Florida Senate - 2007                      COMMITTEE AMENDMENT
    Bill No. SB 1758
                        Barcode 095760
                            CHAMBER ACTION
              Senate                               House
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11  The Committee on Health Regulation (Peaden) recommended the
12  following amendment:
13  
14         Senate Amendment (with title amendment) 
15         On page 1, line 29, through
16            page 2, line 2, delete those lines
17  
18  and insert:  
19         3.  Until July 1, 2006, additional emergency
20  departments located off the premises of licensed hospitals may
21  not be authorized by the agency.
22         (c)  A hospital may apply for a license to operate an
23  emergency department at a location off the hospital's premises
24  and the agency shall approve such license if the hospital
25  complies with all of the following criteria:
26         1.  The off-premises emergency department must provide
27  emergency services and care for any emergency medical
28  condition that is within the service capability of the
29  hospital seeking the license.
30         2.  The off-premises emergency department must ensure
31  that the same types of medical specialties that are available
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    5:49 PM   03/23/07                             s1758c-hr02-c02

Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. SB 1758 Barcode 095760 1 to the hospital seeking the license are available for 2 consultations to patients of the off-premises emergency 3 department. 4 3. The licenseholder must provide for the transport of 5 patients between the off-premises emergency department and its 6 licensed hospital. The department shall determine whether 7 statewide transport protocols should be developed with respect 8 to off-premises emergency departments and shall report its 9 findings to the Governor, the President of the Senate, and the 10 Speaker of the House of Representatives by January 31, 2008. 11 4. The off-premises emergency department must be 12 directed by a designated physician who is a member of the 13 organized medical staff. 14 5. The off-premises emergency department must treat 15 all patients who have an emergency medical condition without 16 regard to ability to pay. 17 6. The off-premises emergency departments must comply 18 with all adopted rules governing emergency care. 19 7. If the main hospital is accredited, the 20 off-premises emergency department must be accredited by the 21 same accrediting organization. 22 8. The off-premises emergency department must meet all 23 physical plant requirements, including electrical, 24 architectural, and mechanical of an onsite emergency 25 department as specified in the Florida Building Code. The 26 facility must also meet the requirements for Definitive 27 Emergency Care, as described in the Guidelines for the Design 28 and Construction of Health Care Facilities, 2006 edition, 29 incorporated by reference in Section 419.2.1.2 of the Florida 30 Building Code. 31 Section 2. An off-premises emergency department of a 2 5:49 PM 03/23/07 s1758c-hr02-c02
Florida Senate - 2007 COMMITTEE AMENDMENT Bill No. SB 1758 Barcode 095760 1 hospital operating as of July 1, 2007, may continue to operate 2 in accordance with the licensure criteria under which it was 3 originally approved by the agency. A hospital that has 4 received a letter of nonreviewability from the agency for an 5 off-premises emergency department and has had Stage 2 6 architectural plans approved by July 1, 2007, is subject to 7 the licensure criteria in existence before July 1, 2007. 8 9 (Redesignate subsequent sections.) 10 11 12 ================ T I T L E A M E N D M E N T =============== 13 And the title is amended as follows: 14 On page 1, lines 3-7, delete those lines 15 16 and insert: 17 395.003, F.S.; authorizing hospitals to operate 18 an off-premises emergency department; requiring 19 a license; providing criteria; providing that 20 all off-premises emergency departments 21 operating as of a certain date may continue to 22 operate in accordance with the criteria in 23 effect at the time of approval and that an 24 off-premises emergency department that has had 25 architectural plans approved by a certain date 26 is subject to the license criteria in effect at 27 the time of submission; providing an effective 28 date. 29 30 31 3 5:49 PM 03/23/07 s1758c-hr02-c02