Bill Text: FL S1612 | 2024 | Regular Session | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Adult Cardiovascular Care Standards
Spectrum: Bipartisan Bill
Status: (Introduced) 2024-03-04 - Laid on Table, refer to CS/HB 1259 [S1612 Detail]
Download: Florida-2024-S1612-Introduced.html
Bill Title: Adult Cardiovascular Care Standards
Spectrum: Bipartisan Bill
Status: (Introduced) 2024-03-04 - Laid on Table, refer to CS/HB 1259 [S1612 Detail]
Download: Florida-2024-S1612-Introduced.html
Florida Senate - 2024 SB 1612 By Senator Brodeur 10-01555-24 20241612__ 1 A bill to be entitled 2 An act relating to adult cardiovascular care 3 standards; amending s. 395.1055, F.S.; deleting the 4 requirement for the Agency for Health Care 5 Administration to adopt certain rules for adult 6 inpatient diagnostic cardiac catheterization programs; 7 revising standards for rules relating to adult 8 cardiovascular services; requiring the agency to 9 update its rules as often as necessary to remain 10 consistent with new standards and guidelines published 11 by certain entities; providing an effective date. 12 13 Be It Enacted by the Legislature of the State of Florida: 14 15 Section 1. Subsections (16), (18), and (19) of section 16 395.1055, Florida Statutes, are amended to read: 17 395.1055 Rules and enforcement.— 18(16) Each provider of diagnostic cardiac catheterization19services shall comply with rules adopted by the agency which20establish licensure standards governing the operation of adult21inpatient diagnostic cardiac catheterization programs. The rules22must ensure that such programs:23(a) Comply with the most recent guidelines of the American24College of Cardiology and American Heart Association Guidelines25for Cardiac Catheterization and Cardiac Catheterization26Laboratories.27(b) Perform only adult inpatient diagnostic cardiac28catheterization services and will not provide therapeutic29cardiac catheterization or any other cardiology services.30(c) Maintain sufficient appropriate equipment and health31care personnel to ensure quality and safety.32(d) Maintain appropriate times of operation and protocols33to ensure availability and appropriate referrals in the event of34emergencies.35(e) Demonstrate a plan to provide services to Medicaid and36charity care patients.37 (18) In establishing rules for adult cardiovascular 38 services, the agency shall include provisions that provideallow39 for all of the following: 40 (a) The establishment of two hospital program licensure 41 levels, a Level I program that authorizes the performance of 42 adult percutaneous cardiac intervention without onsite cardiac 43 surgery, including rotational or other atherectomy devices, 44 electrophysiology, and treatment of chronic total occlusions, 45 and a Level II program that authorizes the performance of 46 percutaneous cardiac intervention with onsite cardiac surgery. 47 (b)1.ForA hospital seeking a Level I program must have a,48demonstration that, for the most recent 12-month period as49reported to the agency, the hospital has provided a minimum of50300 adult inpatient and outpatient diagnostic cardiac51catheterizations or, for the most recent 12-month period, has52discharged or transferred at least 300 patients with the53principal diagnosis of ischemic heart disease and that it has a54formalized,written transfer agreement with a hospital that has 55 a Level II program, including written transport protocols to 56 ensure safe and efficient transfer of a patientwithin 6057minutes.582.a. A hospital located more than 100 road miles from the59closest Level II adult cardiovascular services program is not60required to meet the diagnostic cardiac catheterization volume61and ischemic heart disease diagnosis volume requirements in62subparagraph 1. if the hospital demonstrates that it has, for63the most recent 12-month period as reported to the agency,64provided a minimum of 100 adult inpatient and outpatient65diagnostic cardiac catheterizations or that, for the most recent6612-month period, it has discharged or transferred at least 30067patients with the principal diagnosis of ischemic heart disease. 68 2.b.A hospital located more than 100 road miles from the 69 closest Level II adult cardiovascular services program must have 70 adoes not need to meet the 60-minute transfer time protocol71requirement in subparagraph 1. if the hospital demonstrates that72it has a formalized,written transfer agreement with a hospital 73 that has a Level II program which includes. The agreement must74includewritten transport protocols to ensure the safe and 75 efficient transfer of a patient, taking into consideration the 76 patient’s clinical and physical characteristics, road and 77 weather conditions, and viability of ground and air ambulance 78 service to transfer the patient. 793. At a minimum, the rules for adult cardiovascular80services must require nursing and technical staff to have81demonstrated experience in handling acutely ill patients82requiring intervention, based on the staff member’s previous83experience in dedicated cardiac interventional laboratories or84surgical centers. If a staff member’s previous experience is in85a dedicated cardiac interventional laboratory at a hospital that86does not have an approved adult open heart surgery program, the87staff member’s previous experience qualifies only if, at the88time the staff member acquired his or her experience, the89dedicated cardiac interventional laboratory:90a. Had an annual volume of 500 or more percutaneous cardiac91intervention procedures.92b. Achieved a demonstrated success rate of 95 percent or93greater for percutaneous cardiac intervention procedures.94c. Experienced a complication rate of less than 5 percent95for percutaneous cardiac intervention procedures.96d. Performed diverse cardiac procedures, including, but not97limited to, balloon angioplasty and stenting, rotational98atherectomy, cutting balloon atheroma remodeling, and procedures99relating to left ventricular support capability.100 (c) For a hospital seeking a Level II program, 101 demonstration that, for the most recent 12-month period as 102 reported to the agency, the hospital has performed a minimum of 103 1,100 adult inpatient and outpatient cardiac catheterizations, 104 of which at least 400 must be therapeutic catheterizations, or, 105 for the most recent 12-month period, has discharged at least 800 106 patients with the principal diagnosis of ischemic heart disease. 107 (d) Compliance with the most recent guidelines of the 108 American College of Cardiology,andthe American Heart 109 Association, and the Society for Cardiac Angiography and 110 Intervention guidelines for staffing, physician training and 111 experience, operating procedures, equipment, physical plant, and 112 patient selection criteria, to ensure patient quality and 113 safety. 114 (e) The establishment of appropriate hours of operation and 115 protocols to ensure availability and timely referral in the 116 event of emergencies. 117 (f) The demonstration of a plan to provide services to 118 Medicaid and charity care patients. 119 (g) For a hospital licensed for adult diagnostic cardiac 120 catheterization that provides Level I or Level II adult 121 cardiovascular services, demonstration that the hospital is 122 participating in the American College of Cardiology’s National 123 Cardiovascular Data Registry or the American Heart Association’s 124 Get with the Guidelines–Coronary Artery Disease registry and 125 documentation of an ongoing quality improvement plan ensuring 126 that the licensed cardiac program meets or exceeds national 127 quality and outcome benchmarks reported by the registry in which 128 the hospital participates. A hospital licensed for Level II 129 adult cardiovascular services must also participate in the 130 clinical outcome reporting systems operated by the Society for 131 Thoracic Surgeons. 132 (19) The agency may adopt rules to administer the 133 requirements of part II of chapter 408 and shall update agency 134 rules as often as necessary to remain consistent with new 135 standards and guidelines published by federal health agencies 136 and nationally recognized medical organizations. 137 Section 2. This act shall take effect July 1, 2024.