Lawmakers propose bills to allow non-emergency hospital care at home

Florida hospitals would have the ability to use paramedics to provide inpatient services to patients’ homes under a bill that went to the Senate Rules Committee Tuesday morning.

The law project (SB 1222) is now ready for further consideration by the Senate. Sponsored by Sen. Aaron’s Beanthe bill is similar to its House counterpart (HB 937), which will then be heard by the Chamber Health and Social Services Committee.

The bills authorize certified paramedics working under the supervision of a physician to provide essential life support services, advanced life support services and supplemental health care services to acute care patients at home in non-emergency community settings. Only hospitals that have obtained a waiver from the Medicare and Medicaid Service Centers could partner with paramedics to provide their patients with in-home access to health care services that would otherwise be provided within the walls of a hospital.

According to a CMS website, several Florida hospitals have received waivers from the federal government to provide hospital care in the community setting. This list includes Cleveland Clinic Hospital, Cleveland Clinic Martin North, Cleveland Clinic Indian River, Palm Bay Hospital, Holmes Regional Medical Center, Viera Hospital, Cape Canaveral Hospital, Tampa General Hospital, Tampa General Hospital, and Keralty Hospital (formerly Westchester Hospital).

In addition to obtaining a CMS waiver, facilities must also obtain a waiver from the State Agency for Health Care Administration, which regulates Florida hospitals and ensures they follow all rules and regulations. necessary regulations.

Initially, the bills authorized hospitals to use community paramedics and to provide non-emergency hospital care outside the four walls of their facilities by working with community paramedics. The goal of the original bill was to put in place state regulation so that hospital care at home could continue even after the CMS waivers expired.

Mayo Clinic Jacksonville Hospital has been providing inpatient services to its patients for over a year after obtaining the necessary state and federal approval.

Medical Director of Mayo Clinic in Jacksonville Michel Maniaci told Florida Politics last month that the facility had treated 1,500 patients, about 800 of whom received inpatient care at the nearby Marriott Hotel. Some hotel rooms have virtual technology so that patients can be monitored. The “Care Hotel” program, as Maniaci calls it, offers post-operative monitoring of patients in a virtual environment.

Mayo also provides hospital care outside of its hospital walls in patients’ homes. Maniaci said the ideal patients for the home program are medically stable but require lab work and treatment. These may be patients with chronic conditions such as heart failure.

The House, however, narrowed the bill to only allow hospitals to provide hospital care to patients in their permanent homes. He also reduced the bill to only allow hospitals with CMS waivers to provide the services. So when the CMS waivers expire, so does the authority to provide home care.

According to House documents, 40 lobbyists registered to lobby HB 937.

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