Bill Text: FL S1768 | 2025 | Regular Session | Introduced


Bill Title: Stem Cell Therapy

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2025-02-28 - Filed [S1768 Detail]

Download: Florida-2025-S1768-Introduced.html
       Florida Senate - 2025                                    SB 1768
       
       
        
       By Senator Trumbull
       
       
       
       
       
       2-01302C-25                                           20251768__
    1                        A bill to be entitled                      
    2         An act relating to stem cell therapy; creating s.
    3         456.63, F.S.; providing legislative findings and
    4         intent; defining terms; authorizing health care
    5         providers to perform stem cell therapy not approved by
    6         the United States Food and Drug Administration under
    7         certain circumstances; specifying requirements for the
    8         stem cells that may be used by such providers;
    9         requiring such providers to adhere to applicable
   10         current good manufacturing practices in the
   11         performance of such therapies; requiring health care
   12         providers to provide a specified written notice to
   13         patients before performing any stem cell therapy;
   14         specifying requirements for the written notice;
   15         providing advertisement requirements; requiring health
   16         care providers to obtain written consent from the
   17         patient or his or her representative before performing
   18         the therapy; specifying requirements for the consent
   19         form; providing applicability; providing for
   20         disciplinary action; requiring the Department of
   21         Health to adopt rules; providing an effective date.
   22          
   23  Be It Enacted by the Legislature of the State of Florida:
   24  
   25         Section 1. Section 456.63, Florida Statutes, is created to
   26  read:
   27         456.63 Stem cell therapy by health care providers;
   28  disclosure; informed consent.—
   29         (1) The Legislature recognizes the significant potential of
   30  stem cell therapies in advancing medical treatments and
   31  improving patient outcomes and further recognizes the need to
   32  ensure that such therapies are provided using stem cells
   33  obtained in an ethical manner that does not involve stem cells
   34  derived from aborted fetuses. It is the intent of the
   35  Legislature to foster medical innovation while upholding ethical
   36  standards that respect the sanctity of life. By encouraging the
   37  use of stem cell sources such as adult stem cells, umbilical
   38  cord blood, and other ethically obtained human cells, tissues,
   39  or cellular or tissue-based products, the state will advance
   40  regenerative medicine in a manner consistent with the values of
   41  this state.
   42         (2) As used in this section, the term:
   43         (a) “Health care provider” means a physician licensed under
   44  chapter 458 or an osteopathic physician licensed under chapter
   45  459 acting in the course and scope of their employment.
   46         (b) “Human cells, tissues, or cellular or tissue-based
   47  products” means articles containing or consisting of human cells
   48  or tissues collected from cord blood donors who are residents of
   49  the United States which are intended for implantation,
   50  transplantation, infusion, or transfer into a human recipient,
   51  including but not limited to, bones, ligaments, skin, dura
   52  mater, heart valves, corneas, hematopoietic stem or progenitor
   53  cells derived from peripheral and cord blood, manipulated
   54  autologous chondrocytes, epithelial cells on a synthetic matrix,
   55  and semen or other reproductive tissue. The term does not
   56  include any of the following:
   57         1.Vascularized human organs for transplantation.
   58         2.Whole blood or blood components or blood derivative
   59  products subject to regulation under part I of chapter 499.
   60         3.Secreted or extracted human products, such as milk,
   61  collagen, and cell factors; except that semen is considered a
   62  human cell, tissue, or cellular or tissue-based product for
   63  purposes of this paragraph.
   64         4.Minimally manipulated bone marrow for homologous use and
   65  not combined with another article, except for with water,
   66  crystalloids, or a sterilizing, preserving, or storage agent, if
   67  the addition of the agent does not raise new clinical safety
   68  concerns with respect to the bone marrow.
   69         5.Ancillary products used in the manufacture of human
   70  cells, tissues, or cellular or tissue-based products.
   71         6.Cells, tissues, and organs derived from animals other
   72  than humans.
   73         7.In vitro diagnostic products.
   74         8.Blood vessels recovered with an organ, as defined in 42
   75  C.F.R. s. 121.2, which are intended for use in organ
   76  transplantation and labeled, “For use in organ transplantation
   77  only.
   78         9.Fetal-derived stem cells.
   79         10.Adipose-derived mesenchymal stem cells for
   80  transplantation.
   81         (c) “Minimally manipulated” means:
   82         1.For structural tissue, processing that does not alter
   83  the original relevant characteristics of the tissue relating to
   84  the tissue’s utility for reconstruction, repair, or replacement.
   85         2.For cells or nonstructural tissues, processing that does
   86  not alter the relevant biological characteristics of cells or
   87  tissues.
   88         (d) “Stem cell therapy” means a treatment involving the use
   89  of human cells, tissues, or cellular or tissue-based products.
   90  The term does not include treatment or research using human
   91  cells or tissues that were derived from a fetus or an embryo
   92  after an abortion.
   93         (3)(a)A health care provider licensed in this state may
   94  perform stem cell therapy that is not approved by the United
   95  States Food and Drug Administration if such therapy is used for
   96  treatment or procedures that are within the scope of practice
   97  for such provider and the therapies are related to orthopedics,
   98  wound care, or pain management.
   99         (b)To ensure that the retrieval, manufacture, storage, and
  100  use of stem cells used for therapies conducted under this
  101  section meet the highest standards, any stem cells used by a
  102  health care provider for therapy provided under this section
  103  must be:
  104         1.Manufactured in a clean room space that has been
  105  certified by the United States Food and Drug Administration for
  106  using high-efficiency particulate air filtration or ultra-low
  107  penetration air filtration to minimize nonviable and viable
  108  particulate contamination; and
  109         2.Retrieved, manufactured, and stored in a facility that
  110  is registered and regulated by the United States Food and Drug
  111  Administration and licensed or registered with one of the
  112  following entities:
  113         a.National Marrow Donor Program.
  114         b.World Marrow Donor Association.
  115         c.Association for the Advancement of Blood and
  116  Biotherapies.
  117         d.American Association of Tissue Banks.
  118         (4) In the performance of any procedure using or purporting
  119  to use stem cells or products containing stem cells, the health
  120  care provider shall adhere to the applicable current good
  121  manufacturing practices for the collection, removal, processing,
  122  implantation, and transfer of stem cells, or products containing
  123  stem cells, pursuant to the Federal Food, Drug, and Cosmetic
  124  Act, 21 U.S.C. ss. 301 et seq.; 52 Stat. 1040 et seq.; and 21
  125  C.F.R. part 1271, Human Cells, Tissues, and Cellular and Tissue
  126  Based Products.
  127         (5) A health care provider who conducts stem cell therapy
  128  pursuant to this section shall provide a patient who is being
  129  treated with stem cell therapy with the following written notice
  130  before performing the therapy:
  131  
  132         THIS NOTICE MUST BE PROVIDED TO YOU UNDER FLORIDA LAW.
  133         This health care practitioner performs one or more
  134         stem cell therapies that have not yet been approved by
  135         the United States Food and Drug Administration. You
  136         are encouraged to consult with your primary care
  137         provider before undergoing any stem cell therapy.
  138  
  139         (6)A health care provider required to provide the written
  140  notice under subsection (5) shall:
  141         (a)Provide the written notice to a patient on paper that
  142  is at least 8.5 inches by 11 inches and printed in no less than
  143  40-point type.
  144         (b) Prominently display the written notice at the entrance
  145  to the health care provider’s office and in an area visible to
  146  patients inside such office.
  147         (c) Include the notice in any advertisement for the stem
  148  cell therapy. In any form of advertisement, the notice must be
  149  clearly legible and in a font size no smaller than the largest
  150  font size used in the advertisement.
  151         (7)(a) A health care provider required to provide the
  152  written notice under subsection (5) must obtain a signed consent
  153  form from the patient before performing the stem cell therapy.
  154         (b) The consent form must be signed by the patient or, if
  155  the patient is legally not competent, the patient’s
  156  representative and must state all of the following in language
  157  the patient or his or her representative could reasonably be
  158  expected to understand:
  159         1.The nature and character of the proposed treatment,
  160  including the treatment’s United States Food and Drug
  161  Administration approval status.
  162         2.The anticipated results of the proposed treatment.
  163         3.The recognized possible alternative forms of treatment.
  164         4.The recognized serious possible risks, complications,
  165  and anticipated benefits involved in the treatment and in the
  166  recognized possible alternative forms of treatment, including
  167  nontreatment.
  168         (8) This section does not apply to either of the following:
  169         (a) A health care provider who has obtained approval for an
  170  investigational new drug or device from the United States Food
  171  and Drug Administration for the use of human cells, tissues, or
  172  cellular or tissue-based products.
  173         (b) A health care provider who performs a stem cell therapy
  174  under an employment or other contract on behalf of an
  175  institution certified by any of the following:
  176         1.The Foundation for the Accreditation of Cellular
  177  Therapy.
  178         2.The Blood and Marrow Transplant Clinical Trials Network.
  179         3.The Association for the Advancement of Blood and
  180  Biotherapies.
  181         4.An entity with expertise in stem cell therapy as
  182  determined by the department.
  183         (9) A violation of this section may subject the health care
  184  provider to disciplinary action under the rules that have been
  185  developed by the applicable regulatory board, the department, or
  186  the Agency for Health Care Administration, as applicable.
  187         (10) The department shall adopt rules to implement this
  188  section.
  189         Section 2. This act shall take effect July 1, 2025.

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