Florida Senate - 2019                              CS for SB 434
       By the Committee on Health Policy; and Senator Harrell
       588-02473-19                                           2019434c1
    1                        A bill to be entitled                      
    2         An act relating to ambulatory surgical centers;
    3         amending s. 395.002, F.S.; revising the definition of
    4         the term “ambulatory surgical center”; amending s.
    5         395.1055, F.S.; requiring the Agency for Health Care
    6         Administration, in consultation with the Board of
    7         Medicine and the Board of Osteopathic Medicine, to
    8         adopt rules that establish requirements related to the
    9         delivery of surgical care to children in ambulatory
   10         surgical centers, in accordance with specified
   11         standards; specifying that ambulatory surgical centers
   12         may provide certain procedures only if authorized by
   13         agency rule; providing an effective date.
   15  Be It Enacted by the Legislature of the State of Florida:
   17         Section 1. Subsection (3) of section 395.002, Florida
   18  Statutes, is amended to read:
   19         395.002 Definitions.—As used in this chapter:
   20         (3) “Ambulatory surgical center” means a facility the
   21  primary purpose of which is to provide elective surgical care,
   22  in which the patient is admitted to and discharged from such
   23  facility within 24 hours the same working day and is not
   24  permitted to stay overnight, and which is not part of a
   25  hospital. However, a facility existing for the primary purpose
   26  of performing terminations of pregnancy, an office maintained by
   27  a physician for the practice of medicine, or an office
   28  maintained for the practice of dentistry may not be construed to
   29  be an ambulatory surgical center, provided that any facility or
   30  office which is certified or seeks certification as a Medicare
   31  ambulatory surgical center shall be licensed as an ambulatory
   32  surgical center pursuant to s. 395.003.
   33         Section 2. Present subsections (3) through (12) of section
   34  395.1055, Florida Statutes, are redesignated as subsections (4)
   35  through (13), respectively, and a new subsection (3) is added to
   36  that section, to read:
   37         395.1055 Rules and enforcement.—
   38         (3)(a)The agency, in consultation with the Board of
   39  Medicine and the Board of Osteopathic Medicine, shall adopt
   40  rules that establish requirements to ensure the safe and
   41  effective delivery of surgical care to children in ambulatory
   42  surgical centers. The rules must be consistent with the American
   43  College of Surgeons’ 2015 standards document entitled “Optimal
   44  Resources for Children’s Surgical Care” and must establish
   45  minimum standards for pediatric patient care in ambulatory
   46  surgical centers.
   47         (b) Ambulatory surgical centers may provide operative
   48  procedures that require a length of stay past midnight on the
   49  day of surgery for children younger than 18 years of age only if
   50  the agency authorizes the performance of such procedures by
   51  rule.
   52         Section 3. This act shall take effect July 1, 2019.