Florida Senate - 2014                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 1276
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       Senator Grimsley moved the following:
    1         Senate Amendment (with title amendment)
    3         Delete lines 26 - 39
    4  and insert:
    5         Section 1. Paragraph (a) of subsection (7) and subsection
    6  (14) of section 395.4001, Florida Statutes, are amended to read:
    7         395.4001 Definitions.—As used in this part, the term:
    8         (7) “Level II trauma center” means a trauma center that:
    9         (a) Is verified by the department to be in substantial
   10  compliance with Level II trauma center standards and has been
   11  approved by the department to operate as a Level II trauma
   12  center or is designated pursuant to s. 395.4025(13) s.
   13  395.4025(14).
   14         (14) “Trauma center” means a hospital that has been
   15  verified by the department to be in substantial compliance with
   16  the requirements in s. 395.4025 and has been approved by the
   17  department to operate as a Level I trauma center, Level II
   18  trauma center, or pediatric trauma center, or is designated by
   19  the department as a Level II trauma center pursuant to s.
   20  395.4025(13) s. 395.4025(14).
   21         Section 2. Present paragraphs (k) through (o) of subsection
   22  (1) of section 395.401, Florida Statutes, are redesignated as
   23  paragraphs (l) through (p), respectively, a new paragraph (k) is
   24  added to that subsection, and present paragraph (k) of that
   25  subsection is amended, to read:
   26         395.401 Trauma services system plans; approval of trauma
   27  centers and pediatric trauma centers; procedures; renewal.—
   28         (1)
   29         (k) A hospital operating a trauma center may not charge a
   30  trauma activation fee greater than $15,000. This paragraph
   31  expires on July 1, 2015.
   32         (l)(k)A It is unlawful for any hospital or other facility
   33  may not to hold itself out as a trauma center unless it has been
   34  so verified or designated pursuant to s. 395.4025(13) s.
   35  395.4025(14).
   36         Section 3. Subsections (2) and (4) of section 395.402,
   37  Florida Statutes, are amended, and subsection (5) is added to
   38  that, to read:
   39         395.402 Trauma service areas; number and location of trauma
   40  centers.—
   41         (2) Trauma service areas as defined in this section are to
   42  be utilized until the Department of Health completes an
   43  assessment of the trauma system and reports its finding to the
   44  Governor, the President of the Senate, the Speaker of the House
   45  of Representatives, and the substantive legislative committees.
   46  The report shall be submitted by February 1, 2005. The
   47  department shall review the existing trauma system and determine
   48  whether it is effective in providing trauma care uniformly
   49  throughout the state. The assessment shall:
   50         (a)Consider aligning trauma service areas within the
   51  trauma region boundaries as established in July 2004.
   52         (a)(b) Review the number and level of trauma centers needed
   53  for each trauma service area to provide a statewide integrated
   54  trauma system.
   55         (b)(c) Establish criteria for determining the number and
   56  level of trauma centers needed to serve the population in a
   57  defined trauma service area or region.
   58         (c)(d) Consider including criteria within trauma center
   59  approval standards based upon the number of trauma victims
   60  served within a service area.
   61         (e)Review the Regional Domestic Security Task Force
   62  structure and determine whether integrating the trauma system
   63  planning with interagency regional emergency and disaster
   64  planning efforts is feasible and identify any duplication of
   65  efforts between the two entities.
   66         (d)(f) Make recommendations regarding a continued revenue
   67  source which shall include a local participation requirement.
   68         (e)(g) Make recommendations regarding a formula for the
   69  distribution of funds identified for trauma centers which shall
   70  address incentives for new centers where needed and the need to
   71  maintain effective trauma care in areas served by existing
   72  centers, with consideration for the volume of trauma patients
   73  served, and the amount of charity care provided.
   74         (4) Annually thereafter, the department shall review the
   75  assignment of the 67 counties to trauma service areas, in
   76  addition to the requirements of paragraphs (2)(a)-(e) (2)(b)-(g)
   77  and subsection (3). County assignments are made for the purpose
   78  of developing a system of trauma centers. Revisions made by the
   79  department shall take into consideration the recommendations
   80  made as part of the regional trauma system plans approved by the
   81  department and the recommendations made as part of the state
   82  trauma system plan. In cases where a trauma service area is
   83  located within the boundaries of more than one trauma region,
   84  the trauma service area’s needs, response capability, and system
   85  requirements shall be considered by each trauma region served by
   86  that trauma service area in its regional system plan. Until the
   87  department completes the February 2005 assessment, the
   88  assignment of counties shall remain as established in this
   89  section.
   90         (a) The following trauma service areas are hereby
   91  established:
   92         1. Trauma service area 1 shall consist of Escambia,
   93  Okaloosa, Santa Rosa, and Walton Counties.
   94         2. Trauma service area 2 shall consist of Bay, Gulf,
   95  Holmes, and Washington Counties.
   96         3. Trauma service area 3 shall consist of Calhoun,
   97  Franklin, Gadsden, Jackson, Jefferson, Leon, Liberty, Madison,
   98  Taylor, and Wakulla Counties.
   99         4. Trauma service area 4 shall consist of Alachua,
  100  Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy,
  101  Putnam, Suwannee, and Union Counties.
  102         5. Trauma service area 5 shall consist of Baker, Clay,
  103  Duval, Nassau, and St. Johns Counties.
  104         6. Trauma service area 6 shall consist of Citrus, Hernando,
  105  and Marion Counties.
  106         7. Trauma service area 7 shall consist of Flagler and
  107  Volusia Counties.
  108         8. Trauma service area 8 shall consist of Lake, Orange,
  109  Osceola, Seminole, and Sumter Counties.
  110         9. Trauma service area 9 shall consist of Pasco and
  111  Pinellas Counties.
  112         10. Trauma service area 10 shall consist of Hillsborough
  113  County.
  114         11. Trauma service area 11 shall consist of Hardee,
  115  Highlands, and Polk Counties.
  116         12. Trauma service area 12 shall consist of Brevard and
  117  Indian River Counties.
  118         13. Trauma service area 13 shall consist of DeSoto,
  119  Manatee, and Sarasota Counties.
  120         14. Trauma service area 14 shall consist of Martin,
  121  Okeechobee, and St. Lucie Counties.
  122         15. Trauma service area 15 shall consist of Charlotte,
  123  Glades, Hendry, and Lee Counties.
  124         16. Trauma service area 16 shall consist of Palm Beach
  125  County.
  126         17. Trauma service area 17 shall consist of Collier County.
  127         18. Trauma service area 18 shall consist of Broward County.
  128         19. Trauma service area 19 shall consist of Miami-Dade and
  129  Monroe Counties.
  130         (b) Each trauma service area should have at least one Level
  131  I or Level II trauma center. The department shall allocate, by
  132  rule, the number of trauma centers needed for each trauma
  133  service area.
  134         (c) There shall be no more than a total of 44 trauma
  135  centers in the state.
  137  ================= T I T L E  A M E N D M E N T ================
  138  And the title is amended as follows:
  139         Delete lines 3 - 5
  140  and insert:
  141         395.4001, F.S.; conforming a cross-reference; amending
  142         s. 395.401, F.S.; limiting trauma service fees to a
  143         certain amount; providing for future expiration;
  144         conforming a cross-reference; amending s. 395.402,
  145         F.S.; deleting provisions relating to the contents of
  146         the Department of Health assessment of the trauma
  147         system; requiring the Department of