Bill Amendment: FL S0966 | 2013 | Regular Session
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: Health Care
Status: 2013-05-03 - Died on Calendar, companion bill(s) passed, see CS/HB 1071 (Ch. 2013-93), CS/CS/HB 1159 (Ch. 2013-153), SB 1520 (Ch. 2013-48) [S0966 Detail]
Download: Florida-2013-S0966-Appropriations_Committee_Amendment_to_Amendment_185148.html
Bill Title: Health Care
Status: 2013-05-03 - Died on Calendar, companion bill(s) passed, see CS/HB 1071 (Ch. 2013-93), CS/CS/HB 1159 (Ch. 2013-153), SB 1520 (Ch. 2013-48) [S0966 Detail]
Download: Florida-2013-S0966-Appropriations_Committee_Amendment_to_Amendment_185148.html
Florida Senate - 2013 COMMITTEE AMENDMENT Bill No. CS for SB 966 Barcode 185148 LEGISLATIVE ACTION Senate . House Comm: RCS . 04/22/2013 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Appropriations (Bean) recommended the following: 1 Senate Amendment to Amendment (342762) (with title 2 amendment) 3 4 Delete lines 458 - 535 5 and insert: 6 Section 14. Paragraph (a) of subsection (7) and subsection 7 (14) of section 395.4001, Florida Statutes, are amended to read: 8 395.4001 Definitions.—As used in this part, the term: 9 (7) “Level II trauma center” means a trauma center that: 10 (a) Is verified by the department to be in substantial 11 compliance with Level II trauma center standards and has been 12 approved by the department to operate as a Level II trauma 13 center or is designated pursuant to s. 395.4025(14). 14 (14) “Trauma center” means a hospital that has been 15 verified by the department to be in substantial compliance with 16 the requirements in s. 395.4025 and has been approved by the 17 department to operate as a Level I trauma center, Level II 18 trauma center, or pediatric trauma center, or is designated by 19 the department as a Level II trauma center pursuant to 20 s. 395.4025(14). 21 Section 15. Paragraph (b) of subsection (1) and paragraph 22 (3) of section 395.401, Florida Statutes, are amended to read: 23 395.401 Trauma services system plans; approval of trauma 24 centers and pediatric trauma centers; procedures; renewal.— 25 (1) 26 (b) The local and regional trauma agencies shall develop 27 and submit to the department plans for local and regional trauma 28 services systems. The plans must include, at a minimum, the 29 following components: 30 1. The organizational structure of the trauma system. 31 2. Prehospital care management guidelines for triage and 32 transportation of trauma cases. 33 3. Flow patterns of trauma cases and transportation system 34 design and resources, including air transportation services, 35 provision for interfacility trauma transfer, and the prehospital 36 transportation of trauma victims. The trauma agency shall plan 37 for the development of a system of transportation of trauma 38 alert victims to trauma centers where the distance or time to a 39 trauma center or transportation resources diminish access by 40 trauma alert victims. 414. The number and location of needed trauma centers based42on local needs, population, and location and distribution of43resources.44 4.5.Data collection regarding system operation and patient 45 outcome. 46 5.6.Periodic performance evaluation of the trauma system 47 and its components. 48 6.7.The use of air transport services within the 49 jurisdiction of the local trauma agency. 50 7.8.Public information and education about the trauma 51 system. 52 8.9.Emergency medical services communication system usage 53 and dispatching. 54 9.10.The coordination and integration between the trauma 55 center and other acute care hospitals. 56 10.11.Medical control and accountability. 57 11.12.Quality control and system evaluation. 58 (3) The department may withdraw local or regional agency 59 authority, prescribe corrective actions, or use the 60 administrative remedies as provided in s. 395.1065 for the 61 violation of any provision of this section and ss. 395.4015, 62395.402,395.4025, 395.403, 395.404, and 395.4045 or rules 63 adopted thereunder. All amounts collected pursuant to this 64 subsection shall be deposited into the Emergency Medical 65 Services Trust Fund provided in s. 401.34. 66 Section 16. Subsection (1) of section 395.4015, Florida 67 Statutes, is amended to read: 68 395.4015 State regional trauma planning; trauma regions.— 69 (1) The department shall establish a state trauma system 70 plan. As part of the state trauma system plan, the department 71 shall establish trauma regions that cover all geographical areas 72 of the state and have boundaries that are coterminous with the 73 boundaries of the regional domestic security task forces 74 established under s. 943.0312. These regions may serve as the 75 basis for the development of department-approved local or 76 regional trauma plans. However, such regional plans shall 77 recognize trauma service areas that reflect well established 78 patient flow patterns. The delivery of trauma services by or in 79 coordination with a trauma agency established before July 1, 80 2004, may continue in accordance with public and private 81 agreements and operational procedures entered into as provided 82 in s. 395.401. 83 Section 17. Section 395.402, Florida Statutes, is amended 84 to read: 85 395.402 Trauma service areas; number and location of trauma86centers.— 87(1) The Legislature recognizes the need for a statewide,88cohesive, uniform, and integrated trauma system. Within the89trauma service areas, Level I and Level II trauma centers shall90each be capable of annually treating a minimum of 1,000 and 50091patients, respectively, with an injury severity score (ISS) of 992or greater. Level II trauma centers in counties with a93population of more than 500,000 shall have the capacity to care94for 1,000 patients per year.95(2) Trauma service areas as defined in this section are to96be utilized until the Department of Health completes an97assessment of the trauma system and reports its finding to the98Governor, the President of the Senate, the Speaker of the House99of Representatives, and the substantive legislative committees.100The report shall be submitted by February 1, 2005. The101department shall review the existing trauma system and determine102whether it is effective in providing trauma care uniformly103throughout the state. The assessment shall:104(a) Consider aligning trauma service areas within the105trauma region boundaries as established in July 2004.106(b) Review the number and level of trauma centers needed107for each trauma service area to provide a statewide integrated108trauma system.109(c) Establish criteria for determining the number and level110of trauma centers needed to serve the population in a defined111trauma service area or region.112(d) Consider including criteria within trauma center113approval standards based upon the number of trauma victims114served within a service area.115(e) Review the Regional Domestic Security Task Force116structure and determine whether integrating the trauma system117planning with interagency regional emergency and disaster118planning efforts is feasible and identify any duplication of119efforts between the two entities.120(f) Make recommendations regarding a continued revenue121source which shall include a local participation requirement.122(g) Make recommendations regarding a formula for the123distribution of funds identified for trauma centers which shall124address incentives for new centers where needed and the need to125maintain effective trauma care in areas served by existing126centers, with consideration for the volume of trauma patients127served, and the amount of charity care provided.128(3) In conducting such assessment and subsequent annual129reviews, the department shall consider:130(a) The recommendations made as part of the regional trauma131system plans submitted by regional trauma agencies.132(b) Stakeholder recommendations.133(c) The geographical composition of an area to ensure rapid134access to trauma care by patients.135(d) Historical patterns of patient referral and transfer in136an area.137(e) Inventories of available trauma care resources,138including professional medical staff.139(f) Population growth characteristics.140(g) Transportation capabilities, including ground and air141transport.142(h) Medically appropriate ground and air travel times.143(i) Recommendations of the Regional Domestic Security Task144Force.145(j) The actual number of trauma victims currently being146served by each trauma center.147(k) Other appropriate criteria.148(4) Annually thereafter, the department shall review the149assignment of the 67 counties to trauma service areas, in150addition to the requirements of paragraphs (2)(b)-(g) and151subsection (3). County assignments are made for the purpose of152developing a system of trauma centers. Revisions made by the153department shall take into consideration the recommendations154made as part of the regional trauma system plans approved by the155department and the recommendations made as part of the state156trauma system plan. In cases where a trauma service area is157located within the boundaries of more than one trauma region,158the trauma service area’s needs, response capability, and system159requirements shall be considered by each trauma region served by160that trauma service area in its regional system plan. Until the161department completes the February 2005 assessment, the162assignment of counties shall remain as established in this163section.164(a)The following trauma service areas are hereby 165 established: 166 (1)1.Trauma service area 1 shall consist of Escambia, 167 Okaloosa, Santa Rosa, and Walton Counties. 168 (2)2.Trauma service area 2 shall consist of Bay, Gulf, 169 Holmes, and Washington Counties. 170 (3)3.Trauma service area 3 shall consist of Calhoun, 171 Franklin, Gadsden, Jackson, Jefferson, Leon, Liberty, Madison, 172 Taylor, and Wakulla Counties. 173 (4)4.Trauma service area 4 shall consist of Alachua, 174 Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, 175 Putnam, Suwannee, and Union Counties. 176 (5)5.Trauma service area 5 shall consist of Baker, Clay, 177 Duval, Nassau, and St. Johns Counties. 178 (6)6.Trauma service area 6 shall consist of Citrus, 179 Hernando, and Marion Counties. 180 (7)7.Trauma service area 7 shall consist of Flagler and 181 Volusia Counties. 182 (8)8.Trauma service area 8 shall consist of Lake, Orange, 183 Osceola, Seminole, and Sumter Counties. 184 (9)9.Trauma service area 9 shall consist of Pasco and 185 Pinellas Counties. 186 (10)10.Trauma service area 10 shall consist of 187 Hillsborough County. 188 (11)11.Trauma service area 11 shall consist of Hardee, 189 Highlands, and Polk Counties. 190 (12)12.Trauma service area 12 shall consist of Brevard and 191 Indian River Counties. 192 (13)13.Trauma service area 13 shall consist of DeSoto, 193 Manatee, and Sarasota Counties. 194 (14)14.Trauma service area 14 shall consist of Martin, 195 Okeechobee, and St. Lucie Counties. 196 (15)15.Trauma service area 15 shall consist of Charlotte, 197 Glades, Hendry, and Lee Counties. 198 (16)16.Trauma service area 16 shall consist of Palm Beach 199 County. 200 (17)17.Trauma service area 17 shall consist of Collier 201 County. 202 (18)18.Trauma service area 18 shall consist of Broward 203 County. 204 (19)19.Trauma service area 19 shall consist of Miami-Dade 205 and Monroe Counties. 206(b) Each trauma service area should have at least one Level207I or Level II trauma center. The department shall allocate, by208rule, the number of trauma centers needed for each trauma209service area.210(c) There shall be no more than a total of 44 trauma211centers in the state.212 213 214 ================= T I T L E A M E N D M E N T ================ 215 And the title is amended as follows: 216 Delete lines 3392 - 3395 217 and insert: 218 flow patterns; amending s. 395.402, F.S., repealing 219 provisions relating to the Department of Health's 220 assignment of counties to trauma service areas; 221 repealing outdated provisions requiring the Department 222 of Health to conduct a study; repealing provisions 223 requiring the Department of Health to annually review 224 the assignment of counties to trauma service centers; 225 repealing provisions regarding the number of trauma 226 centers in each trauma service area and in the state; 227 amending s. 395.4025, F.S.; establishing criteria for 228 designating Level II trauma centers in areas with 229 limited access to trauma center services; amending 230 s. 395.405, F.S., removing rulemaking authority for 231 s. 395.402, F.S.; amending s.