Florida Senate - 2019 SB 1348 By Senator Gruters 23-01383A-19 20191348__ 1 A bill to be entitled 2 An act relating to the Health Innovation Commission; 3 creating s. 381.995, F.S.; creating the Health 4 Innovation Commission within the Agency for Health 5 Care Administration; specifying the purpose of the 6 commission; providing for membership, meetings, and 7 duties of the commission; providing requirements for 8 proposals for innovative improvements to the health 9 care delivery system and requests for exemptions from 10 specified laws or rules; requiring the commission to 11 review such proposals with the assistance of relevant 12 state agencies, if needed; requiring the commission to 13 provide its findings and decision to the applicant 14 within a specified timeframe; providing limitations on 15 such exemptions; requiring the agency to submit an 16 annual report of the commission’s activities to the 17 Governor and Legislature by a specified date; 18 providing rulemaking authority; providing an effective 19 date. 20 21 Be It Enacted by the Legislature of the State of Florida: 22 23 Section 1. Section 381.995, Florida Statutes, is created to 24 read: 25 381.995 Health Innovation Commission.— 26 (1) The Health Innovation Commission, a commission as 27 defined in s. 20.03(10), is created within the Agency for Health 28 Care Administration for the purpose of facilitating the 29 implementation of innovative ideas to increase efficiency, 30 reduce costs, and improve patient outcomes in the health care 31 delivery system. The commission is assigned to the agency for 32 administrative, staffing, and fiscal accountability purposes, 33 but it shall otherwise function independently of the control and 34 direction of the agency. 35 (2)(a) The commission shall convene no later than December 36 1, 2019, and shall be composed of 11 members who have experience 37 in the health care delivery system, including health care 38 industry representatives, health care practitioners, and 39 consumers. Three members shall be appointed by the Governor, 40 three members shall be appointed by the President of the Senate, 41 and three members shall be appointed by the Speaker of the House 42 of Representatives. The Secretary of Health Care Administration 43 and the State Surgeon General shall serve as ex officio 44 nonvoting members. The Governor shall appoint the chair of the 45 commission. 46 (b) Members shall serve without compensation and are not 47 entitled to reimbursement for per diem or travel expenses. 48 (c) The commission shall meet at least quarterly or upon 49 the call of the chair and as often as necessary to carry out its 50 duties and responsibilities. The commission may use any method 51 of telecommunications to conduct its meetings. 52 (3)(a) The commission shall solicit proposals for 53 innovative improvements to the health care delivery system which 54 would require an exemption from one of the following provisions 55 of law or rule to effectively or efficiently implement the 56 proposal: 57 1. The requirements of s. 408.036, and any related rules. 58 2. The licensure restrictions in s. 395.003(8), and any 59 related rules. 60 3. The time limitations in s. 395.002(3), and any related 61 rules. 62 4. The practice restrictions in s. 465.003(13), and any 63 related rules. 64 5. The licensure restrictions in s. 456.065, or any similar 65 restrictions in a practice act for a health care practitioner as 66 defined in s. 456.001, and any related rules, if the person 67 holds an active and unencumbered license to practice such health 68 care profession in another state. 69 6. The supervisory protocol requirements in s. 464.003(2) 70 or s. 464.012(3), and any related rules. 71 (b) A proposal must offer a solution to an existing problem 72 in the health care delivery system that would increase 73 efficiency, reduce costs, or improve patient outcomes. Based on 74 such a proposal, the commission may grant an exemption from a 75 law or rule in accordance with this section. 76 (4)(a) A person may submit a proposal to the commission for 77 review in a form created by commission rule. Such a proposal 78 must, at a minimum: 79 1. Identify an existing problem in the health care delivery 80 system, including inefficiency, high costs, or poor patient 81 outcomes; 82 2. Propose a specific alternative or innovative health care 83 delivery or payment model to solve the problem that the 84 applicant will be able to implement, and describe the necessary 85 changes to current practice required to effectively implement 86 the solution; 87 3. Demonstrate, using real data or prior experience, how 88 and to what extent the proposed solution will promote efficiency 89 in the health care delivery system, improve patient outcomes, or 90 reduce health care costs to the consumer, industry, or 91 government; and 92 4. Identify specific barriers to the implementation of the 93 proposed solution in current law or rule, request that the 94 commission grant an exemption from such law or rule, and 95 demonstrate the impact such exemption would have on patient 96 health and safety. 97 (b) Upon receipt of a proposal, the commission shall 98 perform a preliminary review of the proposal and may call upon 99 relevant state agencies for professional assistance as needed to 100 perform the review. The state agencies shall provide such 101 assistance in a timely manner, which may include, but is not 102 limited to: 103 1. Providing background information on the issue, 104 including, but not limited to, relevant policies, laws, rules, 105 and data; 106 2. Identifying what agency action, if any, would be 107 required to implement the proposed solution; and 108 3. Assessing whether the proposed solution would achieve 109 the purpose of this section, and if not, recommending any way in 110 which the proposed solution could be amended to do so. 111 (c) Based on its full review of the proposal and any 112 information provided by the relevant state agencies, the 113 commission shall adopt written findings that include a statement 114 of the relevant facts and the rationale for granting or denying 115 the request for an exemption. The commission shall provide a 116 copy of its written findings and decision to the applicant 117 within 30 days after finalizing its decision. 118 (d) The commission may only grant an exemption from a law 119 or rule to the extent necessary to implement the proposal. The 120 commission may impose conditions on the grant, but only to the 121 extent necessary to achieve the purpose of this section. The 122 commission may not grant an exemption from a law or rule if 123 doing so would violate federal law or jeopardize public health 124 and safety or if the law or rule is required by the Federal 125 Government for implementation or retention of any federally 126 approved or delegated program, except as authorized by such 127 program or if approved by the appropriate agency of the Federal 128 Government. The commission shall only grant a request for an 129 exemption from a law or rule if it determines there is 130 compelling evidence to show that: 131 1. The proposal is likely to achieve the purpose of this 132 section; 133 2. An exemption from the specified law or rule is necessary 134 for the effective implementation of the proposal; and 135 3. The potential benefits of the proposal outweigh any 136 potential harm to the public health and safety that may result 137 from such exemption. 138 (e) If the commission grants a request for an exemption 139 from a law or rule, it must file a copy of its written findings 140 and decision with the relevant state agencies within 30 days 141 after finalizing its decision. 142 (5) By November 1 of each year, the agency shall submit a 143 report of the commission’s activities to the Governor, the 144 President of the Senate, and the Speaker of the House of 145 Representatives. The report shall include, at a minimum: 146 (a) Summaries of the proposals reviewed by the commission 147 during the previous fiscal year, including background 148 information, an explanation of the proposed solutions, a fiscal 149 analysis, any barriers to implementing the proposed solutions in 150 existing law or rule at the time during which the proposals were 151 submitted, and a copy of the commission’s written findings and 152 decisions; and 153 (b) A list of any provisions of law or rule from which the 154 commission granted exemptions within the previous fiscal year. 155 (6) The commission may adopt rules necessary to implement 156 this section. 157 Section 2. This act shall take effect July 1, 2019.