Florida HB 349: Students with Disabilities in Public Schools

Bill Text

HB 349 2026

CODING: Words stricken are deletions; words underlined are additions.
hb349-00
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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 cardiac services providers; 2
amending s. 395.1055, F.S.; revising requirements for 3
licensure of Level I and Level II adult cardiovascular 4
programs; requiring the Agency for Health Care 5
Administration to update specified rules as new 6
applicable industry standards and guidelines are 7
published; providing an effective date. 8
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Be It Enacted by the Legislature of the State of Florida: 10
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Section 1. Subsections (18) and (19) of section 395.1055, 12
Florida Statutes, are amended to read: 13
395.1055 Rules and enforcement.— 14
(18)(a) In establishing rules for adult cardiovascular 15
services, The agency shall grant licensure include provisions 16
that allow for: 17
(a) the establishment of two hospital program licensure 18
levels, a Level I program that authorizes the performance of 19
adult percutaneous cardiac intervention without onsite cardiac 20
surgery, including rotational or other atherectomy devices, 21
electrophysiology, and treatment of chronic total occlusions, 22
and a Level II program that authorizes the performance of 23
percutaneous cardiac intervention with onsite cardiac surgery. 24
(b)1. For A hospital seeking licensure as a Level I 25

HB 349 2026

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program must:, demonstration that, for the most recent 12-month 26
period as reported to the agency, the hospital has provided a 27
minimum of 300 adult inpatient and outpatient diagnostic cardiac 28
catheterizations or, for the most recent 12-month period, has 29
discharged or transferred at least 300 patients with the 30
principal diagnosis of ischemic heart disease and that it has 31
1. Have a formalized, written transfer agreement with a 32
hospital that has a Level II program, including written 33
transport protocols to ensure safe and efficient transfer of a 34
patient within 60 minutes. 35
2.a. A hospital located more than 100 road miles from the 36
closest Level II adult cardiovascular services program is not 37
required to meet the diagnostic cardiac catheterization volume 38
and ischemic heart disease diagnosis volume requirements in 39
subparagraph 1. if the hospital demonstrates that it has, for 40
the most recent 12-month period as reported to the agency, 41
provided a minimum of 100 adult inpatient and outpatient 42
diagnostic cardiac catheterizations or that, for the most recent 43
12-month period, it has discharged or transferred at least 300 44
patients with the principal diagnosis of ischemic heart disease. 45
b. For a hospital located more than 100 road miles from 46
the closest Level II adult cardiovascular services program, have 47
does not need to meet the 60-minute transfer time protocol 48
requirement in subparagraph 1. if the hospital demonstrates that 49
it has a formalized, written transfer agreement with a hospital 50

HB 349 2026

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hb349-00
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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

that has a Level II program. The agreement must include written 51
transport protocols to ensure the safe and efficient transfer of 52
a patient, taking into consideration the patient's clinical and 53
physical characteristics, road and weather conditions, and 54
viability of ground and air ambulance service to transfer the 55
patient. 56
3. At a minimum, the rules for adult cardiovascular 57
services must require nursing and technical staff to have 58
demonstrated experience in handling acutely ill patients 59
requiring intervention, based on the staff member's previous 60
experience in dedicated cardiac interventional laboratories or 61
surgical centers. If a staff member's previous experience is in 62
a dedicated cardiac interventional laboratory at a hospital that 63
does not have an approved adult open heart surgery program, the 64
staff member's previous experience qualifies only if, at the 65
time the staff member acquired his or her experience, the 66
dedicated cardiac interventional laboratory: 67
a. Had an annual volume of 500 or more percutaneous 68
cardiac intervention procedures. 69
b. Achieved a demonstrated success rate of 95 percent or 70
greater for percutaneous cardiac intervention procedures. 71
c. Experienced a complication rate of less than 5 percent 72
for percutaneous cardiac intervention procedures. 73
d. Performed diverse cardiac procedures, including, but 74
not limited to, balloon angioplasty and stenting, rotational 75

HB 349 2026

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atherectomy, cutting balloon atheroma remodeling, and procedures 76
relating t