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Amendment CaShTmL-660498.HTM
                                                  SENATE AMENDMENT
    Bill No. CS for CS for CS for SB 2910
    Amendment No. ___   Barcode 660498
                            CHAMBER ACTION
              Senate                               House
 1                  2/AD/2R        .                    
       04/26/2004 04:44 PM         .                    
 2                                 .                    
 3                                 .                    
 4  ______________________________________________________________
10  ______________________________________________________________
11  Senator Peaden moved the following amendment:
13         Senate Amendment (with title amendment) 
14         On page 17, line 3, through
15            page 21, line 20, delete those lines
17  and insert:  
18         Section 5.  Subsection (7) is added to section
19  395.1041, Florida Statutes, to read:
20         395.1041  Access to emergency services and care.--
21         (7)  EMERGENCY ROOM DIVERSION PROGRAMS.--Hospitals may
22  develop emergency room diversion programs, including, but not
23  limited to, an "Emergency Hotline" which allows patients to
24  help determine if emergency department services are
25  appropriate or if other health care settings may be more
26  appropriate for care, and a "Fast Track" program allowing
27  nonemergency patients to be treated at an alternative site.
28  Alternative sites may include health care programs funded with
29  local tax revenue and federally funded community health
30  centers, county health departments, or other nonhospital
31  providers of health care services. The program may include
    9:26 PM   04/23/04                              s2910c3c-02k0w

SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 660498 1 provisions for followup care and case management. 2 Section 6. Paragraph (h) is added to subsection (1) of 3 section 395.1055, Florida Statutes, to read: 4 395.1055 Rules and enforcement.-- 5 (1) The agency shall adopt rules pursuant to ss. 6 120.536(1) and 120.54 to implement the provisions of this 7 part, which shall include reasonable and fair minimum 8 standards for ensuring that: 9 (h) Licensed facilities make available on their 10 Internet websites, no later than October 1, 2004, and in a 11 hard-copy format upon request, a description of and a link to 12 the patient charge and performance outcome data collected from 13 licensed facilities pursuant to s. 408.061. 14 Section 7. Subsection (7) is added to section 15 395.1065, Florida Statutes, to read: 16 395.1065 Criminal and administrative penalties; 17 injunctions; emergency orders; moratorium.-- 18 (7) The agency shall impose a fine of $500 for each 19 instance of the facility's failure to provide the information 20 required by rules adopted pursuant to s. 395.1055(1)(h). 21 Section 8. Subsections (1), (2), and (3) of section 22 395.301, Florida Statutes, are amended, and subsections (7), 23 (8), (9), and (10) are added to said section, to read: 24 395.301 Itemized patient bill; form and content 25 prescribed by the agency.-- 26 (1) A licensed facility not operated by the state 27 shall notify each patient during admission and at discharge of 28 his or her right to receive an itemized bill upon request. 29 Within 7 days following the patient's discharge or release 30 from a licensed facility not operated by the state, or within 31 7 days after the earliest date at which the loss or expense 2 9:26 PM 04/23/04 s2910c3c-02k0w
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 660498 1 from the service may be determined, the licensed facility 2 providing the service shall, upon request, submit to the 3 patient, or to the patient's survivor or legal guardian as may 4 be appropriate, an itemized statement detailing in language 5 comprehensible to an ordinary layperson the specific nature of 6 charges or expenses incurred by the patient, which in the 7 initial billing shall contain a statement of specific services 8 received and expenses incurred for such items of service, 9 enumerating in detail the constituent components of the 10 services received within each department of the licensed 11 facility and including unit price data on rates charged by the 12 licensed facility, as prescribed by the agency. 13 (2)(a) Each such statement submitted pursuant to this 14 section: 15 1.(a) May not include charges of hospital-based 16 physicians if billed separately. 17 2.(b) May not include any generalized category of 18 expenses such as "other" or "miscellaneous" or similar 19 categories. 20 3.(c) Shall list drugs by brand or generic name and 21 not refer to drug code numbers when referring to drugs of any 22 sort. 23 4.(d) Shall specifically identify therapy treatment as 24 to the date, type, and length of treatment when therapy 25 treatment is a part of the statement. 26 (b) Any person receiving a statement pursuant to this 27 section shall be fully and accurately informed as to each 28 charge and service provided by the institution preparing the 29 statement. 30 (3) On each such itemized statement submitted pursuant 31 to subsection (1) there shall appear the words "A FOR-PROFIT 3 9:26 PM 04/23/04 s2910c3c-02k0w
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 660498 1 (or NOT-FOR-PROFIT or PUBLIC) HOSPITAL (or AMBULATORY SURGICAL 2 CENTER) LICENSED BY THE STATE OF FLORIDA" or substantially 3 similar words sufficient to identify clearly and plainly the 4 ownership status of the licensed facility. Each itemized 5 statement must prominently display the phone number of the 6 medical facility's patient liaison who is responsible for 7 expediting the resolution of any billing dispute between the 8 patient, or his or her representative, and the billing 9 department. 10 (7) Each licensed facility not operated by the state 11 shall provide, prior to provision of any nonemergency medical 12 services, a written good-faith estimate of reasonably 13 anticipated charges for the facility to treat the patient's 14 condition upon written request of a prospective patient. The 15 estimate shall be provided to the prospective patient within 7 16 business days after the receipt of the request. The estimate 17 may be the average charges for that diagnosis related group or 18 the average charges for that procedure. Upon request, the 19 facility shall notify the patient of any revision to the 20 good-faith estimate. Such estimate shall not preclude the 21 actual charges from exceeding the estimate. The facility shall 22 place a notice in the reception area that such information is 23 available. Failure to provide the estimate within the 24 provisions established pursuant to this section shall result 25 in a fine of $500 for each instance of the facility's failure 26 to provide the requested information. 27 (8) A licensed facility shall make available to a 28 patient all records necessary for verification of the accuracy 29 of the patient's bill within 30 business days after the 30 request for such records. The verification information must be 31 made available in the facility's offices. Such records shall 4 9:26 PM 04/23/04 s2910c3c-02k0w
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 660498 1 be available to the patient prior to and after payment of the 2 bill or claim. The facility may not charge the patient for 3 making such verification records available; however, the 4 facility may charge its usual fee for providing copies of 5 records as specified in s. 395.3025. 6 (9) Each facility shall establish a method for 7 reviewing and responding to questions from patients concerning 8 the patient's itemized bill. Such response shall be provided 9 within 30 days after the date a question is received. If the 10 patient is not satisfied with the response, the facility must 11 provide the patient with the address of the agency to which 12 the issue may be sent for review. 13 (10) Each licensed facility shall make available on 14 its Internet website a link to the performance outcome and 15 financial data that is published by the Agency for Health Care 16 Administration pursuant to s. 408.05(3)(l). The facility shall 17 place a notice in the reception area that the information is 18 available electronically and the facility's Internet website 19 address. 20 21 (Redesignate subsequent sections.) 22 23 24 ================ T I T L E A M E N D M E N T =============== 25 And the title is amended as follows: 26 On page 1, line 18, through 27 page 2, line 10, delete those lines 28 29 and insert: 30 requiring a report; amending s. 395.1041, F.S.; 31 authorizing hospitals to develop certain 5 9:26 PM 04/23/04 s2910c3c-02k0w
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 660498 1 emergency room diversion programs; amending s. 2 395.1055, F.S.; requiring licensed facilities 3 to make certain patient charge and performance 4 outcome data available on Internet websites; 5 amending s. 395.1065, F.S.; authorizing the 6 Agency for Health Care Administration to charge 7 a fine for failure to provide such information; 8 amending s. 395.301, F.S.; requiring certain 9 licensed facilities to provide prospective 10 patients certain estimates of charges for 11 services; requiring such facilities to provide 12 patients with certain bill verification 13 information; providing for a fine for failure 14 to provide such information; providing charge 15 limitations; requiring such facilities to 16 establish a patient question review and 17 response methodology; providing requirements; 18 requiring certain licensed facilities to 19 provide public Internet access to certain 20 financial information; requiring posting of a 21 notice of the availability of such information; 22 amending 23 24 25 26 27 28 29 30 31 6 9:26 PM 04/23/04 s2910c3c-02k0w
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