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