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 a formalized, written transfer agreement with a Level II program hospital, including transport protocols for safe and efficient patient transfer. Additionally, hospitals located more than 100 road miles from the nearest Level II program are exempt from certain volume requirements if they can show they have provided a minimum of 100 diagnostic cardiac catheterizations or have discharged or transferred at least 300 patients with ischemic heart disease.

Furthermore, the bill expands compliance requirements to include 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 updated standards for staffing, physician training, and patient safety. The agency is also mandated to update its rules as new standards and guidelines are published. The act is set to take effect on October 1, 2025.