| 1 | Representative Hudson offered the following: |
| 2 |
|
| 3 | Amendment (with title amendment) |
| 4 | Between lines 164 and 165, insert: |
| 5 | Section 3. Paragraph (e) of subsection (2) of section |
| 6 | 395.602, Florida Statutes, is amended to read: |
| 7 | 395.602 Rural hospitals.-- |
| 8 | (2) DEFINITIONS.--As used in this part: |
| 9 | (e) "Rural hospital" means an acute care hospital licensed |
| 10 | under this chapter, having 100 or fewer licensed beds and an |
| 11 | emergency room, which is: |
| 12 | 1. The sole provider within a county with a population |
| 13 | density of no greater than 100 persons per square mile; |
| 14 | 2. An acute care hospital, in a county with a population |
| 15 | density of no greater than 100 persons per square mile, which is |
| 16 | at least 30 minutes of travel time, on normally traveled roads |
| 17 | under normal traffic conditions, from any other acute care |
| 18 | hospital within the same county; |
| 19 | 3. A hospital supported by a tax district or subdistrict |
| 20 | whose boundaries encompass a population of 100 persons or fewer |
| 21 | per square mile; |
| 22 | 4. A hospital in a constitutional charter county with a |
| 23 | population of over 1 million persons that has imposed a local |
| 24 | option health service tax pursuant to law and in an area that |
| 25 | was directly impacted by a catastrophic event on August 24, |
| 26 | 1992, for which the Governor of Florida declared a state of |
| 27 | emergency pursuant to chapter 125, and has 120 beds or less that |
| 28 | serves an agricultural community with an emergency room |
| 29 | utilization of no less than 20,000 visits and a Medicaid |
| 30 | inpatient utilization rate greater than 15 percent; |
| 31 | 5. A hospital with a service area that has a population of |
| 32 | 100 persons or fewer per square mile. As used in this |
| 33 | subparagraph, the term "service area" means the fewest number of |
| 34 | zip codes that account for 75 percent of the hospital's |
| 35 | discharges for the most recent 5-year period, based on |
| 36 | information available from the hospital inpatient discharge |
| 37 | database in the Florida Center for Health Information and Policy |
| 38 | Analysis at the Agency for Health Care Administration; or |
| 39 | 6. A hospital designated as a critical access hospital, as |
| 40 | defined in s. 408.07(15). |
| 41 |
|
| 42 | Population densities used in this paragraph must be based upon |
| 43 | the most recently completed United States census. A hospital |
| 44 | that received funds under s. 409.9116 for a quarter beginning no |
| 45 | later than July 1, 2002, is deemed to have been and shall |
| 46 | continue to be a rural hospital from that date through June 30, |
| 47 | 2015 2012, if the hospital continues to have 100 or fewer |
| 48 | licensed beds and an emergency room, or meets the criteria of |
| 49 | subparagraph 4. An acute care hospital that has not previously |
| 50 | been designated as a rural hospital and that meets the criteria |
| 51 | of this paragraph shall be granted such designation upon |
| 52 | application, including supporting documentation to the Agency |
| 53 | for Health Care Administration. |
| 54 |
|
| 55 | ----------------------------------------------------- |
| 56 | T I T L E A M E N D M E N T |
| 57 | Remove line 6 and insert: |
| 58 | references; amending s. 395.602, F.S.; providing an additional |
| 59 | 3-year transition period for certain hospitals to retain their |
| 60 | designation as rural hospitals; amending s. 400.118, F.S.; |
| 61 | removing provisions |