Florida Senate - 2018 COMMITTEE AMENDMENT Bill No. SB 510 Ì103896PÎ103896 LEGISLATIVE ACTION Senate . House . . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Health Policy (Young) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Section 456.0495, Florida Statutes, is created 6 to read: 7 456.0495 Reporting adverse incidents occurring in planned 8 out-of-hospital births.— 9 (1) For purposes of this section, the term “adverse 10 incident” means an event over which a physician licensed under 11 chapter 458 or chapter 459, a nurse midwife certified under part 12 I of chapter 464, or a midwife licensed under chapter 467 could 13 exercise control and which is associated with an attempted or 14 completed planned out-of-hospital birth, and results in one or 15 more of the following injuries or conditions: 16 (a) A maternal death that occurs during delivery or within 17 42 days after delivery; 18 (b) The transfer of a maternal patient to a hospital 19 intensive care unit; 20 (c) A maternal patient who experiences hemorrhagic shock or 21 who requires a transfusion of more than 4 units of blood or 22 blood products; 23 (d) A fetal or newborn death, including a stillbirth, 24 associated with an obstetrical delivery; 25 (e) A transfer of a newborn to a neonatal intensive care 26 unit due to a traumatic physical or neurological birth injury, 27 including any degree of a brachial plexus injury; 28 (f) A transfer of a newborn to a neonatal intensive care 29 unit within the first 72 hours after birth if the newborn 30 remains in such unit for more than 72 hours; or 31 (g) Any other injury as determined by department rule. 32 (2) A physician licensed under chapter 458 or chapter 459, 33 a nurse midwife certified under part I of chapter 464 or, a 34 midwife licensed under chapter 467 who performs an attempted or 35 completed planned out-of-hospital birth must report an adverse 36 incident, along with a medical summary of events, to the 37 department within 15 days after the adverse incident occurs. 38 (3) The department shall review each incident report and 39 determine whether the incident involves conduct by a health care 40 practitioner which is subject to disciplinary action under s. 41 456.073. Disciplinary action, if any, must be taken by the 42 appropriate regulatory board or by the department if no such 43 board exists. 44 (4) The department shall adopt rules to implement this 45 section and shall develop a form to be used for the reporting of 46 adverse incidents. 47 Section 2. This act shall take effect upon becoming law. 48 49 ================= T I T L E A M E N D M E N T ================ 50 And the title is amended as follows: 51 Delete everything before the enacting clause 52 and insert: 53 A bill to be entitled 54 An act relating to reporting of adverse incidents in 55 planned out-of-hospital births; creating s. 456.0495, 56 F.S.; defining the term “adverse incident”; requiring 57 licensed physicians, certified nurse midwives, and 58 licensed midwives to report an adverse incident and a 59 medical summary of events to the Department of Health 60 within a specified timeframe; requiring the department 61 to review adverse incident reports and determine if 62 conduct occurred that is subject to disciplinary 63 action; requiring the appropriate regulatory board or 64 the department to take disciplinary action under 65 certain circumstances; requiring the department to 66 adopt rules; requiring the department to develop a 67 form to be used for the reporting of adverse 68 incidents; providing an effective date.