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Florida Senate - 2025 CS for CS for SB 890 By the Committee on Fiscal Policy; the Appropriations Committee on Health and Human Services; and Senators Yarborough, Berman, Gruters, and Rouson 594-03829-25 2025890c2 1 A bill to be entitled 2 An act relating to improving screening for and 3 treatment of blood clots; providing a short title; 4 amending s. 385.102, F.S.; revising legislative 5 findings under the Chronic Diseases Act; amending s. 6 395.1012, F.S.; requiring hospitals with emergency 7 departments and ambulatory surgical centers to develop 8 and implement policies and procedures and conduct 9 training for the rendering of appropriate medical 10 attention for persons at risk of forming venous 11 thromboembolisms; creating s. 395.3042, F.S.; 12 requiring the Department of Health to contract with a 13 private entity to establish a statewide venous 14 thromboembolism registry at no cost to the state; 15 providing requirements for the private entity; 16 requiring hospitals with an emergency department, 17 beginning on a date certain, to report certain 18 information regularly to the statewide venous 19 thromboembolism registry; requiring the department to 20 require the private entity to use a nationally 21 recognized platform to collect certain data; requiring 22 the private entity to provide regular reports to the 23 department on such data; requiring the Agency for 24 Health Care Administration, by a date certain, to 25 provide to the Governor and the Legislature a 26 specified report; providing requirements for such 27 report; providing applicability; amending s. 400.211, 28 F.S.; revising requirements for certain annual 29 inservice training for certified nursing assistants 30 employed by nursing home facilities; revising training 31 requirements for certain certified nursing assistants 32 who may be delegated tasks in nursing home facilities; 33 amending s. 429.55, F.S.; providing legislative 34 findings; defining terms; requiring assisted living 35 facilities to provide a consumer information pamphlet 36 containing specified information to residents; 37 providing an effective date. 38 39 Be It Enacted by the Legislature of the State of Florida: 40 41 Section 1.This act may be cited as the Emily Adkins 42 Family Protection Act. 43 Section 2.Subsection (1) of section 385.102, Florida 44 Statutes, is amended to read: 45 385.102Legislative intent.It is the finding of the 46 Legislature that: 47 (1)Chronic diseases exist in high proportions among the 48 people of this state. These chronic diseases include, but are 49 not limited to, heart disease, hypertension, diabetes, renal 50 disease, chronic obstructive pulmonary disease, cancer, chronic 51 critical illness, and genetic predisposition for developing 52 venous thromboembolisms chronic obstructive lung disease. These 53 diseases are often interrelated, and they directly and 54 indirectly account for a high rate of death and illness. 55 Section 3.Subsection (5) is added to section 395.1012, 56 Florida Statutes, to read: 57 395.1012Patient safety. 58 (5)Each hospital with an emergency department and each 59 ambulatory surgical center shall: 60 (a)Develop and implement policies and procedures for the 61 rendering of appropriate medical attention for persons at risk 62 of forming venous thromboembolisms which reflect evidence-based 63 best practices relating to, at a minimum: 64 1.Assessing patients for risk of venous thromboembolism 65 using a nationally recognized risk assessment tool. 66 2.Treatment options for a patient diagnosed with venous 67 thromboembolism. 68 (b)Train all nonphysician personnel at least annually on 69 the policies and procedures developed under this subsection. For 70 purposes of this subsection, the term nonphysician personnel 71 means all personnel of the licensed facility working in clinical 72 areas and providing patient care, except those persons licensed 73 as health care practitioners. 74 Section 4.Section 395.3042, Florida Statutes, is created 75 to read: 76 395.3042Statewide venous thromboembolism registry. 77 (1)(a)The department shall contract with a private entity, 78 that meets all of the conditions of paragraph (b), to establish 79 and maintain, at no cost to the state, a statewide venous 80 thromboembolism registry to ensure that the performance measures 81 required to be submitted under subsection (2) are maintained and 82 available for use to improve or modify the venous 83 thromboembolism care system, ensure compliance with nationally 84 recognized guidelines, and monitor venous thromboembolism 85 patient outcomes. 86 (b)The private entity must: 87 1.Be a not-for-profit corporation qualified as tax-exempt 88 under s. 501(c)(3) of the Internal Revenue Code. 89 2.Have existed for at least 15 consecutive years with a 90 mission of advancing the prevention, early diagnosis, and 91 successful treatment of blood clots. 92 3.Have experience operating a medical registry with at 93 least 25,000 participants. 94 4.Have experience in providing continuing education on 95 venous thromboembolism to medical professionals. 96 5.Have sponsored a public health education campaign on 97 venous thromboembolism. 98 6.Be affiliated with a medical and scientific advisory 99 board. 100 (2)Beginning July 1, 2026, each hospital with an emergency 101 department shall regularly report to the statewide venous 102 thromboembolism registry information containing nationally 103 recognized venous thromboembolism measures and data on the 104 incidence and prevalence of venous thromboembolisms. Such data 105 must include the following information: 106 (a)The number of venous thromboembolisms identified and 107 diagnosed. 108 (b)The age of the patient. 109 (c)The zip code of the patient. 110 (d)The sex of the patient. 111 (e)Whether the patient is a resident of a licensed nursing 112 home or assisted living facility. 113 (f)Whether the venous thromboembolism was fatal. 114 (g)How the diagnosis was made, such as by using imaging 115 modalities. 116 (h)The treatment that was recommended for the venous 117 thromboembolism. 118 (3)The department shall require the contracted private 119 entity to use a nationally recognized platform to collect data 120 from each hospital with an emergency department on the 121 performance measures required under subsection (2). The 122 contracted private entity shall provide to the department 123 regular reports on the data collected. 124 (4)By June 1, 2026, the agency shall submit to the 125 Governor, the President of the Senate, and the Speaker of the 126 House of Representatives a detailed report on the incidence of 127 venous thromboembolism using inpatient and outpatient data for 128 services provided between July 1, 2024, and June 30, 2025. The 129 report must provide analyses of all of the following: 130 (a)Age category, initial primary diagnosis and procedure, 131 and secondary diagnoses, readmission rates for inpatients, 132 admission rates for venous thromboembolism for which the patient 133 had an ambulatory surgery procedure, and emergency department 134 visits for venous thromboembolism linked to any previous 135 admission. 136 (b)Whether the venous thromboembolism was present upon 137 admission. 138 (c)The incidence of venous thromboembolism procedures 139 reported on the agencys Florida Health Finder website. 140 (d)The principal payor, the sex of the patient, and the 141 patients discharge status. 142 (5)The contracted private entity operating the registry 143 may only use or publish information from the registry for the 144 purposes of advancing medical research or medical education in 145 the interest of reducing morbidity or mortality. 146 Section 5.Subsection (4) and paragraph (a) of subsection 147 (5) of section 400.211, Florida Statutes, are amended to read: 148 400.211Persons employed as nursing assistants; 149 certification requirement; qualified medication aide designation 150 and requirements. 151 (4)When employed by a nursing home facility for a 12-month 152 period or longer, a nursing assistant, to maintain 153 certification, shall submit to a performance review every 12 154 months and must receive regular inservice education based on the 155 outcome of such reviews. The inservice training must: 156 (a)Be sufficient to ensure the continuing competence of 157 nursing assistants and must meet the standard specified in s. 158 464.203(7); 159 (b)Include, at a minimum: 160 1.Techniques for assisting with eating and proper feeding; 161 2.Principles of adequate nutrition and hydration; 162 3.Techniques for assisting and responding to the 163 cognitively impaired resident or the resident with difficult 164 behaviors; 165 4.Techniques for caring for the resident at the end-of 166 life; and 167 5.Recognizing changes that place a resident at risk for 168 pressure ulcers and falls; and 169 6.For direct care staff, recognizing signs and symptoms of 170 venous thromboembolism and techniques for providing an emergency 171 response; and 172 (c)Address areas of weakness as determined in nursing 173 assistant performance reviews and may address the special needs 174 of residents as determined by the nursing home facility staff. 175 176 Costs associated with this training may not be reimbursed from 177 additional Medicaid funding through interim rate adjustments. 178 (5)A nursing home, in accordance with chapter 464 and 179 rules adopted pursuant to this section, may authorize a 180 registered nurse to delegate tasks, including medication 181 administration, to a certified nursing assistant who meets the 182 requirements of this subsection. 183 (a)In addition to the initial 6-hour training course and 184 determination of competency required under s. 464.2035, to be 185 eligible to administer medication to a resident of a nursing 186 home facility, a certified nursing assistant must: 187 1.Hold a clear and active certification from the 188 Department of Health for a minimum of 1 year immediately 189 preceding the delegation; 190 2.Complete an additional 34-hour training course approved 191 by the Board of Nursing in medication administration and 192 associated tasks, including, but not limited to, blood glucose 193 level checks, dialing oxygen flow meters to prescribed settings, 194 and assisting with continuous positive airway pressure devices, 195 and identifying signs and symptoms of venous thromboembolism and 196 how to assist with a response protocol; and 197 3.Demonstrate clinical competency by successfully 198 completing a supervised clinical practice in medication 199 administration and associated tasks conducted in the facility. 200 Section 6.Section 429.55, Florida Statutes, is amended to 201 read: 202 429.55Consumer information website. 203 (1)CONSUMER INFORMATION WEBSITE.The Legislature finds 204 that consumers need additional information on the quality of 205 care and service in assisted living facilities in order to 206 select the best facility for themselves or their loved ones. 207 Therefore, the Agency for Health Care Administration shall 208 create content that is easily accessible through the home page 209 of the agencys website either directly or indirectly through 210 links to one or more other established websites of the agencys 211 choosing. The website must be searchable by facility name, 212 license type, city, or zip code. By November 1, 2015, the agency 213 shall include all content in its possession on the website and 214 add content when received from facilities. At a minimum, the 215 content must include: 216 (a)(1)Information on each licensed assisted living 217 facility, including, but not limited to: 218 1.(a)The name and address of the facility. 219 2.(b)The name of the owner or operator of the facility. 220 3.(c)The number and type of licensed beds in the facility. 221 4.(d)The types of licenses held by the facility. 222 5.(e)The facilitys license expiration date and status. 223 6.(f)The total number of clients that the facility is 224 licensed to serve and the most recently available occupancy 225 levels. 226 7.(g)The number of private and semiprivate rooms offered. 227 8.(h)The bed-hold policy. 228 9.(i)The religious affiliation, if any, of the assisted 229 living facility. 230 10.(j)The languages spoken by the staff. 231 11.(k)Availability of nurses. 232 12.(l)Forms of payment accepted, including, but not 233 limited to, Medicaid, Medicaid long-term managed care, private 234 insurance, health maintenance organization, United States 235 Department of Veterans Affairs, CHAMPUS program, or workers 236 compensation coverage. 237 13.(m)Indication if the licensee is operating under 238 bankruptcy protection. 239 14.(n)Recreational and other programs available. 240 15.(o)Special care units or programs offered. 241 16.(p)Whether the facility is a part of a retirement 242 community that offers other services pursuant to this part or 243 part III of this chapter, part II or part III of chapter 400, or 244 chapter 651. 245 17.(q)Links to the State Long-Term Care Ombudsman Program 246 website and the programs statewide toll-free telephone number. 247 18.(r)Links to the websites of the providers. 248 19.(s)Other relevant information that the agency currently 249 collects. 250 (b)(2)Survey and violation information for the facility, 251 including a list of the facilitys violations committed during 252 the previous 60 months, which on July 1, 2015, may include 253 violations committed on or after July 1, 2010. The list shall be 254 updated monthly and include for each violation: 255 1.(a)A summary of the violation, including all licensure, 256 revisit, and complaint survey information, presented in a manner 257 understandable by the general public. 258 2.(b)Any sanctions imposed by final order. 259 3.(c)The date the corrective action was confirmed by the 260 agency. 261 (c)(3)Links to inspection reports that the agency has on 262 file. 263 (2)VTE CONSUMER INFORMATION. 264 (a)The Legislature finds that many PEs are preventable and 265 that information about the prevalence of the disease could save 266 lives. 267 (b)The term pulmonary embolism (PE) means a condition in 268 which part of the clot breaks off and travels to the lungs, 269 possibly causing death. 270 (c)The term venous thromboembolism (VTE) means deep vein 271 thrombosis (DVT), which is a blood clot located in a deep vein, 272 usually in the leg or arm. The term can be used to refer to DVT, 273 pulmonary embolism, or both. 274 (d)Assisted living facilities must provide a consumer 275 information pamphlet to residents upon admission. The pamphlet 276 must contain information about VTE, risk factors, and how 277 residents can recognize the signs and symptoms of VTE. 278 279 The agency may adopt rules to administer this section. 280 Section 7.This act shall take effect July 1, 2025.
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