Florida 2025 Regular Session

Florida House Bill H1353 Compare Versions

Version 1 (Old)

Version 2 (New)

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10	10		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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14		-	1
	14	+	A bill to be entitled 1
15	15		An act relating to home health care services; amending 2
16	16		s. 400.476, F.S.; revising provisions relating to 3
17	17		administrator management; amending s. 400.487, F.S.; 4
18	18		authorizing individuals under contract with a home 5
19	19		health agency to provide specified services; amending 6
20	20		s. 400.52, F.S.; revising Excellence in Home Health 7
21	21		Program criteria requirements; providing an effective 8
22	22		date. 9
23	23		10
24	24		Be It Enacted by the Legislature o f the State of Florida: 11
25	25		12
26	26		Section 1. Paragraph (a) of subsection (1) of section 13
27	27		400.476, Florida Statutes, is amended to read: 14
28	28		400.476 Staffing requirements; notifications; limitations 15
29	29		on staffing services. — 16
30	30		(1) ADMINISTRATOR.— 17
31	31		(a) An administrato r may manage only one home health 18
32	32		agency, except that an administrator may manage up to five home 19
33	33		health agencies if all five home health agencies have identical 20
34	34		controlling interests as defined in s. 408.803 and are located 21
35	35		within one agency geographic se rvice area or within an 22
36	36		immediately contiguous county . If the home health agency is 23
37	37		licensed under this chapter and is part of a retirement 24
38	38		community that provides multiple levels of care, an employee of 25
39		-	~~ENROLLED~~
40		-	CS/HB 1353 2025 ~~Legislature~~
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47	47		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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51	51		the retirement community may administer the home hea lth agency 26
52	52		and up to a maximum of four entities licensed under this chapter 27
53	53		or chapter 429 which all have identical controlling interests as 28
54	54		defined in s. 408.803. An administrator shall designate, in 29
55	55		writing, for each licensed entity, a qualified alternat e 30
56	56		administrator to serve during the administrator's absence. 31
57	57		Section 2. Subsection (5) of section 400.487, Florida 32
58	58		Statutes, is amended to read: 33
59	59		400.487 Home health service agreements; physician's, 34
60	60		physician assistant's, and advanced practice registe red nurse's 35
61	61		treatment orders; patient assessment; establishment and review 36
62	62		of plan of care; provision of services; orders not to 37
63	63		resuscitate.— 38
64	64		(5) When nursing services are ordered, the home health 39
65	65		agency to which a patient has been admitted for care mus t 40
66	66		provide the initial admission visit, all service evaluation 41
67	67		visits, and the discharge visit by a direct employee of, or an 42
68	68		individual under contract with, the home health agency . Services 43
69	69		provided by individuals under contract with others under 44
70	70		contractual arrangements to a home health agency must be 45
71	71		monitored and managed by the admitting home health agency. The 46
72	72		admitting home health agency is fully responsible for ensuring 47
73	73		that all care provided through its employees or contract staff 48
74	74		is delivered in accordance with this part and applicable rules. 49
75	75		Section 3. Paragraph (a) of subsection (2) of section 50
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84	84		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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88	88		400.52, Florida Statutes, is amended to read: 51
89	89		400.52 Excellence in Home Health Program. — 52
90	90		(2)(a) The agency shall adopt rules establishing criteria 53
91	91		for the program which must include, at a minimum, meeting 54
92	92		standards that are adaptable to all types of home health 55
93	93		agencies, regardless of payor type, patient population, or 56
94	94		service designation. The criteria must include relating to: 57
95	95		1. Patient or client satisfaction, including communication 58
96	96		and willingness to recommend the home health agency . 59
97	97		2. Service excellence. 60
98	98		a. For skilled providers, outcomes related to clinical 61
99	99		improvements, such as reducing adverse events, unplanned 62
100	100		emergency care, or hospitalizations. 63
101	101		b. For nonskilled providers, contributions to daily living 64
102	102		support, personal care quality, and overall client well -being. 65
103	103		3. Workforce stability and development, including employee 66
104	104		satisfaction, retention rates, and training initiativ es 67
105	105		appropriate to the home health agency's services. 68
106	106		4. Innovation in care delivery, such as implementing new 69
107	107		technologies, caregiver education programs, or tailored 70
108	108		approaches to meeting patient or client needs. 71
109	109		2. Patients requiring emergency care fo r wound infections. 72
110	110		3. Patients admitted or readmitted to an acute care 73
111	111		hospital. 74
112	112		4. Patient improvement in the activities of daily living. 75
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114		-	CS/HB 1353 2025 ~~Legislature~~
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121	121		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	125		5. Employee satisfaction. 76
126	126		6. Quality of employee training. 77
127	127		7. Employee retention rates. 78
128	128		8. High performance under federal Medicaid electronic 79
129	129		visit verification requirements. 80
130	130		Section 4. This act shall take effect July 1, 2025. 81