| 1 | Representative(s) Bean offered the following: |
| 2 |
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| 3 | Substitute Amendment for Amendment (290947) to the Senate |
| 4 | Bill (with title amendment) |
| 5 | On page 226, between line(s) 17 and 18, insert: |
| 6 | Section 122. Paragraph (a) of subsection (4) of section |
| 7 | 400.9905, Florida Statutes, is amended, and paragraph (l) is |
| 8 | added to that subsection, to read: |
| 9 | 400.9905 Definitions.-- |
| 10 | (4) "Clinic" means an entity at which health care services |
| 11 | are provided to individuals and which tenders charges for |
| 12 | reimbursement for such services, including a mobile clinic and a |
| 13 | portable equipment provider. For purposes of this part, the term |
| 14 | does not include and the licensure requirements of this part do |
| 15 | not apply to: |
| 16 | (a) Entities licensed or registered by the state under |
| 17 | chapter 395; or entities licensed or registered by the state and |
| 18 | providing only health care services within the scope of services |
| 19 | authorized under their respective licenses granted under ss. |
| 20 | 383.30-383.335, chapter 390, chapter 394, chapter 397, this |
| 21 | chapter except part X, chapter 429, chapter 463, chapter 465, |
| 22 | chapter 466, chapter 478, part I of chapter 483, chapter 484, or |
| 23 | chapter 651; end-stage renal disease providers authorized under |
| 24 | 42 C.F.R. part 405, subpart U; or providers certified under 42 |
| 25 | C.F.R. part 485, subpart B or subpart H; or any entity that |
| 26 | provides neonatal or pediatric hospital-based health care |
| 27 | services or other health care services by licensed practitioners |
| 28 | solely within a hospital licensed under chapter 395. |
| 29 | (l) Orthotic or prosthetic clinical facilities that are a |
| 30 | publicly traded corporation or that are wholly owned, directly |
| 31 | or indirectly, by a publicly traded corporation. As used in this |
| 32 | paragraph, a publicly traded corporation is a corporation that |
| 33 | issues securities traded on an exchange registered with the |
| 34 | United States Securities and Exchange Commission as a national |
| 35 | securities exchange. |
| 36 |
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| 37 |
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| 38 | ======= T I T L E A M E N D M E N T ========== |
| 39 | On page 1, line 2 through page 9, line 20 |
| 40 | remove: all of said lines |
| 41 |
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| 42 | and insert: |
| 43 | An act relating to the licensure of health care providers |
| 44 | regulated by the Agency for Health Care Administration; amending |
| 45 | s. 112.0455, F.S.; providing applicability of licensure |
| 46 | requirements under pt. II of ch. 408, F.S., to drug-testing |
| 47 | standards of laboratories; authorizing the Agency for Health |
| 48 | Care Administration to adopt rules to implement pt. II of ch. |
| 49 | 408, F.S., relating to the Drug-Free Workplace Act; revising a |
| 50 | license fee; amending s. 381.78, F.S.; conforming a cross- |
| 51 | reference; amending s. 383.301, F.S.; providing applicability of |
| 52 | licensure requirements under pt. II of ch. 408, F.S., to birth |
| 53 | centers; repealing s. 383.304, F.S., relating to the licensure |
| 54 | requirement for birth centers; amending s. 383.305, F.S.; |
| 55 | providing applicability of licensure requirements under pt. II |
| 56 | of ch. 408, F.S., to birth centers; providing for licensure fees |
| 57 | to be established by rule; amending s. 383.309, F.S.; |
| 58 | authorizing the agency to adopt and enforce rules to administer |
| 59 | pt. II of ch. 408, F.S., relating to standards for birth |
| 60 | centers; amending s. 383.315, F.S.; revising a provision |
| 61 | relating to consultation agreements for birth centers; amending |
| 62 | s. 383.324, F.S.; revising provisions relating to inspections |
| 63 | and investigations of birth center facilities; amending s. |
| 64 | 383.33, F.S.; revising provisions relating to administrative |
| 65 | fines, penalties, emergency orders, and moratoriums on |
| 66 | admissions; repealing s. 383.331, F.S., relating to injunctive |
| 67 | relief; amending s. 383.332, F.S.; providing applicability of |
| 68 | licensure requirements under pt. II of ch. 408, F.S.; amending |
| 69 | s. 383.335, F.S.; providing an exemption from pt. II of ch. 408, |
| 70 | F.S., for specified birth centers; amending s. 383.50, F.S.; |
| 71 | conforming a cross-reference; amending s. 390.011, F.S.; |
| 72 | revising a definition; amending s. 390.012, F.S.; revising |
| 73 | rulemaking authority of the agency for abortion clinics; |
| 74 | repealing s. 390.013, F.S., relating to effective date of rules |
| 75 | applicable to abortion clinics; amending s. 390.014, F.S.; |
| 76 | providing applicability of licensure requirements under pt. II |
| 77 | of ch. 408, F.S., to abortion clinics; amending s. 390.015, |
| 78 | F.S.; revising provisions to applications for a license; |
| 79 | repealing s. 390.016, F.S., relating to expiration and renewal |
| 80 | of a license; repealing s. 390.017, F.S., relating to grounds |
| 81 | for suspension or revocation of a license; amending s. 390.018, |
| 82 | F.S.; providing applicability of licensure requirements under |
| 83 | pt. II of ch. 408, F.S., to administrative fines; repealing s. |
| 84 | 390.019, F.S., relating an to administrative penalty in lieu of |
| 85 | revocation or suspension of a license to operate an abortion |
| 86 | clinic; repealing s. 390.021, F.S., relating to instituting |
| 87 | injunction proceedings against an abortion clinic; amending s. |
| 88 | 394.455, F.S.; revising a definition; amending s. 394.4787, |
| 89 | F.S.; conforming a cross-reference; amending s. 394.67, F.S.; |
| 90 | deleting, revising, and providing definitions; amending ss. |
| 91 | 394.74 and 394.82, F.S.; conforming cross-references; amending |
| 92 | s. 394.875, F.S.; providing the purpose of short-term |
| 93 | residential treatment facilities; providing applicability of |
| 94 | licensure requirements under pt. II of ch. 408, F.S., to crisis |
| 95 | stabilization units, short-term residential treatment |
| 96 | facilities, residential treatment facilities, and residential |
| 97 | treatment centers for children and adolescents; providing an |
| 98 | exemption from licensure requirements for hospitals licensed |
| 99 | under ch. 395, F.S., and certain programs operated therein; |
| 100 | amending s. 394.876, F.S.; revising provisions relating to an |
| 101 | application for licensure to provide community substance abuse |
| 102 | and mental health services; amending s. 394.877, F.S.; providing |
| 103 | applicability of pt. II of ch. 408, F.S., to license fees; |
| 104 | repealing s. 394.878, F.S., relating to issuance and renewal of |
| 105 | licenses; amending s. 394.879, F.S.; providing rulemaking |
| 106 | authority to the Department of Children and Family Services; |
| 107 | deleting a reference to deposit of certain fines in the Mental |
| 108 | Health Facility Trust Fund; amending s. 394.90, F.S.; revising |
| 109 | provisions relating to inspections of crisis stabilization units |
| 110 | and residential treatment facilities; amending s. 394.902, F.S.; |
| 111 | revising provisions relating to the moratorium on admissions for |
| 112 | unsafe or unlawful provision of community substance abuse and |
| 113 | mental health services; amending s. 394.907, F.S., relating to |
| 114 | access to records of community mental health centers; providing |
| 115 | for the department to determine licensee compliance with quality |
| 116 | assurance programs; amending s. 395.002, F.S.; deleting a |
| 117 | definition; conforming cross-references; amending ss. 395.003, |
| 118 | 395.004, and 395.0161, F.S.; providing applicability of |
| 119 | licensure requirements under pt. II of ch. 408, F.S., to |
| 120 | hospitals, ambulatory surgical centers, and mobile surgical |
| 121 | facilities; repealing s. 395.0055, F.S., relating to background |
| 122 | screening of personnel of hospitals and other licensed |
| 123 | facilities; amending s. 395.0163, F.S.; deleting a provision |
| 124 | requiring the deposit of fees charged for review of plans for |
| 125 | construction of hospitals and other licensed facilities in the |
| 126 | Planning and Regulation Trust Fund; amending ss. 395.0193 and |
| 127 | 395.0197, F.S.; providing for the applicability of the reporting |
| 128 | requirements of pt. II of ch. 408, F.S., to hospitals and other |
| 129 | licensed facilities; conforming cross-references; amending ss. |
| 130 | 395.0199 and 395.1046, F.S.; providing applicability of |
| 131 | licensure requirements under pt. II of ch. 408, F.S., to health |
| 132 | care utilization review and complaint investigation procedures; |
| 133 | amending s. 395.1055, F.S.; providing applicability of licensure |
| 134 | requirements under pt. II of ch. 408, F.S., to the adoption and |
| 135 | enforcement of rules; amending ss. 395.1065, 395.10973, and |
| 136 | 395.10974, F.S.; providing applicability of licensure |
| 137 | requirements under pt. II of ch. 408, F.S., to administrative |
| 138 | penalties and injunctions, rulemaking, and health care risk |
| 139 | managers; amending ss. 395.602, 395.701, 400.0073, and 400.0074, |
| 140 | F.S.; conforming cross-references; amending s. 400.021, F.S.; |
| 141 | deleting definitions; amending s. 400.022, F.S.; providing |
| 142 | applicability of licensure requirements under pt. II of ch. 408, |
| 143 | F.S., to grounds for action for a violation of residents' |
| 144 | rights; amending s. 400.051, F.S.; conforming a cross-reference; |
| 145 | amending s. 400.062, F.S.; providing applicability of licensure |
| 146 | requirements under pt. II of ch. 408, F.S., to nursing homes and |
| 147 | related health care facilities; revising provisions relating to |
| 148 | license fees; amending s. 400.063, F.S.; conforming a cross- |
| 149 | reference; amending ss. 400.071 and 400.0712, F.S.; providing |
| 150 | applicability of licensure requirements under pt. II of ch. 408, |
| 151 | F.S., to license applications; revising provisions governing |
| 152 | inactive licenses; amending s. 400.102, F.S.; providing |
| 153 | applicability of licensure requirements under pt. II of ch. 408, |
| 154 | F.S., to grounds for action by the agency against a licensee; |
| 155 | amending s. 400.111, F.S.; providing applicability of licensure |
| 156 | requirements under pt. II of ch. 408, F.S., to the disclosure of |
| 157 | a controlling interest of a nursing home facility; requiring a |
| 158 | licensee to disclose certain holdings of a controlling interest; |
| 159 | amending s. 400.1183, F.S.; revising grievance procedures for |
| 160 | nursing home residents; deleting a provision relating to an |
| 161 | administrative fine; amending s. 400.121, F.S.; providing |
| 162 | applicability of licensure requirements under pt. II of ch. 408, |
| 163 | F.S., to the denial, suspension, or revocation of a nursing home |
| 164 | facility license, fines imposed, and procedures for conducting |
| 165 | hearings; repealing s. 400.125, F.S., relating to instituting |
| 166 | injunction proceedings against a nursing home; amending s. |
| 167 | 400.141, F.S.; conforming a cross-reference; amending s. |
| 168 | 400.179, F.S.; revising provisions relating to liability for |
| 169 | Medicaid underpayments and overpayments; requiring that certain |
| 170 | licensure fees be paid annually; amending s. 400.18, F.S.; |
| 171 | revising provisions relating to the closing of a nursing home |
| 172 | facility; amending s. 400.19, F.S.; providing applicability of |
| 173 | licensure requirements under pt. II of ch. 408, F.S., to nursing |
| 174 | home facility inspections; amending s. 400.191, F.S.; revising |
| 175 | provisions relating to the availability, distribution, and |
| 176 | posting of reports and records; amending s. 400.23, F.S.; |
| 177 | providing applicability of pt. II of ch. 408, F.S., to |
| 178 | rulemaking for nursing home facilities; amending s. 400.241, |
| 179 | F.S.; deleting provisions relating to prohibited acts involving |
| 180 | the establishment, operation, or advertisement of nursing home |
| 181 | facilities; amending ss. 400.464, 400.471, 400.474, and 400.484, |
| 182 | F.S.; providing applicability of licensure requirements under |
| 183 | pt. II of ch. 408, F.S., to home health agencies; repealing s. |
| 184 | 400.495, F.S., relating to the notice of a toll-free telephone |
| 185 | number for the central abuse hotline; amending ss. 400.497, |
| 186 | 400.506, 400.509, 400.602, 400.605, 400.606, 400.6065, 400.607, |
| 187 | 400.801, 400.805, 400.903, 400.905, 400.907, 400.908, 400.912, |
| 188 | 400.914, and 400.915, F.S.; providing applicability of licensure |
| 189 | requirements under pt. II of ch. 408, F.S., to the toll-free |
| 190 | central abuse hotline, rules establishing minimum standards for |
| 191 | home health aides, nurse registries, the registration of |
| 192 | companion or homemaker service providers that are exempt from |
| 193 | licensure, hospices, homes for special services, transitional |
| 194 | living facilities, and prescribed pediatric extended care (PPEC) |
| 195 | centers; amending s. 400.512, F.S.; revising provisions relating |
| 196 | to the screening of home health agency, nurse registry, |
| 197 | companion, and homemaker personnel; repealing s. 400.515, F.S., |
| 198 | relating to instituting injunction proceedings against a home |
| 199 | health agency or nurse registry; amending s. 400.6095, F.S.; |
| 200 | clarifying provisions relating to protection from liability for |
| 201 | hospice staff; amending s. 400.902, F.S.; revising a definition; |
| 202 | amending s. 400.906, F.S.; revising provisions relating to |
| 203 | applications for a license to operate a PPEC center; repealing |
| 204 | s. 400.910, F.S., relating to expiration and renewal of a |
| 205 | license and the issuance of a conditional license or permit to |
| 206 | operate a PPEC center; repealing s. 400.911, F.S., relating to |
| 207 | instituting injunction proceedings against a PPEC center; |
| 208 | repealing s. 400.913, F.S., relating to right to enter and |
| 209 | inspect a PPEC center; amending s. 400.916, F.S.; revising |
| 210 | provisions relating to prohibited acts and penalties applicable |
| 211 | to a PPEC center; repealing s. 400.917, F.S., relating to |
| 212 | disposition of moneys from fines and fees imposed on a PPEC |
| 213 | center; amending s. 400.925, F.S.; deleting and revising |
| 214 | definitions; amending ss. 400.93, 400.931, 400.932, 400.933, |
| 215 | 400.935, and 400.955, F.S.; providing applicability of licensure |
| 216 | requirements under pt. II of ch. 408, F.S., to home medical |
| 217 | equipment providers; repealing s. 400.95, F.S., relating to |
| 218 | notice of the toll-free telephone number for the central abuse |
| 219 | hotline; repealing s. 400.956, F.S., relating to instituting |
| 220 | injunction proceedings against a home medical equipment |
| 221 | provider; amending ss. 400.962, 400.967, 400.968, and 400.969, |
| 222 | F.S.; providing applicability of licensure requirements under |
| 223 | pt. II of ch. 408, F.S., to intermediate care facilities for |
| 224 | developmentally disabled persons; repealing s. 400.963, F.S., |
| 225 | relating to instituting injunction proceedings against an |
| 226 | intermediate care facility for developmentally disabled persons; |
| 227 | repealing s. 400.965, F.S., relating to agency action against an |
| 228 | intermediate care facility for developmentally disabled persons; |
| 229 | amending s. 400.980, F.S.; providing applicability of licensure |
| 230 | requirements under pt. II of ch. 408, F.S., to health care |
| 231 | services pools; amending s. 400.9905, F.S.; revising the |
| 232 | definition of the term "clinic" for purposes of pt. X of ch. |
| 233 | 400, F.S., relating to clinic licensure; amending ss. 400.991, |
| 234 | 400.9915, |