SENATE AMENDMENT
    Bill No. CS for SB 2022
    Amendment No. ___   Barcode 575672
                            CHAMBER ACTION
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11  Senator Alexander moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         Delete everything after the enacting clause
15  
16  and insert:  
17         Section 1.  Paragraph (c) of subsection (4) of section
18  381.026, Florida Statutes, is amended to read:
19         381.026  Florida Patient's Bill of Rights and
20  Responsibilities.--
21         (4)  RIGHTS OF PATIENTS.--Each health care facility or
22  provider shall observe the following standards:
23         (c)  Financial information and disclosure.--
24         1.  A patient has the right to be given, upon request,
25  by the responsible provider, his or her designee, or a
26  representative of the health care facility full information
27  and necessary counseling on the availability of known
28  financial resources for the patient's health care.
29         2.  A health care provider or a health care facility
30  shall, upon request, disclose to each patient who is eligible
31  for Medicare, in advance of treatment, whether the health care
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SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 provider or the health care facility in which the patient is 2 receiving medical services accepts assignment under Medicare 3 reimbursement as payment in full for medical services and 4 treatment rendered in the health care provider's office or 5 health care facility. 6 3. A health care provider or a health care facility 7 shall, upon request, furnish a patient, prior to provision of 8 medical services, a reasonable estimate of charges for such 9 services. Such reasonable estimate shall not preclude the 10 health care provider or health care facility from exceeding 11 the estimate or making additional charges based on changes in 12 the patient's condition or treatment needs. 13 4. Each licensed facility not operated by the state 14 shall make available to the public on its Internet website or 15 by other electronic means a description of and a link to the 16 performance outcome and financial data that is published by 17 the agency pursuant to s. 408.05(3)(l). The facility shall 18 place a notice in the reception areas that such information is 19 available electronically and the website address. The licensed 20 facility may indicate that the pricing information is based on 21 a compilation of charges for the average patient and that each 22 patient's bill may vary from the average depending upon the 23 severity of illness and individual resources consumed. The 24 licensed facility may also indicate that the price of service 25 is negotiable for eligible patients based upon the patient's 26 ability to pay. 27 5.4. A patient has the right to receive a copy of an 28 itemized bill upon request. A patient has a right to be given 29 an explanation of charges upon request. 30 Section 2. Subsections (1), (2), and (3) of section 31 395.301, Florida Statutes, are amended, and subsections (7), 2 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 (8), (9), (10), and (11) are added to that section, to read: 2 395.301 Itemized patient bill; form and content 3 prescribed by the agency.-- 4 (1) A licensed facility not operated by the state 5 shall notify each patient during admission and at discharge of 6 his or her right to receive an itemized bill upon request. 7 Within 7 days following the patient's discharge or release 8 from a licensed facility not operated by the state, or within 9 7 days after the earliest date at which the loss or expense 10 from the service may be determined, the licensed facility 11 providing the service shall, upon request, submit to the 12 patient, or to the patient's survivor or legal guardian as may 13 be appropriate, an itemized statement detailing in language 14 comprehensible to an ordinary layperson the specific nature of 15 charges or expenses incurred by the patient, which in the 16 initial billing shall contain a statement of specific services 17 received and expenses incurred for such items of service, 18 enumerating in detail the constituent components of the 19 services received within each department of the licensed 20 facility and including unit price data on rates charged by the 21 licensed facility, as prescribed by the agency. 22 (2)(a) Each such statement submitted pursuant to this 23 section: 24 1.(a) May not include charges of hospital-based 25 physicians if billed separately. 26 2.(b) May not include any generalized category of 27 expenses such as "other" or "miscellaneous" or similar 28 categories. 29 3.(c) Shall list drugs by brand or generic name and 30 not refer to drug code numbers when referring to drugs of any 31 sort. 3 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 4.(d) Shall specifically identify therapy treatment as 2 to the date, type, and length of treatment when therapy 3 treatment is a part of the statement. 4 (b) Any person receiving a statement pursuant to this 5 section shall be fully and accurately informed as to each 6 charge and service provided by the institution preparing the 7 statement. 8 (3) On each such itemized statement submitted pursuant 9 to subsection (1) there shall appear the words "A FOR-PROFIT 10 (or NOT-FOR-PROFIT or PUBLIC) HOSPITAL (or AMBULATORY SURGICAL 11 CENTER) LICENSED BY THE STATE OF FLORIDA" or substantially 12 similar words sufficient to identify clearly and plainly the 13 ownership status of the licensed facility. Each itemized 14 statement must prominently display the phone number of the 15 medical facility's patient liaison who is responsible for 16 expediting the resolution of any billing dispute between the 17 patient, or his or her representative, and the billing 18 department. 19 (7) Each licensed facility not operated by the state 20 shall provide, prior to provision of any nonemergency medical 21 services, a written good-faith estimate of reasonably 22 anticipated charges for the facility to treat the patient's 23 condition upon written request of a prospective patient. The 24 estimate shall be provided to the prospective patient within 7 25 business days of the receipt of the request. The estimate may 26 be the average charges for that diagnosis related group or the 27 average charges for that procedure. Upon request, the facility 28 shall notify the patient of any revision to the good-faith 29 estimate. Such estimate shall not preclude the actual charges 30 from exceeding the estimate. The facility shall place a notice 31 in reception areas that such information is available. Failure 4 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 to provide the estimate within the provisions established 2 pursuant to this section shall result in a fine of $500 for 3 each instance of the facility's failure to provide the 4 requested information. 5 (8) A licensed facility shall make available to a 6 patient all records necessary for verification of the accuracy 7 of the patient's bill within 30 business days after the 8 request for such records. The verification information must be 9 made available in the facility's offices. Such records shall 10 be available to the patient prior to and after payment of the 11 bill or claim. The facility may not charge the patient for 12 making such verification records available; however, the 13 facility may charge its usual fee for providing copies of 14 records as specified in s. 395.3025. 15 (9) Each facility shall establish a method for 16 reviewing and responding to questions from patients concerning 17 the patient's itemized bill. Such response shall be provided 18 within 30 days after the date a question is received. If the 19 patient is not satisfied with the response, the facility must 20 provide the patient with the address of the agency to which 21 the issue may be sent for review. 22 (10) Each licensed facility shall make available on 23 its Internet website a link to the performance outcome and 24 financial data that is published by the Agency for Health Care 25 Administration pursuant to s. 408.05(3)(l). The facility shall 26 place a notice in the reception area that the information is 27 availability electronically and the website address. 28 (11) Each rural hospital as defined in s. 395.602 29 which has fewer than 50 beds is exempt from subsection (10). 30 The agency shall evaluate the most cost-efficient method for 31 collecting and reporting data for these qualifying rural 5 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 hospitals and shall, by December 1, 2005, submit a report to 2 the Governor, the President of the Senate, and the Speaker of 3 the House of Representatives. 4 Section 3. Subsection (1) of section 408.061, Florida 5 Statutes, is amended to read: 6 408.061 Data collection; uniform systems of financial 7 reporting; information relating to physician charges; 8 confidential information; immunity.-- 9 (1) The agency shall may require the submission by 10 health care facilities, health care providers, and health 11 insurers of data necessary to carry out the agency's duties. 12 Specifications for data to be collected under this section 13 shall be developed by the agency with the assistance of 14 technical advisory panels including representatives of 15 affected entities, consumers, purchasers, and such other 16 interested parties as may be determined by the agency. 17 (a) Data to be submitted by health care facilities, 18 including the facilities as defined in chapter 395, shall may 19 include, but are not limited to: case-mix data, patient 20 admission and or discharge data, hospital emergency department 21 data shall include the number of patients treated in the 22 emergency department of a licensed hospital reported by 23 patient acuity level, data on hospital-acquired infections as 24 specified by rule, data on complications as specified by rule, 25 data on readmissions as specified by rule, with patient and 26 provider-specific identifiers included, actual charge data by 27 diagnostic groups, financial data, accounting data, operating 28 expenses, expenses incurred for rendering services to patients 29 who cannot or do not pay, interest charges, depreciation 30 expenses based on the expected useful life of the property and 31 equipment involved, and demographic data. The agency shall 6 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 adopt nationally recognized risk adjustment methodologies or 2 software consistent with the standards of the Agency for 3 Healthcare Research and Quality for all data submitted as 4 required by this section. Data may be obtained from documents 5 such as, but not limited to: leases, contracts, debt 6 instruments, itemized patient bills, medical record abstracts, 7 and related diagnostic information. Reported data elements 8 shall be reported electronically in accordance with Rule 9 59E-7.012, Florida Administrative Code. Data submitted shall 10 be certified by the chief executive officer or an appropriate 11 and duly authorized representative or employee of the licensed 12 facility that the information is true and accurate. 13 (b) Data to be submitted by health care providers may 14 include, but are not limited to: Medicare and Medicaid 15 participation, types of services offered to patients, amount 16 of revenue and expenses of the health care provider, and such 17 other data which are reasonably necessary to study utilization 18 patterns. Data submitted shall be certified as true and 19 accurate by the health care provider or by an appropriate and 20 duly authorized representative or employee of the health care 21 provider. 22 (c) Data to be submitted by health insurers may 23 include, but are not limited to: claims, premium, 24 administration, and financial information. Data submitted 25 shall be certified as by the appropriate and duly authorized 26 representative, or employee of the insurer that the 27 information submitted is true and accurate. 28 (d) Data required to be submitted by health care 29 facilities, health care providers, or health insurers shall 30 not include specific provider contract reimbursement 31 information. However, such specific provider reimbursement 7 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 data shall be reasonably available for onsite inspection by 2 the agency as is necessary to carry out the agency's 3 regulatory duties. Any such data obtained by the agency as a 4 result of onsite inspections may not be used by the state for 5 purposes of direct provider contracting and are confidential 6 and exempt from the provisions of s. 119.07(1) and s. 24(a), 7 Art. I of the State Constitution. 8 (e) A requirement to submit data shall be adopted by 9 rule if the submission of data is being required of all 10 members of any type of health care facility, health care 11 provider, or health insurer. Rules are not required, however, 12 for the submission of data for a special study mandated by the 13 Legislature or when information is being requested for a 14 single health care facility, health care provider, or health 15 insurer. 16 Section 4. Subsections (1) and (4) of section 408.062, 17 Florida Statutes, are amended, and subsection (5) is added to 18 that section, 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. Such 24 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. 8 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 (d) In conjunction with the Office of Insurance 2 Regulation, the availability and affordability of health 3 insurance for small businesses. 4 (e) Total health care expenditures in the state 5 according to the sources of payment and the type of 6 expenditure. 7 (f) The quality of health services, using techniques 8 such as small area analysis, severity adjustments, and 9 risk-adjusted mortality rates. 10 (g) The development of physician information payment 11 systems which are capable of providing data for health care 12 consumers taking into account the amount of resources 13 consumed, including at licensed facilities as defined in 14 chapter 395, and the outcomes produced in the delivery of 15 care. 16 (h) The collection of a statistically valid sample of 17 data on the retail prices charged by pharmacies for the 50 18 most frequently prescribed medicines from any pharmacy 19 licensed by this state as a special study authorized by the 20 Legislature to be performed by the agency quarterly. If the 21 drug is available generically, price data shall be reported 22 for the generic drug and price data of a brand-named drug for 23 which the generic drug is the equivalent shall be reported. 24 The agency shall make available on its Internet website for 25 each pharmacy, no later than October 1, 2005, drug prices for 26 a 30-day supply at a standard dose. The data collected shall 27 be reported for each drug by pharmacy and by metropolitan 28 statistical area or region and updated quarterly. The impact 29 of subacute admissions on hospital revenues and expenses for 30 purposes of calculating adjusted admissions as defined in s. 31 408.07. 9 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 (i) The use of emergency department services by 2 patient acuity level and the implication of increasing 3 hospital cost by providing nonurgent care in emergency 4 departments. The agency shall submit an annual report based on 5 this monitoring and assessment to the Governor, the President 6 of the Senate, and the Speaker of the House of 7 Representatives, and the substantive legislative committees 8 with the first report due January 1, 2006. 9 (j) Making available on its Internet website no later 10 than October 1, 2004, and in a hard-copy format upon request, 11 patient charge, volumes, length of stay, and performance 12 outcome indicators collected from health care facilities 13 pursuant to s. 408.061(1)(a) for not less than 50 inpatient 14 and 50 outpatient procedures provided in inpatient and 15 outpatient facilities as determined by the agency. In making 16 the determination of specific medical conditions, surgeries, 17 and procedures to include, the agency shall consider such 18 factors as volume, severity of the illness, urgency of 19 admission, individual and societal costs, and whether the 20 condition is acute or chronic. Performance outcome indicators 21 shall re risk adjusted or severity adjusted, as applicable, 22 using nationally recognized risk adjustment methodologies or 23 software consistent with the standards of the Agency for 24 Healthcare Research and Quality and as selected by the agency. 25 The website shall also provide an interactive search that 26 allows consumers to view and compare the information for 27 specific facilities, a map that allows consumers to select a 28 county or region, definitions of all of the data, descriptions 29 of each procedure, and an explanation about why the data may 30 differ from facility to facility. Such public data shall be 31 updated quarterly. The agency shall submit an annual status 10 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 report on the collection of data and publication of 2 performance outcome indicators to the Governor, the Speaker of 3 the House of Representatives, the President of the Senate, and 4 the substantive legislative committees with the first status 5 report due January 1, 2005. 6 (4)(a) The agency shall may conduct data-based studies 7 and evaluations and make recommendations to the Legislature 8 and the Governor concerning exemptions, the effectiveness of 9 limitations of referrals, restrictions on investment interests 10 and compensation arrangements, and the effectiveness of public 11 disclosure. Such analysis shall may include, but need not be 12 limited to, utilization of services, cost of care, quality of 13 care, and access to care. The agency may require the 14 submission of data necessary to carry out this duty, which may 15 include, but need not be limited to, data concerning 16 ownership, Medicare and Medicaid, charity care, types of 17 services offered to patients, revenues and expenses, 18 patient-encounter data, and other data reasonably necessary to 19 study utilization patterns and the impact of health care 20 provider ownership interests in health-care-related entities 21 on the cost, quality, and accessibility of health care. 22 (b) The agency may collect such data from any health 23 facility or licensed health care provider as a special study. 24 (5) The agency shall develop and implement a strategy 25 for the adoption and use of electronic health records. The 26 agency may develop rules to facilitate the functionality and 27 protect the confidentiality of electronic health records. The 28 agency shall report to the Governor, the President of the 29 Senate, and the Speaker of the House of Representatives on 30 legislative recommendations to protect the confidentiality of 31 electronic health records. 11 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 Section 5. Paragraph (l) is added to subsection (3) of 2 section 408.05, Florida Statutes, and paragraph (a) of 3 subsection (8) of that section is amended, to read: 4 408.05 State Center for Health Statistics.-- 5 (3) COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order 6 to produce comparable and uniform health information and 7 statistics, the agency shall perform the following functions: 8 (l) Develop, in conjunction with the State 9 Comprehensive Health Information System Advisory Council, and 10 implement a long-range plan for making available performance 11 outcome and financial data that will allow consumers to 12 compare health care services. The performance outcomes and 13 financial data the agency must make available shall include, 14 but is not limited to, pharmaceuticals, physicians, health 15 care facilities, and health plans and managed care entities. 16 The agency shall submit the initial plan to the Governor, the 17 President of the Senate, and the Speaker of the House of 18 Representatives by March 1, 2005, and shall update the plan 19 and report on the status of its implementation annually 20 thereafter. The agency shall also make the plan and status 21 report available to the public on its Internet website. As 22 part of the plan, the agency shall identify the process and 23 timeframes for implementation, any barriers to implementation, 24 and recommendations of changes in the law that may be enacted 25 by the Legislature to eliminate the barriers. As preliminary 26 elements of the plan, the agency shall: 27 1. Make available performance outcome and patient 28 charge data collected from health care facilities pursuant to 29 s. 408.061(1)(a) and (2). The agency shall determine which 30 conditions and procedures, performance outcomes, and patient 31 charge data to disclose based upon input from the council. 12 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 When determining which conditions and procedures are to be 2 disclosed, the council and the agency shall consider variation 3 in costs, variation in outcomes, and magnitude of variations 4 and other relevant information. When determining which 5 performance outcomes to disclose, the agency: 6 a. Shall consider such factors as volume of cases; 7 average patient charges; average length of stay; complication 8 rates; mortality rates; and infection rates, among others, 9 which shall he adjusted for case mix and severity, if 10 applicable. 11 b. May consider such additional measures that are 12 adopted by the Centers for Medicare and Medicaid Studies, 13 National Quality Forum, the Joint Commission on Accreditation 14 of Healthcare Organizations, the Agency for Healthcare 15 Research and Quality, or a similar national entity that 16 establishes standards to measure the performance of health 17 care providers, or by other states. 18 19 When determining which patient charge data to disclose, the 20 agency shall consider such measures as average charge, average 21 net revenue per adjusted patient day, average cost per 22 adjusted patient day, and average cost per admission, among 23 others. 24 2. Make available performance measures, benefit 25 design, and premium cost data from health plans licensed 26 pursuant to chapter 627 or chapter 641. The agency shall 27 determine which performance outcome and member and subscriber 28 cost data to disclose, based upon input from the council. When 29 determining which data to disclose, the agency shall consider 30 information that may be required by either individual or group 31 purchasers to assess the value of the product, which may 13 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 include membership satisfaction, quality of care, current 2 enrollment or membership, coverage areas, accreditation 3 status, premium costs, plan costs, premium increases, range of 4 benefits, copayments and deductibles, accuracy and speed of 5 claims payment, credentials of physicians, number of 6 providers, names of network providers, and hospitals in the 7 network. Health plans shall make available to the agency any 8 such data or information that is not currently reported to the 9 agency or the office. 10 3. Determine the method and format for public 11 disclosure of data reported pursuant to this paragraph. The 12 agency shall make its determination based upon input from the 13 Comprehensive Health Information System Advisory Council. At a 14 minimum, the data shall be made available on the agency's 15 Internet website in a manner that allows consumers to conduct 16 an interactive search that allows them to view and compare the 17 information for specific providers. The website must include 18 such additional information as is determined necessary to 19 ensure that the website enhances informed decision-making 20 among consumers and health care purchasers, which shall 21 include, at a minimum, appropriate guidance on how to use the 22 data and an explanation of why the data may vary from provider 23 to provider. The data specified in subparagraph 1. shall be 24 released no later than March 1, 2005. The data specified in 25 subparagraph 2. shall be released no later than March 1, 2006. 26 (8) STATE COMPREHENSIVE HEALTH INFORMATION SYSTEM 27 ADVISORY COUNCIL.-- 28 (a) There is established in the agency the State 29 Comprehensive Health Information System Advisory Council to 30 assist the center in reviewing the comprehensive health 31 information system and to recommend improvements for such 14 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 system. The council shall consist of the following members: 2 1. An employee of the Executive Office of the 3 Governor, to be appointed by the Governor. 4 2. An employee of the Office of Insurance Regulation 5 Department of Financial Services, to be appointed by the 6 Chief Financial Officer. 7 3. An employee of the Department of Education, to be 8 appointed by the Commissioner of Education. 9 4. Ten persons, to be appointed by the Secretary of 10 Health Care Administration, representing other state and local 11 agencies, state universities, the Florida Association of 12 Business/Health Coalitions, local health councils, 13 professional health-care-related associations, consumers, and 14 purchasers. 15 Section 6. Subsection (3) of section 409.9066, Florida 16 Statutes, is amended to read: 17 409.9066 Medicare prescription discount program.-- 18 (3) The Agency for Health Care Administration shall 19 publish, on a free website available to the public, the most 20 recent average wholesale prices for the 200 drugs most 21 frequently dispensed to the elderly and, to the extent 22 possible, shall provide a mechanism that consumers may use to 23 calculate the retail price and the price that should be paid 24 after the discount required in subsection (1) is applied. The 25 agency shall provide retail information by geographic area and 26 retail information by provider within geographical areas. 27 Section 7. Section 465.0244, Florida Statutes, is 28 created to read: 29 465.0244 Information disclosure.--Every pharmacy shall 30 make available on its Internet website a link to the financial 31 data that is published by the Agency for Health Care 15 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 Administration pursuant to ss. 408.06(2)(l) and 409.9066 and 2 shall place in the area where customers receive filled 3 prescriptions notice that such information is available 4 electronically and the address of its Internet website. 5 Section 8. Section 627.6499, Florida Statutes, is 6 amended to read: 7 627.6499 Reporting by insurers and third-party 8 administrators.-- 9 (1) The office may require any insurer, third-party 10 administrator, or service company to report any information 11 reasonably required to assist the board in assessing insurers 12 as required by this act. 13 (2) Each health insurance issuer shall make available 14 on its Internet website a link to the performance outcome and 15 financial data that is published by the Agency for Health Care 16 Administration pursuant to s. 408.05(3)(l) and shall include 17 in every policy delivered or issued for delivery to any person 18 in the state or any materials provided as required by s. 19 627.64725 notice that such information is available 20 electronically and the address of its Internet website. 21 Section 9. Subsections (6) and (7) are added to 22 section 641.54, Florida Statutes, to read: 23 641.54 Information disclosure.-- 24 (6) Each health maintenance organization shall make 25 available to its subscribers the estimated co-pay, coinsurance 26 percentage, or deductible, whichever is applicable, for any 27 covered services, the status of the subscriber's maximum 28 annual out-of-pocket payments for a covered individual or 29 family, and the status of the subscriber's maximum lifetime 30 benefit. Such estimate shall not preclude the actual co-pay, 31 coinsurance percentage, or deductible, whichever is 16 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 applicable, from exceeding the estimate. 2 (7) Each health maintenance organization shall make 3 available on its Internet website a link to the performance 4 outcome and financial data that is published by the Agency for 5 Health Care Administration pursuant to s. 408.05(3)(l) and 6 shall include in every policy delivered or issued for delivery 7 to any person in the state or any materials provided as 8 required by s. 627.64725 notice that such information is 9 available electronically and the address of its Internet 10 website. 11 Section 10. The Agency for Health Care Administration 12 shall adopt all rules necessary to implement this act no later 13 than January 1, 2005. 14 Section 11. This act shall take effect July 1, 2004. 15 16 17 ================ T I T L E A M E N D M E N T =============== 18 And the title is amended as follows: 19 Delete everything before the enacting clause 20 21 and insert: 22 A bill to be entitled 23 An act relating to health care; amending s. 24 381.026, F.S.; requiring certain licensed 25 facilities to provide public Internet access to 26 certain financial information; amending s. 27 395.301, F.S.; requiring certain licensed 28 facilities to provide prospective patients 29 certain estimates of charges for services; 30 requiring such facilities to provide patients 31 with certain bill verification information; 17 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 providing for a fine for failure to provide 2 such information; providing charge limitations; 3 requiring such facilities to establish a 4 patient question review and response 5 methodology; providing requirements; requiring 6 certain licensed facilities to provide public 7 Internet access to certain financial 8 information; providing an exception for 9 specified rural hospitals; amending s. 408.061, 10 F.S.; requiring the Agency for Health Care 11 Administration to require health care 12 facilities, health care providers, and health 13 insurers to submit certain information; 14 providing requirements; requiring the agency to 15 adopt certain risk and severity adjustment 16 methodologies; requiring the agency to adopt 17 certain rules; requiring certain information to 18 be certified; amending s. 408.062, F.S.; 19 requiring the agency to conduct certain health 20 care costs and access research, analyses, and 21 studies; expanding the scope of such studies to 22 include collection of pharmacy retail price 23 data, use of emergency departments, physician 24 information, and Internet patient charge 25 information availability; requiring publication 26 of information collected on the Internet; 27 requiring a report; requiring the agency to 28 conduct additional data-based studies and make 29 recommendations to the Legislature; requiring 30 the agency to develop and implement a strategy 31 to adopt and use electronic health records; 18 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 authorizing the agency to develop rules to 2 protect electronic records confidentiality; 3 requiring a report to the Governor and 4 Legislature; amending s. 408.05, F.S.; 5 requiring the agency to develop a plan to make 6 performance outcome and financial data 7 available to consumers for health care services 8 comparison purposes; requiring submittal of the 9 plan to the Governor and Legislature; requiring 10 the agency to update the plan; requiring the 11 agency to make the plan available 12 electronically; providing plan requirements; 13 amending s. 409.9066, F.S.; requiring the 14 agency to provide certain information relating 15 to the Medicare prescription discount program; 16 creating s. 465.0244, F.S.; requiring each 17 pharmacy to make available on its Internet 18 website a link to certain performance outcome 19 and financial data of the Agency for Health 20 Care Administration and a notice of the 21 availability of such information; amending s. 22 627.6499, F.S.; requiring each health insurer 23 to make available on its Internet website a 24 link to certain performance outcome and 25 financial data of the Agency for Health Care 26 Administration and a notice in policies of the 27 availability of such information; amending s. 28 641.54, F.S.; requiring health maintenance 29 organizations to make certain insurance 30 financial information available to subscribers; 31 requiring health maintenance organizations to 19 3:47 PM 04/19/04 s2022c1c-17p0a
SENATE AMENDMENT Bill No. CS for SB 2022 Amendment No. ___ Barcode 575672 1 make available on its Internet website a link 2 to certain performance outcome and financial 3 data of the Agency for Health Care 4 Administration and a notice in policies of the 5 availability of such information; authorizing 6 rule adoption; providing an effective date. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 20 3:47 PM 04/19/04 s2022c1c-17p0a