Florida Senate - 2018                        COMMITTEE AMENDMENT
       Bill No. SB 510
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       The Committee on Health Policy (Young) recommended the
    1         Senate Amendment (with title amendment)
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 456.0495, Florida Statutes, is created
    6  to read:
    7         456.0495Reporting 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.
   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.