Department of Agriculture
                                    HB 7007 & SB 1010-   Relating to the Department of Agriculture and Consumer Services
On Wednesday, March 9th, HB 7007, relating to the Department of  Agriculture and Consumer Services, by the House Agriculture & Natural  Resources Subcommittee and Rep. Jake Raburn (R-Valrico) was amended on the Senate floor and  substituted for its Senate companion, SB 1010,  by Senator Bill Montford  (D-Tallahassee) and passed by a  vote of 38 yeas to 0 nays.                                                                         
                                    
Once this action was  taken, HB 7007 was sent back to the House to be considered as amended. The  House concurred with the two amendments to HB 7007 and passed the bill by a  vote of 110 yeas to 4 nays. 
                                    HB 7007 addresses  issues relating to agriculture and certain powers and duties of the Department  of Agriculture and Consumer Services (DACS). Most importantly to AIF and its  members, is an amendment by Senator Alan Hays (R-Umatilla) that addressed the  regulation of the use and sale of polystyrene (Styrofoam) products. With the  adoption of this amendment the bill will preempt the regulation of these  Styrofoam products to DACS. 
                                    HB 7007 will now go to  the desk of Governor Scott to be signed into law.                                    
AIF supports  preempting to the state the sale and use of polystyrene (Styrofoam) products.
                                   
                                    Health Care
                                    HB 85 & SB 212-  Relating to Recovery Care Services
On Tuesday, March 8th, the Senate substituted HB 85 for SB 212, and  approved a strike all amendment which completely overhauls HB 85 and now  addresses a myriad of health care issues, including elements of other bills as  noted below. On Wednesday, March 9th, the Senate passed this measure by a vote  of 40 yeas to 0 nays.                                     
                                    
The language added to the measure is the subject of the following bills:
                                    
                                      - Permits ambulatory surgery centers to extend the length of stay up to 24  hours for a patient receiving care in the facility.  (Contained in HB 85,  but the amendment removes references of “recovery care centers”)
 
                                      - Step Therapy – requires Medicaid managed care plans, HMOs and insurers  that restrict medications by a step-therapy or fail-first protocol to grant an  override of the protocol within 24 hours for certain situations.  It ties  that hands of insurers to manage prescription drug costs. (SB 1084)
 
                                      - Direct Primary Care – Defines this practice which is a contract for  primary care services between a patient and a primary care provider and  clarifies that these products are not insurance and are therefore not regulated  by the Florida Insurance Code.  (SB 132 and HB 37)
 
                                      - Dental Access Accounts - which would allow joint state and local dental care access accounts to be established to  encourage Florida-licensed dentists to practice in medically under-served areas  or serve a medically under-served population.  (SB 234 and HB 139) 
 
                                      - Health Clinic  Personnel Immunity - provides that employees and agents of the free clinics are  protected from lawsuits under the state’s sovereign immunity protections. (SB  1034 and HB 1431) 
 
                                    
                                     
                                    HB 85 must now return to the House chamber to be considered as amended.
                                     AIF opposes legislation that will negatively impact  the standards of care that are currently in place based on real-time protocols  that are centered on evidence-based research.
                                    HB 7087- Relating to  Telehealth
                                    As reported last week,  HB 7087, relating to telehealth was sent back to the Florida House to  be considered as amended by the Senate. Today, Wednesday, March 9th, the House  took up HB 7087 and concurred with the two amendments adopted by the Senate along  with the adoption of their own amendment. After the adoption of amendment 53370  by the bill sponsor, Rep. Chris Sprowls (R-Clearwater), HB 7087 was passed out of the House by a  vote of 110 yeas to 2 nays. 
                                    Amendment 533707  removes the task force set in place by the amendment previously adopted by the  Senate, and replaces the task force with an Agency for Health Care  Administration (AHCA) study on the use and coverage of telehealth. 
                                    The goal of this bill is to  establish certain practice standards for telehealth providers; providing  limitations and notification requirements for out-of-state telehealth  providers; revising the definition of the term "discount medical  plan" to exclude certain products; and creating the Telehealth Advisory  Council within the Agency for Health Care Administration for specified purposes. 
                                    
                                    HB 7087 must now return to the Senate for its consideration as amended.
AIF supports  legislation that permits an unfettered role for telehealth services that will  allow our citizens access to better quality care at lower costs.