FL
Florida House Bill H1501

Florida 2024 Regular Session

Florida House Bill H1501 Compare Versions

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1010 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
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1414 A bill to be entitled 1
1515 An act relating to health care innovation; creating s. 2
1616 381.4015, F.S.; defining terms; providing legislative 3
1717 intent; creating the Health Care Innovation Council 4
1818 within the Department of Health for a specified 5
1919 purpose; providing for membership, meetings, an d 6
2020 conflicts of interest of the council; specifying 7
2121 conflicts of interest with respect to the revolving 8
2222 loan program established under the act; defining the 9
2323 terms "business relationship" and "relative"; 10
2424 specifying duties of the council; requiring the 11
2525 council, by a specified date, to adopt, and update as 12
2626 necessary, a certain document; requiring the council 13
2727 to submit annual reports to the Governor and the 14
2828 Legislature; requiring state agencies and statutorily 15
2929 created state entities to assist and cooperate with 16
3030 the council as requested; requiring the department to 17
3131 provide administrative support to the council; 18
3232 requiring the department to maintain a link to 19
3333 specified information on the homepage of its website; 20
3434 requiring the department to publish specified 21
3535 information on its website; requiring the department 22
3636 to provide technical assistance to certain applicants 23
3737 upon request; requiring the department to establish 24
3838 and administer a revolving loan program for applicants 25
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4747 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
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5151 seeking to implement certain health care innovatio ns 26
5252 in this state; providing for administration of the 27
5353 program; requiring the department to adopt certain 28
5454 rules; specifying eligibility and application 29
5555 requirements; specifying terms, authorized uses, and 30
5656 repayment options for loans; requiring the departmen t 31
5757 to create and maintain a separate account in the 32
5858 Grants and Donations Trust Fund within the department 33
5959 to fund the revolving loan program; providing that 34
6060 funds for the program are not subject to reversion; 35
6161 authorizing the department to contract with a th ird 36
6262 party to administer the program, including loan 37
6363 servicing, and manage the revolving loan fund; 38
6464 specifying requirements for the contract; requiring 39
6565 the department to publish and update specified 40
6666 information and reports on its website annually; 41
6767 requiring the Office of Economic and Demographic 42
6868 Research and the Office of Program Policy Analysis and 43
6969 Government Accountability to each develop and present 44
7070 an evaluation of the program to the Governor and the 45
7171 Legislature every 5 years beginning on specified 46
7272 dates; specifying requirements for the evaluations; 47
7373 requiring that the offices be given access to all data 48
7474 necessary to complete the evaluation, including 49
7575 confidential data; authorizing the offices to 50
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8484 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
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8888 collaborate on data collection and analysis; requiring 51
8989 the department to adopt rules; providing for future 52
9090 expiration; authorizing the department to adopt 53
91-emergency rules to implement the act; providing 54
92-appropriations; authorizing the department to use a 55
93-specified percentage of appropriated funds for 56
94-administrative costs to implement the revolving loan 57
95-program; providing an effective date. 58
96- 59
97-Be It Enacted by the Legislature of the State of Florida: 60
91+emergency rules to implement the act; providing that 54
92+implementation of the revolving loan fund is 55
93+contingent upon appropriation by the Legislature; 56
94+authorizing the department to use a specified 57
95+percentage of appropriated funds for administrative 58
96+costs to implement the revolving loan program; 59
97+providing an effective date. 60
9898 61
99- Section 1. Section 381.4015, Florida Statutes, is created 62
100-to read: 63
101- 381.4015 Florida health care innovation. — 64
102- (1) DEFINITIONS.—As used in this section, the term: 65
103- (a) "Council" means the Health Care Innovation Council. 66
104- (b) "Department" means the Department of Health. 67
105- (c) "Health care provider" means any person or entity 68
106-licensed, certified, registered, or o therwise authorized by law 69
107-to provide health care services in this state. 70
108- (2) LEGISLATIVE INTENT. —The Legislature intends to harness 71
109-the innovation and creativity of entrepreneurs and businesses, 72
110-together with the state's health care system and stakehold ers, 73
111-to lead the discussion and highlight advances and innovations 74
112-that will address challenges in the health care system as they 75
99+Be It Enacted by the Legislature of the State of Florida: 62
100+ 63
101+ Section 1. Section 381.4015 , Florida Statutes, is created 64
102+to read: 65
103+ 381.4015 Florida health care innovation. — 66
104+ (1) DEFINITIONS.—As used in this section, the term: 67
105+ (a) "Council" means the Health Care Innovation Council. 68
106+ (b) "Department" means the Department of Health. 69
107+ (c) "Health care provider" means any person or entity 70
108+licensed, certified, registered, or otherwise authorized by law 71
109+to provide health care services in this state. 72
110+ (2) LEGISLATIVE INTENT. —The Legislature intends to harness 73
111+the innovation and creativity of entr epreneurs and businesses, 74
112+together with the state's health care system and stakeholders, 75
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121121 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
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125-develop in real time and transform the delivery and strengthen 76
126-the quality of health care in Florida. Innovative technologies, 77
127-workforce pathways, service delivery models, or other solutions 78
128-that improve the quality of care in measurable and sustainable 79
129-ways, that can be replicated, and that will lower costs and 80
130-allow that value to be passed on to health care consumers shall 81
131-be highlighted for adoption across all neighborhoods and 82
132-communities in this state. 83
133- (3) HEALTH CARE INNOVATION COUNCIL. —The Health Care 84
134-Innovation Council, a council as defined in s. 20.03, is created 85
135-within the department to tap into the best knowledge and 86
136-experience available by regularly bringing together subject 87
137-matter experts in a public forum to explore and discuss 88
138-innovations in technology, workforce, and service delivery 89
139-models that can be exhibited as best practices, implemented, or 90
140-scaled in order to improve the quality and delivery of health 91
141-care in this state in measurable, sustainable, and reproducible 92
142-ways. 93
143- (a) Membership.— 94
144- 1. The Lieutenant Governor shall serve as an ex officio, 95
145-nonvoting member and shall act as the council chair. 96
146- 2. The council shall be composed of the following voting 97
147-members, to be appointed by July 1, 2024: 98
148- a. One member appointed by the President of the Senate and 99
149-one member appointed by the Speaker of the House of 100
125+to lead the discussion and highlight advances and innovations 76
126+that will address challenges in the health care system as they 77
127+develop in real time and transform the del ivery and strengthen 78
128+the quality of health care in Florida. Innovative technologies, 79
129+workforce pathways, service delivery models, or other solutions 80
130+that improve the quality of care in measurable and sustainable 81
131+ways, that can be replicated, and that will lower costs and 82
132+allow that value to be passed on to health care consumers shall 83
133+be highlighted for adoption across all neighborhoods and 84
134+communities in this state. 85
135+ (3) HEALTH CARE INNOVATION COUNCIL. —The Health Care 86
136+Innovation Council, a council as defin ed in s. 20.03, is created 87
137+within the department to tap into the best knowledge and 88
138+experience available by regularly bringing together subject 89
139+matter experts in a public forum to explore and discuss 90
140+innovations in technology, workforce, and service delive ry 91
141+models that can be exhibited as best practices, implemented, or 92
142+scaled in order to improve the quality and delivery of health 93
143+care in this state in measurable, sustainable, and reproducible 94
144+ways. 95
145+ (a) Membership.— 96
146+ 1. The Lieutenant Governor shall ser ve as an ex officio, 97
147+nonvoting member and shall act as the council chair. 98
148+ 2. The council shall be composed of the following voting 99
149+members, to be appointed by July 1, 2024: 100
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158158 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
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162-Representatives. The appointing officers shall make appointments 101
163-prioritizing members who have the following experience: 102
164- (I) A representative of the health care sector who has 103
165-senior-level experience in reducing inefficiencies in health 104
166-care delivery systems; 105
167- (II) A representative of the private sector who has 106
168-senior-level experience in cybersecurity or software engineering 107
169-in the health care sector; 108
170- (III) A representative who has expertise in emerging 109
171-technology that can be used in the delivery of health care; or 110
172- (IV) A representative who has experi ence in finance or 111
173-investment or in management and operation of early stage 112
174-companies. 113
175- b. A physician licensed under chapter 458 or chapter 459, 114
176-appointed by the Governor. 115
177- c. A nurse licensed under chapter 464, appointed by the 116
178-Governor. 117
179- d. An employee of a hospital licensed under chapter 395 118
180-who has executive-level experience, appointed by the Governor. 119
181- e. A representative of the long -term care facility 120
182-industry, appointed by the Governor. 121
183- f. An employee of a health insurer or health maintenance 122
184-organization who has executive -level experience, appointed by 123
185-the Governor. 124
186- g. A resident of this state who can represent the interest 125
162+ a. One member appointed by the President of the Senate and 101
163+one member appointed by the Speaker of the House of 102
164+Representatives. The appointing officers shall make appointments 103
165+prioritizing members who have the following experience: 104
166+ (I) A representative of the health care sector who has 105
167+senior-level experience in reducing inefficien cies in health 106
168+care delivery systems; 107
169+ (II) A representative of the private sector who has 108
170+senior-level experience in cybersecurity or software engineering 109
171+in the health care sector; 110
172+ (III) A representative who has expertise in emerging 111
173+technology that can be used in the delivery of health care; or 112
174+ (IV) A representative who has experience in finance or 113
175+investment or in management and operation of early stage 114
176+companies. 115
177+ b. A physician licensed under chapter 458 or chapter 459, 116
178+appointed by the Governo r. 117
179+ c. A nurse licensed under chapter 464, appointed by the 118
180+Governor. 119
181+ d. An employee of a hospital licensed under chapter 395 120
182+who has executive-level experience, appointed by the Governor. 121
183+ e. A representative of the long -term care facility 122
184+industry, appointed by the Governor. 123
185+ f. An employee of a health insurer or health maintenance 124
186+organization who has executive -level experience, appointed by 125
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195195 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
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199-of health care patients in this state, appointed by the 126
200-Governor. 127
201- 3. The chair of the Council of Florida Medical Scho ol 128
202-Deans shall serve as a voting member of the council. 129
203- 4. The council shall be composed of the following ex 130
204-officio, nonvoting members: 131
205- a. The State Surgeon General. 132
206- b. The Secretary of Health Care Administration. 133
207- c. The Secretary of Children and Families. 134
208- d. The director of the Agency for Persons with 135
209-Disabilities. 136
210- e. The Secretary of Elderly Affairs. 137
211- 5. Except for ex officio, nonvoting members, the term of 138
212-all appointees shall be for 2 years unless otherwise specified. 139
213-However, to achieve s taggered terms, the appointees in sub -140
214-subparagraphs 2.a.-c. shall serve initial terms of 3 years. The 141
215-appointees may be reappointed for no more than four consecutive 142
216-terms. 143
217- 6. Any vacancy occurring on the council must be filled in 144
218-the same manner as the original appointment. Any member who is 145
219-appointed to fill a vacancy occurring because of death, 146
220-resignation, or ineligibility for membership shall serve only 147
221-for the unexpired term of the member's predecessor. 148
222- 7. Members whose terms have expired may cont inue to serve 149
223-until replaced or reappointed. However, members whose terms have 150
199+the Governor. 126
200+ g. A resident of this state who can represent the interest 127
201+of health care patients in this st ate, appointed by the 128
202+Governor. 129
203+ 3. The chair of the Council of Florida Medical School 130
204+Deans shall serve as a voting member of the council. 131
205+ 4. The council shall be composed of the following ex 132
206+officio, nonvoting members: 133
207+ a. The State Surgeon General. 134
208+ b. The Secretary of Health Care Administration. 135
209+ c. The Secretary of Children and Families. 136
210+ d. The director of the Agency for Persons with 137
211+Disabilities. 138
212+ e. The Secretary of Elderly Affairs. 139
213+ 5. Except for ex officio, nonvoting members, the term of 140
214+all appointees shall be for 2 years unless otherwise specified. 141
215+However, to achieve staggered terms, the appointees in sub -142
216+subparagraphs 2.a.-c. shall serve initial terms of 3 years. The 143
217+appointees may be reappointed for no more than four consecutive 144
218+terms. 145
219+ 6. Any vacancy occurring on the council must be filled in 146
220+the same manner as the original appointment. Any member who is 147
221+appointed to fill a vacancy occurring because of death, 148
222+resignation, or ineligibility for membership shall serve only 149
223+for the unexpired term of the member's predecessor. 150
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232232 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
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236-expired may not serve longer than 6 months after the expiration 151
237-of their terms. 152
238- 8. Members shall serve without compensation but are 153
239-entitled to reimbursement for per diem and travel expenses 154
240-pursuant to s. 112.061. 155
241- 9. Members may be removed for cause by the appointing 156
242-entity. 157
243- 10. Each member of the council who is not otherwise 158
244-required to file a financial disclosure statement pursuant to s. 159
245-8, Art. II of the State Constitut ion or s. 112.3144 must file a 160
246-disclosure of financial interests pursuant to s. 112.3145. 161
247- (b) Meetings.—The council shall convene its first 162
248-organizational meeting by September 1, 2024. Thereafter, the 163
249-council shall meet as necessary, but at least quarter ly, at the 164
250-call of the chair. In order to provide an opportunity for the 165
251-broadest public input, the chair shall ensure that a majority of 166
252-the meetings held in a year are geographically dispersed within 167
253-this state. As feasible, meetings are encouraged to pr ovide an 168
254-opportunity for presentation or demonstration of innovative 169
255-solutions in person. A majority of the members of the council 170
256-constitutes a quorum, and a meeting may not be held with less 171
257-than a quorum present. In order to establish a quorum, the 172
258-council may conduct its meetings through teleconference or other 173
259-electronic means. The affirmative vote of a majority of the 174
260-members of the council present is necessary for any official 175
236+ 7. Members whose terms have expired may continue to serve 151
237+until replaced or reappointed. However, members whose terms have 152
238+expired may not serve longer than 6 months after the expiration 153
239+of their terms. 154
240+ 8. Members shall serve without compensation but are 155
241+entitled to reimbursement for per diem and travel expenses 156
242+pursuant to s. 112.061. 157
243+ 9. Members may be removed for cause by the appointing 158
244+entity. 159
245+ 10. Each member of the council who is not otherwise 160
246+required to file a financial disclosure statement pursuant to s. 161
247+8, Art. II of the State Constitution or s. 112.3144 must file a 162
248+disclosure of financial interests pursuant to s. 112.3145. 163
249+ (b) Meetings.—The council shall convene its first 164
250+organizational meeting by Sep tember 1, 2024. Thereafter, the 165
251+council shall meet as necessary, but at least quarterly, at the 166
252+call of the chair. In order to provide an opportunity for the 167
253+broadest public input, the chair shall ensure that a majority of 168
254+the meetings held in a year are g eographically dispersed within 169
255+this state. As feasible, meetings are encouraged to provide an 170
256+opportunity for presentation or demonstration of innovative 171
257+solutions in person. A majority of the members of the council 172
258+constitutes a quorum, and a meeting may not be held with less 173
259+than a quorum present. In order to establish a quorum, the 174
260+council may conduct its meetings through teleconference or other 175
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269269 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
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273-action by the council. 176
274- (c) Conflicts of interest. — 177
275- 1. A council member may not vote on any matter that would 178
276-provide: 179
277- a. Direct financial benefit to the member; 180
278- b. Financial benefit to a relative of the member, 181
279-including an entity of which a relative is an officer, partner, 182
280-director, or proprietor or in which the relativ e has a material 183
281-interest; or 184
282- c. Financial benefit to a person or entity with whom the 185
283-member has a business relationship. 186
284- 2. With respect to the revolving loan program established 187
285-in subsection (7): 188
286- a. Council members may not receive loans under the 189
287-program. 190
288- b. A person or entity that has a conflict -of-interest 191
289-relationship with a council member as described in sub -192
290-subparagraph 1.b. or sub -subparagraph 1.c. may not receive a 193
291-loan under the program unless that council member recused 194
292-himself or herself from consideration of the person's or 195
293-entity's application. 196
294- 3. For purposes of this paragraph, the term: 197
295- a. "Business relationship" means an ownership or 198
296-controlling interest, an affiliate or subsidiary relationship, a 199
297-common parent company, or any mutual interest in any limited 200
273+electronic means. The affirmative vote of a majority of the 176
274+members of the council present is necessary for an y official 177
275+action by the council. 178
276+ (c) Conflicts of interest. — 179
277+ 1. A council member may not vote on any matter that would 180
278+provide: 181
279+ a. Direct financial benefit to the member; 182
280+ b. Financial benefit to a relative of the member, 183
281+including an entity of which a relative is an officer, partner, 184
282+director, or proprietor or in which the relative has a material 185
283+interest; or 186
284+ c. Financial benefit to a person or entity with whom the 187
285+member has a business relationship. 188
286+ 2. With respect to the revolving loan pro gram established 189
287+in subsection (7): 190
288+ a. Council members may not receive loans under the 191
289+program. 192
290+ b. A person or entity that has a conflict -of-interest 193
291+relationship with a council member as described in sub -194
292+subparagraph 1.b. or sub -subparagraph 1.c. may not receive a 195
293+loan under the program unless that council member recused 196
294+himself or herself from consideration of the person's or 197
295+entity's application. 198
296+ 3. For purposes of this paragraph, the term: 199
297+ a. "Business relationship" means an ownership or 200
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306306 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
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310-partnership, limited liability partnership, limited liability 201
311-company, or other entity or business association. 202
312- b. "Relative" means a father, mother, son, daughter, 203
313-husband, wife, brother, sister, grandparent, father -in-law, 204
314-mother-in-law, son-in-law, or daughter-in-law of a person. 205
315- (d) Public meetings and records. —The council and any 206
316-subcommittees it forms are subject to the provisions of chapter 207
317-119 relating to public records and the provisions of chapter 286 208
318-relating to public meetings. 209
319- (4) HEALTH CARE INNOVATION COUNCIL DUTIES. —In order to 210
320-facilitate and implement this section, the council shall: 211
321- (a) By February 1, 2025, adopt and update as necessary a 212
322-document that sets forth and describes a mission statement, 213
323-goals, and objectives for the council to function and meet the 214
324-purposes of this section. 215
325- (b) Facilitate public meetings across this state at which 216
326-innovators, developers, and implementers of technologies, 217
327-workforce pathways, service delivery models, and othe r solutions 218
328-may present information and lead discussions on concepts that 219
329-address challenges to the health care system as they develop in 220
330-real time and advance the delivery of health care in this state 221
331-through technology and innovation. 222
332- 1. Consideration must be given to how such concepts 223
333-increase efficiency in the health care system in this state, 224
334-reduce strain on the state's health care workforce, improve 225
310+controlling interest, an affiliate or subsidiary relationship, a 201
311+common parent company, or any mutual interest in any limited 202
312+partnership, limited liability partnership, limited liability 203
313+company, or other entity or business association. 204
314+ b. "Relative" means a f ather, mother, son, daughter, 205
315+husband, wife, brother, sister, grandparent, father -in-law, 206
316+mother-in-law, son-in-law, or daughter-in-law of a person. 207
317+ (d) Public meetings and records. —The council and any 208
318+subcommittees it forms are subject to the provisions of chapter 209
319+119 relating to public records and the provisions of chapter 286 210
320+relating to public meetings. 211
321+ (4) HEALTH CARE INNOVATION COUNCIL DUTIES. —In order to 212
322+facilitate and implement this section, the council shall: 213
323+ (a) By February 1, 2025, adopt an d update as necessary a 214
324+document that sets forth and describes a mission statement, 215
325+goals, and objectives for the council to function and meet the 216
326+purposes of this section. 217
327+ (b) Facilitate public meetings across this state at which 218
328+innovators, developers, and implementers of technologies, 219
329+workforce pathways, service delivery models, and other solutions 220
330+may present information and lead discussions on concepts that 221
331+address challenges to the health care system as they develop in 222
332+real time and advance the deli very of health care in this state 223
333+through technology and innovation. 224
334+ 1. Consideration must be given to how such concepts 225
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343343 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
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347-patient outcomes, expand public access to health care services 226
348-in this state, or reduce costs for pa tients and the state 227
349-without reducing the quality of patient care. 228
350- 2. Exploration and discussion of concepts may include how 229
351-concepts can be supported, cross -functional, or scaled to meet 230
352-the needs of health care consumers, including employers, payors, 231
353-patients, and the state. 232
354- 3. The council may coordinate with the Florida Small 233
355-Business Development Center Network, the Florida Opportunity 234
356-Fund, the Institute for Commercialization of Florida Technology, 235
357-and other business incubators, development organiza tions, or 236
358-institutions of higher education to include emerging and early 237
359-stage innovators, developers, and implementers of technology, 238
360-models, or solutions in health care in the exploration and 239
361-discussion of concepts and breakthrough innovations. 240
362- 4. To support adoption and implementation of innovations 241
363-and advancements, specific meetings may be held which bring 242
364-together technical experts, such as those in system integration, 243
365-cloud computing, artificial intelligence, and cybersecurity, to 244
366-lead discussions on recommended structures and integrations of 245
367-information technology products and services and propose 246
368-solutions that can make adoption and implementation efficient, 247
369-effective, and economical. 248
370- 5. The council may also highlight broad community or 249
371-statewide issues or needs of providers and users of health care 250
347+increase efficiency in the health care system in this state, 226
348+reduce strain on the state's health care workforce, improve 227
349+patient outcomes, expand public access to health care services 228
350+in this state, or reduce costs for patients and the state 229
351+without reducing the quality of patient care. 230
352+ 2. Exploration and discussion of concepts may include how 231
353+concepts can be supported, cross -functional, or scaled to meet 232
354+the needs of health care consumers, including employers, payors, 233
355+patients, and the state. 234
356+ 3. The council may coordinate with the Florida Small 235
357+Business Development Center Network, the Florida Opportunity 236
358+Fund, the Institute for Comm ercialization of Florida Technology, 237
359+and other business incubators, development organizations, or 238
360+institutions of higher education to include emerging and early 239
361+stage innovators, developers, and implementers of technology, 240
362+models, or solutions in health ca re in the exploration and 241
363+discussion of concepts and breakthrough innovations. 242
364+ 4. To support adoption and implementation of innovations 243
365+and advancements, specific meetings may be held which bring 244
366+together technical experts, such as those in system integr ation, 245
367+cloud computing, artificial intelligence, and cybersecurity, to 246
368+lead discussions on recommended structures and integrations of 247
369+information technology products and services and propose 248
370+solutions that can make adoption and implementation efficient, 249
371+effective, and economical. 250
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380380 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
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384-delivery and may facilitate public forums in order to explore 251
385-and discuss the range of effective, efficient, and economical 252
386-technology and innovative solutions that can be implemented. 253
387- (c) Annually distinguish the most impactful concepts by 254
388-recognizing the innovators, developers, and implementers whose 255
389-work is helping Floridians live brighter and healthier lives. In 256
390-seeking out projects, initiatives, and concepts that are having 257
391-a positive impact in Florida, have huge potential to scale that 258
392-impact throughout this state through growth or replication, or 259
393-are cutting-edge advancements, programs, or other innovations 260
394-that have the capability to accelerate transformation of health 261
395-care in this state, the council may issue awards to recognize 262
396-these strategic and innovative thinkers who are helping 263
397-Floridians live brighter and healthier lives. The council may 264
398-develop a logo for the award for use by awardees to advertise 265
399-their achievements and recognition. 266
400- (d) Consult with and solicit input from health care 267
401-experts, health care providers, and technology and manufacturing 268
402-experts in the health care or related fields, users of such 269
403-innovations or systems, and the public to develop and update: 270
404- 1. Best practice recommendations that will lead to the 271
405-continuous modernization of the health care system in this state 272
406-and make the Florida system a nationwide leader in innovation, 273
407-technology, and service. At a minimum, recommendations must be 274
408-made for how to explore i mplementation of innovations, how to 275
384+ 5. The council may also highlight broad community or 251
385+statewide issues or needs of providers and users of health care 252
386+delivery and may facilitate public forums in order to explore 253
387+and discuss the range of effective, efficient, and economical 254
388+technology and innovative solutions that can be implemented. 255
389+ (c) Annually distinguish the most impactful concepts by 256
390+recognizing the innovators, developers, and implementers whose 257
391+work is helping Floridians live brighter and healthier lives. In 258
392+seeking out projects, initiatives, and concepts that are having 259
393+a positive impact in Florida, have huge potential to scale that 260
394+impact throughout this state through growth or replication, or 261
395+are cutting-edge advancements, programs, or other innovations 262
396+that have the capability to accelerate transformation of health 263
397+care in this state, the council may issue awards to recognize 264
398+these strategic and innovative thinkers who are helping 265
399+Floridians live brighter and healthier lives. The council may 266
400+develop a logo for the award for use by awardees to advertise 267
401+their achievements and recognition. 268
402+ (d) Consult with and solicit input from health care 269
403+experts, health care providers, and technology and manufacturing 270
404+experts in the health care or related fields, users of such 271
405+innovations or systems, and the public to develop and update: 272
406+ 1. Best practice recommendations that will lead to the 273
407+continuous modernization of the health care system in this state 274
408+and make the Florida system a nationwide leader in innovation, 275
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417417 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
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421-implement new technologies and strategies, and health care 276
422-service delivery models. As applicable, best practices must be 277
423-distinguished by practice setting and with an emphasis on 278
424-increasing efficiency in the delivery o f health care, reducing 279
425-strain on the health care workforce, increasing public access to 280
426-health care, improving patient outcomes, reducing unnecessary 281
427-emergency room visits, and reducing costs for patients and the 282
428-state without reducing the quality of pati ent care. Specifically 283
429-for information technology, best practices must also recommend 284
430-actions to guide the selection of technologies and innovations, 285
431-which may include, but need not be limited to, considerations 286
432-for system-to-system integration, consistent user experiences 287
433-for health care workers and patients, and patient education and 288
434-practitioner training. 289
435- 2. A list of focus areas in which to advance the delivery 290
436-of health care in this state through innovative technologies, 291
437-workforce pathways, or servic e delivery models. The focus areas 292
438-may be broad or specific, but must, at a minimum, consider all 293
439-of the following topics: 294
440- a. The health care workforce. This topic includes, but is 295
441-not limited to, all of the following: 296
442- (I) Approaches to cultivate inter est and growth in the 297
443-workforce, including concepts resulting in increases in the 298
444-number of providers. 299
445- (II) Efforts to improve the use of the workforce, whether 300
421+technology, and service. At a minimum, recommendations must be 276
422+made for how to explore implementation of innovations, how to 277
423+implement new technologies and strategies, and health care 278
424+service delivery models. As applicable, best practices must be 279
425+distinguished by practice setting and with an emphasis on 280
426+increasing efficiency in the delivery of health care, reducing 281
427+strain on the health care workforce, increasing public access to 282
428+health care, improving patient outcomes, reducing unnecessary 283
429+emergency room visits, and reducing costs for patients and the 284
430+state without reducing the quality of patient care. Specifically 285
431+for information technology, best practices must also recommend 286
432+actions to guide the selection of technologies and innovations, 287
433+which may include, but need not be limited to, considerations 288
434+for system-to-system integration, consistent user experiences 289
435+for health care workers and patients, and patient education and 290
436+practitioner training. 291
437+ 2. A list of focus areas in which to advance the delivery 292
438+of health care in this state through innovative technologies, 293
439+workforce pathways, or service delivery models. The focus areas 294
440+may be broad or specific, but must, at a minimum, consider all 295
441+of the following topics: 296
442+ a. The health care workforce. This topic in cludes, but is 297
443+not limited to, all of the following: 298
444+ (I) Approaches to cultivate interest and growth in the 299
445+workforce, including concepts resulting in increases in the 300
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454454 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
455455
456456
457457
458-through techniques, training, or devices to increase 301
459-effectiveness or efficiency. 302
460- (III) Educational pathways that connect students with 303
461-employers or result in attainment of cost -efficient and timely 304
462-degrees or credentials. 305
463- (IV) Use of technology to reduce the burden on the 306
464-workforce during decisionmaking processes such as triage, but 307
465-which leaves all final decisions to the health care 308
466-practitioner. 309
467- b. The provision of patient care in the most appropriate 310
468-setting and reduction of unnecessary emergency room visits. 311
469-These topics include, but are not limited to, all of the 312
470-following: 313
471- (I) Use of advanced technologies to improve patient 314
472-outcomes, provide patient care, or improve patient quality of 315
473-life. 316
474- (II) The use of early detection devices, including remote 317
475-communications devices and diagnostic tools engineered for early 318
476-detection and patient engagement. 319
477- (III) At-home patient monitoring devices and measures. 320
478- (IV) Advanced at-home health care. 321
479- (V) Advanced adaptive equipment. 322
480- c. The delivery of primary care through methods, 323
481-practices, or procedures that increase efficiencies. 324
482- d. The technical aspects of the provision of health care. 325
458+number of providers. 301
459+ (II) Efforts to improve the use of the workforce, whether 302
460+through techniques, training, or devices to increase 303
461+effectiveness or efficiency. 304
462+ (III) Educational pathways that connect students with 305
463+employers or result in attainment of cost -efficient and timely 306
464+degrees or credentials. 307
465+ (IV) Use of technology to reduce t he burden on the 308
466+workforce during decisionmaking processes such as triage, but 309
467+which leaves all final decisions to the health care 310
468+practitioner. 311
469+ b. The provision of patient care in the most appropriate 312
470+setting and reduction of unnecessary emergency room visits. 313
471+These topics include, but are not limited to, all of the 314
472+following: 315
473+ (I) Use of advanced technologies to improve patient 316
474+outcomes, provide patient care, or improve patient quality of 317
475+life. 318
476+ (II) The use of early detection devices, including remot e 319
477+communications devices and diagnostic tools engineered for early 320
478+detection and patient engagement. 321
479+ (III) At-home patient monitoring devices and measures. 322
480+ (IV) Advanced at-home health care. 323
481+ (V) Advanced adaptive equipment. 324
482+ c. The delivery of primary care through methods, 325
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491491 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
492492
493493
494494
495-These aspects include, but are not limited to, all of the 326
496-following: 327
497- (I) Interoperability of electronic health records systems 328
498-and the impact on patient care coordination and administrative 329
499-costs for health care systems. 330
500- (II) Cybersecurity and the protection of health care data 331
501-and systems. 332
502- (e) Identify and recommend any changes to Florida law or 333
503-changes that can be implemented without legislative action which 334
504-are necessary to: 335
505- 1. Advance, transform, or innovate in the delivery and 336
506-strengthen the quality of health care in Florida, including 337
507-removal or update of any regulatory barriers or governmental 338
508-inefficiencies. 339
509- 2. Implement the council's duties or recommendations. 340
510- (f) Recommend crite ria for awarding loans as provided in 341
511-subsection (7) to the department and review loan applications. 342
512- (g) Annually submit by December 1 a report of council 343
513-activities and recommendations to the Governor, the President of 344
514-the Senate, and the Speaker of the House of Representatives. At 345
515-a minimum, the report must include an update on the status of 346
516-the delivery of health care in this state; information on 347
517-implementation of best practices by health care industry 348
518-stakeholders in this state; and highlights of exp loration, 349
519-development, or implementation of innovative technologies, 350
495+practices, or procedures that increase efficiencies. 326
496+ d. The technical aspects of the provision of health care. 327
497+These aspects include, but are not limited to, all of the 328
498+following: 329
499+ (I) Interoperability o f electronic health records systems 330
500+and the impact on patient care coordination and administrative 331
501+costs for health care systems. 332
502+ (II) Cybersecurity and the protection of health care data 333
503+and systems. 334
504+ (e) Identify and recommend any changes to Florida l aw or 335
505+changes that can be implemented without legislative action which 336
506+are necessary to: 337
507+ 1. Advance, transform, or innovate in the delivery and 338
508+strengthen the quality of health care in Florida, including 339
509+removal or update of any regulatory barriers or go vernmental 340
510+inefficiencies. 341
511+ 2. Implement the council's duties or recommendations. 342
512+ (f) Recommend criteria for awarding loans as provided in 343
513+subsection (7) to the department and review loan applications. 344
514+ (g) Annually submit by December 1 a report of cou ncil 345
515+activities and recommendations to the Governor, the President of 346
516+the Senate, and the Speaker of the House of Representatives. At 347
517+a minimum, the report must include an update on the status of 348
518+the delivery of health care in this state; information on 349
519+implementation of best practices by health care industry 350
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528528 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
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530530
531531
532-workforce pathways, service delivery models, or other solutions 351
533-by health care industry stakeholders in this state. 352
534- (5) AGENCY COOPERATION. —All state agencies and statutorily 353
535-created state entities shall assist and cooperate with the 354
536-council as requested. 355
537- (6) DEPARTMENT DUTIES. —The department shall, at a minimum, 356
538-do all of the following to facilitate implementation of this 357
539-section: 358
540- (a) Provide reasonable and necessary support staff and 359
541-materials to assist the council in the performance of its 360
542-duties. 361
543- (b) Maintain on the homepage of the department a link to a 362
544-website dedicated to the council on which the department shall 363
545-post information related to the council, including the outcome s 364
546-of the duties of the council and annual reports as described in 365
547-subsection (4). 366
548- (c) Identify and publish on its website a list of any 367
549-sources of federal, state, or private funding available for 368
550-implementation of innovative technologies and service deli very 369
551-models in health care, including the details and eligibility 370
552-requirements for each funding opportunity. Upon request, the 371
553-department shall provide technical assistance to any person 372
554-wanting to apply for such funding. If the entity with oversight 373
555-of the funding opportunity provides technical assistance, the 374
556-department may foster working relationships that allow the 375
532+stakeholders in this state; and highlights of exploration, 351
533+development, or implementation of innovative technologies, 352
534+workforce pathways, service delivery models, or other solutions 353
535+by health care industry stakeholders in this state. 354
536+ (5) AGENCY COOPERATION. —All state agencies and statutorily 355
537+created state entities shall assist and cooperate with the 356
538+council as requested. 357
539+ (6) DEPARTMENT DUTIES. —The department shall, at a minimum, 358
540+do all of the following to facilitate implementation of this 359
541+section: 360
542+ (a) Provide reasonable and necessary support staff and 361
543+materials to assist the council in the performance of its 362
544+duties. 363
545+ (b) Maintain on the homepage of the department a link to a 364
546+website dedicated to the council on which the department shall 365
547+post information related to the council, including the outcomes 366
548+of the duties of the council and annual reports as described in 367
549+subsection (4). 368
550+ (c) Identify and publish on its website a list of any 369
551+sources of federal, state, or private funding available for 370
552+implementation of innovative technologies and service delivery 371
553+models in health care, including the details and eligibility 372
554+requirements for each funding opportunity. Upon request, the 373
555+department shall pro vide technical assistance to any person 374
556+wanting to apply for such funding. If the entity with oversight 375
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565565 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
566566
567567
568568
569-department to refer the person seeking funding to the 376
570-appropriate contact for such assistance. 377
571- (d) Incorporate recommendations of the coun cil into the 378
572-department's duties or as part of the administration of this 379
573-section, or update administrative rules or procedures as 380
574-appropriate based upon council recommendations. 381
575- (7) REVOLVING LOAN PROGRAM. —The department shall establish 382
576-and administer a revolving loan program for applicants seeking 383
577-to implement innovative solutions in this state. 384
578- (a) Administration.—The council may make recommendations 385
579-to the department for the administration of the loans. The 386
580-department shall adopt rules: 387
581- 1. Establishing an application process to submit and 388
582-review funding proposals for loans. Such rules must also include 389
583-the process for the council to review applications to ensure 390
584-compliance with applicable laws, including those related to 391
585-discrimination and conflict s of interest. If a council member 392
586-participated in the vote of the council recommending an award 393
587-for a proposal with which the council member has a conflict of 394
588-interest, the division may not award the loan to that entity. 395
589- 2. Establishing eligibility crit eria to be applied by the 396
590-council in recommending applications for the award of loans 397
591-which: 398
592- a. Incorporate the recommendations of the council. The 399
593-council shall recommend to the department criteria based upon 400
569+of the funding opportunity provides technical assistance, the 376
570+department may foster working relationships that allow the 377
571+department to refer the person seeking funding to the 378
572+appropriate contact for such assistance. 379
573+ (d) Incorporate recommendations of the council into the 380
574+department's duties or as part of the administration of this 381
575+section, or update administrative rules or procedures as 382
576+appropriate based upon council recommendations. 383
577+ (7) REVOLVING LOAN PROGRAM. —The department shall establish 384
578+and administer a revolving loan program for applicants seeking 385
579+to implement innovative solutions in this state. 386
580+ (a) Administration.—The council may make recommen dations 387
581+to the department for the administration of the loans. The 388
582+department shall adopt rules: 389
583+ 1. Establishing an application process to submit and 390
584+review funding proposals for loans. Such rules must also include 391
585+the process for the council to review a pplications to ensure 392
586+compliance with applicable laws, including those related to 393
587+discrimination and conflicts of interest. If a council member 394
588+participated in the vote of the council recommending an award 395
589+for a proposal with which the council member has a conflict of 396
590+interest, the division may not award the loan to that entity. 397
591+ 2. Establishing eligibility criteria to be applied by the 398
592+council in recommending applications for the award of loans 399
593+which: 400
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602602 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
603603
604604
605605
606-input received and the focus areas developed . The council may 401
607-recommend updated criteria as necessary, based upon the most 402
608-recent input, best practice recommendations, or focus areas 403
609-list. 404
610- b. Determine which proposals are likely to provide the 405
611-greatest return to the state if funded, taking into 406
612-consideration, at a minimum, the degree to which the proposal 407
613-would increase efficiency in the health care system in this 408
614-state, reduce strain on the state's health care workforce, 409
615-improve patient outcomes, increase public access to health care 410
616-in this state, or provide cost savings to patients or the state 411
617-without reducing the quality of patient care. 412
618- 3. It deems necessary to administer the program, 413
619-including, but not limited to, rules for application 414
620-requirements, the ability of the applicant to properly 415
621-administer funds, the professional excellence of the applicant, 416
622-the fiscal stability of the applicant, the state or regional 417
623-impact of the proposal, matching requirements for the proposal, 418
624-and other requirements to further the purposes of the program. 419
625- (b) Eligibility.— 420
626- 1. The following entities may apply for a revolving loan: 421
627- a. Entities licensed, registered, or certified by the 422
628-Agency for Health Care Administration as provided under s. 423
629-408.802, except for those specified in s. 408.802(1), (3), (13), 424
630-(23), or (25). 425
606+ a. Incorporate the recommendations of the council. T he 401
607+council shall recommend to the department criteria based upon 402
608+input received and the focus areas developed. The council may 403
609+recommend updated criteria as necessary, based upon the most 404
610+recent input, best practice recommendations, or focus areas 405
611+list. 406
612+ b. Determine which proposals are likely to provide the 407
613+greatest return to the state if funded, taking into 408
614+consideration, at a minimum, the degree to which the proposal 409
615+would increase efficiency in the health care system in this 410
616+state, reduce strain on the state's health care workforce, 411
617+improve patient outcomes, increase public access to health care 412
618+in this state, or provide cost savings to patients or the state 413
619+without reducing the quality of patient care. 414
620+ 3. It deems necessary to administer the program, 415
621+including, but not limited to, rules for application 416
622+requirements, the ability of the applicant to properly 417
623+administer funds, the professional excellence of the applicant, 418
624+the fiscal stability of the applicant, the state or regional 419
625+impact of the proposal , matching requirements for the proposal, 420
626+and other requirements to further the purposes of the program. 421
627+ (b) Eligibility.— 422
628+ 1. The following entities may apply for a revolving loan: 423
629+ a. Entities licensed, registered, or certified by the 424
630+Agency for Health Care Administration as provided under s. 425
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639639 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
640640
641641
642642
643- b. An education or clinical training provider in 426
644-partnership with an entity under sub -subparagraph a. 427
645- 2.a. Council members may not receive loans under the 428
646-program. 429
647- b. An entity that has a conflict -of-interest relationship 430
648-with a council member as described in sub -subparagraph 431
649-(3)(c)1.b. or sub-subparagraph (3)(c)1.c. may not receive a loan 432
650-under the program unless that council member recused himself or 433
651-herself from consideration of the entity's application. 434
652- 3. Priority must be given to applicants located in a rural 435
653-or medically underserved area as designated by the department 436
654-which are: 437
655- a. Rural hospitals as defined in s. 395.602(2). 438
656- b. Nonprofit entities that accept Medicaid patients. 439
657- 4. The department may award a loan for up t o 50 percent of 440
658-the total projected implementation costs, or up to 80 percent of 441
659-the total projected implementation costs for an applicant under 442
660-subparagraph 3. The applicant must demonstrate the source of 443
661-funding it will use to cover the remainder of the total 444
662-projected implementation costs, which funding must be from 445
663-nonstate sources. 446
664- (c) Applications.— 447
665- 1. The department shall set application periods to apply 448
666-for loans. The department may set multiple application periods 449
667-in a fiscal year, with up to f our periods per year. The 450
643+408.802, except for those specified in s. 408.802(1), (3), (13), 426
644+(23), or (25). 427
645+ b. An education or clinical training provider in 428
646+partnership with an entity under sub -subparagraph a. 429
647+ 2.a. Council members may n ot receive loans under the 430
648+program. 431
649+ b. An entity that has a conflict -of-interest relationship 432
650+with a council member as described in sub -subparagraph 433
651+(3)(c)1.b. or sub-subparagraph (3)(c)1.c. may not receive a loan 434
652+under the program unless that council me mber recused himself or 435
653+herself from consideration of the entity's application. 436
654+ 3. Priority must be given to applicants located in a rural 437
655+or medically underserved area as designated by the department 438
656+which are: 439
657+ a. Rural hospitals as defined in s. 395.602(2). 440
658+ b. Nonprofit entities that accept Medicaid patients. 441
659+ 4. The department may award a loan for up to 50 percent of 442
660+the total projected implementation costs, or up to 80 percent of 443
661+the total projected implementation costs for an applicant under 444
662+subparagraph 3. The applicant must demonstrate the source of 445
663+funding it will use to cover the remainder of the total 446
664+projected implementation costs, which funding must be from 447
665+nonstate sources. 448
666+ (c) Applications.— 449
667+ 1. The department shall set applicatio n periods to apply 450
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676676 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
677677
678678
679679
680-department shall coordinate with the council when establishing 451
681-application periods to establish separate priority, in addition 452
682-to eligibility, within the loan applications for defined 453
683-categories based on the current focus area lis t. The department 454
684-shall publicize the availability of loans under the program to 455
685-stakeholders, education or training providers, and others. 456
686- 2. Upon receipt of an application, the department shall 457
687-determine whether the application is complete and the appl icant 458
688-has demonstrated the ability to repay the loan. Within 30 days 459
689-after the close of the application period, the department shall 460
690-forward all completed applications to the council for 461
691-consideration. 462
692- 3. The council shall review applications for loans u nder 463
693-the criteria and pursuant to the processes and format adopted by 464
694-the department. The council shall submit to the department for 465
695-approval lists of applicants that it recommends for funding, 466
696-arranged in order of priority and as required for the 467
697-application period. 468
698- 4. A loan applicant must demonstrate plans to use the 469
699-funds to implement one or more innovative technologies, 470
700-workforce pathways, service delivery models, or other solutions 471
701-in order to fill a demonstrated need; obtain or upgrade 472
702-necessary equipment, hardware, and materials; adopt new 473
703-technologies or systems; or a combination thereof which will 474
704-improve the quality and delivery of health care in measurable 475
680+for loans. The department may set multiple application periods 451
681+in a fiscal year, with up to four periods per year. The 452
682+department shall coordinate with the council when establishing 453
683+application periods to establish separate priority, in addition 454
684+to eligibility, within the loan applications for defined 455
685+categories based on the current focus area list. The department 456
686+shall publicize the availability of loans under the program to 457
687+stakeholders, education or training providers, and others. 458
688+ 2. Upon receipt of an application, the department shall 459
689+determine whether the application is complete and the applicant 460
690+has demonstrated the ability to repay the loan. Within 30 days 461
691+after the close of the application period, the department shall 462
692+forward all completed applications to the council for 463
693+consideration. 464
694+ 3. The council shall review applications for loans under 465
695+the criteria and pursuant to the processes and format adopted by 466
696+the department. The council shall submit to the department for 467
697+approval lists of applicants that it recommends for funding, 468
698+arranged in order of priority and as required for the 469
699+application period. 470
700+ 4. A loan applicant must demonstrate plans to use the 471
701+funds to implement one or more innovative technologies, 472
702+workforce pathways, service delivery models, or other solutions 473
703+in order to fill a demonstrated need; obtain or upgrade 474
704+necessary equipment, hardware, and materials; adopt new 475
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713713 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
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717-and sustainable ways and which will lower costs and allow 476
718-savings to be passed on to heal th care consumers. 477
719- (d) Awards.— 478
720- 1. The amount of each loan must be based upon demonstrated 479
721-need and availability of funds. The department may not award 480
722-more than 10 percent of the total allocated funds for the fiscal 481
723-year to a single loan applicant. 482
724- 2. The interest rate for each loan may not exceed 1 483
725-percent. 484
726- 3. The term of each loan is up to 10 years. 485
727- 4. In order to equitably distribute limited state funding, 486
728-applicants may apply for and be awarded only one loan per fiscal 487
729-year. If a loan recipie nt has one or more outstanding loans at 488
730-any time, the recipient may apply for funding for a new loan if 489
731-the current loans are in good standing. 490
732- (e) Written agreement.— 491
733- 1. Each loan recipient must enter into a written agreement 492
734-with the department to re ceive the loan. At a minimum, the 493
735-agreement with the applicant must specify all of the following: 494
736- a. The total amount of the award. 495
737- b. The performance conditions that must be met, based upon 496
738-the submitted proposal and the defined category or focus area , 497
739-as applicable. 498
740- c. The information to be reported on actual implementation 499
741-costs, including the share from nonstate resources. 500
717+technologies or systems; or a combination thereof which will 476
718+improve the quality and delivery of hea lth care in measurable 477
719+and sustainable ways and which will lower costs and allow 478
720+savings to be passed on to health care consumers. 479
721+ (d) Awards.— 480
722+ 1. The amount of each loan must be based upon demonstrated 481
723+need and availability of funds. The department ma y not award 482
724+more than 10 percent of the total allocated funds for the fiscal 483
725+year to a single loan applicant. 484
726+ 2. The interest rate for each loan may not exceed 1 485
727+percent. 486
728+ 3. The term of each loan is up to 10 years. 487
729+ 4. In order to equitably distribute limited state funding, 488
730+applicants may apply for and be awarded only one loan per fiscal 489
731+year. If a loan recipient has one or more outstanding loans at 490
732+any time, the recipient may apply for funding for a new loan if 491
733+the current loans are in good standing. 492
734+ (e) Written agreement.— 493
735+ 1. Each loan recipient must enter into a written agreement 494
736+with the department to receive the loan. At a minimum, the 495
737+agreement with the applicant must specify all of the following: 496
738+ a. The total amount of the award. 497
739+ b. The performance conditions that must be met, based upon 498
740+the submitted proposal and the defined category or focus area, 499
741+as applicable. 500
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750750 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
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754- d. The schedule for payment. 501
755- e. The data and progress reporting requirements and 502
756-schedule. 503
757- f. Any sanctions that would a pply for failure to meet 504
758-performance conditions. 505
759- 2. The department shall develop uniform data reporting 506
760-requirements for loan recipients to evaluate the performance of 507
761-the implemented proposals. Such data must be shared with the 508
762-council. 509
763- 3. If requested, the department shall provide technical 510
764-assistance to loan recipients under the program. 511
765- (f) Loan repayment.—Loans become due and payable in 512
766-accordance with the terms of the written agreement. All 513
767-repayments of principal received by the departm ent in a fiscal 514
768-year shall be returned to the revolving loan fund and made 515
769-available for loans to other applicants. 516
770- (g) Revolving loan fund. —The department shall create and 517
771-maintain a separate account in the Grants and Donations Trust 518
772-Fund within the department as a fund for the program. All 519
773-repayments of principal must be returned to the revolving loan 520
774-fund and made available as provided in this section. 521
775-Notwithstanding s. 216.301, funds appropriated for the revolving 522
776-loan program are not subject to reve rsion. The department may 523
777-contract with a third -party administrator to administer the 524
778-program, including loan servicing, and manage the revolving loan 525
754+ c. The information to be reported on actual implementation 501
755+costs, including the share from nonstate resources. 502
756+ d. The schedule for payment. 503
757+ e. The data and progress reporting requirements and 504
758+schedule. 505
759+ f. Any sanctions that would apply for failure to meet 506
760+performance conditions. 507
761+ 2. The department shall develop uniform data reporting 508
762+requirements for loan recipients to ev aluate the performance of 509
763+the implemented proposals. Such data must be shared with the 510
764+council. 511
765+ 3. If requested, the department shall provide technical 512
766+assistance to loan recipients under the program. 513
767+ (f) Loan repayment.—Loans become due and payable in 514
768+accordance with the terms of the written agreement. All 515
769+repayments of principal received by the department in a fiscal 516
770+year shall be returned to the revolving loan fund and made 517
771+available for loans to other applicants. 518
772+ (g) Revolving loan fund. —The department shall create and 519
773+maintain a separate account in the Grants and Donations Trust 520
774+Fund within the department as a fund for the program. All 521
775+repayments of principal must be returned to the revolving loan 522
776+fund and made available as provided in this sectio n. 523
777+Notwithstanding s. 216.301, funds appropriated for the revolving 524
778+loan program are not subject to reversion. The department may 525
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787787 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
788788
789789
790790
791-fund. A contract for a third -party administrator which includes 526
792-management of the revolving loan fund mus t, at a minimum, 527
793-require maintenance of the revolving loan fund to ensure that 528
794-the program may operate in a revolving manner. 529
795- (8) REPORTING.—The department shall publish on its website 530
796-information related to loan recipients, including the written 531
797-agreements, performance conditions and their status, and the 532
798-total amount of loan funds disbursed to date. The department 533
799-shall update the information annually on the award date. The 534
800-department shall, beginning on September 1, 2025, and annually 535
801-thereafter, post on its website a report on this section for the 536
802-previous fiscal year which must include all of the following 537
803-information: 538
804- (a) A summary of the adoption and implementation of 539
805-recommendations of the council during the previous fiscal year. 540
806- (b) An evaluation of actions and related activities to 541
807-meet the purposes set forth in this section. 542
808- (c) Consolidated data based upon the uniform data 543
809-reporting by funding recipients and an evaluation of how the 544
810-provision of the loans has met the purposes set forth in this 545
811-section. 546
812- (d) The number of applications for loans, the types of 547
813-proposals received, and an analysis on the relationship between 548
814-the proposals and the purposes of this section. 549
815- (e) The amount of funds allocated and awarded for each 550
791+contract with a third -party administrator to administer the 526
792+program, including loan servicing, and manage the revolving loan 527
793+fund. A contract for a third -party administrator which includes 528
794+management of the revolving loan fund must, at a minimum, 529
795+require maintenance of the revolving loan fund to ensure that 530
796+the program may operate in a revolving manner. 531
797+ (8) REPORTING.—The department shall publish on its website 532
798+information related to loan recipients, including the written 533
799+agreements, performance conditions and their status, and the 534
800+total amount of loan funds disbursed to date. The department 535
801+shall update the information annually on the award date. The 536
802+department shall, beginning on September 1, 2025, and annually 537
803+thereafter, post on its website a report on this section for the 538
804+previous fiscal year which must include all of the following 539
805+information: 540
806+ (a) A summary of the adoptio n and implementation of 541
807+recommendations of the council during the previous fiscal year. 542
808+ (b) An evaluation of actions and related activities to 543
809+meet the purposes set forth in this section. 544
810+ (c) Consolidated data based upon the uniform data 545
811+reporting by funding recipients and an evaluation of how the 546
812+provision of the loans has met the purposes set forth in this 547
813+section. 548
814+ (d) The number of applications for loans, the types of 549
815+proposals received, and an analysis on the relationship between 550
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817+HB 1501 2024
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824824 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
825825
826826
827827
828-loan application period, as well as any funds not awarded in 551
829-that period. 552
830- (f) The amount of funds paid out during the fiscal year 553
831-and any funds repaid or unused. 554
832- (g) The number of persons assisted and outcomes of any 555
833-technical assistance requested for loans and any fe deral, state, 556
834-or private funding opportunities. 557
835- (9) EVALUATION.— 558
836- (a) Beginning October 1, 2029, and every 5 years 559
837-thereafter, the Office of Economic and Demographic Research 560
838-(EDR) shall develop and present to the Governor, the President 561
839-of the Senate, and the Speaker of the House of Representatives a 562
840-comprehensive financial and economic evaluation of the 563
841-innovative solutions undertaken by the revolving loan program 564
842-administered under this section. The evaluation must include, 565
843-but need not be limited to, separate calculations of the state's 566
844-return and the economic value to residents of this state, as 567
845-well as the identification of any cost savings to patients or 568
846-the state and the impact on the state's health care workforce. 569
847- (b) Beginning October 1, 2030, and every 5 years 570
848-thereafter, the Office of Program Policy Analysis and Government 571
849-Accountability (OPPAGA) shall develop and present to the 572
850-Governor, the President of the Senate, and the Speaker of the 573
851-House of Representatives an evaluation of the adminis tration and 574
852-efficiency of the revolving loan program administered under this 575
828+the proposals and the purposes of this section. 551
829+ (e) The amount of funds allocated and awarded for each 552
830+loan application period, as well as any funds not awarded in 553
831+that period. 554
832+ (f) The amount of funds paid out during the fiscal year 555
833+and any funds repaid or unused. 556
834+ (g) The number of persons assisted and outcomes of any 557
835+technical assistance requested for loans and any federal, state, 558
836+or private funding opportunities. 559
837+ (9) EVALUATION.— 560
838+ (a) Beginning October 1, 2029, and every 5 years 561
839+thereafter, the Office of Economic and Demographic Research 562
840+(EDR) shall develop and present to the Governor, the President 563
841+of the Senate, and the Speaker of the House of Representatives a 564
842+comprehensive financial and economic evaluation of the 565
843+innovative solutions undertaken by the revolvin g loan program 566
844+administered under this section. The evaluation must include, 567
845+but need not be limited to, separate calculations of the state's 568
846+return and the economic value to residents of this state, as 569
847+well as the identification of any cost savings to pat ients or 570
848+the state and the impact on the state's health care workforce. 571
849+ (b) Beginning October 1, 2030, and every 5 years 572
850+thereafter, the Office of Program Policy Analysis and Government 573
851+Accountability (OPPAGA) shall develop and present to the 574
852+Governor, the President of the Senate, and the Speaker of the 575
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861861 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
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865-section. The evaluation must include, but need not be limited 576
866-to, the degree to which the collective proposals increased 577
867-efficiency in the health care system in this state, improv ed 578
868-patient outcomes, increased public access to health care, and 579
869-achieved the cost savings identified in paragraph (a) without 580
870-reducing the quality of patient care. 581
871- (c) Both the EDR and OPPAGA shall include recommendations 582
872-for consideration by the Legisl ature. The EDR and OPPAGA must be 583
873-given access to all data necessary to complete the evaluation, 584
874-including any confidential data. The offices may collaborate on 585
875-data collection and analysis. 586
876- (10) RULES.—The department shall adopt rules to implement 587
877-this section. 588
878- (11) EXPIRATION.—This section expires July 1, 2043. 589
879- Section 2. The Department of Health shall, and all 590
880-conditions are deemed met to, adopt emergency rules pursuant to 591
881-s. 120.54(4), Florida Statutes, for the purpose of implementing 592
882-s. 381.4015, Florida Statutes. Notwithstanding any other law, 593
883-emergency rules adopted pursuant to this section are effective 594
884-for 6 months after adoption and may be renewed during the 595
885-pendency of the procedure to adopt permanent rules addressing 596
886-the subject of the em ergency rules. 597
887- Section 3. (1) For the 2023-2024 fiscal year, the sum of 598
888-$250,000 in nonrecurring funds from the General Revenue Fund is 599
889-appropriated to the Department of Health to implement and 600
865+House of Representatives an evaluation of the administration and 576
866+efficiency of the revolving loan program administered under this 577
867+section. The evaluation must include, but need not be limited 578
868+to, the degree to which the collective proposals increased 579
869+efficiency in the health care system in this state, improved 580
870+patient outcomes, increased public access to health care, and 581
871+achieved the cost savings identified in paragraph (a) without 582
872+reducing the quality of p atient care. 583
873+ (c) Both the EDR and OPPAGA shall include recommendations 584
874+for consideration by the Legislature. The EDR and OPPAGA must be 585
875+given access to all data necessary to complete the evaluation, 586
876+including any confidential data. The offices may collab orate on 587
877+data collection and analysis. 588
878+ (10) RULES.—The department shall adopt rules to implement 589
879+this section. 590
880+ (11) EXPIRATION.—This section expires July 1, 2043. 591
881+ Section 2. The Department of Health shall, and all 592
882+conditions are deemed met to, adop t emergency rules pursuant to 593
883+s. 120.54(4), Florida Statutes, for the purpose of implementing 594
884+s. 381.4015, Florida Statutes. Notwithstanding any other law, 595
885+emergency rules adopted pursuant to this section are effective 596
886+for 6 months after adoption and may b e renewed during the 597
887+pendency of the procedure to adopt permanent rules addressing 598
888+the subject of the emergency rules. 599
889+ Section 3. (1) Implementation of the revolving loan fund 600
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898898 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
899899
900900
901901
902-administer the Health Care Innovation Council under s. 38 1.4015, 601
903-Florida Statutes. 602
904- (2) For the 2024-2025 fiscal year, the sum of $1 million 603
905-in recurring funds is appropriated from the General Revenue Fund 604
906-to the Department of Health to implement and administer the 605
907-Health Care Innovation Council under s. 381.40 15, Florida 606
908-Statutes. 607
909- (3) By August 1 of each year, beginning in the 2024 -2025 608
910-fiscal year through the 2033 -2034 fiscal year, the Chief 609
911-Financial Officer shall transfer the sum of $50 million in 610
912-nonrecurring funds from the General Revenue Fund to the Gra nts 611
913-and Donations Trust Fund within the Department of Health. Each 612
914-year, beginning in the 2024 -2025 fiscal year through the 2033 -613
915-2034 fiscal year, the sum of $50 million in nonrecurring funds 614
916-is appropriated from the Grants and Donations Trust Fund to the 615
917-Department of Health for the revolving loan fund created in s. 616
918-381.4015, Florida Statutes. The department may use up to 3 617
919-percent of the appropriated funds for administrative costs to 618
920-implement the revolving loan program. 619
921- Section 4. This act shall take effect upon becoming a law. 620
902+created in s. 381.4015, Florida Statutes, is contingent upon 601
903+appropriation by the Legislature. 602
904+ (2) The Department of Health may use up to 3 percent of 603
905+the appropriated funds for administrative costs to implement the 604
906+revolving loan program. 605
907+ Section 4. This act shall take effect upon becoming a law. 606