Florida SB 396: Campaign Finance

Bill Text

396 
Cardiac Services Providers 
2025-11-05T03:37:30Z 
Revising requirements for licensure of Level I and Level II adult cardiovascular programs; requiring the Agency for Health Care Administration to update specified rules as new applicable industry standards and guidelines are published, etc. 
Original Filed Version 
2026 
S 
2026-10-01T00:00:00Z 
GB 
General Bill 
__ 

 Florida Senate - 2026 SB 396 

 By Senator Leek 

 7-00339-26 2026396__ 
 1 A bill to be entitled 
 2 An act relating to cardiac services providers; 
 3 amending s. 395.1055, F.S.; revising requirements for 
 4 licensure of Level I and Level II adult cardiovascular 
 5 programs; requiring the Agency for Health Care 
 6 Administration to update specified rules as new 
 7 applicable industry standards and guidelines are 
 8 published; providing an effective date. 
 9 
 10 Be It Enacted by the Legislature of the State of Florida: 
 11 
 12 Section 1. Subsections (18) and (19) of section 395.1055, 
 13 Florida Statutes, are amended to read: 
 14 395.1055 Rules and enforcement.— 
 15 (18)(a) In establishing rules for adult cardiovascular 
 16 services, The agency shall grant licensure include provisions 
 17 that allow for: 
 18 (a) the establishment of two hospital program licensure 
 19 levels, a Level I program that authorizes the performance of 
 20 adult percutaneous cardiac intervention without onsite cardiac 
 21 surgery, including rotational or other atherectomy devices, 
 22 electrophysiology, and treatment of chronic total occlusions, 
 23 and a Level II program that authorizes the performance of 
 24 percutaneous cardiac intervention with onsite cardiac surgery. 
 25 (b)1. For A hospital seeking licensure as a Level I program 
 26 must:, demonstration that, for the most recent 12-month period 
 27 as reported to the agency, the hospital has provided a minimum 
 28 of 300 adult inpatient and outpatient diagnostic cardiac 
 29 catheterizations or, for the most recent 12-month period, has 
 30 discharged or transferred at least 300 patients with the 
 31 principal diagnosis of ischemic heart disease and that it has 
 32 1. Have a formalized, written transfer agreement with a 
 33 hospital that has a Level II program, including written 
 34 transport protocols to ensure safe and efficient transfer of a 
 35 patient within 60 minutes. 
 36 2.a. A hospital located more than 100 road miles from the 
 37 closest Level II adult cardiovascular services program is not 
 38 required to meet the diagnostic cardiac catheterization volume 
 39 and ischemic heart disease diagnosis volume requirements in 
 40 subparagraph 1. if the hospital demonstrates that it has, for 
 41 the most recent 12-month period as reported to the agency, 
 42 provided a minimum of 100 adult inpatient and outpatient 
 43 diagnostic cardiac catheterizations or that, for the most recent 
 44 12-month period, it has discharged or transferred at least 300 
 45 patients with the principal diagnosis of ischemic heart disease. 
 46 b. For a hospital located more than 100 road miles from the 
 47 closest Level II adult cardiovascular services program, have 
 48 does not need to meet the 60-minute transfer time protocol 
 49 requirement in subparagraph 1. if the hospital demonstrates that 
 50 it has a formalized, written transfer agreement with a hospital 
 51 that has a Level II program. The agreement must include written 
 52 transport protocols to ensure the safe and efficient transfer of 
 53 a patient, taking into consideration the patient’s clinical and 
 54 physical characteristics, road and weather conditions, and 
 55 viability of ground and air ambulance service to transfer the 
 56 patient. 
 57 3. At a minimum, the rules for adult cardiovascular 
 58 services must require nursing and technical staff to have 
 59 demonstrated experience in handling acutely ill patients 
 60 requiring intervention, based on the staff member’s previous 
 61 experience in dedicated cardiac interventional laboratories or 
 62 surgical centers. If a staff member’s previous experience is in 
 63 a dedicated cardiac interventional laboratory at a hospital that 
 64 does not have an approved adult open heart surgery program, the 
 65 staff member’s previous experience qualifies only if, at the 
 66 time the staff member acquired his or her experience, the 
 67 dedicated cardiac interventional laboratory: 
 68 a. Had an annual volume of 500 or more percutaneous cardiac 
 69 intervention procedures. 
 70 b. Achieved a demonstrated success rate of 95 percent or 
 71 greater for percutaneous cardiac intervention procedures. 
 72 c. Experienced a complication rate of less than 5 percent 
 73 for percutaneous cardiac intervention procedures. 
 74 d. Performed diverse cardiac procedures, including, but not 
 75 limited to, balloon angioplasty and stenting, rotational 
 76 atherectomy, cutting balloon atheroma remodeling, and procedures 
 77 relating to left ventricular support capability. 
 78 (c) Fo