Florida Senate - 2014               CS for CS for CS for SB 1254
       
       
        
       By the Committees on Appropriations; Rules; and Health Policy;
       and Senator Grimsley
       
       
       
       
       576-04576-14                                          20141254c3
    1                        A bill to be entitled                      
    2         An act relating to health care services; amending ss.
    3         390.012, 400.021, 400.0712, 400.23, 400.487, 400.497,
    4         400.506, 400.509, 400.6095, 400.914, 400.935, 400.962,
    5         400.967, 400.980, 409.912, 429.255, 429.73, 440.102,
    6         483.245, 765.541, and 765.544, F.S.; removing certain
    7         rulemaking authority relating to the disposal of fetal
    8         remains by abortion clinics, nursing home equipment
    9         and furnishings, license applications for nursing home
   10         facilities, evaluation of nursing home facilities,
   11         home health agencies and cardiopulmonary
   12         resuscitation, home health agency standards, nurse
   13         registry emergency management plans, registration of
   14         certain service providers, hospice and cardiopulmonary
   15         resuscitation, standards for prescribed pediatric
   16         extended care facilities, minimum standards relating
   17         to home medical equipment providers, standards for
   18         intermediate care facilities for the developmentally
   19         disabled, rules and the classification of deficiencies
   20         for intermediate care facilities for the
   21         developmentally disabled, the registration of health
   22         care service pools, participation in a Medicaid
   23         provider lock-in program, assisted living facilities
   24         and cardiopulmonary resuscitation, adult family-care
   25         homes and cardiopulmonary resuscitation, guidelines
   26         for drug-free workplace laboratories, penalties for
   27         rebates, standards for organ procurement
   28         organizations; administrative penalties for violations
   29         of the organ and tissue donor education and
   30         procurement program; amending s. 395.003, F.S.;
   31         revising provisions relating to the provision of
   32         cardiovascular services by a hospital; amending s.
   33         400.471, F.S.; exempting a home health agency that is
   34         not Medicare or Medicaid certified and does not
   35         provide skilled nursing care from having to provide
   36         documentation of accreditation; amending s. 400.474,
   37         F.S.; revising the report requirements for home health
   38         agencies; creating s. 400.9141, F.S.; limiting
   39         services at PPEC centers; amending s. 400.934, F.S.,
   40         relating to home medical equipment providers;
   41         requiring that the emergency management plan include
   42         criteria relating to the maintenance of patient
   43         equipment and supply lists; amending s. 409.972, F.S.;
   44         exempting certain people from the requirement to
   45         enroll in Medicaid managed care; providing an
   46         effective date.
   47          
   48  Be It Enacted by the Legislature of the State of Florida:
   49  
   50         Section 1. Paragraph (d) of subsection (3) of section
   51  390.012, Florida Statutes, is amended to read:
   52         390.012 Powers of agency; rules; disposal of fetal
   53  remains.—
   54         (3) For clinics that perform or claim to perform abortions
   55  after the first trimester of pregnancy, the agency shall adopt
   56  rules pursuant to ss. 120.536(1) and 120.54 to implement the
   57  provisions of this chapter, including the following:
   58         (d) Rules relating to the medical screening and evaluation
   59  of each abortion clinic patient. At a minimum, these rules must
   60  shall require:
   61         1. A medical history including reported allergies to
   62  medications, antiseptic solutions, or latex; past surgeries; and
   63  an obstetric and gynecological history.
   64         2. A physical examination, including a bimanual examination
   65  estimating uterine size and palpation of the adnexa.
   66         3. The appropriate laboratory tests, including:
   67         a. Urine or blood tests for pregnancy performed before the
   68  abortion procedure.
   69         b. A test for anemia.
   70         c. Rh typing, unless reliable written documentation of
   71  blood type is available.
   72         d. Other tests as indicated from the physical examination.
   73         4. An ultrasound evaluation for all patients. The rules
   74  must shall require that if a person who is not a physician
   75  performs an ultrasound examination, that person shall have
   76  documented evidence that he or she has completed a course in the
   77  operation of ultrasound equipment as prescribed in rule. The
   78  rules shall require clinics to be in compliance with s.
   79  390.0111.
   80         5. That the physician is responsible for estimating the
   81  gestational age of the fetus based on the ultrasound examination
   82  and obstetric standards in keeping with established standards of
   83  care regarding the estimation of fetal age as defined in rule
   84  and shall write the estimate in the patient’s medical history.
   85  The physician shall keep original prints of each ultrasound
   86  examination of a patient in the patient’s medical history file.
   87         Section 2. Paragraph (a) of subsection (6) of section
   88  395.003, Florida Statutes, is amended to read:
   89         395.003 Licensure; denial, suspension, and revocation.—
   90         (6)(a) A specialty hospital may not provide any service or
   91  regularly serve any population group beyond those services or
   92  groups specified in its license. A specialty-licensed children’s
   93  hospital that is authorized to provide pediatric cardiac
   94  catheterization and pediatric open-heart surgery services may
   95  provide cardiovascular service to adults who, as children, were
   96  previously served by the hospital for congenital heart disease,
   97  or to those patients who are referred only for a specialized
   98  procedure only for congenital heart disease by an adult
   99  hospital, without obtaining additional licensure as a provider
  100  of adult cardiovascular services. The agency may request
  101  documentation as needed to support patient selection and
  102  treatment. This subsection does not apply to a specialty
  103  licensed children’s hospital that is already licensed to provide
  104  adult cardiovascular services.
  105         Section 3. Subsection (11) of section 400.021, Florida
  106  Statutes, is amended to read:
  107         400.021 Definitions.—When used in this part, unless the
  108  context otherwise requires, the term:
  109         (11) “Nursing home bed” means an accommodation that which
  110  is ready for immediate occupancy, or is capable of being made
  111  ready for occupancy within 48 hours, excluding the provision of
  112  staffing,; and that which conforms to minimum space
  113  requirements, including the availability of appropriate
  114  equipment and furnishings within the 48 hours, as specified by
  115  rule of the agency, for the provision of services specified in
  116  this part to a single resident.
  117         Section 4. Subsection (3) of section 400.0712, Florida
  118  Statutes, is amended to read:
  119         400.0712 Application for inactive license.—
  120         (3) The agency shall adopt rules pursuant to ss. 120.536(1)
  121  and 120.54 necessary to implement this section.
  122         Section 5. Section 400.23, Florida Statutes, is amended to
  123  read:
  124         400.23 Rules; evaluation and deficiencies; licensure
  125  status.—
  126         (1) It is the intent of the Legislature that rules
  127  published and enforced pursuant to this part and part II of
  128  chapter 408 shall include criteria by which a reasonable and
  129  consistent quality of resident care may be ensured, and the
  130  results of such resident care can be demonstrated, and by which
  131  safe and sanitary nursing homes can be provided. It is further
  132  intended that reasonable efforts be made to accommodate the
  133  needs and preferences of residents to enhance the quality of
  134  life in a nursing home. In addition, efforts shall be made to
  135  minimize the amount of paperwork associated with the reporting
  136  and documentation requirements of these rules.
  137         (2) Pursuant to the intention of the Legislature, the
  138  agency, in consultation with the Department of Health and the
  139  Department of Elderly Affairs, may shall adopt and enforce rules
  140  to administer implement this part and part II of chapter 408.
  141  The rules must specify, but are not limited to, which shall
  142  include reasonable and fair criteria relating in relation to:
  143         (a) The location of the facility and housing conditions
  144  that will ensure the health, safety, and comfort of residents,
  145  including an adequate call system. In adopting making such
  146  rules, the agency shall be guided by criteria recommended by
  147  nationally recognized reputable professional groups and
  148  associations that have with knowledge of such subject matters.
  149  The agency shall update or revise the such criteria as the need
  150  arises. The agency may require alterations to a building if it
  151  determines that an existing condition constitutes a distinct
  152  hazard to life, health, or safety. In performing any inspections
  153  of facilities authorized by this part or part II of chapter 408,
  154  the agency may enforce the special-occupancy provisions of the
  155  Florida Building Code and the Florida Fire Prevention Code which
  156  apply to nursing homes. A resident Residents or his or her
  157  representative must their representatives shall be able to
  158  request a change in the placement of the bed in his or her their
  159  room if, provided that at admission, the resident is they are
  160  presented with a room that meets requirements of the Florida
  161  Building Code. The location of a bed may be changed if the
  162  requested placement does not infringe on the resident’s roommate
  163  or interfere with the resident’s care or safety as determined by
  164  the care planning team in accordance with facility policies and
  165  procedures. In addition, the bed placement may not be used as a
  166  restraint. Each facility shall maintain a log of resident rooms
  167  with beds that are not in strict compliance with the Florida
  168  Building Code in order for such log to be used by surveyors and
  169  nurse monitors during inspections and visits. A resident or a
  170  resident’s resident representative who requests that a bed be
  171  moved must shall sign a statement indicating that he or she
  172  understands that the room will not be in compliance with the
  173  Florida Building Code, but that he or she they would prefer to
  174  exercise the their right to self-determination. The statement
  175  must be retained as part of the resident’s care plan. A Any
  176  facility that offers this option must submit a letter signed by
  177  the nursing home administrator of record to the agency notifying
  178  it of this practice along with a copy of the policies and
  179  procedures of the facility. The agency is directed to provide
  180  assistance to the Florida Building Commission in updating the
  181  construction standards of the code relating relative to nursing
  182  homes.
  183         (b) The number and qualifications of all personnel,
  184  including management, medical, nursing, and other professional
  185  personnel, and nursing assistants, orderlies, and support
  186  personnel, having responsibility for any part of the care given
  187  residents.
  188         (c) All sanitary conditions within the facility and its
  189  surroundings, including water supply, sewage disposal, food
  190  handling, and general hygiene which will ensure the health and
  191  comfort of residents.
  192         (d) The equipment essential to the health and welfare of
  193  the residents.
  194         (e) A uniform accounting system.
  195         (f) The care, treatment, and maintenance of residents and
  196  measurement of the quality and adequacy thereof, based on rules
  197  developed under this chapter and the Omnibus Budget
  198  Reconciliation Act of 1987, (Pub. L. No. 100-203) (December 22,
  199  1987), Title IV (Medicare, Medicaid, and Other Health-Related
  200  Programs), Subtitle C (Nursing Home Reform), as amended.
  201         (g) The preparation and annual update of a comprehensive
  202  emergency management plan. The agency shall establish adopt
  203  rules establishing minimum criteria for the plan after
  204  consultation with the Division of Emergency Management. At a
  205  minimum, the rules must provide for plan components must provide
  206  that address emergency evacuation transportation; adequate
  207  sheltering arrangements; postdisaster activities, including
  208  emergency power, food, and water; postdisaster transportation;
  209  supplies; staffing; emergency equipment; individual
  210  identification of residents and transfer of records; and
  211  responding to family inquiries. The comprehensive emergency
  212  management plan is subject to review and approval by the local
  213  emergency management agency. During the its review, the local
  214  emergency management agency shall ensure that the following
  215  agencies, at a minimum, are given the opportunity to review the
  216  plan: the Department of Elderly Affairs, the Department of
  217  Health, the Agency for Health Care Administration, and the
  218  Division of Emergency Management. Also, Appropriate volunteer
  219  organizations must also be given the opportunity to review the
  220  plan. The local emergency management agency shall complete its
  221  review within 60 days and either approve the plan or advise the
  222  facility of necessary revisions.
  223         (h) The availability, distribution, and posting of reports
  224  and records pursuant to s. 400.191 and the Gold Seal Program
  225  pursuant to s. 400.235.
  226         (3)(a)1. The agency shall enforce adopt rules providing
  227  minimum staffing requirements for nursing home facilities.
  228         1. These requirements must include, for each facility:
  229         a. A combined minimum weekly average of certified nursing
  230  assistant and licensed nursing staffing combined of 3.6 hours of
  231  direct care per resident per day. As used in this sub
  232  subparagraph, a week is defined as Sunday through Saturday.
  233         b. A minimum certified nursing assistant staffing of 2.5
  234  hours of direct care per resident per day. A facility may not
  235  staff below one certified nursing assistant per 20 residents.
  236         c. A minimum licensed nursing staffing of 1.0 hour of
  237  direct care per resident per day. A facility may not staff below
  238  one licensed nurse per 40 residents.
  239         2. Nursing assistants employed under s. 400.211(2) may be
  240  included in computing the staffing ratio for certified nursing
  241  assistants if their job responsibilities include only nursing
  242  assistant-related duties.
  243         3. Each nursing home facility must document compliance with
  244  staffing standards as required under this paragraph and post
  245  daily the names of staff on duty for the benefit of facility
  246  residents and the public.
  247         4. The agency shall recognize the use of licensed nurses
  248  for compliance with the minimum staffing requirements for
  249  certified nursing assistants if the nursing home facility
  250  otherwise meets the minimum staffing requirements for licensed
  251  nurses and the licensed nurses are performing the duties of a
  252  certified nursing assistants assistant. Unless otherwise
  253  approved by the agency, licensed nurses counted toward the
  254  minimum staffing requirements for certified nursing assistants
  255  must exclusively perform the duties of a certified nursing
  256  assistants assistant for the entire shift and not also be
  257  counted toward the minimum staffing requirements for licensed
  258  nurses. If the agency approved a facility’s request to use a
  259  licensed nurse to perform both licensed nursing and certified
  260  nursing assistant duties, the facility must allocate the amount
  261  of staff time specifically spent on certified nursing assistant
  262  duties for the purpose of documenting compliance with minimum
  263  staffing requirements for certified and licensed nursing staff.
  264  The hours of a licensed nurse with dual job responsibilities may
  265  not be counted twice.
  266         (b) Nonnursing staff providing eating assistance to
  267  residents does shall not count toward compliance with minimum
  268  staffing standards.
  269         (c) Licensed practical nurses licensed under chapter 464
  270  who are providing nursing services in nursing home facilities
  271  under this part may supervise the activities of other licensed
  272  practical nurses, certified nursing assistants, and other
  273  unlicensed personnel providing services in such facilities in
  274  accordance with rules adopted by the Board of Nursing.
  275         (4) Rules developed pursuant to This section does shall not
  276  restrict the use of shared staffing and shared programming in
  277  facilities that which are part of retirement communities that
  278  provide multiple levels of care and otherwise meet the
  279  requirement of law or rule.
  280         (5) The agency, in collaboration with the Division of
  281  Children’s Medical Services of the Department of Health, must
  282  adopt rules for:
  283         (a) Minimum standards of care for persons under 21 years of
  284  age who reside in nursing home facilities may be established by
  285  the agency, in collaboration with the Division of Children’s
  286  Medical Services of the Department of Health. A facility may be
  287  exempted from these standards and the provisions of paragraph
  288  (b) for specified specific persons between 18 and 21 years of
  289  age, if the person’s physician agrees that minimum standards of
  290  care based on age are not necessary.
  291         (b) The following Minimum staffing requirements for persons
  292  under 21 years of age who reside in nursing home facilities,
  293  which apply in lieu of the requirements contained in subsection
  294  (3):.
  295         1. For persons under 21 years of age who require skilled
  296  care:
  297         a. A minimum combined average of 3.9 hours of direct care
  298  per resident per day must be provided by licensed nurses,
  299  respiratory therapists, respiratory care practitioners, and
  300  certified nursing assistants.
  301         b. A minimum licensed nursing staffing of 1.0 hour of
  302  direct care per resident per day must be provided.
  303         c. Up to No more than 1.5 hours of certified nursing
  304  assistant care per resident per day may be counted in
  305  determining the minimum direct care hours required.
  306         d. One registered nurse must be on duty on the site 24
  307  hours per day on the unit where children reside.
  308         2. For persons under 21 years of age who are medically
  309  fragile:
  310         a. A minimum combined average of 5.0 hours of direct care
  311  per resident per day must be provided by licensed nurses,
  312  respiratory therapists, respiratory care practitioners, and
  313  certified nursing assistants.
  314         b. A minimum licensed nursing staffing of 1.7 hours of
  315  direct care per resident per day must be provided.
  316         c. Up to No more than 1.5 hours of certified nursing
  317  assistant care per resident per day may be counted in
  318  determining the minimum direct care hours required.
  319         d. One registered nurse must be on duty on the site 24
  320  hours per day on a the unit where children reside.
  321         (6) Before Prior to conducting a survey of the facility,
  322  the survey team shall obtain a copy of the local long-term care
  323  ombudsman council report on the facility. Problems noted in the
  324  report shall be incorporated into and followed up through the
  325  agency’s inspection process. This procedure does not preclude
  326  the local long-term care ombudsman council from requesting the
  327  agency to conduct a followup visit to the facility.
  328         (7) The agency shall, at least every 15 months, evaluate
  329  all nursing home facilities and determine make a determination
  330  as to the degree of compliance by each licensee with the
  331  established rules adopted under this part as a basis for
  332  assigning a licensure status to a that facility. The agency
  333  shall base its evaluation on the most recent inspection report,
  334  taking into consideration findings from other official reports,
  335  surveys, interviews, investigations, and inspections. In
  336  addition to license categories authorized under part II of
  337  chapter 408, the agency shall assign a licensure status of
  338  standard or conditional licensure status to each nursing home.
  339         (a) A standard licensure status means that a facility has
  340  no class I or class II deficiencies and has corrected all class
  341  III deficiencies within the time established by the agency.
  342         (b) A conditional licensure status means that a facility,
  343  due to the presence of one or more class I or class II
  344  deficiencies, or class III deficiencies not corrected within the
  345  time established by the agency, is not in substantial compliance
  346  at the time of the survey with criteria established under this
  347  part or with rules adopted by the agency. If the facility has no
  348  class I, class II, or class III deficiencies at the time of the
  349  followup survey, a standard licensure status may be assigned.
  350         (c) In evaluating the overall quality of care and services
  351  and determining whether the facility will receive a conditional
  352  or standard license, the agency shall consider the needs and
  353  limitations of residents in the facility and the results of
  354  interviews and surveys of a representative sampling of
  355  residents, families of residents, ombudsman council members in
  356  the planning and service area in which the facility is located,
  357  guardians of residents, and staff of the nursing home facility.
  358         (d) The current licensure status of each facility must be
  359  indicated in bold print on the face of the license. A list of
  360  the deficiencies of the facility shall be posted in a prominent
  361  place that is in clear and unobstructed public view at or near
  362  the place where residents are being admitted to that facility.
  363  Licensees receiving a conditional licensure status for a
  364  facility shall prepare, within 10 working days after receiving
  365  notice of deficiencies, a plan for correction of all
  366  deficiencies and shall submit the plan to the agency for
  367  approval.
  368         (e) The agency shall adopt rules that:
  369         1. Establish uniform procedures for the evaluation of
  370  facilities.
  371         2. Provide criteria in the areas referenced in paragraph
  372  (c).
  373         3. Address other areas necessary for carrying out the
  374  intent of this section.
  375         (8) The agency shall ensure adopt rules pursuant to this
  376  part and part II of chapter 408 to provide that, if when the
  377  criteria established under subsection (2) are not met, such
  378  deficiencies shall be classified according to the nature and the
  379  scope of the deficiency. The scope shall be cited as isolated,
  380  patterned, or widespread. An isolated deficiency is a deficiency
  381  affecting one or a very limited number of residents, or
  382  involving one or a very limited number of staff, or a situation
  383  that occurred only occasionally or in a very limited number of
  384  locations. A patterned deficiency is a deficiency in which where
  385  more than a very limited number of residents are affected, or
  386  more than a very limited number of staff are involved, or the
  387  situation has occurred in several locations, or the same
  388  resident or residents have been affected by repeated occurrences
  389  of the same deficient practice but the effect of the deficient
  390  practice is not found to be pervasive throughout the facility. A
  391  widespread deficiency is a deficiency in which the problems
  392  causing the deficiency are pervasive in the facility or
  393  represent systemic failure that has affected or has the
  394  potential to affect a large portion of the facility’s residents.
  395  The agency shall indicate the classification on the face of the
  396  notice of deficiencies as follows:
  397         (a) A class I deficiency is a deficiency that the agency
  398  determines presents a situation in which immediate corrective
  399  action is necessary because the facility’s noncompliance has
  400  caused, or is likely to cause, serious injury, harm, impairment,
  401  or death to a resident receiving care in a facility. The
  402  condition or practice constituting a class I violation must
  403  shall be abated or eliminated immediately, unless a fixed period
  404  of time, as determined by the agency, is required for
  405  correction. A class I deficiency is subject to a civil penalty
  406  of $10,000 for an isolated deficiency, $12,500 for a patterned
  407  deficiency, and $15,000 for a widespread deficiency. The fine
  408  amount is shall be doubled for each deficiency if the facility
  409  was previously cited for one or more class I or class II
  410  deficiencies during the last licensure inspection or during an
  411  any inspection or complaint investigation since the last
  412  licensure inspection. A fine must be levied notwithstanding the
  413  correction of the deficiency.
  414         (b) A class II deficiency is a deficiency that the agency
  415  determines has compromised a the resident’s ability to maintain
  416  or reach his or her highest practicable physical, mental, and
  417  psychosocial well-being, as defined by an accurate and
  418  comprehensive resident assessment, plan of care, and provision
  419  of services. A class II deficiency is subject to a civil penalty
  420  of $2,500 for an isolated deficiency, $5,000 for a patterned
  421  deficiency, and $7,500 for a widespread deficiency. The fine
  422  amount is shall be doubled for each deficiency if the facility
  423  was previously cited for one or more class I or class II
  424  deficiencies during the last licensure inspection or an any
  425  inspection or complaint investigation since the last licensure
  426  inspection. A fine shall be levied notwithstanding the
  427  correction of the deficiency.
  428         (c) A class III deficiency is a deficiency that the agency
  429  determines will result in no more than minimal physical, mental,
  430  or psychosocial discomfort to a the resident or has the
  431  potential to compromise a the resident’s ability to maintain or
  432  reach his or her highest practical physical, mental, or
  433  psychosocial well-being, as defined by an accurate and
  434  comprehensive resident assessment, plan of care, and provision
  435  of services. A class III deficiency is subject to a civil
  436  penalty of $1,000 for an isolated deficiency, $2,000 for a
  437  patterned deficiency, and $3,000 for a widespread deficiency.
  438  The fine amount is shall be doubled for each deficiency if the
  439  facility was previously cited for one or more class I or class
  440  II deficiencies during the last licensure inspection or an any
  441  inspection or complaint investigation since the last licensure
  442  inspection. A citation for a class III deficiency must specify
  443  the time within which the deficiency is required to be
  444  corrected. If a class III deficiency is corrected within the
  445  time specified, a civil penalty may not be imposed.
  446         (d) A class IV deficiency is a deficiency that the agency
  447  determines has the potential for causing no more than a minor
  448  negative impact on a the resident. If the class IV deficiency is
  449  isolated, no plan of correction is required.
  450         (9) Civil penalties paid by a any licensee under subsection
  451  (8) shall be deposited in the Health Care Trust Fund and
  452  expended as provided in s. 400.063.
  453         (10) Agency records, reports, ranking systems, Internet
  454  information, and publications must be promptly updated to
  455  reflect the most current agency actions.
  456         Section 6. Paragraph (h) of subsection (2) of section
  457  400.471, Florida Statutes, is amended to read:
  458         400.471 Application for license; fee.—
  459         (2) In addition to the requirements of part II of chapter
  460  408, the initial applicant must file with the application
  461  satisfactory proof that the home health agency is in compliance
  462  with this part and applicable rules, including:
  463         (h) In the case of an application for initial licensure,
  464  documentation of accreditation, or an application for
  465  accreditation, from an accrediting organization that is
  466  recognized by the agency as having standards comparable to those
  467  required by this part and part II of chapter 408.
  468  Notwithstanding s. 408.806, an applicant that has applied for
  469  accreditation must provide proof of accreditation that is not
  470  conditional or provisional within 120 days after the date of the
  471  agency’s receipt of the application for licensure or the
  472  application shall be withdrawn from further consideration. Such
  473  accreditation must be maintained by the home health agency to
  474  maintain licensure. The agency shall accept, in lieu of its own
  475  periodic licensure survey, the submission of the survey of an
  476  accrediting organization that is recognized by the agency if the
  477  accreditation of the licensed home health agency is not
  478  provisional and if the licensed home health agency authorizes
  479  releases of, and the agency receives the report of, the
  480  accrediting organization. A home health agency that is not
  481  Medicare or Medicaid certified and does not provide skilled
  482  nursing care is exempt from this paragraph.
  483         Section 7. Subsection (7) of section 400.474, Florida
  484  Statutes, is amended to read:
  485         400.474 Administrative penalties.—
  486         (7) A home health agency shall electronically submit to the
  487  agency, within 15 days after the end of each calendar quarter, a
  488  written report for each 6-month period ending March 31 and
  489  September 30.
  490         (a) Each report must include that includes the following
  491  data as it they existed on the last day of the reporting period
  492  quarter:
  493         1.(a) The number of insulin-dependent diabetic patients who
  494  receive insulin-injection services from the home health agency.
  495         2.(b) The number of patients who receive both home health
  496  services from the home health agency and hospice services.
  497         3.(c) The number of patients who receive home health
  498  services from the home health agency.
  499         4.(d) The name and license number of each nurse whose
  500  primary job responsibility is to provide home health services to
  501  patients and who received remuneration from the home health
  502  agency in excess of $50,000 $25,000 during the reporting period
  503  calendar quarter.
  504         (b) If the home health agency fails to submit the written
  505  quarterly report within 15 days after the end of the applicable
  506  reporting period each calendar quarter, the agency for Health
  507  Care Administration shall impose a fine of $200 per day against
  508  the home health agency in the amount of $200 per day until the
  509  agency for Health Care Administration receives the report,
  510  except that the total fine imposed pursuant to this subsection
  511  may not exceed $5,000 per reporting period quarter. A home
  512  health agency is exempt from submission of the report and the
  513  imposition of the fine if it is not a Medicaid or Medicare
  514  provider or if it does not share a controlling interest with a
  515  licensee, as defined in s. 408.803, which bills the Florida
  516  Medicaid program or the Medicare program.
  517         Section 8. Subsection (7) of section 400.487, Florida
  518  Statutes, is amended to read:
  519         400.487 Home health service agreements; physician’s,
  520  physician assistant’s, and advanced registered nurse
  521  practitioner’s treatment orders; patient assessment;
  522  establishment and review of plan of care; provision of services;
  523  orders not to resuscitate.—
  524         (7) Home health agency personnel may withhold or withdraw
  525  cardiopulmonary resuscitation if presented with an order not to
  526  resuscitate executed pursuant to s. 401.45. The agency shall
  527  adopt rules providing for the implementation of such orders.
  528  Home health personnel and agencies are shall not be subject to
  529  criminal prosecution or civil liability and are not, nor be
  530  considered to have engaged in negligent or unprofessional
  531  conduct, for withholding or withdrawing cardiopulmonary
  532  resuscitation pursuant to such an order and rules adopted by the
  533  agency.
  534         Section 9. Section 400.497, Florida Statutes, is amended to
  535  read:
  536         400.497 Rules establishing minimum standards.—The agency
  537  may shall adopt, publish, and enforce rules to administer
  538  implement part II of chapter 408 and this part, including the
  539  provider’s duties and responsibilities under, as applicable, ss.
  540  400.506 and 400.509. Rules shall specify, but are not limited
  541  to, which must provide reasonable and fair minimum standards
  542  relating to:
  543         (1) The home health aide competency test and home health
  544  aide training. The agency shall create the home health aide
  545  competency test and establish the curriculum and instructor
  546  qualifications for home health aide training. Licensed home
  547  health agencies may provide this training and shall furnish
  548  documentation of such training to other licensed home health
  549  agencies upon request. Successful passage of the competency test
  550  by home health aides may be substituted for the training
  551  required under this section and agency any rule adopted pursuant
  552  thereto.
  553         (2) Shared staffing. The agency shall allow Shared staffing
  554  is allowed if the home health agency is part of a retirement
  555  community that provides multiple levels of care, is located on
  556  one campus, is licensed under this chapter or chapter 429, and
  557  otherwise meets the requirements of law and rule.
  558         (3) The criteria for the frequency of onsite licensure
  559  surveys.
  560         (4) Licensure application and renewal.
  561         (5) Oversight by the director of nursing, including. The
  562  agency shall develop rules related to:
  563         (a) Standards that address oversight responsibilities by
  564  the director of nursing for of skilled nursing and personal care
  565  services provided by the home health agency’s staff;
  566         (b) Requirements for a director of nursing to provide to
  567  the agency, upon request, a certified daily report of the home
  568  health services provided by a specified direct employee or
  569  contracted staff member on behalf of the home health agency. The
  570  agency may request a certified daily report for up to only for a
  571  period not to exceed 2 years before prior to the date of the
  572  request; and
  573         (c) A quality assurance program for home health services
  574  provided by the home health agency.
  575         (6) Conditions for using a recent unannounced licensure
  576  inspection for the inspection required under in s. 408.806
  577  related to a licensure application associated with a change in
  578  ownership of a licensed home health agency.
  579         (7) The requirements for onsite and electronic
  580  accessibility of supervisory personnel of home health agencies.
  581         (8) Information to be included in patients’ records.
  582         (9) Geographic service areas.
  583         (10) Preparation of a comprehensive emergency management
  584  plan pursuant to s. 400.492.
  585         (a) The Agency for Health Care Administration shall adopt
  586  rules establishing minimum criteria for the plan and plan
  587  updates, with the concurrence of the Department of Health and in
  588  consultation with the Division of Emergency Management.
  589         (a)(b)An emergency plan The rules must address the
  590  requirements in s. 400.492. In addition, the rules shall provide
  591  for the maintenance of patient-specific medication lists that
  592  can accompany patients who are transported from their homes.
  593         (b)(c) The plan is subject to review and approval by the
  594  county health department. During its review, the county health
  595  department shall contact state and local health and medical
  596  stakeholders when necessary. The county health department shall
  597  complete its review to ensure that the plan is in accordance
  598  with the requirements of law criteria in the Agency for Health
  599  Care Administration rules within 90 days after receipt of the
  600  plan and shall approve the plan or advise the home health agency
  601  of necessary revisions. If the home health agency fails to
  602  submit a plan or fails to submit the requested information or
  603  revisions to the county health department within 30 days after
  604  written notification from the county health department, the
  605  county health department shall notify the Agency for Health Care
  606  Administration. The agency shall notify the home health agency
  607  that its failure constitutes a deficiency, subject to a fine of
  608  $5,000 per occurrence. If the plan is not submitted, information
  609  is not provided, or revisions are not made as requested, the
  610  agency may impose the fine.
  611         (c)(d) For a any home health agency that operates in more
  612  than one county, the Department of Health shall review the plan,
  613  after consulting with state and local health and medical
  614  stakeholders when necessary. The department shall complete its
  615  review within 90 days after receipt of the plan and shall
  616  approve the plan or advise the home health agency of necessary
  617  revisions. The department shall make every effort to avoid
  618  imposing differing requirements on a home health agency that
  619  operates in more than one county as a result of differing or
  620  conflicting comprehensive plan requirements of the counties in
  621  which the home health agency operates.
  622         (d)(e) The requirements in this subsection do not apply to:
  623         1. A facility that is certified under chapter 651 and has a
  624  licensed home health agency used exclusively by residents of the
  625  facility; or
  626         2. A retirement community that consists of both residential
  627  units for independent living and either a licensed nursing home
  628  or an assisted living facility, and has a licensed home health
  629  agency used exclusively by the residents of the retirement
  630  community, if, provided the comprehensive emergency management
  631  plan for the facility or retirement community provides for
  632  continuous care of all residents with special needs during an
  633  emergency.
  634         Section 10. Paragraph (f) of subsection (12) and subsection
  635  (17) of section 400.506, Florida Statutes, are amended to read:
  636         400.506 Licensure of nurse registries; requirements;
  637  penalties.—
  638         (12) Each nurse registry shall prepare and maintain a
  639  comprehensive emergency management plan that is consistent with
  640  the criteria in this subsection and with the local special needs
  641  plan. The plan shall be updated annually. The plan shall include
  642  the means by which the nurse registry will continue to provide
  643  the same type and quantity of services to its patients who
  644  evacuate to special needs shelters which were being provided to
  645  those patients prior to evacuation. The plan shall specify how
  646  the nurse registry shall facilitate the provision of continuous
  647  care by persons referred for contract to persons who are
  648  registered pursuant to s. 252.355 during an emergency that
  649  interrupts the provision of care or services in private
  650  residences. Nurse registries may establish links to local
  651  emergency operations centers to determine a mechanism by which
  652  to approach specific areas within a disaster area in order for a
  653  provider to reach its clients. Nurse registries shall
  654  demonstrate a good faith effort to comply with the requirements
  655  of this subsection by documenting attempts of staff to follow
  656  procedures outlined in the nurse registry’s comprehensive
  657  emergency management plan which support a finding that the
  658  provision of continuing care has been attempted for patients
  659  identified as needing care by the nurse registry and registered
  660  under s. 252.355 in the event of an emergency under this
  661  subsection.
  662         (f) The Agency for Health Care Administration shall adopt
  663  rules establishing minimum criteria for the comprehensive
  664  emergency management plan and plan updates required by this
  665  subsection, with the concurrence of the Department of Health and
  666  in consultation with the Division of Emergency Management.
  667         (17) The Agency for Health Care Administration shall adopt
  668  rules to implement this section and part II of chapter 408.
  669         Section 11. Subsection (7) of section 400.509, Florida
  670  Statutes, is amended to read:
  671         400.509 Registration of particular service providers exempt
  672  from licensure; certificate of registration; regulation of
  673  registrants.—
  674         (7) The Agency for Health Care Administration shall adopt
  675  rules to administer this section and part II of chapter 408.
  676         Section 12. Subsection (8) of section 400.6095, Florida
  677  Statutes, is amended to read:
  678         400.6095 Patient admission; assessment; plan of care;
  679  discharge; death.—
  680         (8) The hospice care team may withhold or withdraw
  681  cardiopulmonary resuscitation if presented with an order not to
  682  resuscitate executed pursuant to s. 401.45. The department shall
  683  adopt rules providing for the implementation of such orders.
  684  Hospice staff are shall not be subject to criminal prosecution
  685  or civil liability, nor be considered to have engaged in
  686  negligent or unprofessional conduct, for withholding or
  687  withdrawing cardiopulmonary resuscitation pursuant to such an
  688  order and applicable rules. The absence of an order to
  689  resuscitate executed pursuant to s. 401.45 does not preclude a
  690  physician from withholding or withdrawing cardiopulmonary
  691  resuscitation as otherwise permitted by law.
  692         Section 13. Section 400.914, Florida Statutes, is amended
  693  to read:
  694         400.914 Rulemaking; Rules establishing standards.—
  695         (1) Pursuant to the intention of the Legislature to provide
  696  safe and sanitary facilities and healthful programs, the agency
  697  in conjunction with the Division of Children’s Medical Services
  698  of the Department of Health may shall adopt and publish rules to
  699  administer implement the provisions of this part and part II of
  700  chapter 408, which shall include reasonable and fair standards.
  701  Any conflict between these rules standards and those established
  702  that may be set forth in local, county, or city ordinances shall
  703  be resolved in favor of those having statewide effect.
  704         (2) The rules must specify, but are not limited to,
  705  reasonable and fair standards relating Such standards shall
  706  relate to:
  707         (a) The assurance that PPEC services are family centered
  708  and provide individualized medical, developmental, and family
  709  training services.
  710         (b) The maintenance of PPEC centers, not in conflict with
  711  the provisions of chapter 553 and based upon the size of the
  712  structure and number of children, relating to plumbing, heating,
  713  lighting, ventilation, and other building conditions, including
  714  adequate space, which will ensure the health, safety, comfort,
  715  and protection from fire of the children served.
  716         (c) The application of the appropriate provisions of the
  717  most recent edition of the “Life Safety Code” (NFPA-101) shall
  718  be applied.
  719         (d) The number and qualifications of all personnel who have
  720  responsibility for the care of the children served.
  721         (e) All sanitary conditions within the PPEC center and its
  722  surroundings, including water supply, sewage disposal, food
  723  handling, and general hygiene, and maintenance thereof, which
  724  will ensure the health and comfort of children served.
  725         (f) Programs and basic services promoting and maintaining
  726  the health and development of the children served and meeting
  727  the training needs of the children’s legal guardians.
  728         (g) Supportive, contracted, other operational, and
  729  transportation services.
  730         (h) Maintenance of appropriate medical records, data, and
  731  information relative to the children and programs. Such records
  732  shall be maintained in the facility for inspection by the
  733  agency.
  734         (2) The agency shall adopt rules to ensure that:
  735         (a) No child attends a PPEC center for more than 12 hours
  736  within a 24-hour period.
  737         (b) No PPEC center provides services other than those
  738  provided to medically or technologically dependent children.
  739         Section 14. Section 400.9141, Florida Statutes, is created
  740  to read:
  741         400.9141 Limitations.—
  742         (1) A child may not attend a PPEC center for more than 12
  743  hours within a 24-hour period.
  744         (2) A PPEC center may provide services only to medically or
  745  technologically dependent children.
  746         Section 15. Paragraph (a) of subsection (20) of section
  747  400.934, Florida Statutes, is amended to read:
  748         400.934 Minimum standards.—As a requirement of licensure,
  749  home medical equipment providers shall:
  750         (20)(a) Prepare and maintain a comprehensive emergency
  751  management plan that meets minimum criteria established by
  752  agency rule, including criteria for the maintenance of patient
  753  equipment and supply lists that accompany patients who are
  754  transported from their homes. Such rules shall be formulated in
  755  consultation with the Department of Health and the Division of
  756  Emergency Management under s. 400.935. The plan shall be updated
  757  annually and shall provide for continuing home medical equipment
  758  services for life-supporting or life-sustaining equipment, as
  759  defined in s. 400.925, during an emergency that interrupts home
  760  medical equipment services in a patient’s home. The plan must
  761  shall include:
  762         1. The means by which the home medical equipment provider
  763  will continue to provide equipment to perform the same type and
  764  quantity of services to its patients who evacuate to special
  765  needs shelters which were being provided to those patients
  766  before prior to evacuation.
  767         2. The means by which the home medical equipment provider
  768  establishes and maintains an effective response to emergencies
  769  and disasters, including plans for:
  770         a. Notification of staff when emergency response measures
  771  are initiated.
  772         b. Communication between staff members, county health
  773  departments, and local emergency management agencies, which
  774  includes provisions for a backup communications system.
  775         c. Identification of resources necessary to continue
  776  essential care or services or referrals to other organizations
  777  subject to written agreement.
  778         d. Contacting and prioritizing patients in need of
  779  continued medical equipment services and supplies.
  780         Section 16. Section 400.935, Florida Statutes, is amended
  781  to read:
  782         400.935 Rule authority Rules establishing minimum
  783  standards.—The agency shall adopt, publish, and enforce rules as
  784  necessary to implement this part and part II of chapter 408. The
  785  rules must specify, but not be limited to, which must provide
  786  reasonable and fair minimum standards relating to:
  787         (1) The qualifications and minimum training requirements of
  788  all home medical equipment provider personnel.
  789         (2) Financial ability to operate.
  790         (2)(3) The administration of the home medical equipment
  791  provider.
  792         (4) Procedures for maintaining patient records.
  793         (3)(5) Ensuring that the home medical equipment and
  794  services provided by a home medical equipment provider are in
  795  accordance with the plan of treatment established for each
  796  patient, when provided as a part of a plan of treatment.
  797         (4)(6) Contractual arrangements for the provision of home
  798  medical equipment and services by providers not employed by the
  799  home medical equipment provider providing for the consumer’s
  800  needs.
  801         (5)(7) Physical location and zoning requirements.
  802         (6)(8) Home medical equipment requiring home medical
  803  equipment services.
  804         (9) Preparation of the comprehensive emergency management
  805  plan under s. 400.934 and the establishment of minimum criteria
  806  for the plan, including the maintenance of patient equipment and
  807  supply lists that can accompany patients who are transported
  808  from their homes. Such rules shall be formulated in consultation
  809  with the Department of Health and the Division of Emergency
  810  Management.
  811         Section 17. Subsection (5) of section 400.962, Florida
  812  Statutes, is amended to read:
  813         400.962 License required; license application.—
  814         (5) The applicant must agree to provide or arrange for
  815  active treatment services by an interdisciplinary team in order
  816  to maximize individual independence or prevent regression or
  817  loss of functional status. Standards for active treatment shall
  818  be adopted by the Agency for Health Care Administration by rule
  819  pursuant to ss. 120.536(1) and 120.54. Active treatment services
  820  shall be provided in accordance with the individual support plan
  821  and shall be reimbursed as part of the per diem rate as paid
  822  under the Medicaid program.
  823         Section 18. Subsections (2) and (3) of section 400.967,
  824  Florida Statutes, are amended to read:
  825         400.967 Rules and classification of deficiencies.—
  826         (2) Pursuant to the intention of the Legislature, The
  827  agency, in consultation with the Agency for Persons with
  828  Disabilities and the Department of Elderly Affairs, may shall
  829  adopt and enforce rules as necessary to administer this part and
  830  part II of chapter 408, which shall include reasonable and fair
  831  criteria governing:
  832         (a) The location and construction of the facility;
  833  including fire and life safety, plumbing, heating, cooling,
  834  lighting, ventilation, and other housing conditions that ensure
  835  the health, safety, and comfort of residents. The agency shall
  836  establish standards for facilities and equipment to increase the
  837  extent to which new facilities, and a new wing or floor added to
  838  an existing facility after July 1, 2000, are structurally
  839  capable of serving as shelters only for residents, staff, and
  840  families of residents and staff, and equipped to be self
  841  supporting during and immediately following disasters. The
  842  agency shall update or revise the criteria as the need arises.
  843  All Facilities must comply with the those lifesafety code
  844  requirements and building code standards applicable when at the
  845  time of approval of their construction plans are approved. The
  846  agency may require alterations to a building if it determines
  847  that an existing condition constitutes a distinct hazard to
  848  life, health, or safety. The agency may state the shall adopt
  849  fair and reasonable rules setting forth conditions under which
  850  existing facilities undergoing additions, alterations,
  851  conversions, renovations, or repairs are required to comply with
  852  the most recent updated or revised standards.
  853         (b) The number and qualifications of all personnel,
  854  including management, medical, nursing, and other personnel,
  855  having responsibility for any part of the care given to
  856  residents.
  857         (c) All Sanitary conditions within the facility and its
  858  surroundings, including water supply, sewage disposal, food
  859  handling, and general hygiene, which will ensure the health and
  860  comfort of residents.
  861         (d) The Equipment essential to the health and welfare of
  862  the residents.
  863         (e) A uniform accounting system.
  864         (f) The care, treatment, and maintenance of residents and
  865  the assessment measurement of the quality and adequacy thereof.
  866         (g) The preparation and annual update of a comprehensive
  867  emergency management plan. After consultation with the Division
  868  of Emergency Management, the agency may establish shall adopt
  869  rules establishing minimum criteria for the plan after
  870  consultation with the Division of Emergency Management. At a
  871  minimum, the rules must provide for plan components that address
  872  emergency evacuation transportation; adequate sheltering
  873  arrangements; postdisaster activities, including emergency
  874  power, food, and water; postdisaster transportation; supplies;
  875  staffing; emergency equipment; individual identification of
  876  residents and transfer of records; and responding to family
  877  inquiries. The comprehensive emergency management plan is
  878  subject to review and approval by the local emergency management
  879  agency. During the its review, the local emergency management
  880  agency shall ensure that the following agencies, at a minimum,
  881  are given the opportunity to review the plan: the Department of
  882  Elderly Affairs, the Agency for Persons with Disabilities, the
  883  Agency for Health Care Administration, and the Division of
  884  Emergency Management. Also, Appropriate volunteer organizations
  885  must also be given the opportunity to review the plan. The local
  886  emergency management agency shall complete its review within 60
  887  days and either approve the plan or advise the facility of
  888  necessary revisions.
  889         (h) The use of restraint and seclusion. Such criteria rules
  890  must be consistent with recognized best practices; prohibit
  891  inherently dangerous restraint or seclusion procedures;
  892  establish limitations on the use and duration of restraint and
  893  seclusion; establish measures to ensure the safety of clients
  894  and staff during an incident of restraint or seclusion;
  895  establish procedures for staff to follow before, during, and
  896  after incidents of restraint or seclusion, including
  897  individualized plans for the use of restraints or seclusion in
  898  emergency situations; establish professional qualifications of
  899  and training for staff who may order or be engaged in the use of
  900  restraint or seclusion; establish requirements for facility data
  901  collection and reporting relating to the use of restraint and
  902  seclusion; and establish procedures relating to the
  903  documentation of the use of restraint or seclusion in the
  904  client’s facility or program record.
  905         (3) If The agency shall adopt rules to provide that, when
  906  the criteria established under this part and part II of chapter
  907  408 are not met, such deficiencies shall be classified according
  908  to the nature of the deficiency. The agency shall indicate the
  909  classification on the face of the notice of deficiencies as
  910  follows:
  911         (a) Class I deficiencies are those which the agency
  912  determines present an imminent danger to the residents or guests
  913  of the facility or a substantial probability that death or
  914  serious physical harm will would result therefrom. The condition
  915  or practice constituting a class I violation must be abated or
  916  eliminated immediately, unless the agency determines that a
  917  fixed period of time, as determined by the agency, is required
  918  for correction. A class I deficiency is subject to a civil
  919  penalty in an amount of at least not less than $5,000 but not
  920  more than and not exceeding $10,000 for each deficiency. A fine
  921  may be levied notwithstanding the correction of the deficiency.
  922         (b) Class II deficiencies are those which the agency
  923  determines have a direct or immediate relationship to the
  924  health, safety, or security of the facility residents but do not
  925  meet the criteria established for, other than class I
  926  deficiencies. A class II deficiency is subject to a civil
  927  penalty in an amount of at least not less than $1,000 and not
  928  more than not exceeding $5,000 for each deficiency. A citation
  929  for a class II deficiency must shall specify the time within
  930  which the deficiency must be corrected. If a class II deficiency
  931  is corrected within the time specified, a no civil penalty may
  932  not shall be imposed, unless it is a repeated offense.
  933         (c) Class III deficiencies are those which the agency
  934  determines to have an indirect or potential relationship to the
  935  health, safety, or security of the facility residents but do not
  936  meet the criteria for, other than class I or class II
  937  deficiencies. A class III deficiency is subject to a civil
  938  penalty of at least not less than $500 and not more than
  939  exceeding $1,000 for each deficiency. A citation for a class III
  940  deficiency must shall specify the time within which the
  941  deficiency must be corrected. If a class III deficiency is
  942  corrected within the time specified, a no civil penalty may not
  943  shall be imposed, unless it is a repeated offense.
  944         Section 19. Subsection (2) of section 400.980, Florida
  945  Statutes, is amended to read:
  946         400.980 Health care services pools.—
  947         (2) The requirements of part II of chapter 408 apply to the
  948  provision of services that require licensure or registration
  949  pursuant to this part and part II of chapter 408 and to entities
  950  registered by or applying for such registration from the agency
  951  pursuant to this part. Registration or a license issued by the
  952  agency is required for the operation of a health care services
  953  pool in this state. In accordance with s. 408.805, an applicant
  954  or licensee shall pay a fee for each license application
  955  submitted using this part, part II of chapter 408, and
  956  applicable rules. The agency shall adopt rules and provide forms
  957  required for such registration and shall impose a registration
  958  fee in an amount sufficient to cover the cost of administering
  959  this part and part II of chapter 408. In addition to the
  960  requirements in part II of chapter 408, the registrant must
  961  provide the agency with any change of information contained on
  962  the original registration application within 14 days before
  963  prior to the change.
  964         Section 20. Subsection (43) of section 409.912, Florida
  965  Statutes, is amended to read:
  966         409.912 Cost-effective purchasing of health care.—The
  967  agency shall purchase goods and services for Medicaid recipients
  968  in the most cost-effective manner consistent with the delivery
  969  of quality medical care. To ensure that medical services are
  970  effectively utilized, the agency may, in any case, require a
  971  confirmation or second physician’s opinion of the correct
  972  diagnosis for purposes of authorizing future services under the
  973  Medicaid program. This section does not restrict access to
  974  emergency services or poststabilization care services as defined
  975  in 42 C.F.R. part 438.114. Such confirmation or second opinion
  976  shall be rendered in a manner approved by the agency. The agency
  977  shall maximize the use of prepaid per capita and prepaid
  978  aggregate fixed-sum basis services when appropriate and other
  979  alternative service delivery and reimbursement methodologies,
  980  including competitive bidding pursuant to s. 287.057, designed
  981  to facilitate the cost-effective purchase of a case-managed
  982  continuum of care. The agency shall also require providers to
  983  minimize the exposure of recipients to the need for acute
  984  inpatient, custodial, and other institutional care and the
  985  inappropriate or unnecessary use of high-cost services. The
  986  agency shall contract with a vendor to monitor and evaluate the
  987  clinical practice patterns of providers in order to identify
  988  trends that are outside the normal practice patterns of a
  989  provider’s professional peers or the national guidelines of a
  990  provider’s professional association. The vendor must be able to
  991  provide information and counseling to a provider whose practice
  992  patterns are outside the norms, in consultation with the agency,
  993  to improve patient care and reduce inappropriate utilization.
  994  The agency may mandate prior authorization, drug therapy
  995  management, or disease management participation for certain
  996  populations of Medicaid beneficiaries, certain drug classes, or
  997  particular drugs to prevent fraud, abuse, overuse, and possible
  998  dangerous drug interactions. The Pharmaceutical and Therapeutics
  999  Committee shall make recommendations to the agency on drugs for
 1000  which prior authorization is required. The agency shall inform
 1001  the Pharmaceutical and Therapeutics Committee of its decisions
 1002  regarding drugs subject to prior authorization. The agency is
 1003  authorized to limit the entities it contracts with or enrolls as
 1004  Medicaid providers by developing a provider network through
 1005  provider credentialing. The agency may competitively bid single
 1006  source-provider contracts if procurement of goods or services
 1007  results in demonstrated cost savings to the state without
 1008  limiting access to care. The agency may limit its network based
 1009  on the assessment of beneficiary access to care, provider
 1010  availability, provider quality standards, time and distance
 1011  standards for access to care, the cultural competence of the
 1012  provider network, demographic characteristics of Medicaid
 1013  beneficiaries, practice and provider-to-beneficiary standards,
 1014  appointment wait times, beneficiary use of services, provider
 1015  turnover, provider profiling, provider licensure history,
 1016  previous program integrity investigations and findings, peer
 1017  review, provider Medicaid policy and billing compliance records,
 1018  clinical and medical record audits, and other factors. Providers
 1019  are not entitled to enrollment in the Medicaid provider network.
 1020  The agency shall determine instances in which allowing Medicaid
 1021  beneficiaries to purchase durable medical equipment and other
 1022  goods is less expensive to the Medicaid program than long-term
 1023  rental of the equipment or goods. The agency may establish rules
 1024  to facilitate purchases in lieu of long-term rentals in order to
 1025  protect against fraud and abuse in the Medicaid program as
 1026  defined in s. 409.913. The agency may seek federal waivers
 1027  necessary to administer these policies.
 1028         (43) Subject to the availability of funds, the agency shall
 1029  mandate a recipient’s participation in a provider lock-in
 1030  program, when appropriate, if a recipient is found by the agency
 1031  to have used Medicaid goods or services at a frequency or amount
 1032  not medically necessary, limiting the receipt of goods or
 1033  services to medically necessary providers after the 21-day
 1034  appeal process has ended, for at least a period of not less than
 1035  1 year. The lock-in programs must shall include, but are not
 1036  limited to, pharmacies, medical doctors, and infusion clinics.
 1037  The limitation does not apply to emergency services and care
 1038  provided to the recipient in a hospital emergency department.
 1039  The agency shall seek any federal waivers necessary to implement
 1040  this subsection. The agency shall adopt any rules necessary to
 1041  comply with or administer this subsection. This subsection
 1042  expires October 1, 2014.
 1043         Section 21. Paragraph (e) of subsection (2) of section
 1044  409.972, Florida Statutes, is amended to read:
 1045         409.972 Mandatory and voluntary enrollment.—
 1046         (2) The following Medicaid-eligible persons are exempt from
 1047  mandatory managed care enrollment required by s. 409.965, and
 1048  may voluntarily choose to participate in the managed medical
 1049  assistance program:
 1050         (e) Medicaid recipients enrolled in the home and community
 1051  based services waiver pursuant to chapter 393, and Medicaid
 1052  recipients waiting for waiver services, and Medicaid recipients
 1053  under the age of 21 who are not receiving waiver services but
 1054  are authorized by the Agency for Persons with Disabilities or
 1055  the Department of Children and Families to reside in a group
 1056  home facility licensed pursuant to chapter 393.
 1057         Section 22. Subsection (4) of section 429.255, Florida
 1058  Statutes, is amended to read:
 1059         429.255 Use of personnel; emergency care.—
 1060         (4) Facility staff may withhold or withdraw cardiopulmonary
 1061  resuscitation or the use of an automated external defibrillator
 1062  if presented with an order not to resuscitate executed pursuant
 1063  to s. 401.45. The department shall adopt rules providing for the
 1064  implementation of such orders. Facility staff and facilities are
 1065  shall not be subject to criminal prosecution or civil liability,
 1066  nor be considered to have engaged in negligent or unprofessional
 1067  conduct, for withholding or withdrawing cardiopulmonary
 1068  resuscitation or use of an automated external defibrillator
 1069  pursuant to such an order and rules adopted by the department.
 1070  The absence of an order to resuscitate executed pursuant to s.
 1071  401.45 does not preclude a physician from withholding or
 1072  withdrawing cardiopulmonary resuscitation or use of an automated
 1073  external defibrillator as otherwise permitted by law.
 1074         Section 23. Subsection (3) of section 429.73, Florida
 1075  Statutes, is amended to read:
 1076         429.73 Rules and standards relating to adult family-care
 1077  homes.—
 1078         (3) The department shall adopt rules providing for the
 1079  implementation of orders not to resuscitate. The provider may
 1080  withhold or withdraw cardiopulmonary resuscitation if presented
 1081  with an order not to resuscitate executed pursuant to s. 401.45.
 1082  The provider is shall not be subject to criminal prosecution or
 1083  civil liability, nor be considered to have engaged in negligent
 1084  or unprofessional conduct, for withholding or withdrawing
 1085  cardiopulmonary resuscitation pursuant to such an order and
 1086  applicable rules.
 1087         Section 24. Subsection (10) of section 440.102, Florida
 1088  Statutes, is amended to read:
 1089         440.102 Drug-free workplace program requirements.—The
 1090  following provisions apply to a drug-free workplace program
 1091  implemented pursuant to law or to rules adopted by the Agency
 1092  for Health Care Administration:
 1093         (10) RULES.—The Agency for Health Care Administration shall
 1094  adopt rules Pursuant to s. 112.0455, part II of chapter 408, and
 1095  using criteria established by the United States Department of
 1096  Health and Human Services, the agency shall adopt rules as
 1097  general guidelines for modeling drug-free workplace
 1098  laboratories, including concerning, but not limited to:
 1099         (a) Standards for licensing drug-testing laboratories and
 1100  suspension and revocation of such licenses.
 1101         (b) Urine, hair, blood, and other body specimens and
 1102  minimum specimen amounts that are appropriate for drug testing.
 1103         (c) Methods of analysis and procedures to ensure reliable
 1104  drug-testing results, including standards for initial tests and
 1105  confirmation tests.
 1106         (d) Minimum cutoff detection levels for each drug or
 1107  metabolites of such drug for the purposes of determining a
 1108  positive test result.
 1109         (e) Chain-of-custody procedures to ensure proper
 1110  identification, labeling, and handling of specimens tested.
 1111         (f) Retention, storage, and transportation procedures to
 1112  ensure reliable results on confirmation tests and retests.
 1113         Section 25. Subsection (2) of section 483.245, Florida
 1114  Statutes, is amended to read:
 1115         483.245 Rebates prohibited; penalties.—
 1116         (2) The agency may establish and shall adopt rules that
 1117  assess administrative penalties for acts prohibited by
 1118  subsection (1). If In the case of an entity is licensed by the
 1119  agency, such penalties may include any disciplinary action
 1120  available to the agency under the appropriate licensing laws. If
 1121  In the case of an entity is not licensed by the agency, such
 1122  penalties may include:
 1123         (a) A fine not to exceed $1,000;
 1124         (b) If applicable, a recommendation by the agency to the
 1125  appropriate licensing board that disciplinary action be taken.
 1126         Section 26. Subsections (1) and (2) of section 765.541,
 1127  Florida Statutes, are amended to read:
 1128         765.541 Licensure Certification of procurement
 1129  organizations; agency responsibilities.—The agency shall:
 1130         (1) Establish a program for the licensure certification of
 1131  organizations, corporations, or other entities engaged in the
 1132  procurement of organs, tissues, and eyes within the state for
 1133  transplantation.
 1134         (2) Adopt rules as necessary to implement that set forth
 1135  appropriate standards and guidelines for the program in
 1136  accordance with ss. 765.541-765.546 and part II of chapter 408.
 1137  These Standards and guidelines for the program adopted by the
 1138  agency must be substantially based on the existing laws of the
 1139  Federal Government and this state, and the existing standards
 1140  and guidelines of one or more nationally recognized
 1141  accreditation organizations or federally regulated networks
 1142  determined by the agency to possess reasonable expertise in
 1143  organ procurement if such guidelines are consistent with the
 1144  requirements of ss. 765.541-765.546. the United Network for
 1145  Organ Sharing (UNOS), the American Association of Tissue Banks
 1146  (AATB), the South-Eastern Organ Procurement Foundation (SEOPF),
 1147  the North American Transplant Coordinators Organization (NATCO),
 1148  and the Eye Bank Association of America (EBAA). In addition, the
 1149  agency shall, before adopting these standards and guidelines,
 1150  seek input from all procurement organizations based in this
 1151  state.
 1152         Section 27. Subsection (2) of section 765.544, Florida
 1153  Statutes, is amended to read:
 1154         765.544 Fees; organ and tissue donor education and
 1155  procurement.—
 1156         (2) The agency shall specify by rule the administrative
 1157  penalties for the purpose of ensuring adherence to the standards
 1158  of quality and practice required by this chapter, part II of
 1159  chapter 408, and applicable rules of the agency for continued
 1160  certification.
 1161         Section 28. This act shall take effect July 1, 2014.