Florida Senate - 2014                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1276
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/11/2014           .                                

    1         Senate Amendment (with title amendment)
    3         Delete lines 43 - 119
    4  and insert:
    5  Representatives by February 1, 2015. The advisory council may
    6  make recommendations to the State Surgeon General regarding the
    7  continuing development of the Florida trauma system. The
    8  advisory council will consist of nine representatives of an
    9  inclusive trauma system appointed by the State Surgeon General.
   10  These nine representatives must be as follows:
   11         (a)A trauma patient, or a family member of a trauma
   12  patient, who has sustained and recovered from severe injuries;
   13         (b)A member of the Florida Committee on Trauma;
   14         (c)A member of the Association of Florida Trauma
   15  Coordinators;
   16         (d)A CEO of a nontrauma, acute care hospital who is a
   17  member of the Florida Hospital Association;
   18         (e)A member of the Florida Emergency Medical Services
   19  Advisory Council;
   20         (f)A member of the Florida Injury Prevention Advisory
   21  Council;
   22         (g)A member of the Brain and Spinal Cord Injury Program
   23  Advisory Council;
   24         (h)A member of the Florida Chamber of Commerce; and
   25         (i)A member of the Florida Health Insurance Advisory
   26  Board.
   27         Section 3. Present subsections (8) through (12) of section
   28  395.4025, Florida Statutes, are redesignated as subsections (7)
   29  through (11), respectively, paragraph (d) of subsection (2) and
   30  present subsection (7) of that section are amended, present
   31  subsections (13) and (14) of that section are redesignated as
   32  subsections (12) and (13), respectively, and amended, and a new
   33  subsection (14) and subsection (15) are added to that section,
   34  to read:
   35         395.4025 Trauma centers; selection; quality assurance;
   36  records.—
   37         (2)
   38         (d)1. Notwithstanding other provisions in this section, the
   39  department may grant up to an additional 18 months to a hospital
   40  applicant that is unable to meet all requirements as provided in
   41  paragraph (c) at the time of application if the number of
   42  applicants in the service area in which the applicant is located
   43  is equal to or less than the service area allocation, as
   44  provided by rule of the department. An applicant that is granted
   45  additional time under pursuant to this paragraph shall submit a
   46  plan for departmental approval which includes timelines and
   47  activities that the applicant proposes to complete in order to
   48  meet application requirements. An Any applicant that
   49  demonstrates an ongoing effort to complete the activities within
   50  the timelines outlined in the plan shall be included in the
   51  number of trauma centers at such time that the department has
   52  conducted a provisional review of the application and has
   53  determined that the application is complete and that the
   54  hospital has the critical elements required for a trauma center.
   55         2. Timeframes provided in subsections (1)-(7) (1)-(8) shall
   56  be stayed until the department determines that the application
   57  is complete and that the hospital has the critical elements
   58  required for a trauma center.
   59         (7) Any hospital that wishes to protest a decision made by
   60  the department based on the department’s preliminary or in-depth
   61  review of applications or on the recommendations of the site
   62  visit review team pursuant to this section shall proceed as
   63  provided in chapter 120. Hearings held under this subsection
   64  shall be conducted in the same manner as provided in ss. 120.569
   65  and 120.57. Cases filed under chapter 120 may combine all
   66  disputes between parties.
   67         (12)(13) The department may adopt, by rule, the procedures
   68  and process by which it will select trauma centers. Such
   69  procedures and process must be used in annually selecting trauma
   70  centers and must be consistent with subsections (1)-(7) (1)-(8)
   71  except in those situations in which it is in the best interest
   72  of, and mutually agreed to by, all applicants within a service
   73  area and the department to reduce the timeframes.
   74         (13)(14) Notwithstanding the procedures established
   75  pursuant to subsections (1)-(12) through (13), hospitals located
   76  in areas with limited access to trauma center services shall be
   77  designated by the department as Level II trauma centers based on
   78  documentation of a valid certificate of trauma center
   79  verification from the American College of Surgeons. Areas with
   80  limited access to trauma center services are defined by the
   81  following criteria:
   82         (a) The hospital is located in a trauma service area with a
   83  population greater than 600,000 persons but a population density
   84  of less than 225 persons per square mile;
   85         (b) The hospital is located in a county with no verified
   86  trauma center; and
   87         (c) The hospital is located at least 15 miles or 20 minutes
   88  travel time by ground transport from the nearest verified trauma
   89  center.
   90         (14)Notwithstanding any other law, a hospital designated
   91  as a provisional or verified as a Level I, Level II, or
   92  pediatric trauma center after the enactment of chapter 2004-259,
   93  Laws of Florida, whose approval has not been revoked may
   94  continue to operate at the same trauma center level as a Level
   95  I, Level II, or pediatric trauma center until the approval
   96  period in s. 395.4025(6) expires, as long as the hospital
   97  continues to meet the other requirements of part II of this
   98  chapter, related to trauma center standards and patient
   99  outcomes. Any hospital that meets the requirements of this
  100  section is eligible for renewal of its 7-year approval period
  101  pursuant to s. 395.4025(6).
  102         (15) The department may not verify, designate, or
  103  provisionally approve any hospital to operate as a trauma center
  104  through the procedures established in subsections (1)-(13). This
  105  subsection expires July 1, 2015.
  107  ================= T I T L E  A M E N D M E N T ================
  108  And the title is amended as follows:
  109         Delete lines 10 - 15
  110  and insert:
  111         Legislature by February 1, 2015; authorizing the
  112         Florida Trauma System Plan Advisory Council to make
  113         recommendations to the State Surgeon General;
  114         designating the membership of the advisory council;
  115         amending s. 395.4025, F.S.; deleting a provision
  116         relating to the procedure for protesting an
  117         application decision by the department; conforming
  118         cross-references; authorizing certain provisional and
  119         verified trauma centers to continue operating and to
  120         apply for renewal; restricting the department from