Florida Senate - 2009                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 2286
       
       
       
       
       
       
                                Barcode 514458                          
       
                              LEGISLATIVE ACTION                        
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       Senator Gaetz moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 2589 - 3633
    4  and insert:
    5  	Section 40. Subsections (1) and (3) of section 430.80,
    6  Florida Statutes, are amended to read:
    7         430.80 Implementation of a teaching nursing home pilot
    8  project.—
    9         (1) As used in this section, the term “teaching nursing
   10  home” means a nursing home facility licensed under chapter 400
   11  which contains a minimum of 275 400 licensed nursing home beds;
   12  has access to a resident senior population of sufficient size to
   13  support education, training, and research relating to geriatric
   14  care; and has a contractual relationship with a federally funded
   15  accredited geriatric research center in this state or operates
   16  in its own right a geriatric research center.
   17         (3) To be designated as a teaching nursing home, a nursing
   18  home licensee must, at a minimum:
   19         (a) Provide a comprehensive program of integrated senior
   20  services that include institutional services and community-based
   21  services;
   22         (b) Participate in a nationally recognized accreditation
   23  program and hold a valid accreditation, such as the
   24  accreditation awarded by the Joint Commission on Accreditation
   25  of Healthcare Organizations, or possess a Gold Seal Award as
   26  conferred by the state of Florida on its licensed nursing home;
   27         (c) Have been in business in this state for a minimum of 10
   28  consecutive years;
   29         (d) Demonstrate an active program in multidisciplinary
   30  education and research that relates to gerontology;
   31         (e) Have a formalized contractual relationship with at
   32  least one accredited health profession education program located
   33  in this state;
   34         (f) Have a formalized contractual relationship with an
   35  accredited hospital that is designated by law as a teaching
   36  hospital; and
   37         (f)(g) Have senior staff members who hold formal faculty
   38  appointments at universities, which must include at least one
   39  accredited health profession education program; and.
   40         (g)(h) Maintain insurance coverage pursuant to s.
   41  400.141(1)(s) s. 400.141(20) or proof of financial
   42  responsibility in a minimum amount of $750,000. Such proof of
   43  financial responsibility may include:
   44         1. Maintaining an escrow account consisting of cash or
   45  assets eligible for deposit in accordance with s. 625.52; or
   46         2. Obtaining and maintaining pursuant to chapter 675 an
   47  unexpired, irrevocable, nontransferable and nonassignable letter
   48  of credit issued by any bank or savings association organized
   49  and existing under the laws of this state or any bank or savings
   50  association organized under the laws of the United States that
   51  has its principal place of business in this state or has a
   52  branch office which is authorized to receive deposits in this
   53  state. The letter of credit shall be used to satisfy the
   54  obligation of the facility to the claimant upon presentment of a
   55  final judgment indicating liability and awarding damages to be
   56  paid by the facility or upon presentment of a settlement
   57  agreement signed by all parties to the agreement when such final
   58  judgment or settlement is a result of a liability claim against
   59  the facility.
   60         Section 41. Subsection (1) of section 651.105, Florida
   61  Statutes, is amended to read:
   62         651.105 Examination and inspections.—
   63         (1) The office may at any time, and shall at least once
   64  every 5 3 years, examine the business of any applicant for a
   65  certificate of authority and any provider engaged in the
   66  execution of care contracts or engaged in the performance of
   67  obligations under such contracts, in the same manner as is
   68  provided for examination of insurance companies pursuant to s.
   69  624.316. Such examinations shall be made by a representative or
   70  examiner designated by the office, whose compensation will be
   71  fixed by the office pursuant to s. 624.320. Routine examinations
   72  may be made by having the necessary documents submitted to the
   73  office; and, for this purpose, financial documents and records
   74  conforming to commonly accepted accounting principles and
   75  practices, as required under s. 651.026, will be deemed
   76  adequate. The final written report of each such examination
   77  shall be filed with the office and, when so filed, will
   78  constitute a public record. Any provider being examined shall,
   79  upon request, give reasonable and timely access to all of its
   80  records. The representative or examiner designated by the office
   81  may at any time examine the records and affairs and inspect the
   82  physical property of any provider, whether in connection with a
   83  formal examination or not.
   84  
   85  
   86  ================= T I T L E  A M E N D M E N T ================
   87         And the title is amended as follows:
   88         Delete lines 193 - 303
   89  and insert:
   90  
   91         430.80, F.S.; revising the term “teaching nursing home” as
   92  it relates to the implementation of a teaching nursing home
   93  pilot project; revising the requirements to be designated as a
   94  teaching nursing home; conforming a cross-reference; amending s.
   95  651.105, F.S.; revising the time period in which the Office of
   96  Insurance Regulation is required to examine the business of an
   97  applicant for a certificate of authority and a provider engaged
   98  in the execution of continuing care contracts; providing an
   99  effective date.