---
type: "Bill"
title: "Hospital Licensure"
description: "Hospital Licensure"
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2019"
identifier: "HB 21"
citation: "Florida HB 21 (2019)"
classification: ["bill"]
subjects: ["relations", "public health", "taxation and finance"]
status: "enacted"
chapter_law: "2019-136"
primary_sponsors: ["Fitzenhagen"]
version_count: 4
action_count: 36
vote_count: 5
first_action: "2019-02-21"
last_action: "2019-06-26"
source: "openstates"
source_identifier: "ocd-bill/0c123680-1053-41ab-904f-327223ab9ad6"
source_url: "http://flsenate.gov/Session/Bill/2019/21/ByCategory"
source_hash: "b0ce491c16e343065928a6f3848dcfb92a7dbc7a883acbced99435b8e985f107"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-fl"]
---

# Florida HB 21 (2019) — Hospital Licensure

**Enacted** — Laws of Florida, Chapter 2019-136.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **H 21 Filed** (filed) — [source](http://flsenate.gov/Session/Bill/2019/21/BillText/Filed/PDF)
2. **H 21 c1** (committee substitute) — [source](http://flsenate.gov/Session/Bill/2019/21/BillText/c1/PDF)
3. **H 21 e1** (engrossed) — [source](http://flsenate.gov/Session/Bill/2019/21/BillText/e1/PDF)
4. **H 21 er** (enrolled) — [source](http://flsenate.gov/Session/Bill/2019/21/BillText/er/PDF)

## Votes

- Passage, Third Reading — **77–33** (pass) · lower
- Favorable (Health & Human Services Committee) — **14–3** (pass) · lower
- Third Reading — **23–17** (pass) · upper
- Favorable With Committee Substitute (Health Market Reform Subcommittee) — **14–0** (pass) · lower
- Passage — **81–34** (pass) · lower

## Sponsors

- Fitzenhagen — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-02-21** Filed `filing`
- **2019-02-28** Referred to Health Market Reform Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee `referral-committee`
- **2019-03-05** Introduced `introduction`
- **2019-03-05** On Committee agenda-- Health Market Reform Subcommittee, 03/07/19, 9:00 am, Mashburn Hall
- **2019-03-07** CS by Health Market Reform Subcommittee; YEAS 14 NAYS 0
- **2019-03-07** Pending review of CS under Rule 7.18(c)
- **2019-03-07** CS by Health Market Reform Subcommittee read 1st time
- **2019-03-08** Original reference(s) removed: Health Care Appropriations Subcommittee
- **2019-03-08** CS referred to Health and Human Services Committee
- **2019-03-08** Now in Health and Human Services Committee
- **2019-03-12** On Committee agenda-- Health and Human Services Committee, 03/14/19, 12:00 pm, Morris Hall
- **2019-03-14** Favorable by- Health and Human Services Committee; YEAS 14 NAYS 3 `committee-passage-favorable`
- **2019-03-14** Placed on Calendar
- **2019-03-14** Placed on Special Order Calendar, 03/20/19
- **2019-03-20** Read 2nd time `reading-2`
- **2019-03-20** Placed on 3rd reading
- **2019-03-21** Read 3rd time `reading-3`
- **2019-03-21** CS passed; YEAS 77 NAYS 33 `passage`
- **2019-03-27** In Messages
- **2019-03-28** Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations `referral-committee`
- **2019-04-02** Received
- **2019-04-26** Withdrawn from Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations `withdrawal`
- **2019-04-26** Placed on Calendar, on 2nd reading
- **2019-04-26** Substituted for CS/CS/SB 1712
- **2019-04-26** Read 2nd time `reading-2`
- **2019-04-26** Amendment(s) adopted (485034)
- **2019-04-26** Placed on 3rd reading
- **2019-04-29** Read 3rd time `reading-3`
- **2019-04-29** CS passed as amended; YEAS 23 NAYS 17 `passage`
- **2019-04-29** In returning messages
- **2019-04-29** Concurred in 1 amendment(s) (485034) -HJ 986, 991
- **2019-04-29** CS passed as amended; YEAS 81 NAYS 34 `passage`
- **2019-04-29** Ordered engrossed, then enrolled
- **2019-06-25** Signed by Officers and presented to Governor
- **2019-06-25** Approved by Governor `executive-signature`
- **2019-06-26** Chapter No. 2019-136

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0c123680-1053-41ab-904f-327223ab9ad6`. Confidence: reported (aggregated from official Florida legislature records).