 641; and any other duties

 7  prescribed by statute or agreement.

 8         Section 3.  Section 408.05, Florida Statutes, is

 9  amended to read:

10         408.05  Florida State Center for Health Information and

11  Policy Analysis Statistics.--

12         (1)  ESTABLISHMENT.--The agency shall establish a

13  Florida State Center for Health Information and Policy

14  Analysis Statistics.  The center shall establish a

15  comprehensive health information system to provide for the

16  collection, compilation, coordination, analysis, indexing,

17  dissemination, and utilization of both purposefully collected

18  and extant health-related data and statistics.  The center

19  shall be staffed with public health experts, biostatisticians,

20  information system analysts, health policy experts,

21  economists, and other staff necessary to carry out its

22  functions.

23         (2)  HEALTH-RELATED DATA STATISTICS.--The comprehensive

24  health information system operated by the Florida State Center

25  for Health Information and Policy Analysis Statistics shall

26  identify the best available data sources and coordinate the

27  compilation of extant health-related data and statistics or

28  purposefully collect data concerning on:

29         (a)  The extent and nature of illness and disability of

30  the state population, including life expectancy, the incidence

31  

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    Florida Senate - 2006                           CS for SB 1332
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 1  of various acute and chronic illnesses, and infant and

 2  maternal morbidity and mortality.

 3         (b)  The impact of illness and disability of the state

 4  population on the state economy and on other aspects of the

 5  well-being of the people in this state.

 6         (c)  Environmental, social, and other health hazards.

 7         (d)  Health knowledge and practices of the people in

 8  this state and determinants of health and nutritional

 9  practices and status.

10         (e)  Health resources, including physicians, dentists,

11  nurses, and other health professionals, by specialty and type

12  of practice and acute, long-term care and other institutional

13  care facility supplies and specific services provided by

14  hospitals, nursing homes, home health agencies, and other

15  health care facilities.

16         (f)  Utilization of health care by type of provider.

17         (g)  Health care costs and financing, including trends

18  in health care prices and costs, the sources of payment for

19  health care services, and federal, state, and local

20  expenditures for health care.

21         (h)  Family formation, growth, and dissolution.

22         (i)  The extent of public and private health insurance

23  coverage in this state.

24         (j)  The quality of care provided by various health

25  care providers.

26         (3)  COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order

27  to produce comparable and uniform health information and

28  statistics for the development of policy recommendations, the

29  agency shall perform the following functions:

30  

31  

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 1         (a)  Coordinate the activities of state agencies

 2  involved in the design and implementation of the comprehensive

 3  health information system.

 4         (b)  Undertake research, development, and evaluation

 5  respecting the comprehensive health information system.

 6         (c)  Review the statistical activities of state

 7  agencies the Department of Health to ensure assure that they

 8  are consistent with the comprehensive health information

 9  system.

10         (d)  Develop written agreements with local, state, and

11  federal agencies for the sharing of health-care-related data

12  or using the facilities and services of such agencies.  State

13  agencies, local health councils, and other agencies under

14  contract with a state agency the Department of Health shall

15  assist the center in obtaining, compiling, and transferring

16  health-care-related data maintained by state and local

17  agencies. Written agreements must specify the types, methods,

18  and periodicity of data exchanges and specify the types of

19  data that will be transferred to the center.

20         (e)  The agency shall establish by rule the types of

21  data collected, compiled, processed, used, or shared.

22  Decisions regarding center data sets should be made based on

23  consultation with the Consumer Comprehensive Health

24  Information and Policy System Advisory Council and other

25  public and private users regarding the types of data which

26  should be collected and their uses.

27         (f)  The center shall establish standardized means for

28  collecting health information and statistics under laws and

29  rules administered by the agency.

30         (g)  Establish minimum health-care-related data sets

31  which are necessary on a continuing basis to fulfill the

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 1  collection requirements of the center and which shall be used

 2  by state agencies in collecting and compiling

 3  health-care-related data.  The agency shall periodically

 4  review ongoing health care data collections of the Department

 5  of Health and other state agencies to determine if the

 6  collections are being conducted in accordance with the

 7  established minimum sets of data.

 8         (h)  Establish advisory standards to assure the quality

 9  of health statistical and epidemiological data collection,

10  processing, and analysis by local, state, and private

11  organizations.

12         (i)  Prescribe standards for the publication of

13  health-care-related data reported pursuant to this section

14  which ensure the reporting of accurate, valid, reliable,

15  complete, and comparable data.  Such standards should include

16  advisory warnings to users of the data regarding the status

17  and quality of any data reported by or available from the

18  center.

19         (j)  Prescribe standards for the maintenance and

20  preservation of the center's data.  This should include

21  methods for archiving data, retrieval of archived data, and

22  data editing and verification.

23         (k)  Ensure that strict quality control measures are

24  maintained for the dissemination of data through publications,

25  studies, or user requests.

26         (l)  Develop, in conjunction with the State Consumer

27  Comprehensive Health Information and Policy System Advisory

28  Council, and implement a long-range plan for making available

29  health care quality measures performance outcome and financial

30  data that will allow consumers to compare health care

31  services. The health care quality measures performance

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    Florida Senate - 2006                           CS for SB 1332
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 1  outcomes and financial data the agency must make available

 2  shall include, but is not limited to, pharmaceuticals,

 3  physicians, health care facilities, and health plans and

 4  managed care entities. The agency shall submit the initial

 5  plan to the Governor, the President of the Senate, and the

 6  Speaker of the House of Representatives by January 1, 2006,

 7  and shall update the plan and report on the status of its

 8  implementation annually thereafter. The agency shall also make

 9  the plan and status report available to the public on its

10  Internet website. As part of the plan, the agency shall

11  identify the process and timeframes for implementation, any

12  barriers to implementation, and recommendations of changes in

13  the law that may be enacted by the Legislature to eliminate

14  the barriers. As preliminary elements of the plan, the agency

15  shall:

16         1.  Make available health care quality measures that

17  include, but are not limited to, process measures,

18  patient-safety indicators, inpatient quality indicators,

19  performance measures, performance outcome and patient charge

20  data collected from health care facilities pursuant to s.

21  408.061(1)(a) and (2). The agency shall determine which

22  conditions, and procedures, health care quality measures

23  performance outcomes, and patient charge data to disclose

24  based upon input from the council. When determining which

25  conditions and procedures are to be disclosed, the council and

26  the agency shall consider variation in costs, variation in

27  outcomes, and magnitude of variations and other relevant

28  information. When determining which health care quality

29  measures performance outcomes to disclose, the agency:

30         a.  Shall consider such factors as volume of cases;

31  average patient charges; average length of stay; complication

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 1  rates; mortality rates; and infection rates, among others,

 2  which shall be adjusted for case mix and severity, if

 3  applicable.

 4         b.  May consider such additional measures that are

 5  adopted by the Centers for Medicare and Medicaid Studies,

 6  National Quality Forum, the Joint Commission on Accreditation

 7  of Healthcare Organizations, the Agency for Healthcare

 8  Research and Quality, the Centers for Disease Control and

 9  Prevention, or a similar national entity that establishes

10  standards to measure the performance of health care providers,

11  or by other states.

12  

13  When determining which patient charge data to disclose, the

14  agency shall consider such measures as average charge, average

15  net revenue per adjusted patient day, average cost per

16  adjusted patient day, and average cost per admission, among

17  others.

18         2.  Make available performance measures, benefit

19  design, and premium cost data from health plans licensed

20  pursuant to chapter 627 or chapter 641. The agency shall

21  determine which performance outcome and member and subscriber

22  cost data to disclose, based upon input from the council. When

23  determining which data to disclose, the agency shall consider

24  information that may be required by either individual or group

25  purchasers to assess the value of the product, which may

26  include membership satisfaction, quality of care, current

27  enrollment or membership, coverage areas, accreditation

28  status, premium costs, plan costs, premium increases, range of

29  benefits, copayments and deductibles, accuracy and speed of

30  claims payment, credentials of physicians, number of

31  providers, names of network providers, and hospitals in the

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 1  network. Health plans shall make available to the agency any

 2  such data or information that is not currently reported to the

 3  agency or the office.

 4         3.  Determine the method and format for public

 5  disclosure of data reported pursuant to this paragraph. The

 6  agency shall make its determination based upon input from the

 7  Consumer Comprehensive Health Information and Policy System

 8  Advisory Council. At a minimum, the data shall be made

 9  available on the agency's Internet website in a manner that

10  allows consumers to conduct an interactive search that allows

11  them to view and compare the information for specific

12  providers. The website must include such additional

13  information as is determined necessary to ensure that the

14  website enhances informed decisionmaking among consumers and

15  health care purchasers, which shall include, at a minimum,

16  appropriate guidance on how to use the data and an explanation

17  of why the data may vary from provider to provider. The data

18  specified in subparagraph 1. shall be released no later than

19  January 1, 2006, for the reporting of infection rates, and no

20  later than October 1, 2005, for mortality rates and

21  complication rates. The data specified in subparagraph 2.

22  shall be released no later than October 1, 2006.

23         (4)  TECHNICAL ASSISTANCE.--The center shall provide

24  technical assistance to persons or organizations engaged in

25  health planning activities in the effective use of statistics

26  collected and compiled by the center.  The center shall also

27  provide the following additional technical assistance

28  services:

29         (a)  Establish procedures identifying the circumstances

30  under which, the places at which, the persons from whom, and

31  the methods by which a person may secure data from the center,

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 1  including procedures governing requests, the ordering of

 2  requests, timeframes for handling requests, and other

 3  procedures necessary to facilitate the use of the center's

 4  data.  To the extent possible, the center should provide

 5  current data timely in response to requests from public or

 6  private agencies.

 7         (b)  Provide assistance to data sources and users in

 8  the areas of database design, survey design, sampling

 9  procedures, statistical interpretation, and data access to

10  promote improved health-care-related data sets.

11         (c)  Identify health care data gaps and provide

12  technical assistance to seek cooperative agreements with other

13  public or private organizations for meeting documented health

14  care data needs.

15         (d)  Assist other organizations in developing

16  statistical abstracts of their data sets which that could be

17  used by the center.

18         (e)  Provide statistical support to state agencies with

19  regard to the use of databases maintained by the center.

20         (f)  To the extent possible, respond to multiple

21  requests for information not currently collected by the center

22  or available from other sources by initiating data collection.

23         (g)  Maintain detailed information on data maintained

24  by other local, state, federal, and private agencies in order

25  to advise those who use the center of potential sources of

26  data which are requested but which are not available from the

27  center.

28         (h)  Respond to requests for data which are not

29  available in published form by initiating special computer

30  runs on data sets available to the center.

31  

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 1         (i)  Monitor innovations in health information

 2  technology, informatics, and the exchange of health

 3  information, and maintain a repository of technical resources

 4  to support the development of a Florida health information

 5  network.

 6         (j)  Administer, manage, and monitor grants to

 7  not-for-profit organizations, regional health information

 8  organizations, public health departments, or state agencies

 9  that submit proposals for planning, implementation, or

10  training projects to advance the development of a Florida

11  health information network. Any grant contract shall be

12  evaluated to ensure the effective outcome of the health

13  information project.

14         (k)  Initiate, oversee, manage, and evaluate the

15  integration of health care data from each state agency that

16  collects, stores, and reports on health care issues, and make

17  that data available to any health care practitioner through

18  the Florida health information network.

19         (5)  PUBLICATIONS; REPORTS; SPECIAL STUDIES.--The

20  center shall provide for the widespread dissemination of data

21  which it collects and analyzes.  The center shall have the

22  following publication, reporting, and special study functions:

23         (a)  The center shall publish and make available

24  periodically to agencies and individuals health statistics

25  publications of general interest, including consumer reports

26  concerning health plans and satisfaction surveys for HMOs HMO

27  report cards; publications providing health statistics on

28  topical health policy issues; publications that provide health

29  status profiles of the people in this state; and other topical

30  health statistics publications.

31  

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 1         (b)  The center shall publish, make available, and

 2  disseminate, promptly and as widely as practicable, the

 3  results of special health surveys, health care research, and

 4  health care evaluations conducted or supported under this

 5  section.  Any publication by the center must include a

 6  statement of the limitations on the quality, accuracy, and

 7  completeness of the data.

 8         (c)  The center shall provide indexing, abstracting,

 9  translation, publication, and other services leading to a more

10  effective and timely dissemination of health care statistics.

11         (d)  The center shall be responsible for publishing and

12  disseminating an annual report on the center's activities.

13         (e)  The center shall be responsible, to the extent

14  resources are available, for conducting a variety of special

15  studies and surveys to expand the health care information and

16  statistics available for health policy analyses, particularly

17  for the review of public policy issues.  The center shall

18  develop a process by which users of the center's data are

19  periodically surveyed regarding critical data needs and the

20  results of the survey considered in determining which special

21  surveys or studies will be conducted. The center shall select

22  problems in health care for research, policy analyses, or

23  special data collections on the basis of their local,

24  regional, or state importance; the unique potential for

25  definitive research on the problem; and opportunities for

26  application of the study findings.

27         (6)  PROVIDER DATA REPORTING.--This section does not

28  confer on the agency the power to demand or require that a

29  health care provider or professional furnish information,

30  records of interviews, written reports, statements, notes,

31  memoranda, or data other than as expressly required by law.

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 1         (7)  BUDGET; FEES; TRUST FUND.--

 2         (a)  The Legislature intends that funding for the

 3  Florida State Center for Health Information and Policy

 4  Analysis Statistics be appropriated from the General Revenue

 5  Fund.

 6         (b)  The Florida State Center for Health Information

 7  and Policy Analysis Statistics may apply for and receive and

 8  accept grants, gifts, and other payments, including property

 9  and services, from any governmental or other public or private

10  entity or person and make arrangements as to the use of same,

11  including the undertaking of special studies and other

12  projects relating to health-care-related topics.  Funds

13  obtained pursuant to this paragraph may not be used to offset

14  annual appropriations from the General Revenue Fund.

15         (c)  The center may charge such reasonable fees for

16  services as the agency prescribes by rule.  The established

17  fees may not exceed the reasonable cost for such services.

18  Fees collected may not be used to offset annual appropriations

19  from the General Revenue Fund.

20         (d)  The agency shall establish a Comprehensive Health

21  Information System Trust Fund as the repository of all funds

22  appropriated to, and fees and grants collected for, services

23  of the State Center for Health Statistics. Any funds, other

24  than funds appropriated to the center from the General Revenue

25  Fund, which are raised or collected by the agency for the

26  operation of the center and which are not needed to meet the

27  expenses of the center for its current fiscal year shall be

28  available to the agency in succeeding years.

29         (8)  STATE CONSUMER COMPREHENSIVE HEALTH INFORMATION

30  AND POLICY SYSTEM ADVISORY COUNCIL.--

31  

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 1         (a)  There is established in the agency the State

 2  Consumer Comprehensive Health Information and Policy System

 3  Advisory Council to assist the center in reviewing the

 4  comprehensive health information system, to include the

 5  identification, collection, standardization, sharing, and

 6  coordination of health-related data, to include fraud and

 7  abuse data and professional and facility licensing data, among

 8  federal, state, local, and private entities and to recommend

 9  improvements for purposes of public health, policy analysis,

10  and transparency of consumer health care information such

11  system. The council shall consist of the following members:

12         1.  An employee of the Executive Office of the

13  Governor, to be appointed by the Governor.

14         2.  An employee of the Office of Insurance Regulation,

15  to be appointed by the director of the office.

16         3.  An employee of the Department of Education, to be

17  appointed by the Commissioner of Education.

18         4.  Ten persons, to be appointed by the Secretary of

19  Health Care Administration, representing other state and local

20  agencies, state universities, the Florida Association of

21  business/health coalitions, local health councils,

22  professional health-care-related associations, consumers, and

23  purchasers.

24         (b)  Each member of the council shall be appointed to

25  serve for a term of 2 4 years following from the date of

26  appointment, except the term of appointment shall end 3 years

27  following the date of appointment for members appointed in

28  2003, 2004, and 2005. that A vacancy shall be filled by

29  appointment for the remainder of the term, and each appointing

30  authority retains the right to reappoint members whose terms

31  of appointment have expired. and except that:

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 1         1.  Three of the members initially appointed by the

 2  Director of Health Care Administration shall each be appointed

 3  for a term of 3 years.

 4         2.  Two of the members initially appointed by the

 5  Director of Health Care Administration shall each be appointed

 6  for a term of 2 years.

 7         3.  Two of the members initially appointed by the

 8  Director of Health Care Administration shall each be appointed

 9  for a term of 1 year.

10         (c)  The council may meet at the call of its chair, at

11  the request of the agency department, or at the request of a

12  majority of its membership, but at least quarterly.

13         (d)  Members shall elect a chair and a vice chair

14  annually.

15         (e)  A majority of the members constitutes a quorum,

16  and the affirmative vote of a majority of a quorum is

17  necessary to take action.

18         (f)  The council shall maintain minutes of each meeting

19  and shall make such minutes available to any person.

20         (g)  Members of the council shall serve without

21  compensation but are shall be entitled to receive

22  reimbursement for per diem and travel expenses as provided in

23  s. 112.061.

24         (h)  The council's duties and responsibilities include,

25  but are not limited to:

26         1.  Developing a mission statement, goals, and plan of

27  action, based on the guiding principles specified in s.

28  282.3032, for the identifying, collecting, standardizing,

29  sharing, and coordinating health-related data among federal,

30  state, and local government and private-sector entities.

31  

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 1         2.  Developing a review process to ensure cooperative

 2  planning among agencies that collect or maintain

 3  health-related data.

 4         3.  Creating ad hoc, issue-oriented technical

 5  workgroups, as needed to make recommendations to the council.

 6         (9)  Nothing in This section does not shall limit,

 7  restrict, affect, or control the collection, analysis,

 8  release, or publication of data by any state agency pursuant

 9  to its statutory authority, duties, or responsibilities.

10         Section 4.  Paragraph (b) of subsection (1) and

11  subsection (10) of section 408.061, Florida Statutes, are

12  amended to read:

13         408.061  Data collection; uniform systems of financial

14  reporting; information relating to physician charges;

15  confidential information; immunity.--

16         (1)

17         (b)  Data to be submitted by health care providers may

18  include, but are not limited to: affiliations with

19  professional organizations and specialty boards, Medicare and

20  Medicaid participation, types of services offered to patients,

21  amount of revenue and expenses of the health care provider,

22  and such other data which are reasonably necessary to study

23  utilization patterns. Data submitted shall be certified by the

24  appropriate duly authorized representative or employee of the

25  health care provider that the information submitted is true

26  and accurate.

27         (10)  The agency shall be the primary source for

28  collection and dissemination of health care data. No other

29  agency of state government may gather data from a health care

30  provider licensed or regulated under this chapter without

31  first determining if the data is currently being collected by

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 1  the agency and affirmatively demonstrating that it would be

 2  more cost-effective for an agency of state government other

 3  than the agency to gather the health care data. The secretary

 4  director shall ensure that health care data collected by the

 5  divisions within the agency is coordinated. It is the express

 6  intent of the Legislature that all health care data be

 7  collected by a single source within the agency and that other

 8  divisions within the agency, and all other agencies of state

 9  government, obtain data for analysis, regulation, and public

10  dissemination purposes from that single source. Confidential

11  information may be released to other governmental entities or

12  to parties contracting with the agency to perform agency

13  duties or functions as needed in connection with the

14  performance of the duties of the receiving entity. The

15  receiving entity or party shall retain the confidentiality of

16  such information as provided for herein.

17         Section 5.  Paragraphs (h) and (j) of subsection (1)

18  and subsections (2) and (5) of section 408.062, Florida

19  Statutes, are amended to read:

20         408.062  Research, analyses, studies, and reports.--

21         (1)  The agency shall conduct research, analyses, and

22  studies relating to health care costs and access to and

23  quality of health care services as access and quality are

24  affected by changes in health care costs. Such research,

25  analyses, and studies shall include, but not be limited to:

26         (h)  The collection of a statistically valid sample of

27  data on the retail prices charged by pharmacies for the 100 50

28  most frequently prescribed medicines from any pharmacy

29  licensed by this state as a special study authorized by the

30  Legislature to be performed by the agency quarterly. If the

31  drug is available generically, price data shall be reported

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 1  for the generic drug and price data of a brand-named drug for

 2  which the generic drug is the equivalent shall be reported.

 3  The agency shall make available on its Internet website for

 4  each pharmacy, no later than October 1, 2006 2005, drug prices

 5  for a 30-day supply at a standard dose. The data collected

 6  shall be reported for each drug by pharmacy and by

 7  metropolitan statistical area or region and updated quarterly.

 8         (j)  The making available on its Internet website

 9  beginning no later than October 1, 2004, and in a hard-copy

10  format upon request, of patient charge, volumes, length of

11  stay, and performance outcome indicators collected from health

12  care facilities pursuant to s. 408.061(1)(a) for specific

13  medical conditions, surgeries, and procedures provided in

14  inpatient and outpatient facilities as determined by the

15  agency. In making the determination of specific medical

16  conditions, surgeries, and procedures to include, the agency

17  shall consider such factors as volume, severity of the

18  illness, urgency of admission, individual and societal costs,

19  and whether the condition is acute or chronic. Performance

20  outcome indicators shall be risk adjusted or severity

21  adjusted, as applicable, using nationally recognized risk

22  adjustment methodologies or software consistent with the

23  standards of the Agency for Healthcare Research and Quality

24  and as selected by the agency. The website shall also provide

25  an interactive search that allows consumers to view and

26  compare the information for specific facilities, a map that

27  allows consumers to select a county or region, definitions of

28  all of the data, descriptions of each procedure, and an

29  explanation about why the data may differ from facility to

30  facility. Such public data shall be updated quarterly. The

31  agency shall submit an annual status report on the collection

                                  18

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    Florida Senate - 2006                           CS for SB 1332
    587-1742-06




 1  of data and publication of health care quality measures

 2  performance outcome indicators to the Governor, the Speaker of

 3  the House of Representatives, the President of the Senate, and

 4  the substantive legislative committees with the first status

 5  report due January 1, 2005.

 6         (2)  The agency may assess annually the caesarean

 7  section rate in Florida hospitals in this state using the

 8  analysis methodology that the agency determines most

 9  appropriate. The data from this assessment shall be published

10  periodically on the agency's website. To assist the agency in

11  determining the impact of this chapter on Florida hospitals'

12  caesarean section rates, each provider hospital, as defined in

13  s. 383.336, shall notify the agency of the date of

14  implementation of the practice parameters and the date of the

15  first meeting of the hospital peer review board created

16  pursuant to this chapter. The agency shall use these dates in

17  monitoring any change in provider hospital caesarean section

18  rates. An annual report based on this monitoring and

19  assessment shall be submitted to the Governor, the Speaker of

20  the House of Representatives, and the President of the Senate

21  by the agency, with the first annual report due January 1,

22  1993.

23         (5)  The agency shall develop and implement a strategy

24  for the adoption and use of electronic health records,

25  including the development of an electronic health information

26  network for the sharing of electronic health records among

27  health care facilities, health care providers, and health

28  insurers. The agency may develop rules to facilitate the

29  functionality and protect the confidentiality of electronic

30  health records. The agency shall report to the Governor, the

31  Speaker of the House of Representatives, and the President of

                                  19

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    Florida Senate - 2006                           CS for SB 1332
    587-1742-06




 1  the Senate on legislative recommendations to protect the

 2  confidentiality of electronic health records.

 3         Section 6.  This act shall take effect upon becoming a

 4  law.

 5  

 6          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 7                         Senate Bill 1332

 8                                 

 9  The committee substitute provides for staggered terms of
    office and authorizes the reappointment of members to the
10  State consumer Health Information and Policy Advisory Council.
    The committee substitute clarifies that the Florida Center for
11  Health Information and Policy Analysis in the agency can
    provide technical assistance relating to the function of
12  developing a Florida health information network, rather than
    provide technical assistance to a specified entity called the
13  Florida Health Information Network. The agency is authorized
    to develop an electronic health information network for the
14  sharing of electronic health records among health care
    facilities, health care providers, and health insurers.
15  Current statutory limitations on the data the agency can
    require health care professionals or providers to furnish is
16  restored.

17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  20

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