Senate Bill sb1532c1

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    Florida Senate - 2006                           CS for SB 1532

    By the Committee on Health Care; and Senator Lynn





    587-1891-06

  1                      A bill to be entitled

  2         An act relating to trauma services; amending s.

  3         395.4001, F.S.; providing definitions;

  4         repealing s. 395.4035, F.S., to terminate the

  5         Trauma Services Trust Fund; amending s.

  6         395.4036, F.S.; revising provisions relating to

  7         distribution of funds to trauma centers and use

  8         thereof; requiring the Department of Health to

  9         adopt rules for purposes of calculating

10         payments to trauma centers; requiring that the

11         most recent calendar year data be used for

12         purposes of distributing funds to trauma

13         centers; creating s. 395.6062, F.S.; creating

14         the trauma center startup grant program;

15         providing for certain acute care general

16         hospitals to apply to the Department of Health

17         for a startup grant; providing requirements for

18         eligibility to receive a grant; requiring that

19         a hospital forfeit its grant funds if it does

20         not become a provisional trauma center within a

21         specified period after receiving a grant;

22         providing an appropriation; providing an

23         effective date.

24  

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

26  

27         Section 1.  Section 395.4001, Florida Statutes, is

28  amended to read:

29         395.4001  Definitions.--As used in this part, the term:

30         (1)  "Agency" means the Agency for Health Care

31  Administration.

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    Florida Senate - 2006                           CS for SB 1532
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 1         (2)  "Charity care" or "uncompensated trauma care"

 2  means that portion of hospital charges reported to the agency

 3  for which there is no compensation, other than restricted or

 4  unrestricted revenues provided to a hospital by local

 5  governments or tax districts regardless of method of payment,

 6  for care provided to a patient whose family income for the 12

 7  months preceding the determination is less than or equal to

 8  200 percent of the federal poverty level, unless the amount of

 9  hospital charges due from the patient exceeds 25 percent of

10  the annual family income. However, in no case shall the

11  hospital charges for a patient whose family income exceeds

12  four times the federal poverty level for a family of four be

13  considered charity.

14         (3)  "Department" means the Department of Health.

15         (4)  "Interfacility trauma transfer" means the transfer

16  of a trauma victim between two facilities licensed under this

17  chapter, pursuant to this part.

18         (5)  "International Classification Injury Severity

19  Score" means the statistical method for computing the severity

20  of injury sustained by trauma patients. The International

21  Classification Injury Severity Score shall be the methodology

22  used by the department and trauma centers to report the

23  severity of an injury.

24         (6)(5)  "Level I trauma center" means a trauma center

25  that:

26         (a)  Has formal research and education programs for the

27  enhancement of trauma care; is verified by the department to

28  be in substantial compliance with Level I trauma center and

29  pediatric trauma center standards; and has been approved by

30  the department to operate as a Level I trauma center.

31  

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    Florida Senate - 2006                           CS for SB 1532
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 1         (b)  Serves as a resource facility to Level II trauma

 2  centers, pediatric trauma centers, and general hospitals

 3  through shared outreach, education, and quality improvement

 4  activities.

 5         (c)  Participates in an inclusive system of trauma

 6  care, including providing leadership, system evaluation, and

 7  quality improvement activities.

 8         (7)(6)  "Level II trauma center" means a trauma center

 9  that:

10         (a)  Is verified by the department to be in substantial

11  compliance with Level II trauma center standards and has been

12  approved by the department to operate as a Level II trauma

13  center.

14         (b)  Serves as a resource facility to general hospitals

15  through shared outreach, education, and quality improvement

16  activities.

17         (c)  Participates in an inclusive system of trauma

18  care.

19         (8)  "Local funding contribution" means funds from a

20  municipality, county, or tax district, exclusive of any

21  patient-specific funds received under ss. 154.301-154.316;

22  funds from a private foundation; or public or private grant

23  funds of at least $150,000 which are received by a hospital or

24  health care system that operates a trauma center.

25         (9)(7)  "Pediatric trauma center" means a hospital that

26  is verified by the department to be in substantial compliance

27  with pediatric trauma center standards as established by rule

28  of the department and has been approved by the department to

29  operate as a pediatric trauma center.

30         (10)(8)  "Provisional trauma center" means a hospital

31  that has been verified by the department to be in substantial

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    Florida Senate - 2006                           CS for SB 1532
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 1  compliance with the requirements in s. 395.4025 and has been

 2  approved by the department to operate as a provisional Level I

 3  trauma center, Level II trauma center, or pediatric trauma

 4  center.

 5         (11)(9)  "Trauma agency" means a department-approved

 6  agency established and operated by one or more counties, or a

 7  department-approved entity with which one or more counties

 8  contract, for the purpose of administering an inclusive

 9  regional trauma system.

10         (12)(10)  "Trauma alert victim" means a person who has

11  incurred a single or multisystem injury due to blunt or

12  penetrating means or burns, who requires immediate medical

13  intervention or treatment, and who meets one or more of the

14  adult or pediatric scorecard criteria established by the

15  department by rule.

16         (13)  "Trauma caseload volume" means the number of

17  trauma patients reported by individual trauma centers to the

18  Trauma Registry and validated by the department.

19         (14)(11)  "Trauma center" means a hospital that has

20  been verified by the department to be in substantial

21  compliance with the requirements in s. 395.4025 and has been

22  approved by the department to operate as a Level I trauma

23  center, Level II trauma center, or pediatric trauma center.

24         (15)  "Trauma patient" means a person who has incurred

25  a physical injury or wound caused by trauma and has accessed a

26  trauma center.

27         (16)(12)  "Trauma scorecard" means a statewide

28  methodology adopted by the department by rule under which a

29  person who has incurred a traumatic injury is graded as to the

30  severity of his or her injuries or illness and which

31  

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    Florida Senate - 2006                           CS for SB 1532
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 1  methodology is used as the basis for making destination

 2  decisions.

 3         (17)(13)  "Trauma transport protocol" means a document

 4  which describes the policies, processes, and procedures

 5  governing the dispatch of vehicles, the triage, prehospital

 6  transport, and interfacility trauma transfer of trauma

 7  victims.

 8         (18)(14)  "Trauma victim" means any person who has

 9  incurred a single or multisystem injury due to blunt or

10  penetrating means or burns and who requires immediate medical

11  intervention or treatment.

12         Section 2.  Section 395.4035, Florida Statutes, is

13  repealed.

14         Section 3.  Subsection (1) of section 395.4036, Florida

15  Statutes, is amended to read:

16         395.4036  Trauma payments.--

17         (1)  Recognizing the Legislature's stated intent to

18  provide financial support to the current verified trauma

19  centers and to provide incentives for the establishment of

20  additional trauma centers as part of a system of

21  state-sponsored trauma centers, the department shall utilize

22  funds collected under s. 318.18(15) s. 318.18(14) and

23  deposited into the Administrative Trust Fund of the department

24  to ensure the availability and accessibility of trauma

25  services throughout the state as provided in this subsection.

26         (a)  Twenty percent of the total funds collected under

27  this subsection during the state fiscal year shall be

28  distributed to verified trauma centers located in a region

29  that have has a local funding contribution as of December 31.

30  Distribution of funds under this paragraph shall be based on

31  

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    Florida Senate - 2006                           CS for SB 1532
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 1  the department's Trauma Registry trauma caseload volume for

 2  the most recent calendar year available.

 3         (b)  Forty percent of the total funds collected under

 4  this subsection shall be distributed to verified trauma

 5  centers based on trauma caseload volume of the most recent

 6  previous calendar year available. The determination of

 7  caseload volume for distribution of funds under this paragraph

 8  shall be based on the department's Trauma Registry data.

 9         (c)  Forty percent of the total funds collected under

10  this subsection shall be distributed to verified trauma

11  centers based on severity of trauma patients for the most

12  recent calendar year available. The determination of severity

13  for distribution of funds under this paragraph shall be based

14  on the department's Trauma Registry International

15  Classification Injury Severity Scores or other statistically

16  valid and scientifically accepted methods of stratifying a

17  trauma patient's severity of injury, risk of mortality, and

18  resource consumption as adopted by the department by rule,

19  weighted based on the costs associated with and incurred by

20  the trauma center in treating trauma patients. The weighting

21  of scores shall be established by the department by rule

22  scores of 1-14 and 15 plus.

23  

24  Funds deposited in the department's Administrative Trust Fund

25  for verified trauma centers may be used to maximize the

26  receipt of federal funds that may be available for such trauma

27  centers. Notwithstanding this section and s. 318.14,

28  distributions to trauma centers may be adjusted in a manner to

29  ensure that total payments to trauma centers represent the

30  same proportional allocation as set forth in this section and

31  s. 318.14. For purposes of this section and s. 318.14, total

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    Florida Senate - 2006                           CS for SB 1532
    587-1891-06




 1  funds distributed to trauma centers may include revenue from

 2  the Administrative Trust Fund and federal funds for which

 3  revenue from the Administrative Trust Fund is used to meet

 4  state or local matching requirements. Funds collected under

 5  ss. 318.14 and 318.18(15) and deposited into the

 6  Administrative Trust Fund of the department shall be

 7  distributed to trauma centers each quarter using the most

 8  recent calendar year data that is available. Such data may not

 9  be used for more than four quarterly distributions unless

10  there are extenuating circumstances, as determined by the

11  department, in which case the most recent calendar year data

12  available shall continue to be used and, as soon as the more

13  recent data becomes available, adjustments shall be made

14  accordingly. Trauma centers may request that their

15  distributions from the Administrative Trust Fund be used as

16  intergovernmental transfer funds in the Medicaid program.

17         Section 4.  Section 395.6062, Florida Statutes, is

18  created to read:

19         395.6062  Trauma center startup grant program.--There

20  is established a trauma center startup grant program.

21         (1)  The Legislature recognizes the need for a

22  statewide, cohesive, uniform, and integrated trauma system,

23  and the Legislature acknowledges that the state has been

24  divided into trauma service areas. Each of the trauma service

25  areas should have at least one trauma center; however, some

26  trauma service areas do not have a trauma center because of

27  the significant up-front investment of capital which is needed

28  by hospitals to develop the physical space, equipment, and

29  qualified personnel necessary to provide quality trauma

30  services.

31  

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    Florida Senate - 2006                           CS for SB 1532
    587-1891-06




 1         (2)  An acute care general hospital that has submitted

 2  a letter of intent and an application to become a trauma

 3  center pursuant to s. 395.4025 may apply to the department for

 4  a startup grant. The grant applicant must demonstrate that:

 5         (a)  There are currently no other trauma centers in the

 6  hospital's trauma service area as established under s.

 7  395.402.

 8         (b)  There is not a trauma center within a 100-mile

 9  radius of the proposed trauma center.

10         (c)  The hospital has received a local funding

11  contribution as defined under s. 395.4001.

12         (d)  The hospital has incurred startup costs in excess

13  of the amount of grant funding requested.

14         (e)  The hospital is pursuing the establishment of a

15  residency program in emergency medicine.

16         (3)  Any hospital receiving startup grant funding which

17  does not become a provisional trauma center within 24 months

18  after submitting an application to become a trauma center must

19  forfeit any state grant funds received pursuant to this

20  section.

21         Section 5.  For the 2006-2007 fiscal year only, the sum

22  of $500,000 is appropriated from the General Revenue Fund for

23  deposit into the Administrative Trust Fund in the Department

24  of Health for the purpose of providing trauma center startup

25  grants under s. 395.6062, Florida Statutes. A single hospital

26  may not receive more than $500,000, startup grant funds must

27  be matched dollar-for-dollar with a local funding

28  contribution, and startup grant funds shall be provided to a

29  hospital only once.

30         Section 6.  This act shall take effect July 1, 2006.

31  

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    Florida Senate - 2006                           CS for SB 1532
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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1532

 3                                 

 4  The committee substitute adds a definition for local funding
    contribution. Instead of using data from the previous calendar
 5  year, data will be used from the most recent calendar year
    available. The committee substitute no longer requires an
 6  independent entity to conduct an audit of the trauma registry.
    The committee substitute specifies that funds will be
 7  distributed to trauma centers on a quarterly basis using the
    most recent calendar year data available. The data will not be
 8  used for more than four quarters unless there are extenuating
    circumstances as determined by the Department of Health (DOH)
 9  and then adjustments will be made when new data is available.
    The committee substitute creates the trauma center startup
10  grant program, outlining the requirements for eligibility. The
    committee substitute provides for a one time appropriation of
11  $500,000 to be deposited in the DOH Administrative Trust Fund
    for the grant program.
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