Florida Senate - 2014                                    SB 1330
       
       
        
       By Senator Hays
       
       
       
       
       
       11-01058-14                                           20141330__
    1                        A bill to be entitled                      
    2         An act relating to the continuing education
    3         requirements of health care practitioners; amending s.
    4         456.025, F.S.; conforming provisions to changes made
    5         by the act relating to the establishment of an
    6         electronic continuing education tracking system;
    7         creating s. 456.0361, F.S.; establishing an electronic
    8         continuing education tracking system in the Department
    9         of Health; prohibiting the department from renewing a
   10         license unless the licensee demonstrates compliance
   11         with continuing education requirements; authorizing
   12         the department to adopt rules; amending ss. 457.107,
   13         458.347, 463.007, 466.0135, 466.014, 466.032, 484.047,
   14         and 486.109, F.S.; conforming provisions to changes
   15         made by the act; providing an effective date.
   16          
   17  Be It Enacted by the Legislature of the State of Florida:
   18  
   19         Section 1. Subsection (7) of section 456.025, Florida
   20  Statutes, is amended to read:
   21         456.025 Fees; receipts; disposition.—
   22         (7) Each board, or the department if there is no board,
   23  shall establish, by rule, a fee of up to not to exceed $250 for
   24  anyone seeking approval to provide continuing education courses
   25  or programs and shall establish by rule a biennial renewal fee
   26  of up to not to exceed $250 for the renewal of approval to
   27  provide providership of such courses. The fees collected from
   28  continuing education providers shall be used for the purposes of
   29  reviewing course provider applications, monitoring the integrity
   30  of the courses provided, covering legal expenses incurred as a
   31  result of not granting or renewing an approval a providership,
   32  and developing and maintaining an electronic continuing
   33  education tracking system pursuant to s. 456.0361. The
   34  department shall implement an electronic continuing education
   35  tracking system for each new biennial renewal cycle for which
   36  electronic renewals are implemented after the effective date of
   37  this act and shall integrate such system into the licensure and
   38  renewal system. All approved continuing education providers
   39  shall provide information on course attendance to the department
   40  necessary to implement the electronic tracking system. The
   41  department shall, by rule, specify the form and procedures by
   42  which the information is to be submitted.
   43         Section 2. Section 456.0361, Florida Statutes, is created
   44  to read:
   45         456.0361 Monitoring compliance with continuing education
   46  requirements.—
   47         (1) The department shall establish an electronic continuing
   48  education tracking system to monitor a licensee’s compliance
   49  with continuing education requirements and to determine whether
   50  a licensee is in full compliance with all applicable continuing
   51  education requirements at the time of license renewal. The
   52  electronic continuing education tracking system shall be
   53  integrated into the department’s licensure and renewal system.
   54         (2) The department may not renew a license until the
   55  licensee has demonstrated compliance with all applicable
   56  continuing education requirements. This subsection does not
   57  prohibit the department or boards from imposing additional
   58  penalties under the applicable practice act or department rule
   59  for failing to comply with continuing education requirements.
   60         (3) The department may adopt rules to administer this
   61  section.
   62         Section 3. Subsection (3) of section 457.107, Florida
   63  Statutes, is amended to read:
   64         457.107 Renewal of licenses; continuing education.—
   65         (3) The board shall by rule prescribe continuing education
   66  requirements of up to, not to exceed 30 hours biennially, as a
   67  condition for renewal of a license. All education programs that
   68  contribute to the advancement, extension, or enhancement of
   69  professional skills and knowledge related to the practice of
   70  acupuncture, whether conducted by a nonprofit or profitmaking
   71  entity, are eligible for approval. The continuing professional
   72  education requirements must be in acupuncture or oriental
   73  medicine subjects, including, but not limited to, anatomy,
   74  biological sciences, adjunctive therapies, sanitation and
   75  sterilization, emergency protocols, and diseases. The board may
   76  shall have the authority to set a fee of up to, not to exceed
   77  $100, for each continuing education provider. The licensee shall
   78  retain in his or her records the certificates of completion of
   79  continuing professional education requirements to prove
   80  compliance with this subsection. The board may request such
   81  documentation without cause from applicants who are selected at
   82  random. All national and state acupuncture and oriental medicine
   83  organizations and acupuncture and oriental medicine schools are
   84  approved to provide continuing professional education in
   85  accordance with this subsection.
   86         Section 4. Paragraph (e) of subsection (4) of section
   87  458.347, Florida Statutes, is amended to read:
   88         458.347 Physician assistants.—
   89         (4) PERFORMANCE OF PHYSICIAN ASSISTANTS.—
   90         (e) A supervisory physician may delegate to a fully
   91  licensed physician assistant the authority to prescribe or
   92  dispense any medication used in the supervisory physician’s
   93  practice unless such medication is listed on the formulary
   94  created pursuant to paragraph (f). A fully licensed physician
   95  assistant may only prescribe or dispense such medication under
   96  the following circumstances:
   97         1. A physician assistant must clearly identify to the
   98  patient that he or she is a physician assistant. Furthermore,
   99  The physician assistant must also inform the patient that the
  100  patient has the right to see the physician before prior to any
  101  prescription is being prescribed or dispensed by the physician
  102  assistant.
  103         2. The supervisory physician must notify the department of
  104  his or her intent to delegate, on a department-approved form,
  105  before delegating such authority and notify the department of
  106  any change in prescriptive privileges of the physician
  107  assistant. Authority to dispense may be delegated only by a
  108  supervising physician who is registered as a dispensing
  109  practitioner in compliance with s. 465.0276.
  110         3. The physician assistant must complete file with the
  111  department a signed affidavit that he or she has completed a
  112  minimum of 10 continuing medical education hours in the
  113  specialty practice in which the physician assistant has
  114  prescriptive privileges with each licensure renewal application.
  115         4. The department may issue a prescriber number to the
  116  physician assistant granting authority for the prescribing of
  117  medicinal drugs authorized within this paragraph upon completion
  118  of the foregoing requirements. The physician assistant is shall
  119  not be required to independently register pursuant to s.
  120  465.0276.
  121         5. The prescription must be written in a form that complies
  122  with chapter 499 and must contain, in addition to the
  123  supervisory physician’s name, address, and telephone number, the
  124  physician assistant’s prescriber number. Unless it is a drug or
  125  drug sample dispensed by the physician assistant, the
  126  prescription must be filled in a pharmacy permitted under
  127  chapter 465 and must be dispensed in that pharmacy by a
  128  pharmacist licensed under chapter 465. The appearance of the
  129  prescriber number creates a presumption that the physician
  130  assistant is authorized to prescribe the medicinal drug and the
  131  prescription is valid.
  132         6. The physician assistant must note the prescription or
  133  dispensing of medication in the appropriate medical record.
  134         Section 5. Subsection (3) of section 463.007, Florida
  135  Statutes, is amended to read:
  136         463.007 Renewal of license; continuing education.—
  137         (3) Licensees must Unless otherwise provided by law, the
  138  board shall require licensees to periodically demonstrate their
  139  professional competence, as a condition of renewal of a license,
  140  by completing up to 30 hours of continuing education during the
  141  2-year period preceding license renewal. For certified
  142  optometrists, the 30-hour continuing education requirement
  143  includes shall include 6 or more hours of approved transcript
  144  quality coursework in ocular and systemic pharmacology and the
  145  diagnosis, treatment, and management of ocular and systemic
  146  conditions and diseases during the 2-year period preceding
  147  application for license renewal.
  148         Section 6. Subsection (3) of section 466.0135, Florida
  149  Statutes, is amended to read:
  150         466.0135 Continuing education; dentists.—
  151         (3) Each In applying for license renewal, the dentist shall
  152  complete submit a sworn affidavit, on a form acceptable to the
  153  department, attesting that she or he has completed the
  154  continuing education required in this section in accordance with
  155  the guidelines and provisions of this section and listing the
  156  date, location, sponsor, subject matter, and hours of completed
  157  continuing education courses. An The applicant shall retain in
  158  her or his records such receipts, vouchers, or certificates as
  159  may be necessary to document completion of the continuing
  160  education courses listed in accordance with this subsection.
  161  With cause, the board may request such documentation by the
  162  applicant, and the board may request such documentation from
  163  applicants selected at random without cause.
  164         Section 7. Section 466.014, Florida Statutes, is amended to
  165  read:
  166         466.014 Continuing education; dental hygienists.—In
  167  addition to the other requirements for relicensure for dental
  168  hygienists set out in this chapter act, the board shall require
  169  each licensed dental hygienist to complete at least not less
  170  than 24 hours but not or more than 36 hours of continuing
  171  professional education in dental subjects, biennially, in
  172  programs prescribed or approved by the board or in equivalent
  173  programs of continuing education. Programs of continuing
  174  education approved by the board are shall be programs of
  175  learning which, in the opinion of the board, contribute directly
  176  to the dental education of the dental hygienist. The board shall
  177  adopt rules and guidelines to administer and enforce the
  178  provisions of this section. An In applying for license renewal,
  179  the dental hygienist shall submit a sworn affidavit, on a form
  180  acceptable to the department, attesting that she or he has
  181  completed the continuing education required in this section in
  182  accordance with the guidelines and provisions of this section
  183  and listing the date, location, sponsor, subject matter, and
  184  hours of completed continuing education courses. The applicant
  185  shall retain in her or his records such receipts, vouchers, or
  186  certificates as may be necessary to document completion of the
  187  continuing education courses listed in accordance with this
  188  section. With cause, the board may request such documentation by
  189  the applicant, and the board may request such documentation from
  190  applicants selected at random without cause. Compliance with the
  191  continuing education requirements is shall be mandatory for
  192  issuance of the renewal certificate. The board may shall have
  193  the authority to excuse licensees, as a group or as individuals,
  194  from the continuing educational requirements, or any part
  195  thereof, if in the event an unusual circumstance, emergency, or
  196  hardship has prevented compliance with this section.
  197         Section 8. Paragraph (d) of subsection (5) of section
  198  466.032, Florida Statutes, is amended to read:
  199         466.032 Registration.—
  200         (5) A The dental laboratory owner or at least one employee
  201  of any dental laboratory renewing registration on or after July
  202  1, 2010, shall complete 18 hours of continuing education
  203  biennially. Programs of continuing education shall be programs
  204  of learning that contribute directly to the education of the
  205  dental technician and may include, but are not limited to,
  206  attendance at lectures, study clubs, college courses, or
  207  scientific sessions of conventions and research.
  208         (d) Any dental laboratory renewing a registration on or
  209  after July 1, 2010, shall submit a sworn affidavit, on a form
  210  approved by the department, attesting that either the dental
  211  laboratory owner or one dental technician employed by the
  212  registered dental laboratory has completed the continuing
  213  education required in this subsection in accordance with the
  214  guidelines and provisions of this subsection and listing the
  215  date, location, sponsor, subject matter, and hours of completed
  216  continuing education courses. The dental laboratory shall retain
  217  in its records such receipts, vouchers, or certificates as may
  218  be necessary to document completion of the continuing education
  219  courses listed in accordance with this subsection. With cause,
  220  the department may request that the documentation be provided by
  221  the applicant. The department may also request the documentation
  222  from applicants selected at random without cause.
  223         Section 9. Subsection (2) of section 484.047, Florida
  224  Statutes, is amended to read:
  225         484.047 Renewal of license.—
  226         (2) In addition to other requirements for license renewal
  227  provided in this section and by the board, the department shall
  228  renew a license upon receipt of the renewal application and, the
  229  renewal fee, and a written statement affirming compliance with
  230  all other requirements set forth in this section and by the
  231  board. A licensee must maintain, if applicable, a certificate
  232  from a manufacturer or independent testing agent certifying that
  233  the testing room meets the requirements of s. 484.0501(6) and,
  234  if applicable, a certificate from a manufacturer or independent
  235  testing agent stating that all audiometric testing equipment
  236  used by the licensee has been calibrated on an annual basis
  237  acoustically to American National Standards Institute standard
  238  specifications. Possession of the certificates is shall be a
  239  prerequisite to renewal.
  240         Section 10. Subsection (4) of section 486.109, Florida
  241  Statutes, is amended to read:
  242         486.109 Continuing education.—
  243         (4) Each licensee shall maintain be responsible for
  244  maintaining sufficient records in a format as determined by rule
  245  which shall be subject to a random audit by the department to
  246  demonstrate assure compliance with this section.
  247         Section 11. This act shall take effect July 1, 2014.