House Bill 0891e1

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






                                    CS/HB 891, First Engrossed/ntc



  1                      A bill to be entitled

  2         An act relating to health care; amending s.

  3         395.701, F.S.; exempting outpatient radiation

  4         therapy services provided by certain hospitals

  5         from the annual assessment on net operating

  6         revenues of such hospitals; amending s.

  7         395.7015, F.S.; removing freestanding radiation

  8         therapy centers from the annual assessment on

  9         net operating revenues of certain health care

10         entities; providing an effective date.

11

12  Be It Enacted by the Legislature of the State of Florida:

13

14         Section 1.  Subsection (6) is added to section 395.701,

15  Florida Statutes, to read:

16         395.701  Annual assessments on net operating revenues

17  to fund public medical assistance; administrative fines for

18  failure to pay assessments when due.--

19         Section 2.  Subsection (2) of section 395.7015, Florida

20  Statutes, is amended to read:

21         395.7015  Annual assessment on health care entities.--

22         (2)  There is hereby imposed an annual assessment

23  against certain health care entities as described in this

24  section:

25         (a)  The assessment shall be equal to 1.5 percent of

26  the annual net operating revenues of health care entities.

27         1.  The first assessment shall be due on April 30,

28  1992, and the second on April 30, 1993, and each shall be

29  based on the appropriate reports filed with the agency no

30  later than March 31 of the year the assessment is due.  By

31  January 1, 1992, the health care entity shall make a one-time


                                  1

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






                                    CS/HB 891, First Engrossed/ntc



  1  election to base the assessments on net operating revenue

  2  received in the health care entity's latest fiscal year ending

  3  on or before December 31, 1991, or December 31, 1992,

  4  respectively, or in the 12-month period ending March 31 of the

  5  year the assessment is due.  The assessment shall be payable

  6  to and collected by the agency.

  7         2.  Beginning July 1, 1993, assessments shall be based

  8  on annual net operating revenues for the entity's most

  9  recently completed fiscal year as provided in subsection (3).

10         (b)  For the purpose of this section, "health care

11  entities" include the following:

12         1.  Ambulatory surgical centers licensed under s.

13  395.003.

14         2.  Clinical laboratories licensed under s. 483.091,

15  excluding any hospital laboratory defined under s. 483.041(5),

16  any clinical laboratory operated by the state or a political

17  subdivision of the state, any clinical laboratory which

18  qualifies as an exempt organization under s. 501(c)(3) of the

19  Internal Revenue Code of 1986, as amended, and which receives

20  70 percent or more of its gross revenues from services to

21  charity patients or Medicaid patients, and any blood, plasma,

22  or tissue bank procuring, storing, or distributing blood,

23  plasma, or tissue either for future manufacture or research or

24  distributed on a nonprofit basis, and further excluding any

25  clinical laboratory which is wholly owned and operated by 6 or

26  fewer physicians who are licensed pursuant to chapter 458 or

27  chapter 459 and who practice in the same group practice, and

28  at which no clinical laboratory work is performed for patients

29  referred by any health care provider who is not a member of

30  the same group.

31


                                  2

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






                                    CS/HB 891, First Engrossed/ntc



  1         3.  Freestanding radiation therapy centers providing

  2  treatment through the use of radiation therapy machines that

  3  are registered under s. 404.22 and rules 10D-91.902,

  4  10D-91.903, and 10D-91.904 of the Florida Administrative Code.

  5         3.4.  Diagnostic-imaging centers that are freestanding

  6  outpatient facilities that provide specialized services for

  7  the identification or determination of a disease through

  8  examination and also provide sophisticated radiological

  9  services, and in which services are rendered by a physician

10  licensed by the Board of Medicine under s. 458.311, s.

11  458.313, or s. 458.317, or by an osteopathic physician

12  licensed by the Board of Osteopathic Medicine under s.

13  459.006, s. 459.007, or s. 459.0075.  For purposes of this

14  paragraph, "sophisticated radiological services" means the

15  following:  magnetic resonance imaging; nuclear medicine;

16  angiography; arteriography; computed tomography; positron

17  emission tomography; digital vascular imaging; bronchography;

18  lymphangiography; splenography; ultrasound, excluding

19  ultrasound providers that are part of a private physician's

20  office practice or when ultrasound is provided by two or more

21  physicians licensed under chapter 458 or chapter 459 who are

22  members of the same professional association and who practice

23  in the same medical specialties; and such other sophisticated

24  radiological services, excluding mammography, as adopted in

25  rule by the board.

26         Section 3.  There is hereby appropriated $1,040,000

27  from General Revenue Fund to the Agency for Health

28  Administration to implement this act.

29         Section 4.  This act shall take effect July 1, 1998.

30

31


                                  3