Florida Senate - 2006 COMMITTEE AMENDMENT
Bill No. PCS for SB 2176 (682648)
Barcode 885184
CHAMBER ACTION
Senate House
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11 The Committee on Health Care (Peaden) recommended the
12 following amendment:
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14 Senate Amendment (with title amendment)
15 On page 32, between lines 6 and 7,
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17 insert:
18 Section 8. Subsection (43) of section 408.07, Florida
19 Statutes, is amended to read:
20 408.07 Definitions.--As used in this chapter, with the
21 exception of ss. 408.031-408.045, the term:
22 (43) "Rural hospital" means an acute care hospital
23 licensed under chapter 395, having 100 or fewer licensed beds
24 and an emergency room, and which is:
25 (a) The sole provider within a county with a
26 population density of no greater than 100 persons per square
27 mile;
28 (b) An acute care hospital, in a county with a
29 population density of no greater than 100 persons per square
30 mile, which is at least 30 minutes of travel time, on normally
31 traveled roads under normal traffic conditions, from another
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Florida Senate - 2006 COMMITTEE AMENDMENT
Bill No. PCS for SB 2176 (682648)
Barcode 885184
1 acute care hospital within the same county;
2 (c) A hospital supported by a tax district or
3 subdistrict whose boundaries encompass a population of 100
4 persons or fewer per square mile;
5 (d) A hospital with a service area that has a
6 population of 100 persons or fewer per square mile. As used
7 in this paragraph, the term "service area" means the fewest
8 number of zip codes that account for 75 percent of the
9 hospital's discharges for the most recent 5-year period, based
10 on information available from the hospital inpatient discharge
11 database in the State Center for Health Statistics at the
12 Agency for Health Care Administration; or
13 (e) A critical access hospital.
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15 Population densities used in this subsection must be based
16 upon the most recently completed United States census. A
17 hospital that received funds under s. 409.9116 for a quarter
18 beginning no later than July 1, 2002, is deemed to have been
19 and shall continue to be a rural hospital from that date
20 through June 30, 2012, if the hospital continues to have 100
21 or fewer licensed beds and an emergency room, or meets the
22 criteria of s. 395.602(2)(d)4. s. 395.602(2)(e)4. An acute
23 care hospital that has not previously been designated as a
24 rural hospital and that meets the criteria of this subsection
25 shall be granted such designation upon application, including
26 supporting documentation, to the Agency for Health Care
27 Administration.
28 Section 9. Subsection (6) of section 409.9116, Florida
29 Statutes, is amended to read:
30 409.9116 Disproportionate share/financial assistance
31 program for rural hospitals.--In addition to the payments made
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Florida Senate - 2006 COMMITTEE AMENDMENT
Bill No. PCS for SB 2176 (682648)
Barcode 885184
1 under s. 409.911, the Agency for Health Care Administration
2 shall administer a federally matched disproportionate share
3 program and a state-funded financial assistance program for
4 statutory rural hospitals. The agency shall make
5 disproportionate share payments to statutory rural hospitals
6 that qualify for such payments and financial assistance
7 payments to statutory rural hospitals that do not qualify for
8 disproportionate share payments. The disproportionate share
9 program payments shall be limited by and conform with federal
10 requirements. Funds shall be distributed quarterly in each
11 fiscal year for which an appropriation is made.
12 Notwithstanding the provisions of s. 409.915, counties are
13 exempt from contributing toward the cost of this special
14 reimbursement for hospitals serving a disproportionate share
15 of low-income patients.
16 (6) This section applies only to hospitals that were
17 defined as statutory rural hospitals, or their
18 successor-in-interest hospital, prior to January 1, 2001. Any
19 additional hospital that is defined as a statutory rural
20 hospital, or its successor-in-interest hospital, on or after
21 January 1, 2001, is not eligible for programs under this
22 section unless additional funds are appropriated each fiscal
23 year specifically to the rural hospital disproportionate share
24 and financial assistance programs in an amount necessary to
25 prevent any hospital, or its successor-in-interest hospital,
26 eligible for the programs prior to January 1, 2001, from
27 incurring a reduction in payments because of the eligibility
28 of an additional hospital to participate in the programs. A
29 hospital, or its successor-in-interest hospital, which
30 received funds pursuant to this section before January 1,
31 2001, and which qualifies under s. 395.602(2)(d) s.
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Florida Senate - 2006 COMMITTEE AMENDMENT
Bill No. PCS for SB 2176 (682648)
Barcode 885184
1 395.602(2)(e), shall be included in the programs under this
2 section and is not required to seek additional appropriations
3 under this subsection.
4 Section 10. Paragraph (b) of subsection (2) of section
5 1009.65, Florida Statutes, is amended to read:
6 1009.65 Medical Education Reimbursement and Loan
7 Repayment Program.--
8 (2) From the funds available, the Department of Health
9 shall make payments to selected medical professionals as
10 follows:
11 (b) All payments shall be contingent on continued
12 proof of primary care practice in an area defined in s.
13 395.602(2)(d) s. 395.602(2)(e), or an underserved area
14 designated by the Department of Health, provided the
15 practitioner accepts Medicaid reimbursement if eligible for
16 such reimbursement. Correctional facilities, state hospitals,
17 and other state institutions that employ medical personnel
18 shall be designated by the Department of Health as underserved
19 locations. Locations with high incidences of infant mortality,
20 high morbidity, or low Medicaid participation by health care
21 professionals may be designated as underserved.
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23 (Redesignate subsequent sections.)
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26 ================ T I T L E A M E N D M E N T ===============
27 And the title is amended as follows:
28 On page 3, line 2, after the semicolon,
29
30 insert:
31 amending ss. 408.07, 409.9116, and 1009.65,
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Florida Senate - 2006 COMMITTEE AMENDMENT
Bill No. PCS for SB 2176 (682648)
Barcode 885184
1 F.S.; conforming cross-references;
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