1. (1) General Provisions. Nursing home subdistricts are proposed by Local Health Councils and utilized by the agency in conjunction with the methodology for determining need for community nursing home beds. A full description of the need methodology appears in Rule 59C-1.036, F.A.C.

2. (2) Definitions.

   1. (a) “Agency.” The Agency for Health Care Administration.
   2. (b) “District.” A health service planning district of the agency defined in subsection 408.032(5), F.S.
   3. (c) “Local Health Council.” The council referenced in Section 408.033, F.S.
   4. (d) “Subdistrict.” A group of counties, a county, or a portion of a county which forms a subdivision of a district. For purposes of this rule, ten of the eleven districts of the agency are divided into subdistricts; District 10 is not divided.

3. (3) Nursing Home Subdistricts. The nursing home subdistricts are defined and numbered as follows:

   1. (a) Subdistricts for District 1.

      1. Subdistrict 1-1 consists of Escambia and Santa Rosa Counties.

      2. Subdistrict 1-2 consists of Okaloosa County.

      3. Subdistrict 1-3 consists of Walton County.

   2. (b) Subdistricts for District 2.

      1. Subdistrict 2-1 consists of Gadsden, Holmes, Jackson, and Washington Counties.

      2. Subdistrict 2-2 consists of Bay County.

      3. Subdistrict 2-3 consists of Calhoun, Franklin, Gulf, Liberty, and Wakulla Counties.

      4. Subdistrict 2-4 consists of Leon County.

      5. Subdistrict 2-5 consists of Jefferson, Madison, and Taylor Counties.

   3. (c) Subdistricts for District 3.

      1. Subdistrict 3-1 consists of Columbia, Hamilton and Suwannee Counties.

      2. Subdistrict 3-2 consists of Alachua, Bradford, Dixie, Gilchrist, Lafayette, Levy and Union Counties.

      3. Subdistrict 3-3 consists of Putnam County.

      4. Subdistrict 3-4 consists of Marion County.

      5. Subdistrict 3-5 consists of Citrus County.

      6. Subdistrict 3-6 consists of Hernando County.

      7. Subdistrict 3-7 consists of Lake and Sumter Counties.

   4. (d) Subdistricts for District 4.

      1. Subdistrict 4-1 consists of Nassau County, and the northern portion of Duval County lying within ZIP codes 32202, 32206, 32208, 32209, 32218, 32219, 32220, 32226 and 32254.

      2. Subdistrict 4-2 consists of Baker County, Clay County, and the southwestern portion of Duval County lying within ZIP Codes 32204, 32205, 32210, 32212, 32215, 32221, 32222, 32234 and 32244.

      3. Subdistrict 4-3 consists of St. John’s County, and the southeastern portion of Duval County lying within ZIP Codes 32207, 32211, 32216, 32217, 32223, 32224, 32225, 32228, 32233, 32246, 32250, 32256, 32257, 32258, 32266 and 32277.

      4. Subdistrict 4-4 consists of Flagler and Volusia Counties.

   5. (e) Subdistricts in District 5.

      1. Subdistrict 5-1 consists of Pasco County.

      2. Subdistrict 5-2 consists of Pinellas County.

   6. (f) Subdistricts for District 6.

      1. Subdistrict 6-1 consists of Hillsborough County.

      2. Subdistrict 6-2 consists of Manatee County.

      3. Subdistrict 6-3 consists of Hardee County.

      4. Subdistrict 6-4 consists of Highlands County.

      5. Subdistrict 6-5 consists of Polk County.

   7. (g) Subdistricts for District 7.

      1. Subdistrict 7-1 consists of Brevard County.

      2. Subdistrict 7-2 consists of Orange County.

      3. Subdistrict 7-3 consists of Osceola County.

      4. Subdistrict 7-4 consists of Seminole County.

   8. (h) Subdistricts for District 8.

      1. Subdistrict 8-1 consists of Charlotte County.

      2. Subdistrict 8-2 consists of Collier County.

      3. Subdistrict 8-3 consists of DeSoto County.

      4. Subdistrict 8-4 consists of Glades and Hendry Counties.

      5. Subdistrict 8-5 consists of Lee County.

      6. Subdistrict 8-6 consists of Sarasota County.

   9. (i) Subdistricts for District 9.

      1. Subdistrict 9-1 consists of Indian River County.

      2. Subdistrict 9-2 consists of Martin County.

      3. Subdistrict 9-3 consists of Okeechobee County.

      4. Subdistrict 9-4 consists of Palm Beach County.

      5. Subdistrict 9-5 consists of St. Lucie County.

   10. (j) Subdistricts for District 10.

       Subdistrict 10-1 consists of all of District 10. For purposes of need determination under Rule 59C-1.036, F.A.C., District 10 is treated in the same manner as a subdistrict.

   11. (k) Subdistricts for District 11.

       1. Subdistrict 11-1 consists of Dade County.

       2. Subdistrict 11-2 consists of Monroe County.

Rulemaking Authority 408.15(8), 408.034(8) FS. Law Implemented 408.033(1)(b) FS. History–New 2-12-96, Amended 10-31-96, 7-16-03.