CS/CS/CS/SB 676: Access to Health Care Services
    GENERAL BILL
    by
    
Appropriations    ; 
Banking and Insurance    ; 
Health Policy    ; 
Grimsley    ; 
    (CO-INTRODUCERS) 
Flores    ; 
Margolis    ; 
Altman    ; 
Detert    ; 
Bullard    ; 
Bean    ; 
Gibson    ; 
Clemens    ; 
Braynon    ; 
Diaz de la Portilla    ; 
Soto
    Access to Health Care Services;  Expanding the categories of persons who may prescribe brand name drugs under the prescription drug program when medically necessary; requiring a hospital to provide specified advance notice to certain obstetrical physicians before it closes its obstetrical department or ceases to provide obstetrical services; requiring the Board of Nursing to establish a committee to recommend a formulary of controlled substances that may not be prescribed, or may be prescribed only on a limited basis, by an advanced registered nurse practitioner; designates "The Barbara Lumpkin Prescribing Act"; requiring that certain health insurers that do not already use a certain form use only a prior authorization form approved by the Financial Services Commission in consultation with the Agency for Health Care Administration, etc.
    
    
    
    
        
        Senate Committee References:
        
            
                -  Health Policy (HP)
 
            
            
                -  Banking and Insurance (BI)
 
            
            
                -  Appropriations (AP)
 
            
        
     
 
    
    
    
    
    
        
        
            
            
            Bill History
            
                
                    
                        | Date | 
                        Chamber | 
                        Action | 
                    
                
                
                        
                            | 10/29/2015 | 
                            Senate | 
                            
                                    • Filed 
                             | 
                        
                        
                            | 11/18/2015 | 
                            Senate | 
                            
                                    • Referred to Health Policy; Banking and Insurance; Appropriations Subcommittee on Health and Human Services; Appropriations -SJ 49  
                             | 
                        
                        
                            | 1/4/2016 | 
                            Senate | 
                            
                                    • On Committee agenda-- Health Policy, 01/11/16, 4:00 pm, 412 Knott Building  
                             | 
                        
                        
                            | 1/11/2016 | 
                            Senate | 
                            
                                    • CS by Health Policy; YEAS 4 NAYS 2 -SJ 180  
                             | 
                        
                        
                            | 1/12/2016 | 
                            Senate | 
                            
                                    • Introduced -SJ 49  
                                    • Pending reference review under Rule 4.7(2) - (Committee Substitute) 
                                    • Now in Banking and Insurance -SJ 180  
                             | 
                        
                        
                            | 1/13/2016 | 
                            Senate | 
                            
                                    • CS by Health Policy read 1st time -SJ 181  
                             | 
                        
                        
                            | 1/21/2016 | 
                            Senate | 
                            
                                    • On Committee agenda-- Banking and Insurance, 01/26/16, 9:00 am, 110 Senate Office Building  
                             | 
                        
                        
                            | 1/26/2016 | 
                            Senate | 
                            
                                    • CS/CS by Banking and Insurance; YEAS 9 NAYS 0 -SJ 246  
                             | 
                        
                        
                            | 1/27/2016 | 
                            Senate | 
                            
                                    • Pending reference review under Rule 4.7(2) - (Committee Substitute) 
                                    • Original reference(s) removed: Appropriations Subcommittee on Health and Human Services 
                                    • Remaining references corrected to Appropriations -SJ 257  
                                    • Now in Appropriations 
                                    • CS/CS by Banking and Insurance read 1st time -SJ 249  
                             | 
                        
                        
                            | 2/15/2016 | 
                            Senate | 
                            
                                    • On Committee agenda-- Appropriations, 02/18/16, 1:00 pm, 412 Knott Building  
                             | 
                        
                        
                            | 2/18/2016 | 
                            Senate | 
                            
                                    • CS/CS/CS by- Appropriations; YEAS 15 NAYS 0 -SJ 434  
                             | 
                        
                        
                            | 2/22/2016 | 
                            Senate | 
                            
                                    • Pending reference review -under Rule 4.7(2) - (Committee Substitute) 
                                    • Placed on Calendar, on 2nd reading -SJ 434  
                                    • CS/CS/CS by Appropriations read 1st time -SJ 436  
                             | 
                        
                        
                            | 3/7/2016 | 
                            Senate | 
                            
                                    • Placed on Special Order Calendar, 03/09/16 
                             | 
                        
                        
                            | 3/9/2016 | 
                            Senate | 
                            
                                    • Read 2nd time -SJ 892  
                                    • Substituted HB 423 -SJ 892  
                                    • Laid on Table, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/HB 977 (Ch. 2016-231), HB 1241 (Ch. 2016-145), SB 586 (Ch. 2016-113) -SJ 892  
                             | 
                        
                
            
         
        
            
            
            Related Bills
                
                    
                        
                            | Bill Number | 
                            Subject | 
                            Filed By | 
                            
                                Relationship
                                
                             | 
                            Last Action and Location | 
                                Track Bills | 
                        
                    
                    
                            
                                | 
                                    S 210
                                 | 
                                Health Care | 
                                Grimsley | 
                                Similar | 
                                
                                    Last Action: 2/10/2016 S Withdrawn from further consideration, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/HB 977 (Ch. 2016-231), SB 586 (Ch. 2016-113) -SJ 344 
                                         
                                        Location: Withdrawn from consideration
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    S 428
                                 | 
                                Health Care | 
                                Grimsley | 
                                Similar | 
                                
                                    Last Action: 10/7/2015 S Withdrawn prior to introduction, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/HB 977 (Ch. 2016-231), SB 586 (Ch. 2016-113)
                                         
                                        Location: Withdrawn from consideration
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    H 423
                                        (er)
                                 | 
                                Access to Health Care Services | 
                                Pigman, Campbell | 
                                Compare | 
                                
                                    Last Action: 4/14/2016  Chapter No. 2016-224, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/HB 977 (Ch. 2016-231), HB 1241 (Ch. 2016-145)
                                         
                                        Location: Became Law
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    H 471
                                 | 
                                Responsibilities of Health Care Providers | 
                                Burton | 
                                Compare | 
                                
                                    Last Action: 3/4/2016 H Laid on Table, companion bill(s) passed, see SB 586 (Ch. 2016-113) -HJ 804 
                                         
                                        Location: Laid on Table
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    H 977
                                        (er)
                                 | 
                                Behavioral Health Workforce | 
                                Peters | 
                                Compare | 
                                
                                    Last Action: 4/14/2016  Chapter No. 2016-231, companion bill(s) passed, see HB 423 (Ch. 2016-224)
                                         
                                        Location: Became Law
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    H 1241
                                        (er)
                                 | 
                                Ordering of Medication | 
                                Plasencia, Campbell | 
                                Compare | 
                                
                                    Last Action: 3/28/2016  Chapter No. 2016-145, companion bill(s) passed, see HB 423 (Ch. 2016-224)
                                         
                                        Location: Became Law
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    S 586
                                        (er)
                                 | 
                                Responsibilities of Health Care Providers | 
                                Stargel | 
                                Compare | 
                                
                                    Last Action: 3/25/2016  Chapter No. 2016-113
                                         
                                        Location: Became Law
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                            
                                | 
                                    S 1250
                                        (c2)
                                 | 
                                Health Care Workforce | 
                                Grimsley | 
                                Compare | 
                                
                                    Last Action: 3/9/2016 S Laid on Table, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/HB 977 (Ch. 2016-231) -SJ 903 
                                         
                                        Location: Laid on Table
                                 | 
                                    
                                            
                                                 
                                            
                                     | 
                            
                    
                
         
        
        
            
            
            
                Committee Amendments
                
                                
                                    S 676 Filed
                                    
                                        
                                            | Amendment | 
                                            Sponsor | 
                                            Filed | 
                                            Last Committee Action | 
                                            Format | 
                                        
                                    
                                    
                                        
    
        391454 - Amendment  
         Delete line 851 and insert: 
        
     | 
    
Health Policy         (Grimsley)
     | 
    
        1/8/2016   8:56 AM
     | 
    
        Replaced by Committee Substitute
          1/12/2016
     | 
    
        Web Page
         
                PDF
     | 
    
         
        550786 - Substitute Amendment (391454)  
         Delete lines 517 - 518 and insert: 
     | 
    
Health Policy         (Grimsley)
     | 
    
        1/11/2016   1:17 PM
     | 
    
        Withdrawn
          1/12/2016
     | 
    
        Web Page
         
                PDF
     | 
                                    
                                
                                
                                    S 676 c1
                                    
                                        
                                            | Amendment | 
                                            Sponsor | 
                                            Filed | 
                                            Last Committee Action | 
                                            Format | 
                                        
                                    
                                    
                                        
    
        821310 - Amendment  
         Delete lines 928 - 942 and insert: 
        
     | 
    
Banking and Insurance         (Richter)
     | 
    
        1/25/2016   9:36 AM
     | 
    
        Replaced by Committee Substitute
          1/27/2016
     | 
    
        Web Page
         
                PDF
     | 
                                    
                                
                                
                                    S 676 c2
                                    
                                        
                                            | Amendment | 
                                            Sponsor | 
                                            Filed | 
                                            Last Committee Action | 
                                            Format | 
                                        
                                    
                                    
                                        
    
        243646 - Amendment  
         Between lines 800 and 801 insert: 
        
     | 
    
Appropriations         (Grimsley)
     | 
    
        2/17/2016   12:23 PM
     | 
    
        Replaced by Committee Substitute
          2/18/2016
     | 
    
        Web Page
         
                PDF
     | 
                                    
                                
                 
             
            
                Floor Amendments
                
                                
                                    S 676 c3
                                    
                                        
                                            | Amendments | 
                                            Sponsor | 
                                            Filed | 
                                            Last Floor Action | 
                                            Format | 
                                        
                                    
                                    
                                        
    
        189950 - Amendment  
         Between lines 233 and 234 insert: 
        
     | 
    
Garcia     | 
    
        3/8/2016   5:14 PM
     | 
    
        Senate: 
        Not Considered
          3/9/2016
     | 
    
        Web Page
         
                PDF
     | 
    
        503040 - Amendment  
         Between lines 960 and 961 insert: 
        
     | 
    
Hays     | 
    
        3/8/2016   12:18 PM
     | 
    
        Senate: 
        Not Considered
          3/9/2016
     | 
    
        Web Page
         
                PDF
     | 
    
         
        540476 - Substitute Amendment (503040)  
         Between lines 960 and 961 insert: 
     | 
    
Hays     | 
    
        3/8/2016   4:55 PM
     | 
    
        Senate: 
        Not Considered
          3/9/2016
     | 
    
        Web Page
         
                PDF
     | 
                                        
                                        
                                    
                                
                 
             
         
        
            
            
            Bill Analyses
                
                    
                        
                            | Type | 
                            Analysis | 
                            Author | 
                            Posted | 
                            Format | 
                        
                    
                    
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Health Policy
                                                    (Pre-Meeting)
                                 | 
                                1/8/2016 3:34 PM | 
                                
                                    PDF
                                 | 
                            
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Health Policy
                                                    (Post-Meeting)                                 | 
                                1/12/2016 2:59 PM | 
                                
                                    PDF
                                 | 
                            
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Banking and Insurance
                                                    (Pre-Meeting)
                                 | 
                                1/25/2016 8:23 AM | 
                                
                                    PDF
                                 | 
                            
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Banking and Insurance
                                                    (Post-Meeting)                                 | 
                                1/27/2016 1:18 PM | 
                                
                                    PDF
                                 | 
                            
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Appropriations
                                                    (Pre-Meeting)
                                 | 
                                2/16/2016 2:38 PM | 
                                
                                    PDF
                                 | 
                            
                            
                                | Bill Analysis | 
                                
                                        S 676 
                                 | 
                                
                                    Appropriations
                                                    (Post-Meeting)                                 | 
                                2/22/2016 10:55 AM | 
                                
                                    PDF
                                 | 
                            
                    
                
         
        
            
            
            Vote History - Committee
                
            Vote History - Floor
                 No Vote History Available
         
        
            
            
            Citations - Statutes (39)
                
                    
                        
                            | Citation | 
                            Catchline | 
                            Location in Bill Location In Bill Help | 
                        
                    
                    
                            
                                | 
                                        110.12315
                                 | 
                                 Prescription drug program. | 
                                
                                             Page 4 (pdf)                                 | 
                            
                            
                                | 
                                        310.071
                                 | 
                                 Deputy pilot certification. | 
                                
                                             Page 5 (pdf)                                 | 
                            
                            
                                | 
                                        310.073
                                 | 
                                 State pilot licensing. | 
                                
                                             Page 7 (pdf)                                 | 
                            
                            
                                | 
                                        310.081
                                 | 
                                 Department to examine and license state pilots and certificate deputy pilots; vacancies. | 
                                
                                             Page 7 (pdf)                                 | 
                            
                            
                                | 
                                        320.0848
                                 | 
                                 Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        383.336
                                 | 
                                 Provider hospitals; practice parameters; peer review board. | 
                                
                                             Page 8 (pdf)                                 | 
                            
                            
                                | 
                                        395.1051
                                 | 
                                 Duty to notify patients. | 
                                
                                             Page 9 (pdf)                                 | 
                            
                            
                                | 
                                        456.041
                                 | 
                                 Practitioner profile; creation. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        456.072
                                 | 
                                 Grounds for discipline; penalties; enforcement. | 
                                
                                             Page 9 (pdf),                                              Page  38 (pdf)                                 | 
                            
                            
                                | 
                                        456.44
                                 | 
                                 Controlled substance prescribing. | 
                                
                                             Page 10 (pdf)                                 | 
                            
                            
                                | 
                                        458.303
                                 | 
                                 Provisions not applicable to other practitioners; exceptions, etc. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        458.3265
                                 | 
                                 Pain-management clinics. | 
                                
                                             Page 16 (pdf)                                 | 
                            
                            
                                | 
                                        458.331
                                 | 
                                 Grounds for disciplinary action; action by the board and department. | 
                                
                                             Page 37 (pdf)                                 | 
                            
                            
                                | 
                                        458.347
                                 | 
                                 Physician assistants. | 
                                
                                             Page 17 (pdf),                                              Page  20 (pdf),                                              Page  37 (pdf)                                 | 
                            
                            
                                | 
                                        458.3475
                                 | 
                                 Anesthesiologist assistants. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        458.348
                                 | 
                                 Formal supervisory relationships, standing orders, and established protocols; notice; standards. | 
                                
                                             Page 35 (pdf),                                              Page  38 (pdf)                                 | 
                            
                            
                                | 
                                        459.0137
                                 | 
                                 Pain-management clinics. | 
                                
                                             Page 17 (pdf)                                 | 
                            
                            
                                | 
                                        459.015
                                 | 
                                 Grounds for disciplinary action; action by the board and department. | 
                                
                                             Page 37 (pdf)                                 | 
                            
                            
                                | 
                                        459.022
                                 | 
                                 Physician assistants. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        459.023
                                 | 
                                 Anesthesiologist assistants. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        459.025
                                 | 
                                 Formal supervisory relationships, standing orders, and established protocols; notice; standards. | 
                                
                                             Page 37 (pdf),                                              Page  38 (pdf)                                 | 
                            
                            
                                | 
                                        464.003
                                 | 
                                 Definitions. | 
                                
                                             Page 21 (pdf)                                 | 
                            
                            
                                | 
                                        464.008
                                 | 
                                 Licensure by examination. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        464.009
                                 | 
                                 Licensure by endorsement. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        464.012
                                 | 
                                 Certification of advanced registered nurse practitioners; fees. | 
                                
                                             Page 23 (pdf),                                              Page  28 (pdf)                                 | 
                            
                            
                                | 
                                        464.013
                                 | 
                                 Renewal of license or certificate. | 
                                
                                             Page 29 (pdf)                                 | 
                            
                            
                                | 
                                        464.018
                                 | 
                                 Disciplinary actions. | 
                                
                                             Page 30 (pdf)                                 | 
                            
                            
                                | 
                                        464.0205
                                 | 
                                 Retired volunteer nurse certificate. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
                                        465.0158
                                 | 
                                 Nonresident sterile compounding permit. | 
                                
                                             Page 37 (pdf)                                 | 
                            
                            
                                | 
                                        466.02751
                                 | 
                                 Establishment of practitioner profile for designation as a controlled substance prescribing practitioner. | 
                                
                                             Page 38 (pdf)                                 | 
                            
                            
                                | 
627.42392                                 | 
                                  | 
                                
                                             Page 32 (pdf)                                 | 
                            
                            
                                | 
                                        627.6131
                                 | 
                                 Payment of claims. | 
                                
                                             Page 33 (pdf)                                 | 
                            
                            
                                | 
                                        641.3155
                                 | 
                                 Prompt payment of claims. | 
                                
                                             Page 34 (pdf)                                 | 
                            
                            
                                | 
                                        775.051
                                 | 
                                 Voluntary intoxication; not a defense; evidence not admissible for certain purposes; exception. | 
                                
                                             Page 39 (pdf)                                 | 
                            
                            
                                | 
                                        893.02
                                 | 
                                 Definitions. | 
                                
                                             Page 34 (pdf)                                 | 
                            
                            
                                | 
                                        944.17
                                 | 
                                 Commitments and classification; transfers. | 
                                
                                             Page 39 (pdf)                                 | 
                            
                            
                                | 
                                        948.001
                                 | 
                                 Definitions. | 
                                
                                             Page 39 (pdf)                                 | 
                            
                            
                                | 
                                        948.03
                                 | 
                                 Terms and conditions of probation. | 
                                
                                             Page 35 (pdf)                                 | 
                            
                            
                                | 
                                        948.101
                                 | 
                                 Terms and conditions of community control. | 
                                
                                             Page 39 (pdf)                                 | 
                            
                    
                
            Citations - Constitution (0)
                No Constitutional citations. 
            Citations - Chapter Law (0)
                No Chapter Law citations. 
         
     
 
    
        Identical bill
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        Similar bill
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        Compare bill
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        Linked bill
        A bill that is contingent upon passage of another bill within the same chamber, e.g., a trust fund bill, a bill providing a public record exemption, or an implementing bill.
    
 
    
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