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2004 Legislative Session Review

The Florida College of Emergency Physicians specifically targeted several areas of legislative efforts in 2004, primarily:

  Medicaid Fraud and Abuse,

  Medical Malpractice,

  Limitation of HMO Emergency Care Payments,

  Affordable Health Insurance,

  HMO Provider Contracts,

  Trauma Care,

  Off-Site Emergency Departments and

  Florida Stroke Act.

trauma care

(SB 1762) ­ This legislation authorized certain counties to levy an additional sales surtax to fund trauma care upon voter referendum. It also requires the Florida Department of Health to complete an assessment of the state trauma system and report back to the Governor and Legislature on its findings by February 2005. The bills makes a one-time appropriation to each trauma facility from the administrative trust fund of $1 million for each existing Level I trauma center and $700,000 for each Level I trauma center applicant pending with DOH by April 1, 2004.

Specifically, the bill:

Appropriates $300,000 for DOH to contract with a state university to conduct a study of the state trauma system to determine whether the current system is effective in providing trauma care uniformly. The study will also:o Review and establish criteria for determining the number and need of trauma centers to serve a population within a regiono Study the feasibility of integrating the state trauma plan with domestic security planningo Make recommendations regarding a continuing funding sourceo Address incentives to encourage facilities to become designated as trauma centers

Defines “charity care” or “uncompensated trauma care” to not include any monies provided by local governments or taxing districts for the purpose of providing charity care, and raises the family income level to fit the definition of charity care to 200 percent of the federal poverty level

Establishes trauma regional boundaries that are contiguous with the regional domestic security task force boundaries

Requires the DOH to adopt policies and procedures for the process of notification, duration and explanation of the termination of trauma services by a facility.