Florida Senate - 2019 PROPOSED COMMITTEE SUBSTITUTE
Bill No. CS for SB 1460
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576-04104-19
Proposed Committee Substitute by the Committee on Appropriations
(Appropriations Subcommittee on Health and Human Services)
1 A bill to be entitled
2 An act relating to stroke centers; amending s.
3 395.3038, F.S.; revising the criteria for hospitals to
4 be included on the state list of stroke centers by the
5 Agency for Health Care Administration; removing
6 provisions requiring the agency to adopt rules
7 establishing the criteria for such list; amending s.
8 395.30381, F.S.; revising provisions relating to the
9 statewide stroke registry to conform to changes made
10 by the act; amending s. 395.3039, F.S.; revising
11 provisions prohibiting the advertisement of a hospital
12 as a state-listed stroke center, unless certain
13 conditions are met, to conform to changes made by the
14 act; amending s. 395.3041, F.S.; requiring the medical
15 director of each licensed emergency medical services
16 provider to develop and implement protocols for the
17 assessment, treatment, transport, and rerouting of
18 suspected stroke patients to certain stroke centers;
19 requiring that such protocols include specified plans
20 for the triage and transport of suspected stroke
21 patients; providing an effective date.
22
23 Be It Enacted by the Legislature of the State of Florida:
24
25 Section 1. Subsection (1), paragraph (a) of subsection (2),
26 and subsection (3) of section 395.3038, Florida Statutes, are
27 amended to read:
28 395.3038 State-listed stroke centers; notification of
29 hospitals.—
30 (1) The agency shall make available on its website and to
31 the department a list of the name and address of each hospital
32 that is certified by a nationally recognized certifying
33 organization as meets the criteria for an acute stroke ready
34 center, a primary stroke center, a thrombectomy-capable stroke
35 center, or a comprehensive stroke center. The list of stroke
36 centers must include only those hospitals that have submitted
37 documentation to the agency verifying their certification as an
38 acute stroke ready center, a primary stroke center, a
39 thrombectomy-capable stroke center, or a comprehensive stroke
40 center, which may include, but is not limited to, any stroke
41 center that offers and performs mechanical endovascular therapy
42 consistent with the standards identified by a nationally
43 recognized guidelines-based organization approved by the agency.
44 Each hospital that has attested in an affidavit to the agency
45 that it meets the criteria in this subsection must be certified
46 that attest in an affidavit submitted to the agency that the
47 hospital meets the named criteria, or those hospitals that
48 attest in an affidavit submitted to the agency that the hospital
49 is certified as an acute stroke ready center, a primary stroke
50 center, or a comprehensive stroke center by a nationally
51 recognized accrediting organization by July 1, 2021.
52 (2)(a) If a hospital no longer chooses to be certified by a
53 nationally recognized certifying organization or has not
54 attained certification consistent with meet the criteria in
55 subsection (1) as for an acute stroke ready center, a primary
56 stroke center, a thrombectomy-capable stroke center, or a
57 comprehensive stroke center, the hospital shall notify the
58 agency and the agency shall immediately remove the hospital from
59 the list of stroke centers.
60 (3) The agency shall adopt by rule criteria for an acute
61 stroke ready center, a primary stroke center, and a
62 comprehensive stroke center which are substantially similar to
63 the certification standards for the same categories of stroke
64 centers of a nationally recognized accrediting organization.
65 Section 2. Section 395.30381, Florida Statutes, is amended
66 to read:
67 395.30381 Statewide stroke registry.—
68 (1) Subject to a specific appropriation, the department
69 shall contract with a private entity to establish and maintain a
70 statewide stroke registry to ensure that the stroke performance
71 measures required to be submitted under subsection (2) are
72 maintained and available for use to improve or modify the stroke
73 care system, ensure compliance with standards and nationally
74 recognized guidelines, and monitor stroke patient outcomes.
75 (2) Each acute stroke ready center, primary stroke center,
76 thrombectomy-capable stroke center, and comprehensive stroke
77 center shall regularly report to the statewide stroke registry
78 information containing specified by the department, including
79 nationally recognized stroke performance measures.
80 (3) The department shall require the contracted private
81 entity to use a nationally recognized platform to collect data
82 from each stroke center on the stroke performance measures
83 required in subsection (2). The contracted private entity shall
84 provide regular reports to the department on the data collected.
85 (4) A No liability of any kind or character for damages or
86 other relief shall not arise or be enforced against any acute
87 stroke ready center, primary stroke center, thrombectomy-capable
88 stroke center, or comprehensive stroke center by reason of
89 having provided such information to the statewide stroke
90 registry.
91 Section 3. Section 395.3039, Florida Statutes, is amended
92 to read:
93 395.3039 Advertising restrictions.—A person may not
94 advertise to the public, by way of any medium whatsoever, that a
95 hospital is a state-listed primary or comprehensive stroke
96 center unless the hospital has submitted documentation to the
97 agency verifying that it is certified and meets the criteria
98 provided notice to the agency as required in s. 395.3038 by this
99 act.
100 Section 4. Subsections (1), (3), and (4) of section
101 395.3041, Florida Statutes, are amended to read:
102 395.3041 Emergency medical services providers; triage and
103 transportation of stroke victims to a stroke center.—
104 (1) By June 1 of each year, the department shall send the
105 list of acute stroke ready centers, primary stroke centers,
106 thrombectomy-capable stroke centers, and comprehensive stroke
107 centers to the medical director of each licensed emergency
108 medical services provider in the this state.
109 (3) The medical director of each licensed emergency medical
110 services provider shall develop and implement assessment,
111 treatment, transport, and rerouting transport-destination
112 protocols for stroke patients with the intent to assess, treat,
113 and transport, and reroute stroke patients to acute stroke ready
114 centers, primary stroke centers, thrombectomy-capable stroke
115 centers, and comprehensive stroke centers. The protocols must
116 include plans for the triage and transport of suspected stroke
117 patients, including, but not limited to, patients who may have
118 an emergent large vessel occlusion, to an appropriate facility
119 within a specified timeframe after such patients exhibit the
120 sudden onset of stroke-related symptoms. In developing the
121 protocols, the medical director of each licensed emergency
122 medical services provider must consider the capability of an
123 emergency receiving facility to improve outcomes for patients
124 who are suspected, based on clinical severity, of having an
125 emergent large vessel occlusion the most appropriate hospital.
126 (4) Each emergency medical services provider licensed under
127 chapter 401 must comply with all sections of this section and
128 ss. 395.3038-395.3039 act.
129 Section 5. This act shall take effect July 1, 2019.