| 1 | Representative Kreegel offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Between lines 12 and 13, insert: |
| 5 | Section 1. Paragraphs (a), (b), (c), and (d) of subsection |
| 6 | (4) of section 400.9905, Florida Statutes, are amended to read: |
| 7 | 400.9905 Definitions.-- |
| 8 | (4) "Clinic" means an entity at which health care services |
| 9 | are provided to individuals and which tenders charges for |
| 10 | reimbursement for such services, including a mobile clinic and a |
| 11 | portable equipment provider. For purposes of this part, the term |
| 12 | does not include and the licensure requirements of this part do |
| 13 | not apply to: |
| 14 | (a) Entities licensed or registered by the state under |
| 15 | chapter 395; entities that provide oncology, radiation therapy, |
| 16 | and urology services by physicians licensed under chapter 458 or |
| 17 | chapter 459 that do not submit claims for reimbursement to |
| 18 | insurers under ss. 627.730-627.7405; or entities licensed or |
| 19 | registered by the state and providing only health care services |
| 20 | within the scope of services authorized under their respective |
| 21 | licenses granted under ss. 383.30-383.335, chapter 390, chapter |
| 22 | 394, chapter 397, this chapter except part X, chapter 429, |
| 23 | chapter 463, chapter 465, chapter 466, chapter 478, part I of |
| 24 | chapter 483, chapter 484, or chapter 651; end-stage renal |
| 25 | disease providers authorized under 42 C.F.R. part 405, subpart |
| 26 | U; or providers certified under 42 C.F.R. part 485, subpart B or |
| 27 | subpart H; or any entity that provides neonatal or pediatric |
| 28 | hospital-based health care services or other health care |
| 29 | services by licensed practitioners solely within a hospital |
| 30 | licensed under chapter 395. |
| 31 | (b) Entities that own, directly or indirectly, entities |
| 32 | licensed or registered by the state pursuant to chapter 395; |
| 33 | entities that own, directly or indirectly, an entity that |
| 34 | provides oncology, radiation therapy, and urology services by |
| 35 | physicians licensed under chapter 458 or chapter 459 that do not |
| 36 | submit claims for reimbursement to insurers under ss. 627.730- |
| 37 | 627.7405; or entities that own, directly or indirectly, entities |
| 38 | licensed or registered by the state and providing only health |
| 39 | care services within the scope of services authorized pursuant |
| 40 | to their respective licenses granted under ss. 383.30-383.335, |
| 41 | chapter 390, chapter 394, chapter 397, this chapter except part |
| 42 | X, chapter 429, chapter 463, chapter 465, chapter 466, chapter |
| 43 | 478, part I of chapter 483, chapter 484, chapter 651; end-stage |
| 44 | renal disease providers authorized under 42 C.F.R. part 405, |
| 45 | subpart U; or providers certified under 42 C.F.R. part 485, |
| 46 | subpart B or subpart H; or any entity that provides neonatal or |
| 47 | pediatric hospital-based health care services by licensed |
| 48 | practitioners solely within a hospital licensed under chapter |
| 49 | 395. |
| 50 | (c) Entities that are owned, directly or indirectly, by an |
| 51 | entity licensed or registered by the state pursuant to chapter |
| 52 | 395; entities that are owned, directly or indirectly, by an |
| 53 | entity that provides oncology, radiation therapy, and urology |
| 54 | services by physicians licensed under chapter 458 or chapter 459 |
| 55 | that do not submit claims for reimbursement to insurers under |
| 56 | ss. 627.730-627.7405; or entities that are owned, directly or |
| 57 | indirectly, by an entity licensed or registered by the state and |
| 58 | providing only health care services within the scope of services |
| 59 | authorized pursuant to their respective licenses granted under |
| 60 | ss. 383.30-383.335, chapter 390, chapter 394, chapter 397, this |
| 61 | chapter except part X, chapter 429, chapter 463, chapter 465, |
| 62 | chapter 466, chapter 478, part I of chapter 483, chapter 484, or |
| 63 | chapter 651; end-stage renal disease providers authorized under |
| 64 | 42 C.F.R. part 405, subpart U; or providers certified under 42 |
| 65 | C.F.R. part 485, subpart B or subpart H; or any entity that |
| 66 | provides neonatal or pediatric hospital-based health care |
| 67 | services by licensed practitioners solely within a hospital |
| 68 | under chapter 395. |
| 69 | (d) Entities that are under common ownership, directly or |
| 70 | indirectly, with an entity licensed or registered by the state |
| 71 | pursuant to chapter 395; entities that are under common |
| 72 | ownership, directly or indirectly, with an entity that provides |
| 73 | oncology, radiation therapy, and urology services by physicians |
| 74 | licensed under chapter 458 or chapter 459 that do not submit |
| 75 | claims for reimbursement to insurers under ss. 627.730-627.7405; |
| 76 | or entities that are under common ownership, directly or |
| 77 | indirectly, with an entity licensed or registered by the state |
| 78 | and providing only health care services within the scope of |
| 79 | services authorized pursuant to their respective licenses |
| 80 | granted under ss. 383.30-383.335, chapter 390, chapter 394, |
| 81 | chapter 397, this chapter except part X, chapter 429, chapter |
| 82 | 463, chapter 465, chapter 466, chapter 478, part I of chapter |
| 83 | 483, chapter 484, or chapter 651; end-stage renal disease |
| 84 | providers authorized under 42 C.F.R. part 405, subpart U; or |
| 85 | providers certified under 42 C.F.R. part 485, subpart B or |
| 86 | subpart H; or any entity that provides neonatal or pediatric |
| 87 | hospital-based health care services by licensed practitioners |
| 88 | solely within a hospital licensed under chapter 395. |
| 89 |
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| 90 | ----------------------------------------------------- |
| 91 | T I T L E A M E N D M E N T |
| 92 | Remove line 3 and insert: |
| 93 | amending s. 400.9905, F.S.; redefining the term "clinic" for |
| 94 | purposes of the Health Care Clinic Act to exclude from coverage |
| 95 | under the act those entities providing oncology, radiation |
| 96 | therapy, and urology services; amending s. 817.234, F.S.; |
| 97 | providing penalties for |