CODING: Words stricken are deletions; words underlined are additions.





                                                  SENATE AMENDMENT

    Bill No. CS/CS/CS/HB 349

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Gutman moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 83, between lines 23 and 24,

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16  insert:

17         Section 49.  Subsections (1), (2), and (5) of section

18  408.062, Florida Statutes, are amended to read:

19         408.062  Research, analyses, studies, and reports.--

20         (1)  The agency shall have the authority to conduct

21  research, analyses, and studies relating to health care costs

22  and access to and quality of health care services as access

23  and quality are affected by changes in health care costs.

24  Such research, analyses, and studies shall include, but not be

25  limited to, research and analysis relating to:

26         (a)  The financial status of any health care facility

27  or facilities subject to the provisions of this chapter.

28         (b)  The impact of uncompensated charity care on health

29  care facilities and health care providers.

30         (c)  The state's role in assisting to fund indigent

31  care.

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                                                  SENATE AMENDMENT

    Bill No. CS/CS/CS/HB 349

    Amendment No.    





 1         (d)  The availability and affordability of health

 2  insurance for small businesses.

 3         (e)  Total health care expenditures in the state

 4  according to the sources of payment and the type of

 5  expenditure.

 6         (f)  The quality of health services, using techniques

 7  such as small area analysis, severity adjustments, and

 8  risk-adjusted mortality rates.

 9         (g)  The development of an alternative uniform system

10  of financial reporting of gross revenues per adjusted

11  admission, based on the American Institute of Certified Public

12  Accounts' Hospital Audit and Accounting Guide, which also

13  measures the services provided by a hospital to charity,

14  medically indigent, and other underinsured patients.

15  Recommendations for the development of an alternative uniform

16  system of financial reporting shall be submitted to the

17  Legislature by July 1, 1993.

18         (h)  The development of physician payment systems which

19  are capable of taking into account the amount of resources

20  consumed and the outcomes produced in the delivery of care.

21         (i)  The impact of subacute admissions on hospital

22  revenues and expenses for purposes of calculating adjusted

23  admissions as defined in s. 408.07.

24         (j)  Increases in hospital emergency room charges since

25  1995, the impact on such charges from cost-shifting, coding

26  and billing practices, and ss. 641.513 and 409.9128, and the

27  effect of such charges on the cost of health care.

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29  (Redesignate subsequent sections.)

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                                                  SENATE AMENDMENT

    Bill No. CS/CS/CS/HB 349

    Amendment No.    





 1  ================ T I T L E   A M E N D M E N T ===============

 2  And the title is amended as follows:

 3         On page 4, line 21, after the word "appropriation;"

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 5  insert:

 6         authorizing the agency to conduct research and

 7         analysis relating to hospital emergency room

 8         charges;

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