| 1 | The Health Care General Committee recommends the following: | 
| 2 | 
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| 3 |      Council/Committee Substitute | 
| 4 |      Remove the entire bill and insert: | 
| 5 | A bill to be entitled | 
| 6 | An act relating to enterprise zone incentives to serve the  | 
| 7 | uninsured; amending s. 212.08, F.S.; providing for an  | 
| 8 | exemption by refund from the tax on sales, use, and other  | 
| 9 | transactions of certain medical equipment or supplies  | 
| 10 | purchased and used by certain health care facilities  | 
| 11 | located in enterprise zones; providing a limitation;  | 
| 12 | providing application requirements; providing procedures  | 
| 13 | and limitations for the refund; providing duties of a  | 
| 14 | local governing body or enterprise zone development  | 
| 15 | agency; providing duties of the Department of Revenue;  | 
| 16 | requiring the department to adopt rules; providing for  | 
| 17 | return of the refund under certain circumstances;  | 
| 18 | requiring the department to deduct a portion of refunds  | 
| 19 | from amounts to be transferred into a certain trust fund  | 
| 20 | and deposit such amount into the General Revenue Fund;  | 
| 21 | providing definitions; providing for expiration under  | 
| 22 | certain circumstances; amending s. 290.0056, F.S.;  | 
| 23 | expanding the list of entities from which appointments may  | 
| 24 | be made to an enterprise zone development agency's board  | 
| 25 | of commissioners; providing an additional requirement for  | 
| 26 | the membership of an enterprise zone development agency  | 
| 27 | board of commissioners under certain circumstances;  | 
| 28 | providing a limitation; providing an effective date. | 
| 29 | 
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| 30 | Be It Enacted by the Legislature of the State of Florida: | 
| 31 | 
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| 32 |      Section 1.  Paragraph (r) is added to subsection (5) of  | 
| 33 | section 212.08, Florida Statutes, to read: | 
| 34 |      212.08  Sales, rental, use, consumption, distribution, and  | 
| 35 | storage tax; specified exemptions.--The sale at retail, the  | 
| 36 | rental, the use, the consumption, the distribution, and the  | 
| 37 | storage to be used or consumed in this state of the following  | 
| 38 | are hereby specifically exempt from the tax imposed by this  | 
| 39 | chapter. | 
| 40 |      (5)  EXEMPTIONS; ACCOUNT OF USE.-- | 
| 41 |      (r)  Medical equipment and supplies used in an enterprise  | 
| 42 | zone.-- | 
| 43 |      1.  Medical equipment and supplies purchased for use by  | 
| 44 | health care facilities that serve uninsured patients located in  | 
| 45 | an enterprise zone which are subsequently used in an enterprise  | 
| 46 | zone are exempt. This exemption inures to the health care  | 
| 47 | facility only through a refund of previously paid taxes. A  | 
| 48 | refund shall be authorized upon an affirmative showing by the  | 
| 49 | taxpayer to the satisfaction of the department that the  | 
| 50 | requirements of this paragraph have been met. | 
| 51 |      2.  To receive a refund, the health care facility must file  | 
| 52 | under oath with the governing body or enterprise zone  | 
| 53 | development agency having jurisdiction over the enterprise zone  | 
| 54 | in which the health care facility is located, as applicable, an  | 
| 55 | application which includes: | 
| 56 |      a.  The name and address of the health care facility  | 
| 57 | claiming the refund. | 
| 58 |      b.  The identifying number assigned pursuant to s. 290.0065  | 
| 59 | to the enterprise zone in which the health care facility is  | 
| 60 | located. | 
| 61 |      c.  A specific description of the medical equipment for  | 
| 62 | which a refund is sought, including the serial numbers or other  | 
| 63 | permanent identification numbers of the equipment. | 
| 64 |      d.  A specific description of the medical supplies for  | 
| 65 | which a refund is sought, including the serial or lot numbers or  | 
| 66 | other numbers identifying the purchased supplies. | 
| 67 |      e.  The sales invoice or other proof of purchase of the  | 
| 68 | medical equipment or supplies, showing the amount of sales tax  | 
| 69 | paid, the date of purchase, and the name and address of the  | 
| 70 | sales tax dealer from whom the medical equipment or supplies  | 
| 71 | were purchased. | 
| 72 |      f.  An affidavit declaring that at least 10 percent of the  | 
| 73 | cost incurred for care by the health care facility in the  | 
| 74 | previous taxable year was for uncompensated care and that the  | 
| 75 | health care facility did not receive supplemental Medicaid,  | 
| 76 | disproportionate share hospital, or low-income pool funding  | 
| 77 | pursuant to chapter 409. | 
| 78 |      g.  A statement defining the taxpayer's taxable year. | 
| 79 |      3.  Within 10 working days after receipt of an application,  | 
| 80 | the governing body or enterprise zone development agency shall  | 
| 81 | review the application to determine if the application contains  | 
| 82 | all the information required pursuant to subparagraph 2. and  | 
| 83 | meets the criteria set out in this paragraph. The governing body  | 
| 84 | or agency shall certify all applications that contain the  | 
| 85 | information required pursuant to subparagraph 2. and that meet  | 
| 86 | the criteria set out in this paragraph as eligible to receive a  | 
| 87 | refund. The certification shall be in writing and a copy of the  | 
| 88 | certification shall be transmitted to the executive director of  | 
| 89 | the Department of Revenue. The health care facility shall be  | 
| 90 | responsible for forwarding a certified application to the  | 
| 91 | department within the time specified in subparagraph 4. | 
| 92 |      4.  An application for a refund pursuant to this paragraph  | 
| 93 | must be submitted to the department within 6 months after the  | 
| 94 | close of the taxable year during which the eligible medical  | 
| 95 | equipment or supplies were purchased. | 
| 96 |      5.  The provisions of s. 212.095 do not apply to any refund  | 
| 97 | application made pursuant to this paragraph. This exemption  | 
| 98 | shall apply to the first $500,000 of taxable medical equipment  | 
| 99 | or supplies purchased by a health care facility and used in the  | 
| 100 | facility in any taxable year. A refund may not be granted under  | 
| 101 | this paragraph unless the amount to be refunded exceeds $100 in  | 
| 102 | sales tax paid on purchases made within a 60-day time period. A  | 
| 103 | refund may not be granted under this paragraph for medical  | 
| 104 | equipment or supplies eligible for exemption pursuant to  | 
| 105 | subsection (2) or eligible for a refund pursuant to paragraph  | 
| 106 | (h). | 
| 107 |      6.  The department shall adopt rules governing the manner  | 
| 108 | and form of refund applications and may establish guidelines as  | 
| 109 | to the requisites for an affirmative showing of qualification  | 
| 110 | for exemption under this paragraph. | 
| 111 |      7.  If the department determines that the medical equipment  | 
| 112 | or supplies are used outside an enterprise zone within 3 years  | 
| 113 | from the date of purchase, the amount of taxes refunded to the  | 
| 114 | health care facility purchasing such medical equipment or  | 
| 115 | supplies shall immediately be due and payable to the department  | 
| 116 | by the health care facility, together with the appropriate  | 
| 117 | interest and penalty, computed from the date of purchase, in the  | 
| 118 | manner provided by this chapter. Notwithstanding this  | 
| 119 | subparagraph, a health care facility may dispose of disposable  | 
| 120 | supplies according to law. | 
| 121 |      8.  The department shall deduct an amount equal to 10  | 
| 122 | percent of each refund granted under this paragraph from the  | 
| 123 | amount to be transferred into the Local Government Half-cent  | 
| 124 | Sales Tax Clearing Trust Fund pursuant to s. 212.20 for the  | 
| 125 | county area in which the medical equipment or supplies are  | 
| 126 | located and shall deposit that amount into the General Revenue  | 
| 127 | Fund. | 
| 128 |      9.  For purposes of this exemption, the term: | 
| 129 |      a.  "Medical equipment" means durable medical equipment  | 
| 130 | that can be used repeatedly and that serves a medical purpose in  | 
| 131 | the diagnosis, treatment, or care of an individual. | 
| 132 |      b.  "Medical supplies" means items that are consumable,  | 
| 133 | expendable, disposable or nondurable, and that serve a medical  | 
| 134 | purpose in the diagnosis, treatment, or care of an individual. | 
| 135 |      c.  "Health care facility" means a facility licensed  | 
| 136 | pursuant to chapter 395 or a county health department, a  | 
| 137 | children's medical services program, a federally qualified  | 
| 138 | health center, a federally funded migrant health center, a rural  | 
| 139 | clinic, or any other publicly funded community health program  | 
| 140 | and any other programs designated by the Department of Health as  | 
| 141 | a community health center that provide primary care services to  | 
| 142 | the uninsured. | 
| 143 |      10.  This paragraph expires on the date specified in s.  | 
| 144 | 290.016 for the expiration of the Florida Enterprise Zone Act. | 
| 145 |      Section 2.  Subsection (2) and paragraph (a) of subsection  | 
| 146 | (9) of section 290.0056, Florida Statutes, are amended to read: | 
| 147 |      290.0056  Enterprise zone development agency.-- | 
| 148 |      (2)  When the governing body creates an enterprise zone  | 
| 149 | development agency, that body shall appoint a board of  | 
| 150 | commissioners of the agency, which shall consist of not fewer  | 
| 151 | than 8 or more than 13 commissioners. The governing body may  | 
| 152 | appoint at least one representative from each of the following:  | 
| 153 | the local chamber of commerce; local financial or insurance  | 
| 154 | entities; local businesses and, where possible, businesses  | 
| 155 | operating within the nominated area; the residents residing  | 
| 156 | within the nominated area; nonprofit community-based  | 
| 157 | organizations operating within the nominated area; health care  | 
| 158 | facilities operating within the nominated area; the regional  | 
| 159 | workforce board; the local code enforcement agency; and the  | 
| 160 | local law enforcement agency. One of the commissioners on the  | 
| 161 | board may be employed in the health care field, provided such  | 
| 162 | requirement applies only when a position on the board becomes  | 
| 163 | vacant after July 1, 2007, and appointment of a new commissioner  | 
| 164 | is required to fill the vacancy or an additional member is to be  | 
| 165 | appointed after July 1, 2007. The terms of office of the  | 
| 166 | commissioners shall be for 4 years, except that, in making the  | 
| 167 | initial appointments, the governing body shall appoint two  | 
| 168 | members for terms of 3 years, two members for terms of 2 years,  | 
| 169 | and one member for a term of 1 year; the remaining initial  | 
| 170 | members shall serve for terms of 4 years. A vacancy occurring  | 
| 171 | during a term shall be filled for the unexpired term. The  | 
| 172 | importance of including individuals from the nominated area  | 
| 173 | shall be considered in making appointments. Further, the  | 
| 174 | importance of minority representation on the agency shall be  | 
| 175 | considered in making appointments so that the agency generally  | 
| 176 | reflects the gender and ethnic composition of the community as a  | 
| 177 | whole. | 
| 178 |      (9)  The following powers and responsibilities shall be  | 
| 179 | performed by the governing body creating the enterprise zone  | 
| 180 | development agency acting as the managing agent of the  | 
| 181 | enterprise zone development agency, or, contingent upon approval  | 
| 182 | by such governing body, such powers and responsibilities shall  | 
| 183 | be performed by the enterprise zone development agency: | 
| 184 |      (a)  To review, process, and certify applications for state  | 
| 185 | enterprise zone tax incentives pursuant to ss. 212.08(5)(g),  | 
| 186 | (h), (r), and (15); 212.096; 220.181; and 220.182. | 
| 187 |      Section 3.  This act shall take effect January 1, 2007. |