| 1 | A bill to be entitled |
| 2 | An act relating to the Florida Health Information Network |
| 3 | Corporation; creating s. 408.064, F.S.; providing a short |
| 4 | title; providing legislative intent; requiring the Agency |
| 5 | for Health Care Administration to develop and implement a |
| 6 | plan for the formation and operation of a health |
| 7 | information network; requiring the agency to contract to |
| 8 | implement the plan; creating the Florida Health |
| 9 | Information Network Corporation, as a not-for-profit |
| 10 | corporation; providing for a board of directors; providing |
| 11 | for appointment of board members; providing for terms; |
| 12 | providing that the corporation and any boards or |
| 13 | committees formed by the corporation are subject to public |
| 14 | records and meetings requirements; providing duties and |
| 15 | responsibilities of the corporation; requiring a report to |
| 16 | the Governor and Legislature; requiring the corporation to |
| 17 | develop a business plan and submit the plan to the |
| 18 | Governor and Legislature; providing conditions for funding |
| 19 | the network; providing an appropriation; providing an |
| 20 | effective date. |
| 21 |
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| 22 | Be It Enacted by the Legislature of the State of Florida: |
| 23 |
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| 24 | Section 1. Section 408.064, Florida Statutes, is created |
| 25 | to read: |
| 26 | 408.064 Florida Health Information Network Act; purpose; |
| 27 | duties.-- |
| 28 | (1) This section may be cited as the "Florida Health |
| 29 | Information Network Act." |
| 30 | (2) It is the intent of the Legislature that the state |
| 31 | shall promote the establishment of a privacy-protected, secure, |
| 32 | and integrated statewide network for the communication of |
| 33 | electronic health information among authorized parties through a |
| 34 | coordinated public-private initiative that will develop and |
| 35 | operate the state's health information infrastructure. |
| 36 | (3) The agency is responsible for promoting the |
| 37 | development of a health information network as a public-private |
| 38 | partnership among the state's providers, payors, consumers, |
| 39 | employers, public health officials, medical researchers, and |
| 40 | other health care stakeholders. The agency shall develop a plan |
| 41 | and performance standards for the formation and operation of a |
| 42 | health information network and shall contract with the Florida |
| 43 | Health Information Network Corporation to implement the plan, |
| 44 | consistent with the performance standards for the period July 1, |
| 45 | 2007, through June 30, 2010. |
| 46 | (4) There is created a not-for-profit corporation, to be |
| 47 | known as the "Florida Health Information Network Corporation," |
| 48 | which shall be registered, incorporated, organized, and operated |
| 49 | in compliance with chapter 617. |
| 50 | (a) The affairs of the corporation shall be managed by a |
| 51 | board of directors who shall serve without compensation. The |
| 52 | board of directors shall biennially elect one of its members as |
| 53 | chairperson. The board of directors shall consist of the |
| 54 | following members: |
| 55 | 1. The Secretary of Health Care Administration or the |
| 56 | secretary's designee. |
| 57 | 2. The Secretary of Health or the secretary's designee. |
| 58 | 3. The Secretary of Elderly Affairs or the secretary's |
| 59 | designee. |
| 60 | 4. Twelve members from the private or public sector, three |
| 61 | of whom shall be appointed by the Governor, four of whom shall |
| 62 | be appointed by the President of the Senate, four of whom shall |
| 63 | be appointed by the Speaker of the House of Representatives, and |
| 64 | one member who shall be appointed by the Chief Financial |
| 65 | Officer. |
| 66 | (b) Members shall be appointed for terms of 4 years, |
| 67 | except that, for members initially appointed by the Governor, |
| 68 | one shall be appointed for a term of 1 year, one shall be |
| 69 | appointed for a term of 2 years, and one shall be appointed for |
| 70 | a term of 3 years. Any member is eligible for reappointment. A |
| 71 | vacancy on the board of directors shall be filled for the |
| 72 | remainder of the unexpired term. |
| 73 | (c) Vacancies on the board shall be filled by appointment |
| 74 | by the Governor, the President of the Senate, the Speaker of the |
| 75 | House of Representatives, or the Chief Financial Officer, |
| 76 | respectively, depending on who appointed the member whose |
| 77 | vacancy is to be filled or whose term has expired. |
| 78 | (5) The Legislature specifically declares that the |
| 79 | corporation, and the boards, advisory committees, or similar |
| 80 | groups created by the corporation, are subject to the provisions |
| 81 | of chapter 119, relating to public records, and those provisions |
| 82 | of chapter 286 relating to public meetings and records. |
| 83 | (6) The corporation shall: |
| 84 | (a) Institute a statewide health information network by: |
| 85 | 1. Devising, implementing, and regularly revising a |
| 86 | strategic plan for infrastructure development. |
| 87 | 2. Developing and maintaining the technical infrastructure |
| 88 | necessary to perform the functions of the network consistent |
| 89 | with the strategic plan. |
| 90 | 3. Promoting an integrated approach to creating a secure |
| 91 | network for the communication of electronic health information |
| 92 | in the state. |
| 93 | 4. Implementing a marketing program to promote widespread |
| 94 | use of the network. |
| 95 | 5. Assisting in the development and expansion of existing |
| 96 | regional or local health information networks and the creation |
| 97 | of new networks. |
| 98 | (b) Develop and implement specific programs or strategies |
| 99 | that address the creation, development, and expansion of |
| 100 | regional or local health information networks and the |
| 101 | recruitment of participants in the network. |
| 102 | (c) Regularly assess the adoption of electronic health |
| 103 | records systems and utilization of the statewide network by |
| 104 | providers, consumers, public health officers, and other health |
| 105 | care stakeholders to identify and evaluate the strengths and |
| 106 | weaknesses of the state's health information infrastructure; |
| 107 | promote increased consumer access to consumer health records; |
| 108 | and incorporate that information into its regular strategic |
| 109 | planning process. |
| 110 | (d) Develop and enforce interoperability, operational, and |
| 111 | technical standards among regional and local health information |
| 112 | networks to ensure effective statewide efficiency and |
| 113 | interoperability across networks |
| 114 | (e) Develop an annual budget that includes funding from |
| 115 | public and private entities, including user fees. |
| 116 | (f) Implement commercially reasonable measures to protect |
| 117 | the corporation's intellectual property, including obtaining |
| 118 | patents, trademarks, and copyrights. |
| 119 | (g) Recommend reform of state law to reduce barriers to |
| 120 | participation in the network. |
| 121 | (h) Develop and maintain the technical infrastructure |
| 122 | necessary to perform the functions of the network consistent |
| 123 | with the strategic plan, including a record locator service, |
| 124 | access control systems, secure communications, audit and |
| 125 | reporting functions, and disaster recovery of core functions. |
| 126 | (i) Develop and enforce privacy and security standards for |
| 127 | participation in the network, including uniform policies and |
| 128 | procedures regarding the confidentiality of medical records, |
| 129 | authorization requirements for health information exchange |
| 130 | within the network, and technical standards for secure data |
| 131 | transmission and storage within the network. |
| 132 | (j) Ensure the technological standards of the network are |
| 133 | in alignment with widely adopted standards or standards accepted |
| 134 | by a recognized organization that establishes national standards |
| 135 | for electronic information networks. |
| 136 | (7) The agency shall review the operation and use of the |
| 137 | network and make recommendations for its continued development |
| 138 | in a report to be submitted to the Governor and the relevant |
| 139 | committees of the Senate and the House of Representatives by |
| 140 | June 30, 2009. |
| 141 | (8) The corporation must develop a business plan to |
| 142 | operate the network without state funding after June 30, 2010. |
| 143 | The business plan must be submitted to the Governor and the |
| 144 | relevant committees of the Senate and the House of |
| 145 | Representatives by January 2, 2009. |
| 146 | (9) The corporation must seek funding through public and |
| 147 | private entities to accomplish its goals and duties. Funds |
| 148 | appropriated for the Florida Health Information Network grants |
| 149 | program within the agency shall not be used to directly fund the |
| 150 | operation of the corporation. |
| 151 | Section 2. The sum of $5,000,000 in nonrecurring revenue |
| 152 | is appropriated from the General Revenue Fund to the Agency for |
| 153 | Health Care Administration for the 2007-2008 fiscal year to |
| 154 | contract with the Florida Health Information Network Corporation |
| 155 | to implement the provisions of this act. |
| 156 | Section 3. This act shall take effect July 1, 2007. |