Committee approves SB 68 to require pediatric readiness in emergency departments
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SB 68 would require hospital emergency departments to maintain pediatric‑specific equipment and evidence‑based pediatric emergency policies, designate a pediatric care coordinator, require training and publish hospitals' National Pediatric Readiness Assessment results; committee reported the bill favorably.
A Florida Senate committee voted to report SB 68 favorably after sponsor remarks and limited questioning.
Senator Harrell, sponsor, said Florida law lacks specific requirements to treat children in general hospital emergency departments and noted "more than 82 percent of children who need emergency care are seen in general hospitals." She described provisions requiring EDs to maintain pediatric‑appropriate equipment, to record weights in kilograms for medication dosing, to adopt evidence‑based pediatric policies for triage and vitals, to conduct training and pediatric simulations, and to designate a physician, nurse, paramedic or physician assistant as a pediatric care coordinator.
The bill would require Florida hospitals to complete the National Pediatric Readiness Assessment and direct the Agency for Health Care Administration to publish each hospital's results online and adopt rules establishing minimum pediatric ED standards, including immediate access to pediatric equipment and pediatric components in comprehensive emergency management plans. Senator Harrell said research suggests improved pediatric readiness could have prevented certain child deaths: "research shows that there are 1440 lives could have been saved between 2012 and 2017 if those children had received care in emergency departments with high levels of pediatric readiness."
Committee members asked whether small or rural hospitals should receive waivers when pediatric volumes are low; Senator Harrell said the standards are not intended to be onerous and emphasized the importance of basic pediatric equipment and training. The Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics waived in support.
The committee roll call recorded 'yes' votes from Senators Berman, Gates, Osgood, Pacidomo, Trumbull, Harrell and Chair Burton; the chair announced SB 68 was reported favorably.
Next steps: The committee reported SB 68 favorably and the bill will proceed toward further Senate consideration and possible rule development by AHCA if enacted.
