Bill Text: FL S1888 | 2020 | Regular Session | Introduced
Bill Title: Health Care Studies
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2020-03-14 - Died in Health Policy [S1888 Detail]
Download: Florida-2020-S1888-Introduced.html
Florida Senate - 2020 SB 1888
By Senator Harrell
25-01748B-20 20201888__
1 A bill to be entitled
2 An act relating to health care studies; requiring the
3 Office of Program Policy Analysis and Government
4 Accountability to conduct analyses of other states’
5 use of the combined recovery care center and
6 ambulatory surgical center model and the advanced
7 birthing center model; providing requirements for such
8 analyses; requiring the office to submit reports on
9 its findings and any recommendations to the Governor
10 and the Legislature by a specified date; requiring the
11 office to contract with a certain entity to conduct an
12 analysis of the impact of licensing specialty
13 hospitals in this state and in other states; providing
14 requirements for such analysis; requiring the office
15 to submit a report to the Governor and the Legislature
16 by a specified date; providing an effective date.
17
18 Be It Enacted by the Legislature of the State of Florida:
19
20 Section 1. (1) The Office of Program Policy Analysis and
21 Government Accountability shall conduct an analysis of other
22 states’ use of the recovery care center (RCC) and ambulatory
23 surgical center (ASC) model to allow for expanded types of
24 surgeries to be performed outside of the hospital setting. The
25 office may contract with an independent entity that has
26 experience in health care economics and policy to conduct this
27 study. The office shall do, at a minimum, all of the following:
28 (a) Determine which surgeries the other states allow an ASC
29 using an RCC to perform which may not otherwise be performed by
30 the ASC.
31 (b) Determine which payment methods are accepted by RCCs in
32 other states, including the types of insurance accepted and
33 whether the RCCs accept Medicaid and Medicare.
34 (c) Compare the other states’ requirements between
35 hospitals, ASCs, and RCCs with respect to physical plant and
36 building code requirements.
37 (d) Study the effect of the combined ASC and RCC model on:
38 1. Costs to the patient;
39 2. Costs to the state;
40 3. Quality of care, including, but not limited to, patient
41 outcomes, adverse incidents, rates of infection, and hospital
42 admission rates; and
43 4. Any other points of data the office determines to be
44 relevant to the study.
45 (2) The office shall submit a report of its findings and
46 any recommendations to the Governor, the President of the
47 Senate, and the Speaker of the House of Representatives by
48 October 1, 2021.
49 Section 2. (1) The Office of Program Policy Analysis and
50 Government Accountability shall conduct an analysis of other
51 states’ use of the advanced birthing center (ABC) model that
52 allows higher-risk pregnancies to be delivered outside of the
53 hospital setting. The office may contract with an independent
54 entity that has experience in health care economics and policy
55 to conduct this study. The office shall do, at a minimum, all of
56 the following:
57 (a) Determine which payment methods are accepted by ABCs in
58 other states, including the types of insurance accepted and
59 whether the ABCs accept Medicaid.
60 (b) Review other states’ requirements for physical plant
61 and building code requirements imposed on ABCs, noting any
62 differences compared to the requirements for hospitals offering
63 birthing services.
64 (c) Study the effect of the ABC model on:
65 1. Costs to the patient;
66 2. Costs to the state;
67 3. Quality of care, including, but not limited to, patient
68 outcomes, adverse incidents, rates of infection, and hospital
69 admission rates; and
70 4. Any other points of data the office determines to be
71 relevant to the study.
72 (2) The office shall submit a report of its findings and
73 any recommendations to the Governor, the President of the
74 Senate, and the Speaker of the House of Representatives by
75 October 1, 2021.
76 Section 3. (1) The Office of Program Policy Analysis and
77 Government Accountability shall contract with an independent
78 entity that has experience in health care economics and policy
79 to conduct an analysis of the impact of licensing specialty
80 hospitals in this state and in other states. The study must
81 evaluate, at a minimum, all of the following:
82 (a) The quality of care provided at specialty hospitals and
83 the impact on the quality of care at other general hospitals.
84 (b) The ability of specialty hospitals to maintain adequate
85 staff and the effects that the licensure of specialty hospitals
86 have on the ability of general hospitals to maintain adequate
87 staff.
88 (c) Patient volumes at specialty hospitals and at general
89 hospitals, including patient referral and utilization patterns
90 and changes in bed capacity and service volume.
91 (d) The volume of charity care and Medicaid services
92 provided by specialty hospitals compared to general hospitals
93 and the effect that the licensure of specialty hospitals has on
94 the ability of general hospitals to provide charity care.
95 (e) The effect that the licensure of specialty hospitals
96 has on the volume of charity care, Medicaid services, and
97 Medicare services provided by general hospitals as percentages
98 of total services, as well as a comparison of those percentages
99 and profit margins between general hospitals and specialty
100 hospitals.
101 (f) The economic effects of licensing specialty hospitals,
102 including their financial performance and the economic effects
103 that the licensure of specialty hospitals have on general
104 hospitals.
105 (g) The effects that the licensure of specialty hospitals
106 have on the cost of care provided by all hospitals.
107 (2) The office shall submit a report of its findings and
108 any recommendations to the Governor, the President of the
109 Senate, and the Speaker of the House of Representatives by
110 October 1, 2021.
111 Section 4. This act shall take effect upon becoming a law.
