Florida Senate - 2009 SENATOR AMENDMENT Bill No. CS for CS for SB 2658 Barcode 947266 LEGISLATIVE ACTION Senate . House . . . Floor: WD/2R . 04/30/2009 09:17 AM . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— Senator Baker moved the following: 1 Senate Amendment (with title amendment) 2 3 Delete lines 30 - 96 4 and insert: 5 408.8065 Additional licensure requirements for home health 6 agencies, home medical equipment providers, and health care 7 clinics.— 8 (1) An applicant for initial licensure, or initial 9 licensure due to a change of ownership, as a home health agency, 10 home medical equipment provider, or health care clinic shall: 11 (a) Demonstrate financial ability to operate, as required 12 under s. 408.810(8) and this section. If the applicant’s assets, 13 credit, and projected revenues meet or exceed projected 14 liabilities and expenses, and the applicant provides independent 15 evidence that the funds necessary for startup costs, working 16 capital, and contingency financing exist and will be available 17 as needed, the applicant has demonstrated the financial ability 18 to operate. 19 (b) Submit pro forma financial statements, including a 20 balance sheet, income and expense statement, and a statement of 21 cash flows for the first 2 years of operation which provide 22 evidence that the applicant has sufficient assets, credit, and 23 projected revenues to cover liabilities and expenses. 24 (c) Submit a statement of the applicant’s estimated startup 25 costs and sources of funds through the break-even point in 26 operations demonstrating that the applicant has the ability to 27 fund all startup costs, working capital, and contingency 28 financing. The statement must show that the applicant has at a 29 minimum 3 months of average projected expenses to cover startup 30 costs, working capital, and contingency financing. The minimum 31 amount for contingency funding may not be less than 1 month of 32 average projected expenses. 33 34 All documents required under this subsection must be prepared in 35 accordance with generally accepted accounting principles and may 36 be in a compilation form. The financial statements must be 37 signed by a certified public accountant. 38 (2) For initial, renewal, or change of ownership licenses 39 for a home health agency, a home medical equipment provider, or 40 a health care clinic, applicants and controlling interests who 41 are nonimmigrant aliens, as described in 8 U.S.C. s. 1101, must 42 file a surety bond of at least $500,000, payable to the agency, 43 which guarantees that the home health agency, home medical 44 equipment provider, or health care clinic will act in full 45 conformity with all legal requirements for operation. 46 (3) In addition to the requirements of s. 408.812, any 47 person who offers services that require licensure under part VII 48 or part X of chapter 400, or who offers skilled services that 49 require licensure under part III of chapter 400, without 50 obtaining a valid license; any person who knowingly files a 51 false or or misleading license or license renewal application or 52 who submits false or misleading information related to such 53 application, and any person who violates or conspires to violate 54 this section, commits a felony of the third degree, punishable 55 as provided in s. 775.082, s. 775.083, or s. 775.084. 56 Section 3. Subsection (10) is added to section 400.471, 57 Florida Statutes, to read: 58 (10) The agency may not issue an initial or change of 59 ownership license to a home health agency under part III of 60 chapter 400 or this part for the purpose of opening a new home 61 health agency until July 1, 2010, in any county that has at 62 least one actively licensed home health agency and a population 63 of persons 65 years of age or older, as indicated in the most 64 recent population estimates published by the Executive Office of 65 the Governor, of fewer than 1,200 per home health agency. In 66 such counties, for any application received by the agency prior 67 to July 1, 2009, which has been deemed by the agency to be 68 complete except for proof of accreditation, the agency may issue 69 an initial or a change of ownership license only if the 70 applicant has applied for accreditation before May 1, 2009, from 71 an accrediting organization that is recognized by the agency. 72 Section 4. Except as otherwise provided in this act, this 73 act shall take effect July 1, 2009. 74 75 ================= T I T L E A M E N D M E N T ================ 76 And the title is amended as follows: 77 Delete lines 7 - 17 78 and insert: 79 additional licensure requirements for home health agencies, home 80 medical equipment providers, and health care clinics; requiring 81 the posting of a surety bond in a specified minimum amount under 82 certain circumstances; imposing criminal penalties against a 83 person who knowingly submits misleading information to the 84 Agency for Health Care Administration in connection with 85 applications for certain licenses; providing an effective date; 86 amending s. 400.471; providing limitations on the licensure of 87 home health agencies in certain counties; providing an 88 exception; providing an effective date.