| 1 | Representative Zapata offered the following: |
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| 3 | Amendment (with title amendment) |
| 4 | Between lines 214 and 215, insert: |
| 5 | Section 6. The Agency for Health Care Administration shall |
| 6 | conduct a study of the use of community benefits programs in |
| 7 | other states. The agency shall submit a report of its study to |
| 8 | the relevant committees of the Senate and the House of |
| 9 | Representatives by January 1, 2009. The report shall include |
| 10 | recommendations for community benefits requirements in the |
| 11 | state, including standards and guidelines for not-for-profit |
| 12 | charitable hospitals that are exempt from taxation under s. |
| 13 | 501(c)(3) of the Internal Revenue Code. The Office of Program |
| 14 | Policy Analysis and Government Accountability shall conduct a |
| 15 | study of not-for-profit charitable hospitals that are exempt |
| 16 | from taxation under s. 501(c)(3) of the Internal Revenue Code |
| 17 | and the benefits received by not-for-profit hospitals from sales |
| 18 | and lease tax exemption certificates obtained pursuant to s. |
| 19 | 212.08(7)(p), Florida Statutes, and from property tax and |
| 20 | federal income tax exemptions. The study shall determine the |
| 21 | dollar value of those exemptions for each hospital for the last |
| 22 | 3 fiscal years and shall assess the actual cost of charity care |
| 23 | provided by each hospital for the last 3 fiscal years. The study |
| 24 | shall include an evaluation of the profitability of not-for- |
| 25 | profit hospitals and the allocation of hospital resources to |
| 26 | provide community benefits and executive compensation and shall |
| 27 | provide a comparison of those results with comparable data from |
| 28 | other states. The study shall analyze and recommend a state |
| 29 | standard that would provide accurate and measurable figures |
| 30 | relating to the reporting of expenditures for charity care and |
| 31 | uncompensated care. The office shall submit a report to the |
| 32 | relevant committees of the Senate and the House of |
| 33 | Representatives by January 1, 2009. For the purposes of the |
| 34 | studies and reports required under this section, "community |
| 35 | benefits" means the unreimbursed cost to a hospital of providing |
| 36 | charity care, uncompensated government-sponsored indigent health |
| 37 | care, donations, uncompensated government-sponsored program |
| 38 | services, free screening, testing services, and subsidized |
| 39 | health services provided by the hospital. |
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| 45 | ----------------------------------------------------- |
| 46 | T I T L E A M E N D M E N T |
| 47 | Remove line 29 and insert: |
| 48 | requiring the Agency for Health Care Administration to conduct a |
| 49 | study of community benefits programs in other states; requiring |
| 50 | the agency to submit a report to the relevant committees of the |
| 51 | Senate and the House of Representatives by January 1, 2009; |
| 52 | requiring the Office of Program Policy Analysis and Government |
| 53 | Accountability to conduct a study of certain charitable |
| 54 | hospitals; requiring the office to submit a report to the |
| 55 | relevant committees of the Senate and the House of |
| 56 | Representatives by January 1, 2009; providing an effective date. |