Senate Bill sb0246c1

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    Florida Senate - 2007                            CS for SB 246

    By the Committee on Health Regulation; and Senators Wise, King
    and Hill




    588-1909-07

  1                      A bill to be entitled

  2         An act relating to certificates of need;

  3         amending s. 408.0361, F.S.; revising provisions

  4         relating to compliance with certain criteria

  5         imposed on any hospital seeking to provide

  6         diagnostic cardiac catheterization Level II

  7         services; providing an effective date.

  8  

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

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11         Section 1.  Paragraph (c) of subsection (3) of section

12  408.0361, Florida Statutes, is amended to read:

13         408.0361  Cardiology services and burn unit

14  licensure.--

15         (3)  In establishing rules for adult interventional

16  cardiology services, the agency shall include provisions that

17  allow for:

18         (c)1.  For a hospital seeking a Level II program,

19  demonstration that, for the most recent 12-month period as

20  reported to the agency, it has performed a minimum of 1,100

21  adult inpatient and outpatient cardiac catheterizations, of

22  which at least 400 must be therapeutic catheterizations, or,

23  for the most recent 12-month period, has discharged at least

24  800 patients having with the principal diagnosis of ischemic

25  heart disease.

26         2.  Alternatively, a hospital may be licensed as a

27  Level II program if:

28         a.  The hospital is a newly licensed hospital that has

29  a certificate of need and is physically located in a building

30  that was previously licensed and operated as a hospital under

31  a Level II program license;

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    Florida Senate - 2007                            CS for SB 246
    588-1909-07




 1         b.  The hospital certifies that it presently meets and

 2  will continuously maintain the minimum licensure requirements

 3  that may be adopted by the agency governing adult open-heart

 4  programs, including the most current guidelines of the

 5  American College of Cardiology and American Heart Association

 6  Guidelines for adult open-heart programs;

 7         c.  The hospital certifies that it possesses and will

 8  maintain sufficient appropriate equipment and health care

 9  personnel to ensure quality and safety for its patients;

10         d.  The hospital certifies that it will maintain

11  appropriate times of operation and protocols to ensure

12  availability and appropriate referrals in the event of

13  emergency;

14         e.  The hospital certifies that at least 300 inpatients

15  having the principal diagnosis of ischemic heart disease were

16  discharged from the former hospital for the most recent

17  12-month period as reported to the agency;

18         f.  The former hospital was a general acute care

19  hospital that was in operation for 3 years or more; and

20         g.  The former hospital performed at least 300 combined

21  inpatient and outpatient diagnostic cardiac catheterization

22  procedures during the most recent 12-month period, as reported

23  to the agency.

24         3.  If the hospital fails to meet the criteria for a

25  Level II open-heart program or fails to conduct at least 300

26  surgeries each year by the end of its 3rd year of operation,

27  the hospital must show cause why its license as a Level II

28  program should not be revoked.

29         4.  In order to ensure continuity of available

30  services, the holder of a certificate of need for a newly

31  licensed hospital that meets the requirements of this

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    Florida Senate - 2007                            CS for SB 246
    588-1909-07




 1  paragraph may apply for certification as a Level II program

 2  before taking possession of the physical location of the

 3  former hospital. The effective date of certification of a

 4  Level II program is the same as the date the hospital license

 5  is issued.

 6         Section 2.  This act shall take effect July 1, 2007.

 7  

 8          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 9                         Senate Bill 246

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11  The committee substitute allows a hospital to become licensed
    as a Level II program for adult interventional cardiology
12  services upon meeting certain criteria. If the hospital fails
    to meet the criteria for a Level II program or fails to
13  conduct at least 300 surgeries each year by the end of its
    third year, the hospital must show cause why its license as a
14  Level II program should not be revoked.

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