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Tampa General Hospital is working to improve health care access in rural Palm Beach County communities

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Through a series of strategic partnerships, Tampa General Hospital continues to expand access to world-class care and transform health care delivery through innovation and technology. The latest announcement aligns closely with Senate President Ben Albritton’s priority of sparking a Rural Renaissance in the Sunshine State.

Tampa General Hospital and the Health Care District of Palm Beach County reached an agreement earlier this year for Tampa General to provide administrative leadership, operational management and strategic support for Lakeside Medical Center, the Health Care District’s public teaching hospital in Belle Glade.

“With this agreement, we’re extending the strategic, operational and clinical expertise we offer at Tampa General to support the leadership, providers and teams at Lakeside Medical Center and expand access to world-class care in the Glades,” said John Couris, President and CEO of Tampa General Hospital. “It’s the best of both worlds — high quality care close to home.”

Florida’s rural areas, like most other states across the nation, have historically experienced a lack of access to high-quality health care. While the state of Florida has made strides to close the gap, there is still more work to be done. Studies have shown that rural communities experience a 40% higher preventable hospitalization rate and a 23% higher mortality rate compared to urban communities.

Lakeside Medical Center, which opened in Belle Glade in 2009, is run by the Palm Beach County Health District. The District’s Board of Commissioners approved a Management and Administrative Services Agreement during an open session on Dec. 11 after hearing a presentation from Tampa General leadership. Effective Feb. 1, Tampa General will work with Lakeside Medical Center to enhance quality of care, strengthen clinical training, recruitment and retention, and improve financial status.

“This strategic partnership combines the strengths of both organizations to advance access to high-quality health care for underserved populations,” said Darcy J. Davis, Health Care District of Palm Beach County President and CEO. “By joining forces with Tampa General, the health and wellness of our Glades communities will prosper for generations.”

Tampa General appointed Ron Doncaster vice president of business operations and integration at Lakeside Medical Center. In this role, Doncaster will oversee operations, facilitate service integration, supervise personnel and offer recommendations for innovative programming and expansion opportunities.

Doncaster takes on this role with decades of experience in health care leadership and administration, having managed operations at some of the nation’s most prestigious health care systems, including Mass General Brigham. Most recently, he served as Interim Chief Operating Officer at Tampa General, overseeing all clinical and operational strategies and managing partnerships with key constituents.

“Our No. 1 goal is to meet the needs of the community,” Doncaster said. “With improved delivery models and expanded access to specialists, we can elevate the level of care available in the community without losing the personal service only a local hospital can provide.”

Couris, Davis and Doncaster, along with Stacey Brandt, executive vice president and chief administrative officer at Tampa General, participated in a town hall last week with the team at Lakeside to outline their joint vision for Lakeside and answer questions.

Belle Glade residents have responded with overwhelming support for the strategic partnership. “It’ll be a game-changer for this community,” resident Connie Boldin Jr., told CBS 12 in West Palm Beach.

Under the agreement, the Health Care District of Palm Beach County maintains ownership of the hospital and its assets. The agreement does not impact the rights or obligations of Health Care District employees assigned to Lakeside Medical Center.

Tampa General’s work with Lakeside Medical Center marks an expansion of Tampa General’s existing network of providers and services in Palm Beach County and the Treasure Coast, which already includes primary care, cancer care, digestive health, kidney care, radiation, oncology and general surgery.

Tampa General is one of the largest and most innovative academic health systems in the nation. The system features more than 150 care locations across the Sunshine State. TGH is ranked No. 2 in Florida and a top 50 hospital nationally by U.S. News & World Report.


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Stan McClain’s whistleblower legislation moves forward

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The legislation aims to protect employees who report illegal activities by their employers to the proper authorities.

The Senate Commerce and Tourism Committee advanced legislation that seeks to amend Florida’s whistleblower protections for employees of private employers.

Ocala Republican Sen. Stan McClain introduced the bill (SB 1776). The measure states that employers would be unable to retaliate against an employee who discloses illegal practices by their employer to the government or objects to or refuses to participate in an unlawful practice.

“Senate Bill 1776 institutes a process for advanced notice to cure alleged violations,” McClain said. “Provides for consistency in the statute of limitations, adds additional specificity requirements for the claim, saves taxpayer dollars by avoiding duplication and expenditure of government resources, and prevents inconsistent legal precedence and ensure employees pursue a single statutory remedy. All of this would be under Florida’s Whistleblower Act.”

Orlando Democratic Sen. Carlos Smith, asked for clarification around the bill requiring employees to report any illegal activity to their employer, and questioned if that would provide the employer the opportunity to destroy evidence concerning a reported illegal activity.

Reading from the staff analysis on the bill, Smith asked “If an employee is required to notify their employer to give them an opportunity to correct the illegal activity … aren’t they giving the employer time to destroy evidence of illegal activity? Help me understand this.”

McClain responded by saying the employer may not yet know that any illegal activity had been occurring.

“Possibly, but I still think that the violation would exist,” McClain said. “I think that there’s a lot of other opportunities they [employees] would be able to go through. What we’re trying to do is streamline the process … an employer at that point may not know there was a violation and so this would give him an opportunity to cure the violation since it’s been pointed out to the employer.”

McClain said the bill would not put limits on employees making whistleblower complaints and added that there are other agencies where employees could go to report their employers’ activities if they believe them to be illegal, such as reporting a violation to the Occupational Safety and Health Administration (OSHA).

“We wanna make sure that whatever claim is being made, it is being made to the proper authority,” McClain said.

The committee passed the measure by a vote of 6 to 3 and it will now go to the Senate Judiciary Committee.


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Tom Leek’s employment agreements bill advances

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The Senate Commerce and Tourism Committee passed a measure Monday that seeks to protect employer trade secrets and confidential information from being shared by former employees.

St. Augustine Republican Sen. Tom Leek introduced the bill (SB 922). If passed, it would allow employers to enter into non-compete and Garden Leave agreements to protect their business interests.

“The current law in Florida on restrictive covenants is insufficient to protect industries in which employees’ routinely access sensitive business information,” Leek said. “Under current law, if an employee with access to such information leaves for somewhere employment with another company, an employer can go to court to seek to stop the former employee from using or disclosing the former employer sensitive business information.”

Leek noted that litigation could, however, be protracted, and added that by the time the court rules, the sensitive information may have already been disclosed.

“SB 922 carves out from an existing law … two types of commonly used employee agreements — non-compete agreements and Garden Leave agreements,” Leek said. “[The bill] establishes a more streamlined process than currently exists, designed to protect sensitive business information from disclosure by a current or former employee to another business at least until a court can decide whether the non-compete or Garden leave agreement has been violated.”

Leek noted that the bill would not only enhance protection for sensitive information but also narrows who it would apply to.

“The streamline process in SB 922 provides Florida employers and employees with enhanced protections for sensitive business information and provides greater certainty and transparency for all concerned,” Leek said. “The bill narrowly applies to covered non-compete and covered garden leave agreements. The agreement must be in writing … the employees afforded adequate notice, and the employee is advised in writing of the opportunity to seek counsel.”

Leek added that the bill outlines the mechanism to quickly enforce covered agreements via a preliminary injunction before any potential harm could done.

Jacksonville Democratic Sen. Tracie Davis asked why the agreements had been extended to four years.

“Most states deal with only having the non-competes to exist for one to two years. Why are we seeming like we’re strengthening our agreements to four years?” Davis asked.

In response, Leek said the extension is purely because of the information that needs to be protected.

“In Florida it’s a presumption of six months to two years … States similarly have those types of presumptions, so it’s not limited to a specific period of time,” Leek said. “And in this instance, we’re creating a presumption that the period of time should be four years, because of the type of information that we’re talking about.”

Multiple industries would be affected if the bill was to pass into law, according to Leek, particularly in finance.

“Florida is poised to be one of the finance capitals of the world, and if we want to attract those kinds of clean, high-paying jobs, you have to provide those businesses those protections on the investments they’re making,” Leek said.

Orlando Democratic Sen. Carlos Guillermo Smith said he would be voting against the bill and noted that strengthening non-compete clauses would only help employers further restrict employees and stifle innovation.

Leek reiterated that the bill only applies when it comes to trade secrets and confidential information and added that no one would enforce it against a former employee if they had not shared any restricted information specified in the bill.

The bill was passed in a 6-3 vote and will now go to the Senate Judiciary Committee.


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Adam Anderson’s thoroughbred horse racing bill advances despite industry opposition

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The House Commerce Committee advanced legislation Monday that would align the thoroughbred horse racing industry with all other live gaming in Florida.

Tarpon Springs Republican Adam Anderson introduced the bill (HB 105) and said the legislation was designed to support the horse racing community by decoupling racing from other gambling like slots and cards.

“Members, at the last committee stop for this bill, I presented the bill as a solution to help align the thoroughbred racing industry, with all other live gaming in the state of Florida, and to better support the thoroughbred community by decoupling racing with other games like slots and cards,” Anderson said. “In 2021, this body decoupled all other parimutuels operating in the state from their live events, all others except for thoroughbred racing. Simply put, the bill applies the core principles that we value here in the free state of Florida, to the thoroughbred community.”

Anderson said that the bill’s journey through committee resulted in conversations with people representing many facets of the industry, noting that he had taken everything they said into consideration.

“During that meeting we heard a lot of public testimony, we heard some folks that supported the bill, we also heard from some horse owners and breeders that had some major concerns about the bill,” Anderson said. “So … we met with a number of stakeholders, and we listened to their concerns. So, this … is the product of those conversations.”

Anderson said the bill would provide a guarantee that the horse racing industry in Florida would continue for at least the next five years.

“It decouples both Gulfstream Park and Tampa Downs, allowing racing and gaming to operate independently in the state, but it adds a trifecta of support to the thoroughbred community,” Anderson said. “First, it requires tracks to provide a three-year notice to the thoroughbred industry, if they elect to stop racing, and it also mandates that such notice cannot be given until July 1st of 2027, guaranteeing racing into the future and guaranteeing a minimum of five years of visibility in the thoroughbred industry.”

If passed into law, Anderson claimed permits would be able to be moved between different facilities and would provide new opportunities while maximizing transparency.

“[The bill] creates the ability to move existing thoroughbred permits to different facilities,” Anderson said. “This provides flexibility and creates new possibilities for the thoroughbred racing industry … it maximizes the utilization, effectiveness, and probably most importantly, the transparency of the nearly $14 million that’s allocated to breeders and owners with very prescriptive language on how the Florida Gaming Control Commission must support the industry.”

Anderson noted the birth rate of foals in Florida is significantly lower than other states.

“That tells me that we’re doing something wrong here in the state when it comes to breeding and supporting the industry … In the early 2000’s, Florida-bred foals were around 4,500 foals annually, but last year there was only 975,” Anderson said. “So, it’s a troubling trend and this bill is structured in a way to help support that part of the industry; to help prop it up so it can stand independently from slots and cards and thrive on its own.”

St. Petersburg Democratic Rep. Michele Rayner pushed back and said that it appears that there would only be one or two entities that would actually benefit from the bill’s passing.

Anderson refuted this and said it would benefit the whole industry.

“This bill will provide the ability for those owners to be able to transfer their licenses so if they don’t want to stay in the horse business,” Anderson said. “Right now, they have to, and the only option is that they just close up shop. This would provide a pathway for them to transfer that license to someone else who might want to or move their license to another location that makes more economic sense for their business model.”

However, opponents of the bill, which included veterinarians, breeders, and trainers, said that if it becomes law, it would devastate the industry.

Bill Russell, a veterinarian from Peterson Smith Equine Hospital in Ocala, stressed to the committee that there are thousands of people who rely on the industry for their livelihoods.

“It’s likely with the passage of this bill, I would have to lay off 40 to 50% of my workforce as the Florida Thoroughbred Industry contracts,” Russell said.

Teresa Palmer, the owner of a 125-acre breeding and training facility in Morriston, also spoke in opposition, telling the committee it would hurt her business if passed.

“We are a small business, and HB 105 would devastate not only our small business, but the racing industry in Florida,” Palmer said. “Anything that has been decoupled stops existing, and that’s the fact. So, we ask that you please consider not only the economic impact, but the family impact that this bill would have on our beautiful state.”

Saffie Joseph Jr., a prominent trainer at Gulfstream Park, opposed the bill in an op-ed published by Florida Politics on March 4.

“This bill threatens an entire industry that has long been a feather in Florida’s cap, and it undercuts years of hard work by so many of us who have dedicated our lives to these majestic animals,” Joseph said. “It’s going to hurt people like me and my family, for whom the horse is lifestyle, passion, and, finally, a way to make a living … The future of Florida racing is on the line. Let’s stand together to protect it.”

Despite objections, the committee OK’d the bill. It now heads to the House floor.

At the bill’s passing, Florida Thoroughbred Breeders’ and Owners Association CEO Lonny Powell released a statement expressing dismay.

“Today’s vote in the House Commerce Committee was disappointing,” Powell said. “Let me be clear: The latest changes to HB 105 are not a compromise — they are designed to scuttle Florida’s vital Thoroughbred industry. No matter how our opponents try to spin it, this bill decouples live racing from voter-approved gaming requirements. This means fewer races, fewer jobs, and fewer opportunities for the hardworking Floridians devoted to this industry, including the passionate horsemen and women from the farms and barns who testified today.”

Powell claimed the bill would gut the industry and send jobs and opportunities to Canada.

“If this bill passes, it will ripple across the entire state economy, gutting a major industry and sending Florida jobs and horses to other states and our dollars to Toronto,” Powell said. “This industry has helped power Florida’s economy for generations, and we must not allow bad special-interest policy to dismantle it.”


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