The bill amends section 395.1055 of the Florida Statutes to revise the criteria and procedures for establishing rules related to adult cardiovascular services. Key changes include the requirement for hospitals seeking a Level I program to demonstrate that they have provided a minimum of 300 adult inpatient and outpatient diagnostic cardiac catheterizations or discharged/transferred at least 300 patients with ischemic heart disease, along with a formalized transfer agreement with a Level II program. Additionally, hospitals located more than 100 road miles from the nearest Level II program are exempt from certain volume and transfer time requirements if they can demonstrate compliance with alternative criteria.

Furthermore, the bill updates compliance requirements to include adherence to the most recent guidelines from the American College of Cardiology, the Heart Rhythm Society, and the Society for Cardiovascular Angiography and Interventions, ensuring that hospitals meet standards for staffing, physician training, and patient safety. The agency is also mandated to adopt rules to administer these requirements and to update them as new standards are published. The act is set to take effect on October 1, 2025.