FL S1764

Hospitals licensed in Florida that annually accept $10 million or more in state or federal funds for Medicaid services must establish a Medicaid compliance office with a compliance officer reporting directly to the chief executive officer.

Hospitals must develop and implement a written code of conduct, policies and procedures, risk assessment plan, and training plan addressing federal anti-kickback laws, anti-rebating requirements, and compliance with state and federal health care program requirements.

Hospitals must create procedures to track and review "focus arrangements" (contracts involving physicians, referral sources, or remuneration) to ensure compliance with federal law, including legal review, business rationale documentation, and fair market value determinations.

Hospitals must notify the Agency for Health Care Administration's inspector general within 30 days of discovering reportable events (substantial overpayments, probable legal violations, employment of ineligible persons, or bankruptcy filings), with a penalty of $1,000 per day for failure to notify.

Hospitals must submit annual compliance reports to the agency by January 1 each year detailing compliance officer activities, code of conduct changes, training provided, violations reported, and all reportable events.