Bill Text: FL S1506 | 2012 | Regular Session | Comm Sub
Bill Title: Health Care
Spectrum: Bipartisan Bill
Status: (Failed) 2012-03-09 - Died in Budget Subcommittee on Health and Human Services Appropriations [S1506 Detail]
Download: Florida-2012-S1506-Comm_Sub.html
Florida Senate - 2012 CS for SB 1506 By the Committee on Health Regulation; and Senator Thrasher 588-03226-12 20121506c1 1 A bill to be entitled 2 An act relating to health care; amending s. 463.002, 3 F.S.; conforming provisions to changes made by the 4 act; amending s. 463.005, F.S.; authorizing the Board 5 of Optometry to adopt rules for the administration and 6 prescription of ocular pharmaceutical agents; amending 7 s. 463.0055, F.S.; authorizing certified optometrists 8 to administer and prescribe pharmaceutical agents 9 under certain circumstances; requiring that a 10 certified optometrist complete a course and subsequent 11 examination on general and ocular pharmacology; 12 providing requirements for the course; requiring that 13 the Florida Medical Association and the Florida 14 Optometric Association jointly develop and administer 15 the course and examination; revising qualifications of 16 certain members of the formulary committee; providing 17 for a formulary of topical ocular pharmaceutical 18 agents which the committee may modify; specifying the 19 agents that make up the statutory formulary of oral 20 pharmaceutical agents; authorizing the deletion of an 21 oral pharmaceutical agent listed in the statutory 22 formulary under certain circumstances; prohibiting the 23 board, the Department of Health, or the State Surgeon 24 General from deleting an oral pharmaceutical agent 25 listed in the statutory formulary; amending ss. 26 463.0057 and 463.006, F.S.; conforming provisions to 27 changes made by the act; amending s. 463.0135, F.S.; 28 requiring that a certified optometrist administer and 29 prescribe oral ocular pharmaceutical agents in a 30 certain manner; requiring that a licensed practitioner 31 who diagnoses a patient who has a neovascular form of 32 glaucoma or progressive glaucoma immediately refer the 33 patient to a physician who is skilled in the diseases 34 of the eye; requiring that comanagement of 35 postoperative care be conducted pursuant to an 36 established protocol; requiring that the patient be 37 informed that a physician will be available for 38 emergency care throughout the postoperative period; 39 requiring that the patient consent in writing to the 40 comanagement relationship; amending s. 463.014, F.S.; 41 revising certain prohibited acts regarding an 42 optometrist conducting surgery and dispensing, 43 administering, ordering, supplying, or selling certain 44 drugs; creating s. 463.0141, F.S.; requiring that 45 adverse incidents in the practice of optometry be 46 reported to the Department of Health; providing 47 requirements for notifying the department of an 48 adverse incident; providing a definition; requiring 49 that the department review each incident and determine 50 whether it involved conduct that is subject to 51 disciplinary action; requiring that the Board of 52 Optometry take disciplinary action if necessary; 53 amending s. 483.035, F.S., relating to licensure and 54 regulation of clinical laboratories operated by 55 practitioners for exclusive use; providing 56 applicability to clinical laboratories operated by 57 practitioners licensed to practice optometry; amending 58 s. 483.041, F.S.; revising the definition of the term 59 “licensed practitioner” to include a practitioner 60 licensed under ch. 463, F.S.; amending s. 483.181, 61 F.S.; requiring clinical laboratories to accept human 62 specimens submitted by practitioners licensed to 63 practice under ch. 463, F.S.; amending s. 766.102, 64 F.S.; providing that the claimant has the burden of 65 proving by clear and convincing evidence that the 66 actions of a health care provider represented a breach 67 of the prevailing professional standard of care in an 68 action for damages based on death or personal injury 69 which alleges that the death or injury resulted from 70 the failure of a health care provider to order, 71 perform, or administer supplemental diagnostic tests; 72 amending s. 766.106, F.S.; authorizing a prospective 73 defendant to obtain informal discovery by conducting 74 ex parte interviews of treating health care providers; 75 requiring advance notice to the claimant of an ex 76 parte interview; creating s. 766.1091, F.S.; 77 authorizing a health care provider or health care 78 clinic and a patient or prospective patient to agree 79 to submit a current or future claim of medical 80 negligence to arbitration; requiring that the 81 arbitration agreement be governed by ch. 682, F.S.; 82 authorizing the arbitration agreement to contain a 83 provision that limits an award of damages; amending s. 84 893.02, F.S.; revising the definition of the term 85 “practitioner” to include certified optometrists for 86 purposes of the Florida Comprehensive Drug Abuse 87 Prevention and Control Act; amending s. 893.05, F.S.; 88 prohibiting certified optometrists from administering 89 and prescribing certain controlled substances; 90 providing an effective date. 91 92 Be It Enacted by the Legislature of the State of Florida: 93 94 Section 1. Subsections (3), (4), and (5) of section 95 463.002, Florida Statutes, are amended to read: 96 463.002 Definitions.—As used in this chapter, the term: 97 (3)(a) “Licensed practitioner” means a person who is a 98 primary health care provider licensed to engage in the practice 99 of optometry under the authority of this chapter. 100 (b) A licensed practitioner who is not a certified 101 optometrist shall be required to display at her or his place of 102 practice a sign which states, “I am a Licensed Practitioner, not 103 a Certified Optometrist, and I am not able to prescribetopical104 ocular pharmaceutical agents.” 105 (c) All practitioners initially licensed after July 1, 106 1993, must be certified optometrists. 107 (4) “Certified optometrist” means a licensed practitioner 108 authorized by the board to administer and prescribetopical109 ocular pharmaceutical agents. 110 (5) “Optometry” means the diagnosis of conditions of the 111 human eye and its appendages; the employment of any objective or 112 subjective means or methods, including the administration of 113topical ocularpharmaceutical agents, for the purpose of 114 determining the refractive powers of the human eyes, or any 115 visual, muscular, neurological, or anatomic anomalies of the 116 human eyes and their appendages; and the prescribing and 117 employment of lenses, prisms, frames, mountings, contact lenses, 118 orthoptic exercises, light frequencies, and any other means or 119 methods, includingtopical ocularpharmaceutical agents, for the 120 correction, remedy, or relief of any insufficiencies or abnormal 121 conditions of the human eyes and their appendages. 122 Section 2. Paragraph (g) of subsection (1) of section 123 463.005, Florida Statutes, is amended to read: 124 463.005 Authority of the board.— 125 (1) The Board of Optometry has authority to adopt rules 126 pursuant to ss. 120.536(1) and 120.54 to implement the 127 provisions of this chapter conferring duties upon it. Such rules 128 shall include, but not be limited to, rules relating to: 129 (g) Administration and prescription oftopicalocular 130 pharmaceutical agents. 131 Section 3. Section 463.0055, Florida Statutes, is amended 132 to read: 133 463.0055 Administration and prescription oftopicalocular 134 pharmaceutical agents; committee.— 135 (1)(a) Certified optometrists may administer and prescribe 136topical ocularpharmaceutical agents as provided in this section 137 for the diagnosis and treatment of ocular conditions of the 138 human eye and its appendages without the use of surgery or other 139 invasive techniques. However, a licensed practitioner who is not 140 certified may use topically applied anesthetics solely for the 141 purpose of glaucoma examinations,but is otherwise prohibited 142 from administering or prescribingtopical ocularpharmaceutical 143 agents. 144 (b) Before a certified optometrist may administer or 145 prescribe oral ocular pharmaceutical agents, the certified 146 optometrist must complete a course and subsequent examination on 147 general and ocular pharmacology which have a particular emphasis 148 on the ingestion of oral pharmaceutical agents and the side 149 effects of those agents. For certified optometrists licensed 150 before January 1, 1990, the course shall consist of 50 contact 151 hours and 25 of those hours shall be Internet-based. For 152 certified optometrists licensed on or after January 1, 1990, the 153 course shall consist of 20 contact hours and 10 of those hours 154 shall be Internet-based. The first course and examination shall 155 be presented by January 1, 2013, and shall thereafter be 156 administered at least annually. The Florida Medical Association 157 and the Florida Optometric Association shall jointly develop and 158 administer a course and examination for such purpose and jointly 159 determine the site or sites for the course and examination. 160 (2)(a) There isherebycreated a committee composed of two 161 certified optometrists licensed pursuant to this chapter, 162 appointed by the Board of Optometry, two board-certified 163 ophthalmologists licensed pursuant to chapter 458 or chapter 164 459, appointed by the Board of Medicine, and one additional 165 person with a doctorate degree in pharmacology who is not 166 licensed pursuant to chapter 458, chapter 459, or this chapter, 167 appointed by the State Surgeon General. The committee shall 168 review requests for additions to, deletions from, or 169 modifications of a formulary of topical ocular pharmaceutical 170 agents for administration and prescription by certified 171 optometrists and shall provide to the board advisory opinions 172 and recommendations on such requests. The formulary of topical 173 ocular pharmaceutical agents shall consist of those topical 174ocular pharmaceuticalagents that are appropriate to treat and 175 diagnose ocular diseases and disorders and thatwhichthe 176 certified optometrist is qualified to use in the practice of 177 optometry. The board shall establish, add to, delete from, or 178 modify the formulary by rule. Notwithstanding any provision of 179 chapter 120 to the contrary, the formulary rule shall become 180 effective 60 days from the date it is filed with the Secretary 181 of State. 182 (b) The topical formulary may be added to, deleted from, or 183 modified according to the procedure described in paragraph (a). 184 Any person who requests an addition, deletion, or modification 185 of an authorized topicalocular pharmaceuticalagent shall have 186 the burden of proof to show cause why such addition, deletion, 187 or modification should be made. 188 (c) The State Surgeon General shall have standing to 189 challenge any rule or proposed rule of the board pursuant to s. 190 120.56. In addition to challenges for any invalid exercise of 191 delegated legislative authority, the administrative law judge, 192 upon such a challenge by the State Surgeon General, may declare 193 all or part of a rule or proposed rule invalid if it: 194 1. Does not protect the public from any significant and 195 discernible harm or damages; 196 2. Unreasonably restricts competition or the availability 197 of professional services in the state or in a significant part 198 of the state; or 199 3. Unnecessarily increases the cost of professional 200 services without a corresponding or equivalent public benefit. 201 202 However, there shall not be created a presumption of the 203 existence of any of the conditions cited in this subsection in 204 the event that the rule or proposed rule is challenged. 205 (d) Upon adoption of the topical formulary required by this 206 section, and upon each addition, deletion, or modification to 207 the topical formulary, the board shall mail a copy of the 208 amended topical formulary to each certified optometrist and to 209 each pharmacy licensed by the state. 210 (3) In addition to the formulary of topical ocular 211 pharmaceutical agents in subsection (2), there is created a 212 statutory formulary of oral pharmaceutical agents, which include 213 the following agents: 214 (a) The following analgesics, or their generic or 215 therapeutic equivalents, which may not be administered or 216 prescribed for more than 72 hours without consultation with a 217 physician licensed under chapter 458 or chapter 459 who is 218 skilled in diseases of the eye: 219 1. Tramadol hydrochloride. 220 2. Acetaminophen 300 mg with No. 3 codeine phosphate 30 mg. 221 (b) The following antibiotics, or their generic or 222 therapeutic equivalents: 223 1. Amoxicillin. 224 2. Azithromycin. 225 3. Ciproflaxacin. 226 4. Dicloxacillin. 227 5. Doxycycline. 228 6. Keflex. 229 7. Minocycline. 230 (c) The following antivirals, or their generic or 231 therapeutic equivalents: 232 1. Acyclovir. 233 2. Famciclovir. 234 3. Valacyclovir. 235 (d) The following oral anti-glaucoma agents, or their 236 generic or therapeutic equivalents, which may not be 237 administered or prescribed for more than 72 hours without 238 consultation with a physician licensed under chapter 458 or 239 chapter 459 who is skilled in diseases of the eye: 240 1. Acetazolamide. 241 2. Methazolamide. 242 243 Any oral pharmaceutical agent that is listed in the statutory 244 formulary set forth in this subsection and that is subsequently 245 determined by the United States Food and Drug Administration to 246 be unsafe for administration or prescription shall be considered 247 to have been deleted from the formulary of oral pharmaceutical 248 agents. The oral pharmaceutical agents on the statutory 249 formulary set forth in this subsection may not otherwise be 250 deleted by the board, the department, or the State Surgeon 251 General. 252 (4)(3)A certified optometrist shall be issued a prescriber 253 number by the board. Any prescription written by a certified 254 optometrist for atopical ocularpharmaceutical agent pursuant 255 to this section shall have the prescriber number printed 256 thereon. 257 Section 4. Subsection (3) of section 463.0057, Florida 258 Statutes, is amended to read: 259 463.0057 Optometric faculty certificate.— 260 (3) The holder of a faculty certificate may engage in the 261 practice of optometry as permitted by this section,but may not 262 administer or prescribetopicalocular pharmaceutical agents 263 unless the certificateholder has satisfied the requirements of 264 ss. 463.0055(1)(b) ands.463.006(1)(b)4. and 5. 265 Section 5. Subsections (2) and (3) of section 463.006, 266 Florida Statutes, are amended to read: 267 463.006 Licensure and certification by examination.— 268 (2) The examination shall consist of the appropriate 269 subjects, including applicable state laws and rules and general 270 and ocular pharmacology with emphasis on the usetopical271applicationand side effects of ocular pharmaceutical agents. 272 The board may by rule substitute a national examination as part 273 or all of the examination and may by rule offer a practical 274 examination in addition to the written examination. 275 (3) Each applicant who successfully passes the examination 276 and otherwise meets the requirements of this chapter is entitled 277 to be licensed as a practitioner and to be certified to 278 administer and prescribetopical ocularpharmaceutical agents in 279 the diagnosis and treatment of ocular conditions. 280 Section 6. Subsections (1) and (2) of section 463.0135, 281 Florida Statutes, are amended, and subsection (10) is added to 282 that section, to read: 283 463.0135 Standards of practice.— 284 (1) A licensed practitioner shall provide that degree of 285 care which conforms to that level of care provided by medical 286 practitioners in the same or similar communities. A certified 287 optometrist shall administer and prescribe oral ocular 288 pharmaceutical agents in a manner consistent with applicable 289 preferred practice patterns of the American Academy of 290 Ophthalmology. A licensed practitioner shall advise or assist 291 her or his patient in obtaining further care when the service of 292 another health care practitioner is required. 293 (2) A licensed practitioner diagnosing angle closure, 294 neovascular, infantile, or congenital forms of glaucoma shall 295 promptly and without unreasonable delay refer the patient to a 296 physician skilled in diseases of the eye and licensed under 297 chapter 458 or chapter 459. In addition, a licensed practitioner 298 shall timely refer any patient who experiences progressive 299 glaucoma due to failed pharmaceutical intervention to a 300 physician who is skilled in diseases of the eye and licensed 301 under chapter 458 or chapter 459. 302 (10) Comanagement of postoperative care shall be conducted 303 pursuant to an established protocol that governs the 304 relationship between the operating surgeon and the optometrist. 305 The patient shall be informed that either physician will be 306 available for emergency care throughout the postoperative 307 period, and the patient shall consent in writing to the 308 comanagement relationship. 309 Section 7. Subsections (3) and (4) of section 463.014, 310 Florida Statutes, are amended to read: 311 463.014 Certain acts prohibited.— 312 (3) Prescribing, ordering, dispensing, administering, 313 supplying, selling, or giving anysystemicdrugs for the purpose 314 of treating a systemic disease by a licensed practitioner is 315 prohibited. However, a certified optometrist is permitted to use 316 commonly accepted means or methods to immediately address 317 incidents of anaphylaxis. 318 (4) Surgery of any kind, including the use of lasers, is 319 expressly prohibited. For purposes of this subsection, the term 320 “surgery” means a procedure using an instrument, including 321 lasers, scalpels, or needles, in which human tissue is cut, 322 burned, or vaporized by incision, injection, ultrasound, laser, 323 or radiation. The term includes procedures using instruments 324 that require closing by suturing, clamping, or another such 325 device. Certified optometrists may remove superficial foreign 326 bodies. For the purposes of this subsection, the term 327 “superficial foreign bodies” means any foreign matter that is 328 embedded in the conjunctiva or cornea but which has not 329 penetrated the globe. 330 Section 8. Section 463.0141, Florida Statutes, is created 331 to read: 332 463.0141 Reports of adverse incidents in the practice of 333 optometry.— 334 (1) Any adverse incident that occurs on or after January 1, 335 2013, in the practice of optometry must be reported to the 336 department in accordance with this section. 337 (2) The required notification to the department must be 338 submitted in writing by certified mail and postmarked within 15 339 days after the occurrence of the adverse incident. 340 (3) For purposes of notification to the department, the 341 term “adverse incident,” as used in this section, means an event 342 that is associated in whole or in part with the prescribing of 343 an oral ocular pharmaceutical agent and that results in one of 344 the following: 345 (a) Any condition that requires the transfer of a patient 346 to a hospital licensed under chapter 395; 347 (b) Any condition that requires the patient to obtain care 348 from a physician licensed under chapter 458 or chapter 459, 349 other than a referral or a consultation required under this 350 chapter; 351 (c) Permanent physical injury to the patient; 352 (d) Partial or complete permanent loss of sight by the 353 patient; or 354 (e) Death of the patient. 355 (4) The department shall review each incident and determine 356 whether it potentially involved conduct by the licensed 357 practitioner which may be subject to disciplinary action, in 358 which case s. 456.073 applies. Disciplinary action, if any, 359 shall be taken by the board. 360 Section 9. Subsection (1) of section 483.035, Florida 361 Statutes, is amended to read: 362 483.035 Clinical laboratories operated by practitioners for 363 exclusive use; licensure and regulation.— 364 (1) A clinical laboratory operated by one or more 365 practitioners licensed under chapter 458, chapter 459, chapter 366 460, chapter 461, chapter 462, chapter 463, or chapter 466, 367 exclusively in connection with the diagnosis and treatment of 368 their own patients, must be licensed under this part and must 369 comply with the provisions of this part, except that the agency 370 shall adopt rules for staffing, for personnel, including 371 education and training of personnel, for proficiency testing, 372 and for construction standards relating to the licensure and 373 operation of the laboratory based upon and not exceeding the 374 same standards contained in the federal Clinical Laboratory 375 Improvement Amendments of 1988 and the federal regulations 376 adopted thereunder. 377 Section 10. Subsection (7) of section 483.041, Florida 378 Statutes, is amended to read: 379 483.041 Definitions.—As used in this part, the term: 380 (7) “Licensed practitioner” means a physician licensed 381 under chapter 458, chapter 459, chapter 460,orchapter 461, or 382 chapter 463; a dentist licensed under chapter 466; a person 383 licensed under chapter 462; or an advanced registered nurse 384 practitioner licensed under part I of chapter 464; or a duly 385 licensed practitioner from another state licensed under similar 386 statutes who orders examinations on materials or specimens for 387 nonresidents of the State of Florida, but who reside in the same 388 state as the requesting licensed practitioner. 389 Section 11. Subsection (5) of section 483.181, Florida 390 Statutes, is amended to read: 391 483.181 Acceptance, collection, identification, and 392 examination of specimens.— 393 (5) A clinical laboratory licensed under this part must 394 accept a human specimen submitted for examination by a 395 practitioner licensed under chapter 458, chapter 459, chapter 396 460, chapter 461, chapter 462, chapter 463, s. 464.012, or 397 chapter 466, if the specimen and test are the type performed by 398 the clinical laboratory. A clinical laboratory may only refuse a 399 specimen based upon a history of nonpayment for services by the 400 practitioner. A clinical laboratory shall not charge different 401 prices for tests based upon the chapter under which a 402 practitioner submitting a specimen for testing is licensed. 403 Section 12. Subsection (4) of section 766.102, Florida 404 Statutes, is amended to read: 405 766.102 Medical negligence; standards of recovery; expert 406 witness.— 407 (4)(a) The Legislature is cognizant of the changing trends 408 and techniques for the delivery of health care in this state and 409 the discretion that is inherent in the diagnosis, care, and 410 treatment of patients by different health care providers. The 411 failure of a health care provider to order, perform, or 412 administer supplemental diagnostic tests isshallnotbe413 actionable if the health care provider acted in good faith and 414 with due regard for the prevailing professional standard of 415 care. 416 (b) The claimant has the burden of proving by clear and 417 convincing evidence that the alleged actions of the health care 418 provider represent a breach of the prevailing professional 419 standard of care in an action for damages based on death or 420 personal injury which alleges that the death or injury resulted 421 from the failure of a health care provider to order, perform, or 422 administer supplemental diagnostic tests. 423 Section 13. Paragraph (b) of subsection (6) of section 424 766.106, Florida Statutes, is amended to read: 425 766.106 Notice before filing action for medical negligence; 426 presuit screening period; offers for admission of liability and 427 for arbitration; informal discovery; review.— 428 (6) INFORMAL DISCOVERY.— 429 (b) Informal discovery may be used by a party to obtain 430 unsworn statements, the production of documents or things,and431 physical and mental examinations, and ex parte interviews, as 432 follows: 433 1. Unsworn statements.—Any party may require other parties 434 to appear for the taking of an unsworn statement. Such 435 statements may be used only for the purpose of presuit screening 436 and are not discoverable or admissible in any civil action for 437 any purpose by any party. A party desiring to take the unsworn 438 statement of any party must give reasonable notice in writing to 439 all parties. The notice must state the time and place for taking 440 the statement and the name and address of the party to be 441 examined. Unless otherwise impractical, the examination of any 442 party must be done at the same time by all other parties. Any 443 party may be represented by counsel at the taking of an unsworn 444 statement. An unsworn statement may be recorded electronically, 445 stenographically, or on videotape. The taking of unsworn 446 statements is subject to the provisions of the Florida Rules of 447 Civil Procedure and may be terminated for abuses. 448 2. Documents or things.—Any party may request discovery of 449 documents or things. The documents or things must be produced, 450 at the expense of the requesting party, within 20 days after the 451 date of receipt of the request. A party is required to produce 452 discoverable documents or things within that party’s possession 453 or control. Medical records shall be produced as provided in s. 454 766.204. 455 3. Physical and mental examinations.—A prospective 456 defendant may require an injured claimant to appear for 457 examination by an appropriate health care provider. The 458 prospective defendant shall give reasonable notice in writing to 459 all parties as to the time and place for examination. Unless 460 otherwise impractical, a claimant is required to submit to only 461 one examination on behalf of all potential defendants. The 462 practicality of a single examination must be determined by the 463 nature of the claimant’s condition, as it relates to the 464 liability of each prospective defendant. Such examination report 465 is available to the parties and their attorneys upon payment of 466 the reasonable cost of reproduction and may be used only for the 467 purpose of presuit screening. Otherwise, such examination report 468 is confidential and exempt from the provisions of s. 119.07(1) 469 and s. 24(a), Art. I of the State Constitution. 470 4. Written questions.—Any party may request answers to 471 written questions, the number of which may not exceed 30, 472 including subparts. A response must be made within 20 days after 473 receipt of the questions. 474 5. Unsworn statements of treating health care providers.—A 475 prospective defendant or his or her legal representative may 476 also take unsworn statements of the claimant’s treating health 477 care providers. The statements must be limited to those areas 478 that are potentially relevant to the claim of personal injury or 479 wrongful death. Subject to the procedural requirements of 480 subparagraph 1., a prospective defendant may take unsworn 481 statements from a claimant’s treating physicians. Reasonable 482 notice and opportunity to be heard must be given to the claimant 483 or the claimant’s legal representative before taking unsworn 484 statements. The claimant or claimant’s legal representative has 485 the right to attend the taking of such unsworn statements. 486 6. Ex parte interviews of treating health care providers.—A 487 prospective defendant or his or her legal representative may 488 interview the claimant’s treating health care providers without 489 the presence of the claimant or the claimant’s legal 490 representative. If a prospective defendant or his or her legal 491 representative intends to interview a claimant’s health care 492 providers, the prospective defendant must provide the claimant 493 with notice of such interview at least 10 days before the date 494 of the interview. 495 Section 14. Section 766.1091, Florida Statutes, is created 496 to read: 497 766.1091 Voluntary binding arbitration; damages.— 498 (1) A health care provider licensed under chapter 458, 499 chapter 459, chapter 463, or chapter 466; any entity owned in 500 whole or in part by a health care provider licensed under 501 chapter 458, chapter 459, chapter 463, or chapter 466; or any 502 health care clinic licensed under part X of chapter 400, and a 503 patient or prospective patient, may agree in writing to submit 504 to arbitration any claim for medical negligence which may 505 currently exist or may accrue in the future and would otherwise 506 be brought pursuant to this chapter. Any arbitration agreement 507 entered into pursuant to this section shall be governed by 508 chapter 682. 509 (2) Any arbitration agreement entered into pursuant to 510 subsection (1) may contain a provision that limits the available 511 damages in an arbitration award. 512 Section 15. Subsection (21) of section 893.02, Florida 513 Statutes, is amended to read: 514 893.02 Definitions.—The following words and phrases as used 515 in this chapter shall have the following meanings, unless the 516 context otherwise requires: 517 (21) “Practitioner” means a physician licensed pursuant to 518 chapter 458, a dentist licensed pursuant to chapter 466, a 519 veterinarian licensed pursuant to chapter 474, an osteopathic 520 physician licensed pursuant to chapter 459, a naturopath 521 licensed pursuant to chapter 462, a certified optometrist 522 licensed under chapter 463, or a podiatric physician licensed 523 pursuant to chapter 461, provided such practitioner holds a 524 valid federal controlled substance registry number. 525 Section 16. Subsection (1) of section 893.05, Florida 526 Statutes, is amended to read: 527 893.05 Practitioners and persons administering controlled 528 substances in their absence.— 529 (1) A practitioner, in good faith and in the course of his 530 or her professional practice only, may prescribe, administer, 531 dispense, mix, or otherwise prepare a controlled substance, or 532 the practitioner may cause the same to be administered by a 533 licensed nurse or an intern practitioner under his or her 534 direction and supervision only. A veterinarian may so prescribe, 535 administer, dispense, mix, or prepare a controlled substance for 536 use on animals only,and may cause it to be administered by an 537 assistant or orderly under the veterinarian’s direction and 538 supervision only. A certified optometrist licensed under chapter 539 463 may not administer or prescribe pharmaceutical agents in 540 Schedule I or Schedule II of the Florida Comprehensive Drug 541 Abuse Prevention and Control Act. 542 Section 17. This act shall take effect July 1, 2012.