Florida Senate - 2016 COMMITTEE AMENDMENT
Bill No. SB 1518
Ì503856@Î503856
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
02/09/2016 .
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The Committee on Health Policy (Grimsley) recommended the
following:
1 Senate Amendment to Amendment (740310) (with title
2 amendment)
3
4 Between lines 4 and 5
5 insert:
6 Section 1. Section 391.224, Florida Statutes, is created to
7 read:
8 391.224 Pediatric Cardiac Advisory Council.—
9 (1) LEGISLATIVE FINDINGS AND INTENT.—
10 (a) The Legislature finds significant benefits in the
11 continued coordination of activities by several state agencies
12 regarding access to pediatric cardiac care in this state. It is
13 the intent of the Legislature that the Department of Health, the
14 department’s cardiac consultants, and the Agency for Health Care
15 Administration maintain their long-standing interagency teams
16 and agreements for the development and adoption of guidelines,
17 standards, and rules for those portions of the state cardiac
18 care system within the statutory authority of each agency. This
19 coordinated approach will continue to ensure the necessary
20 continuum of care for the pediatric cardiac patient. The
21 department has the leadership responsibility for this activity.
22 (b) It is further the intent of the Legislature to
23 establish the Pediatric Cardiac Advisory Council, a statewide,
24 inclusive council within the department.
25 (2) PEDIATRIC CARDIAC ADVISORY COUNCIL.—
26 (a) The State Surgeon General shall appoint the Pediatric
27 Cardiac Advisory Council for the purpose of advising the
28 department on the delivery of cardiac services to children.
29 (b) The chair of the council shall be elected from among
30 the council members every 2 years and may not serve more than
31 two consecutive terms.
32 (c) The council shall meet upon the call of the chair or
33 two or more voting members or upon the call of the State Surgeon
34 General, but must meet at least quarterly. Council meetings must
35 be conducted by teleconference or through other electronic means
36 when feasible.
37 (d) The council shall be composed of no more than 13 voting
38 members with technical expertise in cardiac medicine. Members
39 shall be appointed by the State Surgeon General for staggered
40 terms of 4 years. An employee of the department or a contracted
41 consultant paid by the department may not serve as an appointed
42 member or ex officio member of the council. Council members
43 shall include the following voting members:
44 1. Pediatric cardiologists or pediatric cardiovascular
45 surgeons who have been nominated by their respective chief
46 executive officers and approved by the State Surgeon General
47 from the following facilities for as long as such facilities
48 maintain their pediatric certificates of need:
49 a. All Children’s Hospital in St. Petersburg;
50 b. Arnold Palmer Hospital for Children in Orlando;
51 c. Joe DiMaggio Children’s Hospital in Hollywood;
52 d. Nicklaus Children’s Hospital in Miami;
53 e. St. Joseph’s Children’s Hospital in Tampa;
54 f. University of Florida Health Shands Hospital in
55 Gainesville;
56 g. University of Miami Holtz Children’s Hospital in Miami;
57 and
58 h. Wolfson Children’s Hospital in Jacksonville.
59
60 A hospital with a certificate of need for a pediatric cardiac
61 program that meets state and national standards as determined by
62 the council following an onsite visit by a panel from the
63 council shall have one of its pediatric cardiologists or
64 pediatric cardiovascular surgeons who has been nominated by its
65 chief executive officer and approved by the State Surgeon
66 General appointed to the council as a new voting member. The
67 voting privilege of a voting member of the council appointed
68 pursuant to this subparagraph shall be suspended if the facility
69 he or she represents no longer meets state and national
70 standards as adopted by the council. Such individual may remain
71 a member of the council in an advisory capacity but shall
72 relinquish voting privileges until his or her facility meets
73 such standards.
74 2. Two physicians at large, not associated with a facility
75 that has a representative appointed as a voting member of the
76 council, who are pediatric cardiologists or subspecialists with
77 special expertise or experience in dealing with children or
78 adults with congenital heart disease. These physicians shall be
79 selected by the State Surgeon General in consultation with the
80 Deputy Secretary for Children’s Medical Services and the
81 Director of Children’s Medical Services.
82 3. One community physician who has ongoing involvement with
83 and special interest in children with heart disease and who is
84 not associated with a facility represented in subparagraph 1. or
85 one community-based medical internist having experience with
86 adults with congenital heart disease. The community physician
87 shall be selected by the State Surgeon General in consultation
88 with the Deputy Secretary of Children’s Medical Services and the
89 Director of the Division of Children’s Medical Services.
90 (e) The State Surgeon General may appoint nonvoting
91 advisory members to the council in consultation with the Deputy
92 Secretary for Children’s Medical Services and the Director of
93 Children’s Medical Services. Among such nonvoting advisory
94 members appointed to the council shall be one representative
95 from a pediatric health advocacy group. Such members may
96 participate in council discussions and subcommittees created by
97 the council, but may not vote.
98 (f) The duties of the council include, but are not limited
99 to:
100 1. Recommending standards for personnel, diagnoses,
101 clinics, and facilities rendering cardiac services to the
102 department and the Division of Children’s Medical Services.
103 2. Analyzing reports on the periodic review of cardiac
104 personnel, diagnoses, clinics, and facilities to determine if
105 established state and national standards for cardiac services
106 are met.
107 3. Making recommendations to the Director of Children’s
108 Medical Services as to the approval or disapproval of reviewed
109 cardiac care personnel, diagnoses, clinics, and facilities.
110 4. Making recommendations as to the intervals for
111 reinspection of approved personnel, diagnoses, clinics, and
112 facilities for cardiac care.
113 5. Reviewing and inspecting hospitals upon the request of
114 the hospitals, the department, or the Agency for Health Care
115 Administration to determine if established state and national
116 standards for cardiac services are met.
117 6. Providing input on all aspects of the state’s Children’s
118 Medical Services cardiac programs, including rulemaking.
119 7. Addressing all components of the care of adults and
120 children with congenital heart disease and children with
121 acquired heart disease, as indicated and appropriate.
122 8. Abiding by the recognized state and national
123 professional standards of care for children with heart disease.
124 9. Making recommendations to the State Surgeon General for
125 legislation and appropriations for children’s cardiac services.
126 10. Providing advisory opinions to the Agency for Health
127 Care Administration before the agency approves a certificate of
128 need for children’s cardiac services.
129 (g) A council member shall serve without compensation, but
130 is entitled to reimbursement for per diem and travel expenses in
131 accordance with s. 112.061.
132 (h) At the recommendation of the Pediatric Cardiac Advisory
133 Council and with the approval of the Director of Children’s
134 Medical Services, the State Surgeon General shall designate
135 facilities meeting the council’s approved state and national
136 professional standards of care for children with heart disease
137 as “Pediatric and Congenital Cardiovascular Centers of
138 Excellence.” The designation is withdrawn automatically if a
139 particular center no longer meets such standards.
140 1. The council shall develop and recommend to the State
141 Surgeon General measurable performance standards and goals for
142 determining whether a facility meets the requirements for
143 designation as a “Pediatric and Congenital Cardiovascular Center
144 of Excellence.”
145 2. The council shall develop and recommend to the State
146 Surgeon General evaluation tools for measuring the goals and
147 performance standards of the facilities seeking and receiving
148 the “Pediatric and Congenital Cardiovascular Center of
149 Excellence” designation.
150 (3) ANNUAL REPORT.—The council shall submit an annual
151 report to the Governor, the President of the Senate, the Speaker
152 of the House of Representatives, and the State Surgeon General
153 by January 1 of each year, beginning in 2017. The report must
154 summarize the council’s activities for the preceding fiscal year
155 and include data and performance measures for all pediatric
156 cardiac facilities that participate in the Children’s Medical
157 Services Network relating to surgical morbidity and mortality.
158 The report must also recommend any policy or procedural changes
159 that would increase the council’s effectiveness in monitoring
160 the pediatric cardiovascular programs in the state.
161 (4) RULEMAKING.—The department, in coordination with the
162 Agency for Health Care Administration, shall develop rules
163 related to pediatric cardiac facilities that participate in the
164 Children’s Medical Services Network. The rules may establish
165 standards relating to the training and credentialing of medical
166 and surgical personnel, facility and physician minimum case
167 volumes, and data reporting requirements for monitoring and
168 enhancing quality assurance. The department may adopt rules
169 relating to the establishment, operations, and authority of the
170 Pediatric Cardiac Advisory Council and the establishment, goals,
171 performance standards, and evaluation tools for designating
172 facilities as Pediatric and Congenital Cardiovascular Centers of
173 Excellence. The rules relating to pediatric cardiac services and
174 facilities in effect on October 1, 2016, are authorized pursuant
175 to this subsection and shall remain in effect until amended
176 pursuant to this subsection.
177
178 ================= T I T L E A M E N D M E N T ================
179 And the title is amended as follows:
180 Delete line 57
181 and insert:
182 An act relating to cardiovascular services; creating
183 s. 391.224, F.S.; providing legislative findings and
184 intent; creating the Pediatric Cardiac Advisory
185 Council; determining the chair of the advisory
186 council; establishing the membership of the advisory
187 council; identifying the duties of the advisory
188 council; setting the minimum qualifications for the
189 designation of a facility as a Pediatric and
190 Congenital Cardiovascular Center of Excellence;
191 requiring a report to the Governor, the Legislature,
192 and the State Surgeon General; requiring the
193 Department of Health to develop rules relating to
194 pediatric cardiac services and facilities in the
195 Children’s Medical Services Network; authorizing the
196 department to adopt rules relating to the council and
197 the designation of facilities as Pediatric and
198 Congenital Cardiovascular Centers of Excellence;
199 authorizing and preserving until amended specified
200 rules relating to pediatric cardiac services and
201 facilities;