Florida Senate - 2009                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 2658
       
       
       
       
       
       
                                Barcode 947266                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                 Floor: WD/2R          .                                
             04/30/2009 09:17 AM       .                                
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       Senator Baker moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 30 - 96
    4  and insert:
    5         408.8065Additional 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.