Florida Senate - 2024                   (Proposed Bill) SPB 7018
       FOR CONSIDERATION By the Committee on Health Policy
       588-01751A-24                                         20247018pb
    1                        A bill to be entitled                      
    2         An act relating to health care innovation; creating s.
    3         381.4015, F.S.; defining terms; providing legislative
    4         intent; creating the Health Care Innovation Council
    5         within the Department of Health for a specified
    6         purpose; providing for membership, meetings, and
    7         conflicts of interest of the council; specifying
    8         conflicts of interest with respect to the revolving
    9         loan program established under the act; defining the
   10         terms “business relationship” and “relative”;
   11         specifying duties of the council; requiring the
   12         council, by a specified date, to adopt, and update as
   13         necessary, a certain document; requiring the council
   14         to submit annual reports to the Governor and the
   15         Legislature; requiring state agencies and statutorily
   16         created state entities to assist and cooperate with
   17         the council as requested; requiring the department to
   18         provide administrative support to the council;
   19         requiring the department to maintain a link to
   20         specified information on the homepage of its website;
   21         requiring the department to publish specified
   22         information on its website; requiring the department
   23         to provide technical assistance to certain applicants
   24         upon request; requiring the department to administer a
   25         revolving loan program for applicants seeking to
   26         implement certain health care innovations in this
   27         state; providing for administration of the program;
   28         requiring the department to adopt certain rules;
   29         specifying eligibility and application requirements;
   30         specifying terms, authorized uses, and repayment
   31         options for loans; requiring the department to create
   32         and maintain a separate account in the Grants and
   33         Donations Trust Fund within the department to fund the
   34         revolving loan program; providing that funds for the
   35         program are not subject to reversion; authorizing the
   36         department to contract with a third party to
   37         administer the program, including loan servicing, and
   38         manage the revolving loan fund; specifying
   39         requirements for the contract; requiring the
   40         department to publish and update specified information
   41         and reports on its website annually; requiring the
   42         Office of Economic and Demographic Research and the
   43         Office of Program Policy Analysis and Government
   44         Accountability to each develop and present an
   45         evaluation of the program to the Governor and the
   46         Legislature every 5 years, beginning on specified
   47         dates; specifying requirements for the evaluations;
   48         requiring that the offices be given access to all data
   49         necessary to complete the evaluation, including
   50         confidential data; authorizing the offices to
   51         collaborate on data collection and analysis; requiring
   52         the department to adopt rules; providing for future
   53         expiration; authorizing the department to adopt
   54         emergency rules to implement the act; providing
   55         appropriations; providing an effective date.
   57  Be It Enacted by the Legislature of the State of Florida:
   59         Section 1. Section 381.4015, Florida Statutes, is created
   60  to read:
   61         381.4015Florida health care innovation.—
   62         (1)DEFINITIONS.—As used in this section, the term:
   63         (a)“Council” means the Health Care Innovation Council.
   64         (b)“Department” means the Department of Health.
   65         (c)“Health care provider” means any person or entity
   66  licensed, certified, registered, or otherwise authorized by law
   67  to provide health care services in this state.
   68         (2)LEGISLATIVE INTENT.—The Legislature intends to harness
   69  the innovation and creativity of entrepreneurs and businesses,
   70  together with the state’s health care system and stakeholders,
   71  to lead the discussion and highlight advances and innovations
   72  that will address challenges in the health care system as they
   73  develop in real time and transform the delivery and strengthen
   74  the quality of health care in Florida. Innovative technologies,
   75  workforce pathways, service delivery models, or other solutions
   76  that improve the quality of care in measurable and sustainable
   77  ways, that can be replicated, and that will lower costs and
   78  allow that value to be passed on to health care consumers shall
   79  be highlighted for adoption across all neighborhoods and
   80  communities in this state.
   81         (3)HEALTH CARE INNOVATION COUNCIL.—The Health Care
   82  Innovation Council, a council as defined in s. 20.03, is created
   83  within the department to tap into the best knowledge and
   84  experience available by regularly bringing together subject
   85  matter experts in a public forum to explore and discuss
   86  innovations in technology, workforce, and service delivery
   87  models that can be exhibited as best practices, implemented, or
   88  scaled in order to improve the quality and delivery of health
   89  care in this state in measurable, sustainable, and reproducible
   90  ways.
   91         (a)Membership.
   92         1. The Lieutenant Governor shall serve as an ex officio,
   93  nonvoting member and shall act as the council chair.
   94         2.The council shall be composed of the following voting
   95  members, to be appointed by July 1, 2024:
   96         a.One member appointed by the President of the Senate and
   97  one member appointed by the Speaker of the House of
   98  Representatives. The appointing officers shall make appointments
   99  prioritizing members who have the following experience:
  100         (I) A representative of the health care sector who has
  101  senior level experience in reducing inefficiencies in health
  102  care delivery systems;
  103         (II) A representative of the private sector who has senior
  104  level experience in cybersecurity or software engineering in the
  105  health care sector;
  106         (III) A representative who has expertise in emerging
  107  technology that can be used in the delivery of health care; or
  108         (IV) A representative who has experience in finance or
  109  investment or in management and operation of early stage
  110  companies.
  111         b.The chair of the Council of Florida Medical School
  112  Deans.
  113         c.A physician licensed under chapter 458 or chapter 459,
  114  appointed by the Governor.
  115         d.A nurse licensed under chapter 465, appointed by the
  116  Governor.
  117         e.An employee of a hospital licensed under chapter 395 who
  118  has executive-level experience, appointed by the Governor.
  119         f.A representative of the long-term care facility
  120  industry, appointed by the Governor.
  121         g.An employee of a health insurer or health maintenance
  122  organization who has executive-level experience, appointed by
  123  the Governor.
  124         h.A resident of this state who can represent the interest
  125  of health care patients in this state, appointed by the
  126  Governor.
  127         3.The council shall be composed of the following ex
  128  officio, nonvoting members:
  129         a.The State Surgeon General.
  130         b.The Secretary of Health Care Administration.
  131         c.The Secretary of Children and Families.
  132         d.The director of the Agency for Persons with
  133  Disabilities.
  134         e.The Secretary of Elderly Affairs.
  135         4. Except for ex officio members, the term of all
  136  appointees shall be for 2 years unless otherwise specified.
  137  However, to achieve staggered terms, the appointees in sub
  138  subparagraphs 2.a.-d. shall serve initial terms of 3 years. The
  139  appointees may be reappointed for no more than four consecutive
  140  terms.
  141         5. Any vacancy occurring on the council must be filled in
  142  the same manner as the original appointment. Any member who is
  143  appointed to fill a vacancy occurring because of death,
  144  resignation, or ineligibility for membership shall serve only
  145  for the unexpired term of the member’s predecessor.
  146         6. Members whose terms have expired may continue to serve
  147  until replaced or reappointed. However, members whose terms have
  148  expired may not serve longer than 6 months after the expiration
  149  of their terms.
  150         7.Members shall serve without compensation but are
  151  entitled to reimbursement for per diem and travel expenses
  152  pursuant to s. 112.061.
  153         8. Members may be removed for cause by the appointing
  154  entity.
  155         9. Each member of the council who is not otherwise required
  156  to file a financial disclosure statement pursuant to s. 8, Art.
  157  II of the State Constitution or s. 112.3144 must file a
  158  disclosure of financial interests pursuant to s. 112.3145.
  159         (b)Meetings.—The council shall convene its first
  160  organizational meeting by September 1, 2024. Thereafter, the
  161  council shall meet as necessary, but at least quarterly, at the
  162  call of the chair. In order to provide an opportunity for the
  163  broadest public input, the chair shall ensure that a majority of
  164  the meetings held in a year are geographically dispersed within
  165  this state. As feasible, meetings are encouraged to provide an
  166  opportunity for presentation or demonstration of innovative
  167  solutions in person. A majority of the members of the council
  168  constitutes a quorum, and a meeting may not be held with less
  169  than a quorum present. In order to establish a quorum, the
  170  council may conduct its meetings through teleconference or other
  171  electronic means. The affirmative vote of a majority of the
  172  members of the council present is necessary for any official
  173  action by the council.
  174         (c)Conflicts of interest.
  175         1.A council member may not vote on any matter that would
  176  provide:
  177         a. Direct financial benefit to the member;
  178         b. Financial benefit to a relative of the member, including
  179  an entity of which a relative is an officer, partner, director,
  180  or proprietor or in which the relative has a material interest;
  181  or
  182         c. Financial benefit to a person or entity with whom the
  183  member has a business relationship.
  184         2.With respect to the revolving loan program established
  185  in subsection (7):
  186         a.Council members may not receive loans under the program;
  187  and
  188         b.A person or entity that has a conflict-of-interest
  189  relationship with a council member as described in sub
  190  subparagraph 1.b. or sub-subparagraph 1.c. may not receive a
  191  loan under the program unless that council member recused
  192  himself or herself from consideration of the person’s or
  193  entity’s application.
  194         3. For purposes of this paragraph, the term:
  195         a. “Business relationship” means an ownership or
  196  controlling interest, an affiliate or subsidiary relationship, a
  197  common parent company, or any mutual interest in any limited
  198  partnership, limited liability partnership, limited liability
  199  company, or other entity or business association.
  200         b. “Relative” means a father, mother, son, daughter,
  201  husband, wife, brother, sister, grandparent, father-in-law,
  202  mother-in-law, son-in-law, or daughter-in-law of a person.
  203         (d) Public meetings and records.—The council and any
  204  subcommittees it forms are subject to the provisions of chapter
  205  119 relating to public records and the provisions of chapter 286
  206  relating to public meetings.
  208  facilitate and implement this section, the council shall:
  209         (a) By February 1, 2025, adopt and update as necessary a
  210  document that sets forth and describes a mission statement,
  211  goals, and objectives for the council to function and meet the
  212  purposes of this section.
  213         (b)Facilitate public meetings across this state at which
  214  innovators, developers, and implementers of technologies,
  215  workforce pathways, service delivery models, and other solutions
  216  may present information and lead discussions on concepts that
  217  address challenges to the health care system as they develop in
  218  real time and advance the delivery of health care in this state
  219  through technology and innovation.
  220         1. Consideration must be given to how such concepts
  221  increase efficiency in the health care system in this state,
  222  reduce strain on the state’s health care workforce, improve
  223  patient outcomes, expand public access to health care services
  224  in this state, or reduce costs for patients and the state
  225  without reducing the quality of patient care.
  226         2. Exploration and discussion of concepts may include how
  227  concepts can be supported, cross-functional, or scaled to meet
  228  the needs of health care consumers, including employers, payors,
  229  patients, and the state.
  230         3. The council may coordinate with the Small Business
  231  Development Center Network, the Florida Opportunity Fund, the
  232  Institute for Commercialization of Florida Technology, and other
  233  business incubators, development organizations, or institutions
  234  of higher education to include emerging and early stage
  235  innovators, developers, and implementers of technology, models,
  236  or solutions in health care in the exploration and discussion of
  237  concepts and breakthrough innovations.
  238         4. To support adoption and implementation of innovations
  239  and advancements, specific meetings may be held which bring
  240  together technical experts, such as those in system integration,
  241  cloud computing, artificial intelligence, and cybersecurity, to
  242  lead discussions on recommended structures and integrations of
  243  information technology products and services and propose
  244  solutions that can make adoption and implementation efficient,
  245  effective, and economical.
  246         5. The council may also highlight broad community or
  247  statewide issues or needs of providers and users of health care
  248  delivery and may facilitate public forums in order to explore
  249  and discuss the range of effective, efficient, and economical
  250  technology and innovative solutions that can be implemented.
  251         (c) Annually distinguish the most impactful concepts by
  252  recognizing the innovators, developers, and implementers whose
  253  work is helping Floridians to live brighter and healthier lives.
  254  In seeking out projects, initiatives, and concepts that are
  255  having a positive impact in Florida, have huge potential to
  256  scale that impact throughout this state through growth or
  257  replication, or are cutting-edge advancements, programs, or
  258  other innovations that have the capability to accelerate
  259  transformation of health care in this state, the council may
  260  issue awards to recognize these strategic and innovative
  261  thinkers who are helping Floridians live brighter and healthier
  262  lives. The council may develop a logo for the award for use by
  263  awardees to advertise their achievements and recognition.
  264         (d) Consult with and solicit input from health care
  265  experts, health care providers, and technology and manufacturing
  266  experts in the health care or related fields, users of such
  267  innovations or systems, and the public to develop and update:
  268         1. Best practice recommendations that will lead to the
  269  continuous modernization of the health care system in this state
  270  and make the Florida system a nationwide leader in innovation,
  271  technology, and service. At a minimum, recommendations must be
  272  made for how to explore implementation of innovations, how to
  273  implement new technologies and strategies, and health care
  274  service delivery models. As applicable, best practices must be
  275  distinguished by practice setting and with an emphasis on
  276  increasing efficiency in the delivery of health care, reducing
  277  strain on the health care workforce, increasing public access to
  278  health care, improving patient outcomes, reducing unnecessary
  279  emergency room visits, and reducing costs for patients and the
  280  state without reducing the quality of patient care. Specifically
  281  for information technology, best practices must also recommend
  282  actions to guide the selection of technologies and innovations,
  283  which may include, but need not be limited to, considerations
  284  for system-to-system integration, consistent user experiences
  285  for health care workers and patients, and patient education and
  286  practitioner training.
  287         2. A list of focus areas in which to advance the delivery
  288  of health care in this state through innovative technologies,
  289  workforce pathways, or service delivery models. The focus areas
  290  may be broad or specific, but must, at a minimum, consider all
  291  of the following topics:
  292         a.The health care workforce. This topic includes, but is
  293  not limited to, all of the following:
  294         (I)Approaches to cultivate interest and growth in the
  295  workforce, including concepts resulting in increases in the
  296  number of providers.
  297         (II) Efforts to improve the use of the workforce, whether
  298  through techniques, training, or devices to increase
  299  effectiveness or efficiency.
  300         (III) Educational pathways that connect students with
  301  employers or result in attainment of cost-efficient and timely
  302  degrees or credentials.
  303         (IV) Use of technology to reduce the burden on the
  304  workforce during decisionmaking processes such as triage, but
  305  which leaves all final decisions to the health care
  306  practitioner.
  307         b.The provision of patient care in the most appropriate
  308  setting and reduction of unnecessary emergency room visits.
  309  These topics include, but are not limited to, all of the
  310  following:
  311         (I)Use of advanced technologies to improve patient
  312  outcomes, provide patient care, or improve patient quality of
  313  life.
  314         (II)The use of early detection devices, including remote
  315  communications devices and diagnostic tools engineered for early
  316  detection and patient engagement.
  317         (III)At-home patient monitoring devices and measures.
  318         (IV)Advanced at-home health care.
  319         (V) Advanced adaptive equipment.
  320         c.The delivery of primary care through methods, practices,
  321  or procedures that increase efficiencies.
  322         d.The technical aspects of the provision of health care.
  323  These aspects include, but are not limited to, all of the
  324  following:
  325         (I)Interoperability of electronic health records systems
  326  and the impact on patient care coordination and administrative
  327  costs for health care systems.
  328         (II)Cybersecurity and the protection of health care data
  329  and systems.
  330         (e)Identify and recommend any changes to Florida law or
  331  changes that can be implemented without legislative action which
  332  are necessary to:
  333         1. Advance, transform, or innovate in the delivery and
  334  strengthen the quality of health care in Florida, including
  335  removal or update of any regulatory barriers or governmental
  336  inefficiencies.
  337         2. Implement the council’s duties or recommendations.
  338         (f)Recommend criteria for awarding loans as provided in
  339  subsection (7) to the department and review loan applications.
  340         (g)Annually submit by December 1 a report of council
  341  activities and recommendations to the Governor, the President of
  342  the Senate, and the Speaker of the House of Representatives. At
  343  a minimum, the report must include an update on the status of
  344  the delivery of health care in this state; information on
  345  implementation of best practices by health care industry
  346  stakeholders in this state; and highlights of exploration,
  347  development, or implementation of innovative technologies,
  348  workforce pathways, service delivery models, or other solutions
  349  by health care industry stakeholders in this state.
  350         (5)AGENCY COOPERATION.—All state agencies and statutorily
  351  created state entities shall assist and cooperate with the
  352  council as requested.
  353         (6)DEPARTMENT DUTIES.—The department shall, at a minimum,
  354  do all of the following to facilitate implementation of this
  355  section:
  356         (a) Provide reasonable and necessary support staff and
  357  materials to assist the council in the performance of its
  358  duties.
  359         (b) Maintain on the homepage of the department a link to a
  360  website dedicated to the council on which the department shall
  361  post information related to the council, including the outcomes
  362  of the duties of the council and annual reports as described in
  363  subsection (4).
  364         (c)Identify and publish on its website a list of any
  365  sources of federal, state, or private funding available for
  366  implementation of innovative technologies and service delivery
  367  models in health care, including the details and eligibility
  368  requirements for each funding opportunity. Upon request, the
  369  department shall provide technical assistance to any person
  370  wanting to apply for such funding. If the entity with oversight
  371  of the funding opportunity provides technical assistance, the
  372  department may foster working relationships that allow the
  373  department to refer the person seeking funding to the
  374  appropriate contact for such assistance.
  375         (d) Incorporate recommendations of the council into the
  376  department’s duties or as part of the administration of this
  377  section, or update administrative rules or procedures as
  378  appropriate based upon council recommendations.
  379         (7)REVOLVING LOAN PROGRAM.—The department shall administer
  380  a revolving loan program for applicants seeking to implement
  381  innovative solutions in this state.
  382         (a) Administration.—The council may make recommendations to
  383  the department for the administration of the loans. The
  384  department shall adopt rules:
  385         1. Establishing an application process to submit and review
  386  funding proposals for loans. Such rules must also include the
  387  process for the council to review applications to ensure
  388  compliance with applicable laws, including those related to
  389  discrimination and conflicts of interest. If a council member
  390  participated in the vote of the council recommending an award
  391  for a proposal with which the council member has a conflict of
  392  interest, the division may not award the loan to that entity.
  393         2. Establishing eligibility criteria to be applied by the
  394  council in recommending applications for the award of loans
  395  which:
  396         a. Incorporate the recommendations of the council. The
  397  council shall recommend to the department criteria based upon
  398  input received and the focus areas developed. The council may
  399  recommend updated criteria as necessary, based upon the most
  400  recent input, best practice recommendations, or focus areas
  401  list.
  402         b. Determine which proposals are likely to provide the
  403  greatest return to the state if funded, taking into
  404  consideration, at a minimum, the degree to which the proposal
  405  would increase efficiency in the health care system in this
  406  state, reduce strain on the state’s health care workforce,
  407  improve patient outcomes, increase public access to health care
  408  in this state, or provide cost savings to patients or the state
  409  without reducing the quality of patient care.
  410         3. It deems necessary to administer the program, including,
  411  but not limited to, rules for application requirements, the
  412  ability of the applicant to properly administer funds, the
  413  professional excellence of the applicant, the fiscal stability
  414  of the applicant, the state or regional impact of the proposal,
  415  matching requirements for the proposal, and other requirements
  416  to further the purposes of the program.
  417         (b)Eligibility.
  418         1. The following entities may apply for a revolving loan:
  419         a. Entities licensed, registered, or certified by the
  420  Agency for Health Care Administration as provided under s.
  421  408.802, except for those specified in s. 408.802(1), (3), (13),
  422  (23), or (25).
  423         b. An education or clinical training provider in
  424  partnership with an entity under sub-subparagraph a.
  425         2.a.Council members may not receive loans under the
  426  program.
  427         b.An entity that has a conflict-of-interest relationship
  428  with a council member as described in sub-subparagraph
  429  (3)(c)1.b. or sub-subparagraph (3)(c)1.c. may not receive a loan
  430  under the program unless that council member recused himself or
  431  herself from consideration of the entity’s application.
  432         3. Priority must be given to applicants located in a rural
  433  or medically underserved area as designated by the department
  434  which are:
  435         a. Rural hospitals as defined in s. 395.602(2).
  436         b. Nonprofit entities that accept Medicaid patients.
  437         4. The department may award a loan for up to 50 percent of
  438  the total projected implementation costs, or up to 80 percent of
  439  total projected implementation costs for an applicant under
  440  subparagraph 3. The applicant must demonstrate the source of
  441  funding it will use to cover the remainder of the total
  442  projected implementation costs, which funding must be from
  443  nonstate sources.
  444         (c)Applications.
  445         1. The department shall set application periods to apply
  446  for loans. The department may set multiple application periods
  447  in a fiscal year, with up to four periods per year. The
  448  department shall coordinate with the council when establishing
  449  application periods to establish separate priority, in addition
  450  to eligibility, within the loan applications for defined
  451  categories based on the current focus area list. The department
  452  shall publicize the availability of loans under the program to
  453  stakeholders, education or training providers, and others.
  454         2. Upon receipt of an application, the department shall
  455  determine whether the application is complete and the applicant
  456  has demonstrated the ability to repay the loan. Within 30 days
  457  after the close of the application period, the department shall
  458  forward all completed applications to the council for
  459  consideration.
  460         3.The council shall review applications for loans under
  461  the criteria and pursuant to the processes and format adopted by
  462  the department. The council shall submit to the department for
  463  approval lists of applicants that it recommends for funding,
  464  arranged in order of priority and as required for the
  465  application period.
  466         4. A loan applicant must demonstrate plans to use the funds
  467  to implement one or more innovative technologies, workforce
  468  pathways, service delivery models, or other solutions in order
  469  to fill a demonstrated need; obtain or upgrade necessary
  470  equipment, hardware, and materials; adopt new technologies or
  471  systems; or a combination thereof which will improve the quality
  472  and delivery of health care in measurable and sustainable ways
  473  and which will lower costs and allow savings to be passed on to
  474  health care consumers.
  475         (d) Awards.
  476         1. The amount of each loan must be based upon demonstrated
  477  need and availability of funds. The department may not award
  478  more than 10 percent of the total allocated funds for the fiscal
  479  year to a single loan applicant.
  480         2. The interest rate for each loan may not exceed 1
  481  percent.
  482         3. The term of each loan is up to 10 years.
  483         4. In order to equitably distribute limited state funding,
  484  applicants may apply for and be awarded only one loan per fiscal
  485  year. If a loan recipient has one or more outstanding loans at
  486  any time, the recipient may apply for funding for a new loan if
  487  the current loans are in good standing.
  488         (e) Written agreement.
  489         1. Each loan recipient must enter into a written agreement
  490  with the department to receive the loan. At a minimum, the
  491  agreement with the applicant must specify all of the following:
  492         a. The total amount of the award.
  493         b. The performance conditions that must be met, based upon
  494  the submitted proposal and the defined category or focus area,
  495  as applicable.
  496         c. The information to be reported on actual implementation
  497  costs, including the share from nonstate resources.
  498         d. The schedule for payment.
  499         e.The data and progress reporting requirements and
  500  schedule.
  501         f. Any sanctions that would apply for failure to meet
  502  performance conditions.
  503         2. The department shall develop uniform data reporting
  504  requirements for loan recipients to evaluate the performance of
  505  the implemented proposals. Such data must be shared with the
  506  council.
  507         3.If requested, the department shall provide technical
  508  assistance to loan recipients under the program.
  509         (f) Loan repayment.—Loans become due and payable in
  510  accordance with the terms of the written agreement. All
  511  repayments of principal received by the department in a fiscal
  512  year shall be returned to the revolving loan fund and made
  513  available for loans to other applicants.
  514         (g) Revolving loan fund.—The department shall create and
  515  maintain a separate account in the Grants and Donations Trust
  516  Fund within the department as a fund for the program. All
  517  repayments of principal must be returned to the revolving loan
  518  fund and made available as provided in this section.
  519  Notwithstanding s. 216.301, funds appropriated for the revolving
  520  loan program are not subject to reversion. The department may
  521  contract with a third-party administrator to administer the
  522  program, including loan servicing, and manage the revolving loan
  523  fund. A contract for a third-party administrator which includes
  524  management of the revolving loan fund must, at a minimum,
  525  require maintenance of the revolving loan fund to ensure that
  526  the program may operate in a revolving manner.
  527         (8) REPORTING.—The department shall publish on its website
  528  information related to loan recipients, including the written
  529  agreements, performance conditions and their status, and the
  530  total amount of loan funds disbursed to date. The department
  531  shall update the information annually on the award date. The
  532  department shall, beginning on September 1, 2025, and annually
  533  thereafter, post on its website a report on this section for the
  534  previous fiscal year which must include all of the following
  535  information:
  536         (a) A summary of the adoption and implementation of
  537  recommendations of the council during the previous fiscal year.
  538         (b) An evaluation of actions and related activities to meet
  539  the purposes set forth in this section.
  540         (c) Consolidated data based upon the uniform data reporting
  541  by funding recipients and an evaluation of how the provision of
  542  the loans has met the purposes set forth in this section.
  543         (d) The number of applications for loans, the types of
  544  proposals received, and an analysis on the relationship between
  545  the proposals and the purposes of this section.
  546         (e) The amount of funds allocated and awarded for each loan
  547  application period, as well as any funds not awarded in that
  548  period.
  549         (f)The amount of funds paid out during the fiscal year and
  550  any funds repaid or unused.
  551         (g) The number of persons assisted and outcomes of any
  552  technical assistance requested for loans and any federal, state,
  553  or private funding opportunities.
  554         (9) EVALUATION.—
  555         (a) Beginning October 1, 2029, and every 5 years
  556  thereafter, the Office of Economic and Demographic Research
  557  (EDR) shall develop and present to the Governor, the President
  558  of the Senate, and the Speaker of the House of Representatives
  559  an evaluation of the activities and administration of the
  560  revolving loan program conducted under this section.
  561         (b) Beginning October 1, 2030, and every 5 years
  562  thereafter, the Office of Program Policy Analysis and Government
  563  Accountability (OPPAGA) shall develop and present to the
  564  Governor, the President of the Senate, and the Speaker of the
  565  House of Representatives an evaluation of the activities and
  566  administration of the revolving loan program conducted under
  567  this section.
  568         (c) Both the EDR and OPPAGA shall evaluate the program for
  569  its effectiveness and value to the taxpayers of this state and
  570  include recommendations for consideration by the Legislature.
  571  The EDR and OPPAGA must be given access to all data necessary to
  572  complete the evaluation, including any confidential data. The
  573  offices may collaborate on data collection and analysis.
  574         (10)RULES.—The department shall adopt rules to implement
  575  this section.
  576         (11) EXPIRATION.—This section expires July 1, 2043.
  577         Section 2. The Department of Health shall, and all
  578  conditions are deemed met to, adopt emergency rules pursuant to
  579  s. 120.54(4), Florida Statutes, for the purpose of implementing
  580  s. 381.4015, Florida Statutes. Notwithstanding any other law,
  581  emergency rules adopted pursuant to this section are effective
  582  for 6 months after adoption and may be renewed during the
  583  pendency of the procedure to adopt permanent rules addressing
  584  the subject of the emergency rules.
  585         Section 3. (1) For the 2023-2024 fiscal year, the sum of
  586  $250,000 in nonrecurring funds from the General Revenue Fund is
  587  appropriated to the Department of Health to implement and
  588  administer the Health Care Innovation Council under s. 381.4015,
  589  Florida Statutes.
  590         (2)For the 2024-2025 fiscal year, the recurring sum of $1
  591  million is appropriated from the General Revenue Fund to the
  592  Department of Health to implement and administer the Health Care
  593  Innovation Council under s. 381.4015, Florida Statutes.
  594         (3) By August 1 of each year, beginning in the 2024-2025
  595  fiscal year through the 2033-2034 fiscal year, the Chief
  596  Financial Officer shall transfer $75 million in nonrecurring
  597  funds from the General Revenue Fund to the Grants and Donations
  598  Trust Fund within the Department of Health. Each year, beginning
  599  in the 2024-2025 fiscal year through the 2033-2034 fiscal year,
  600  the nonrecurring sum of $75 million is appropriated from the
  601  Grants and Donations Trust Fund to the Department of Health for
  602  the revolving loan fund created in s. 381.4015, Florida
  603  Statutes. The department may use up to 3 percent of the
  604  appropriated funds for administrative costs to implement the
  605  revolving loan program.
  606         Section 4. This act shall take effect upon becoming a law.