Florida Senate - 2022 SB 1742 By Senator Torres 15-00900A-22 20221742__ 1 A bill to be entitled 2 An act relating to denial of health care services; 3 creating s. 381.027, F.S.; providing a short title; 4 defining terms; requiring a covered entity to adopt a 5 policy relating to providing notice of its refused 6 services by a specified date; providing requirements 7 for such notice; requiring the covered entity to 8 submit a complete list of refused services to the 9 Department of Health by a specified date; requiring 10 that the covered entity notify the department within a 11 specified period after a change is made to such list; 12 requiring a covered entity to submit the list, along 13 with its application, if applying for certain state 14 grants or contracts; providing a civil penalty; 15 requiring the department to adopt rules; requiring the 16 department to publish and maintain on its website a 17 current list of covered entities and their refused 18 services; requiring the department to develop and 19 administer a certain public education and awareness 20 program; providing construction; providing for 21 severability; providing an effective date. 22 23 Be It Enacted by the Legislature of the State of Florida: 24 25 Section 1. Section 381.027, Florida Statutes, is created to 26 read: 27 381.027 Requirements for covered entities; notice of 28 refused services; department duties.— 29 (1) SHORT TITLE.—This section may be cited as the “Health 30 Care Transparency and Accessibility Act.” 31 (2) DEFINITIONS.—As used in this section, the term: 32 (a) “Covered entity” means any health care facility that 33 uses, plans to use, or relies upon a denial of care provision to 34 refuse to provide a health care service, or referral for a 35 health care service, for any reason. The term does not include a 36 health care practitioner. 37 (b) “Denial of care provision” means any federal or state 38 law that purports or is asserted to allow a health care facility 39 to opt out of providing a health care service, or referral for a 40 health care service, including, but not limited to, ss. 41 381.0051(5), 390.0111(8), 483.918, and 765.1105; 42 U.S.C. ss. 42 18023(b)(4) and 18113; 42 U.S.C. s. 300a-7; 42 U.S.C. s. 238n; 43 42 U.S.C. s. 2000bb et seq.; s. 507(d) of the Departments of 44 Labor, Health and Human Services, and Education, and Related 45 Agencies Appropriations Act of 2019, Division B of Pub. L. No. 46 115-245; and 45 C.F.R. part 88. 47 (c) “Department” means the Department of Health. 48 (d) “Health care facility” has the same meaning as in s. 49 381.026(2). 50 (e) “Health care practitioner” has the same meaning as in 51 s. 456.001. 52 (f) “Health care service” has the same meaning as in s. 53 624.27(1). 54 (g) “Referral” has the same meaning as in s. 456.053(3). 55 (h) “Refused service” means a health care service that a 56 covered entity chooses not to provide, or not to provide a 57 referral for, based on one or more denial of care provisions. 58 The term includes health care services that the covered entity 59 selectively provides to some, but not all, patients based on 60 their identity, objections to a health care service, or other 61 nonmedical reasons. 62 (3) REQUIREMENTS FOR COVERED ENTITIES; PENALTY.— 63 (a) By October 1, 2022, each covered entity shall adopt a 64 policy for providing patients with a complete list of its 65 refused services. A covered entity shall: 66 1. Provide written notice to the patient or the patient’s 67 representative which includes the complete list of its refused 68 services before any health care service is initiated. 69 a. In the case of an emergency, the covered entity must 70 promptly provide written notice after the patient is capable of 71 receiving such notice or when the patient’s representative is 72 available. 73 b. The patient or patient’s representative shall 74 acknowledge receipt of the written notice of refused services. 75 2. Retain all acknowledgements of receipt of the written 76 notice of refused services for a period of at least 3 years. 77 3. Provide a complete list of its refused services to any 78 person upon request. 79 (b) By October 1, 2022, a covered entity shall submit to 80 the department a complete list of its refused services. If any 81 change is made to the list, the covered entity must notify the 82 department within 30 days after making the change. 83 (c) If applying for any state grant or contract related to 84 providing a health care service, a covered entity must submit, 85 along with its application, a complete list of its refused 86 services. 87 (d) A covered entity that fails to comply with this 88 subsection is subject to a fine not exceeding $5,000 for each 89 day that the covered entity is not in compliance. 90 (4) DEPARTMENT DUTIES.— 91 (a) The department shall adopt rules to implement this 92 section which must include a process for receiving and 93 investigating complaints regarding covered entities that fail to 94 comply with this section. 95 (b) By January 1, 2023, the department shall publish and 96 maintain on its website a current list of covered entities and 97 the refused services for each covered entity. 98 (c) The department shall develop and administer a public 99 education and awareness program regarding the denial of health 100 care services, including how the denial of health care services 101 can negatively impact health care access and quality, how the 102 denial of health care services may be avoided, and how the 103 denial of health care services affects vulnerable people and 104 communities. 105 (5) CONSTRUCTION.— 106 (a) This section does not authorize denials of health care 107 services or discrimination in the provision of health care 108 services. 109 (b) This section does not limit any cause of action under 110 state or federal law, or limit any remedy in law or equity, 111 against a health care facility or health care practitioner. 112 (c) Compliance with this section does not reduce or limit 113 any potential liability for covered entities associated with the 114 refused services or any violations of state or federal law. 115 (d) Section 761.03 does not provide a claim relating to, or 116 a defense to a claim under, this section, or provide a basis for 117 challenging the application or enforcement of this section or 118 the use of funds associated with the application or enforcement 119 of this section. 120 (6) SEVERABILITY.—If any provision of this section or its 121 application to any person or circumstance is held invalid, the 122 invalidity does not affect other provisions or applications of 123 this section which can be given effect without the invalid 124 provision or application, and to this end the provisions of this 125 section are severable. 126 Section 2. This act shall take effect July 1, 2022.