F R A S E R C O B B E E X E C U T I V E D I R E C T O R

2019 Florida Legislative Session Week 8

Agenda

Session Ends on Friday Week 8 Major Developments Looking Ahead to Final Week

MAJOR DEVELOPMENTS

2019 Legislative Session Activity Week 8

Certificate of Need Reform

SB 1712 – Senate Passed a Strike All Amendment. Removed language that would have rescinded the ban on Specialty Hospitals.

HB 21 - Previously Passed the House – 77 Yes, 33 No

Outlook: This is part of the health care deal reached by the House and Senate Leadership. Still looks likely to pass.

Surgery Center/Recovery Care

SB 434 has been stalled HOWEVER 24-Hour Length of Stay in an ASC has been added now to

HB 843 HB 25 Passed the House 78 Yes -38 No

Outlook: HB 843 is a “train” that has a lot of other issues

including: Non-Compete Clauses Step Therapy Relief Hospital disclosure of patient status change (observation status) and

discharge instructions Direct Health Care Agreements

Telehealth

SB 1526 – Senate adopted and amended House Bill 23. Amended to remove Payment Parity….but establish that carriers and

physicians can negotiate rates for telehealth services. Allows use of out of state physicians registered in Florida

Concern is the registration fee is less than getting a full Florida license.

HB 23 – Previously Passed the House, 102-Yes, 14-No Outlook: This is part of the health care agreement

between the two chambers. Very likely to pass.

Needle Exchange Program

SB 366 – Passed the full Senate HB 171 – House Passed the Senate version of the bill. Includes the ability for Counties to fund the program

Outlook: Passed both chambers. It is in the Senate Returning Messages so should be addressed this week.

Office Surgery

SB 732 Passed Senate as amended and sent back to the House Financial Responsibility Language same as physician coverage

currently mandated. Inspected annually Designated physician & notification requirements

HB 933 Passed last committee. Outlook: very likely to pass. It is a white hat patient

protection issue with focus on victims of botched surgery vs. corporate owners.

Electronic Prescribing

SB 1192 On the Calendar for 4/30 HB 831 Passed previously by the House. Outlook: The two bills are very different. Will see if

Senate is willing to accept the House version or will send their version back to the House. We support the Senate version.

Shared Savings

HB 1113 – Previously passed the House unanimously. 114-Yes to 0- No.

SB 524 on Special Order Calendar for 4/30. Outlook: Likely to be Passed by Senate this week. It is an optional plan. State has precedent already in the State Health Plan. Could have some positive impact for lower cost providers of

shoppable services.

Non-Opioid Directives

SB 630 – On Special Order Calendar for 4/29 HB 451 – Passed the House – 113-Yes, 1-No

Outlook: Very likely to pass Senate this week.

Previously amended to provide educational materials and informed consent prior to prescribing opioids.

Prescription Formulary Consumer Protection

SB 1180 by Mayfield – Passed Senate 39-Y, 1-No HB 1363 by Williamson – passed one committee

Bill mandates 60 day notice to patient and physician if change in formulary. Insurance carriers must report to the state how often then

change formularies during plan year.

Outlook: Will see if House wants to take up the amended Senate version.

Bills that Appear Dead

Likely Not to Pass*

Workers Compensation PIP Repeal Stem Cells All Scope of Practice Bills (Nurses, PAs, Pharmacists,

Psychologists) Physician Referrals Hospitals and Group Mergers

LOOKING AHEAD TO FINAL WEEK

2019 Legislative Session

Bills to be heard Final Week

Senate Bills on the Floor HB 843 – Health Care Train with 24 hour ASC language Telehealth Certificate of Need Non-Opioid Directives Electronic Prescribing Shared Savings

House Bills HB 843 if Senate sends it over Office Surgery Prescription Drug Formulary Consumer Protection

F R A S E R C O B B E F C O B B E @ C O B B E M A N A G E M E N T . C O M

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