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Impartial hospital districts could have made sense years in the past, however a number one Home Republican is contending that they might be antiquated in Florida’s present well being care market.
Rep. Randy Fantastic, Chair of the highly effective Well being & Human Companies Committee, filed laws (HB 1421) that requires the 26 unbiased hospital districts that function within the state to conduct a market analysis by the top of the yr analyzing the prices and advantages related to changing their mannequin into a personal nonprofit entity.
“Simply because one thing was a good suggestion in 1948, 1928 or 1968 doesn’t imply it’s a good suggestion in the present day,” Fantastic informed the members of the Home Choose Committee on Well being Innovation earlier than the panel voted 7-3 to advance the invoice.
“What this invoice would do is to require them to exit and rent somebody unbiased and say hey, would possibly any individual be keen to pay some huge cash for this? That cash goes to the taxpayers after which it will get it off our books as a result of the very fact of the matter is, if the personal sector can do it the federal government in all probability shouldn’t be,” he mentioned.
Rep. David Silvers questioned the prices of the market evaluation required beneath the invoice and who could be liable for the tab. He additionally requested what the particular district’s governing board needs to be contemplating when figuring out whether or not they need to promote the power.
“Profitability, is that the principle metric? Or if it makes financial sense to go personal for the sale? Is that the principle metric to find out whether or not or not the hospital needs to be bought?” he requested.
Fantastic mentioned the invoice didn’t handle the metrics.
“The choice whether or not to place a hospital up on the market or if this invoice have been to move, convert it to nonprofit standing, that could be a choice of the board,” Fantastic mentioned.
To that finish, the invoice establishes a process for the unbiased hospital districts to individually convert into a personal nonprofit entity, permitting the governing physique of the district to vote, requiring a majority.
If the governing physique of the district determines conversion is in one of the best pursuits of the district’s residents, the board is permitted to barter an settlement with the governing physique of every county wherein any a part of the district’s boundary is situated.
This settlement should embrace the phrases and circumstances vital for each disposing of the belongings and liabilities of the system and making certain well being care providers are offered to the district’s residents. The plan must be accepted by all of the events.
If the hospital district levies, collects or receives advert valorem taxes, such because the North Broward Hospital District and the South Broward Hospital District, the conversion have to be accepted by the electors of the district voting in a referendum held in the course of the subsequent Normal Election.
The Security Web Hospital Alliance of Florida opposes the invoice however didn’t publicly testify towards it.
HB 1421 heads to the Home State Affairs Committee subsequent. SB 1700, the companion measure, has been referred to a few committees however has not been heard.
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