The bill amends section 395.1055 of the Florida Statutes to revise the licensure requirements for Level I and Level II adult cardiovascular programs. It mandates that the Agency for Health Care Administration update its rules in accordance with new industry standards and guidelines. Key changes include the requirement for hospitals seeking Level I licensure to have a formalized transfer agreement with a Level II program and to ensure safe patient transfer protocols. Additionally, hospitals located more than 100 road miles from the nearest Level II program are exempt from certain volume requirements if they have a transfer agreement in place.

For Level II licensure, hospitals must demonstrate a minimum of 1,100 cardiac catheterizations, with at least 400 being therapeutic. The bill also introduces new compliance requirements with guidelines from various professional organizations, including the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions. Furthermore, hospitals must have a plan for providing services to Medicaid and charity care patients and participate in national quality improvement registries. The act is set to take effect on October 1, 2026.