Florida Senate - 2008 CS for SB 1338
By the Committee on Health Policy; and Senator Hill
587-07628-08 20081338c1
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A bill to be entitled
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An act relating to the staffing of health care facilities;
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amending s. 395.301, F.S.; requiring acute care hospitals
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to make information concerning staffing levels at the
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hospital available to the public upon request; providing
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an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Section 395.301, Florida Statutes, is amended to
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read:
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395.301 Itemized patient bill; form and content prescribed
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by the agency; hospital staffing disclosure.--
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(1) A licensed facility not operated by the state shall
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notify each patient during admission and at discharge of his or
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her right to receive an itemized bill upon request. Within 7 days
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following the patient's discharge or release from a licensed
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facility not operated by the state, the licensed facility
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providing the service shall, upon request, submit to the patient,
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or to the patient's survivor or legal guardian as may be
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appropriate, an itemized statement detailing in language
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comprehensible to an ordinary layperson the specific nature of
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charges or expenses incurred by the patient, which in the initial
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billing shall contain a statement of specific services received
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and expenses incurred for such items of service, enumerating in
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detail the constituent components of the services received within
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each department of the licensed facility and including unit price
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data on rates charged by the licensed facility, as prescribed by
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the agency.
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(2)(a) Each such statement submitted pursuant to this
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section:
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1. May not include charges of hospital-based physicians if
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billed separately.
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2. May not include any generalized category of expenses
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such as "other" or "miscellaneous" or similar categories.
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3. Shall list drugs by brand or generic name and not refer
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to drug code numbers when referring to drugs of any sort.
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4. Shall specifically identify therapy treatment as to the
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date, type, and length of treatment when therapy treatment is a
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part of the statement.
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(b) Any person receiving a statement pursuant to this
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section shall be fully and accurately informed as to each charge
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and service provided by the institution preparing the statement.
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(3) On each itemized statement submitted pursuant to
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subsection (1) there shall appear the words "A FOR-PROFIT (or
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NOT-FOR-PROFIT or PUBLIC) HOSPITAL (or AMBULATORY SURGICAL
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CENTER) LICENSED BY THE STATE OF FLORIDA" or substantially
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similar words sufficient to identify clearly and plainly the
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ownership status of the licensed facility. Each itemized
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statement must prominently display the phone number of the
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medical facility's patient liaison who is responsible for
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expediting the resolution of any billing dispute between the
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patient, or his or her representative, and the billing
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department.
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(4) An itemized bill shall be provided once to the
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patient's physician at the physician's request, at no charge.
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(5) In any billing for services subsequent to the initial
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billing for such services, the patient, or the patient's survivor
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or legal guardian, may elect, at his or her option, to receive a
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copy of the detailed statement of specific services received and
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expenses incurred for each such item of service as provided in
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subsection (1).
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(6) No physician, dentist, podiatric physician, or licensed
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facility may add to the price charged by any third party except
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for a service or handling charge representing a cost actually
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incurred as an item of expense; however, the physician, dentist,
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podiatric physician, or licensed facility is entitled to fair
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compensation for all professional services rendered. The amount
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of the service or handling charge, if any, shall be set forth
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clearly in the bill to the patient.
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(7) Each licensed facility not operated by the state shall
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provide, prior to provision of any nonemergency medical services,
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a written good faith estimate of reasonably anticipated charges
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for the facility to treat the patient's condition upon written
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request of a prospective patient. The estimate shall be provided
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to the prospective patient within 7 business days after the
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receipt of the request. The estimate may be the average charges
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for that diagnosis related group or the average charges for that
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procedure. Upon request, the facility shall notify the patient of
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any revision to the good faith estimate. Such estimate shall not
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preclude the actual charges from exceeding the estimate. The
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facility shall place a notice in the reception area that such
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information is available. Failure to provide the estimate within
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the provisions established pursuant to this section shall result
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in a fine of $500 for each instance of the facility's failure to
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provide the requested information.
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(8) A licensed facility shall make available to a patient
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all records necessary for verification of the accuracy of the
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patient's bill within 30 business days after the request for such
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records. The verification information must be made available in
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the facility's offices. Such records shall be available to the
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patient prior to and after payment of the bill or claim. The
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facility may not charge the patient for making such verification
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records available; however, the facility may charge its usual fee
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for providing copies of records as specified in s. 395.3025.
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(9) Each facility shall establish a method for reviewing
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and responding to questions from patients concerning the
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patient's itemized bill. Such response shall be provided within
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30 days after the date a question is received. If the patient is
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not satisfied with the response, the facility must provide the
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patient with the address of the agency to which the issue may be
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sent for review.
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(10) Each licensed facility shall make available on its
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Internet website a link to the performance outcome and financial
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data that is published by the Agency for Health Care
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Administration pursuant to s. 408.05(3)(k). The facility shall
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place a notice in the reception area that the information is
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available electronically and the facility's Internet website
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address.
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(11) An acute care hospital shall provide to any person,
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within 48 hours after receiving a written request, a report of
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the daily staffing level of the direct care nursing staff,
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registered nurses, licensed practical nurses, and certified
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nursing assistants in each patient care unit for each shift and
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each day of the month preceding the request, the daily census by
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patient care unit for each shift and each day of the month
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preceding the request, and the projected schedule and anticipated
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average daily census by patient care unit of the hospital for a
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minimum period of 30 days following the date of the request.
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Section 2. This act shall take effect July 1, 2008.
CODING: Words stricken are deletions; words underlined are additions.