Florida Senate - 2025                                    SB 1588
       
       
        
       By Senator Simon
       
       
       
       
       
       3-00912A-25                                           20251588__
    1                        A bill to be entitled                      
    2         An act relating to the Agency for Health Care
    3         Administration; amending s. 408.05, F.S.; deleting the
    4         State Consumer Health Information and Policy Advisory
    5         Council; amending s. 429.177, F.S.; defining the term
    6         “memory care services”; requiring memory care
    7         providers to follow specified standards of operation
    8         in providing memory care services; providing
    9         applicability; providing requirements for resident
   10         contracts; providing requirements for memory care
   11         facilities; prohibiting certain facilities from
   12         advertising, representing, or holding themselves out
   13         as memory care providers unless such facilities meet
   14         specified criteria; repealing s. 429.178, F.S.,
   15         relating to special care for persons with Alzheimer’s
   16         disease or other related disorders; amending s.
   17         627.4236, F.S.; deleting rulemaking authority;
   18         providing effective dates.
   19          
   20  Be It Enacted by the Legislature of the State of Florida:
   21  
   22         Section 1. Paragraph (g) of subsection (3) and subsection
   23  (6) of section 408.05, Florida Statutes, are amended to read:
   24         408.05 Florida Center for Health Information and
   25  Transparency.—
   26         (3) HEALTH INFORMATION TRANSPARENCY.—In order to
   27  disseminate and facilitate the availability of comparable and
   28  uniform health information, the agency shall perform the
   29  following functions:
   30         (g) Consult with contracted vendors, the State Consumer
   31  Health Information and Policy Advisory Council, and other public
   32  and private users regarding the types of data that should be
   33  collected and the use of such data.
   34         (6) STATE CONSUMER HEALTH INFORMATION AND POLICY ADVISORY
   35  COUNCIL.—
   36         (a) There is established in the agency the State Consumer
   37  Health Information and Policy Advisory Council to assist the
   38  center. The council consists of the following members:
   39         1. An employee of the Executive Office of the Governor, to
   40  be appointed by the Governor.
   41         2. An employee of the Office of Insurance Regulation, to be
   42  appointed by the director of the office.
   43         3. An employee of the Department of Education, to be
   44  appointed by the Commissioner of Education.
   45         4. Ten persons, to be appointed by the Secretary of Health
   46  Care Administration, representing other state and local
   47  agencies, state universities, business and health coalitions,
   48  local health councils, professional health-care-related
   49  associations, consumers, and purchasers.
   50         (b) Each member of the council shall be appointed to serve
   51  for a term of 2 years following the date of appointment. A
   52  vacancy shall be filled by appointment for the remainder of the
   53  term, and each appointing authority retains the right to
   54  reappoint members whose terms of appointment have expired.
   55         (c) The council may meet at the call of its chair, at the
   56  request of the agency, or at the request of a majority of its
   57  membership, but the council must meet at least quarterly.
   58         (d) Members shall elect a chair and vice chair annually.
   59         (e) A majority of the members constitutes a quorum, and the
   60  affirmative vote of a majority of a quorum is necessary to take
   61  action.
   62         (f) The council shall maintain minutes of each meeting and
   63  shall make such minutes available to any person.
   64         (g) Members of the council shall serve without compensation
   65  but shall be entitled to receive reimbursement for per diem and
   66  travel expenses as provided in s. 112.061.
   67         (h) The council’s duties and responsibilities include, but
   68  are not limited to, the following:
   69         1. To develop a mission statement, goals, and a plan of
   70  action for the identification, collection, standardization,
   71  sharing, and coordination of health-related data across federal,
   72  state, and local government and private sector entities.
   73         2. To develop a review process to ensure cooperative
   74  planning among agencies that collect or maintain health-related
   75  data.
   76         3. To create ad hoc issue-oriented technical workgroups on
   77  an as-needed basis to make recommendations to the council.
   78         Section 2. Effective January 1, 2026, section 429.177,
   79  Florida Statutes, is amended to read:
   80         429.177 Patients with Alzheimer’s disease, dementia, or
   81  other memory related disorders; certain disclosures; minimum
   82  standards.—
   83         (1) “Memory care services” means specialized or focused
   84  care and services designed to address health or behavioral
   85  issues resulting from Alzheimer’s disease, dementia, or other
   86  memory disorders.
   87         (2)(a) A facility that advertises itself as a memory care
   88  provider or otherwise claims that the facility provides memory
   89  care services, including, but not limited to, services for
   90  residents with Alzheimer’s disease, dementia, or other memory
   91  disorders, must meet all of the following standards of operation
   92  for such services:
   93         1. Develop and implement policies and procedures addressing
   94  all of the following:
   95         a. Admittance criteria.
   96         b. Care and services necessary to address the needs of
   97  persons admitted for memory care services.
   98         2. Provide activities specifically designed and offered for
   99  persons admitted for memory care services.
  100         3. Maintain a current and accurate log of residents
  101  admitted as receiving memory care services.
  102         (b) The standards in paragraph (a) apply to any unit
  103  designated for the provision of memory care services or to a
  104  facility that provides memory care services to any resident
  105  admitted and requiring such services.
  106         (3) In addition to the requirements of s. 429.24, resident
  107  contracts must specify all memory care services to be provided
  108  and any related costs should those costs exceed standard room
  109  and board.
  110         (4) In addition to the requirements of s. 429.26(7), for
  111  persons residing in a memory care facility, the facility shall:
  112         (a) Notify a licensed physician when a resident has a
  113  change of condition specific to increased or more severe
  114  dementia or other memory disorder to ensure that appropriate
  115  care is provided to the resident. The notification must occur
  116  within 30 days after the acknowledgement of such changes in
  117  condition by facility staff.
  118         (b) If a change in the resident’s condition is determined
  119  to exist, notify the resident’s representative or designee and
  120  assist in making appointments for the necessary care and
  121  services for treatment of the change in condition.
  122         (c) If the resident does not have a representative or
  123  designee, or if the resident’s representative or designee cannot
  124  be located or is unresponsive, arrange with the appropriate
  125  health care provider for the necessary care and services for
  126  treatment of the change in condition.
  127         (5)(a) The memory care facility or unit, if a memory care
  128  provider has a specific unit designated for memory care
  129  services, must have at least one staff member present to provide
  130  care and services at all times. The staff member shall:
  131         1. Stay awake at all times while on duty.
  132         2. Meet any training requirements specified by statute or
  133  rule for assisted living facilities, including the training and
  134  continuing education requirements of s. 430.5025.
  135         3. Be certified in first aid and cardiopulmonary
  136  resuscitation.
  137         (b) A staff member administering medication or providing
  138  assistance with the self-administration of medication may not be
  139  considered as the sole staff member toward the staffing
  140  requirement while engaged in these tasks.
  141         (6) A facility licensed under this part which claims that
  142  it provides special care for persons who have Alzheimer’s
  143  disease, dementia, or other memory related disorders must
  144  disclose in its advertisements or in a separate document those
  145  services that distinguish the care as being especially
  146  applicable to, or suitable for, such persons. The facility must
  147  give a copy of all such advertisements or a copy of the document
  148  to each person who requests information about programs and
  149  services for persons with Alzheimer’s disease, dementia, or
  150  other memory related disorders offered by the facility and must
  151  maintain a copy of all such advertisements and documents in its
  152  records. The agency shall examine all such advertisements and
  153  documents in the facility’s records as part of the license
  154  renewal procedure.
  155         Section 3. Effective January 1, 2026, section 429.178,
  156  Florida Statutes, is repealed.
  157         Section 4. Subsection (3) of section 627.4236, Florida
  158  Statutes, is amended to read:
  159         627.4236 Coverage for bone marrow transplant procedures.—
  160         (3)(a) The Agency for Health Care Administration shall
  161  adopt rules specifying the bone marrow transplant procedures
  162  that are accepted within the appropriate oncological specialty
  163  and are not experimental for purposes of this section. The rules
  164  must be based upon recommendations of an advisory panel
  165  appointed by the secretary of the agency, composed of:
  166         1. One adult oncologist, selected from a list of three
  167  names recommended by the Florida Medical Association;
  168         2. One pediatric oncologist, selected from a list of three
  169  names recommended by the Florida Pediatric Society;
  170         3. One representative of the J. Hillis Miller Health Center
  171  at the University of Florida;
  172         4. One representative of the H. Lee Moffitt Cancer Center
  173  and Research Institute, Inc.;
  174         5. One consumer representative, selected from a list of
  175  three names recommended by the Chief Financial Officer;
  176         6. One representative of the Health Insurance Association
  177  of America;
  178         7. Two representatives of health insurers, one of whom
  179  represents the insurer with the largest Florida health insurance
  180  premium volume and one of whom represents the insurer with the
  181  second largest Florida health insurance premium volume; and
  182         8. One representative of the insurer with the largest
  183  Florida small group health insurance premium volume.
  184         (b) The director shall also appoint a member of the
  185  advisory panel to serve as chairperson.
  186         (c) The agency shall provide, within existing resources,
  187  staff support to enable the panel to carry out its
  188  responsibilities under this section.
  189         (d) In making recommendations and adopting rules under this
  190  section, the advisory panel and the director shall:
  191         1. Take into account findings, studies, or research of the
  192  federal Agency for Health Care Policy, National Cancer
  193  Institute, National Academy of Sciences, Health Care Financing
  194  Administration, and Congressional Office of Technology
  195  Assessment, and any other relevant information.
  196         2. Consider whether the federal Food and Drug
  197  Administration or National Cancer Institute is conducting or
  198  sponsoring assessment procedures to determine the safety and
  199  efficacy of the procedure or substantially similar procedures,
  200  or of any part of such procedures.
  201         3. Consider practices of providers with respect to
  202  requesting or requiring patients to sign a written
  203  acknowledgment that a bone marrow transplant procedure is
  204  experimental.
  205         (e) The advisory panel shall conduct, at least biennially,
  206  a review of scientific evidence to ensure that its
  207  recommendations are based on current research findings and that
  208  insurance policies offer coverage for the latest medically
  209  acceptable bone marrow transplant procedures.
  210         Section 5. Except as otherwise expressly provided in this
  211  act, this act shall take effect July 1, 2025.