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CS/HB 7133: Quality Improvement Initiatives for Entities Regulated by the Agency for Health Care Administration

GENERAL BILL by Appropriations Committee ; Health and Human Services Committee ; Gonzalez ; (CO-INTRODUCERS) Campbell

Quality Improvement Initiatives for Entities Regulated by the Agency for Health Care Administration; Provides responsibilities of DCFS & mental health service providers for mental health residents who reside in ALFs; provides for imposition of contract penalties on Medicaid prepaid health plans & mental health service providers; provides for interagency agreement between DCFS & AHCA; requires specified information regarding confidentiality of complaints to State Long-Term Care Ombudsman Program to be provided to residents of long-term care facilities upon admission; directs agency to establish & implement methodologies to adjust Medicaid rates for hospitals, nursing homes, & managed care plans; provides criteria for & limits on amount of Medicaid payment rate adjustments; directs agency to seek federal approval to implement performance payment system; provides applicability of performance payment system to general hospitals, skilled nursing facilities, & managed care plans; provides that specified persons who have regulatory responsibilities over or provide services to persons residing in ALFs must report suspected incidents of abuse to central abuse hotline; requires ALFs to be under management of licensed administrator; provides training & licensure requirements for administrators; authorizes agency to issue temporary license to administrator; provides additional requirements for limited mental health license; provides fines & penalties for specified violations by ALF; directs DEA to create advisory council to review circumstances of unexpected deaths in ALFs & of elopements; provides schedule for inspection of ALFs; provides that AHCA, DEA, DCFS, & APD shall develop or modify electronic information systems. APPROPRIATION: $554,399

Effective Date: 7/1/2012
 Last Action: 3/9/2012 Senate - Died in returning Messages, companion bill(s) passed, see CS/CS/CS/HB 711 (Ch. 2012-66)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/27/2012 House • Filed
    • Referred to Appropriations Committee -HJ 847
    • On Committee agenda-- Appropriations Committee, 02/28/12, 8:30 am, Webster Hall
    • Introduced -HJ 847
    2/28/2012 House • CS by- Appropriations Committee; YEAS 23 NAYS 0 -HJ 909
    • Pending review of CS -under Rule 7.19(c)
    • Placed on Calendar -HJ 967
    • CS by Appropriations Committee read 1st time -HJ 906
    3/1/2012 House • Placed on Special Order Calendar, 03/02/12
    3/2/2012 House • Read 2nd time -HJ 1012
    • Amendment(s) adopted (060223, 247815, 496827, 507061, 581125) -HJ 1013
    • Placed on 3rd reading
    3/5/2012 House • Read 3rd time -HJ 1066
    • Amendment(s) adopted (062315, 170067, 625181) -HJ 1066
    • CS passed as amended; YEAS 114 NAYS 0 -HJ 1067
    3/5/2012 Senate • In Messages
    3/7/2012 Senate • Received -SJ 957
    • Referred to Health Regulation; Budget -SJ 957
    3/9/2012 Senate • Withdrawn from Health Regulation; Budget -SJ 1217
    • Placed on Calendar, on 2nd reading -SJ 1217
    • Substituted for CS/SB 2074 -SJ 1218
    • Read 2nd time -SJ 1217
    • Amendment(s) adopted (128436) -SJ 1218
    • Read 3rd time -SJ 1235
    • CS passed as amended; YEAS 39 NAYS 0 -SJ 1235
    3/9/2012 House • In returning messages
    • Was taken up -HJ 1626
    • Refused to concur in 1 amendment(s) (128436) -HJ 1627
    • Requested Senate to recede -HJ 1642
    3/9/2012 Senate • In returning messages
    • Died in returning Messages, companion bill(s) passed, see CS/CS/CS/HB 711 (Ch. 2012-66)

    Top of SectionTop of Page

  • CS/HB 7133, Engrossed 2 (Current Bill Version) Posted 3/5/2012 at 4:17 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (8)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 711 (er) Sale or Lease of a County, District, or Municipal Hospital Hooper Compare Last Action: 4/7/2012 Chapter No. 2012-66
    Location: Became Law     		Track This Bill
    H 1419 (e1) Health Care Facilities Brodeur Compare Last Action: 3/9/2012 S Died in Health Regulation, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: In committee/council (HR)     		Track This Bill
    S 1292 (c1) Health Care Facilities Bogdanoff Compare Last Action: 3/9/2012 S Laid on Table, companion bill(s) passed, see CS/CS/HB 787 (Ch. 2012-160) -SJ 1260
    Location: Laid on Table     		Track This Bill
    S 1316 (c2) Health Care Gaetz Compare Last Action: 3/9/2012 S Died on Calendar, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 653 (Ch. 2012-64), CS/CS/CS/HB 711 (Ch. 2012-66), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: On Special Order Calendar     		Track This Bill
    S 1568 (c3) Sale or Lease of a County, District, or Municipal Hospital Gaetz, Garcia Compare Last Action: 3/7/2012 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 711 (Ch. 2012-66) -SJ 940
    Location: Laid on Table     		Track This Bill
    S 1884 (c2) Health Regulation by the Agency for Health Care Administration Garcia Compare Last Action: 3/9/2012 S Died on Calendar, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/CS/HB 711 (Ch. 2012-66), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/SB 730 (Ch. 2012-44)
    Location: On Special Order Calendar     		Track This Bill
    S 2050 (c1) Assisted Living Facilities Children, Families, and Elder Affairs Compare Last Action: 3/9/2012 S Died in Health Regulation
    Location: In committee/council (HR)     		Track This Bill
    S 2074 (c1) Assisted Living Facilities Health Regulation Compare Last Action: 3/9/2012 S Laid on Table -SJ 1218
    Location: Laid on Table     		Track This Bill

    Floor Amendments (4)

    Amendment Sponsor Filed Last Floor Action Format
    902062 - Amendment
    Between lines 1033 and 1034 insert:     		Diaz de la Portilla 3/9/2012
    12:51 PM
    (Late Filed)     		Senate: Withdrawn
    3/9/2012     		Web Page
    PDF
    128436 - Amendment (Delete All)
    Delete everything after the enacting clause and insert:     		Storms 3/8/2012
    10:51 PM
    (Late Filed)     		House: Refuse to Concur
    3/9/2012     		Web Page
    PDF
    hierarchy 629576 - Amendment to Amendment (128436)
    Delete lines 953 - 966 and insert:     		Diaz de la Portilla 3/9/2012
    2:24 PM
    (Late Filed)     		Senate: Withdrawn
    3/9/2012     		Web Page
    PDF
    hierarchy 228621 - Amendment to Amendment (128436)
    Remove lines 5-2388 of the amendment and insert:     		Gonzalez 3/9/2012
    4:29 PM     		House: Withdrawn
    3/9/2012     		PDF

    Floor Votes (1)

    Date Chamber Result
    3/9/2012 4:04 PM Senate 39 Yeas - 0 Nays

    Citations - Statutes (24)

    Citation Catchline Location in Bill Location In Bill Help
    394.4574 Department responsibilities for a mental health resident who resides in an assisted living facility that holds a limited mental health license. Page 6 (pdf)
    395.002 Definitions. Page 9 (pdf)
    395.1051 Duty to notify patients. Page 10 (pdf)
    395.1055 Rules and enforcement. Page 10 (pdf)
    400.0078 Citizen access to State Long-Term Care Ombudsman Program services. Page 11 (pdf)
    408.05 Florida Center for Health Information and Policy Analysis. Page 12 (pdf)
    408.802 Applicability. Page 17 (pdf)
    408.820 Exemptions. Page 18 (pdf)
    409.212 Optional supplementation. Page 18 (pdf)
    409.986 Page 18 (pdf)
    415.1034 Mandatory reporting of abuse, neglect, or exploitation of vulnerable adults; mandatory reports of death. Page 25 (pdf)
    429.02 Definitions. Page 26 (pdf)
    429.07 License required; fee. Page 27 (pdf)
    429.075 Limited mental health license. Page 34 (pdf)
    429.0751 Page 37 (pdf)
    429.178 Special care for persons with Alzheimer’s disease or other related disorders. Page 37 (pdf)
    429.19 Violations; imposition of administrative fines; grounds. Page 38 (pdf)
    429.195 Rebates prohibited; penalties. Page 39 (pdf)
    429.231 Page 41 (pdf)
    429.34 Right of entry and inspection. Page 43 (pdf)
    429.50 Page 44 (pdf)
    429.52 Staff training and educational programs; core educational requirement. Page 48 (pdf)
    429.54 Collection of information; local subsidy. Page 54 (pdf)
    817.505 Patient brokering prohibited; exceptions; penalties. Page 41 (pdf)

    Top of SectionTop of Page

  • CS/HB 7133, Engrossed 1 Posted 3/2/2012 at 7:29 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (7)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1419 (e1) Health Care Facilities Brodeur Compare Last Action: 3/9/2012 S Died in Health Regulation, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: In committee/council (HR)     		Track This Bill
    S 1292 (c1) Health Care Facilities Bogdanoff Compare Last Action: 3/9/2012 S Laid on Table, companion bill(s) passed, see CS/CS/HB 787 (Ch. 2012-160) -SJ 1260
    Location: Laid on Table     		Track This Bill
    S 1316 (c2) Health Care Gaetz Compare Last Action: 3/9/2012 S Died on Calendar, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 653 (Ch. 2012-64), CS/CS/CS/HB 711 (Ch. 2012-66), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: On Special Order Calendar     		Track This Bill
    S 1568 (c3) Sale or Lease of a County, District, or Municipal Hospital Gaetz, Garcia Compare Last Action: 3/7/2012 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 711 (Ch. 2012-66) -SJ 940
    Location: Laid on Table     		Track This Bill
    S 1884 (c2) Health Regulation by the Agency for Health Care Administration Garcia Compare Last Action: 3/9/2012 S Died on Calendar, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/CS/HB 711 (Ch. 2012-66), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/SB 730 (Ch. 2012-44)
    Location: On Special Order Calendar     		Track This Bill
    S 2050 (c1) Assisted Living Facilities Children, Families, and Elder Affairs Compare Last Action: 3/9/2012 S Died in Health Regulation
    Location: In committee/council (HR)     		Track This Bill
    S 2074 (c1) Assisted Living Facilities Health Regulation Compare Last Action: 3/9/2012 S Laid on Table -SJ 1218
    Location: Laid on Table     		Track This Bill

    Floor Amendments (5)

    Amendment Sponsor Filed Last Floor Action Format
    625181 - Amendment
    Between lines 259 and 260, insert:     		Gonzalez 3/4/2012
    6:18 PM     		House: Adopted
    3/5/2012     		PDF
    662225 - Amendment
    Between lines 1101 and 1102, insert:     		Waldman 3/5/2012
    8:55 AM     		House: Withdrawn
    3/5/2012     		PDF
    hierarchy 845417 - Substitute Amendment (662225)
    Between lines 1173 and 1174, insert:     		Waldman 3/5/2012
    11:43 AM     		PDF
    170067 - Amendment
    Remove line 1230 and insert:     		Gonzalez 3/4/2012
    6:18 PM     		House: Adopted
    3/5/2012     		PDF
    062315 - Amendment
    Remove line 1432 and insert:     		Gonzalez 3/4/2012
    6:18 PM     		House: Adopted
    3/5/2012     		PDF

    Floor Votes (1)

    Date Chamber Result
    3/5/2012 1:12 PM House 114 Yeas - 0 Nays

    Citations - Statutes (23)

    Citation Catchline Location in Bill Location In Bill Help
    394.4574 Department responsibilities for a mental health resident who resides in an assisted living facility that holds a limited mental health license. Page 6 (pdf)
    395.002 Definitions. Page 9 (pdf)
    395.1055 Rules and enforcement. Page 10 (pdf)
    400.0078 Citizen access to State Long-Term Care Ombudsman Program services. Page 10 (pdf)
    408.05 Florida Center for Health Information and Policy Analysis. Page 11 (pdf)
    408.802 Applicability. Page 17 (pdf)
    408.820 Exemptions. Page 17 (pdf)
    409.212 Optional supplementation. Page 17 (pdf)
    409.986 Page 18 (pdf)
    415.1034 Mandatory reporting of abuse, neglect, or exploitation of vulnerable adults; mandatory reports of death. Page 24 (pdf)
    429.02 Definitions. Page 26 (pdf)
    429.07 License required; fee. Page 26 (pdf)
    429.075 Limited mental health license. Page 33 (pdf)
    429.0751 Page 36 (pdf)
    429.178 Special care for persons with Alzheimer’s disease or other related disorders. Page 37 (pdf)
    429.19 Violations; imposition of administrative fines; grounds. Page 37 (pdf)
    429.195 Rebates prohibited; penalties. Page 39 (pdf)
    429.231 Page 40 (pdf)
    429.34 Right of entry and inspection. Page 42 (pdf)
    429.50 Page 44 (pdf)
    429.52 Staff training and educational programs; core educational requirement. Page 47 (pdf)
    429.54 Collection of information; local subsidy. Page 53 (pdf)
    817.505 Patient brokering prohibited; exceptions; penalties. Page 40 (pdf)

    Top of SectionTop of Page

  • CS/HB 7133, Committee Substitute 1 Posted 2/28/2012 at 12:07 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1419 (e1) Health Care Facilities Brodeur Compare Last Action: 3/9/2012 S Died in Health Regulation, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: In committee/council (HR)     		Track This Bill
    S 2050 (c1) Assisted Living Facilities Children, Families, and Elder Affairs Compare Last Action: 3/9/2012 S Died in Health Regulation
    Location: In committee/council (HR)     		Track This Bill
    S 2074 (c1) Assisted Living Facilities Health Regulation Compare Last Action: 3/9/2012 S Laid on Table -SJ 1218
    Location: Laid on Table     		Track This Bill

    Floor Amendments (14)

    Amendment Sponsor Filed Last Floor Action Format
    603421 - Amendment
    Remove lines 158-190 and insert:     		Fresen 3/1/2012
    1:06 PM     		House: Superseded by Substitute
    3/2/2012     		PDF
    hierarchy 060223 - Substitute Amendment (603421)
    Remove line 190 and insert:     		Fresen 3/1/2012
    4:55 PM     		House: Adopted
    3/2/2012     		PDF
    231105 - Amendment
    Remove line 209 and insert:     		Gonzalez 3/1/2012
    12:54 PM     		House: Superseded by Substitute
    3/2/2012     		PDF
    hierarchy 496827 - Substitute Amendment (231105)
    Remove lines 209-229 and insert:     		Young 3/1/2012
    4:52 PM     		House: Adopted
    3/2/2012     		PDF
    203819 - Amendment
    Between lines 229 and 230, insert:     		Young 3/1/2012
    2:39 PM     		House: Withdrawn
    3/2/2012     		PDF
    581125 - Amendment
    Remove lines 480-485 and insert:     		Gonzalez 3/1/2012
    12:54 PM     		House: Adopted
    3/2/2012     		PDF
    507061 - Amendment
    Remove lines 582-592 and insert:     		Gonzalez 3/1/2012
    1:22 PM     		House: Adopted
    3/2/2012     		PDF
    247815 - Amendment
    Remove lines 1039-1041 and insert:     		Gonzalez 3/1/2012
    12:54 PM     		House: Adopted
    3/2/2012     		PDF
    099953 - Amendment
    Between lines 1041 and 1042, insert:     		Gonzalez 3/1/2012
    12:06 PM     		House: Adopted as Amended
    3/2/2012     		PDF
    hierarchy 071113 - Amendment to Amendment (099953)
    Remove lines 47-50 of the amendment and insert:     		Gonzalez 3/1/2012
    4:06 PM     		House: Adopted
    3/2/2012     		PDF
    502573 - Amendment
    Between lines 1041 and 1042, insert:     		Gonzalez 3/1/2012
    1:12 PM     		House: Withdrawn
    3/2/2012     		PDF
    739121 - Amendment
    Remove lines 1149-1191 and insert:     		Gonzalez 3/1/2012
    1:39 PM     		House: Adopted as Amended
    3/2/2012     		PDF
    hierarchy 522919 - Amendment to Amendment (739121)
    Remove lines 61-75 of the amendment and insert:     		Gonzalez 3/1/2012
    4:31 PM     		House: Adopted
    3/2/2012     		PDF
    021317 - Amendment
    Remove lines 1177-1186 and insert:     		Gonzalez 3/1/2012
    12:43 PM     		House: Withdrawn
    3/2/2012     		PDF

    Citations - Statutes (20)

    Citation Catchline Location in Bill Location In Bill Help
    394.4574 Department responsibilities for a mental health resident who resides in an assisted living facility that holds a limited mental health license. Page 5 (pdf)
    395.1055 Rules and enforcement. Page 9 (pdf)
    400.0078 Citizen access to State Long-Term Care Ombudsman Program services. Page 9 (pdf)
    408.05 Florida Center for Health Information and Policy Analysis. Page 10 (pdf)
    408.802 Applicability. Page 16 (pdf)
    408.820 Exemptions. Page 16 (pdf)
    409.212 Optional supplementation. Page 16 (pdf)
    409.986 Page 23 (pdf)
    415.1034 Mandatory reporting of abuse, neglect, or exploitation of vulnerable adults; mandatory reports of death. Page 23 (pdf)
    429.02 Definitions. Page 25 (pdf)
    429.07 License required; fee. Page 26 (pdf)
    429.075 Limited mental health license. Page 32 (pdf)
    429.0751 Page 35 (pdf)
    429.178 Special care for persons with Alzheimer’s disease or other related disorders. Page 36 (pdf)
    429.19 Violations; imposition of administrative fines; grounds. Page 36 (pdf)
    429.231 Page 38 (pdf)
    429.34 Right of entry and inspection. Page 40 (pdf)
    429.50 Page 41 (pdf)
    429.52 Staff training and educational programs; core educational requirement. Page 43 (pdf)
    429.54 Collection of information; local subsidy. Page 50 (pdf)

    Top of SectionTop of Page

  • HB 7133, Original Filed Version Posted 2/27/2012 at 9:52 AM

    Bill Text:   PDF
    Analyses:   Appropriations Committee (Post-Meeting) 2/28/2012 (pdf)

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1419 (c2) Health Care Facilities Brodeur Compare Last Action: 3/9/2012 S Died in Health Regulation, companion bill(s) passed, see CS/HB 517 (Ch. 2012-61), CS/CS/HB 787 (Ch. 2012-160), CS/CS/CS/HB 943 (Ch. 2012-73), CS/CS/CS/HB 1263 (Ch. 2012-184)
    Location: In committee/council (HR)     		Track This Bill
    S 2050 (c1) Assisted Living Facilities Children, Families, and Elder Affairs Compare Last Action: 3/9/2012 S Died in Health Regulation
    Location: In committee/council (HR)     		Track This Bill
    S 2074 (c1) Assisted Living Facilities Health Regulation Compare Last Action: 3/9/2012 S Laid on Table -SJ 1218
    Location: Laid on Table     		Track This Bill

    Committee Amendments (6)

    Amendment Sponsor Filed Last Committee Action Format
    417051 - Amendment
    Remove lines 243-251 and insert:     		Schenck 2/27/2012
    9:15 PM     		Adopted without Objection
    2/28/2012     		PDF
    030935 - Amendment
    Between lines 425 and 426, insert:     		Schenck 2/28/2012
    10:41 AM     		Adopted without Objection
    2/28/2012     		PDF
    787863 - Amendment
    Remove lines 431-432 and insert:     		Schenck 2/28/2012
    10:42 AM     		Adopted without Objection
    2/28/2012     		PDF
    568617 - Amendment
    Between lines 612 and 613, insert:     		Schenck 2/27/2012
    9:16 PM     		Adopted without Objection
    2/28/2012     		PDF
    520297 - Amendment
    Between lines 683 and 684, insert:     		Schenck 2/28/2012
    10:42 AM     		Adopted without Objection
    2/28/2012     		PDF
    404681 - Amendment
    Between lines 1200 and 1201, insert:     		Schenck 2/27/2012
    9:16 PM     		Adopted without Objection
    2/28/2012     		PDF

    Citations - Statutes (19)

    Citation Catchline Location in Bill Location In Bill Help
    394.4574 Department responsibilities for a mental health resident who resides in an assisted living facility that holds a limited mental health license. Page 6 (pdf)
    395.1055 Rules and enforcement. Page 8 (pdf)
    400.0078 Citizen access to State Long-Term Care Ombudsman Program services. Page 9 (pdf)
    408.05 Florida Center for Health Information and Policy Analysis. Page 9 (pdf)
    408.802 Applicability. Page 15 (pdf)
    408.820 Exemptions. Page 15 (pdf)
    409.986 Page 16 (pdf)
    415.1034 Mandatory reporting of abuse, neglect, or exploitation of vulnerable adults; mandatory reports of death. Page 22 (pdf)
    429.02 Definitions. Page 24 (pdf)
    429.07 License required; fee. Page 24 (pdf)
    429.075 Limited mental health license. Page 25 (pdf)
    429.0751 Page 27 (pdf)
    429.178 Special care for persons with Alzheimer’s disease or other related disorders. Page 28 (pdf)
    429.19 Violations; imposition of administrative fines; grounds. Page 29 (pdf)
    429.231 Page 30 (pdf)
    429.34 Right of entry and inspection. Page 32 (pdf)
    429.50 Page 34 (pdf)
    429.52 Staff training and educational programs; core educational requirement. Page 36 (pdf)
    429.54 Collection of information; local subsidy. Page 42 (pdf)

    Top of SectionTop of Page