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Florida Statute 395.0193 - Full Text and Legal Analysis
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The 2025 Florida Statutes

Title XXIX
PUBLIC HEALTH
Chapter 395
HOSPITAL LICENSING AND REGULATION
View Entire Chapter
F.S. 395.0193
395.0193 Licensed facilities; peer review; disciplinary powers; agency or partnership with physicians.
(1) It is the intent of the Legislature that good faith participants in the process of investigating and disciplining physicians pursuant to the state-mandated peer review process shall, in addition to receiving immunity from retaliatory tort suits pursuant to s. 456.073(12), be protected from federal antitrust suits filed under the Sherman Anti-Trust Act, 15 U.S.C.A. ss. 1 et seq. Such intent is within the public policy of the state to secure the provision of quality medical services to the public.
(2) Each licensed facility, as a condition of licensure, shall provide for peer review of physicians who deliver health care services at the facility. Each licensed facility shall develop written, binding procedures by which such peer review shall be conducted. Such procedures shall include:
(a) Mechanism for choosing the membership of the body or bodies that conduct peer review.
(b) Adoption of rules of order for the peer review process.
(c) Fair review of the case with the physician involved.
(d) Mechanism to identify and avoid conflict of interest on the part of the peer review panel members.
(e) Recording of agendas and minutes which do not contain confidential material, for review by the Division of Health Quality Assurance of the agency.
(f) Review, at least annually, of the peer review procedures by the governing board of the licensed facility.
(g) Focus of the peer review process on review of professional practices at the facility to reduce morbidity and mortality and to improve patient care.
(3) If reasonable belief exists that conduct by a staff member or physician who delivers health care services at the licensed facility may constitute one or more grounds for discipline as provided in this subsection, a peer review panel shall investigate and determine whether grounds for discipline exist with respect to such staff member or physician. The governing board of any licensed facility, after considering the recommendations of its peer review panel, shall suspend, deny, revoke, or curtail the privileges, or reprimand, counsel, or require education, of any such staff member or physician after a final determination has been made that one or more of the following grounds exist:
(a) Incompetence.
(b) Being found to be a habitual user of intoxicants or drugs to the extent that he or she is deemed dangerous to himself, herself, or others.
(c) Mental or physical impairment which may adversely affect patient care.
(d) Being found liable by a court of competent jurisdiction for medical negligence or malpractice involving negligent conduct.
(e) One or more settlements exceeding $10,000 for medical negligence or malpractice involving negligent conduct by the staff member.
(f) Medical negligence other than as specified in paragraph (d) or paragraph (e).
(g) Failure to comply with the policies, procedures, or directives of the risk management program or any quality assurance committees of any licensed facility.
(4) Pursuant to ss. 458.337 and 459.016, any disciplinary actions taken under subsection (3) shall be reported in writing to the Division of Health Quality Assurance of the agency within 30 working days after its initial occurrence, regardless of the pendency of appeals to the governing board of the hospital. The notification shall identify the disciplined practitioner, the action taken, and the reason for such action. All final disciplinary actions taken under subsection (3), if different from those which were reported to the agency within 30 days after the initial occurrence, shall be reported within 10 working days to the Division of Health Quality Assurance of the agency in writing and shall specify the disciplinary action taken and the specific grounds therefor. The division shall review each report and determine whether it potentially involved conduct by the licensee that is subject to disciplinary action, in which case s. 456.073 shall apply. The reports are not subject to inspection under s. 119.07(1) even if the division’s investigation results in a finding of probable cause.
(5) There shall be no monetary liability on the part of, and no cause of action for damages against, any licensed facility, its governing board or governing board members, peer review panel, medical staff, or disciplinary body, or its agents, investigators, witnesses, or employees; a committee of a hospital; or any other person, for any action taken without intentional fraud in carrying out the provisions of this section.
(6) For a single incident or series of isolated incidents that are nonwillful violations of the reporting requirements of this section or part II of chapter 408, the agency shall first seek to obtain corrective action by the facility. If correction is not demonstrated within the timeframe established by the agency or if there is a pattern of nonwillful violations of this section or part II of chapter 408, the agency may impose an administrative fine, not to exceed $5,000 for any violation of the reporting requirements of this section or part II of chapter 408. The administrative fine for repeated nonwillful violations may not exceed $10,000 for any violation. The administrative fine for each intentional and willful violation may not exceed $25,000 per violation, per day. The fine for an intentional and willful violation of this section or part II of chapter 408 may not exceed $250,000. In determining the amount of fine to be levied, the agency shall be guided by s. 395.1065(2)(b).
(7) The proceedings and records of peer review panels, committees, and governing boards or agent thereof which relate solely to actions taken in carrying out this section are not subject to inspection under s. 119.07(1); and meetings held pursuant to achieving the objectives of such panels, committees, and governing boards are not open to the public under the provisions of chapter 286.
(8) The investigations, proceedings, and records of the peer review panel, a committee of a hospital, a disciplinary board, or a governing board, or agent thereof with whom there is a specific written contract for that purpose, as described in this section shall not be subject to discovery or introduction into evidence in any civil or administrative action against a provider of professional health services arising out of the matters which are the subject of evaluation and review by such group or its agent, and a person who was in attendance at a meeting of such group or its agent may not be permitted or required to testify in any such civil or administrative action as to any evidence or other matters produced or presented during the proceedings of such group or its agent or as to any findings, recommendations, evaluations, opinions, or other actions of such group or its agent or any members thereof. However, information, documents, or records otherwise available from original sources are not to be construed as immune from discovery or use in any such civil or administrative action merely because they were presented during proceedings of such group, and any person who testifies before such group or who is a member of such group may not be prevented from testifying as to matters within his or her knowledge, but such witness may not be asked about his or her testimony before such a group or opinions formed by him or her as a result of such group hearings.
(9)(a) If the defendant prevails in an action brought by a staff member or physician who delivers health care services at the licensed facility against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section, the court shall award reasonable attorney’s fees and costs to the defendant.
(b) As a condition of any staff member or physician bringing any action against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section and before any responsive pleading is due, the staff member or physician shall post a bond or other security, as set by the court having jurisdiction of the action, in an amount sufficient to pay the costs and attorney’s fees.
(10)(a) A hospital’s compliance with the requirements of this chapter or s. 766.110(1) may not be the sole basis to establish an agency or partnership relationship between the hospital and physicians who provide services within the hospital.
(b) A hospital may create an agency relationship with a physician by written contract signed by the hospital and:
1. The physician;
2. A health care professional association; or
3. A corporate medical group and its employees.

A written contract is not the exclusive means to establish an agency or partnership relationship between a hospital and any other person described in this paragraph.

History.ss. 26, 30, ch. 82-182; s. 1, ch. 82-402; s. 3, ch. 85-175; s. 3, ch. 88-1; s. 2, ch. 88-277; s. 4, ch. 89-162; s. 14, ch. 90-344; ss. 12, 13, 98, ch. 92-289; s. 726, ch. 95-148; s. 213, ch. 96-406; s. 24, ch. 98-89; s. 21, ch. 98-166; s. 13, ch. 2000-160; s. 43, ch. 2007-230.
Note.Former s. 395.0115.

F.S. 395.0193 on Google Scholar

F.S. 395.0193 on CourtListener

Amendments to 395.0193


Annotations, Discussions, Cases:

Cases Citing Statute 395.0193

Total Results: 30

Florida Hosp. Waterman, Inc. v. Buster

984 So. 2d 478, 2008 WL 596700

Supreme Court of Florida | Filed: Mar 6, 2008 | Docket: 1288177

Cited 68 times | Published

be introduced into evidence in civil actions. § 395.0193(8), Fla. Stat. (2002).[7] Furthermore, to allow

Lawnwood Medical Center, Inc. v. Seeger

990 So. 2d 503, 2008 WL 3926860

Supreme Court of Florida | Filed: Aug 28, 2008 | Docket: 1687740

Cited 38 times | Published

assurance committees of the hospital" pursuant to section 395.0193(3)(g), Florida Statutes (1999). Lloyd, 2000

Horowitz v. PLANTATION GENERAL HOSP. LTD.

959 So. 2d 176, 2007 WL 1498968

Supreme Court of Florida | Filed: May 24, 2007 | Docket: 528349

Cited 16 times | Published

fails to maintain financial responsibility. See § 395.0193(2)-(4), Fla. Stat. (requiring hospitals and their

Lawnwood Medical Center Inc. v. Sadow

43 So. 3d 710, 2010 Fla. App. LEXIS 3813, 2010 WL 1066833

District Court of Appeal of Florida | Filed: Mar 24, 2010 | Docket: 60295466

Cited 14 times | Published

thoracic aortic dissections and aneurysms. . § 395.0193, Fla. Stat. (1998) (each licensed facility shall

Bryan v. Center

33 F.3d 1318, 1994 U.S. App. LEXIS 27659

Court of Appeals for the Eleventh Circuit | Filed: Oct 4, 1994 | Docket: 64018310

Cited 13 times | Published

IV 1992), and under Florida law, Fla.Stat.Ann. § 395.0193(5) (West 1993). Because we conclude that the

Noble v. Martin Memorial Hosp. Ass'n

710 So. 2d 567, 1997 WL 821400

District Court of Appeal of Florida | Filed: Dec 24, 1997 | Docket: 1444951

Cited 12 times | Published

Complaint based upon a change in the wording of section 395.0193, Florida Statutes (1995). Subsequently, the

Cape Canaveral Hosp., Inc. v. Leal

917 So. 2d 336, 2005 Fla. App. LEXIS 20143, 2005 WL 3499935

District Court of Appeal of Florida | Filed: Dec 23, 2005 | Docket: 2539311

Cited 11 times | Published

that one or more of the grounds specified in section 395.0193(3), Florida Statutes (2001),[1] existed prior

Florida Hosp. Waterman, Inc. v. Buster

932 So. 2d 344, 2006 WL 566084

District Court of Appeal of Florida | Filed: Mar 10, 2006 | Docket: 1285604

Cited 10 times | Published

Fla. Stat. (2005) (internal risk management); § 395.0193(8), Fla. Stat. (2005) (peer review). In addition

Doe v. Department of Health

948 So. 2d 803, 2006 Fla. App. LEXIS 21558, 2006 WL 3780681

District Court of Appeal of Florida | Filed: Dec 27, 2006 | Docket: 1769930

Cited 7 times | Published

under sections 395.0193(8) and 766.101(5). Section 395.0193(8), which is located in chapter 395 of the

Bayfront Medical Center v. State

741 So. 2d 1226, 1999 WL 777530

District Court of Appeal of Florida | Filed: Oct 1, 1999 | Docket: 453146

Cited 7 times | Published

Assurance of the agency. (Emphasis supplied). Section 395.0193(3) provides in part as follows: If reasonable

MOUNT SINAI MEDICAL CTR. v. Bernstein

645 So. 2d 530, 1994 WL 617202

District Court of Appeal of Florida | Filed: Nov 9, 1994 | Docket: 1223114

Cited 7 times | Published

of evaluation and review by such committee. Section 395.0193 provides that, (7) The investigations, proceedings

City of Freeport v. Beach Community Bank

108 So. 3d 684, 2013 WL 598417, 2013 Fla. App. LEXIS 2509

District Court of Appeal of Florida | Filed: Feb 18, 2013 | Docket: 60229200

Cited 6 times | Published

erroneously denying immunity from suit pursuant to section 395.0193(5), Florida Statutes); Seminole Tribe of Fla

Taylor v. Memorial Health Systems, Inc.

770 So. 2d 752, 17 I.E.R. Cas. (BNA) 142, 2000 Fla. App. LEXIS 15029

District Court of Appeal of Florida | Filed: Nov 17, 2000 | Docket: 1779032

Cited 5 times | Published

in the practice of medicine. Additionally, section 395.0193 mandates that (1) hospitals establish peer

Eckert v. BD OF COM'RS, N. BROWARD HOSP.

720 So. 2d 1151, 1998 WL 796711

District Court of Appeal of Florida | Filed: Nov 18, 1998 | Docket: 1718898

Cited 3 times | Published

Medical Center for two years, pursuant to section 395.0193, Florida Statutes (1997). We hold that this

Cedars Healthcare Group, Ltd. v. Mehta

16 So. 3d 914, 2009 Fla. App. LEXIS 10720, 2009 WL 2382995

District Court of Appeal of Florida | Filed: Aug 5, 2009 | Docket: 1746790

Cited 1 times | Published

ground that they are immune from suit under section 395.0193, Florida Statutes (2002). The petition challenges

Bravo v. United States

403 F. Supp. 2d 1182, 2005 WL 3620200, 2005 U.S. Dist. LEXIS 30818

District Court, S.D. Florida | Filed: Nov 30, 2005 | Docket: 2358419

Cited 1 times | Published

days after Kevin Bravo Rodriguez was born. Section 395.0193 of the Florida Statutes, "Licensed Facilities:

In re: Baycare Medical Group, Inc.

Court of Appeals for the Eleventh Circuit | Filed: May 14, 2024 | Docket: 68187776

Published

Argued: Jan 23, 2024

formal peer review meetings, see Fla. Stat. § 395.0193(2), and report certain serious adverse patient

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D.

District Court of Appeal of Florida | Filed: Dec 29, 2023 | Docket: 68123871

Published

review panel or medical review committee. Section 395.0193 pertains to the "process of investigating

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D.

District Court of Appeal of Florida | Filed: Dec 29, 2023 | Docket: 68123870

Published

review panel or medical review committee. Section 395.0193 pertains to the "process of investigating

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D. AND WEST FLORIDA-MHT, LLC D/ B/ A HCA FLORIDA SOUTH TAMPA HOSPITAL

District Court of Appeal of Florida | Filed: Dec 29, 2023 | Docket: 68123869

Published

review panel or medical review committee. Section 395.0193 pertains to the "process of investigating

SOUTH BROWARD HOSPITAL DISTRICT d/b/a MEMORIAL HEALTHCARE SYSTEM v. DAVID M. FELDBAUM, M.D.

District Court of Appeal of Florida | Filed: Jun 2, 2021 | Docket: 59954651

Published

and credentialing discovery immunities in section 395.0193(8), Florida Statutes (2020), and provided

Amber Edwards v. Larry D. Thomas, M.D.

229 So. 3d 277

Supreme Court of Florida | Filed: Oct 26, 2017 | Docket: 6180334

Published

established, regular operation.’).”); see generally § 395.0193, Fla. Stat. (2017) (requiring licensed health

Desai v. Lawnwood Medical Center, Inc.

219 So. 3d 869, 2017 WL 2350138, 2017 Fla. App. LEXIS 7831

District Court of Appeal of Florida | Filed: May 31, 2017 | Docket: 60266959

Published

recommendation .to the- medical executive committee. § 395.0193(2), Fla. Stat. (2009). The medical executive

Figueroa v. Hynes

200 So. 3d 98, 2015 Fla. App. LEXIS 18484, 2015 WL 8483919

District Court of Appeal of Florida | Filed: Dec 11, 2015 | Docket: 60256924

Published

peer review proceedings under Florida law. Section 395.0193, Florida Statutes, provides that “[e]ach licensed

PALM SPRINGS GENERAL HOSP., INC. v. Valdes

784 So. 2d 1151, 2001 Fla. App. LEXIS 2489, 2001 WL 219264

District Court of Appeal of Florida | Filed: Mar 7, 2001 | Docket: 1744174

Published

as set forth in the hospital bylaws and in section 395.0193, Florida Statutes (1995), which entitlements

Adventist Health System/Sunbelt Health v. Judge

739 So. 2d 695, 1999 Fla. App. LEXIS 11870, 1999 WL 682628

District Court of Appeal of Florida | Filed: Sep 3, 1999 | Docket: 64790304

Published

peer review, and quality assurance programs. See § 395.0193(7), Fla. Stat. (1997). Further, Florida Hospital

Fernandez v. Coral Gables Hospital, Inc.

720 So. 2d 1161, 1998 Fla. App. LEXIS 14899, 1998 WL 821711

District Court of Appeal of Florida | Filed: Nov 19, 1998 | Docket: 64784392

Published

Bylaws, as well as the mandatory provisions of section 395.0193, Florida Statutes (1997). Because the Verified

Martinez v. Provident Life & Accident Insurance

174 F.R.D. 502, 1997 U.S. Dist. LEXIS 12901, 1997 WL 535199

District Court, S.D. Florida | Filed: Jun 26, 1997 | Docket: 66315616

Published

0191(8) (West Supp.1997) (emphasis added). Section 395.0193(7) applies the same rule to a hospital’s “peer

Brumer v. HCA Health Services of Florida, Inc.

662 So. 2d 1385, 1995 Fla. App. LEXIS 12489, 1995 WL 699825

District Court of Appeal of Florida | Filed: Nov 29, 1995 | Docket: 64760218

Published

(1991), has been amended and renumbered as section 395.0193, Florida Statutes (1993). Ch. 92-289, § 12

Ago

Florida Attorney General Reports | Filed: Feb 6, 1995 | Docket: 3256086

Published

pursuant to section 395.0193, Florida Statutes? In sum: The exemption provided in section 395.0193, Florida