Bill Text: FL S1460 | 2019 | Regular Session | Comm Sub

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-Comm_Sub.html

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       Florida Senate - 2019                             CS for SB 1460
       
       
        
       By the Committee on Health Policy; and Senators Book and Powell
       
       
       
       
       
       588-03172-19                                          20191460c1
    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 medical
   15         director of each licensed emergency medical services
   16         provider to develop and implement protocols for the
   17         assessment, treatment, transport, and rerouting of
   18         suspected stroke patients to certain stroke centers;
   19         requiring that such protocols include specified plans
   20         for the triage and transport of suspected stroke
   21         patients; providing an effective date.
   22          
   23  Be It Enacted by the Legislature of the State of Florida:
   24  
   25         Section 1. Subsection (1), paragraph (a) of subsection (2),
   26  and subsection (3) of section 395.3038, Florida Statutes, are
   27  amended to read:
   28         395.3038 State-listed stroke centers; notification of
   29  hospitals.—
   30  (1) The agency shall make available on its website and to the
   31  department a list of the name and address of each hospital that
   32  is certified by a nationally recognized certifying organization
   33  as meets the criteria for an acute stroke ready center, a
   34  primary stroke center, a thrombectomy-capable stroke center, or
   35  a comprehensive stroke center. The list of stroke centers must
   36  include only those hospitals that have submitted documentation
   37  to the agency verifying their certification as an acute stroke
   38  ready center, a primary stroke center, a thrombectomy-capable
   39  stroke center, or a comprehensive stroke center, which may
   40  include, but is not limited to, any stroke center that offers
   41  and performs mechanical endovascular therapy consistent with the
   42  standards identified by a nationally recognized guidelines-based
   43  organization approved by the agency that attest in an affidavit
   44  submitted to the agency that the hospital meets the named
   45  criteria, or those hospitals that attest in an affidavit
   46  submitted to the agency that the hospital is certified as an
   47  acute stroke ready center, a primary stroke center, or a
   48  comprehensive stroke center by a nationally recognized
   49  accrediting organization.
   50         (2)(a) If a hospital no longer chooses to be certified by a
   51  nationally recognized certifying organization or has not
   52  attained certification consistent with meet the criteria in
   53  subsection (1) as for an acute stroke ready center, a primary
   54  stroke center, a thrombectomy-capable stroke center, or a
   55  comprehensive stroke center, the hospital shall notify the
   56  agency and the agency shall immediately remove the hospital from
   57  the list of stroke centers.
   58         (3) The agency shall adopt by rule criteria for an acute
   59  stroke ready center, a primary stroke center, and a
   60  comprehensive stroke center which are substantially similar to
   61  the certification standards for the same categories of stroke
   62  centers of a nationally recognized accrediting organization.
   63         Section 2. Section 395.30381, Florida Statutes, is amended
   64  to read:
   65         395.30381 Statewide stroke registry.—
   66         (1) Subject to a specific appropriation, the department
   67  shall contract with a private entity to establish and maintain a
   68  statewide stroke registry to ensure that the stroke performance
   69  measures required to be submitted under subsection (2) are
   70  maintained and available for use to improve or modify the stroke
   71  care system, ensure compliance with standards and nationally
   72  recognized guidelines, and monitor stroke patient outcomes.
   73         (2) Each acute stroke ready center, primary stroke center,
   74  thrombectomy-capable stroke center, and comprehensive stroke
   75  center shall regularly report to the statewide stroke registry
   76  information containing specified by the department, including
   77  nationally recognized stroke performance measures.
   78         (3) The department shall require the contracted private
   79  entity to use a nationally recognized platform to collect data
   80  from each stroke center on the stroke performance measures
   81  required in subsection (2). The contracted private entity shall
   82  provide regular reports to the department on the data collected.
   83         (4) A No liability of any kind or character for damages or
   84  other relief shall not arise or be enforced against any acute
   85  stroke ready center, primary stroke center, thrombectomy-capable
   86  stroke center, or comprehensive stroke center by reason of
   87  having provided such information to the statewide stroke
   88  registry.
   89         Section 3. Section 395.3039, Florida Statutes, is amended
   90  to read:
   91         395.3039 Advertising restrictions.—A person may not
   92  advertise to the public, by way of any medium whatsoever, that a
   93  hospital is a state-listed primary or comprehensive stroke
   94  center unless the hospital has submitted documentation to the
   95  agency verifying that it is certified and meets the criteria
   96  provided notice to the agency as required in s. 395.3038 by this
   97  act.
   98         Section 4. Subsections (1), (3), and (4) of section
   99  395.3041, Florida Statutes, are amended to read:
  100         395.3041 Emergency medical services providers; triage and
  101  transportation of stroke victims to a stroke center.—
  102         (1) By June 1 of each year, the department shall send the
  103  list of acute stroke ready centers, primary stroke centers,
  104  thrombectomy-capable stroke centers, and comprehensive stroke
  105  centers to the medical director of each licensed emergency
  106  medical services provider in the this state.
  107         (3) The medical director of each licensed emergency medical
  108  services provider shall develop and implement assessment,
  109  treatment, transport, and rerouting transport-destination
  110  protocols for stroke patients with the intent to assess, treat,
  111  and transport, and reroute stroke patients to acute stroke ready
  112  centers, primary stroke centers, thrombectomy-capable stroke
  113  centers, and comprehensive stroke centers. The protocols must
  114  include plans for the triage and transport of suspected stroke
  115  patients, including, but not limited to, patients who may have
  116  an emergent large vessel occlusion, to an appropriate facility
  117  within a specified timeframe after such patients exhibit the
  118  sudden onset of stroke-related symptoms. In developing the
  119  protocols, the department and the medical director of each
  120  licensed emergency medical services provider must consider the
  121  capability of an emergency receiving facility to improve
  122  outcomes for patients who are suspected, based on clinical
  123  severity, of having an emergent large vessel occlusion the most
  124  appropriate hospital.
  125         (4) Each emergency medical services provider licensed under
  126  chapter 401 must comply with all sections of this section and
  127  ss. 395.3038-395.3039 act.
  128         Section 5. This act shall take effect July 1, 2019.