Florida Senate - 2025 COMMITTEE AMENDMENT
Bill No. CS for SB 890
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LEGISLATIVE ACTION
Senate . House
Comm: RCS .
04/23/2025 .
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The Committee on Fiscal Policy (Yarborough) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. This act may be cited as the “Emily Adkins
6 Family Protection Act.”
7 Section 2. Subsection (1) of section 385.102, Florida
8 Statutes, is amended to read:
9 385.102 Legislative intent.—It is the finding of the
10 Legislature that:
11 (1) Chronic diseases exist in high proportions among the
12 people of this state. These chronic diseases include, but are
13 not limited to, heart disease, hypertension, diabetes, renal
14 disease, chronic obstructive pulmonary disease, cancer, chronic
15 critical illness, and genetic predisposition for developing
16 venous thromboembolisms chronic obstructive lung disease. These
17 diseases are often interrelated, and they directly and
18 indirectly account for a high rate of death and illness.
19 Section 3. Subsection (5) is added to section 395.1012,
20 Florida Statutes, to read:
21 395.1012 Patient safety.—
22 (5) Each hospital with an emergency department and each
23 ambulatory surgical center must:
24 (a) Develop and implement policies and procedures for the
25 rendering of appropriate medical attention for persons at risk
26 of forming venous thromboembolisms which reflect evidence-based
27 best practices relating to, at a minimum:
28 1. Assessing patients for risk of venous thromboembolism
29 using a nationally recognized risk assessment tool.
30 2. Treatment options for a patient diagnosed with venous
31 thromboembolism.
32 (b) Train all nonphysician personnel at least annually on
33 the policies and procedures developed under this subsection. For
34 purposes of this subsection, the term “nonphysician personnel”
35 means all personnel of the licensed facility working in clinical
36 areas and providing patient care, except those persons licensed
37 as health care practitioners.
38 Section 4. Section 395.3042, Florida Statutes, is created
39 to read:
40 395.3042 Statewide venous thromboembolism registry.—
41 (1)(a) The department shall contract with a private entity,
42 that meets all of the conditions of paragraph (b), to establish
43 and maintain, at no cost to the state, a statewide venous
44 thromboembolism registry to ensure that the performance measures
45 required to be submitted under subsection (2) are maintained and
46 available for use to improve or modify the venous
47 thromboembolism care system, ensure compliance with nationally
48 recognized guidelines, and monitor venous thromboembolism
49 patient outcomes.
50 (b) The private entity must:
51 1. Be a not-for-profit corporation qualified as tax-exempt
52 under s. 501(c)(3) of the Internal Revenue Code.
53 2. Have existed for at least 15 consecutive years with a
54 mission of advancing the prevention, early diagnosis, and
55 successful treatment of blood clots.
56 3. Have experience operating a medical registry with at
57 least 25,000 participants.
58 4. Have experience in providing continuing education on
59 venous thromboembolism to medical professionals.
60 5. Have sponsored a public health education campaign on
61 venous thromboembolism.
62 6. Be affiliated with a medical and scientific advisory
63 board.
64 (2) Beginning July 1, 2026, each hospital with an emergency
65 department shall regularly report to the statewide venous
66 thromboembolism registry information containing nationally
67 recognized venous thromboembolism measures and data on the
68 incidence and prevalence of venous thromboembolisms. Such data
69 must include the following information:
70 (a) The number of venous thromboembolisms identified and
71 diagnosed.
72 (b) The age of the patient.
73 (c) The zip code of the patient.
74 (d) The sex of the patient.
75 (e) Whether the patient is a resident of a licensed nursing
76 home or assisted living facility.
77 (f) Whether the venous thromboembolism was fatal.
78 (g) How the diagnosis was made, such as by using imaging
79 modalities.
80 (h) The treatment that was recommended for the venous
81 thromboembolism.
82 (3) The department shall require the contracted private
83 entity to use a nationally recognized platform to collect data
84 from each hospital with an emergency department on the
85 performance measures required under subsection (2). The
86 contracted private entity shall provide regular reports to the
87 department on the data collected.
88 (4) By March 1, 2026, the department shall submit to the
89 Governor, the President of the Senate, and the Speaker of the
90 House of Representatives a detailed report on the incidence of
91 venous thromboembolism using inpatient and outpatient data for
92 services provided between July 1, 2024, and July 1, 2025. The
93 report must provide analyses of all of the following:
94 (a) Age category, initial primary diagnosis and procedure,
95 and secondary diagnoses, readmission rates for inpatients,
96 admission rates for venous thromboembolism for which the patient
97 had an ambulatory surgery procedure, and emergency department
98 visits for venous thromboembolism linked to any previous
99 admission.
100 (b) Whether the venous thromboembolism was present upon
101 admission.
102 (c) The incidence of venous thromboembolism procedures
103 reported on the department’s website.
104 (d) The principal payor, the sex of the patient, and the
105 patient’s discharge status.
106 (5) The contracted private entity operating the registry
107 may only use or publish information from the registry for the
108 purposes of advancing medical research or medical education in
109 the interest of reducing morbidity or mortality.
110 Section 5. Subsection (4) and paragraph (a) of subsection
111 (5) of section 400.211, Florida Statutes, are amended to read:
112 400.211 Persons employed as nursing assistants;
113 certification requirement; qualified medication aide designation
114 and requirements.—
115 (4) When employed by a nursing home facility for a 12-month
116 period or longer, a nursing assistant, to maintain
117 certification, shall submit to a performance review every 12
118 months and must receive regular inservice education based on the
119 outcome of such reviews. The inservice training must:
120 (a) Be sufficient to ensure the continuing competence of
121 nursing assistants and must meet the standard specified in s.
122 464.203(7);
123 (b) Include, at a minimum:
124 1. Techniques for assisting with eating and proper feeding;
125 2. Principles of adequate nutrition and hydration;
126 3. Techniques for assisting and responding to the
127 cognitively impaired resident or the resident with difficult
128 behaviors;
129 4. Techniques for caring for the resident at the end-of
130 life; and
131 5. Recognizing changes that place a resident at risk for
132 pressure ulcers and falls; and
133 6. For direct care staff, recognizing signs and symptoms of
134 venous thromboembolism and techniques for providing an emergency
135 response; and
136 (c) Address areas of weakness as determined in nursing
137 assistant performance reviews and may address the special needs
138 of residents as determined by the nursing home facility staff.
139
140 Costs associated with this training may not be reimbursed from
141 additional Medicaid funding through interim rate adjustments.
142 (5) A nursing home, in accordance with chapter 464 and
143 rules adopted pursuant to this section, may authorize a
144 registered nurse to delegate tasks, including medication
145 administration, to a certified nursing assistant who meets the
146 requirements of this subsection.
147 (a) In addition to the initial 6-hour training course and
148 determination of competency required under s. 464.2035, to be
149 eligible to administer medication to a resident of a nursing
150 home facility, a certified nursing assistant must:
151 1. Hold a clear and active certification from the
152 Department of Health for a minimum of 1 year immediately
153 preceding the delegation;
154 2. Complete an additional 34-hour training course approved
155 by the Board of Nursing in medication administration and
156 associated tasks, including, but not limited to, blood glucose
157 level checks, dialing oxygen flow meters to prescribed settings,
158 and assisting with continuous positive airway pressure devices,
159 and identifying signs and symptoms of venous thromboembolism and
160 how to assist with a response protocol; and
161 3. Demonstrate clinical competency by successfully
162 completing a supervised clinical practice in medication
163 administration and associated tasks conducted in the facility.
164 Section 6. Section 429.55, Florida Statutes, is amended to
165 read:
166 429.55 Consumer information website.—
167 (1) CONSUMER INFORMATION WEBSITE.—The Legislature finds
168 that consumers need additional information on the quality of
169 care and service in assisted living facilities in order to
170 select the best facility for themselves or their loved ones.
171 Therefore, the Agency for Health Care Administration shall
172 create content that is easily accessible through the home page
173 of the agency’s website either directly or indirectly through
174 links to one or more other established websites of the agency’s
175 choosing. The website must be searchable by facility name,
176 license type, city, or zip code. By November 1, 2015, the agency
177 shall include all content in its possession on the website and
178 add content when received from facilities. At a minimum, the
179 content must include:
180 (a)(1) Information on each licensed assisted living
181 facility, including, but not limited to:
182 1.(a) The name and address of the facility.
183 2.(b) The name of the owner or operator of the facility.
184 3.(c) The number and type of licensed beds in the facility.
185 4.(d) The types of licenses held by the facility.
186 5.(e) The facility’s license expiration date and status.
187 6.(f) The total number of clients that the facility is
188 licensed to serve and the most recently available occupancy
189 levels.
190 7.(g) The number of private and semiprivate rooms offered.
191 8.(h) The bed-hold policy.
192 9.(i) The religious affiliation, if any, of the assisted
193 living facility.
194 10.(j) The languages spoken by the staff.
195 11.(k) Availability of nurses.
196 12.(l) Forms of payment accepted, including, but not
197 limited to, Medicaid, Medicaid long-term managed care, private
198 insurance, health maintenance organization, United States
199 Department of Veterans Affairs, CHAMPUS program, or workers’
200 compensation coverage.
201 13.(m) Indication if the licensee is operating under
202 bankruptcy protection.
203 14.(n) Recreational and other programs available.
204 15.(o) Special care units or programs offered.
205 16.(p) Whether the facility is a part of a retirement
206 community that offers other services pursuant to this part or
207 part III of this chapter, part II or part III of chapter 400, or
208 chapter 651.
209 17.(q) Links to the State Long-Term Care Ombudsman Program
210 website and the program’s statewide toll-free telephone number.
211 18.(r) Links to the websites of the providers.
212 19.(s) Other relevant information that the agency currently
213 collects.
214 (b)(2) Survey and violation information for the facility,
215 including a list of the facility’s violations committed during
216 the previous 60 months, which on July 1, 2015, may include
217 violations committed on or after July 1, 2010. The list shall be
218 updated monthly and include for each violation:
219 1.(a) A summary of the violation, including all licensure,
220 revisit, and complaint survey information, presented in a manner
221 understandable by the general public.
222 2.(b) Any sanctions imposed by final order.
223 3.(c) The date the corrective action was confirmed by the
224 agency.
225 (c)(3) Links to inspection reports that the agency has on
226 file.
227 (2) VTE CONSUMER INFORMATION.—
228 (a) The Legislature finds that many PEs are preventable and
229 that information about the prevalence of the disease could save
230 lives.
231 (b) The term “pulmonary embolism (PE)” means a condition in
232 which part of the clot breaks off and travels to the lungs,
233 possibly causing death.
234 (c) The term “venous thromboembolism (VTE)” means deep vein
235 thrombosis (DVT), which is a blood clot located in a deep vein,
236 usually in the leg or arm. The term can be used to refer to DVT,
237 pulmonary embolism, or both.
238 (d) Assisted living facilities must provide a consumer
239 information pamphlet to residents upon admission. The pamphlet
240 must contain information about VTE, risk factors, and how
241 residents can recognize the signs and symptoms of VTE.
242
243 The agency may adopt rules to administer this section.
244 Section 7. This act shall take effect July 1, 2025.
245
246 ================= T I T L E A M E N D M E N T ================
247 And the title is amended as follows:
248 Delete everything before the enacting clause
249 and insert:
250 A bill to be entitled
251 An act relating to improving screening for and
252 treatment of blood clots; providing a short title;
253 amending s. 385.102, F.S.; revising legislative
254 findings under the Chronic Diseases Act; amending s.
255 395.1012, F.S.; requiring hospitals with emergency
256 departments and ambulatory surgical centers to develop
257 and implement policies and procedures and conduct
258 training for the rendering of appropriate medical
259 attention for persons at risk of forming venous
260 thromboembolisms; creating s. 395.3042, F.S.;
261 requiring the Department of Health to contract with a
262 private entity to establish a statewide venous
263 thromboembolism registry at no cost to the state;
264 providing requirements for the private entity;
265 requiring hospitals with an emergency department,
266 beginning on a date certain, to regularly report
267 certain information to the statewide venous
268 thromboembolism registry; requiring the department to
269 require the private entity to use a nationally
270 recognized platform to collect certain data; requiring
271 the private entity to provide regular reports to the
272 department on such data; requiring the department, by
273 a date certain, to provide to the Governor and the
274 Legislature a specified report; providing requirements
275 for such report; providing applicability; amending s.
276 400.211, F.S.; revising requirements for certain
277 annual inservice training for certified nursing
278 assistants employed by nursing home facilities;
279 revising training requirements for certain certified
280 nursing assistants who may be delegated tasks in
281 nursing home facilities; amending s. 429.55, F.S.;
282 providing legislative findings; defining terms;
283 requiring assisted living facilities to provide a
284 consumer information pamphlet containing specified
285 information to residents; providing an effective date.