Florida Senate - 2020                                    SB 1888
       
       
        
       By Senator Harrell
       
       
       
       
       
       25-01748B-20                                          20201888__
    1                        A bill to be entitled                      
    2         An act relating to health care studies; requiring the
    3         Office of Program Policy Analysis and Government
    4         Accountability to conduct analyses of other states’
    5         use of the combined recovery care center and
    6         ambulatory surgical center model and the advanced
    7         birthing center model; providing requirements for such
    8         analyses; requiring the office to submit reports on
    9         its findings and any recommendations to the Governor
   10         and the Legislature by a specified date; requiring the
   11         office to contract with a certain entity to conduct an
   12         analysis of the impact of licensing specialty
   13         hospitals in this state and in other states; providing
   14         requirements for such analysis; requiring the office
   15         to submit a report to the Governor and the Legislature
   16         by a specified date; providing an effective date.
   17          
   18  Be It Enacted by the Legislature of the State of Florida:
   19  
   20         Section 1. (1)The Office of Program Policy Analysis and
   21  Government Accountability shall conduct an analysis of other
   22  states use of the recovery care center (RCC) and ambulatory
   23  surgical center (ASC) model to allow for expanded types of
   24  surgeries to be performed outside of the hospital setting. The
   25  office may contract with an independent entity that has
   26  experience in health care economics and policy to conduct this
   27  study. The office shall do, at a minimum, all of the following:
   28         (a)Determine which surgeries the other states allow an ASC
   29  using an RCC to perform which may not otherwise be performed by
   30  the ASC.
   31         (b)Determine which payment methods are accepted by RCCs in
   32  other states, including the types of insurance accepted and
   33  whether the RCCs accept Medicaid and Medicare.
   34         (c)Compare the other states’ requirements between
   35  hospitals, ASCs, and RCCs with respect to physical plant and
   36  building code requirements.
   37         (d)Study the effect of the combined ASC and RCC model on:
   38         1.Costs to the patient;
   39         2.Costs to the state;
   40         3.Quality of care, including, but not limited to, patient
   41  outcomes, adverse incidents, rates of infection, and hospital
   42  admission rates; and
   43         4.Any other points of data the office determines to be
   44  relevant to the study.
   45         (2)The office shall submit a report of its findings and
   46  any recommendations to the Governor, the President of the
   47  Senate, and the Speaker of the House of Representatives by
   48  October 1, 2021.
   49         Section 2. (1)The Office of Program Policy Analysis and
   50  Government Accountability shall conduct an analysis of other
   51  states’ use of the advanced birthing center (ABC) model that
   52  allows higher-risk pregnancies to be delivered outside of the
   53  hospital setting. The office may contract with an independent
   54  entity that has experience in health care economics and policy
   55  to conduct this study. The office shall do, at a minimum, all of
   56  the following:
   57         (a)Determine which payment methods are accepted by ABCs in
   58  other states, including the types of insurance accepted and
   59  whether the ABCs accept Medicaid.
   60         (b)Review other states’ requirements for physical plant
   61  and building code requirements imposed on ABCs, noting any
   62  differences compared to the requirements for hospitals offering
   63  birthing services.
   64         (c)Study the effect of the ABC model on:
   65         1.Costs to the patient;
   66         2.Costs to the state;
   67         3.Quality of care, including, but not limited to, patient
   68  outcomes, adverse incidents, rates of infection, and hospital
   69  admission rates; and
   70         4.Any other points of data the office determines to be
   71  relevant to the study.
   72         (2)The office shall submit a report of its findings and
   73  any recommendations to the Governor, the President of the
   74  Senate, and the Speaker of the House of Representatives by
   75  October 1, 2021.
   76         Section 3. (1)The Office of Program Policy Analysis and
   77  Government Accountability shall contract with an independent
   78  entity that has experience in health care economics and policy
   79  to conduct an analysis of the impact of licensing specialty
   80  hospitals in this state and in other states. The study must
   81  evaluate, at a minimum, all of the following:
   82         (a)The quality of care provided at specialty hospitals and
   83  the impact on the quality of care at other general hospitals.
   84         (b)The ability of specialty hospitals to maintain adequate
   85  staff and the effects that the licensure of specialty hospitals
   86  have on the ability of general hospitals to maintain adequate
   87  staff.
   88         (c)Patient volumes at specialty hospitals and at general
   89  hospitals, including patient referral and utilization patterns
   90  and changes in bed capacity and service volume.
   91         (d)The volume of charity care and Medicaid services
   92  provided by specialty hospitals compared to general hospitals
   93  and the effect that the licensure of specialty hospitals has on
   94  the ability of general hospitals to provide charity care.
   95         (e)The effect that the licensure of specialty hospitals
   96  has on the volume of charity care, Medicaid services, and
   97  Medicare services provided by general hospitals as percentages
   98  of total services, as well as a comparison of those percentages
   99  and profit margins between general hospitals and specialty
  100  hospitals.
  101         (f)The economic effects of licensing specialty hospitals,
  102  including their financial performance and the economic effects
  103  that the licensure of specialty hospitals have on general
  104  hospitals.
  105         (g)The effects that the licensure of specialty hospitals
  106  have on the cost of care provided by all hospitals.
  107         (2)The office shall submit a report of its findings and
  108  any recommendations to the Governor, the President of the
  109  Senate, and the Speaker of the House of Representatives by
  110  October 1, 2021.
  111         Section 4. This act shall take effect upon becoming a law.