Bill Amendment: FL S1486 | 2018 | Regular Session
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: Physician Workforce Development
Status: 2018-03-10 - Died in Rules [S1486 Detail]
Download: Florida-2018-S1486-Senate_Committee_Amendment_276508.html
Bill Title: Physician Workforce Development
Status: 2018-03-10 - Died in Rules [S1486 Detail]
Download: Florida-2018-S1486-Senate_Committee_Amendment_276508.html
Florida Senate - 2018 COMMITTEE AMENDMENT
Bill No. SB 1486
Ì276508;Î276508
LEGISLATIVE ACTION
Senate . House
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The Committee on Health Policy (Grimsley) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Delete everything after the enacting clause
4 and insert:
5 Section 1. Paragraph (f) of subsection (3) of section
6 381.4018, Florida Statutes, is amended to read:
7 381.4018 Physician workforce assessment and development.—
8 (3) GENERAL FUNCTIONS.—The department shall maximize the
9 use of existing programs under the jurisdiction of the
10 department and other state agencies and coordinate governmental
11 and nongovernmental stakeholders and resources in order to
12 develop a state strategic plan and assess the implementation of
13 such strategic plan. In developing the state strategic plan, the
14 department shall:
15 (f) Develop strategies to maximize federal and state
16 programs that provide for the use of incentives to attract
17 physicians to this state or retain physicians within the state.
18 Such strategies should explore and maximize federal-state
19 partnerships that provide incentives for physicians to practice
20 in federally designated shortage areas. Strategies shall also
21 consider the use of state programs, such as the Medical
22 Education Reimbursement and Loan Repayment Program pursuant to
23 s. 1009.65, which provide for education loan repayment or loan
24 forgiveness and provide monetary incentives for physicians to
25 relocate to underserved areas of the state. To further encourage
26 qualified physicians to relocate to and practice in underserved
27 areas, the department, following federal requirements, shall
28 adopt any rules necessary for the implementation of the Conrad
29 30 Waiver Program established under s. 214(1) of the Immigration
30 and Nationality Act.
31 Section 2. Paragraph (a) of subsection (1) of section
32 456.013, Florida Statutes, is amended to read:
33 456.013 Department; general licensing provisions.—
34 (1)(a) Any person desiring to be licensed in a profession
35 within the jurisdiction of the department shall apply to the
36 department in writing to take the licensure examination. The
37 application shall be made on a form prepared and furnished by
38 the department. The application form must be available on the
39 World Wide Web and the department may accept electronically
40 submitted applications beginning July 1, 2001. The application
41 shall require the social security number and date of birth of
42 the applicant, except as provided in paragraphs (b) and (c). The
43 form shall be supplemented as needed to reflect any material
44 change in any circumstance or condition stated in the
45 application which takes place between the initial filing of the
46 application and the final grant or denial of the license and
47 which might affect the decision of the department. If an
48 application is submitted electronically, the department may
49 require supplemental materials, including an original signature
50 of the applicant and verification of credentials, to be
51 submitted in a nonelectronic format. An incomplete application
52 shall expire 1 year after initial filing. In order to further
53 the economic development goals of the state, and notwithstanding
54 any law to the contrary, the department may enter into an
55 agreement with the county tax collector for the purpose of
56 appointing the county tax collector as the department’s agent to
57 accept applications for licenses and applications for renewals
58 of licenses. The agreement must specify the time within which
59 the tax collector must forward any applications and accompanying
60 application fees to the department.
61 Section 3. Paragraphs (a) and (b) of subsection (3) and
62 paragraph (j) of subsection (4) of section 456.024, Florida
63 Statutes, are amended to read:
64 456.024 Members of Armed Forces in good standing with
65 administrative boards or the department; spouses; licensure.—
66 (3)(a) A person is eligible for licensure as a health care
67 practitioner in this state if he or she:
68 1. Serves or has served as a health care practitioner in
69 the United States Armed Forces, the United States Reserve
70 Forces, or the National Guard;
71 2. Serves or has served on active duty with the United
72 States Armed Forces as a health care practitioner in the United
73 States Public Health Service; or
74 3. Is a health care practitioner, other than a dentist, in
75 another state, the District of Columbia, or a possession or
76 territory of the United States and is the spouse of a person
77 serving on active duty with the United States Armed Forces.
78
79 The department shall develop an application form, and each
80 board, or the department if there is no board, shall waive the
81 application fee, licensure fee, and unlicensed activity fee for
82 such applicants. For purposes of this subsection, “health care
83 practitioner” means a health care practitioner as defined in s.
84 456.001 and a person licensed under part III of chapter 401 or
85 part IV of chapter 468.
86 (b) The board, or the department if there is no board,
87 shall issue a license to practice in this state to a person who:
88 1. Submits a complete application.
89 2. If he or she is a member of the United States Armed
90 Forces, the United States Reserve Forces, or the National Guard,
91 submits proof that he or she has received an honorable discharge
92 within 6 months before, or will receive an honorable discharge
93 within 6 months after, the date of submission of the
94 application.
95 3.a. Holds an active, unencumbered license issued by
96 another state, the District of Columbia, or a possession or
97 territory of the United States and who has not had disciplinary
98 action taken against him or her in the 5 years preceding the
99 date of submission of the application;
100 b. Is a military health care practitioner in a profession
101 for which licensure in a state or jurisdiction is not required
102 to practice in the United States Armed Forces, if he or she
103 submits to the department evidence of military training or
104 experience substantially equivalent to the requirements for
105 licensure in this state in that profession and evidence that he
106 or she has obtained a passing score on the appropriate
107 examination of a national or regional standards organization if
108 required for licensure in this state; or
109 c. Is the spouse of a person serving on active duty in the
110 United States Armed Forces and is a health care practitioner in
111 a profession, excluding dentistry, for which licensure in
112 another state or jurisdiction is not required, if he or she
113 submits to the department evidence of training or experience
114 substantially equivalent to the requirements for licensure in
115 this state in that profession and evidence that he or she has
116 obtained a passing score on the appropriate examination of a
117 national or regional standards organization if required for
118 licensure in this state.
119 4. Attests that he or she is not, at the time of submission
120 of the application, the subject of a disciplinary proceeding in
121 a jurisdiction in which he or she holds a license or by the
122 United States Department of Defense for reasons related to the
123 practice of the profession for which he or she is applying.
124 5. Actively practiced the profession for which he or she is
125 applying for the 3 years preceding the date of submission of the
126 application.
127 6. Submits a set of fingerprints for a background screening
128 pursuant to s. 456.0135, if required for the profession for
129 which he or she is applying.
130
131 The department shall verify information submitted by the
132 applicant under this subsection using the National Practitioner
133 Data Bank.
134 (4)
135 (j) An applicant who is issued a temporary professional
136 license to practice as a dentist pursuant to this section must
137 practice under the indirect supervision, as defined in s.
138 466.003, of a dentist licensed pursuant to chapter 466.
139 Section 4. Subsection (3) of section 458.309, Florida
140 Statutes, is amended to read:
141 458.309 Rulemaking authority.—
142 (3) A physician who performs liposuction procedures in
143 which more than 1,000 cubic centimeters of supernatant fat is
144 removed, level 2 procedures lasting more than 5 minutes, and all
145 level 3 surgical procedures in an office setting must register
146 the office with the department unless that office is licensed as
147 a facility under chapter 395. The department shall inspect the
148 physician’s office annually unless the office is accredited by a
149 nationally recognized accrediting agency or an accrediting
150 organization subsequently approved by the Board of Medicine. The
151 actual costs for registration and inspection or accreditation
152 shall be paid by the person seeking to register and operate the
153 office setting in which office surgery is performed.
154 Section 5. Section 458.3312, Florida Statutes, is amended
155 to read:
156 458.3312 Specialties.—A physician licensed under this
157 chapter may not hold himself or herself out as a board-certified
158 specialist unless the physician has received formal recognition
159 as a specialist from a specialty board of the American Board of
160 Medical Specialties or other recognizing agency that has been
161 approved by the board. However, a physician may indicate the
162 services offered and may state that his or her practice is
163 limited to one or more types of services when this accurately
164 reflects the scope of practice of the physician. A physician may
165 not hold himself or herself out as a board-certified specialist
166 in dermatology unless the recognizing agency, whether authorized
167 in statute or by rule, is triennially reviewed and reauthorized
168 by the Board of Medicine.
169 Section 6. Paragraph (d) of subsection (7) of section
170 458.347, Florida Statutes, is amended to read:
171 458.347 Physician assistants.—
172 (7) PHYSICIAN ASSISTANT LICENSURE.—
173 (d)1. Upon employment as a physician assistant, a licensed
174 physician assistant must notify the department in writing within
175 30 days after such employment and provide or after any
176 subsequent changes in the supervising physician. The
177 notification must include the full name, Florida medical license
178 number, specialty, and address of a designated the supervising
179 physician. Any subsequent changes to this information must be
180 reported to the department within 30 days after the change.
181 Assignment of a designated supervising physician does not
182 preclude a physician assistant from practicing under the
183 supervision of physicians other than the designated supervising
184 physician.
185 2. The designated supervising physician must be a physician
186 designated by the facility or the practice as the primary
187 contact and supervising physician for physician assistants in a
188 practice where physician assistants are supervised by multiple
189 supervising physicians. The designated supervising physician
190 shall maintain a list of all approved supervising physicians at
191 the practice or facility which includes the name of each
192 supervising physician and his or her area of practice. The list
193 must be kept current and must be provided to the department in a
194 timely manner upon written request.
195 Section 7. Paragraph (d) of subsection (7) of section
196 459.022, Florida Statutes, is amended to read:
197 459.022 Physician assistants.—
198 (7) PHYSICIAN ASSISTANT LICENSURE.—
199 (d)1. Upon employment as a physician assistant, a licensed
200 physician assistant must notify the department in writing within
201 30 days after such employment and provide or after any
202 subsequent changes in the supervising physician. The
203 notification must include the full name, Florida medical license
204 number, specialty, and address of a designated the supervising
205 physician. Any subsequent changes to this information must be
206 reported to the department within 30 days after the change.
207 Assignment of a designated supervising physician does not
208 preclude a physician assistant from practicing under the
209 supervision of physicians other than the designated supervising
210 physician.
211 2. The designated supervising physician must be a physician
212 designated by the facility or the practice as the primary
213 contact and supervising physician for physician assistants in a
214 practice where physician assistants are supervised by multiple
215 supervising physicians. The designated supervising physician
216 shall maintain a list of all approved supervising physicians at
217 the practice or facility which includes the name of each
218 supervising physician and his or her area of practice. The list
219 must be kept current and must be provided to the department in a
220 timely manner upon written request.
221 Section 8. Subsection (1) of section 460.408, Florida
222 Statutes, is amended to read:
223 460.408 Continuing chiropractic education.—
224 (1) The board shall require licensees to periodically
225 demonstrate their professional competence as a condition of
226 renewal of a license by completing up to 40 contact classroom
227 hours of continuing education. For purposes of this subsection,
228 term “contact classroom hour” means a presentation in which the
229 persons presenting and the persons attending the course are
230 present on site. Up to 10 general credit continuing education
231 hours may be completed online in place of contact classroom
232 hours, as determined by board rule. Online continuing education
233 courses must be competency based and must use the Sharable
234 Content Objective Reference Model standard or more stringent
235 standards, as determined by the board.
236 (a) Continuing education courses sponsored by chiropractic
237 colleges whose graduates are eligible for examination under any
238 provision of this chapter may be approved upon review by the
239 board if all other requirements of board rules setting forth
240 criteria for course approval are met.
241 (b) The board shall approve those courses that build upon
242 the basic courses required for the practice of chiropractic
243 medicine, and the board may also approve courses in adjunctive
244 modalities. Courses that consist of instruction in the use,
245 application, prescription, recommendation, or administration of
246 a specific company’s brand of products or services are not
247 eligible for approval.
248 Section 9. Section 460.4166, Florida Statutes, is repealed.
249 Section 10. Section 463.006, Florida Statutes, is amended
250 to read:
251 463.006 Licensure and certification by examination.—
252 (1) Any person desiring to be a licensed practitioner
253 pursuant to this chapter shall apply to the department to take
254 the licensure and certification examinations. The department
255 shall license examine each applicant who the board determines
256 has:
257 (a) Completed the application forms as required by the
258 board, remitted an application fee for certification not to
259 exceed $250, remitted an examination fee for certification not
260 to exceed $250, and remitted a an examination fee for licensure
261 not to exceed $325, all as set by the board.
262 (b) Submitted proof satisfactory to the department that she
263 or he:
264 1. Is at least 18 years of age.
265 2. Has graduated from an accredited school or college of
266 optometry approved by rule of the board.
267 3. Is of good moral character.
268 3.4. Has successfully completed at least 110 hours of
269 transcript-quality coursework and clinical training in general
270 and ocular pharmacology as determined by the board, at an
271 institution that:
272 a. Has facilities for both didactic and clinical
273 instructions in pharmacology; and
274 b. Is accredited by a regional or professional accrediting
275 organization that is recognized and approved by the Commission
276 on Recognition of Postsecondary Accreditation or the United
277 States Department of Education.
278 4.5. Has completed at least 1 year of supervised experience
279 in differential diagnosis of eye disease or disorders as part of
280 the optometric training or in a clinical setting as part of the
281 optometric experience.
282 5. Has obtained a passing score, as established by rule of
283 the board, on the licensure examination of the National Board of
284 Examiners in Optometry or a similar nationally recognized
285 examination approved by the board.
286 (2) The examination shall consist of the appropriate
287 subjects, including applicable state laws and rules and general
288 and ocular pharmacology with emphasis on the use and side
289 effects of ocular pharmaceutical agents. The board may by rule
290 substitute a national examination as part or all of the
291 examination and may by rule offer a practical examination in
292 addition to the written examination.
293 (2)(3) Each applicant who successfully passes the
294 examination and otherwise meets the requirements of this chapter
295 is entitled to be licensed as a practitioner and to be certified
296 to administer and prescribe ocular pharmaceutical agents in the
297 diagnosis and treatment of ocular conditions.
298 Section 11. Section 463.0061, Florida Statutes, is created
299 to read:
300 463.0061 Licensure by endorsement; requirements; fees.—
301 (1) Any person desiring to be a licensed practitioner
302 pursuant to this chapter shall apply to the department. The
303 department shall issue a license by endorsement to any applicant
304 who, upon applying to the department on forms furnished by the
305 department and remitting a nonrefundable application fee set by
306 the board not to exceed $250 and a licensure fee not to exceed
307 $325, the board certifies:
308 (a) Has graduated from an accredited school or college of
309 optometry accredited by a regional or professional accrediting
310 organization that is recognized and approved by the Commission
311 on Recognition of Postsecondary Accreditation or the United
312 States Department of Education.
313 (b) Has obtained an overall passing score, as established
314 by rule of the board, on the licensure examination of the
315 National Board of Examiners in Optometry or a similar nationally
316 recognized examination approved by the board.
317 (c) Has submitted evidence of an active, licensed practice
318 of optometry in another jurisdiction, for at least 5 of the
319 immediately preceding 7 years, or evidence of successful
320 completion of a board-approved clinical competency examination
321 within the year preceding the filing of an application for
322 licensure. For purposes of this paragraph, “active licensed
323 practice of optometry” means the practice of optometry by
324 optometrists, including those employed by any federal or state
325 governmental entity in community or public health.
326 (d) Has successfully completed the clinical skills portion
327 of the examination developed by the National Board of Examiners
328 in Optometry. In addition to an overall passing score on the
329 clinical skills portion, an applicant must obtain a score of 75
330 percent or better on each of the biomicroscopy, binocular
331 indirect ophthalmoscopy, and dilated biomicroscopy and
332 noncontact fundus lens evaluation skills individually.
333 (e) Has successfully completed a written examination on
334 applicable general laws and rules governing the practice of
335 optometry.
336 (f) Has obtained a passing score on either the Treatment
337 and Management of Ocular Disease examination in the Patient
338 Assessment and Management portion of the examination developed
339 by the National Board of Examiners in Optometry or the stand
340 alone Treatment and Management of Ocular Disease examination
341 developed by the National Board of Examiners in Optometry.
342 (2) The applicant shall submit evidence of completing a
343 total of at least 30 hours of board-approved continuing
344 education for the 2 calendar years immediately preceding
345 application.
346 (3) The department may not issue a license by endorsement
347 to any applicant who is under investigation in any jurisdiction
348 for an act or offense which would constitute a violation of this
349 chapter until such time as the investigation is complete, at
350 which time the provisions of s. 463.016 shall apply.
351 Furthermore, the department may not issue an unrestricted
352 license to any individual who has committed any act or offense
353 in any jurisdiction constituting the basis for disciplining an
354 optometrist pursuant to s. 463.016. If the board finds that an
355 individual has committed an act or offense constituting the
356 basis for disciplining an optometrist pursuant to s. 463.016,
357 the board may enter an order imposing one or more of the terms
358 set forth in subsection (4).
359 (4) If the board determines that an applicant for licensure
360 by endorsement has failed to satisfy the appropriate
361 requirements in this section, it may enter an order that
362 requires one or more of the following actions:
363 (a) A refusal to certify to the department an application
364 for licensure or certification;
365 (b) A certification to the department of an application for
366 licensure or certification with restrictions on the scope of
367 practice of the licensee; or
368 (c) A certification to the department of an application for
369 licensure or certification with a probationary period subject to
370 conditions specified by the board, including, but not limited
371 to, requiring the optometrist to submit to treatment, attend
372 continuing education courses, submit to reexamination, or work
373 under the supervision of another licensed optometrist.
374 Section 12. Section 464.006, Florida Statutes, is amended
375 to read:
376 464.006 Rulemaking authority.—The board may has authority
377 to adopt rules pursuant to ss. 120.536(1) and 120.54 to
378 implement the provisions of this part conferring duties upon it
379 and establish standards of care.
380 Section 13. Section 464.202, Florida Statutes, is amended
381 to read:
382 464.202 Duties and powers of the board.—The board shall
383 maintain, or contract with or approve another entity to
384 maintain, a state registry of certified nursing assistants. The
385 registry must consist of the name of each certified nursing
386 assistant in this state; other identifying information defined
387 by board rule; certification status; the effective date of
388 certification; other information required by state or federal
389 law; information regarding any crime or any abuse, neglect, or
390 exploitation as provided under chapter 435; and any disciplinary
391 action taken against the certified nursing assistant. The
392 registry shall be accessible to the public, the
393 certificateholder, employers, and other state agencies. The
394 board shall adopt by rule testing procedures for use in
395 certifying nursing assistants and shall adopt rules regulating
396 the practice of certified nursing assistants, including
397 discipline and establishing standards of care, and specifying
398 the scope of practice authorized and the level of supervision
399 required for the practice of certified nursing assistants. The
400 board may contract with or approve another entity or
401 organization to provide the examination services, including the
402 development and administration of examinations. The board shall
403 require that the contract provider offer certified nursing
404 assistant applications via the Internet, and may require the
405 contract provider to accept certified nursing assistant
406 applications for processing via the Internet. The board shall
407 require the contract provider to provide the preliminary results
408 of the certified nursing examination on the date the test is
409 administered. The provider shall pay all reasonable costs and
410 expenses incurred by the board in evaluating the provider’s
411 application and performance during the delivery of services,
412 including examination services and procedures for maintaining
413 the certified nursing assistant registry.
414 Section 14. Paragraph (c) of subsection (1) of section
415 464.203, Florida Statutes, is amended to read:
416 464.203 Certified nursing assistants; certification
417 requirement.—
418 (1) The board shall issue a certificate to practice as a
419 certified nursing assistant to any person who demonstrates a
420 minimum competency to read and write and successfully passes the
421 required background screening pursuant to s. 400.215. If the
422 person has successfully passed the required background screening
423 pursuant to s. 400.215 or s. 408.809 within 90 days before
424 applying for a certificate to practice and the person’s
425 background screening results are not retained in the
426 clearinghouse created under s. 435.12, the board shall waive the
427 requirement that the applicant successfully pass an additional
428 background screening pursuant to s. 400.215. The person must
429 also meet one of the following requirements:
430 (c) Is currently certified in another state or territory or
431 the District of Columbia; is listed on that state’s certified
432 nursing assistant registry; and has not been found to have
433 committed abuse, neglect, or exploitation in that state.
434 Section 15. Subsection (1) of section 464.204, Florida
435 Statutes, is amended to read:
436 464.204 Denial, suspension, or revocation of certification;
437 disciplinary actions.—
438 (1) The following acts constitute grounds for which the
439 board may impose disciplinary sanctions as specified in
440 subsection (2):
441 (a) Obtaining or attempting to obtain certification or an
442 exemption, or possessing or attempting to possess certification
443 or a letter of exemption, by bribery, misrepresentation, deceit,
444 or through an error of the board.
445 (b) Intentionally Violating any provision of this chapter,
446 chapter 456, or the rules adopted by the board.
447 Section 16. Subsection (7) is added to section 465.019,
448 Florida Statutes, to read:
449 465.019 Institutional pharmacies; permits.—
450 (7) An institutional pharmacy must pass an onsite
451 inspection by the department as a prerequisite to the issuance
452 of an initial permit or a permit for a change of location. The
453 inspection must be completed within 90 days before the issuance
454 of the permit.
455 Section 17. Section 465.0193, Florida Statutes, is amended
456 to read:
457 465.0193 Nuclear pharmacy permits.—Any person desiring a
458 permit to operate a nuclear pharmacy shall apply to the
459 department. If the board certifies that the application complies
460 with applicable law, the department shall issue the permit. No
461 permit shall be issued unless a duly licensed and qualified
462 nuclear pharmacist is designated as being responsible for
463 activities described in s. 465.0126. A nuclear pharmacy must
464 pass an onsite inspection by the department as a prerequisite to
465 the issuance of an initial permit or a permit for a change of
466 location. The inspection must be completed within 90 days before
467 the issuance of the permit. The permittee shall notify the
468 department within 10 days of any change of the licensed
469 pharmacist responsible for the compounding and dispensing of
470 nuclear pharmaceuticals.
471 Section 18. Section 465.0195, Florida Statutes, is created
472 to read:
473 465.0195 Pharmacy or outsourcing facility; sterile
474 compounding permit.—Before a pharmacy or outsourcing facility
475 located in this state dispenses, creates, delivers, ships, or
476 mails, in any manner, a compounded sterile product, the pharmacy
477 or outsourcing facility must hold a sterile compounding permit.
478 (1) An application for a sterile compounding permit shall
479 be submitted on a form furnished by the board. The board may
480 require such information as it deems reasonably necessary to
481 carry out the purposes of this section.
482 (2) If the board certifies that the application complies
483 with applicable laws and rules of the board governing
484 pharmacies, the department shall issue the permit.
485 (3) A pharmacy or outsourcing facility must pass an onsite
486 inspection by the department as a prerequisite to the issuance
487 of an initial permit or a permit for a change of location. The
488 inspection must be completed within 90 days before the issuance
489 of the permit. The board may adopt by rule standards for
490 conducting an onsite inspection for issuance of a sterile
491 compounding permit.
492 (4) A permit may not be issued unless a licensed pharmacist
493 is designated to undertake the professional supervision of the
494 compounding and dispensing of all drugs dispensed by the
495 permittee.
496 (5) A permittee must notify the department within 10 days
497 after any change of the licensed pharmacist under subsection
498 (4). Each permittee that employs or otherwise uses registered
499 pharmacy technicians shall have a written policy and procedures
500 manual specifying those duties, tasks, and functions that a
501 registered pharmacy technician is authorized to perform.
502 (6) The board may adopt by rule standards of practice for
503 sterile compounding. In adopting such rules, the board shall
504 give due consideration to the standards and requirements
505 provided in chapter 797 of the United States Pharmacopeia, or
506 other professionally accepted standards deemed authoritative by
507 the board. In adopting such rules for an outsourcing facility,
508 the board shall consider the standards and requirements of
509 current good manufacturing practices as set forth by federal law
510 and any other professionally accepted standards deemed
511 authoritative by the board.
512 (7) All provisions relating to pharmacy permits found in
513 ss. 465.022 and 465.023 apply to permits issued pursuant to this
514 section.
515 Section 19. Section 465.0196, Florida Statutes, is amended
516 to read:
517 465.0196 Special pharmacy permits.—Any person desiring a
518 permit to operate a special pharmacy shall apply to the
519 department for a special pharmacy permit. If the board certifies
520 that the application complies with the applicable laws and rules
521 of the board governing the practice of the profession of
522 pharmacy, the department shall issue the permit. A special
523 pharmacy must pass an onsite inspection by the department as a
524 prerequisite to the issuance of an initial permit or a permit
525 for a change of location. The inspection must be completed
526 within 90 days before the issuance of the permit. A permit may
527 not be issued unless a licensed pharmacist is designated to
528 undertake the professional supervision of the compounding and
529 dispensing of all drugs dispensed by the pharmacy. The licensed
530 pharmacist shall be responsible for maintaining all drug records
531 and for providing for the security of the area in the facility
532 in which the compounding, storing, and dispensing of medicinal
533 drugs occurs. The permittee shall notify the department within
534 10 days after any change of the licensed pharmacist responsible
535 for such duties. Each permittee that employs or otherwise uses
536 registered pharmacy technicians shall have a written policy and
537 procedures manual specifying those duties, tasks, and functions
538 that a registered pharmacy technician is allowed to perform.
539 Section 20. Subsection (2) of section 465.0197, Florida
540 Statutes, is amended to read:
541 465.0197 Internet pharmacy permits.—
542 (2) An Internet pharmacy must obtain a permit under this
543 section to sell medicinal drugs to persons in this state. An
544 Internet pharmacy must pass an onsite inspection by the
545 department as a prerequisite to the issuance of an initial
546 permit or a permit for a change of location. The inspection must
547 be completed within 90 days before the issuance of the permit.
548 Section 21. Subsection (4) of section 466.006, Florida
549 Statutes, is amended to read:
550 466.006 Examination of dentists.—
551 (4) Notwithstanding any other provision of law in chapter
552 456 pertaining to the clinical dental licensure examination or
553 national examinations, to be licensed as a dentist in this
554 state, an applicant must successfully complete the following:
555 (a) A written examination on the laws and rules of the
556 state regulating the practice of dentistry;
557 (b)1. A practical or clinical examination, which shall be
558 the American Dental Licensing Examination produced by the
559 American Board of Dental Examiners, Inc., or its successor
560 entity, if any, that is administered in this state and graded by
561 dentists licensed in this state and employed by the department
562 for just such purpose, provided that the board has attained, and
563 continues to maintain thereafter, representation on the board of
564 directors of the American Board of Dental Examiners, the
565 examination development committee of the American Board of
566 Dental Examiners, and such other committees of the American
567 Board of Dental Examiners as the board deems appropriate by rule
568 to assure that the standards established herein are maintained
569 organizationally. A passing score on the American Dental
570 Licensing Examination administered in this state and graded by
571 dentists who are licensed in this state is valid for 365 days
572 after the date the official examination results are published.
573 2.a. As an alternative to the requirements of subparagraph
574 1., an applicant may submit scores from an American Dental
575 Licensing Examination previously administered in a jurisdiction
576 other than this state after October 1, 2011, and such
577 examination results shall be recognized as valid for the purpose
578 of licensure in this state. A passing score on the American
579 Dental Licensing Examination administered out-of-state shall be
580 the same as the passing score for the American Dental Licensing
581 Examination administered in this state and graded by dentists
582 who are licensed in this state. The examination results are
583 valid for 365 days after the date the official examination
584 results are published. The applicant must have completed the
585 examination after October 1, 2011.
586 b. This subparagraph may not be given retroactive
587 application.
588 3. If the date of an applicant’s passing American Dental
589 Licensing Examination scores from an examination previously
590 administered in a jurisdiction other than this state under
591 subparagraph 2. is older than 365 days, then such scores shall
592 nevertheless be recognized as valid for the purpose of licensure
593 in this state, but only if the applicant demonstrates that all
594 of the following additional standards have been met:
595 a.(I) The applicant completed the American Dental Licensing
596 Examination after October 1, 2011.
597 (II) This sub-subparagraph may not be given retroactive
598 application;
599 b. The applicant graduated from a dental school accredited
600 by the American Dental Association Commission on Dental
601 Accreditation or its successor entity, if any, or any other
602 dental accrediting organization recognized by the United States
603 Department of Education. Provided, however, if the applicant did
604 not graduate from such a dental school, the applicant may submit
605 proof of having successfully completed a full-time supplemental
606 general dentistry program accredited by the American Dental
607 Association Commission on Dental Accreditation of at least 2
608 consecutive academic years at such accredited sponsoring
609 institution. Such program must provide didactic and clinical
610 education at the level of a D.D.S. or D.M.D. program accredited
611 by the American Dental Association Commission on Dental
612 Accreditation;
613 c. The applicant currently possesses a valid and active
614 dental license in good standing, with no restriction, which has
615 never been revoked, suspended, restricted, or otherwise
616 disciplined, from another state or territory of the United
617 States, the District of Columbia, or the Commonwealth of Puerto
618 Rico;
619 d. The applicant submits proof that he or she has never
620 been reported to the National Practitioner Data Bank, the
621 Healthcare Integrity and Protection Data Bank, or the American
622 Association of Dental Boards Clearinghouse. This sub
623 subparagraph does not apply if the applicant successfully
624 appealed to have his or her name removed from the data banks of
625 these agencies;
626 e.(I) In the 5 years immediately preceding the date of
627 application for licensure in this state, the applicant must
628 submit proof of having been consecutively engaged in the full
629 time practice of dentistry in another state or territory of the
630 United States, the District of Columbia, or the Commonwealth of
631 Puerto Rico, or, if the applicant has been licensed in another
632 state or territory of the United States, the District of
633 Columbia, or the Commonwealth of Puerto Rico for less than 5
634 years, the applicant must submit proof of having been engaged in
635 the full-time practice of dentistry since the date of his or her
636 initial licensure.
637 (II) As used in this section, “full-time practice” is
638 defined as a minimum of 1,200 hours per year for each and every
639 year in the consecutive 5-year period or, where applicable, the
640 period since initial licensure, and must include any combination
641 of the following:
642 (A) Active clinical practice of dentistry providing direct
643 patient care.
644 (B) Full-time practice as a faculty member employed by a
645 dental or dental hygiene school approved by the board or
646 accredited by the American Dental Association Commission on
647 Dental Accreditation.
648 (C) Full-time practice as a student at a postgraduate
649 dental education program approved by the board or accredited by
650 the American Dental Association Commission on Dental
651 Accreditation.
652 (III) The board shall develop rules to determine what type
653 of proof of full-time practice is required and to recoup the
654 cost to the board of verifying full-time practice under this
655 section. Such proof must, at a minimum, be:
656 (A) Admissible as evidence in an administrative proceeding;
657 (B) Submitted in writing;
658 (C) Submitted by the applicant under oath with penalties of
659 perjury attached;
660 (D) Further documented by an affidavit of someone unrelated
661 to the applicant who is familiar with the applicant’s practice
662 and testifies with particularity that the applicant has been
663 engaged in full-time practice; and
664 (E) Specifically found by the board to be both credible and
665 admissible.
666 (IV) An affidavit of only the applicant is not acceptable
667 proof of full-time practice unless it is further attested to by
668 someone unrelated to the applicant who has personal knowledge of
669 the applicant’s practice. If the board deems it necessary to
670 assess credibility or accuracy, the board may require the
671 applicant or the applicant’s witnesses to appear before the
672 board and give oral testimony under oath;
673 f. The applicant must submit documentation that he or she
674 has completed, or will complete, prior to licensure in this
675 state, continuing education equivalent to this state’s
676 requirements for the last full reporting biennium;
677 g. The applicant must prove that he or she has never been
678 convicted of, or pled nolo contendere to, regardless of
679 adjudication, any felony or misdemeanor related to the practice
680 of a health care profession in any jurisdiction;
681 h. The applicant must successfully pass a written
682 examination on the laws and rules of this state regulating the
683 practice of dentistry and must successfully pass the computer
684 based diagnostic skills examination; and
685 i. The applicant must submit documentation that he or she
686 has successfully completed the National Board of Dental
687 Examiners dental examination.
688 Section 22. Paragraph (b) of subsection (4) and paragraph
689 (a) of subsection (6) of section 466.007, Florida Statutes, are
690 amended to read:
691 466.007 Examination of dental hygienists.—
692 (4) Effective July 1, 2012, to be licensed as a dental
693 hygienist in this state, an applicant must successfully complete
694 the following:
695 (b) A practical or clinical examination approved by the
696 board. The examination shall be the Dental Hygiene Examination
697 produced by the American Board of Dental Examiners, Inc. (ADEX)
698 or its successor entity, if any, if the board finds that the
699 successor entity’s clinical examination meets or exceeds the
700 provisions of this section. The board shall approve the ADEX
701 Dental Hygiene Examination if the board has attained and
702 continues to maintain representation on the ADEX House of
703 Representatives, the ADEX Dental Hygiene Examination Development
704 Committee, and such other ADEX Dental Hygiene committees as the
705 board deems appropriate through rulemaking to ensure that the
706 standards established in this section are maintained
707 organizationally. The ADEX Dental Hygiene Examination or the
708 examination produced by its successor entity is a comprehensive
709 examination in which an applicant must demonstrate skills within
710 the dental hygiene scope of practice on a live patient and any
711 other components that the board deems necessary for the
712 applicant to successfully demonstrate competency for the purpose
713 of licensure. The ADEX Dental Hygiene Examination or the
714 examination by the successor entity administered in this state
715 shall be graded by dentists and dental hygienists licensed in
716 this state who are employed by the department for this purpose.
717 (6)(a) A passing score on the ADEX Dental Hygiene
718 Examination administered out of state shall be considered the
719 same as a passing score for the ADEX Dental Hygiene Examination
720 administered in this state and graded by licensed dentists and
721 dental hygienists.
722 Section 23. Subsections (9) through (15) are added to
723 section 466.017, Florida Statutes, to read:
724 466.017 Prescription of drugs; anesthesia.—
725 (9) Any adverse incident that occurs in an office
726 maintained by a dentist must be reported to the department. The
727 required notification to the department must be submitted in
728 writing by certified mail and postmarked within 48 hours after
729 the incident occurs.
730 (10) A dentist practicing in this state must notify the
731 board in writing by certified mail within 48 hours of any
732 mortality or other adverse incident that occurs in the dentist’s
733 outpatient facility. A complete written report must be filed
734 with the board within 30 days after the mortality or other
735 adverse incident.
736 (11) For purposes of notification to the department
737 pursuant to this section, the term “adverse incident” means any
738 mortality that occurs during or as the result of a dental
739 procedure, or an incident that results in a temporary or
740 permanent physical or mental injury that requires
741 hospitalization or emergency room treatment of a dental patient
742 which occurred during or as a direct result of the use of
743 anesthesia, deep sedation, moderate sedation, pediatric moderate
744 sedation, oral sedation, minimal sedation(anxiolysis), nitrous
745 oxide, or local anesthesia.
746 (12) Any certified registered dental hygienist
747 administering local anesthesia must notify the board, in writing
748 by registered mail within 48 hours of any adverse incident that
749 was related to or the result of the administration of local
750 anesthesia. A complete written report must be filed with the
751 board within 30 days after the mortality or other adverse
752 incident.
753 (13) A failure by the dentist or dental hygienist to timely
754 and completely comply with all the reporting requirements in
755 this section is the basis for disciplinary action by the board
756 pursuant to s. 466.028(1).
757 (14) The department shall review each incident and
758 determine whether it involved conduct by a health care
759 professional subject to disciplinary action, in which case s.
760 456.073 applies. Disciplinary action, if any, shall be taken by
761 the board under which the health care professional is licensed.
762 (15) The board may adopt rules to administer this section.
763 Section 24. Subsection (1) of section 466.031, Florida
764 Statutes, is amended to read:
765 466.031 “Dental laboratory” defined.—The term “dental
766 laboratory” as used in this chapter:
767 (1) Includes any person, firm, or corporation who performs
768 for a fee of any kind, gratuitously, or otherwise, directly or
769 through an agent or employee, by any means or method, or who in
770 any way supplies or manufactures artificial substitutes for the
771 natural teeth, or who furnishes, supplies, constructs, or
772 reproduces or repairs any prosthetic denture, bridge, or
773 appliance to be worn in the human mouth, or who provides onsite
774 consultation during dental procedures, or who in any way holds
775 itself out as a dental laboratory.
776 Section 25. Section 466.036, Florida Statutes, is amended
777 to read:
778 466.036 Information; periodic inspections; equipment and
779 supplies.—The department may require from the applicant for a
780 registration certificate to operate a dental laboratory any
781 information necessary to carry out the purpose of this chapter,
782 including proof that the applicant has the equipment and
783 supplies necessary to operate as determined by rule of the
784 department, and shall require periodic inspection of all dental
785 laboratories operating in this state at least once each biennial
786 registration period. Such inspections shall include, but not be
787 limited to, inspection of sanitary conditions, equipment,
788 supplies, and facilities on the premises. The department shall
789 specify dental equipment and supplies that are not permitted in
790 a registered dental laboratory.
791 Section 26. Subsection (1) of section 468.701, Florida
792 Statutes, is amended to read:
793 468.701 Definitions.—As used in this part, the term:
794 (1) “Athletic trainer” means a person licensed under this
795 part who has met the requirements under this part, including
796 education requirements as set forth by the Commission on
797 Accreditation of Athletic Training Education or its successor
798 and necessary credentials from the Board of Certification. An
799 athletic trainer must work within his or her scope of practice
800 as established in the rules adopted by the board under s.
801 468.705. An individual who is licensed as an athletic trainer
802 may not otherwise provide, offer to provide, or represent that
803 he or she is qualified to provide any care or services beyond
804 his or her scope of practice, or that he or she lacks the
805 education, training, or experience to provide, or that he or she
806 is otherwise prohibited by law from providing.
807 Section 27. Section 468.707, Florida Statutes, is amended
808 to read:
809 468.707 Licensure requirements.—Any person desiring to be
810 licensed as an athletic trainer shall apply to the department on
811 a form approved by the department. An applicant shall also
812 provide records or other evidence, as determined by the board,
813 to prove he or she has met the requirements of this section. The
814 department shall license each applicant who:
815 (1) Has completed the application form and remitted the
816 required fees.
817 (2) For a person who applies on or after July 1, 2016, Has
818 submitted to background screening pursuant to s. 456.0135. The
819 board may require a background screening for an applicant whose
820 license has expired or who is undergoing disciplinary action.
821 (3)(a) Has obtained a baccalaureate or higher degree from a
822 college or university professional athletic training degree
823 program accredited by the Commission on Accreditation of
824 Athletic Training Education or its successor recognized and
825 approved by the United States Department of Education or the
826 Commission on Recognition of Postsecondary Accreditation,
827 approved by the board, or recognized by the Board of
828 Certification, and has passed the national examination to be
829 certified by the Board of Certification; or.
830 (b)(4) Has obtained, at a minimum, a bachelor’s degree and
831 has completed the Board of Certification internship requirements
832 and If graduated before 2004, has a current certification from
833 the Board of Certification.
834 (4)(5) Has current certification in both cardiopulmonary
835 resuscitation and the use of an automated external defibrillator
836 set forth in the continuing education requirements as determined
837 by the board pursuant to s. 468.711.
838 (5)(6) Has completed any other requirements as determined
839 by the department and approved by the board.
840 Section 28. Subsection (3) of section 468.711, Florida
841 Statutes, is amended to read:
842 468.711 Renewal of license; continuing education.—
843 (3) If initially licensed after January 1, 1998, the
844 licensee must be currently certified by the Board of
845 Certification or its successor agency and maintain that
846 certification in good standing without lapse.
847 Section 29. Subsection (2) of section 468.723, Florida
848 Statutes, is amended to read:
849 468.723 Exemptions.—This part does not prevent or restrict:
850 (2) An athletic training student acting under the direct
851 supervision of a licensed athletic trainer. For purposes of this
852 subsection, “direct supervision” means the physical presence of
853 an athletic trainer so that the athletic trainer is immediately
854 available to the athletic training student and able to intervene
855 on behalf of the athletic training student. The supervision must
856 be in accordance with rules adopted by the board the standards
857 set forth by the Commission on Accreditation of Athletic
858 Training Education or its successor.
859 Section 30. Subsections (1), (3), and (4) of section
860 468.803, Florida Statutes, are amended to read:
861 468.803 License, registration, and examination
862 requirements.—
863 (1) The department shall issue a license to practice
864 orthotics, prosthetics, or pedorthics, or a registration for a
865 resident to practice orthotics or prosthetics, to qualified
866 applicants. Licenses shall be granted independently in
867 orthotics, prosthetics, or pedorthics, but a person may be
868 licensed in more than one such discipline, and a prosthetist
869 orthotist license may be granted to persons meeting the
870 requirements for both a prosthetist and an orthotist license.
871 Registrations shall be granted independently in orthotics or
872 prosthetics, and a person may be registered in both fields at
873 the same time or jointly in orthotics and prosthetics as a dual
874 registration.
875 (3) A person seeking to attain the required orthotics or
876 prosthetics experience in this state must be approved by the
877 board and registered as a resident by the department. Although a
878 registration may be held in both practice fields, for
879 independent registrations, the board shall not approve a second
880 registration until at least 1 year after the issuance of the
881 first registration. Notwithstanding subsection (2), an applicant
882 for independent registrations who has been approved by the board
883 and registered by the department in one practice field may apply
884 for registration in the second practice field without an
885 additional state or national criminal history check during the
886 period in which the first registration is valid. Each
887 independent registration or dual registration is valid for 2
888 years from the date of issuance unless otherwise revoked by the
889 department upon recommendation of the board. The board shall set
890 a registration fee not to exceed $500 to be paid by the
891 applicant. A registration may be renewed once by the department
892 upon recommendation of the board for a period no longer than 1
893 year, as such renewal is defined by the board by rule. The
894 registration renewal fee shall not exceed one-half the current
895 registration fee. To be considered by the board for approval of
896 registration as a resident, the applicant must have:
897 (a) A Bachelor of Science or higher-level postgraduate
898 degree in Orthotics and Prosthetics from a regionally accredited
899 college or university recognized by the Commission on
900 Accreditation of Allied Health Education Programs or, at a
901 minimum, a bachelor’s degree from a regionally accredited
902 college or university and a certificate in orthotics from a
903 program recognized by the Commission on Accreditation of Allied
904 Health Education Programs, or its equivalent, as determined by
905 the board; or
906 (b) A Bachelor of Science or higher-level postgraduate
907 degree in Orthotics and Prosthetics from a regionally accredited
908 college or university recognized by the Commission on
909 Accreditation of Allied Health Education Programs or, at a
910 minimum, a bachelor’s degree from a regionally accredited
911 college or university and a certificate in prosthetics from a
912 program recognized by the Commission on Accreditation of Allied
913 Health Education Programs, or its equivalent, as determined by
914 the board; or
915 (c) A Bachelor of Science or higher-level postgraduate
916 degree in Orthotics and Prosthetics from a regionally accredited
917 college or university recognized by the Commission on
918 Accreditation of Allied Health Education Programs or, at a
919 minimum, a bachelor’s degree from a regionally accredited
920 college or university and a dual certificate in both orthotics
921 and prosthetics from a program recognized by the Commission on
922 Accreditation of Allied Health Education Programs, or its
923 equivalent, as determined by the board.
924 (4) The department may develop and administer a state
925 examination for an orthotist or a prosthetist license, or the
926 board may approve the existing examination of a national
927 standards organization. The examination must be predicated on a
928 minimum of a baccalaureate-level education and formalized
929 specialized training in the appropriate field. Each examination
930 must demonstrate a minimum level of competence in basic
931 scientific knowledge, written problem solving, and practical
932 clinical patient management. The board shall require an
933 examination fee not to exceed the actual cost to the board in
934 developing, administering, and approving the examination, which
935 fee must be paid by the applicant. To be considered by the board
936 for examination, the applicant must have:
937 (a) For an examination in orthotics:
938 1. A Bachelor of Science or higher-level postgraduate
939 degree in Orthotics and Prosthetics from a regionally accredited
940 college or university recognized by the Commission on
941 Accreditation of Allied Health Education Programs or, at a
942 minimum, a bachelor’s degree from a regionally accredited
943 college or university and a certificate in orthotics from a
944 program recognized by the Commission on Accreditation of Allied
945 Health Education Programs, or its equivalent, as determined by
946 the board; and
947 2. An approved orthotics internship of 1 year of qualified
948 experience, as determined by the board, or an orthotic residency
949 program or a dual residency program recognized by the board.
950 (b) For an examination in prosthetics:
951 1. A Bachelor of Science or higher-level postgraduate
952 degree in Orthotics and Prosthetics from a regionally accredited
953 college or university recognized by the Commission on
954 Accreditation of Allied Health Education Programs or, at a
955 minimum, a bachelor’s degree from a regionally accredited
956 college or university and a certificate in prosthetics from a
957 program recognized by the Commission on Accreditation of Allied
958 Health Education Programs, or its equivalent, as determined by
959 the board; and
960 2. An approved prosthetics internship of 1 year of
961 qualified experience, as determined by the board, or a
962 prosthetic residency program or dual residency program
963 recognized by the board.
964 Section 31. Subsection (5) of section 480.033, Florida
965 Statutes, is amended to read:
966 480.033 Definitions.—As used in this act:
967 (5) “Apprentice” means a person approved by the board to
968 study colonic irrigation massage under the instruction of a
969 licensed massage therapist practicing colonic irrigation.
970 Section 32. Subsections (1) and (2) of section 480.041,
971 Florida Statutes, are amended, and subsection (8) is added to
972 that section, to read:
973 480.041 Massage therapists; qualifications; licensure;
974 endorsement.—
975 (1) Any person is qualified for licensure as a massage
976 therapist under this act who:
977 (a) Is at least 18 years of age or has received a high
978 school diploma or high school equivalency diploma;
979 (b) Has completed a course of study at a board-approved
980 massage school or has completed an apprenticeship program that
981 meets standards adopted by the board; and
982 (c) Has received a passing grade on a national an
983 examination designated administered by the board department.
984 (2) Every person desiring to be examined for licensure as a
985 massage therapist shall apply to the department in writing upon
986 forms prepared and furnished by the department. Such applicants
987 shall be subject to the provisions of s. 480.046(1). Applicants
988 may take an examination administered by the department only upon
989 meeting the requirements of this section as determined by the
990 board.
991 (8) A person issued a license as a massage apprentice
992 before July 1, 2018, may continue that apprenticeship and
993 perform massage therapy as authorized under that license until
994 its expiration. Upon completion of the apprenticeship, before
995 July 1, 2021, a massage apprentice may apply to the board for
996 full licensure and be granted a license if all other applicable
997 licensure requirements are met.
998 Section 33. Section 480.042, Florida Statutes, is repealed.
999 Section 34. Subsection (3) of section 480.046, Florida
1000 Statutes, is amended, and subsection (5) is added to that
1001 section, to read:
1002 480.046 Grounds for disciplinary action by the board.—
1003 (3) The board may shall have the power to revoke or suspend
1004 the license of a massage establishment licensed under this act,
1005 or to deny subsequent licensure of such an establishment, if the
1006 establishment is owned by an individual or entity who has had a
1007 prior establishment license revoked, in any either of the
1008 following cases:
1009 (a) Upon proof that a license has been obtained by fraud or
1010 misrepresentation.
1011 (b) Upon proof that the holder of a license is guilty of
1012 fraud or deceit or of gross negligence, incompetency, or
1013 misconduct in the operation of the establishment so licensed.
1014 (c) Upon proof that the owner of the massage establishment
1015 or any individual or individuals providing massage therapy
1016 services within the establishment, in the aggregate or
1017 individually, have had three convictions of, or pleas of guilty
1018 or nolo contendere to, or dismissals of a criminal action after
1019 a successful completion of a pretrial intervention, diversion,
1020 or substance abuse program for any misdemeanor or felony,
1021 regardless of adjudication, a crime in any jurisdiction related
1022 to prostitution and related acts as defined in s. 796.07, which
1023 occurred at or within the establishment.
1024 (5) An establishment may not apply for relicensure if
1025 disciplined under this section unless there is a change in
1026 ownership.
1027 Section 35. Subsection (3) of section 490.003, Florida
1028 Statutes, is amended to read:
1029 490.003 Definitions.—As used in this chapter:
1030 (3)(a) Prior to July 1, 1999, “doctoral-level psychological
1031 education” and “doctoral degree in psychology” mean a Psy.D., an
1032 Ed.D. in psychology, or a Ph.D. in psychology from:
1033 1. An educational institution which, at the time the
1034 applicant was enrolled and graduated, had institutional
1035 accreditation from an agency recognized and approved by the
1036 United States Department of Education or was recognized as a
1037 member in good standing with the Association of Universities and
1038 Colleges of Canada; and
1039 2. A psychology program within that educational institution
1040 which, at the time the applicant was enrolled and graduated, had
1041 programmatic accreditation from an accrediting agency recognized
1042 and approved by the United States Department of Education or was
1043 comparable to such programs.
1044 (b) Effective July 1, 1999, “doctoral-level psychological
1045 education” and “doctoral degree in psychology” mean a Psy.D., an
1046 Ed.D. in psychology, or a Ph.D. in psychology from:
1047 (a)1. An educational institution that which, at the time
1048 the applicant was enrolled and graduated, had institutional
1049 accreditation from an agency recognized and approved by the
1050 United States Department of Education or was recognized as a
1051 member in good standing with the Association of Universities and
1052 Colleges of Canada; and
1053 (b)2. A psychology program within that educational
1054 institution which, at the time the applicant was enrolled and
1055 graduated, had programmatic accreditation from the American
1056 Psychological Association an agency recognized and approved by
1057 the United States Department of Education.
1058 Section 36. Paragraph (b) of subsection (1) and paragraph
1059 (b) of subsection (2) of section 490.005, Florida Statutes, are
1060 amended to read:
1061 490.005 Licensure by examination.—
1062 (1) Any person desiring to be licensed as a psychologist
1063 shall apply to the department to take the licensure examination.
1064 The department shall license each applicant who the board
1065 certifies has:
1066 (b) Submitted proof satisfactory to the board that the
1067 applicant has:
1068 1. Received doctoral-level psychological education, as
1069 defined in s. 490.003(3); or
1070 2. Received the equivalent of a doctoral-level
1071 psychological education, as defined in s. 490.003(3), from a
1072 program at a school or university located outside the United
1073 States of America and Canada, which was officially recognized by
1074 the government of the country in which it is located as an
1075 institution or program to train students to practice
1076 professional psychology. The burden of establishing that the
1077 requirements of this provision have been met shall be upon the
1078 applicant;
1079 3. Received and submitted to the board, prior to July 1,
1080 1999, certification of an augmented doctoral-level psychological
1081 education from the program director of a doctoral-level
1082 psychology program accredited by a programmatic agency
1083 recognized and approved by the United States Department of
1084 Education; or
1085 4. Received and submitted to the board, prior to August 31,
1086 2001, certification of a doctoral-level program that at the time
1087 the applicant was enrolled and graduated maintained a standard
1088 of education and training comparable to the standard of training
1089 of programs accredited by a programmatic agency recognized and
1090 approved by the United States Department of Education. Such
1091 certification of comparability shall be provided by the program
1092 director of a doctoral-level psychology program accredited by a
1093 programmatic agency recognized and approved by the United States
1094 Department of Education.
1095 (2) Any person desiring to be licensed as a school
1096 psychologist shall apply to the department to take the licensure
1097 examination. The department shall license each applicant who the
1098 department certifies has:
1099 (b) Submitted satisfactory proof to the department that the
1100 applicant:
1101 1. Has received a doctorate, specialist, or equivalent
1102 degree from a program primarily psychological in nature and has
1103 completed 60 semester hours or 90 quarter hours of graduate
1104 study, in areas related to school psychology as defined by rule
1105 of the department, from a college or university which at the
1106 time the applicant was enrolled and graduated was accredited by
1107 an accrediting agency recognized and approved by the Council for
1108 Higher Education Accreditation, its successor, Commission on
1109 Recognition of Postsecondary Accreditation or an institution
1110 which is publicly recognized as a member in good standing with
1111 the Association of Universities and Colleges of Canada.
1112 2. Has had a minimum of 3 years of experience in school
1113 psychology, 2 years of which must be supervised by an individual
1114 who is a licensed school psychologist or who has otherwise
1115 qualified as a school psychologist supervisor, by education and
1116 experience, as set forth by rule of the department. A doctoral
1117 internship may be applied toward the supervision requirement.
1118 3. Has passed an examination provided by the department.
1119 Section 37. Subsection (1) of section 490.006, Florida
1120 Statutes, is amended to read:
1121 490.006 Licensure by endorsement.—
1122 (1) The department shall license a person as a psychologist
1123 or school psychologist who, upon applying to the department and
1124 remitting the appropriate fee, demonstrates to the department
1125 or, in the case of psychologists, to the board that the
1126 applicant:
1127 (a) Holds a valid license or certificate in another state
1128 to practice psychology or school psychology, as applicable,
1129 provided that, when the applicant secured such license or
1130 certificate, the requirements were substantially equivalent to
1131 or more stringent than those set forth in this chapter at that
1132 time; and, if no Florida law existed at that time, then the
1133 requirements in the other state must have been substantially
1134 equivalent to or more stringent than those set forth in this
1135 chapter at the present time;
1136 (a)(b) Is a diplomate in good standing with the American
1137 Board of Professional Psychology, Inc.; or
1138 (b)(c) Possesses a doctoral degree in psychology as
1139 described in s. 490.003 and has at least 10 20 years of
1140 experience as a licensed psychologist in any jurisdiction or
1141 territory of the United States within 25 years preceding the
1142 date of application.
1143 Section 38. Subsection (6) of section 491.0045, Florida
1144 Statutes, as amended by chapter 2016-80 and chapter 2016-241,
1145 Laws of Florida, is amended to read:
1146 491.0045 Intern registration; requirements.—
1147 (6) A registration issued on or before March 31, 2017,
1148 expires March 31, 2022, and may not be renewed or reissued. Any
1149 registration issued after March 31, 2017, expires 60 months
1150 after the date it is issued. The board may make a one-time
1151 exception from the requirements of this section in emergency or
1152 hardship cases, as defined by board rule, if A subsequent intern
1153 registration may not be issued unless the candidate has passed
1154 the theory and practice examination described in s.
1155 491.005(1)(d), (3)(d), and (4)(d).
1156 Section 39. Subsections (3) and (4) of section 491.005,
1157 Florida Statutes, are amended to read:
1158 491.005 Licensure by examination.—
1159 (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of
1160 documentation and payment of a fee not to exceed $200, as set by
1161 board rule, plus the actual cost to the department for the
1162 purchase of the examination from the Association of Marital and
1163 Family Therapy Regulatory Board, or similar national
1164 organization, the department shall issue a license as a marriage
1165 and family therapist to an applicant who the board certifies:
1166 (a) Has submitted an application and paid the appropriate
1167 fee.
1168 (b)1. Has a minimum of a master’s degree with major
1169 emphasis in marriage and family therapy from a program
1170 accredited by the Commission on Accreditation for Marriage and
1171 Family Therapy Education or from a Florida university program
1172 accredited by the Council for Accreditation of Counseling and
1173 Related Educational Programs, or a closely related field, and
1174 has completed graduate courses approved by the Board of Clinical
1175 Social Work, Marriage and Family Therapy, and Mental Health
1176 Counseling. has completed all of the following requirements:
1177 a. Thirty-six semester hours or 48 quarter hours of
1178 graduate coursework, which must include a minimum of 3 semester
1179 hours or 4 quarter hours of graduate-level course credits in
1180 each of the following nine areas: dynamics of marriage and
1181 family systems; marriage therapy and counseling theory and
1182 techniques; family therapy and counseling theory and techniques;
1183 individual human development theories throughout the life cycle;
1184 personality theory or general counseling theory and techniques;
1185 psychopathology; human sexuality theory and counseling
1186 techniques; psychosocial theory; and substance abuse theory and
1187 counseling techniques. Courses in research, evaluation,
1188 appraisal, assessment, or testing theories and procedures;
1189 thesis or dissertation work; or practicums, internships, or
1190 fieldwork may not be applied toward this requirement.
1191 b. A minimum of one graduate-level course of 3 semester
1192 hours or 4 quarter hours in legal, ethical, and professional
1193 standards issues in the practice of marriage and family therapy
1194 or a course determined by the board to be equivalent.
1195 c. A minimum of one graduate-level course of 3 semester
1196 hours or 4 quarter hours in diagnosis, appraisal, assessment,
1197 and testing for individual or interpersonal disorder or
1198 dysfunction; and a minimum of one 3-semester-hour or 4-quarter
1199 hour graduate-level course in behavioral research which focuses
1200 on the interpretation and application of research data as it
1201 applies to clinical practice. Credit for thesis or dissertation
1202 work, practicums, internships, or fieldwork may not be applied
1203 toward this requirement.
1204 d. A minimum of one supervised clinical practicum,
1205 internship, or field experience in a marriage and family
1206 counseling setting, during which the student provided 180 direct
1207 client contact hours of marriage and family therapy services
1208 under the supervision of an individual who met the requirements
1209 for supervision under paragraph (c). This requirement may be met
1210 by a supervised practice experience which took place outside the
1211 academic arena, but which is certified as equivalent to a
1212 graduate-level practicum or internship program which required a
1213 minimum of 180 direct client contact hours of marriage and
1214 family therapy services currently offered within an academic
1215 program of a college or university accredited by an accrediting
1216 agency approved by the United States Department of Education, or
1217 an institution which is publicly recognized as a member in good
1218 standing with the Association of Universities and Colleges of
1219 Canada or a training institution accredited by the Commission on
1220 Accreditation for Marriage and Family Therapy Education
1221 recognized by the United States Department of Education.
1222 Certification shall be required from an official of such
1223 college, university, or training institution.
1224 2. If the course title which appears on the applicant’s
1225 transcript does not clearly identify the content of the
1226 coursework, the applicant shall be required to provide
1227 additional documentation, including, but not limited to, a
1228 syllabus or catalog description published for the course.
1229
1230 The required master’s degree must have been received in an
1231 institution of higher education which at the time the applicant
1232 graduated was: fully accredited by a regional accrediting body
1233 recognized by the Commission on Recognition of Postsecondary
1234 Accreditation; publicly recognized as a member in good standing
1235 with the Association of Universities and Colleges of Canada; or
1236 an institution of higher education located outside the United
1237 States and Canada, which at the time the applicant was enrolled
1238 and at the time the applicant graduated maintained a standard of
1239 training substantially equivalent to the standards of training
1240 of those institutions in the United States which are accredited
1241 by a regional accrediting body recognized by the Commission on
1242 Recognition of Postsecondary Accreditation. Such foreign
1243 education and training must have been received in an institution
1244 or program of higher education officially recognized by the
1245 government of the country in which it is located as an
1246 institution or program to train students to practice as
1247 professional marriage and family therapists or psychotherapists.
1248 The burden of establishing that the requirements of this
1249 provision have been met shall be upon the applicant, and the
1250 board shall require documentation, such as, but not limited to,
1251 an evaluation by a foreign equivalency determination service, as
1252 evidence that the applicant’s graduate degree program and
1253 education were equivalent to an accredited program in this
1254 country. An applicant with a master’s degree from a program
1255 which did not emphasize marriage and family therapy may complete
1256 the coursework requirement in a training institution fully
1257 accredited by the Commission on Accreditation for Marriage and
1258 Family Therapy Education recognized by the United States
1259 Department of Education.
1260 (c) Has had at least 2 years of clinical experience during
1261 which 50 percent of the applicant’s clients were receiving
1262 marriage and family therapy services, which must be at the post
1263 master’s level under the supervision of a licensed marriage and
1264 family therapist with at least 5 years of experience, or the
1265 equivalent, who is a qualified supervisor as determined by the
1266 board. An individual who intends to practice in Florida to
1267 satisfy the clinical experience requirements must register
1268 pursuant to s. 491.0045 before commencing practice. If a
1269 graduate has a master’s degree with a major emphasis in marriage
1270 and family therapy or a closely related field that did not
1271 include all the coursework required under subparagraph (b)1.
1272 sub-subparagraphs (b)1.a.-c., credit for the post-master’s level
1273 clinical experience shall not commence until the applicant has
1274 completed a minimum of 10 of the courses required under
1275 subparagraph (b)1. sub-subparagraphs (b)1.a.-c., as determined
1276 by the board, and at least 6 semester hours or 9 quarter hours
1277 of the course credits must have been completed in the area of
1278 marriage and family systems, theories, or techniques. Within the
1279 2 3 years of required experience, the applicant shall provide
1280 direct individual, group, or family therapy and counseling, to
1281 include the following categories of cases: unmarried dyads,
1282 married couples, separating and divorcing couples, and family
1283 groups including children. A doctoral internship may be applied
1284 toward the clinical experience requirement. A licensed mental
1285 health professional must be on the premises when clinical
1286 services are provided by a registered intern in a private
1287 practice setting.
1288 (d) Has passed a theory and practice examination provided
1289 by the department for this purpose.
1290 (e) Has demonstrated, in a manner designated by rule of the
1291 board, knowledge of the laws and rules governing the practice of
1292 clinical social work, marriage and family therapy, and mental
1293 health counseling.
1294 (f) For the purposes of dual licensure, the department
1295 shall license as a marriage and family therapist any person who
1296 meets the requirements of s. 491.0057. Fees for dual licensure
1297 shall not exceed those stated in this subsection.
1298 (4) MENTAL HEALTH COUNSELING.—Upon verification of
1299 documentation and payment of a fee not to exceed $200, as set by
1300 board rule, plus the actual per applicant cost to the department
1301 for purchase of the examination from the National Board for
1302 Certified Counselors or its successor Professional Examination
1303 Service for the National Academy of Certified Clinical Mental
1304 Health Counselors or a similar national organization, the
1305 department shall issue a license as a mental health counselor to
1306 an applicant who the board certifies:
1307 (a) Has submitted an application and paid the appropriate
1308 fee.
1309 (b)1. Has a minimum of an earned master’s degree from a
1310 mental health counseling program accredited by the Council for
1311 the Accreditation of Counseling and Related Educational Programs
1312 that consists of at least 60 semester hours or 80 quarter hours
1313 of clinical and didactic instruction, including a course in
1314 human sexuality and a course in substance abuse. If the master’s
1315 degree is earned from a program related to the practice of
1316 mental health counseling that is not accredited by the Council
1317 for the Accreditation of Counseling and Related Educational
1318 Programs, then the coursework and practicum, internship, or
1319 fieldwork must consist of at least 60 semester hours or 80
1320 quarter hours and meet the following requirements:
1321 a. Thirty-three semester hours or 44 quarter hours of
1322 graduate coursework, which must include a minimum of 3 semester
1323 hours or 4 quarter hours of graduate-level coursework in each of
1324 the following 11 content areas: counseling theories and
1325 practice; human growth and development; diagnosis and treatment
1326 of psychopathology; human sexuality; group theories and
1327 practice; individual evaluation and assessment; career and
1328 lifestyle assessment; research and program evaluation; social
1329 and cultural foundations; counseling in community settings; and
1330 substance abuse; and legal, ethical, and professional standards
1331 issues in the practice of mental health counseling. Courses in
1332 research, thesis or dissertation work, practicums, internships,
1333 or fieldwork may not be applied toward this requirement.
1334 b. A minimum of 3 semester hours or 4 quarter hours of
1335 graduate-level coursework addressing diagnostic processes,
1336 including differential diagnosis and the use of the current
1337 diagnostic tools, such as the current edition of the American
1338 Psychiatric Association’s Diagnostic and Statistical Manual of
1339 Mental Disorders. The graduate program must have emphasized the
1340 common core curricular experience in legal, ethical, and
1341 professional standards issues in the practice of mental health
1342 counseling, which includes goals, objectives, and practices of
1343 professional counseling organizations, codes of ethics, legal
1344 considerations, standards of preparation, certifications and
1345 licensing, and the role identity and professional obligations of
1346 mental health counselors. Courses in research, thesis or
1347 dissertation work, practicums, internships, or fieldwork may not
1348 be applied toward this requirement.
1349 c. The equivalent, as determined by the board, of at least
1350 700 1,000 hours of university-sponsored supervised clinical
1351 practicum, internship, or field experience that includes at
1352 least 280 hours of direct client services, as required in the
1353 accrediting standards of the Council for Accreditation of
1354 Counseling and Related Educational Programs for mental health
1355 counseling programs. This experience may not be used to satisfy
1356 the post-master’s clinical experience requirement.
1357 2. If the course title which appears on the applicant’s
1358 transcript does not clearly identify the content of the
1359 coursework, the applicant shall be required to provide
1360 additional documentation, including, but not limited to, a
1361 syllabus or catalog description published for the course.
1362
1363 Education and training in mental health counseling must have
1364 been received in an institution of higher education which at the
1365 time the applicant graduated was: fully accredited by a regional
1366 accrediting body recognized by the Council for Higher Education
1367 or its successor Commission on Recognition of Postsecondary
1368 Accreditation; publicly recognized as a member in good standing
1369 with the Association of Universities and Colleges of Canada; or
1370 an institution of higher education located outside the United
1371 States and Canada, which at the time the applicant was enrolled
1372 and at the time the applicant graduated maintained a standard of
1373 training substantially equivalent to the standards of training
1374 of those institutions in the United States which are accredited
1375 by a regional accrediting body recognized by the Council for
1376 Higher Education or its successor Commission on Recognition of
1377 Postsecondary Accreditation. Such foreign education and training
1378 must have been received in an institution or program of higher
1379 education officially recognized by the government of the country
1380 in which it is located as an institution or program to train
1381 students to practice as mental health counselors. The burden of
1382 establishing that the requirements of this provision have been
1383 met shall be upon the applicant, and the board shall require
1384 documentation, such as, but not limited to, an evaluation by a
1385 foreign equivalency determination service, as evidence that the
1386 applicant’s graduate degree program and education were
1387 equivalent to an accredited program in this country. Beginning
1388 July 1, 2024, an applicant must have a master’s degree that is
1389 accredited by the Council for Accreditation of Counseling and
1390 Related Educational Programs which consists of at least 60
1391 semester hours or 80 quarter hours to apply for licensure under
1392 this paragraph.
1393 (c) Has had at least 2 years of clinical experience in
1394 mental health counseling, which must be at the post-master’s
1395 level under the supervision of a licensed mental health
1396 counselor or the equivalent who is a qualified supervisor as
1397 determined by the board. An individual who intends to practice
1398 in Florida to satisfy the clinical experience requirements must
1399 register pursuant to s. 491.0045 before commencing practice. If
1400 a graduate has a master’s degree with a major related to the
1401 practice of mental health counseling that did not include all
1402 the coursework required under sub-subparagraphs (b)1.a.-b.,
1403 credit for the post-master’s level clinical experience shall not
1404 commence until the applicant has completed a minimum of seven of
1405 the courses required under sub-subparagraphs (b)1.a.-b., as
1406 determined by the board, one of which must be a course in
1407 psychopathology or abnormal psychology. A doctoral internship
1408 may be applied toward the clinical experience requirement. A
1409 licensed mental health professional must be on the premises when
1410 clinical services are provided by a registered intern in a
1411 private practice setting.
1412 (d) Has passed a theory and practice examination provided
1413 by the department for this purpose.
1414 (e) Has demonstrated, in a manner designated by rule of the
1415 board, knowledge of the laws and rules governing the practice of
1416 clinical social work, marriage and family therapy, and mental
1417 health counseling.
1418 Section 40. Paragraph (b) of subsection (1) of section
1419 491.006, Florida Statutes, is amended to read:
1420 491.006 Licensure or certification by endorsement.—
1421 (1) The department shall license or grant a certificate to
1422 a person in a profession regulated by this chapter who, upon
1423 applying to the department and remitting the appropriate fee,
1424 demonstrates to the board that he or she:
1425 (b)1. Holds an active valid license to practice and has
1426 actively practiced the profession for which licensure is applied
1427 in another state for 3 of the last 5 years immediately preceding
1428 licensure.
1429 2. Meets the education requirements of this chapter for the
1430 profession for which licensure is applied.
1431 2.3. Has passed a substantially equivalent licensing
1432 examination in another state or has passed the licensure
1433 examination in this state in the profession for which the
1434 applicant seeks licensure.
1435 3.4. Holds a license in good standing, is not under
1436 investigation for an act that would constitute a violation of
1437 this chapter, and has not been found to have committed any act
1438 that would constitute a violation of this chapter. The fees paid
1439 by any applicant for certification as a master social worker
1440 under this section are nonrefundable.
1441 Section 41. Subsection (3) of section 491.007, Florida
1442 Statutes, is amended to read:
1443 491.007 Renewal of license, registration, or certificate.—
1444 (3) The board or department shall prescribe by rule a
1445 method for the biennial renewal of an intern registration at a
1446 fee set by rule, not to exceed $100.
1447 Section 42. Subsection (2) of section 491.009, Florida
1448 Statutes, is amended to read:
1449 491.009 Discipline.—
1450 (2) The board department, or, in the case of certified
1451 master social workers psychologists, the department board, may
1452 enter an order denying licensure or imposing any of the
1453 penalties in s. 456.072(2) against any applicant for licensure
1454 or licensee who is found guilty of violating any provision of
1455 subsection (1) of this section or who is found guilty of
1456 violating any provision of s. 456.072(1).
1457 Section 43. Subsection (3) of section 463.0057, Florida
1458 Statutes, is amended to read:
1459 463.0057 Optometric faculty certificate.—
1460 (3) The holder of a faculty certificate may engage in the
1461 practice of optometry as permitted by this section but may not
1462 administer or prescribe topical ocular pharmaceutical agents
1463 unless the certificateholder has satisfied the requirements of
1464 s. 463.006(1)(b)3. and 4. s. 463.006(1)(b)4. and 5. If a
1465 certificateholder wishes to administer or prescribe oral ocular
1466 pharmaceutical agents, the certificateholder must also satisfy
1467 the requirements of s. 463.0055(1)(b).
1468 Section 44. Paragraph (c) of subsection (2) of section
1469 491.0046, Florida Statutes, is amended to read:
1470 491.0046 Provisional license; requirements.—
1471 (2) The department shall issue a provisional clinical
1472 social worker license, provisional marriage and family therapist
1473 license, or provisional mental health counselor license to each
1474 applicant who the board certifies has:
1475 (c) Has met the following minimum coursework requirements:
1476 1. For clinical social work, a minimum of 15 semester hours
1477 or 22 quarter hours of the coursework required by s.
1478 491.005(1)(b)2.b.
1479 2. For marriage and family therapy, 10 of the courses
1480 required by s. 491.005(3)(b)1. s. 491.005(3)(b)1.a.-c., as
1481 determined by the board, and at least 6 semester hours or 9
1482 quarter hours of the course credits must have been completed in
1483 the area of marriage and family systems, theories, or
1484 techniques.
1485 3. For mental health counseling, a minimum of seven of the
1486 courses required under s. 491.005(4)(b)1.a.-c.
1487 Section 45. Subsection (11) of section 945.42, Florida
1488 Statutes, is amended to read:
1489 945.42 Definitions; ss. 945.40-945.49.—As used in ss.
1490 945.40-945.49, the following terms shall have the meanings
1491 ascribed to them, unless the context shall clearly indicate
1492 otherwise:
1493 (11) “Psychological professional” means a behavioral
1494 practitioner who has an approved doctoral degree in psychology
1495 as defined in s. 490.003(3) s. 490.003(3)(b) and is employed by
1496 the department or who is licensed as a psychologist pursuant to
1497 chapter 490.
1498 Section 46. This act shall take effect July 1, 2018.
1499
1500 ================= T I T L E A M E N D M E N T ================
1501 And the title is amended as follows:
1502 Delete everything before the enacting clause
1503 and insert:
1504 A bill to be entitled
1505 An act relating to the Department of Health; amending
1506 s. 381.4018, F.S.; requiring the department to adopt
1507 any rules necessary to implement a specified federal
1508 program to further encourage qualified physicians to
1509 relocate to and practice in underserved areas;
1510 amending s. 456.013, F.S.; revising health care
1511 practitioner licensure application requirements;
1512 amending s. 456.024, F.S.; revising health care
1513 practitioner licensure eligibility for certain members
1514 of the armed forces and their spouses to include
1515 licensed dentists; removing a provision requiring a
1516 certain applicant issued a temporary professional
1517 license to practice as a dentist to practice under
1518 supervision; amending s. 458.309, F.S.; deleting a
1519 provision requiring certain physicians to register an
1520 office with the department; removing departmental
1521 responsibilities; amending s. 458.3312, F.S.; removing
1522 a provision prohibiting a physician from holding
1523 himself or herself out as a board-certified specialist
1524 in dermatology unless the recognizing agency is
1525 reviewed and reauthorized on a specified basis by the
1526 Board of Medicine; amending ss. 458.347 and 459.022,
1527 F.S.; revising provisions requiring employed physician
1528 assistants to provide and report certain information
1529 to the department; revising requirements relating to
1530 designated supervising physicians; amending s.
1531 460.408, F.S.; defining the term “contact classroom
1532 hour”; revising provisions relating to continuing
1533 chiropractic education requirements; repealing s.
1534 460.4166, F.S., relating to registered chiropractic
1535 assistants; amending s. 463.006, F.S.; revising
1536 examination requirements for the licensure and
1537 certification of optometrists; creating s. 463.0061,
1538 F.S.; authorizing licensure of optometrists by
1539 endorsement and providing requirements therefor;
1540 defining the term “active licensed practice of
1541 optometry”; amending s. 464.006, F.S.; authorizing the
1542 Board of Nursing to establish certain standards of
1543 care; amending s. 464.202, F.S.; requiring the board
1544 to adopt by rule discipline and standards of care for
1545 certified nursing assistants; amending s. 464.203,
1546 F.S.; revising certification requirements for nursing
1547 assistants; amending s. 464.204, F.S.; revising
1548 grounds for board-imposed disciplinary sanctions;
1549 amending s. 465.019, F.S.; requiring an institutional
1550 pharmacy to pass an onsite inspection by the
1551 department within a specified time before the issuance
1552 of an initial permit or a permit for change of
1553 location; amending s. 465.0193, F.S.; requiring a
1554 nuclear pharmacy to pass an onsite inspection by the
1555 department within a specified time before issuance of
1556 an initial permit or a permit for change of location;
1557 creating s. 465.0195, F.S.; requiring certain
1558 pharmacies and outsourcing facilities located in this
1559 state to obtain a permit in order to create, ship,
1560 mail, deliver, or dispense compounded sterile
1561 products; providing application requirements;
1562 providing inspection requirements; providing permit
1563 requirements; authorizing the Board of Pharmacy to
1564 adopt certain rules; providing applicability; amending
1565 s. 465.0196, F.S.; requiring a special pharmacy to
1566 pass an onsite inspection by the department within a
1567 specified time before the issuance of an initial
1568 permit or a permit for change of location; amending s.
1569 465.0197, F.S.; requiring an Internet pharmacy to pass
1570 an onsite inspection by the department within a
1571 specified time before the issuance of an initial
1572 permit or a permit for change of location; amending s.
1573 466.006, F.S.; revising certain requirements for
1574 examinations to be completed by applicants seeking
1575 dental licensure; amending s. 466.007, F.S.; revising
1576 requirements for examinations of dental hygienists;
1577 amending s. 466.017, F.S.; providing adverse incident
1578 reporting requirements; defining the term “adverse
1579 incident”; providing for disciplinary action by the
1580 Board of Dentistry; authorizing the board to adopt
1581 rules; amending s. 466.031, F.S.; expanding the
1582 definition of the term “dental laboratory” to include
1583 any person who performs an onsite consultation during
1584 dental procedures; amending s. 466.036, F.S.;
1585 requiring the periodic inspection of dental
1586 laboratories at least once during a specified period;
1587 amending s. 468.701, F.S.; revising a definition;
1588 amending s. 468.707, F.S.; revising athletic trainer
1589 licensure requirements; amending s. 468.711, F.S.;
1590 revising requirements for the renewal of a license
1591 relating to continuing education; amending s. 468.723,
1592 F.S.; revising a definition; amending s. 468.803,
1593 F.S.; revising orthotic, prosthetic, and pedorthic
1594 licensure, registration, and examination requirements;
1595 amending s. 480.033, F.S.; revising a definition;
1596 amending s. 480.041, F.S.; revising qualifications for
1597 licensure as a massage therapist; specifying that a
1598 massage apprentice who was licensed before a specified
1599 date may continue to perform massage therapy as
1600 authorized under his or her license; authorizing a
1601 massage apprentice to apply for full licensure upon
1602 completion of the apprenticeship under certain
1603 conditions; repealing s. 480.042, F.S., relating to
1604 examinations; amending s. 480.046, F.S.; revising
1605 instances under which disciplinary action may be taken
1606 against massage establishments; prohibiting a certain
1607 disciplined massage establishment from applying for
1608 relicensure; providing an exception; amending s.
1609 490.003, F.S.; revising definitions; amending s.
1610 490.005, F.S.; revising examination requirements for
1611 licensure of a psychologist; amending s. 490.006,
1612 F.S.; revising requirements for licensure by
1613 endorsement of certain psychologists; amending s.
1614 491.0045, F.S.; providing an exemption for intern
1615 registration requirements under certain circumstances;
1616 amending s. 491.005, F.S.; revising education
1617 requirements for the licensure of marriage and family
1618 therapists; revising examination requirements for the
1619 licensure of mental health counselors; amending s.
1620 491.006, F.S.; revising requirements for licensure or
1621 certification by endorsement for certain professions;
1622 amending s. 491.007, F.S.; removing a biennial intern
1623 registration fee; amending s. 491.009, F.S.;
1624 authorizing the Board of Clinical Social Work,
1625 Marriage and Family Therapy, and Mental Health
1626 Counseling, or the department under certain
1627 circumstances, to enter an order denying licensure or
1628 imposing penalties against an applicant for licensure
1629 under certain circumstances; providing penalties;
1630 amending ss. 463.0057, 491.0046, and 945.42, F.S.;
1631 conforming provisions to changes made by the act;
1632 providing an effective date.
