Florida Senate - 2024                          SENATOR AMENDMENT
       Bill No. CS for SB 7016
       
       
       
       
       
       
                                Ì542768RÎ542768                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                Floor: 2/AD/2R         .                                
             01/18/2024 09:54 AM       .                                
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       Senator Burton moved the following:
       
    1         Senate Amendment 
    2  
    3         Delete lines 1894 - 1940
    4  and insert:
    5  implementation and results of its plan as part of the licensure
    6  renewal process and must update the plan as necessary, or as
    7  directed by the agency, before each licensure renewal. An NCAP
    8  must include:
    9         1. Procedures that ensure the plan does not conflict or
   10  interfere with the hospital’s duties and responsibilities under
   11  s. 395.1041 or 42 U.S.C. s. 1395dd;
   12         2. Procedures to educate such patients about care that
   13  would be best provided in a primary care setting and the
   14  importance of receiving regular primary care; and
   15         3. At least one of the following:
   16         a. A collaborative partnership with one or more nearby
   17  federally qualified health centers or other primary care
   18  settings. The goals of such partnership must include, but need
   19  not be limited to, identifying patients who have presented at
   20  the emergency department for nonemergent care, care that would
   21  best be provided in a primary care setting, or emergency care
   22  that could potentially have been avoided through the regular
   23  provision of primary care, and, if such a patient indicates that
   24  he or she lacks regular access to primary care, proactively
   25  seeking to establish a relationship between the patient and the
   26  federally qualified health center or other primary care setting
   27  so that the patient develops a medical home at such setting for
   28  nonemergent and preventive health care services. A hospital that
   29  establishes one or more collaborative partnerships under this
   30  sub-subparagraph may not enter into an arrangement relating to
   31  such partnership which would prevent a federally qualified
   32  health center or other primary care setting from establishing
   33  collaborative partnerships with other hospitals.
   34         b. The establishment, construction, and operation of a
   35  hospital-owned urgent care center colocated within or adjacent
   36  to the hospital emergency department location. After the
   37  hospital conducts a medical screening examination, and if
   38  appropriate for the patient’s needs, the hospital may seek to
   39  divert to the urgent care center a patient who presents at the
   40  emergency department needing nonemergent health care services.
   41  An NCAP with procedures for diverting a patient from the
   42  emergency department in this manner must include procedures for
   43  assisting such patient in identifying appropriate primary care
   44  settings, providing a current list, with contact information, of
   45  such settings within 20 miles of the hospital location, and
   46  subsequently assisting the patient in arranging for a follow-up
   47  examination in a primary care setting, as appropriate for the
   48  patient.
   49  
   50  For such patients who are enrolled in the Medicaid program and
   51  are members of a Medicaid managed care plan, the hospital’s NCAP
   52  must include outreach to the patient’s Medicaid managed care
   53  plan and coordination with the managed care plan for
   54  establishing a relationship between the patient and a primary
   55  care setting as appropriate for the patient, which may include a
   56  federally qualified health center or other primary care setting
   57  with which the hospital has a collaborative partnership. For
   58  such a