| 1 | The Conference Committee on HB 1863 offered the following: |
| 2 |
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| 3 | Conference Committee Amendment (with title amendment) |
| 4 | Remove everything after the enacting clause and insert: |
| 5 | Section 1. Section 216.341, Florida Statutes, is |
| 6 | renumbered as section 216.2625, Florida Statutes, and amended to |
| 7 | read: |
| 8 | 216.2625 216.341 Disbursement of Department of Health |
| 9 | county health department trust funds; appropriation of |
| 10 | authorized positions.-- |
| 11 | (1) Funds from the County Health Department Trust Fund |
| 12 | County health department trust funds may be expended by the |
| 13 | Department of Health for the respective county health |
| 14 | departments in accordance with budgets and plans agreed upon by |
| 15 | the county authorities of each county and the Department of |
| 16 | Health. |
| 17 | (2) The requirement limitations on appropriations provided |
| 18 | in s. 216.262(1) that the total number of authorized positions |
| 19 | must be appropriated shall not apply to Department of Health |
| 20 | positions funded by: |
| 21 | (a) The County Health Department Trust Fund; or County |
| 22 | health department trust funds |
| 23 | (b) The United States Trust Fund. |
| 24 | Section 2. Paragraph (k) of subsection (2) of section |
| 25 | 381.0066, Florida Statutes, is amended to read: |
| 26 | 381.0066 Onsite sewage treatment and disposal systems; |
| 27 | fees.-- |
| 28 | (2) The minimum fees in the following fee schedule apply |
| 29 | until changed by rule by the department within the following |
| 30 | limits: |
| 31 | (k) Research: An additional $5 fee shall be added to each |
| 32 | new system construction permit issued during fiscal years 1996- |
| 33 | 2004 to be used to fund for onsite sewage treatment and disposal |
| 34 | system research, demonstration, and training projects. Five |
| 35 | dollars from any repair permit fee collected under this section |
| 36 | shall be used for funding the hands-on training centers |
| 37 | described in s. 381.0065(3)(j). |
| 38 |
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| 39 | The funds collected pursuant to this subsection must be |
| 40 | deposited in a trust fund administered by the department, to be |
| 41 | used for the purposes stated in this section and ss. 381.0065 |
| 42 | and 381.00655. |
| 43 | Section 3. Subsection (2) and paragraph (g) of subsection |
| 44 | (3) of section 383.14, Florida Statutes, are amended, and |
| 45 | paragraph (h) is added to subsection (3) of said section, to |
| 46 | read: |
| 47 | 383.14 Screening for metabolic disorders, other hereditary |
| 48 | and congenital disorders, and environmental risk factors.-- |
| 49 | (2) RULES.--After consultation with the Genetics and |
| 50 | Infant Screening Advisory Council, the department shall adopt |
| 51 | and enforce rules requiring that every infant born in this state |
| 52 | shall, prior to becoming 2 weeks of age, be subjected to a test |
| 53 | for phenylketonuria and, at the appropriate age, be tested for |
| 54 | such other metabolic diseases and hereditary or congenital |
| 55 | disorders as the department may deem necessary from time to |
| 56 | time. After consultation with the State Coordinating Council for |
| 57 | School Readiness Programs, the department shall also adopt and |
| 58 | enforce rules requiring every infant born in this state to be |
| 59 | screened for environmental risk factors that place children and |
| 60 | their families at risk for increased morbidity, mortality, and |
| 61 | other negative outcomes. The department shall adopt such |
| 62 | additional rules as are found necessary for the administration |
| 63 | of this section and s. 383.145, including rules providing |
| 64 | definitions of terms, rules relating to the methods used and |
| 65 | time or times for testing as accepted medical practice |
| 66 | indicates, rules relating to charging and collecting fees for |
| 67 | the administration of the newborn screening program screenings |
| 68 | authorized by this section, and rules requiring mandatory |
| 69 | reporting of the results of tests and screenings for these |
| 70 | conditions to the department. |
| 71 | (3) DEPARTMENT OF HEALTH; POWERS AND DUTIES.--The |
| 72 | department shall administer and provide certain services to |
| 73 | implement the provisions of this section and shall: |
| 74 | (g) Have the authority to charge and collect fees for the |
| 75 | administration of the newborn screening program screenings |
| 76 | authorized in this section, as follows: |
| 77 | 1. A fee not to exceed $15 of $20 will be charged for each |
| 78 | live birth, as recorded by the Office of Vital Statistics, |
| 79 | occurring in a hospital licensed under part I of chapter 395 or |
| 80 | a birth center licensed under s. 383.305, up to 3,000 live |
| 81 | births per licensed hospital per year or over 60 births per |
| 82 | birth center per year. The department shall calculate the annual |
| 83 | assessment for each hospital and birth center, and this |
| 84 | assessment must be paid in equal amounts quarterly. Quarterly, |
| 85 | the department shall generate and mail to each hospital and |
| 86 | birth center a statement of the amount due. |
| 87 | 2. As part of the department's legislative budget request |
| 88 | prepared pursuant to chapter 216, the department shall submit a |
| 89 | certification by the department's inspector general, or the |
| 90 | director of auditing within the inspector general's office, of |
| 91 | the annual costs of the uniform testing and reporting procedures |
| 92 | of the infant screening program. In certifying the annual costs, |
| 93 | the department's inspector general or the director of auditing |
| 94 | within the inspector general's office shall calculate the direct |
| 95 | costs of the uniform testing and reporting procedures, including |
| 96 | applicable administrative costs. Administrative costs shall be |
| 97 | limited to those department costs which are reasonably and |
| 98 | directly associated with the administration of the uniform |
| 99 | testing and reporting procedures of the infant screening |
| 100 | program. |
| 101 | (h) Have the authority to bill third-party payors for |
| 102 | newborn screening tests. |
| 103 |
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| 104 | All provisions of this subsection must be coordinated with the |
| 105 | provisions and plans established under this chapter, chapter |
| 106 | 411, and Pub. L. No. 99-457. |
| 107 | Section 4. Paragraph (a) of subsection (2) and subsection |
| 108 | (6) of section 385.207, Florida Statutes, are amended, and |
| 109 | subsection (7) is added to said section, to read: |
| 110 | 385.207 Care and assistance of persons with epilepsy; |
| 111 | establishment of programs in epilepsy control.-- |
| 112 | (2) The Department of Health shall: |
| 113 | (a) Establish within the office of the Deputy State Health |
| 114 | Officer Assistant Secretary for Health a program for the care |
| 115 | and assistance of persons with epilepsy and promote and assist |
| 116 | in the continued development and expansion of programs for the |
| 117 | case management, diagnosis, care, and treatment of such persons, |
| 118 | including required pharmaceuticals, medical procedures, and |
| 119 | techniques which will have a positive effect in the care and |
| 120 | treatment of persons with epilepsy. |
| 121 | (6) For the 2003-2004 fiscal year only, Funds in the |
| 122 | Epilepsy Services Trust Fund may be appropriated for epilepsy |
| 123 | case management services. This subsection expires July 1, 2004. |
| 124 | (7) The department shall limit total administrative |
| 125 | expenditures from the Epilepsy Services Trust Fund to 5 percent |
| 126 | of annual receipts. |
| 127 | Section 5. Section 391.310, Florida Statutes, is created |
| 128 | to read: |
| 129 | 391.310 Florida Infants and Toddlers Early Intervention |
| 130 | Program.--The Department of Health is authorized to implement |
| 131 | and administer part C of the federal Individuals with |
| 132 | Disabilities Education Act, which shall be known as the "Florida |
| 133 | Infants and Toddlers Early Intervention Program." The |
| 134 | department, jointly with the Department of Education, shall |
| 135 | prepare annually a grant application to the United States |
| 136 | Department of Education for funding for early intervention |
| 137 | services for infants and toddlers with disabilities, ages birth |
| 138 | through 36 months, and their families pursuant to part C of the |
| 139 | federal Individuals with Disabilities Education Act. |
| 140 | Section 6. Subsection (3) of section 464.0195, Florida |
| 141 | Statutes, is amended to read: |
| 142 | 464.0195 Florida Center for Nursing; goals.-- |
| 143 | (3) The Board of Nursing shall include on its initial and |
| 144 | renewal application forms a question asking the nurse to |
| 145 | voluntarily contribute to funding the Florida Center for Nursing |
| 146 | in addition to paying the fees imposed at the time of licensure |
| 147 | and licensure renewal. Revenues collected from nurses over and |
| 148 | above the required fees shall be transferred from the Medical |
| 149 | Quality Assurance Trust Fund to deposited in the Florida Center |
| 150 | for Nursing Trust Fund and shall be used solely to support and |
| 151 | maintain the goals and functions of the center. |
| 152 | Section 7. This act shall take effect July 1, 2004. |
| 153 |
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| 154 | ================= T I T L E A M E N D M E N T ================= |
| 155 | Remove the entire title and insert: |
| 156 | A bill to be entitled |
| 157 | An act relating to health; amending and renumbering s. |
| 158 | 216.341, F.S.; exempting Department of Health positions |
| 159 | funded by certain trust funds from certain authorization |
| 160 | provisions; amending s. 381.0066, F.S.; extending the |
| 161 | period for a certain additional fee for purposes of |
| 162 | research on onsite sewage treatment and disposal systems; |
| 163 | amending s. 383.14, F.S.; authorizing the adoption of |
| 164 | rules relating to the newborn screening program; revising |
| 165 | a fee; providing authority to bill third-party payors for |
| 166 | newborn screening tests; amending s. 385.207, F.S.; |
| 167 | correcting the name of a certain official; continuing use |
| 168 | of the Epilepsy Services Trust Fund for epilepsy case |
| 169 | management services; limiting administrative expenditure |
| 170 | from the fund; creating s. 391.310, F.S.; creating the |
| 171 | Florida Infants and Toddlers Early Intervention Program; |
| 172 | requiring the Department of Health to work with other |
| 173 | agencies to implement a certain federal program; amending |
| 174 | s. 464.0195, F.S.; providing that revenues collected from |
| 175 | nurses in excess of required fees be transferred to a |
| 176 | specified trust fund; providing an effective date. |