Senate Bill sb1350

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    Florida Senate - 2007                                  SB 1350

    By Senator Oelrich





    14-1039-07                                          See HB 455

  1                      A bill to be entitled

  2         An act relating to organ and tissue donation;

  3         providing findings and intent; amending s.

  4         765.511, F.S.; providing a definition; amending

  5         s. 765.512, F.S.; providing for donation by

  6         joining a donor registry; providing for

  7         validity of a designation of intent to donate

  8         by an unemancipated minor upon the minor's

  9         attaining majority; conforming provisions;

10         amending s. 765.514, F.S.; providing for

11         authorization of anatomical donations by

12         notations on a driver's license or

13         identification card; providing for effect on

14         authorization of license revocation,

15         suspension, expiration, or cancellation;

16         providing for authorization of anatomical

17         donation by inclusion on a donor registry;

18         providing for authorization of donation through

19         online access to registry; providing for

20         rulemaking; revising the uniform donor card;

21         amending s. 765.515, F.S.; revising provisions

22         relating to communication of specified

23         information to the donor registry; providing

24         for administration of the donor registry by a

25         specified nonprofit corporation rather than by

26         a state agency; revising provisions relating to

27         registry administration; requiring an annual

28         report; providing for verification of certain

29         online entries; providing for voluntary

30         contributions to the registry; revising

31         provisions relating to payment of costs of the

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         registry; providing for expiration of specified

 2         transitional provisions; providing for

 3         provision of current registry information to

 4         the Florida Coalition on Donation; amending s.

 5         765.516, F.S.; authorizing revocation of

 6         anatomical gift by a donor through removal of

 7         his or her name from the donor registry;

 8         amending s. 765.517, F.S.; revising provisions

 9         relating to verification of a donor's consent

10         at death; creating s. 765.5201, F.S.; providing

11         legislative findings concerning the Florida

12         Coalition on Donation; providing for

13         application of public meetings requirements to

14         certain meetings of the coalition; amending s.

15         765.521, F.S.; revising provisions relating to

16         authorization of donations as a part of the

17         driver license or identification card process;

18         amending s. 765.5215, F.S.; revising provisions

19         relating to anatomical gift education programs;

20         amending s. 765.52155, F.S.; redesignating the

21         Florida Organ and Tissue Donor Education and

22         Procurement Trust Fund as the Florida Organ and

23         Tissue Procurement Trust Fund; repealing s.

24         765.5216, F.S., relating to the organ and

25         tissue donor education panel; amending s.

26         765.522, F.S.; revising duties of hospital

27         administrators at or near the time of death of

28         persons who are suitable candidates for organ

29         or tissue donation; providing specified

30         immunity to the Florida Coalition on Donation;

31         revising authority for designation of organ

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         procurement organizations; amending s. 765.544,

 2         F.S.; revising provisions relating to the use

 3         of the Florida Organ and Tissue Procurement

 4         Trust Fund; providing for use of specified

 5         funds for certain transitional and notification

 6         purposes; providing for expiration of specified

 7         provisions; amending s. 215.20, F.S.;

 8         conforming provisions to the redesignation of

 9         the Florida Organ and Tissue Donor Education

10         and Procurement Trust Fund as the Florida Organ

11         and Tissue Procurement Trust Fund; amending ss.

12         320.08047 and 322.08, F.S.; revising

13         distribution of specified voluntary

14         contributions for organ and tissue donor

15         education; providing an effective date.

16  

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

18  

19         Section 1.  (1)  The Legislature finds that:

20         (a)  There exists in the state a shortage of organ and

21  tissue donors to provide the organs and tissue that could save

22  lives or enhance the quality of life for many Floridians.

23         (b)  There is a need to encourage the various minority

24  populations of Florida to donate organs and tissue.

25         (c)  An enhanced program of donor education coupled

26  with an online registration process developed and implemented

27  by a private not-for-profit entity in cooperation with the

28  Department of Highway Safety and Motor Vehicles that will

29  report its results to the Agency for Health Care

30  Administration and the Legislature will lead to an increase in

31  the number of organ and tissue donors registered in Florida.

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         (d)  The Florida Coalition on Donation has been

 2  established as a not-for-profit entity by the Florida organ

 3  procurement organizations designated by the United States

 4  Department of Health and Human Services and Florida tissue

 5  banks and eye banks, all certified by the Agency for Health

 6  Care Administration.

 7         (2)  It is the intent of the Legislature that the funds

 8  collected pursuant to ss. 320.08047 and 322.08(6)(b), Florida

 9  Statutes, be used to maintain the donor registry and for

10  educational purposes aimed at increasing the number of organ

11  and tissue donors, thus affording more Floridians who are

12  awaiting organ or tissue transplants the opportunity for a

13  full and productive life.

14         Section 2.  Subsections (4) and (5) of section 765.511,

15  Florida Statutes, are renumbered as subsections (5) and (6),

16  respectively, and a new subsection (4) is added to that

17  section to read:

18         765.511  Definitions.--As used in this part, the term:

19         (4)  "Florida Coalition on Donation" or "coalition"

20  means the Florida Coalition on Donation, Inc., a

21  not-for-profit corporation.

22         Section 3.  Subsections (2) and (3) of section 765.512,

23  Florida Statutes, are amended to read:

24         765.512  Persons who may make an anatomical gift.--

25         (2)  If the decedent has executed an agreement

26  concerning an anatomical gift, by signing an organ and tissue

27  donor card, by joining the organ donor registry, by expressing

28  his or her wish to donate in a living will or advance

29  directive, or by signifying his or her intent to donate on his

30  or her driver's license or identification card or in some

31  other written form has indicated his or her wish to make an

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  anatomical gift, and in the absence of actual notice of

 2  contrary indications by the decedent, the document is evidence

 3  of legally sufficient informed consent to donate an anatomical

 4  gift and is legally binding. If an unemancipated minor

 5  designates his or her intent to donate on his or her driver's

 6  license or identification card, the designation shall have the

 7  same effect as if it had been made by an adult once he or she

 8  attains the age of majority. Any surrogate designated by the

 9  decedent pursuant to part II of this chapter may give all or

10  any part of the decedent's body for any purpose specified in

11  s. 765.510.

12         (3)  If the decedent has not executed an agreement

13  concerning an anatomical gift, is not included in the donor

14  registry, or has not designated a surrogate pursuant to part

15  II of this chapter to make an anatomical gift pursuant to the

16  conditions of subsection (2), a member of one of the classes

17  of persons listed below, in the order of priority stated and

18  in the absence of actual notice of contrary indications by the

19  decedent or actual notice of opposition by a member of the

20  same or a prior class, may give all or any part of the

21  decedent's body for any purpose specified in s. 765.510:

22         (a)  The spouse of the decedent;

23         (b)  An adult son or daughter of the decedent;

24         (c)  Either parent of the decedent;

25         (d)  An adult brother or sister of the decedent;

26         (e)  A grandparent of the decedent;

27         (f)  A guardian of the person of the decedent at the

28  time of his or her death; or

29         (g)  A representative ad litem who shall be appointed

30  by a court of competent jurisdiction forthwith upon a petition

31  heard ex parte filed by any person, which representative ad

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  litem shall ascertain that no person of higher priority exists

 2  who objects to the gift of all or any part of the decedent's

 3  body and that no evidence exists of the decedent's having made

 4  a communication expressing a desire that his or her body or

 5  body parts not be donated upon death;

 6  

 7  but no gift shall be made by the spouse if any adult son or

 8  daughter objects, and provided that those of higher priority,

 9  if they are reasonably available, have been contacted and made

10  aware of the proposed gift, and further provided that a

11  reasonable search is made to show that there would have been

12  no objection on religious grounds by the decedent.

13         Section 4.  Section 765.514, Florida Statutes, is

14  amended to read:

15         765.514  Manner of executing anatomical gifts.--

16         (1)  A gift of all or part of the body under s.

17  765.512(1) may be made by:

18         (a)  A statement or symbol indicating that the donor

19  has made an anatomical gift that he or she has authorized to

20  be imprinted on his or her driver's license or identification

21  card. Revocation, suspension, expiration, or cancellation of a

22  driver's license or identification card upon which an

23  anatomical gift is indicated does not invalidate the gift.

24         (b)  A statement indicating that the donor has made an

25  anatomical gift that he or she has authorized to be included

26  on the donor registry. Individuals may make such an

27  authorization through online access to the donor registry. The

28  Department of Highway Safety and Motor Vehicles shall adopt

29  rules to provide for verification of the identity of such

30  individuals in a manner similar to the verification of

31  identity for online drivers license renewal.

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         (c)  A will. The gift becomes effective upon the death

 2  of the testator without waiting for probate. If the will is

 3  not probated or if it is declared invalid for testamentary

 4  purposes, the gift is nevertheless valid to the extent that it

 5  has been acted upon in good faith.

 6         (d)1.(2)(a)  A gift of all or part of the body under s.

 7  765.512(1) may also be made by A document other than a will.

 8  The gift becomes effective upon the death of the donor. The

 9  document must be signed by the donor in the presence of two

10  witnesses who shall sign the document in the donor's presence.

11  If the donor cannot sign, the document may be signed for him

12  or her at the donor's direction and in his or her presence and

13  the presence of two witnesses who must sign the document in

14  the donor's presence. Delivery of the document of gift during

15  the donor's lifetime is not necessary to make the gift valid.

16         2.(b)  The following form of written instrument shall

17  be sufficient for any person to give all or part of his or her

18  body for the purposes of this part:

19  

20                        UNIFORM DONOR CARD

21  

22  The undersigned hereby makes this anatomical gift, if

23  medically acceptable, to take effect on death.  The words and

24  marks below indicate my desires:

25  I give:

26         (a)  .... any needed organs, tissues, or eyes or parts;

27         (b)  .... only the following organs, tissues, or eyes

28         or parts

29            [Specify the organ(s), tissues, or eyes or

30                             part(s)]

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  for the purpose of transplantation, therapy, medical research,

 2  or education;

 3         (c)  .... my body for anatomical study if needed.

 4         Limitations or special wishes, if any:

 5     ...(If applicable, list specific donee)... [This must be

 6               arranged in advance with the donee.]

 7  

 8  Signed by the donor and the following witnesses in the

 9  presence of each other:

10  

11  ...(Signature of donor)...      ...(Date of birth of donor)...

12  ...(Date signed)...                     ...(City and State)...

13  

14  ...(Witness)...                                ...(Witness)...

15  ...(Address)...                                ...(Address)...

16  

17         (2)(3)  The gift may be made to a donee specified by

18  name. If the donee is not specified by name, the gift may be

19  accepted by the attending physician as donee upon or following

20  the donor's death. If the gift is made to a specified donee

21  who is not available at the time and place of death, the

22  attending physician may accept the gift as donee upon or

23  following death in the absence of any expressed indication

24  that the donor desired otherwise. However, the Legislature

25  declares that the public policy of this state prohibits

26  restrictions on the possible recipients of an anatomical gift

27  on the basis of race, color, religion, sex, national origin,

28  age, physical handicap, health status, marital status, or

29  economic status, and such restrictions are hereby declared

30  void and unenforceable. The physician who becomes a donee

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  under this subsection shall not participate in the procedures

 2  for removing or transplanting a part.

 3         (3)(4)  Notwithstanding s. 765.517(2), the donor may

 4  designate in his or her will or other document of gift the

 5  surgeon or physician to carry out the appropriate procedures.

 6  In the absence of a designation or if the designee is not

 7  available, the donee or other person authorized to accept the

 8  gift may employ or authorize any surgeon or physician for the

 9  purpose.

10         (4)(5)  Any gift by a member of a class designated in

11  s. 765.512(3) must be made by a document signed by that person

12  or made by that person's witnessed telephonic discussion,

13  telegraphic message, or other recorded message.

14         Section 5.  Section 765.515, Florida Statutes, is

15  amended to read:

16         765.515  Delivery of document; organ and tissue donor

17  registry.--

18         (1)  If a gift is made pursuant to through the program

19  established by the Agency for Health Care Administration and

20  the Department of Highway Safety and Motor Vehicles under the

21  authority of s. 765.521, the completed donor registration card

22  shall be delivered to the Department of Highway Safety and

23  Motor Vehicles and processed as provided in a manner specified

24  in subsection (4), but delivery is not necessary to the

25  validity of the gift. If the donor withdraws the gift, the

26  records of the Department of Highway Safety and Motor Vehicles

27  shall be updated to reflect such withdrawal and the department

28  shall communicate the withdrawal to the Florida Coalition on

29  Donation for the purpose of updating the donor registry.

30         (2)  If a gift is not made pursuant to through the

31  program established by the Agency for Health Care

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  Administration and the Department of Highway Safety and Motor

 2  Vehicles under the authority of s. 765.521 and is made by the

 3  donor to a specified donee, the document, other than a will,

 4  may be delivered to the donee to expedite the appropriate

 5  procedures immediately after death, but delivery is not

 6  necessary to the validity of the gift. Such document may be

 7  deposited in any hospital, bank, storage facility, or registry

 8  office that accepts such documents for safekeeping or for

 9  facilitation of procedures after death.

10         (3)  On the request of any interested party upon or

11  after the donor's death, the person in possession shall

12  produce the document for examination.

13         (4)(a)  The Florida Coalition on Donation The Agency

14  for Health Care Administration and the Department of Highway

15  Safety and Motor Vehicles shall maintain develop and implement

16  an organ and tissue donor registry that which shall record,

17  through electronic means, organ and tissue donation records

18  documents submitted through the driver license identification

19  program or through by other sources. The registry shall be

20  maintained in a manner that which will allow, through

21  electronic and telephonic methods, immediate access to organ

22  and tissue donation records documents 24 hours a day, 7 days a

23  week. Hospitals, Organ, and tissue, and eye procurement

24  agencies that are certified by the Agency for Health Care

25  Administration to obtain consent for donation and to screen

26  potential organ and tissue donors, the Florida Coalition on

27  Donation, the Department of Highway Safety and Motor Vehicles,

28  and other parties identified by the agency by rule shall be

29  allowed access through coded means to the information stored

30  in the registry. Both the coalition and the Department of

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  Highway Safety and Motor Vehicles shall have administrative

 2  responsibilities for the registry.

 3         (b)  The coalition shall submit an annual written

 4  report to the Legislature that includes all of the following:

 5         1.  The number of donors on the registry.

 6         2.  The changes in the number of donors on the

 7  registry.

 8         3.  The general characteristics of donors as may be

 9  determined from registry information submitted directly by the

10  donors or by the Department of Highway Safety and Motor

11  Vehicles.

12         (c)  Upon request by the Department of Highway Safety

13  and Motor Vehicles, the coalition will provide the department

14  with a list of the names of individuals who joined the donor

15  registry online. This list shall be used to confirm that the

16  identities of all such individuals were verified through the

17  process authorized in s. 765.514(1)(b).

18         (d)  The coalition may receive voluntary contributions

19  to support its activities and the registry.

20         (e)1.  Costs for the orderly transition of the organ

21  and tissue donor registry from the Agency for Health Care

22  Administration to the coalition and for the notification of

23  potential donors of the changes to the registration process

24  shall be paid from the Florida Organ and Tissue Donor

25  Education and Procurement Trust Fund created by s. 765.52155.

26         2.  Except as provided in subparagraph 1., costs for

27  maintaining the organ and tissue donor registry shall be paid

28  from funds collected pursuant to ss. 320.08047 and

29  322.08(6)(b) and from any other funds available to the

30  coalition for this purpose. Funds deposited into the Florida

31  Organ and Tissue Donor Education and Procurement Trust Fund

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  shall be utilized by the Agency for Health Care Administration

 2  for maintaining the organ and tissue donor registry and for

 3  organ and tissue donor education.

 4         Section 6.  At the time of implementation of the

 5  amendments concerning the organ and tissue donor registry in

 6  s. 765.515(4), Florida Statutes, made by this act, the Florida

 7  Coalition on Donation shall assume responsibility for all

 8  aspects of the donor registry and the Agency for Health Care

 9  Administration shall provide the coalition with the current

10  registry information, including donor registration documents,

11  for all previously registered donors.

12         Section 7.  Section 765.515(4)(e)1., Florida Statutes,

13  as amended by this act, shall expire upon completion of the

14  transition of the organ and tissue donor registry from the

15  Agency for Health Care Administration to the Florida Coalition

16  on Donation and the notification of potential donors of the

17  changes to the registration process.

18         Section 8.  Paragraph (e) is added to subsection (1) of

19  section 765.516, Florida Statutes, to read:

20         765.516  Amendment of the terms of or the revocation of

21  the gift.--

22         (1)  A donor may amend the terms of or revoke an

23  anatomical gift by:

24         (e)  Removal of his or her own name from the donor

25  registry.

26         Section 9.  Subsection (3) of section 765.517, Florida

27  Statutes, is amended to read:

28         765.517  Rights and duties at death.--

29         (3)  The organ procurement organization, tissue bank,

30  or eye bank, or hospital medical professionals under the

31  direction thereof, may perform any and all tests to evaluate

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  the deceased as a potential donor and any invasive procedures

 2  on the deceased body in order to preserve the potential

 3  donor's organs. These procedures do not include the surgical

 4  removal of an organ or penetrating any body cavity,

 5  specifically for the purpose of donation, until:

 6         (a)  It has been verified that the deceased's consent

 7  to donate appears in the donor registry or until a properly

 8  executed donor card or document is located; or,

 9         (b)  If a properly executed donor card or document

10  cannot be located and the deceased's consent is not listed on

11  the donor registry, until a person specified in s. 765.512(3)

12  has been located, has been notified of the death, and has

13  granted legal permission for the donation.

14         Section 10.  Section 765.5201, Florida Statutes, is

15  created to read:

16         765.5201  Meetings of the Florida Coalition on

17  Donation.--

18         (1)(a)  The Legislature finds that the Florida

19  Coalition on Donation, a private not-for-profit corporation

20  whose members provided organ and tissue donor education to the

21  citizens of Florida prior to assumption of responsibility for

22  donor education pursuant to s. 765.5215, does not perform a

23  public function when preparing general organ and tissue donor

24  education programs.

25         (b)  The Legislature has delegated the following public

26  purposes to the coalition:

27         1.  Operating and maintaining the organ and tissue

28  donor registry.

29         2.  Developing and implementing, along with the

30  Department of Highway Safety and Motor Vehicles, a program to

31  allow individuals to make anatomical gifts through the process

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  of issuing and renewing driver licenses and identification

 2  cards.3.  Developing a program to educate state and local

 3  government employees, including law enforcement agencies and

 4  officers, concerning anatomical gifts.

 5         (2)  Any meetings of the governing board of the

 6  coalition discussing any of these public purposes, as well as

 7  meetings discussing the expenditure of dollars obtained

 8  pursuant to ss. 320.08047 and 322.08(6)(b), must remain open

 9  to the public in accordance with s. 286.011 and s. 24(b), Art.

10  I of the State Constitution, unless made confidential or

11  exempt by law. Other meetings of the governing board of the

12  coalition are not subject to s. 286.011 or s. 24(b), Art. I of

13  the State Constitution.

14         Section 11.  Section 765.521, Florida Statutes, is

15  amended to read:

16         765.521  Donations as part of driver license or

17  identification card process.--

18         (1)  The Agency for Health Care Administration and the

19  Department of Highway Safety and Motor Vehicles and the

20  Florida Coalition on Donation shall develop and implement a

21  program encouraging and allowing persons to make anatomical

22  gifts as a part of the process of issuing identification cards

23  and issuing and renewing driver licenses. The donor

24  registration card distributed by the Department of Highway

25  Safety and Motor Vehicles shall include the material specified

26  by s. 765.514(1)(d)2.(2)(b) and may require such additional

27  information, and include such additional material, as may be

28  deemed necessary by that department. The Department of Highway

29  Safety and Motor Vehicles shall also develop and implement a

30  program to identify donors, which program shall include

31  notations on identification cards, driver licenses, and driver

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  records or such other methods as the department may develop.

 2  This program shall include, after an individual has completed

 3  a donor registration card, making a notation on the front of

 4  the driver license or identification card that clearly

 5  indicates the individual's intent to donate the individual's

 6  organs or tissue. A notation on an individual's driver license

 7  or identification card that the individual intends to donate

 8  organs or tissues is deemed sufficient to satisfy all

 9  requirements for consent to organ or tissue donation. The

10  coalition Agency for Health Care Administration shall provide

11  the necessary supplies and forms through funds collected under

12  ss. 320.08047 and 322.08(6)(b) appropriated from general

13  revenue or contributions from interested voluntary, nonprofit

14  organizations. The Department of Highway Safety and Motor

15  Vehicles shall provide the necessary recordkeeping system

16  through funds appropriated from general revenue. The

17  Department of Highway Safety and Motor Vehicles and the

18  coalition Agency for Health Care Administration shall incur no

19  liability in connection with the performance of any acts

20  authorized herein.

21         (2)  The Department of Highway Safety and Motor

22  Vehicles, after consultation with and concurrence by the

23  Agency for Health Care Administration, shall adopt rules to

24  implement the provisions of this section pursuant according to

25  ss. 120.536(1) and 120.54 the provisions of chapter 120.

26         (3)  Funds expended by the Agency for Health Care

27  Administration to carry out the intent of this section shall

28  not be taken from any funds appropriated for patient care.

29         Section 12.  Section 765.5215, Florida Statutes, is

30  amended to read:

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         765.5215  Education program relating to anatomical

 2  gifts.--

 3         (1)  The Florida Coalition on Donation has established,

 4  and continues to develop, a program to educate the citizens of

 5  Florida, including medical professionals, students, and

 6  minority communities, regarding the laws of this state

 7  relating to anatomical gifts and the need for anatomical

 8  gifts. The Agency for Health Care Administration, Subject to

 9  the concurrence of the Department of Highway Safety and Motor

10  Vehicles, the coalition shall expand this program by

11  developing develop a continuing program to educate and inform

12  medical professionals, law enforcement agencies and officers,

13  high school children, state and local government employees,

14  including law enforcement agencies and officers, and the

15  public regarding the laws of this state relating to anatomical

16  gifts and the need for anatomical gifts.

17         (2)(1)  The program is to be implemented with the

18  assistance of the organ and tissue donor education panel as

19  provided in s. 765.5216 and with the funds collected under ss.

20  320.08047 and 322.08(6)(b) and any other funds available to

21  the coalition for the purpose of education. Existing community

22  resources, when available, must be used to support the

23  program, and volunteers may assist the program to the maximum

24  extent possible. The Agency for Health Care Administration may

25  contract for the provision of all or any portion of the

26  program. When awarding such contract, the agency shall give

27  priority to existing nonprofit groups that are located within

28  the community, including within the minority communities

29  specified in subsection (2). The program aimed at educating

30  medical professionals may be implemented by contract with one

31  or more medical schools located in the state.

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         (2)  The Legislature finds that particular difficulties

 2  exist in making members of the various minority communities

 3  within the state aware of laws relating to anatomical gifts

 4  and the need for anatomical gifts. Therefore, the program

 5  shall include, as a demonstration project, activities

 6  especially targeted at providing such information to the

 7  nonwhite, Hispanic, and Caribbean populations of the state.

 8         (3)  The coalition Agency for Health Care

 9  Administration shall, no later than March 1 of each year,

10  submit a report to the Legislature containing statistical data

11  on the effectiveness of the program in procuring donor organs

12  and the effect of the program on state spending for health

13  care.

14         (4)  The coalition Agency for Health Care

15  Administration, for the sole purpose of furthering in

16  furtherance of its educational responsibilities regarding

17  organ and tissue donation, shall have access to the buildings

18  and workplace areas of all state agencies and political

19  subdivisions of the state.

20         Section 13.  Section 765.52155, Florida Statutes, is

21  amended to read:

22         765.52155  Florida Organ and Tissue Donor Education and

23  Procurement Trust Fund.--The Florida Organ and Tissue Donor

24  Education and Procurement Trust Fund is hereby created, to be

25  administered by the Agency for Health Care Administration.

26  Funds shall be credited to the trust fund as provided for in

27  general law.

28         Section 14.  Section 765.5216, Florida Statutes, is

29  repealed.

30         Section 15.  Subsections (2), (5), and (6) of section

31  765.522, Florida Statutes, are amended to read:

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         765.522  Duty of certain hospital administrators;

 2  liability of hospital administrators, organ procurement

 3  organizations, eye banks, and tissue banks.--

 4         (2)  Where, based on accepted medical standards, a

 5  hospital patient is a suitable candidate for organ or tissue

 6  donation, the hospital administrator or the hospital

 7  administrator's designee shall, at or near the time of death,

 8  notify the appropriate organ, tissue, or eye recovery program,

 9  which shall access the organ and tissue donor registry created

10  by s. 765.515(4) to ascertain the existence of a donor card or

11  document executed by the decedent. In the absence of a donor

12  card, organ donation sticker or organ donation imprint on a

13  driver's license, or other properly executed document, the

14  organ, tissue, or eye recovery program hospital administrator

15  or designee shall request:

16         (a)  The patient's health care surrogate, as permitted

17  in s. 765.512(2); or

18         (b)  If the patient does not have a surrogate, or the

19  surrogate is not reasonably available, any of the persons

20  specified in s. 765.512(3), in the order and manner of

21  priority stated in s. 765.512(3),

22  

23  to consent to the gift of all or any part of the decedent's

24  body for any purpose specified in this part. Except as

25  provided in s. 765.512, in the absence of actual notice of

26  opposition, consent need only be obtained from the person or

27  persons in the highest priority class reasonably available.

28         (5)  There shall be no civil or criminal liability

29  against any organ procurement organization, eye bank, or

30  tissue bank certified under s. 765.542, or against any

31  hospital or hospital administrator or designee, or against the

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  Florida Coalition on Donation, when complying with the

 2  provisions of this part and the rules of the Agency for Health

 3  Care Administration or when, in the exercise of reasonable

 4  care, a request for organ donation is inappropriate and the

 5  gift is not made according to this part and the rules of the

 6  Agency for Health Care Administration.

 7         (6)  The hospital administrator or a designee shall, at

 8  or near the time of death of a potential organ donor, directly

 9  notify the affiliated Health Care Financing Administration

10  designated organ procurement organization designated as such

11  by the United States Department of Health and Human Services

12  of the potential organ donor. This organ procurement

13  organization must offer any organ from such a donor first to

14  patients on a Florida-based local or state organ sharing

15  transplant list. For the purpose of this subsection, the term

16  "transplant list" includes certain categories of national or

17  regional organ sharing for patients of exceptional need or

18  exceptional match, as approved or mandated by the United

19  Network for Organ Sharing. This notification must not be made

20  to a tissue bank or eye bank in lieu of the organ procurement

21  organization unless the tissue bank or eye bank is also a

22  Health Care Financing Administration designated as an organ

23  procurement organization by the United States Department of

24  Health and Human Services.

25         Section 16.  Section 765.544, Florida Statutes, is

26  amended to read:

27         765.544  Fees; Florida Organ and Tissue Donor Education

28  and Procurement Trust Fund.--

29         (1)  The Agency for Health Care Administration shall

30  collect an initial application fee of $1,000 from organ

31  procurement organizations and tissue banks and $500 from eye

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1  banks.  The fee must be submitted with each application for

 2  initial certification and is nonrefundable.

 3         (2)  The Agency for Health Care Administration shall

 4  assess annual fees to be used, in the following order of

 5  priority, for the certification program and, the advisory

 6  board, maintenance of the organ and tissue donor registry, and

 7  the organ and tissue donor education program in the following

 8  amounts, which may not exceed $35,000 per organization:

 9         (a)  Each general organ procurement organization shall

10  pay the greater of $1,000 or 0.25 percent of its total

11  revenues produced from procurement activity in this state by

12  the certificateholder during its most recently completed

13  fiscal year or operational year.

14         (b)  Each bone and tissue procurement agency or bone

15  and tissue bank shall pay the greater of $1,000 or 0.25

16  percent of its total revenues from procurement and processing

17  activity in this state by the certificateholder during its

18  most recently completed fiscal year or operational year.

19         (c)  Each eye bank shall pay the greater of $500 or

20  0.25 percent of its total revenues produced from procurement

21  activity in this state by the certificateholder during its

22  most recently completed fiscal year or operational year.

23         (3)  The Agency for Health Care Administration shall

24  provide by rule for administrative penalties for the purpose

25  of ensuring adherence to the standards of quality and practice

26  required by this chapter and rules of the agency for continued

27  certification.

28         (4)(a)  Proceeds from fees, administrative penalties,

29  and surcharges collected pursuant to subsections (2) and (3)

30  must be deposited into the Florida Organ and Tissue Donor

31  Education and Procurement Trust Fund created by s. 765.52155.

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         (b)  Moneys deposited in the trust fund pursuant to

 2  this section must be used exclusively for the implementation,

 3  administration, and operation of the certification program and

 4  the advisory board, for maintaining the organ and tissue donor

 5  registry, and for organ and tissue donor education.

 6         (5)  As used in this section, the term "procurement

 7  activity in this state" includes the bringing into this state

 8  for processing, storage, distribution, or transplantation of

 9  organs or tissues that are initially procured in another state

10  or country.

11         Section 17.  In addition to uses of funds provided for

12  in s. 765.544(2) and (4)(b), Florida Statutes, funds governed

13  by those provisions shall be used for the orderly transition

14  of the organ and tissue donor registry from the Agency for

15  Health Care Administration to the Florida Coalition on

16  Donation and notification to potential donors of the changes

17  in the registration process. This section shall expire upon

18  completion of the transition of the organ and tissue donor

19  registry from the Agency for Health Care Administration to the

20  Florida Coalition on Donation and the notification of

21  potential donors of the changes to the registration process.

22         Section 18.  Paragraph (a) of subsection (4) of section

23  215.20, Florida Statutes, is amended to read:

24         215.20  Certain income and certain trust funds to

25  contribute to the General Revenue Fund.--

26         (4)  The income of a revenue nature deposited in the

27  following described trust funds, by whatever name designated,

28  is that from which the appropriations authorized by subsection

29  (3) shall be made:

30         (a)  Within the Agency for Health Care Administration:

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         1.  The Florida Organ and Tissue Donor Education and

 2  Procurement Trust Fund.

 3         2.  The Health Care Trust Fund.

 4         3.  The Resident Protection Trust Fund.

 5  

 6  The enumeration of the foregoing moneys or trust funds shall

 7  not prohibit the applicability thereto of s. 215.24 should the

 8  Governor determine that for the reasons mentioned in s. 215.24

 9  the money or trust funds should be exempt herefrom, as it is

10  the purpose of this law to exempt income from its force and

11  effect when, by the operation of this law, federal matching

12  funds or contributions or private grants to any trust fund

13  would be lost to the state.

14         Section 19.  Section 320.08047, Florida Statutes, is

15  amended to read:

16         320.08047  Voluntary contribution for organ and tissue

17  donor education.--As a part of the collection process for

18  license taxes as specified in s. 320.08, individuals shall be

19  permitted to make a voluntary contribution of $1, which

20  contribution shall be distributed to the Florida Coalition on

21  Donation deposited into the Florida Organ and Tissue Donor

22  Education and Procurement Trust Fund for organ and tissue

23  donor education and for maintaining the organ and tissue donor

24  registry.

25         Section 20.  Subsection (6) of section 322.08, Florida

26  Statutes, is amended to read:

27         322.08  Application for license.--

28         (6)  The application form for a driver's license or

29  duplicate thereof shall include language permitting the

30  following:

31  

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    Florida Senate - 2007                                  SB 1350
    14-1039-07                                          See HB 455




 1         (a)  A voluntary contribution of $5 per applicant,

 2  which contribution shall be transferred into the Election

 3  Campaign Financing Trust Fund.

 4         (b)  A voluntary contribution of $1 per applicant,

 5  which contribution shall be distributed to the Florida

 6  Coalition on Donation deposited into the Florida Organ and

 7  Tissue Donor Education and Procurement Trust Fund for organ

 8  and tissue donor education and for maintaining the organ and

 9  tissue donor registry.

10         (c)  A voluntary contribution of $1 per applicant,

11  which contribution shall be distributed to the Florida Council

12  of the Blind.

13         (d)  A voluntary contribution of $2 per applicant,

14  which shall be distributed to the Hearing Research Institute,

15  Incorporated.

16         (e)  A voluntary contribution of $1 per applicant,

17  which shall be distributed to the Juvenile Diabetes Foundation

18  International.

19         (f)  A voluntary contribution of $1 per applicant,

20  which shall be distributed to the Children's Hearing Help

21  Fund.

22  

23  A statement providing an explanation of the purpose of the

24  trust funds shall also be included. For the purpose of

25  applying the service charge provided in s. 215.20,

26  contributions received under paragraphs (b), (c), (d), (e),

27  and (f) and under s. 322.18(9)(a) are not income of a revenue

28  nature.

29         Section 21.  This act shall take effect July 1, 2007.

30  

31  

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