Florida 2023 Regular Session Status: Enacted 1 R cosponsors

SB 768 — Referral of Patients by Health Care Providers

Last action — Chapter No. 2023-251

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

This bill has been enacted into law. Introduced February 14, 2023. Enacted.

Signed by Governor Ron DeSantis (Republican) on June 16, 2023.

Prognosis

Likely to advance 72% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Referral of Patients by Health Care Providers; Deleting the definitions of the terms “direct supervision” and “present in the office suite”; revising the definition of the term “referral” to remove reference to direct physician supervision and to require compliance with certain Medicare payment and coverage rules, etc.

Bill Text

What changed in the latest version

19 added · 14 removed

19 line(s) added, 14 removed.

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Latest
Florida Senate - 2023 SB 768 By Senator Martin 33-00843-23 2023768__ A bill to be entitled An act relating to referral of patients by health care providers;
ENROLLED Legislature SB 768 2023768er 2 An act relating to referral of patients by health care providers;
Florida Senate - 2023 SB 768 33-00843-23 2023768__ which the health care provider is otherwise scheduled and ordinarily expected to be present and the absences do not conflict with any other requirement in the Medicare program for a particular level of health care provider supervision.
ENROLLED Legislature SB 768 2023768er which the health care provider is otherwise scheduled and ordinarily expected to be present and the absences do not conflict with any other requirement in the Medicare program for a particular level of health care provider supervision.
Florida Senate - 2023 SB 768 33-00843-23 2023768__ f.
ENROLLED Legislature SB 768 2023768er f.
Florida Senate - 2023 SB 768 33-00843-23 2023768__ diagnostic imaging services and has more than 30,000 patients enrolled per year.
ENROLLED Legislature SB 768 2023768er diagnostic imaging services and has more than 30,000 patients enrolled per year.
Florida Senate - 2023 SB 768 33-00843-23 2023768__ intermediary services to health care professionals who contract with health maintenance organizations other than a hospital licensed under chapter 395, an insurer licensed under chapter 624, a third-party administrator licensed under chapter 626, a prepaid limited health service organization licensed under chapter 636, a health maintenance organization licensed under this chapter, or a physician group practice as defined in s.
ENROLLED Legislature SB 768 2023768er intermediary services to health care professionals who contract with health maintenance organizations other than a hospital licensed under chapter 395, an insurer licensed under chapter 624, a third-party administrator licensed under chapter 626, a prepaid limited health service organization licensed under chapter 636, a health maintenance organization licensed under this chapter, or a physician group practice as defined in s.
Florida Senate - 2023 SB 768 33-00843-23 2023768__ maintain compliance with this section, the office may revoke or suspend the registration.
ENROLLED Legislature SB 768 2023768er maintain compliance with this section, the office may revoke or suspend the registration.
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How this bill changes current law

4 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill modifies the definitions related to patient referrals by removing certain supervision terms and amending the 'referral' definition to align with Medicare requirements.

  • 456.053

    “Direct supervision” means supervision by a physician who is present in the office suite and immediately available to provide assistance and direction throughout the time services are being performed.

    This change eliminates the requirement for a physician to be physically present in the office suite during patient services.

  • 456.053

    “Present in the office suite” means that the physician is actually physically present; provided, however, that the health care provider is considered physically present during brief unexpected absences as well as during routine absences of a short duration if the absences occur during time periods in which the health care provider is otherwise scheduled and ordinarily expected to be present and the absences do not conflict with any other requirement in the Medicare program for a particular level of health care provider supervision.

    This eliminates the definition that allows for certain absences of a physician while providing supervision.

  • 456.053

    “Referral” means any referral of a patient by a health care provider for health care services, including, without limitation: → “Referral” means any referral of a patient by a health care provider for health care services, which must comply with applicable Medicare payment and coverage requirements, including, without limitation:

    This revises the referral definition to ensure compliance with Medicare payment and coverage rules.

  • 641.316

    as defined in s. 456.053(3) s. 456.053(3)(h) which provides services under the scope of licenses of the members of the group practice. → as defined in s. 456.053(3)(h) which provides services under the scope of licenses of the members of the group practice.

    This correction clarifies the cross-reference to align with the existing definition format.

Action History

  1. Chapter No. 2023-251

  2. Approved by Governor

  3. Signed by Officers and presented to Governor

  4. Ordered enrolled

  5. Passed; YEAS 116, NAYS 0

  6. Read 3rd time

  7. Added to Third Reading Calendar

  8. Placed on 3rd reading

  9. Read 2nd time

  10. 1st Reading (Original Filed Version)

  11. Bill added to Special Order Calendar (5/1/2023)

  12. Bill referred to House Calendar

  13. In Messages

  14. Passed; YEAS 39 NAYS 0

  15. Read 3rd time

  16. Read 2nd time

  17. Placed on Special Order Calendar, 04/28/23

  18. Placed on Calendar, on 2nd reading

  19. Favorable by- Fiscal Policy; YEAS 20 NAYS 0

  20. On Committee agenda-- Fiscal Policy, 04/25/23, 10:00 am, 412 Knott Building

  21. Now in Fiscal Policy

  22. Favorable by Appropriations Committee on Health and Human Services; YEAS 16 NAYS 0

  23. On Committee agenda-- Appropriations Committee on Health and Human Services, 04/12/23, 8:30 am, 412 Knott Building

  24. Now in Appropriations Committee on Health and Human Services

  25. Favorable by Health Policy; YEAS 10 NAYS 0

  26. On Committee agenda-- Health Policy, 03/20/23, 3:30 pm, 412 Knott Building

  27. Introduced

  28. Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy

  29. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 163 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (163)

163 members have not signed on to this bill.

Show all 163 →

"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 116 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 64000
Democrat 25003
Unaffiliated 27000
Total 116003
% of votes cast 97%0%0%3%
How each member voted (119)
Member Party Vote
Altman — Yea
Payne — Yea
Killebrew — Yea
Stevenson — Yea
Caruso — Yea
Temple — Yea
Casello — Yea
Tomkow — Yea
Clemons — Yea
Waldron — Yea
Williams — Yea
Amesty — Yea
Fernandez-Barquin — Yea
Fine — Yea
Rayner-Goolsby — Yea
Renner — Yea
Roach — Yea
Bell — Yea
Grant — Yea
Rommel — Yea
Beltran — Yea
Roth — Yea
Benjamin — Yea
Rudman — Yea
Hawkins — Yea
Silvers — Yea
Lopez, V. — Yea
Antone, Bruce Hadley Democrat Yea
Arrington, Kristen Aston Democrat Yea
Bartleman, Robin Democrat Yea
Bracy Davis, LaVon Democrat Yea
Campbell, Daryl Democrat Yea
Chambliss, Kevin D. Democrat Yea
Cross, Lindsay Democrat Yea
Daley, Dan Democrat Yea
Daniels, Kimberly Democrat Not Voting
Driskell, Fentrice Democrat Yea
Dunkley, Lisa Democrat Yea
Edmonds, Jervonte "Tae" Democrat Yea
Eskamani, Dr. Anna V. Democrat Yea
Franklin II, Gallop Democrat Not Voting
Gantt, Ashley Viola Democrat Yea
Gottlieb, Michael "Mike" Democrat Yea
Gregory, Emily Democrat Yea
Harris, Jennifer "Rita" Democrat Yea
Hart-Lowman, Dianne "Ms Dee" Democrat Yea
Hinson, Yvonne Hayes Democrat Yea
Hunschofsky, Christine Democrat Yea
Joseph, Dotie Democrat Yea
López, Johanna Democrat Yea
Nixon, Angela "Angie" Democrat Not Voting
Robinson, Felicia Simone Democrat Yea
Skidmore, Kelly Democrat Yea
Tant, Allison Democrat Yea
Woodson, Marie Paule Democrat Yea
Abbott, Shane G. Republican Yea
Alvarez, Daniel Antonio "Danny" Republican Yea
Anderson, Adam Republican Yea
Andrade, Robert Alexander "Alex" Republican Yea
Baker, Jessica Republican Yea
Bankson, Douglas Michael "Doug" Republican Yea
Barnaby, Webster Republican Yea
Basabe, Fabián Republican Yea
Berfield, Kimberly Republican Yea
Black, Dean Republican Yea
Borrero, David Republican Yea
Botana, Adam Republican Yea
Brackett, Robert A. "Robbie" Republican Yea
Brannan III, Robert Charles "Chuck" Republican Yea
Buchanan, James Republican Yea
Busatta, Demi Republican Yea
Canady, Jennifer Republican Yea
Cassel, Hillary Republican Yea
Chaney, Linda Republican Yea
Duggan, Wyman Republican Yea
Esposito, Tiffany Republican Yea
Fabricio, Tom Republican Yea
Garcia, Ileana Republican Yea
Garrison, Sam Republican Yea
Giallombardo, Mike Republican Yea
Gonzalez Pittman, Karen Republican Yea
Gossett-Seidman, Peggy Republican Yea
Griffitts Jr., Philip Wayne "Griff" Republican Yea
Holcomb, Jeff Republican Yea
Jacques, Berny Republican Yea
Koster, Traci Republican Yea
LaMarca, Chip Republican Yea
Leek, Thomas J. "Tom" Republican Yea
Maggard, Randall Scott "Randy" Republican Yea
Maney, Patt Republican Yea
Massullo, Ralph E., Jr. Republican Yea
McClain, Stan Republican Yea
McClure, Lawrence Republican Yea
McFarland, Fiona Republican Yea
Melo, Lauren Republican Yea
Michael, Kiyan Republican Yea
Mooney Jr., James Vernon "Jim" Republican Yea
Overdorf, Tobin Rogers "Toby" Republican Yea
Perez, Daniel Republican Yea
Persons-Mulicka, Jenna Republican Yea
Plakon, Rachel Saunders Republican Yea
Plasencia, Susan Republican Yea
Porras, Juan Carlos Republican Yea
Rizo, Alex Republican Yea
Robinson Jr., William Cloud "Will" Republican Yea
Salzman, Michelle Republican Yea
Shoaf, Jason Republican Yea
Sirois, Tyler I. Republican Yea
Smith, David Republican Yea
Snyder, John Republican Yea
Stark, Paula A. Republican Yea
Steele, Kevin M. Republican Yea
Trabulsy, Dana Republican Yea
Tramont, Chase Republican Yea
Truenow, Keith L. Republican Yea
Tuck, Kaylee Republican Yea
Valdés, Susan L. Republican Yea
Yarkosky, Taylor Michael Republican Yea
Yeager, Bradford Troy "Brad" Republican Yea

Official roll call →

Third Reading

Passed 39 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 22000
Democrat 5001
Unaffiliated 11000
No Party Affiliation 1000
Total 39001
% of votes cast 98%0%0%3%
How each member voted (40)
Member Party Vote
Powell — Yea
Baxley — Yea
Book — Yea
Stewart — Yea
Hutson — Yea
Ingoglia — Yea
Torres — Yea
Broxson — Yea
Collins — Yea
Perry — Yea
Thompson, Geraldine F. "Geri" — Yea
Berman, Lori Democrat Yea
Davis, Tracie Democrat Yea
Jones, Shevrin D. "Shev" Democrat Not Voting
Osgood, Rosalind Democrat Yea
Polsky, Tina Scott Democrat Yea
Rouson, Darryl Ervin Democrat Yea
Pizzo, Jason W. B. No Party Affiliation Yea
Albritton, Ben Republican Yea
Boyd, Jim Republican Yea
Bradley, Jennifer Republican Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
DiCeglie, Nick Republican Yea
Garcia, Ileana Republican Yea
Grall, Erin Republican Yea
Gruters, Joe Republican Yea
Harrell, Gayle Republican Yea
Hooper, Ed Republican Yea
Martin, Jonathan Republican Yea
Mayfield, Debbie Republican Yea
Passidomo, Kathleen Republican Yea
Rodriguez, Ana Maria Republican Yea
Simon, Corey Republican Yea
Trumbull, Jay Republican Yea
Vacant Republican Yea
Wright, Tom A. Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Favorable

Passed 20 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 12000
Democrat 3000
Unaffiliated 5000
Total 20000
% of votes cast 100%0%0%0%
How each member voted (20)
Member Party Vote
Collins — Yea
Torres — Yea
Stewart — Yea
Hutson — Yea
Thompson, Geraldine F. "Geri" — Yea
Berman, Lori Democrat Yea
Jones, Shevrin D. "Shev" Democrat Yea
Osgood, Rosalind Democrat Yea
Albritton, Ben Republican Yea
Boyd, Jim Republican Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
DiCeglie, Nick Republican Yea
Garcia, Ileana Republican Yea
Mayfield, Debbie Republican Yea
Rodriguez, Ana Maria Republican Yea
Simon, Corey Republican Yea
Trumbull, Jay Republican Yea
Wright, Tom A. Republican Yea
Yarborough, Clay Republican Yea

Official roll call →

Favorable

Passed 16 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 11000
Unaffiliated 2000
Democrat 3000
Total 16000
% of votes cast 100%0%0%0%
How each member voted (16)
Member Party Vote
Baxley — Yea
Book — Yea
Davis, Tracie Democrat Yea
Osgood, Rosalind Democrat Yea
Rouson, Darryl Ervin Democrat Yea
Bradley, Jennifer Republican Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
Garcia, Ileana Republican Yea
Gruters, Joe Republican Yea
Harrell, Gayle Republican Yea
Martin, Jonathan Republican Yea
Simon, Corey Republican Yea
Vacant Republican Yea

Official roll call →

Favorable

Passed 10 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 7001
Unaffiliated 1001
Democrat 2000
Total 10002
% of votes cast 83%0%0%17%
How each member voted (12)
Member Party Vote
Book — Yea
Broxson — Not Voting
Davis, Tracie Democrat Yea
Osgood, Rosalind Democrat Yea
Albritton, Ben Republican Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
Garcia, Ileana Republican Not Voting
Harrell, Gayle Republican Yea
Vacant Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 768 do?
Referral of Patients by Health Care Providers; Deleting the definitions of the terms “direct supervision” and “present in the office suite”; revising the definition of the term “referral” to remove reference to direct physician supervision and to require compliance with certain Medicare payment and coverage rules, etc.
Who sponsors SB 768?
SB 768 is sponsored by Martin, Jonathan (Republican).
What is the current status of SB 768?
This bill has been enacted into law. Introduced February 14, 2023. Enacted.
Where can I track SB 768?
Track SB 768 free on One Click Politics — get push/email alerts when it moves.

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