Florida 2019 Regular Session Status: Passed House

HB 25 — Ambulatory Care Services

Last action — Died in Health Policy, companion bill(s) passed, see CS/HB 843 (Ch. 2019-138)

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2019 Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

444 added · 418 removed

444 line(s) added, 418 removed.

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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 A bill to be entitled An act relating to ambulatory care services;
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 A bill to be entitled An act relating to ambulatory care services;
requiring the agency to adopt rules establishing minimum standards for pediatric patient care and food handling and food service in certain ambulatory surgical centers;
providing applicability of the Health Care Licensing Procedures Act to recovery care centers;
providing applicability of the Health Care Licensing Page 1 of 17 CODING:
Words stricken are deletions;
words underlined are additions.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 Procedures Act to recovery care centers;
385.211, 394.4787, and Page 1 of 16 CODING:
385.211, 394.4787, and 409.975, F.S.;
Words stricken are deletions;
words underlined are additions.
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 409.975, F.S.;
(2) "Advanced birth services" means trial of labor after cesarean deliveries for screened patients who qualify, planned low-risk cesarean deliveries, and anticipated vaginal deliveries Page 2 of 16 CODING:
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 for laboring patients from the beginning of the 37th week of gestation through the end of the 41st week of gestation.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 (2) "Advanced birth services" means trial of labor after cesarean deliveries for screened patients who qualify, planned low-risk cesarean deliveries, and anticipated vaginal deliveries for laboring patients from the beginning of the 37th week of gestation through the end of the 41st week of gestation.
(23)(22) "Premises" means those buildings, beds, and equipment located at the address of the licensed facility and all other buildings, beds, and equipment for the provision of hospital care, recovery care, or ambulatory surgical care located in such reasonable proximity to the address of the licensed facility as to appear to the public to be under the Page 3 of 16 CODING:
(23)(22) "Premises" means those buildings, beds, and equipment located at the address of the licensed facility and all other buildings, beds, and equipment for the provision of Page 3 of 17 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 dominion and control of the licensee.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 hospital care, recovery care, or ambulatory surgical care located in such reasonable proximity to the address of the licensed facility as to appear to the public to be under the dominion and control of the licensee.
395.0062 Ambulatory surgical centers providing advanced birth services.—An ambulatory surgical center may provide advanced birth services if it meets all of the following requirements:
395.0062 Ambulatory surgical centers providing advanced Page 4 of 17 CODING:
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 (1) Is operated and staffed 24 hours per day, 7 days per week.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 birth services.—An ambulatory surgical center may provide advanced birth services if it meets all of the following requirements:
(1) Is operated and staffed 24 hours per day, 7 days per week.
(6) Has a clinical laboratory on site, which must, at a minimum, be capable of providing laboratory testing for hematology, metabolic screening, liver function, and coagulation studies.
(6) Has a clinical laboratory on site, which must, at a minimum, be capable of providing laboratory testing for Page 5 of 17 CODING:
The facility may collect specimens for those tests that are requested under protocol.
The facility may perform Page 5 of 16 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 laboratory tests as defined by rule of the agency.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 hematology, metabolic screening, liver function, and coagulation studies.
The facility may collect specimens for those tests that are requested under protocol.
The facility may perform laboratory tests as defined by rule of the agency.
(9) Allows for labor to be inhibited, stimulated, or augmented with chemical agents during the first or second stage of labor if ordered by personnel who have the statutory authority to do so.
(9) Allows for labor to be inhibited, stimulated, or augmented with chemical agents during the first or second stage Page 6 of 17 CODING:
Labor may be electively induced beginning at the 39th week of gestation for a patient with a documented Page 6 of 16 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 Bishop score of 8 or greater.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 of labor if ordered by personnel who have the statutory authority to do so.
Labor may be electively induced beginning at the 39th week of gestation for a patient with a documented Bishop score of 8 or greater.
(13) Files a report with the agency within 48 hours after a scheduled discharge time if a mother or an infant is retained at the facility for more than the timeframes set forth in subsection (12).
(13) Files a report with the agency within 48 hours after a scheduled discharge time if a mother or an infant is retained Page 7 of 17 CODING:
The report must describe the circumstances and the reasons for the decision to extend the discharge timeframe.
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 (14) Provides all of the following postpartum care for the mother and her infant:
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 at the facility for more than the timeframes set forth in subsection (12).
The report must describe the circumstances and the reasons for the decision to extend the discharge timeframe.
(14) Provides all of the following postpartum care for the mother and her infant:
(d) Information relating to the course of labor and intrapartum care.
(d) Information relating to the course of labor and Page 8 of 17 CODING:
(e) Information relating to consultation, referral, and transport to a hospital.
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 (f) Newborn assessments, APGAR scores, treatments as required, and followup.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 intrapartum care.
(e) Information relating to consultation, referral, and transport to a hospital.
(f) Newborn assessments, APGAR scores, treatments as required, and followup.
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(23) Ensures that at least two employees who are registered nurses, certified registered nurse anesthetists, or anesthesiologists are present in the facility and immediately available to the delivery room at all times and have the ability to perform coordinated neonatal resuscitation and to stabilize Page 9 of 17 CODING:
Words stricken are deletions;
words underlined are additions.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 and facilitate the transfer of patients and newborn infants when appropriate.
A Page 9 of 16 CODING:
A license issued by the agency is required in order to operate a hospital, recovery care center, or ambulatory surgical center in this state.
Words stricken are deletions;
words underlined are additions.
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 license issued by the agency is required in order to operate a hospital, recovery care center, or ambulatory surgical center in this state.
395.0171 Recovery care center admissions;
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emergency care and transfer protocols;
discharge planning and protocols.— (1) Admission to a recovery care center is restricted to a patient who is in need of recovery care services and who has been certified by his or her attending or referring physician, or by a physician on staff at the facility, as medically stable and not in need of acute care hospitalization before admission to the recovery care center.
(2) A patient may be admitted for recovery care services postdiagnosis and posttreatment or upon discharge from a Page 10 of 16 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 hospital or an ambulatory surgical center.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 395.0171 Recovery care center admissions;
emergency care and transfer protocols;
discharge planning and protocols.— (1) Admission to a recovery care center is restricted to a patient who is in need of recovery care services and who has been certified by his or her attending or referring physician, or by a physician on staff at the facility, as medically stable and not in need of acute care hospitalization before admission to the recovery care center.
(2) A patient may be admitted for recovery care services postdiagnosis and posttreatment or upon discharge from a hospital or an ambulatory surgical center.
Subsections (10) through (12) of section 395.1055, Florida Statutes, are renumbered as subsections (11) through (13), respectively, subsections (2) and (8) are amended, and a new subsection (10) is added to that section, to read:
Subsection (12) of section 395.1055, Florida Statutes, is renumbered as subsection (15), subsections (2) and (8) are amended, and a new subsection (12) and subsections (13) and (14) are added to that section, to read:
(8) The agency may not adopt any rule governing the design, construction, erection, alteration, modification, repair, or demolition of any public or private hospital, intermediate residential treatment facility, recovery care center, or ambulatory surgical center.
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It is the intent of the Legislature to preempt that function to the Florida Building Commission and the State Fire Marshal through adoption and maintenance of the Florida Building Code and the Florida Fire Prevention Code.
However, the agency shall provide technical assistance to the commission and the State Fire Marshal in Page 11 of 16 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 updating the construction standards of the Florida Building Code and the Florida Fire Prevention Code which govern hospitals, intermediate residential treatment facilities, recovery care centers, and ambulatory surgical centers.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 (8) The agency may not adopt any rule governing the design, construction, erection, alteration, modification, repair, or demolition of any public or private hospital, intermediate residential treatment facility, recovery care center, or ambulatory surgical center.
(10) The agency shall adopt rules for recovery care centers which include fair and reasonable minimum standards for ensuring that recovery care centers have:
It is the intent of the Legislature to preempt that function to the Florida Building Commission and the State Fire Marshal through adoption and maintenance of the Florida Building Code and the Florida Fire Prevention Code.
However, the agency shall provide technical assistance to the commission and the State Fire Marshal in updating the construction standards of the Florida Building Code and the Florida Fire Prevention Code which govern hospitals, intermediate residential treatment facilities, recovery care centers, and ambulatory surgical centers.
(12) The agency shall adopt rules for recovery care centers which include fair and reasonable minimum standards for ensuring that recovery care centers have:
Such procedures shall address the prescribing, ordering, preparing, and dispensing of medications and appropriate monitoring of the effects of such medications on a patient.
Such procedures shall address the prescribing, ordering, preparing, and dispensing of medications and Page 12 of 17 CODING:
Words stricken are deletions;
words underlined are additions.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 appropriate monitoring of the effects of such medications on a patient.
(13) The agency shall adopt rules that establish minimum standards for pediatric patient care in ambulatory surgical centers to ensure the safe and effective delivery of surgical care to children in ambulatory surgical centers.
Such standards must include quality of care, nurse staffing, physician staffing, and equipment standards.
Ambulatory surgical centers may not provide operative procedures to children under 18 years of age which require a length of stay past midnight until such standards are established by rule.
(14) The agency shall adopt rules for food handling and food service standards for ambulatory surgical centers that provide advanced birth services or admit patients for an overnight stay.
(3) Enforce the special-occupancy provisions of the Page 12 of 16 CODING:
(3) Enforce the special-occupancy provisions of the Florida Building Code which apply to hospitals, intermediate residential treatment facilities, recovery care centers, and Page 13 of 17 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 Florida Building Code which apply to hospitals, intermediate residential treatment facilities, recovery care centers, and ambulatory surgical centers in conducting any inspection authorized by this chapter and part II of chapter 408.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 ambulatory surgical centers in conducting any inspection authorized by this chapter and part II of chapter 408.
385.211 Refractory and intractable epilepsy treatment and research at recognized medical centers.— (2) Notwithstanding chapter 893, medical centers Page 13 of 16 CODING:
385.211 Refractory and intractable epilepsy treatment and research at recognized medical centers.— (2) Notwithstanding chapter 893, medical centers recognized pursuant to s.
381.925, or an academic medical research institution legally affiliated with a licensed Page 14 of 17 CODING:
hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 recognized pursuant to s.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 children's specialty hospital as defined in s.
381.925, or an academic medical research institution legally affiliated with a licensed children's specialty hospital as defined in s.
409.967, plans and providers Page 14 of 16 CODING:
409.967, plans and providers participating in the managed medical assistance program shall comply with the requirements of this section.
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 participating in the managed medical assistance program shall comply with the requirements of this section.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 (1) PROVIDER NETWORKS.—Managed care plans must develop and maintain provider networks that meet the medical needs of their enrollees in accordance with standards established pursuant to s.
(1) PROVIDER NETWORKS.—Managed care plans must develop and maintain provider networks that meet the medical needs of their enrollees in accordance with standards established pursuant to s.
Managed care plans that have not contracted with all statewide Page 15 of 16 CODING:
Managed care plans that have not contracted with all statewide essential providers in all regions as of the first date of recipient enrollment must continue to negotiate in good faith.
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hb0025-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 25 2019 essential providers in all regions as of the first date of recipient enrollment must continue to negotiate in good faith.
hb0025-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 25 2019 Payments to physicians on the faculty of nonparticipating Florida medical schools shall be made at the applicable Medicaid rate.
Payments to physicians on the faculty of nonparticipating Florida medical schools shall be made at the applicable Medicaid rate.
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hb0025-01-c1
hb0025-02-c2
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Action History

  1. Died in Health Policy, companion bill(s) passed, see CS/HB 843 (Ch. 2019-138)

  2. Indefinitely postponed and withdrawn from consideration

  3. Received

  4. Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations

  5. In Messages

  6. CS passed; YEAS 78 NAYS 38

  7. Read 3rd time

  8. Temporarily postponed, on 3rd Reading

  9. Placed on 3rd reading

  10. Amendment(s) failed (249287, 516069) -HJ 774, 776

  11. Read 2nd time

  12. Placed on Special Order Calendar, 04/23/19

  13. Placed on Calendar

  14. CS/CS by Health and Human Services Committee read 1st time

  15. Pending review of CS -under Rule 7.18(c)

  16. CS/CS by- Health and Human Services Committee; YEAS 10 NAYS 4

  17. On Committee agenda-- Health and Human Services Committee, 04/03/19, 9:00 am, Morris Hall

  18. Now in Health and Human Services Committee

  19. Favorable by Health Care Appropriations Subcommittee; YEAS 8 NAYS 1

  20. On Committee agenda-- Health Care Appropriations Subcommittee, 03/26/19, 12:00 pm, Sumner Hall

  21. CS by Health Market Reform Subcommittee read 1st time

  22. Now in Health Care Appropriations Subcommittee

  23. Pending review of CS under Rule 7.18(c)

  24. CS by Health Market Reform Subcommittee; YEAS 9 NAYS 3

  25. On Committee agenda-- Health Market Reform Subcommittee, 03/13/19, 12:30 pm, Mashburn Hall

  26. Introduced

  27. Referred to Health Market Reform Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee

  28. Filed

Sponsors

  • Stevenson · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 159 not signed on · 11 voted No

Sponsors (1)

  • Stevenson

Co-sponsors (0)

None.

Not signed on (159)

159 members have not signed on to this bill.

Show all 159 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passage, Third Reading

Passed 78 Yea · 38 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 3800
Unaffiliated 522801
Republican 23200
Total 783801
% of votes cast 67%32%0%1%
How each member voted (117)
Member Party Vote
Ausley — Nay
Brown — Nay
Byrd — Yea
Cummings — Yea
Diamond — Nay
Donalds — Yea
Drake — Yea
DuBose — Nay
Duran — Yea
Eagle — Yea
Fine — Yea
Fischer — Yea
Geller — Nay
Good — Nay
Hill — Yea
Ingoglia — Yea
Jacobs — Not Voting
Jacquet — Nay
Jenne — Nay
Killebrew — Yea
Magar — Yea
Mariano — Yea
McGhee — Nay
Mercado — Nay
Newton — Yea
Oliva — Yea
Payne — Yea
Pigman — Yea
Ponder — Yea
Pritchett — Nay
Renner — Yea
Rommel — Yea
Roth — Yea
Santiago — Yea
Silvers — Yea
Sprowls — Yea
Stevenson — Yea
Stone — Yea
Toledo — Yea
Tomkow — Yea
Willhite — Yea
Williamson — Yea
Alexander — Nay
Aloupis — Yea
Altman — Yea
Grant, J. — Yea
Raschein — Yea
Grant, M. — Yea
Roach — Yea
Grieco — Nay
Robinson — Yea
Bell — Yea
Hage — Yea
Rodrigues, R. — Yea
Beltran — Yea
Hart — Nay
Hattersley — Nay
Sabatini — Yea
Bush — Nay
Caruso — Yea
Casello — Nay
Slosberg — Nay
Clemons — Yea
Cortes — Nay
Latvala — Yea
Sullivan — Yea
Valdes — Nay
Fernandez — Yea
Omphroy — Nay
Watson, B. — Nay
Fernandez-Barquin — Yea
Watson, C. — Nay
Fetterhoff — Yea
Webb — Nay
Williams — Nay
Fitzenhagen — Yea
Goff-Marcil — Nay
Polo — Nay
Zika — Yea
La Rosa — Yea
Thompson, Geraldine F. "Geri" — Nay
Antone, Bruce Hadley Democrat Nay
Daniels, Kimberly Democrat Yea
Davis, Tracie Democrat Nay
Driskell, Fentrice Democrat Nay
Eskamani, Dr. Anna V. Democrat Nay
Gottlieb, Michael "Mike" Democrat Nay
Gregory, Emily Democrat Yea
Jones, Shevrin D. "Shev" Democrat Nay
Joseph, Dotie Democrat Nay
Polsky, Tina Scott Democrat Yea
Smith, Carlos Guillermo Democrat Nay
Andrade, Robert Alexander "Alex" Republican Yea
Brannan III, Robert Charles "Chuck" Republican Yea
Buchanan, James Republican Yea
Burton, Colleen Republican Yea
DiCeglie, Nick Republican Yea
Duggan, Wyman Republican Yea
Grall, Erin Republican Yea
Johnson, Chad Republican Nay
LaMarca, Chip Republican Yea
Leek, Thomas J. "Tom" Republican Yea
Massullo, Ralph E., Jr. Republican Yea
McClain, Stan Republican Yea
McClure, Lawrence Republican Yea
Overdorf, Tobin Rogers "Toby" Republican Yea
Perez, Daniel Republican Yea
Plakon, Rachel Saunders Republican Yea
Plasencia, Susan Republican Yea
Rodriguez, Ana Maria Republican Yea
Rodriguez, Ana Maria Republican Yea
Sirois, Tyler I. Republican Yea
Smith, David Republican Yea
Stark, Paula A. Republican Nay
Trumbull, Jay Republican Yea
Vacant Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Favorable With Committee Substitute (Health & Human Services Committee)

Passed 10 Yea · 4 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 6402
Republican 4001
Democrat 0001
Total 10404
% of votes cast 56%22%0%22%
How each member voted (18)
Member Party Vote
Brown — Nay
Duran — Yea
Magar — Yea
Pigman — Yea
Ponder — Not Voting
Stevenson — Yea
Cortes, J. — Nay
Goff-Marcil — Nay
Grant, M. — Not Voting
Roach — Yea
Rodrigues, R. — Yea
Slosberg — Nay
Jones, Shevrin D. "Shev" Democrat Not Voting
Burton, Colleen Republican Not Voting
DiCeglie, Nick Republican Yea
Leek, Thomas J. "Tom" Republican Yea
Plakon, Rachel Saunders Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Favorable (Health Care Appropriations Subcommittee)

Passed 8 Yea · 1 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 5103
Republican 2000
Democrat 1000
Total 8103
% of votes cast 67%8%0%25%
How each member voted (12)
Member Party Vote
Ausley — Nay
Duran — Not Voting
Magar — Yea
Pigman — Yea
Rommel — Yea
Toledo — Not Voting
Roach — Yea
Grant, J. — Not Voting
Grieco — Yea
Jones, Shevrin D. "Shev" Democrat Yea
Grall, Erin Republican Yea
Plasencia, Susan Republican Yea

Official roll call →

Favorable With Committee Substitute (Health Market Reform Subcommittee)

Passed 9 Yea · 3 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 7302
Republican 2001
Total 9303
% of votes cast 60%20%0%20%
How each member voted (15)
Member Party Vote
Duran — Yea
Fernández — Nay
Good — Nay
Ingoglia — Yea
Pigman — Not Voting
Rommel — Yea
Toledo — Yea
Tomkow — Yea
Casello — Not Voting
Fitzenhagen — Yea
Grant, M. — Yea
Omphroy — Nay
Leek, Thomas J. "Tom" Republican Not Voting
Massullo, Ralph E., Jr. Republican Yea
McClure, Lawrence Republican Yea

Official roll call →

Subjects

healthcare
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Frequently asked questions

Who sponsors HB 25?
HB 25 is sponsored by Stevenson.
What is the current status of HB 25?
This bill died with 2019 Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 25?
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