Florida Senate - 2019              PROPOSED COMMITTEE SUBSTITUTE
       Bill No. CS for SB 1460
       
       
       
       
       
                               Ì263332zÎ263332                          
       
       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.