| 1 | Representative Gannon offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Remove line(s) 154-172 and insert: |
| 5 | d. The applicant must certify can demonstrate that in the |
| 6 | 12 months prior to submission of its application for the |
| 7 | exemption it transferred is referring 300 or more patients per |
| 8 | year from the hospital, including the emergency room, for open |
| 9 | heart surgery or percutaneous coronary intervention cardiac |
| 10 | services at a hospital with cardiac services, or that the |
| 11 | average wait for transfer from the transferring hospital for 50 |
| 12 | percent or more of the cardiac patients exceeds 4 hours. |
| 13 | e. The applicant is a general acute care hospital that is |
| 14 | in operation for 3 years or more. |
| 15 | f. The applicant is performing more than 300 diagnostic |
| 16 | cardiac catheterization procedures per year, combined inpatient |
| 17 | and outpatient. |
| 18 | g. The applicant's payor mix at a minimum reflects the |
| 19 | community average for Medicaid, charity care, and self-pay |
| 20 | patients for all hospitals in the health service planning |
| 21 | district and or the applicant must certify that it will provide |
| 22 | a minimum of 10 5 percent of Medicaid, charity care, and self- |
| 23 | pay to open-heart-surgery patients. If the applicant fails to |
| 24 | provide a minimum of 10 percent of Medicaid, charity care, and |
| 25 | self-pay to open heart surgery patients during each calendar |
| 26 | year, the applicant's exemption shall be revoked. |
| 27 | h. If the applicant fails to meet the established criteria |
| 28 | for open-heart programs or fails to reach 300 surgeries per year |
| 29 | by the end of its third year of operation, the exemption shall |
| 30 | it must show cause why its exemption should not be revoked. |
| 31 |
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| 32 | ================ T I T L E A M E N D M E N T ============= |
| 33 | Remove line 8 and insert: |
| 34 | for the exemption; providing for revocation of the exemption |
| 35 | under certain circumstances; requiring the Agency for Health |
| 36 | Care |