HB 427 2025
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hb427-00
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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
A bill to be entitled 1
An act relating to rules for adult cardiovascular 2
services; amending s. 395.1055, F.S.; revising 3
criteria and procedures for establishing rules for 4
adult cardiovascular services; providing an effective 5
date. 6
7
Be It Enacted by the Legislature of the State of Florida: 8
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Section 1. Paragraphs (b) and (d) of subsection (18) and 10
subsection (19) of section 395.1055, Florida Statutes, are 11
amended to read: 12
395.1055 Rules and enforcement. — 13
(18) In establishing rules for adult cardiovascular 14
services, the agency shall include provisions that allow for: 15
(b)1. For a hospital seeking a Level I program, the 16
hospital must have demonstration that, for the most recent 12-17
month period as reported to the agency, the hospital has 18
provided a minimum of 300 adult inpatient and outpatient 19
diagnostic cardiac catheterizations or, for the most recent 12 -20
month period, has discharged or transferred at least 300 21
patients with the principal diagnosis of ischemic heart disease 22
and that it has a formalized, written transfer agreement with a 23
hospital that has a Level II program, including written 24
transport protocols to ensure safe and efficient transfer of a 25
HB 427 2025
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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
patient within 60 min utes. 26
2.a. A hospital located more than 100 road miles from the 27
closest Level II adult cardiovascular services program is not 28
required to meet the diagnostic cardiac catheterization volume 29
and ischemic heart disease diagnosis volume requirements in 30
subparagraph 1. if the hospital demonstrates that it has, for 31
the most recent 12-month period as reported to the agency, 32
provided a minimum of 100 adult inpatient and outpatient 33
diagnostic cardiac catheterizations or that, for the most recent 34
12-month period, it has discharged or transferred at least 300 35
patients with the principal diagnosis of ischemic heart disease. 36
2.b. A hospital located more than 100 road miles from the 37
closest Level II adult cardiovascular services program does not 38
need to meet the 60-minute transfer time protocol requirement in 39
subparagraph 1. if the hospital demonstrates that it has a 40
formalized, written transfer agreement with a hospital that has 41
a Level II program. The agreement must include written transport 42
protocols to ensure the s afe and efficient transfer of a 43
patient, taking into consideration the patient's clinical and 44
physical characteristics, road and weather conditions, and 45
viability of ground and air ambulance service to transfer the 46
patient. 47
3. At a minimum, the rules for adult cardiovascular 48
services must require nursing and technical staff to have 49
demonstrated experience in handling acutely ill patients 50
HB 427 2025
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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
requiring intervention, based on the staff member's previous 51
experience in dedicated cardiac interventional laboratorie s or 52
surgical centers. If a staff member's previous experience is in 53
a dedicated cardiac interventional laboratory at a hospital that 54
does not have an approved adult open heart surgery program, the 55
staff member's previous experience qualifies only if, at t he 56
time the staff member acquired his or her experience, the 57
dedicated cardiac interventional laboratory: 58
a. Had an annual volume of 500 or more percutaneous 59
cardiac intervention procedures. 60
b. Achieved a demonstrated success rate of 95 percent or 61
greater for percutaneous cardiac intervention procedures. 62
c. Experienced a complication rate of less than 5 percent 63
for percutaneous cardiac intervention procedures. 64
d. Performed diverse cardiac procedures, including, but 65
not limited to, balloon angioplast y and stenting, rotational 66
atherectomy, cutting balloon atheroma remodeling, and procedures 67
relating to left ventricular support capability. 68
(d) Compliance with the most recent guidelines of the 69
American College of Cardiology , and the American Heart 70
Association, the Heart Rhythm Society for hospitals providing 71
electrophysiology services, and the Society for Cardiovascular 72
Angiography and Interventions guidelines for staffing, physician 73
training and experience, operating procedures, equipment, 74
physical plant, and patient selection criteria , to ensure 75
HB 427 2025
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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
patient quality and safety. 76
(19) The agency may adopt rules to administer the 77
requirements of part II of chapter 408 and shall update agency 78
rules as new standards and guidelines are published . 79
Section 2. This act shall take effect October 1, 2025. 80