CODING: Words stricken are deletions; words underlined are additions.
SENATE AMENDMENT
Bill No. SB 1962
Amendment No.
CHAMBER ACTION
Senate House
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11 Senator Rossin moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 1, line 30, through
15 page 2, line 13, delete those lines
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18 (g) A memory disorder center located in a public
19 hospital that is operated by an independent special hospital
20 taxing district that governs multiple hospitals and is located
21 in a county with a population greater than 800,000 persons;
22 (h) A memory disorder clinic at St. Mary's Medical
23 Center in Palm Beach County; and
24 (i) A memory disorder clinic at Tallahassee Memorial
25 Regional Medical Center,
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27 for the purpose of conducting research and training in a
28 diagnostic and therapeutic setting for persons suffering from
29 Alzheimer's disease and related memory disorders. However,
30 memory disorder clinics funded as of June 30, 1995, shall not
31 receive decreased funding due solely to subsequent additions
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1 of memory disorder clinics in this subsection.
2 (4) Pursuant to the provisions of s. 287.057, the
3 Department of Elderly Affairs may shall contract for the
4 provision of three specialized model day care programs in
5 conjunction with the each memory disorder clinics clinic. The
6 purpose of each model day care program must be to provide
7 service delivery to persons suffering from Alzheimer's disease
8 or a related memory disorder and training for health care and
9 social service personnel in the care of persons having
10 Alzheimer's disease or related memory disorders.
11 Section 2. Section 430.707, Florida Statutes, is
12 amended to read:
13 430.707 Contracts.--
14 (1) The department, in consultation with the agency,
15 shall select and contract with managed care organizations to
16 provide long-term care within community diversion pilot
17 project areas.
18 (2) The department, together with the agency, may
19 contract with entities which have submitted an application as
20 a community nursing home diversion project to provide benefits
21 pursuant to the "Program for All-Inclusive Care for the
22 Elderly" as established in Pub. L. No. 105-33. For the
23 purposes of this community nursing home diversion project,
24 such an entity shall be exempt from the requirements of
25 chapter 641 until December 31,2001, if the entity submits an
26 application to the department by July 1, 1998, and is a
27 private, nonprofit, superior-rated nursing home with at least
28 50 percent of its residents eligible for Medicaid.
29 Section 3. (1) There is hereby created the Panel for
30 the Study of End-of-Life Care, which shall be located in the
31 Pepper Institute on Aging and Public Policy at Florida State
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1 University, to study the issues related to care provided to
2 persons at the end of life.
3 (2) The panel shall be composed of 22 persons, as
4 follows:
5 (a) Two persons who are representatives of hospice
6 organizations, and one consumer, to be appointed by the
7 Florida Hospice Association.
8 (b) Three persons who are representatives of nursing
9 homes and assisted living facilities and who have the
10 expertise necessary to participate in the work of the panel.
11 Two of these persons shall be appointed by the Florida Health
12 Care Association and one by the Florida Association of Homes
13 for the Aging.
14 (c) Three persons who are representatives of hospitals
15 and who have the expertise necessary to participate in the
16 work of the panel, one each to be appointed by the Florida
17 Hospital Association, the Florida League of Health Systems,
18 and the Association of Community Hospitals and Health Systems
19 of Florida, Inc.
20 (d) One member each to be appointed by the Florida
21 Medical Association, the Board of Medicine, the Board of
22 Osteopathic Medicine, The Florida Bar, and the Florida Nurses
23 Association, who have the expertise necessary to participate
24 in the work of the panel.
25 (e) One member of the Florida Senate appointed by the
26 President of the Senate and one member of the Florida House of
27 Representatives appointed by the Speaker of the House.
28 (f) One representative of the Aging with Dignity
29 Commission.
30 (g) Two representatives appointed by the Pepper
31 Institute, including a member of the clergy, with the
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1 expertise necessary to participate in the work of the panel.
2 (h) One representative from the Health Quality
3 Assurance Division of the Agency for Health Care
4 Administration with expertise in the regulation of long-term
5 care facilities.
6 (i) The Secretary of Elder Affairs, and one consumer
7 representative appointed by the secretary.
8 (3) The members of the panel shall be appointed by
9 July 1, 1998, and shall hold an initial meeting of the panel
10 by August 1, 1998. All expenses of the panel, including travel
11 and per diem expenses, shall be paid by the entities
12 appointing members pursuant to subsection (2), in proportion
13 to the number of members appointed by them. The Pepper
14 Institute shall provide such staff support for the panel as is
15 requested by the panel. The panel shall hold such hearings as
16 it deems appropriate to receive public testimony as to its
17 proposed recommendations and findings. Notice of all meetings
18 of the panel and of its public hearings shall be provided in
19 the Florida Administrative Weekly.
20 (4) The panel is directed to study issues related to
21 the care provided to persons at the end of life. Issues
22 considered by the panel shall include:
23 (a) Methods to ensure that pain management is a goal
24 in each health care setting.
25 (b) The identification of barriers that hinder health
26 care professionals from providing satisfactory pain management
27 and palliative care.
28 (c) Whether mandatory education in pain management and
29 palliative care should be required as a condition for
30 licensure or relicensure of health care professionals. The
31 Pepper Institute shall consult with health care professional
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1 licensing boards in completing this phase of the study.
2 (d) The current use of advance directives, to
3 determine whether changes are necessary to ensure that, once
4 prepared, advance directives will be honored in any health
5 care setting.
6 (e) The regulatory and financial incentives that
7 influence the site or setting of care and of care providers.
8 (5) The panel shall submit an interim report by
9 January 31, 1999, and a final report by August 1, 1999, to the
10 Governor, the President of the Senate, and the Speaker of the
11 House of Representatives.
12 (6) This section shall stand repealed effective August
13 1, 1999.
14 Section 4. This act shall take effect July 1 of the
15 year in which enacted.
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19 And the title is amended as follows:
20 On page 1, lines 2-4, delete those lines
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22 and insert:
23 An act relating to health care; amending s.
24 430.502, F.S.; establishing additional memory
25 disorder clinics; revising authority of the
26 Department of Elderly Affairs with respect to
27 contracts for specialized model day care
28 programs at such clinics; amending s. 430.707,
29 F.S.; authorizing the department together with
30 the agency to contract for certain services;
31 exempting certain providers from the provisions
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1 of ch. 641, F.S.; creating the Panel for the
2 Study of End-of-Life Care; providing for
3 membership and duties; requiring a report;
4 providing for future repeal;
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