H.B.23. Recovery Care Services

Florida House of Representatives
Last action 10 months ago
Polls (open):

Summary

                    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.
                
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                    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.

Actions

  • Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations

    Tue, Jan 30th 2018
  • In Messages

    Wed, Jan 24th 2018
  • Passed; YEAS 79 NAYS 23

    Fri, Jan 12th 2018
  • Read 3rd time

    Fri, Jan 12th 2018
  • Read 2nd time

    Thu, Jan 11th 2018
  • Placed on 3rd reading

    Thu, Jan 11th 2018
  • Amendment(s) failed (190437, 291793)

    Thu, Jan 11th 2018
  • Introduced

    Tue, Jan 9th 2018
  • Placed on Special Order Calendar, 01/11/18

    Mon, Jan 8th 2018
  • Placed on Calendar

    Wed, Nov 15th 2017
  • Favorable by- Health and Human Services Committee; YEAS 14 NAYS 3

    Tue, Nov 14th 2017
  • On Committee agenda-- Health and Human Services Committee, 11/14/17, 9:00 am, Morris Hall

    Tue, Nov 7th 2017
  • Referred to Health and Human Services Committee

    Thu, Oct 26th 2017
  • Filed

    Wed, Oct 18th 2017