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The Committee on Health Regulation (Jones) recommended the

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following amendment:

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     Senate Amendment (with directory and title amendments)

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     Between line(s) 668-669

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insert:

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     (15)(a) The agency may deny, suspend, or revoke the

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license of a nurse registry and shall impose a fine of $5,000

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against a nurse registry that:

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     1. Provides services to residents in an assisted living

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facility for which the nurse registry does not receive fair

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market value remuneration.

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     2. Provides staffing to an assisted living facility for

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which the nurse registry does not receive fair market value

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remuneration.

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     3. Fails to provide the agency, upon request, with copies

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of all contracts with assisted living facilities which were

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executed within the last 5 years.

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     4. Gives remuneration to a case manager, discharge

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planner, facility-based staff member, or third-party vendor who

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is involved in the discharge-planning process of a facility

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licensed under chapter 395 or this chapter and from whom the

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nurse registry receives referrals.

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     5. Gives remuneration to a physician, a member of the

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physician's office staff, or an immediate family member of the

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physician, and the nurse registry received a patient referral

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in the last 12 months from that physician or the physician's

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office staff.

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     6. Gives remuneration to an insurance agent, a member of

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the insurance agent's office staff, or an immediate family

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member of the insurance agent, and the nurse registry received

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a patient referral within the last 12 months from that agent or

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the agent's office staff.

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     (b) The agency shall also impose an administrative fine

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of $15,000 if the nurse registry refers nurses, certified

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nursing assistants, home health aides, or other staff without

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charge to a facility licensed under chapter 429 in return for

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patient referrals from the facility.

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     (c) The proceeds of all fines collected under this

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subsection shall be deposited into the Health Care Trust Fund.

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====== D I R E C T O R Y  C L A U S E  A M E N D M E N T =====

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And the directory clause is amended as follows:

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     Delete line(s) 650-651 and insert:

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     Section 8.  Paragraph (a) of subsection (6) of section

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400.506, Florida Statutes, is amended, present subsections (15)

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and (16) of that section are renumbered as subsections (16) and

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(17), respectively, and a new subsection (15) is added to that

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section, to read:

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================ T I T L E  A M E N D M E N T ================

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And the title is amended as follows:

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     On line(s) 47, after the semicolon

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insert:

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providing for the denial, suspension, or revocation of

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nurse registry license and fines for paying remuneration

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to certain entities in exchange for patient referrals or

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refusing fair remuneration in exchange for patient

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referrals;

3/3/2008  11:40:00 AM     588-04124-08