FL S1448

Requires county, district, or municipal hospital sales or leases to be approved by majority vote of registered voters or by circuit court approval, rather than by governing board alone.

Mandates hospitals publicly advertise and solicit proposals from qualified purchasers or lessees before any transaction, and define "fair market value" as the price a willing seller and buyer would agree to in an arm's length transaction.

Requires governing boards to submit detailed written findings and supporting documents to circuit court, including consideration of fair market value, tax revenue impacts, commitments to continue services for indigent and uninsured residents, and all competing proposals received.

Establishes circuit court jurisdiction to approve hospital transactions based on nine criteria, including legal compliance, non-discriminatory purchaser selection, proper advertising, due diligence, conflict of interest disclosure, and fair market value determination.

Exempts sales or leases completed before March 9, 2011, and lease renewals from these requirements; allows appellate review of circuit court decisions only when they are arbitrary, capricious, or violate the statute.