Pursuant to s. 395.002(3), F.S., an ambulatory surgical center (ASC) is a facility that is not part of a hospital, the primary purpose of which is to provide elective surgical care, in which the patient is admitted and discharged within the same working day and is not permitted to stay overnight. Federal Medicare reimbursement is generally limited to stays of no more than 24 hours. The bill changes the allowable length of stay in an ASC from less than one working day to no more than 24 hours, which is the federal Medicare length of stay standard. The bill creates a new license for a Recovery Care Center (RCC), defined as a facility the primary purpose of which is to provide recovery care services, to which a patient is admitted and discharged within 72 hours, and which is not part of a hospital. The bill defines recovery care services as: - Postsurgical and post-diagnostic medical and general nursing care to patients for whom acute hospitalization is not required and an uncomplicated recovery is reasonably expected; and - Postsurgical rehabilitation services. Recovery care services do not include intensive care services, coronary care services, or critical care services. The bill requires all patients to be certified as medically stable and not in need of acute hospitalization by their attending or referring physician prior to admission to a RCC. A patient may receive recovery care services in a RCC upon: - Discharge from an ASC after surgery; - Discharge from a hospital after surgery or other treatment; or - Receiving out-patient medical treatment such as chemotherapy. The new RCC license is modeled after the current licensing procedures for hospitals and ASCs, subjecting RCCs to similar regulatory standards, inspections, and rules. RCCs must have emergency care and transfer protocols, including transportation arrangements, and a referral or admission agreement with at least one hospital. The bill has an indeterminate, but likely insignificant, fiscal impact on state government. The bill provides an effective date of July 1, 2018.
In an effort to be an unbiased source of information, all text in this summary comes directly from government resources.
Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; AppropriationsTue, Jan 30th 2018
In MessagesWed, Jan 24th 2018
Passed; YEAS 79 NAYS 23Fri, Jan 12th 2018
Read 3rd timeFri, Jan 12th 2018
Read 2nd timeThu, Jan 11th 2018
Placed on 3rd readingThu, Jan 11th 2018
Amendment(s) failed (190437, 291793)Thu, Jan 11th 2018
IntroducedTue, Jan 9th 2018
Placed on Special Order Calendar, 01/11/18Mon, Jan 8th 2018
Placed on CalendarWed, Nov 15th 2017
Favorable by- Health and Human Services Committee; YEAS 14 NAYS 3Tue, Nov 14th 2017
On Committee agenda-- Health and Human Services Committee, 11/14/17, 9:00 am, Morris HallTue, Nov 7th 2017
Referred to Health and Human Services CommitteeThu, Oct 26th 2017
FiledWed, Oct 18th 2017