Bill Text: FL S1354 | 2017 | Regular Session | Comm Sub
Bill Title: Medical Specialties
Spectrum: Slight Partisan Bill (Republican 2-1)
Status: (Failed) 2017-05-05 - Died in Banking and Insurance [S1354 Detail]
Download: Florida-2017-S1354-Comm_Sub.html
Florida Senate - 2017 CS for SB 1354 By the Committee on Health Policy; and Senators Young and Mayfield 588-03389A-17 20171354c1 1 A bill to be entitled 2 An act relating to medical specialties; creating s. 3 456.0291, F.S.; requiring the Department of Health to 4 issue a certificate authorizing recognizing agencies 5 to grant certain licensed physicians formal 6 recognition as specialists in a particular area if the 7 recognizing agency submits a completed application to 8 the department and meets specified requirements; 9 authorizing the Board of Medicine and the Board of 10 Osteopathic Medicine to adopt rules to implement the 11 certificate process; providing that a physician who 12 meets certain criteria may advertise himself or 13 herself as a board-certified specialist; amending ss. 14 458.3312 and 459.0152, F.S.; providing that a 15 physician may not hold himself or herself out as a 16 board-certified specialist unless the physician has 17 received formal recognition as a specialist from 18 specified entities or a recognizing agency that has 19 received a certificate issued by the department; 20 providing an effective date. 21 22 Be It Enacted by the Legislature of the State of Florida: 23 24 Section 1. Section 456.0291, Florida Statutes, is created 25 to read: 26 456.0291 Recognizing agency certificate.— 27 (1) The department shall issue a certificate authorizing a 28 recognizing agency to grant physicians licensed under chapters 29 458 and 459 formal recognition as specialists in a particular 30 area within the practice of medicine, if the recognizing agency 31 submits a complete registration application containing the 32 recognizing agency’s legal name, mailing address, telephone 33 number, and business location; the particular area within the 34 practice of medicine in which the agency will recognize a 35 physician as a specialist; the requirements the agency will 36 impose for a physician to be eligible to receive formal 37 recognition as a specialist; and the amount of any fee charged 38 to a physician to apply for, receive, and maintain formal 39 recognition as a specialist from the agency. 40 (2) The department shall approve an application for a 41 recognizing agency certificate within 60 business days after 42 receipt of the completed application if the recognizing agency 43 meets all of the following requirements: 44 (a) It is an independent body that certifies members as 45 having advanced qualifications in a particular allopathic or 46 osteopathic medical specialty through peer-reviewed 47 demonstrations of competence in the specialty being recognized. 48 (b) It requires successful completion of a comprehensive 49 examination administered by the recognizing agency pursuant to 50 written procedures that ensure adequate security and appropriate 51 grading standards. 52 (c) It has been determined by the Internal Revenue Service 53 of the United States to be a legitimate nonprofit entity 54 pursuant to s. 501(c)(3) of the Internal Revenue Code. 55 (d) It has full-time administrative staff housed in 56 dedicated office space that is appropriate for the agency’s 57 program and sufficient for responding to consumer or regulatory 58 inquiries. 59 (e) It has written by-laws, a code of ethics to guide the 60 practice of its members, and an internal review and control 61 process, including budgetary practices, to ensure effective use 62 of resources. 63 (f) It does not mandate that physicians who receive initial 64 certification from the recognizing agency undergo a maintenance 65 of certification process that involves a periodic testing 66 regimen, proprietary self-assessment, or peer evaluation in 67 order to retain certification, other than the continuing medical 68 education hours required for recertification under paragraph 69 (h). 70 (g) It does not charge more than $500 every 2 years for 71 recertification. 72 (h) It requires, at a minimum, a specified number of 73 continuing medical education hours in the physician’s area of 74 specialty for recertification. 75 (i) It has a practice improvement program to encourage 76 continued improvement within medical practice. The program must 77 focus on recent scientific developments, improved patient 78 safety, improved patient or population health outcomes, improved 79 access to health care, improved patient experience, and 80 increased value to the health care system. The program must 81 require physician participation in practice improvement programs 82 within the context of the health care team and system of 83 practice. 84 (3) The Board of Medicine and the Board of Osteopathic 85 Medicine may adopt rules to implement this section. These rules 86 may impose additional requirements on applicants for a 87 recognizing agency certificate. 88 (4) A physician who holds a current board certification 89 from a recognizing agency approved by the board pursuant to 90 department rules may advertise himself or herself as a board 91 certified specialist. 92 Section 2. Section 458.3312, Florida Statutes, is amended 93 to read: 94 458.3312 Specialties.—A physician licensed under this 95 chapter may not hold himself or herself out as a board-certified 96 specialist unless the physician has received formal recognition 97 as a specialist from a specialty board of the American Board of 98 Medical Specialties or other recognizing agency that has 99 received a certificate issuedbeen approvedby the department in 100 accordance with s. 456.0291board. However, a physician may 101 indicate the services offered and may state that his or her 102 practice is limited to one or more types of services when this 103 accurately reflects the scope of practice of the physician. A 104 physician may not hold himself or herself out as a board 105 certified specialist in dermatology unless the recognizing 106 agency, whether authorized in statute or by rule, is triennially 107 reviewed and reauthorized by the Board of Medicine. 108 Section 3. Section 459.0152, Florida Statutes, is amended 109 to read: 110 459.0152 Specialties.—An osteopathic physician licensed 111 under this chapter may not hold himself or herself out as a 112 board-certified specialist unless he or shethe osteopathic113physicianhas successfully completed the requirements for 114 certification by the American Osteopathic Association or the 115 Accreditation Council on Graduate Medical Education orandis 116 certified as a specialist by a recognizingcertifyingagency 117 that has received a certificate issuedapprovedby the 118 department in accordance with s. 456.0291board. However, an 119 osteopathic physician may indicate the services offered and may 120 state that his or her practice is limited to one or more types 121 of services when this accurately reflects the scope of practice 122 of the osteopathic physician. 123 Section 4. This act shall take effect July 1, 2018. 124