Florida Senate - 2014 COMMITTEE AMENDMENT
Bill No. CS for SB 1276
Ì184462,Î184462
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
04/11/2014 .
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following:
1 Senate Amendment (with title amendment)
2
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.
106
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