Bill Text: FL S1460 | 2019 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Stroke Centers

Spectrum: Bipartisan Bill

Status: (Passed) 2019-06-26 - Chapter No. 2019-135 [S1460 Detail]

Download: Florida-2019-S1460-Introduced.html

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       Florida Senate - 2019                                    SB 1460
       
       
        
       By Senator Book
       
       
       
       
       
       32-01040A-19                                          20191460__
    1                        A bill to be entitled                      
    2         An act relating to stroke centers; amending s.
    3         395.3038, F.S.; revising the criteria for hospitals to
    4         be included on the state list of stroke centers by the
    5         Agency for Health Care Administration; removing
    6         provisions requiring the agency to adopt rules
    7         establishing the criteria for such list; amending s.
    8         395.30381, F.S.; revising provisions relating to the
    9         statewide stroke registry to conform to changes made
   10         by the act; amending s. 395.3039, F.S.; revising
   11         provisions prohibiting the advertisement of a hospital
   12         as a state-listed stroke center, unless certain
   13         conditions are met, to conform to changes made by the
   14         act; amending s. 395.3041, F.S.; requiring the
   15         Department of Health and the medical director of each
   16         licensed emergency medical services provider to
   17         develop and implement protocols for the assessment,
   18         treatment, transport, and rerouting of suspected
   19         stroke patients to certain stroke centers; requiring
   20         that such protocols include specified plans for the
   21         triage and transport of suspected stroke patients;
   22         providing an effective date.
   23          
   24  Be It Enacted by the Legislature of the State of Florida:
   25  
   26         Section 1. Subsection (1), paragraph (a) of subsection (2),
   27  and subsection (3) of section 395.3038, Florida Statutes, are
   28  amended to read:
   29         395.3038 State-listed stroke centers; notification of
   30  hospitals.—
   31         (1) The agency shall make available on its website and to
   32  the department a list of the name and address of each hospital
   33  that is certified by a nationally recognized certifying
   34  organization as meets the criteria for an acute stroke ready
   35  center, a primary stroke center, a thrombectomy-capable stroke
   36  center, or a comprehensive stroke center. The list of stroke
   37  centers must include only those hospitals that have submitted
   38  documentation to the agency verifying their certification as an
   39  acute stroke ready center, a primary stroke center, a
   40  thrombectomy-capable stroke center, or a comprehensive stroke
   41  center, which may include, but is not limited to, any stroke
   42  center that offers and performs mechanical endovascular therapy
   43  consistent with the rigorous standards identified by the Joint
   44  Commission, the American Heart Association, the American Stroke
   45  Association, or any other nationally recognized guidelines-based
   46  organization approved by the agency that attest in an affidavit
   47  submitted to the agency that the hospital meets the named
   48  criteria, or those hospitals that attest in an affidavit
   49  submitted to the agency that the hospital is certified as an
   50  acute stroke ready center, a primary stroke center, or a
   51  comprehensive stroke center by a nationally recognized
   52  accrediting organization.
   53         (2)(a) If a hospital no longer chooses to be certified by a
   54  nationally recognized certifying organization or has not
   55  attained certification consistent with meet the criteria in
   56  subsection (1) as for an acute stroke ready center, a primary
   57  stroke center, a thrombectomy-capable stroke center, or a
   58  comprehensive stroke center, the hospital shall notify the
   59  agency and the agency shall immediately remove the hospital from
   60  the list of stroke centers.
   61         (3) The agency shall adopt by rule criteria for an acute
   62  stroke ready center, a primary stroke center, and a
   63  comprehensive stroke center which are substantially similar to
   64  the certification standards for the same categories of stroke
   65  centers of a nationally recognized accrediting organization.
   66         Section 2. Section 395.30381, Florida Statutes, is amended
   67  to read:
   68         395.30381 Statewide stroke registry.—
   69         (1) Subject to a specific appropriation, the department
   70  shall contract with a private entity to establish and maintain a
   71  statewide stroke registry to ensure that the stroke performance
   72  measures required to be submitted under subsection (2) are
   73  maintained and available for use to improve or modify the stroke
   74  care system, ensure compliance with standards and nationally
   75  recognized guidelines, and monitor stroke patient outcomes.
   76         (2) Each acute stroke ready center, primary stroke center,
   77  thrombectomy-capable stroke center, and comprehensive stroke
   78  center shall regularly report to the statewide stroke registry
   79  information containing specified by the department, including
   80  nationally recognized stroke performance measures.
   81         (3) The department shall require the contracted private
   82  entity to use a nationally recognized platform to collect data
   83  from each stroke center on the stroke performance measures
   84  required in subsection (2). The contracted private entity shall
   85  provide regular reports to the department on the data collected.
   86         (4) A No liability of any kind or character for damages or
   87  other relief shall not arise or be enforced against any acute
   88  stroke ready center, primary stroke center, thrombectomy-capable
   89  stroke center, or comprehensive stroke center by reason of
   90  having provided such information to the statewide stroke
   91  registry.
   92         Section 3. Section 395.3039, Florida Statutes, is amended
   93  to read:
   94         395.3039 Advertising restrictions.—A person may not
   95  advertise to the public, by way of any medium whatsoever, that a
   96  hospital is a state-listed primary or comprehensive stroke
   97  center unless the hospital has submitted documentation to the
   98  agency verifying that it is certified and meets the criteria
   99  provided notice to the agency as required in s. 395.3038 by this
  100  act.
  101         Section 4. Subsections (1), (3), and (4) of section
  102  395.3041, Florida Statutes, are amended to read:
  103         395.3041 Emergency medical services providers; triage and
  104  transportation of stroke victims to a stroke center.—
  105         (1) By June 1 of each year, the department shall send the
  106  list of acute stroke ready centers, primary stroke centers,
  107  thrombectomy-capable stroke centers, and comprehensive stroke
  108  centers to the medical director of each licensed emergency
  109  medical services provider in the this state.
  110         (3) The department and the medical director of each
  111  licensed emergency medical services provider shall develop and
  112  implement assessment, treatment, transport, and rerouting
  113  transport-destination protocols for stroke patients with the
  114  intent to assess, treat, and transport, and reroute stroke
  115  patients to acute stroke ready centers, primary stroke centers,
  116  thrombectomy-capable stroke centers, and comprehensive stroke
  117  centers. The protocols must include plans for the triage and
  118  transport of suspected stroke patients, including, but not
  119  limited to, patients who may have an emergent large vessel
  120  occlusion, to an appropriate facility within a specified
  121  timeframe after such patients exhibit the sudden onset of
  122  stroke-related symptoms. In developing the protocols, the
  123  department and the medical director of each licensed emergency
  124  medical services provider must consider the capability of an
  125  emergency receiving facility to improve outcomes for patients
  126  who are suspected, based on clinical severity, of having an
  127  emergent large vessel occlusion the most appropriate hospital.
  128         (4) Each emergency medical services provider licensed under
  129  chapter 401 must comply with all sections of this section and
  130  ss. 395.3038-395.3039 act.
  131         Section 5. This act shall take effect July 1, 2019.