Florida Senate - 2024 SB 7018 By the Committee on Health Policy 588-01851-24 20247018__ 1 A bill to be entitled 2 An act relating to health care innovation; creating s. 3 381.4015, F.S.; defining terms; providing legislative 4 intent; creating the Health Care Innovation Council 5 within the Department of Health for a specified 6 purpose; providing for membership, meetings, and 7 conflicts of interest of the council; specifying 8 conflicts of interest with respect to the revolving 9 loan program established under the act; defining the 10 terms “business relationship” and “relative”; 11 specifying duties of the council; requiring the 12 council, by a specified date, to adopt, and update as 13 necessary, a certain document; requiring the council 14 to submit annual reports to the Governor and the 15 Legislature; requiring state agencies and statutorily 16 created state entities to assist and cooperate with 17 the council as requested; requiring the department to 18 provide administrative support to the council; 19 requiring the department to maintain a link to 20 specified information on the homepage of its website; 21 requiring the department to publish specified 22 information on its website; requiring the department 23 to provide technical assistance to certain applicants 24 upon request; requiring the department to administer a 25 revolving loan program for applicants seeking to 26 implement certain health care innovations in this 27 state; providing for administration of the program; 28 requiring the department to adopt certain rules; 29 specifying eligibility and application requirements; 30 specifying terms, authorized uses, and repayment 31 options for loans; requiring the department to create 32 and maintain a separate account in the Grants and 33 Donations Trust Fund within the department to fund the 34 revolving loan program; providing that funds for the 35 program are not subject to reversion; authorizing the 36 department to contract with a third party to 37 administer the program, including loan servicing, and 38 manage the revolving loan fund; specifying 39 requirements for the contract; requiring the 40 department to publish and update specified information 41 and reports on its website annually; requiring the 42 Office of Economic and Demographic Research and the 43 Office of Program Policy Analysis and Government 44 Accountability to each develop and present an 45 evaluation of the program to the Governor and the 46 Legislature every 5 years, beginning on specified 47 dates; specifying requirements for the evaluations; 48 requiring that the offices be given access to all data 49 necessary to complete the evaluation, including 50 confidential data; authorizing the offices to 51 collaborate on data collection and analysis; requiring 52 the department to adopt rules; providing for future 53 expiration; authorizing the department to adopt 54 emergency rules to implement the act; providing 55 appropriations; providing an effective date. 56 57 Be It Enacted by the Legislature of the State of Florida: 58 59 Section 1. Section 381.4015, Florida Statutes, is created 60 to read: 61 381.4015 Florida health care innovation.— 62 (1) DEFINITIONS.—As used in this section, the term: 63 (a) “Council” means the Health Care Innovation Council. 64 (b) “Department” means the Department of Health. 65 (c) “Health care provider” means any person or entity 66 licensed, certified, registered, or otherwise authorized by law 67 to provide health care services in this state. 68 (2) LEGISLATIVE INTENT.—The Legislature intends to harness 69 the innovation and creativity of entrepreneurs and businesses, 70 together with the state’s health care system and stakeholders, 71 to lead the discussion and highlight advances and innovations 72 that will address challenges in the health care system as they 73 develop in real time and transform the delivery and strengthen 74 the quality of health care in Florida. Innovative technologies, 75 workforce pathways, service delivery models, or other solutions 76 that improve the quality of care in measurable and sustainable 77 ways, that can be replicated, and that will lower costs and 78 allow that value to be passed on to health care consumers shall 79 be highlighted for adoption across all neighborhoods and 80 communities in this state. 81 (3) HEALTH CARE INNOVATION COUNCIL.—The Health Care 82 Innovation Council, a council as defined in s. 20.03, is created 83 within the department to tap into the best knowledge and 84 experience available by regularly bringing together subject 85 matter experts in a public forum to explore and discuss 86 innovations in technology, workforce, and service delivery 87 models that can be exhibited as best practices, implemented, or 88 scaled in order to improve the quality and delivery of health 89 care in this state in measurable, sustainable, and reproducible 90 ways. 91 (a) Membership.— 92 1. The Lieutenant Governor shall serve as an ex officio, 93 nonvoting member and shall act as the council chair. 94 2. The council shall be composed of the following voting 95 members, to be appointed by July 1, 2024: 96 a. One member appointed by the President of the Senate and 97 one member appointed by the Speaker of the House of 98 Representatives. The appointing officers shall make appointments 99 prioritizing members who have the following experience: 100 (I) A representative of the health care sector who has 101 senior level experience in reducing inefficiencies in health 102 care delivery systems; 103 (II) A representative of the private sector who has senior 104 level experience in cybersecurity or software engineering in the 105 health care sector; 106 (III) A representative who has expertise in emerging 107 technology that can be used in the delivery of health care; or 108 (IV) A representative who has experience in finance or 109 investment or in management and operation of early stage 110 companies. 111 b. A physician licensed under chapter 458 or chapter 459, 112 appointed by the Governor. 113 c. A nurse licensed under chapter 464, appointed by the 114 Governor. 115 d. An employee of a hospital licensed under chapter 395 who 116 has executive-level experience, appointed by the Governor. 117 e. A representative of the long-term care facility 118 industry, appointed by the Governor. 119 f. An employee of a health insurer or health maintenance 120 organization who has executive-level experience, appointed by 121 the Governor. 122 g. A resident of this state who can represent the interest 123 of health care patients in this state, appointed by the 124 Governor. 125 3. The chair of the Council of Florida Medical School Deans 126 shall serve as a voting member of the council. 127 4. The council shall be composed of the following ex 128 officio, nonvoting members: 129 a. The State Surgeon General. 130 b. The Secretary of Health Care Administration. 131 c. The Secretary of Children and Families. 132 d. The director of the Agency for Persons with 133 Disabilities. 134 e. The Secretary of Elderly Affairs. 135 5. Except for ex officio members, the term of all 136 appointees shall be for 2 years unless otherwise specified. 137 However, to achieve staggered terms, the appointees in sub 138 subparagraphs 2.a.-c. shall serve initial terms of 3 years. The 139 appointees may be reappointed for no more than four consecutive 140 terms. 141 5. Any vacancy occurring on the council must be filled in 142 the same manner as the original appointment. Any member who is 143 appointed to fill a vacancy occurring because of death, 144 resignation, or ineligibility for membership shall serve only 145 for the unexpired term of the member’s predecessor. 146 6. Members whose terms have expired may continue to serve 147 until replaced or reappointed. However, members whose terms have 148 expired may not serve longer than 6 months after the expiration 149 of their terms. 150 7. Members shall serve without compensation but are 151 entitled to reimbursement for per diem and travel expenses 152 pursuant to s. 112.061. 153 8. Members may be removed for cause by the appointing 154 entity. 155 9. Each member of the council who is not otherwise required 156 to file a financial disclosure statement pursuant to s. 8, Art. 157 II of the State Constitution or s. 112.3144 must file a 158 disclosure of financial interests pursuant to s. 112.3145. 159 (b) Meetings.—The council shall convene its first 160 organizational meeting by September 1, 2024. Thereafter, the 161 council shall meet as necessary, but at least quarterly, at the 162 call of the chair. In order to provide an opportunity for the 163 broadest public input, the chair shall ensure that a majority of 164 the meetings held in a year are geographically dispersed within 165 this state. As feasible, meetings are encouraged to provide an 166 opportunity for presentation or demonstration of innovative 167 solutions in person. A majority of the members of the council 168 constitutes a quorum, and a meeting may not be held with less 169 than a quorum present. In order to establish a quorum, the 170 council may conduct its meetings through teleconference or other 171 electronic means. The affirmative vote of a majority of the 172 members of the council present is necessary for any official 173 action by the council. 174 (c) Conflicts of interest.— 175 1. A council member may not vote on any matter that would 176 provide: 177 a. Direct financial benefit to the member; 178 b. Financial benefit to a relative of the member, including 179 an entity of which a relative is an officer, partner, director, 180 or proprietor or in which the relative has a material interest; 181 or 182 c. Financial benefit to a person or entity with whom the 183 member has a business relationship. 184 2. With respect to the revolving loan program established 185 in subsection (7): 186 a. Council members may not receive loans under the program; 187 and 188 b. A person or entity that has a conflict-of-interest 189 relationship with a council member as described in sub 190 subparagraph 1.b. or sub-subparagraph 1.c. may not receive a 191 loan under the program unless that council member recused 192 himself or herself from consideration of the person’s or 193 entity’s application. 194 3. For purposes of this paragraph, the term: 195 a. “Business relationship” means an ownership or 196 controlling interest, an affiliate or subsidiary relationship, a 197 common parent company, or any mutual interest in any limited 198 partnership, limited liability partnership, limited liability 199 company, or other entity or business association. 200 b. “Relative” means a father, mother, son, daughter, 201 husband, wife, brother, sister, grandparent, father-in-law, 202 mother-in-law, son-in-law, or daughter-in-law of a person. 203 (d) Public meetings and records.—The council and any 204 subcommittees it forms are subject to the provisions of chapter 205 119 relating to public records and the provisions of chapter 286 206 relating to public meetings. 207 (4) HEALTH CARE INNOVATION COUNCIL DUTIES.—In order to 208 facilitate and implement this section, the council shall: 209 (a) By February 1, 2025, adopt and update as necessary a 210 document that sets forth and describes a mission statement, 211 goals, and objectives for the council to function and meet the 212 purposes of this section. 213 (b) Facilitate public meetings across this state at which 214 innovators, developers, and implementers of technologies, 215 workforce pathways, service delivery models, and other solutions 216 may present information and lead discussions on concepts that 217 address challenges to the health care system as they develop in 218 real time and advance the delivery of health care in this state 219 through technology and innovation. 220 1. Consideration must be given to how such concepts 221 increase efficiency in the health care system in this state, 222 reduce strain on the state’s health care workforce, improve 223 patient outcomes, expand public access to health care services 224 in this state, or reduce costs for patients and the state 225 without reducing the quality of patient care. 226 2. Exploration and discussion of concepts may include how 227 concepts can be supported, cross-functional, or scaled to meet 228 the needs of health care consumers, including employers, payors, 229 patients, and the state. 230 3. The council may coordinate with the Small Business 231 Development Center Network, the Florida Opportunity Fund, the 232 Institute for Commercialization of Florida Technology, and other 233 business incubators, development organizations, or institutions 234 of higher education to include emerging and early stage 235 innovators, developers, and implementers of technology, models, 236 or solutions in health care in the exploration and discussion of 237 concepts and breakthrough innovations. 238 4. To support adoption and implementation of innovations 239 and advancements, specific meetings may be held which bring 240 together technical experts, such as those in system integration, 241 cloud computing, artificial intelligence, and cybersecurity, to 242 lead discussions on recommended structures and integrations of 243 information technology products and services and propose 244 solutions that can make adoption and implementation efficient, 245 effective, and economical. 246 5. The council may also highlight broad community or 247 statewide issues or needs of providers and users of health care 248 delivery and may facilitate public forums in order to explore 249 and discuss the range of effective, efficient, and economical 250 technology and innovative solutions that can be implemented. 251 (c) Annually distinguish the most impactful concepts by 252 recognizing the innovators, developers, and implementers whose 253 work is helping Floridians to live brighter and healthier lives. 254 In seeking out projects, initiatives, and concepts that are 255 having a positive impact in Florida, have huge potential to 256 scale that impact throughout this state through growth or 257 replication, or are cutting-edge advancements, programs, or 258 other innovations that have the capability to accelerate 259 transformation of health care in this state, the council may 260 issue awards to recognize these strategic and innovative 261 thinkers who are helping Floridians live brighter and healthier 262 lives. The council may develop a logo for the award for use by 263 awardees to advertise their achievements and recognition. 264 (d) Consult with and solicit input from health care 265 experts, health care providers, and technology and manufacturing 266 experts in the health care or related fields, users of such 267 innovations or systems, and the public to develop and update: 268 1. Best practice recommendations that will lead to the 269 continuous modernization of the health care system in this state 270 and make the Florida system a nationwide leader in innovation, 271 technology, and service. At a minimum, recommendations must be 272 made for how to explore implementation of innovations, how to 273 implement new technologies and strategies, and health care 274 service delivery models. As applicable, best practices must be 275 distinguished by practice setting and with an emphasis on 276 increasing efficiency in the delivery of health care, reducing 277 strain on the health care workforce, increasing public access to 278 health care, improving patient outcomes, reducing unnecessary 279 emergency room visits, and reducing costs for patients and the 280 state without reducing the quality of patient care. Specifically 281 for information technology, best practices must also recommend 282 actions to guide the selection of technologies and innovations, 283 which may include, but need not be limited to, considerations 284 for system-to-system integration, consistent user experiences 285 for health care workers and patients, and patient education and 286 practitioner training. 287 2. A list of focus areas in which to advance the delivery 288 of health care in this state through innovative technologies, 289 workforce pathways, or service delivery models. The focus areas 290 may be broad or specific, but must, at a minimum, consider all 291 of the following topics: 292 a. The health care workforce. This topic includes, but is 293 not limited to, all of the following: 294 (I) Approaches to cultivate interest and growth in the 295 workforce, including concepts resulting in increases in the 296 number of providers. 297 (II) Efforts to improve the use of the workforce, whether 298 through techniques, training, or devices to increase 299 effectiveness or efficiency. 300 (III) Educational pathways that connect students with 301 employers or result in attainment of cost-efficient and timely 302 degrees or credentials. 303 (IV) Use of technology to reduce the burden on the 304 workforce during decisionmaking processes such as triage, but 305 which leaves all final decisions to the health care 306 practitioner. 307 b. The provision of patient care in the most appropriate 308 setting and reduction of unnecessary emergency room visits. 309 These topics include, but are not limited to, all of the 310 following: 311 (I) Use of advanced technologies to improve patient 312 outcomes, provide patient care, or improve patient quality of 313 life. 314 (II) The use of early detection devices, including remote 315 communications devices and diagnostic tools engineered for early 316 detection and patient engagement. 317 (III) At-home patient monitoring devices and measures. 318 (IV) Advanced at-home health care. 319 (V) Advanced adaptive equipment. 320 c. The delivery of primary care through methods, practices, 321 or procedures that increase efficiencies. 322 d. The technical aspects of the provision of health care. 323 These aspects include, but are not limited to, all of the 324 following: 325 (I) Interoperability of electronic health records systems 326 and the impact on patient care coordination and administrative 327 costs for health care systems. 328 (II) Cybersecurity and the protection of health care data 329 and systems. 330 (e) Identify and recommend any changes to Florida law or 331 changes that can be implemented without legislative action which 332 are necessary to: 333 1. Advance, transform, or innovate in the delivery and 334 strengthen the quality of health care in Florida, including 335 removal or update of any regulatory barriers or governmental 336 inefficiencies. 337 2. Implement the council’s duties or recommendations. 338 (f) Recommend criteria for awarding loans as provided in 339 subsection (7) to the department and review loan applications. 340 (g) Annually submit by December 1 a report of council 341 activities and recommendations to the Governor, the President of 342 the Senate, and the Speaker of the House of Representatives. At 343 a minimum, the report must include an update on the status of 344 the delivery of health care in this state; information on 345 implementation of best practices by health care industry 346 stakeholders in this state; and highlights of exploration, 347 development, or implementation of innovative technologies, 348 workforce pathways, service delivery models, or other solutions 349 by health care industry stakeholders in this state. 350 (5) AGENCY COOPERATION.—All state agencies and statutorily 351 created state entities shall assist and cooperate with the 352 council as requested. 353 (6) DEPARTMENT DUTIES.—The department shall, at a minimum, 354 do all of the following to facilitate implementation of this 355 section: 356 (a) Provide reasonable and necessary support staff and 357 materials to assist the council in the performance of its 358 duties. 359 (b) Maintain on the homepage of the department a link to a 360 website dedicated to the council on which the department shall 361 post information related to the council, including the outcomes 362 of the duties of the council and annual reports as described in 363 subsection (4). 364 (c) Identify and publish on its website a list of any 365 sources of federal, state, or private funding available for 366 implementation of innovative technologies and service delivery 367 models in health care, including the details and eligibility 368 requirements for each funding opportunity. Upon request, the 369 department shall provide technical assistance to any person 370 wanting to apply for such funding. If the entity with oversight 371 of the funding opportunity provides technical assistance, the 372 department may foster working relationships that allow the 373 department to refer the person seeking funding to the 374 appropriate contact for such assistance. 375 (d) Incorporate recommendations of the council into the 376 department’s duties or as part of the administration of this 377 section, or update administrative rules or procedures as 378 appropriate based upon council recommendations. 379 (7) REVOLVING LOAN PROGRAM.—The department shall administer 380 a revolving loan program for applicants seeking to implement 381 innovative solutions in this state. 382 (a) Administration.—The council may make recommendations to 383 the department for the administration of the loans. The 384 department shall adopt rules: 385 1. Establishing an application process to submit and review 386 funding proposals for loans. Such rules must also include the 387 process for the council to review applications to ensure 388 compliance with applicable laws, including those related to 389 discrimination and conflicts of interest. If a council member 390 participated in the vote of the council recommending an award 391 for a proposal with which the council member has a conflict of 392 interest, the division may not award the loan to that entity. 393 2. Establishing eligibility criteria to be applied by the 394 council in recommending applications for the award of loans 395 which: 396 a. Incorporate the recommendations of the council. The 397 council shall recommend to the department criteria based upon 398 input received and the focus areas developed. The council may 399 recommend updated criteria as necessary, based upon the most 400 recent input, best practice recommendations, or focus areas 401 list. 402 b. Determine which proposals are likely to provide the 403 greatest return to the state if funded, taking into 404 consideration, at a minimum, the degree to which the proposal 405 would increase efficiency in the health care system in this 406 state, reduce strain on the state’s health care workforce, 407 improve patient outcomes, increase public access to health care 408 in this state, or provide cost savings to patients or the state 409 without reducing the quality of patient care. 410 3. It deems necessary to administer the program, including, 411 but not limited to, rules for application requirements, the 412 ability of the applicant to properly administer funds, the 413 professional excellence of the applicant, the fiscal stability 414 of the applicant, the state or regional impact of the proposal, 415 matching requirements for the proposal, and other requirements 416 to further the purposes of the program. 417 (b) Eligibility.— 418 1. The following entities may apply for a revolving loan: 419 a. Entities licensed, registered, or certified by the 420 Agency for Health Care Administration as provided under s. 421 408.802, except for those specified in s. 408.802(1), (3), (13), 422 (23), or (25). 423 b. An education or clinical training provider in 424 partnership with an entity under sub-subparagraph a. 425 2.a. Council members may not receive loans under the 426 program. 427 b. An entity that has a conflict-of-interest relationship 428 with a council member as described in sub-subparagraph 429 (3)(c)1.b. or sub-subparagraph (3)(c)1.c. may not receive a loan 430 under the program unless that council member recused himself or 431 herself from consideration of the entity’s application. 432 3. Priority must be given to applicants located in a rural 433 or medically underserved area as designated by the department 434 which are: 435 a. Rural hospitals as defined in s. 395.602(2). 436 b. Nonprofit entities that accept Medicaid patients. 437 4. The department may award a loan for up to 50 percent of 438 the total projected implementation costs, or up to 80 percent of 439 total projected implementation costs for an applicant under 440 subparagraph 3. The applicant must demonstrate the source of 441 funding it will use to cover the remainder of the total 442 projected implementation costs, which funding must be from 443 nonstate sources. 444 (c) Applications.— 445 1. The department shall set application periods to apply 446 for loans. The department may set multiple application periods 447 in a fiscal year, with up to four periods per year. The 448 department shall coordinate with the council when establishing 449 application periods to establish separate priority, in addition 450 to eligibility, within the loan applications for defined 451 categories based on the current focus area list. The department 452 shall publicize the availability of loans under the program to 453 stakeholders, education or training providers, and others. 454 2. Upon receipt of an application, the department shall 455 determine whether the application is complete and the applicant 456 has demonstrated the ability to repay the loan. Within 30 days 457 after the close of the application period, the department shall 458 forward all completed applications to the council for 459 consideration. 460 3. The council shall review applications for loans under 461 the criteria and pursuant to the processes and format adopted by 462 the department. The council shall submit to the department for 463 approval lists of applicants that it recommends for funding, 464 arranged in order of priority and as required for the 465 application period. 466 4. A loan applicant must demonstrate plans to use the funds 467 to implement one or more innovative technologies, workforce 468 pathways, service delivery models, or other solutions in order 469 to fill a demonstrated need; obtain or upgrade necessary 470 equipment, hardware, and materials; adopt new technologies or 471 systems; or a combination thereof which will improve the quality 472 and delivery of health care in measurable and sustainable ways 473 and which will lower costs and allow savings to be passed on to 474 health care consumers. 475 (d) Awards.— 476 1. The amount of each loan must be based upon demonstrated 477 need and availability of funds. The department may not award 478 more than 10 percent of the total allocated funds for the fiscal 479 year to a single loan applicant. 480 2. The interest rate for each loan may not exceed 1 481 percent. 482 3. The term of each loan is up to 10 years. 483 4. In order to equitably distribute limited state funding, 484 applicants may apply for and be awarded only one loan per fiscal 485 year. If a loan recipient has one or more outstanding loans at 486 any time, the recipient may apply for funding for a new loan if 487 the current loans are in good standing. 488 (e) Written agreement.— 489 1. Each loan recipient must enter into a written agreement 490 with the department to receive the loan. At a minimum, the 491 agreement with the applicant must specify all of the following: 492 a. The total amount of the award. 493 b. The performance conditions that must be met, based upon 494 the submitted proposal and the defined category or focus area, 495 as applicable. 496 c. The information to be reported on actual implementation 497 costs, including the share from nonstate resources. 498 d. The schedule for payment. 499 e. The data and progress reporting requirements and 500 schedule. 501 f. Any sanctions that would apply for failure to meet 502 performance conditions. 503 2. The department shall develop uniform data reporting 504 requirements for loan recipients to evaluate the performance of 505 the implemented proposals. Such data must be shared with the 506 council. 507 3. If requested, the department shall provide technical 508 assistance to loan recipients under the program. 509 (f) Loan repayment.—Loans become due and payable in 510 accordance with the terms of the written agreement. All 511 repayments of principal received by the department in a fiscal 512 year shall be returned to the revolving loan fund and made 513 available for loans to other applicants. 514 (g) Revolving loan fund.—The department shall create and 515 maintain a separate account in the Grants and Donations Trust 516 Fund within the department as a fund for the program. All 517 repayments of principal must be returned to the revolving loan 518 fund and made available as provided in this section. 519 Notwithstanding s. 216.301, funds appropriated for the revolving 520 loan program are not subject to reversion. The department may 521 contract with a third-party administrator to administer the 522 program, including loan servicing, and manage the revolving loan 523 fund. A contract for a third-party administrator which includes 524 management of the revolving loan fund must, at a minimum, 525 require maintenance of the revolving loan fund to ensure that 526 the program may operate in a revolving manner. 527 (8) REPORTING.—The department shall publish on its website 528 information related to loan recipients, including the written 529 agreements, performance conditions and their status, and the 530 total amount of loan funds disbursed to date. The department 531 shall update the information annually on the award date. The 532 department shall, beginning on September 1, 2025, and annually 533 thereafter, post on its website a report on this section for the 534 previous fiscal year which must include all of the following 535 information: 536 (a) A summary of the adoption and implementation of 537 recommendations of the council during the previous fiscal year. 538 (b) An evaluation of actions and related activities to meet 539 the purposes set forth in this section. 540 (c) Consolidated data based upon the uniform data reporting 541 by funding recipients and an evaluation of how the provision of 542 the loans has met the purposes set forth in this section. 543 (d) The number of applications for loans, the types of 544 proposals received, and an analysis on the relationship between 545 the proposals and the purposes of this section. 546 (e) The amount of funds allocated and awarded for each loan 547 application period, as well as any funds not awarded in that 548 period. 549 (f) The amount of funds paid out during the fiscal year and 550 any funds repaid or unused. 551 (g) The number of persons assisted and outcomes of any 552 technical assistance requested for loans and any federal, state, 553 or private funding opportunities. 554 (9) EVALUATION.— 555 (a) Beginning October 1, 2029, and every 5 years 556 thereafter, the Office of Economic and Demographic Research 557 (EDR) shall develop and present to the Governor, the President 558 of the Senate, and the Speaker of the House of Representatives a 559 comprehensive financial and economic evaluation of the 560 innovative solutions undertaken by the revolving loan program 561 administered under this section. The evaluation must include, 562 but need not be limited to, separate calculations of the state’s 563 return and the economic value to residents of this state, as 564 well as the identification of any cost savings to patients or 565 the state and the impact on the state’s health care workforce. 566 (b) Beginning October 1, 2030, and every 5 years 567 thereafter, the Office of Program Policy Analysis and Government 568 Accountability (OPPAGA) shall develop and present to the 569 Governor, the President of the Senate, and the Speaker of the 570 House of Representatives an evaluation of the administration and 571 efficiency of the revolving loan program administered under this 572 section. The evaluation must include, but need not be limited 573 to, the degree to which the collective proposals increased 574 efficiency in the health care system in this state, improved 575 patient outcomes, increased public access to health care, and 576 achieved the cost savings identified in paragraph (a) without 577 reducing the quality of patient care. 578 (c) Both the EDR and OPPAGA shall include recommendations 579 for consideration by the Legislature. The EDR and OPPAGA must be 580 given access to all data necessary to complete the evaluation, 581 including any confidential data. The offices may collaborate on 582 data collection and analysis. 583 (10) RULES.—The department shall adopt rules to implement 584 this section. 585 (11) EXPIRATION.—This section expires July 1, 2043. 586 Section 2. The Department of Health shall, and all 587 conditions are deemed met to, adopt emergency rules pursuant to 588 s. 120.54(4), Florida Statutes, for the purpose of implementing 589 s. 381.4015, Florida Statutes. Notwithstanding any other law, 590 emergency rules adopted pursuant to this section are effective 591 for 6 months after adoption and may be renewed during the 592 pendency of the procedure to adopt permanent rules addressing 593 the subject of the emergency rules. 594 Section 3. (1) For the 2023-2024 fiscal year, the sum of 595 $250,000 in nonrecurring funds from the General Revenue Fund is 596 appropriated to the Department of Health to implement and 597 administer the Health Care Innovation Council under s. 381.4015, 598 Florida Statutes. 599 (2) For the 2024-2025 fiscal year, the recurring sum of $1 600 million is appropriated from the General Revenue Fund to the 601 Department of Health to implement and administer the Health Care 602 Innovation Council under s. 381.4015, Florida Statutes. 603 (3) By August 1 of each year, beginning in the 2024-2025 604 fiscal year through the 2033-2034 fiscal year, the Chief 605 Financial Officer shall transfer $75 million in nonrecurring 606 funds from the General Revenue Fund to the Grants and Donations 607 Trust Fund within the Department of Health. Each year, beginning 608 in the 2024-2025 fiscal year through the 2033-2034 fiscal year, 609 the nonrecurring sum of $75 million is appropriated from the 610 Grants and Donations Trust Fund to the Department of Health for 611 the revolving loan fund created in s. 381.4015, Florida 612 Statutes. The department may use up to 3 percent of the 613 appropriated funds for administrative costs to implement the 614 revolving loan program. 615 Section 4. This act shall take effect upon becoming a law.