FL
Florida House Bill H1119

Florida 2025 Regular Session

Florida House Bill H1119 Compare Versions

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1010 FL 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 patient protection; 2
1616 amending s. 395.1012, F.S.; requiring hospital 3
1717 emergency departments to develop and implement 4
1818 policies and procedures, conduct training, record 5
1919 weights in a certain manner, designate a pediatric 6
2020 emergency care coordinator, and conduct specified 7
21-assessments; authorizing a hospital with an emergency 8
22-department to conduct the National Pediatric Readiness 9
23-Project's Open Assessment under certain conditions ; 10
21+assessments; requiring each hospital emergency 8
22+department to submit a specified report to the Agency 9
23+for Health Care Administration by specified dates; 10
2424 amending s. 395.1055, F.S.; requiring the agency to 11
2525 adopt certain rules for comprehensive emergency 12
2626 management plans, and, in consultation with the 13
2727 Florida Emergency Medical Services for Children State 14
2828 Partnership Program, establish minimum standards for 15
2929 pediatric patient care in hospital emergency 16
3030 departments; amending s. 408.05, F.S.; requiring the 17
3131 agency to collect and publish the results of specified 18
3232 assessments submitted by hospitals by specified dates; 19
33-providing requirements for the collection and 20
34-publication of such assessment scores; providing an 21
35-effective date. 22
33+providing an effective date. 20
34+ 21
35+Be It Enacted by the Legislature of the State of Florida: 22
3636 23
37-Be It Enacted by the Legislature of the State of Florida: 24
38- 25
37+ Section 1. Subsection (5) is added to section 395.1012, 24
38+Florida Statutes, to read: 25
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4747 FL 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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51- Section 1. Subsections (5) and (6) are added to section 26
52-395.1012, Florida Statutes, to read: 27
53- 395.1012 Patient safety. — 28
54- (5)(a) Each hospital with an emergency department must: 29
55- 1. Develop and implement policies and procedures for 30
56-pediatric patient care in the emergency department which reflect 31
57-evidence-based best practices relating to, at a minimum: 32
58- a. Triage. 33
59- b. Measuring and recording vital signs. 34
60- c. Weighing and recor ding weights in kilograms. 35
61- d. Calculating medication dosages. 36
62- e. Use of pediatric instruments. 37
63- 2. Conduct training at least annually on the policies and 38
64-procedures developed under this subsection. The training must 39
65-include, at a minimum: 40
66- a. The use of pediatric instruments, as applicable to each 41
67-licensure type, using clinical simulation as defined in s. 42
68-464.003. 43
69- b. Drills that simulate emergency situations. Each 44
70-emergency department must conduct drills at least annually. 45
71- (b) Each hospital emergency department must: 46
72- 1. Designate a pediatric emergency care coordinator. The 47
73-pediatric emergency care coordinator must be a physician or a 48
74-physician assistant licensed under chapter 458 or chapter 459, a 49
75-nurse licensed under chapter 464, or a para medic licensed under 50
51+ 395.1012 Patient safety. — 26
52+ (5)(a) Each hospital with an emergency department must: 27
53+ 1. Develop and implement policies and procedures for 28
54+pediatric patient care in the emergency department which reflect 29
55+evidence-based best practices relating to, at a minimum: 30
56+ a. Triage. 31
57+ b. Measuring and recording vital signs. 32
58+ c. Weighing and recording w eights in kilograms. 33
59+ d. Calculating medication dosages. 34
60+ e. Use of pediatric instruments. 35
61+ 2. Conduct training at least annually on the policies and 36
62+procedures developed under this subsection. The training must 37
63+include, at a minimum: 38
64+ a. The use of pediatric instruments, as applicable to each 39
65+licensure type, using clinical simulation as defined in s. 40
66+464.003. 41
67+ b. Drills that simulate emergency situations. Each 42
68+emergency department must conduct drills at least annually. 43
69+ (b) Each hospital emergency department must: 44
70+ 1. Designate a pediatric emergency care coordinator. The 45
71+pediatric emergency care coordinator must be a physician or a 46
72+physician assistant licensed under chapter 458 or chapter 459, a 47
73+nurse licensed under chapter 464, or a paramedic lice nsed under 48
74+chapter 401. The pediatric emergency care coordinator is 49
75+responsible for implementation of and ensuring fidelity to the 50
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8484 FL 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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88-chapter 401. The pediatric emergency care coordinator is 51
89-responsible for implementation of and ensuring fidelity to the 52
90-policies and procedures adopted under this subsection. 53
91- 2. Conduct the National Pediatric Readiness Assessment 54
92-developed by the National Pediatric Readiness Project, in 55
93-accordance with timelines established by the National Pediatric 56
94-Readiness Project. 57
95- (6) Each hospital with an emergency department may conduct 58
96-the National Pediatric Readiness Project's Open Assessmen t 59
97-during a year in which the National Pediatric Readiness 60
98-Assessment is not conducted. 61
99- Section 2. Subsections (4) through (19) of section 62
100-395.1055, Florida Statutes, are renumbered as subsections (5) 63
101-through (20), respectively, paragraph (c) of subsect ion (1) is 64
102-amended, and a new subsection (4) is added to that section to 65
103-read: 66
104- 395.1055 Rules and enforcement. — 67
105- (1) The agency shall adopt rules pursuant to ss. 68
106-120.536(1) and 120.54 to implement the provisions of this part, 69
107-which shall include reasona ble and fair minimum standards for 70
108-ensuring that: 71
109- (c) A comprehensive emergency management plan is prepared 72
110-and updated annually. Such standards must be included in the 73
111-rules adopted by the agency after consulting with the Division 74
112-of Emergency Managemen t. At a minimum, the rules must provide 75
88+policies and procedures adopted under this subsection. 51
89+ 2. Conduct the National Pediatric Readiness Assessment 52
90+developed by the National Pediatric Readiness Project, in 53
91+accordance with timelines established by the National Pediatric 54
92+Readiness Project. Each hospital emergency department shall 55
93+submit the results of the assessment to the agency by December 56
94+31, 2026, and each December 31 during a year in which the 57
95+National Pediatric Readiness Assessment is conducted thereafter. 58
96+ Section 2. Subsections (4) through (19) of section 59
97+395.1055, Florida Statutes, are renumbered as subsections (5) 60
98+through (20), respectively, paragraph (c ) of subsection (1) is 61
99+amended, and a new subsection (4) is added to that section to 62
100+read: 63
101+ 395.1055 Rules and enforcement. — 64
102+ (1) The agency shall adopt rules pursuant to ss. 65
103+120.536(1) and 120.54 to implement the provisions of this part, 66
104+which shall include reasonable and fair minimum standards for 67
105+ensuring that: 68
106+ (c) A comprehensive emergency management plan is prepared 69
107+and updated annually. Such standards must be included in the 70
108+rules adopted by the agency after consulting with the Division 71
109+of Emergency Management. At a minimum, the rules must provide 72
110+for plan components that address emergency evacuation 73
111+transportation; adequate sheltering arrangements; postdisaster 74
112+activities, including emergency power, food, and water; 75
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121121 FL 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-for plan components that address emergency evacuation 76
126-transportation; adequate sheltering arrangements; postdisaster 77
127-activities, including emergency power, food, and water; 78
128-postdisaster transportation; supplies; staf fing; emergency 79
129-equipment; individual identification of residents and transfer 80
130-of records, and responding to family inquiries , and the needs of 81
131-pediatric and neonatal patients . The comprehensive emergency 82
132-management plan is subject to review and approval b y the local 83
133-emergency management agency. During its review, the local 84
134-emergency management agency shall ensure that the following 85
135-agencies, at a minimum, are given the opportunity to review the 86
136-plan: the Department of Elderly Affairs, the Department of 87
137-Health, the Agency for Health Care Administration, and the 88
138-Division of Emergency Management. Also, appropriate volunteer 89
139-organizations must be given the opportunity to review the plan. 90
140-The local emergency management agency shall complete its review 91
141-within 60 days and either approve the plan or advise the 92
142-facility of necessary revisions. 93
143- (4) The agency, in consultation with the Florida Emergency 94
144-Medical Services for Children State Partnership Program, shall 95
145-adopt rules that establish minimum standards for ped iatric 96
146-patient care in hospital emergency departments, including, but 97
147-not limited to, availability and immediate access to pediatric 98
148-specific equipment and supplies. 99
149- Section 3. Paragraph (n) is added to subsection (3) of 100
125+postdisaster transportation; su pplies; staffing; emergency 76
126+equipment; individual identification of residents and transfer 77
127+of records, and responding to family inquiries , and the needs of 78
128+pediatric and neonatal patients . The comprehensive emergency 79
129+management plan is subject to review an d approval by the local 80
130+emergency management agency. During its review, the local 81
131+emergency management agency shall ensure that the following 82
132+agencies, at a minimum, are given the opportunity to review the 83
133+plan: the Department of Elderly Affairs, the Depar tment of 84
134+Health, the Agency for Health Care Administration, and the 85
135+Division of Emergency Management. Also, appropriate volunteer 86
136+organizations must be given the opportunity to review the plan. 87
137+The local emergency management agency shall complete its revie w 88
138+within 60 days and either approve the plan or advise the 89
139+facility of necessary revisions. 90
140+ (4) The agency, in consultation with the Florida Emergency 91
141+Medical Services for Children State Partnership Program, shall 92
142+adopt rules that establish minimum stand ards for pediatric 93
143+patient care in hospital emergency departments, including, but 94
144+not limited to, availability and immediate access to pediatric 95
145+specific equipment and supplies. 96
146+ Section 3. Paragraph (n) is added to subsection (3) of 97
147+section 408.05, Florida Statutes, to read: 98
148+ 408.05 Florida Center for Health Information and 99
149+Transparency.— 100
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158158 FL 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-section 408.05, Florida Statute s, to read: 101
163- 408.05 Florida Center for Health Information and 102
164-Transparency.— 103
165- (3) HEALTH INFORMATION TRANSPARENCY. —In order to 104
166-disseminate and facilitate the availability of comparable and 105
167-uniform health information, the agency shall perform the 106
168-following functions: 107
169- (n)1. Collect the overall assessment score of National 108
170-Pediatric Readiness Assessments conducted by hospital emergency 109
171-departments pursuant to s. 395.1012(5), from the Florida 110
172-Emergency Medical Services for Children State Partnership 111
173-Program by December 31, 2026, and by each December 31 during a 112
174-year in which the National Pediatric Readiness Assessment is 113
175-conducted thereafter. 114
176- 2. By April 1, 2027, and each April 1 following a year in 115
177-which the National Pediatric Readiness Assessment is cond ucted 116
178-thereafter, publish the overall assessment score for each 117
179-hospital emergency department, and provide a comparison to the 118
180-national average score when it becomes available. 119
181- 3. Collect and publish no more than one overall assessment 120
182-score per hospital, per year, of assessments conducted pursuant 121
183-to s. 395.1012(6), and provide a comparison to the hospital 122
184-emergency department's most recently published score pursuant to 123
185-subparagraph 2. of this paragraph. 124
186- Section 4. This act shall take effect July 1, 2025. 125
162+ (3) HEALTH INFORMATION TRANSPARENCY. —In order to 101
163+disseminate and facilitate the availability of comparable and 102
164+uniform health information, the agency shall perform the 103
165+following functions: 104
166+ (n)1. Collect the results of National Pediatric Readiness 105
167+Assessments submitted by hospitals pursuant to s. 395.1012(5). 106
168+ 2. By April 1, 2027, and each April 1 following a year in 107
169+which the National Pediatric Readiness Assessmen t is conducted 108
170+thereafter, publish the overall assessment score for each 109
171+hospital emergency department, and provide a comparison to the 110
172+national average score when it becomes available. 111
173+ Section 4. This act shall take effect July 1, 2025. 112