HB 1421 — Improving Screening for and Treatment of Blood Clots

395.3042(2) StatewideEach venousacute thromboembolismstroke registry.—ready (1)(a)center, Theprimary agencystroke shallcenter, contractthrombectomy-capable withstroke acenter, privateand entity,comprehensive thatstroke meetscenter allshall ofregularly thereport conditions of paragraph (b), to establish and maintain, at no cost to the state, a statewide venousstroke thromboembolism registry toinformation ensurecontaining that the performance measures required to be submitted under subsection (2) are maintained and available for use to improve or modify the venous thromboembolism care system, ensure compliance with nationally recognized guidelines,stroke andperformance monitormeasures. venous thromboembolism patient outcomes.

(b)(3) TheBeginning privateJuly entity1, must:2026, each hospital with an emergency department and each ambulatory surgical center shall regularly report to the statewide stroke, blood clot, and pulmonary embolism registry information containing nationally recognized blood clot and pulmonary embolism performance measures and data on the incidence and prevalence of blood clots and pulmonary embolisms.

1.Such data must include the following information:

Be(a) aThe not-for-profitnumber corporationof qualifiedblood asclots, tax-exemptpulmonary underembolisms, s.and Page 3 of 10 CODING:

501(c)(3) of the Internal Revenue Code.

2.

Have existed for at least 15 consecutive years with a mission of advancing the prevention, early diagnosis, and successful treatment of blood clots.

3.

Have experience operating a medical registry with at least 25,000 participants.

4.

Have experience in providing continuing education on venous thromboembolism to medical professionals.

5.

Have sponsored a public health education campaign on venous thromboembolism.

6.

Be affiliated with a medical and scientific advisory board.

Page 4 of 11 CODING:

hb1421-02-c2hb1421-01-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/CS/HBCS/HB 1421 2025 (2)deep Beginningvein Julythromboses 1,identified 2026, each hospital with an emergency department and eachdiagnosed. ambulatory surgical center shall regularly report to the statewide venous thromboembolism registry information containing nationally recognized venous thromboembolism measures and data on the incidence and prevalence of venous thromboembolisms.

Such data must include the following information:

(a) The number of venous thromboembolisms identified and diagnosed.

(f) Whether the venousblood thromboembolismclot, pulmonary embolism, or deep vein thrombosis was fatal.

(h) The treatment that was recommended for the venousblood thromboembolism.clot, pulmonary embolism, or deep vein thrombosis, as applicable.

(3)(4)(3) The agencydepartment shall require the contracted private entity to use a nationally recognized platform to collect data from each stroke center on the stroke performance measures required in subsection (2) and from each hospital with an emergency department and each ambulatory surgical center on the performance measures required underin subsection (2).(3).

The contracted private entity shall provide regular reports to the agencydepartment on the data collected.

(5) By March 1, 2026, the agency must submit to the Governor, the President of the Senate, and the Speaker of the House of Representatives a detailed report on the incidence of blood clots and pulmonary embolisms using inpatient, outpatient, and ambulatory surgical center data for services provided Page 54 of 1110 CODING:

hb1421-02-c2hb1421-01-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/CS/HBCS/HB 1421 2025 (4) By March 1, 2026, the agency must submit to the Governor, the President of the Senate, and the Speaker of the House of Representatives a detailed report on the incidence of venous thromboembolism using inpatient, outpatient, and ambulatory surgical center data for services provided between July 1, 2024, and July 1, 2025.

(a) Age category, initial primary diagnosis and procedure, andany secondary diagnoses, readmission rates for inpatients, admission rates for venousblood thromboembolismclots and pulmonary embolisms for which the patient had an ambulatory surgery procedure, and emergency department visits for venousblood thromboembolismclots linked to any previous admission.

(b) Whether the venousblood thromboembolismclot or pulmonary embolism was present upon admission.

(c) The incidence of venousblood thromboembolismclots for procedures reported on the agency's Florida Health Finder website.

(5)(6)(4) TheA contractedliability privateof entityany operatingkind theor registrycharacter for damages or other relief may onlyshall usenot arise or publishbe informationenforced fromagainst theany registryacute forstroke theready purposescenter, ofprimary advancingstroke medicalcenter, researchthrombectomy- capable stroke center, or medicalcomprehensive educationstroke incenter theby interestreason of reducinghaving morbidityprovided orsuch mortality.information to the statewide stroke registry.

(7) The contractor operating the registry may use or publish information from the registry only for the purpose of advancing medical research or medical education in the interest of reducing morbidity or mortality.

Section 4.

Subsection (5) is added to section 395.1012, Page 5 of 10 CODING:

Words stricken are deletions;

words underlined are additions.

hb1421-01-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 1421 2025 Florida Statutes, to read:

395.1012 Patient safety.— (5) Each hospital with an emergency department and each ambulatory surgical center must:

(a) Develop and implement policies and procedures for the rendering of appropriate medical attention for persons at risk of forming blood clots, pulmonary embolisms, or deep vein thromboses which reflect evidence-based best practices relating to, at a minimum:

1.

Assessing patients for risk of blood clots, pulmonary embolisms, and deep vein thromboses using a nationally recognized risk assessment tool.

2.

Treatment options for a patient diagnosed with a blood clot, pulmonary embolism, or deep vein thrombosis.

(b) Train all nonphysician personnel at least annually on the policies and procedures developed under this subsection.

For purposes of this subsection, "nonphysician personnel" means all personnel of the licensed facility working in clinical areas and providing patient care, except those persons licensed as health care practitioners.

Page400.211 6Persons ofemployed 11as CODING:nursing assistants;

certification requirement;

qualified medication aide designation and requirements.— Page 6 of 10 CODING:

hb1421-02-c2hb1421-01-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/CS/HBCS/HB 1421 2025 400.211(4) PersonsWhen employed asby a nursing assistants;home facility for a 12- month period or longer, a nursing assistant, to maintain certification, shall submit to a performance review every 12 months and must receive regular inservice education based on the outcome of such reviews.

certification requirement;

qualified medication aide designation and requirements.— (4) When employed by a nursing home facility for a 12- month period or longer, a nursing assistant, to maintain certification, shall submit to a performance review every 12 months and must receive regular inservice education based on the outcome of such reviews.

Recognizing signs and symptoms of venousa thromboembolismblood clot, pulmonary embolism, or deep vein thrombosis and techniques for providing an emergency response;

and Page(c) 7Address areas of 11weakness CODING:as determined in nursing assistant performance reviews and may address the special needs of residents as determined by the nursing home facility staff.

Page 7 of 10 CODING:

hb1421-02-c2hb1421-01-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/CS/HBCS/HB 1421 2025 (c)Costs Addressassociated areaswith ofthis weaknesstraining as determined in nursing assistant performance reviews and may addressnot thebe specialreimbursed needsfrom ofadditional residentsMedicaid asfunding determinedthrough byinterim therate nursingadjustments. home facility staff.

Costs associated with this training may not be reimbursed from additional Medicaid funding through interim rate adjustments.

Complete an additional 34-hour training course approved by the Board of Nursing in medication administration and associated tasks, including, but not limited to, blood glucose level checks, dialing oxygen flow meters to prescribed settings, and assisting with continuous positive airway pressure devices, and identification of signs and symptoms of venousa thromboembolismblood clot and how to assist with a response protocol;

and Page3. 8 of 11 CODING:

Demonstrate clinical competency by successfully completing a supervised clinical practice in medication administration and associated tasks conducted in the facility.

Page 8 of 10 CODING:

hb1421-02-c2hb1421-01-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/CS/HBCS/HB 1421 2025 3.Section 6.

Demonstrate clinical competency by successfully completing a supervised clinical practice in medication administration and associated tasks conducted in the facility.

Section 6.

(g) The care of residents provided by the facility, which Pagemust 9include: of 11 CODING:

Words stricken are deletions;

words underlined are additions.

hb1421-02-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 1421 2025 must include:

3.Page 9 of 10 CODING:

Words stricken are deletions;

words underlined are additions.

hb1421-01-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 1421 2025 3.

Identification of residents who are at risk for developing venousblood thromboembolismclots, and the treating facility's response protocols to help ensure access to timely treatment.

Page(h) 10Identification of 11and CODING:responding to residents at high risk of developing blood clots and pulmonary embolisms.

Words stricken are deletions;

words underlined are additions.

hb1421-02-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 1421 2025 (h) Identification of and responding to residents at high risk of developing venous thromboembolism.

Page 1110 of 1110 CODING:

hb1421-02-c2hb1421-01-c1