Florida Senate - 2020                              CS for SB 230
       
       
        
       By the Committee on Health Policy; and Senator Harrell
       
       
       
       
       
       588-00877-20                                           2020230c1
    1                        A bill to be entitled                      
    2         An act relating to the Department of Health; amending
    3         s. 381.0042, F.S.; revising the purpose of patient
    4         care networks from serving patients with acquired
    5         immune deficiency syndrome to serving those with human
    6         immunodeficiency virus; conforming provisions to
    7         changes made by the act; deleting obsolete language;
    8         amending s. 381.4018, F.S.; requiring the department
    9         to develop strategies to maximize federal-state
   10         partnerships that provide incentives for physicians to
   11         practice in medically underserved or rural areas;
   12         authorizing the department to adopt certain rules;
   13         amending s. 401.35, F.S.; clarifying applicability of
   14         certain ambulance rules to include emergency medical
   15         services vehicles; deleting the requirement that the
   16         department base rules governing medical supplies and
   17         equipment required in ambulances and emergency medical
   18         services vehicles on a certain association’s
   19         standards; deleting the requirement that the
   20         department base rules governing ambulance or emergency
   21         medical services vehicle design and construction on a
   22         certain agency’s standards and instead requiring the
   23         department to base such rules on national standards in
   24         effect on a certain date; amending s.456.013, F.S.;
   25         revising health care practitioner licensure
   26         application requirements; authorizing the board or
   27         department to issue a temporary license to certain
   28         applicants which expires after 60 days; amending s.
   29         458.3145, F.S.; revising the list of individuals who
   30         may be issued a medical faculty certificate without
   31         examination; amending s. 458.3312, F.S.; removing a
   32         prohibition against physicians representing themselves
   33         as board-certified specialists in dermatology unless
   34         the recognizing agency is reviewed and reauthorized on
   35         a specified basis by the Board of Medicine; amending
   36         s. 459.0055, F.S.; revising licensure requirements for
   37         a person seeking licensure or certification as an
   38         osteopathic physician; repealing s. 460.4166, F.S.,
   39         relating to registered chiropractic assistants;
   40         amending s. 464.019, F.S.; extending through 2025 the
   41         Florida Center for Nursing’s responsibility to study
   42         and issue an annual report on the implementation of
   43         nursing education programs; amending s. 464.202, F.S.;
   44         requiring the Board of Nursing to adopt rules that
   45         include disciplinary procedures and standards of
   46         practice for certified nursing assistants; amending s.
   47         464.203, F.S.; revising certification requirements for
   48         nursing assistants; amending s. 464.204, F.S.;
   49         revising grounds for board-imposed disciplinary
   50         sanctions; amending s. 466.006, F.S.; revising certain
   51         examination requirements for applicants seeking dental
   52         licensure; reviving, reenacting, and amending s.
   53         466.0067, F.S., relating to the application for a
   54         health access dental license; reviving, reenacting,
   55         and amending s. 466.00671, F.S., relating to the
   56         renewal of such a license; reviving and reenacting s.
   57         466.00672, F.S., relating to the revocation of such a
   58         license; amending s. 466.007, F.S.; revising
   59         requirements for examinations of dental hygienists;
   60         amending s. 466.017, F.S.; requiring dentists and
   61         certified registered dental hygienists to report in
   62         writing certain adverse incidents to the department
   63         within a specified timeframe; providing for
   64         disciplinary action by the Board of Dentistry for
   65         violations; defining the term “adverse incident”;
   66         authorizing the board to adopt rules; amending s.
   67         466.031, F.S.; making technical changes; authorizing
   68         an employee or an independent contractor of a dental
   69         laboratory, acting as an agent of that dental
   70         laboratory, to engage in onsite consultation with a
   71         licensed dentist during a dental procedure; amending
   72         s. 466.036, F.S.; revising the frequency of dental
   73         laboratory inspections during a specified period;
   74         amending s. 468.701, F.S.; revising the definition of
   75         the term “athletic trainer”; deleting a requirement
   76         that is relocated to another section; amending s.
   77         468.707, F.S.; revising athletic trainer licensure
   78         requirements; amending s. 468.711, F.S.; requiring
   79         certain licensees to maintain certification in good
   80         standing without lapse as a condition of renewal of
   81         their athletic trainer licenses; amending s. 468.713,
   82         F.S.; requiring that an athletic trainer work within a
   83         specified scope of practice; relocating an existing
   84         requirement that was stricken from another section;
   85         amending s. 468.723, F.S.; requiring the direct
   86         supervision of an athletic training student to be in
   87         accordance with rules adopted by the Board of Athletic
   88         Training; amending s. 468.803, F.S.; revising
   89         orthotic, prosthetic, and pedorthic licensure,
   90         registration, and examination requirements; amending
   91         s. 480.033, F.S.; revising the definition of the term
   92         “apprentice”; amending s. 480.041, F.S.; revising
   93         qualifications for licensure as a massage therapist;
   94         specifying that massage apprentices licensed before a
   95         specified date may continue to perform massage therapy
   96         as authorized under their licenses; authorizing
   97         massage apprentices to apply for full licensure upon
   98         completion of their apprenticeships, under certain
   99         conditions; repealing s. 480.042, F.S., relating to
  100         examinations for licensure as a massage therapist;
  101         amending s. 490.003, F.S.; revising the definition of
  102         the terms “doctoral-level psychological education” and
  103         “doctoral degree in psychology”; amending s. 490.005,
  104         F.S.; revising requirements for licensure by
  105         examination of psychologists and school psychologists;
  106         amending s. 490.006, F.S.; revising requirements for
  107         licensure by endorsement of psychologists and school
  108         psychologists; amending s. 491.0045, F.S.; exempting
  109         clinical social worker interns, marriage and family
  110         therapist interns, and mental health counselor interns
  111         from registration requirements, under certain
  112         circumstances; amending s. 491.005, F.S.; revising
  113         requirements for the licensure by examination of
  114         marriage and family therapists; revising requirements
  115         for the licensure by examination of mental health
  116         counselors; amending s. 491.006, F.S.; revising
  117         requirements for licensure by endorsement or
  118         certification for specified professions; amending s.
  119         491.007, F.S.; removing a biennial intern registration
  120         fee; amending s. 491.009, F.S.; authorizing the Board
  121         of Clinical Social Work, Marriage and Family Therapy,
  122         and Mental Health Counseling or, under certain
  123         circumstances, the department to enter an order
  124         denying licensure or imposing penalties against an
  125         applicant for licensure under certain circumstances;
  126         amending ss. 491.0046 and 945.42, F.S.; conforming
  127         cross-references; providing an effective date.
  128          
  129  Be It Enacted by the Legislature of the State of Florida:
  130  
  131         Section 1. Section 381.0042, Florida Statutes, is amended
  132  to read:
  133         381.0042 Patient care for persons with HIV infection.—The
  134  department may establish human immunodeficiency virus acquired
  135  immune deficiency syndrome patient care networks in each region
  136  of the state where the number numbers of cases of acquired
  137  immune deficiency syndrome and other human immunodeficiency
  138  virus transmission infections justifies the establishment of
  139  cost-effective regional patient care networks. Such networks
  140  shall be delineated by rule of the department which shall take
  141  into account natural trade areas and centers of medical
  142  excellence that specialize in the treatment of human
  143  immunodeficiency virus acquired immune deficiency syndrome, as
  144  well as available federal, state, and other funds. Each patient
  145  care network shall include representation of persons with human
  146  immunodeficiency virus infection; health care providers;
  147  business interests; the department, including, but not limited
  148  to, county health departments; and local units of government.
  149  Each network shall plan for the care and treatment of persons
  150  with human immunodeficiency virus acquired immune deficiency
  151  syndrome and acquired immune deficiency syndrome related complex
  152  in a cost-effective, dignified manner that which emphasizes
  153  outpatient and home care. Once per each year, beginning April
  154  1989, each network shall make its recommendations concerning the
  155  needs for patient care to the department.
  156         Section 2. Subsection (3) of section 381.4018, Florida
  157  Statutes, is amended to read:
  158         381.4018 Physician workforce assessment and development.—
  159         (3) GENERAL FUNCTIONS.—The department shall maximize the
  160  use of existing programs under the jurisdiction of the
  161  department and other state agencies and coordinate governmental
  162  and nongovernmental stakeholders and resources in order to
  163  develop a state strategic plan and assess the implementation of
  164  such strategic plan. In developing the state strategic plan, the
  165  department shall:
  166         (a) Monitor, evaluate, and report on the supply and
  167  distribution of physicians licensed under chapter 458 or chapter
  168  459. The department shall maintain a database to serve as a
  169  statewide source of data concerning the physician workforce.
  170         (b) Develop a model and quantify, on an ongoing basis, the
  171  adequacy of the state’s current and future physician workforce
  172  as reliable data becomes available. Such model must take into
  173  account demographics, physician practice status, place of
  174  education and training, generational changes, population growth,
  175  economic indicators, and issues concerning the “pipeline” into
  176  medical education.
  177         (c) Develop and recommend strategies to determine whether
  178  the number of qualified medical school applicants who might
  179  become competent, practicing physicians in this state will be
  180  sufficient to meet the capacity of the state’s medical schools.
  181  If appropriate, the department shall, working with
  182  representatives of appropriate governmental and nongovernmental
  183  entities, develop strategies and recommendations and identify
  184  best practice programs that introduce health care as a
  185  profession and strengthen skills needed for medical school
  186  admission for elementary, middle, and high school students, and
  187  improve premedical education at the precollege and college level
  188  in order to increase this state’s potential pool of medical
  189  students.
  190         (d) Develop strategies to ensure that the number of
  191  graduates from the state’s public and private allopathic and
  192  osteopathic medical schools is adequate to meet physician
  193  workforce needs, based on the analysis of the physician
  194  workforce data, so as to provide a high-quality medical
  195  education to students in a manner that recognizes the uniqueness
  196  of each new and existing medical school in this state.
  197         (e) Pursue strategies and policies to create, expand, and
  198  maintain graduate medical education positions in the state based
  199  on the analysis of the physician workforce data. Such strategies
  200  and policies must take into account the effect of federal
  201  funding limitations on the expansion and creation of positions
  202  in graduate medical education. The department shall develop
  203  options to address such federal funding limitations. The
  204  department shall consider options to provide direct state
  205  funding for graduate medical education positions in a manner
  206  that addresses requirements and needs relative to accreditation
  207  of graduate medical education programs. The department shall
  208  consider funding residency positions as a means of addressing
  209  needed physician specialty areas, rural areas having a shortage
  210  of physicians, and areas of ongoing critical need, and as a
  211  means of addressing the state’s physician workforce needs based
  212  on an ongoing analysis of physician workforce data.
  213         (f) Develop strategies to maximize federal and state
  214  programs that provide for the use of incentives to attract
  215  physicians to this state or retain physicians within the state.
  216  Such strategies should explore and maximize federal-state
  217  partnerships that provide incentives for physicians to practice
  218  in federally designated shortage areas, in otherwise medically
  219  underserved areas, or in rural areas. Strategies shall also
  220  consider the use of state programs, such as the Medical
  221  Education Reimbursement and Loan Repayment Program pursuant to
  222  s. 1009.65, which provide for education loan repayment or loan
  223  forgiveness and provide monetary incentives for physicians to
  224  relocate to underserved areas of the state.
  225         (g) Coordinate and enhance activities relative to physician
  226  workforce needs, undergraduate medical education, graduate
  227  medical education, and reentry of retired military and other
  228  physicians into the physician workforce provided by the Division
  229  of Medical Quality Assurance, area health education center
  230  networks established pursuant to s. 381.0402, and other offices
  231  and programs within the department as designated by the State
  232  Surgeon General.
  233         (h) Work in conjunction with and act as a coordinating body
  234  for governmental and nongovernmental stakeholders to address
  235  matters relating to the state’s physician workforce assessment
  236  and development for the purpose of ensuring an adequate supply
  237  of well-trained physicians to meet the state’s future needs.
  238  Such governmental stakeholders shall include, but need not be
  239  limited to, the State Surgeon General or his or her designee,
  240  the Commissioner of Education or his or her designee, the
  241  Secretary of Health Care Administration or his or her designee,
  242  and the Chancellor of the State University System or his or her
  243  designee, and, at the discretion of the department, other
  244  representatives of state and local agencies that are involved in
  245  assessing, educating, or training the state’s current or future
  246  physicians. Other stakeholders shall include, but need not be
  247  limited to, organizations representing the state’s public and
  248  private allopathic and osteopathic medical schools;
  249  organizations representing hospitals and other institutions
  250  providing health care, particularly those that currently provide
  251  or have an interest in providing accredited medical education
  252  and graduate medical education to medical students and medical
  253  residents; organizations representing allopathic and osteopathic
  254  practicing physicians; and, at the discretion of the department,
  255  representatives of other organizations or entities involved in
  256  assessing, educating, or training the state’s current or future
  257  physicians.
  258         (i) Serve as a liaison with other states and federal
  259  agencies and programs in order to enhance resources available to
  260  the state’s physician workforce and medical education continuum.
  261         (j) Act as a clearinghouse for collecting and disseminating
  262  information concerning the physician workforce and medical
  263  education continuum in this state.
  264  
  265  The department may adopt rules to implement this subsection,
  266  including rules that establish guidelines to implement the
  267  federal Conrad 30 Waiver Program created under s. 214(l) of the
  268  Immigration and Nationality Act.
  269         Section 3. Paragraphs (c) and (d) of subsection (1) of
  270  section 401.35, Florida Statutes, are amended to read:
  271         401.35 Rules.—The department shall adopt rules, including
  272  definitions of terms, necessary to carry out the purposes of
  273  this part.
  274         (1) The rules must provide at least minimum standards
  275  governing:
  276         (c) Ground Ambulance and emergency medical services vehicle
  277  equipment and supplies that a licensee with a valid vehicle
  278  permit under s. 401.26 is required to maintain to provide basic
  279  life support or advanced life support services at least as
  280  comprehensive as those published in the most current edition of
  281  the American College of Surgeons, Committee on Trauma, list of
  282  essential equipment for ambulances, as interpreted by rules of
  283  the department.
  284         (d) Ground Ambulance or emergency medical services vehicle
  285  design and construction based on national standards in effect on
  286  the date the rule is adopted and at least equal to those most
  287  currently recommended by the United States General Services
  288  Administration as interpreted by department rule rules of the
  289  department.
  290         Section 4. Paragraphs (a) and (b) of subsection (1) of
  291  section 456.013, Florida Statutes, are amended to read:
  292         456.013 Department; general licensing provisions.—
  293         (1)(a) Any person desiring to be licensed in a profession
  294  within the jurisdiction of the department must shall apply to
  295  the department in writing to take the licensure examination. The
  296  application must shall be made on a form prepared and furnished
  297  by the department. The application form must be available on the
  298  Internet, World Wide Web and the department may accept
  299  electronically submitted applications. The application shall
  300  require the social security number and date of birth of the
  301  applicant, except as provided in paragraphs (b) and (c). The
  302  form shall be supplemented as needed to reflect any material
  303  change in any circumstance or condition stated in the
  304  application which takes place between the initial filing of the
  305  application and the final grant or denial of the license and
  306  which might affect the decision of the department. If an
  307  application is submitted electronically, the department may
  308  require supplemental materials, including an original signature
  309  of the applicant and verification of credentials, to be
  310  submitted in a nonelectronic format. An incomplete application
  311  shall expire 1 year after initial filing. In order to further
  312  the economic development goals of the state, and notwithstanding
  313  any law to the contrary, the department may enter into an
  314  agreement with the county tax collector for the purpose of
  315  appointing the county tax collector as the department’s agent to
  316  accept applications for licenses and applications for renewals
  317  of licenses. The agreement must specify the time within which
  318  the tax collector must forward any applications and accompanying
  319  application fees to the department.
  320         (b) If an applicant has not been issued a social security
  321  number by the Federal Government at the time of application
  322  because the applicant is not a citizen or resident of this
  323  country, the department may process the application using a
  324  unique personal identification number. If such an applicant is
  325  otherwise eligible for licensure, the board, or the department
  326  when there is no board, may issue a temporary license to the
  327  applicant, which shall expire 30 days after issuance unless a
  328  social security number is obtained and submitted in writing to
  329  the department. A temporary license issued under this paragraph
  330  to an applicant who has accepted a position with an accredited
  331  residency, internship, or fellowship program in this state and
  332  is applying for registration under s. 458.345 or s. 459.021
  333  shall expire 60 days after issuance unless the applicant obtains
  334  a social security number and submits it in writing to the
  335  department. Upon receipt of the applicant’s social security
  336  number, the department shall issue a new license, which shall
  337  expire at the end of the current biennium.
  338         Section 5. Subsection (1) of section 458.3145, Florida
  339  Statutes, is amended to read:
  340         458.3145 Medical faculty certificate.—
  341         (1) A medical faculty certificate may be issued without
  342  examination to an individual who:
  343         (a) Is a graduate of an accredited medical school or its
  344  equivalent, or is a graduate of a foreign medical school listed
  345  with the World Health Organization;
  346         (b) Holds a valid, current license to practice medicine in
  347  another jurisdiction;
  348         (c) Has completed the application form and remitted a
  349  nonrefundable application fee not to exceed $500;
  350         (d) Has completed an approved residency or fellowship of at
  351  least 1 year or has received training which has been determined
  352  by the board to be equivalent to the 1-year residency
  353  requirement;
  354         (e) Is at least 21 years of age;
  355         (f) Is of good moral character;
  356         (g) Has not committed any act in this or any other
  357  jurisdiction which would constitute the basis for disciplining a
  358  physician under s. 458.331;
  359         (h) For any applicant who has graduated from medical school
  360  after October 1, 1992, has completed, before entering medical
  361  school, the equivalent of 2 academic years of preprofessional,
  362  postsecondary education, as determined by rule of the board,
  363  which must include, at a minimum, courses in such fields as
  364  anatomy, biology, and chemistry; and
  365         (i) Has been offered and has accepted a full-time faculty
  366  appointment to teach in a program of medicine at:
  367         1. The University of Florida;
  368         2. The University of Miami;
  369         3. The University of South Florida;
  370         4. The Florida State University;
  371         5. The Florida International University;
  372         6. The University of Central Florida;
  373         7. The Mayo Clinic College of Medicine and Science in
  374  Jacksonville, Florida;
  375         8. The Florida Atlantic University; or
  376         9. The Johns Hopkins All Children’s Hospital in St.
  377  Petersburg, Florida;
  378         10.Nova Southeastern University; or
  379         11.Lake Erie College of Osteopathic Medicine.
  380         Section 6. Section 458.3312, Florida Statutes, is amended
  381  to read:
  382         458.3312 Specialties.—A physician licensed under this
  383  chapter may not hold himself or herself out as a board-certified
  384  specialist unless the physician has received formal recognition
  385  as a specialist from a specialty board of the American Board of
  386  Medical Specialties or other recognizing agency that has been
  387  approved by the board. However, a physician may indicate the
  388  services offered and may state that his or her practice is
  389  limited to one or more types of services when this accurately
  390  reflects the scope of practice of the physician. A physician may
  391  not hold himself or herself out as a board-certified specialist
  392  in dermatology unless the recognizing agency, whether authorized
  393  in statute or by rule, is triennially reviewed and reauthorized
  394  by the Board of Medicine.
  395         Section 7. Subsection (1) of section 459.0055, Florida
  396  Statutes, is amended to read:
  397         459.0055 General licensure requirements.—
  398         (1) Except as otherwise provided herein, any person
  399  desiring to be licensed or certified as an osteopathic physician
  400  pursuant to this chapter shall:
  401         (a) Complete an application form and submit the appropriate
  402  fee to the department;
  403         (b) Be at least 21 years of age;
  404         (c) Be of good moral character;
  405         (d) Have completed at least 3 years of preprofessional
  406  postsecondary education;
  407         (e) Have not previously committed any act that would
  408  constitute a violation of this chapter, unless the board
  409  determines that such act does not adversely affect the
  410  applicant’s present ability and fitness to practice osteopathic
  411  medicine;
  412         (f) Not be under investigation in any jurisdiction for an
  413  act that would constitute a violation of this chapter. If, upon
  414  completion of such investigation, it is determined that the
  415  applicant has committed an act that would constitute a violation
  416  of this chapter, the applicant is ineligible for licensure
  417  unless the board determines that such act does not adversely
  418  affect the applicant’s present ability and fitness to practice
  419  osteopathic medicine;
  420         (g) Have not had an application for a license to practice
  421  osteopathic medicine denied or a license to practice osteopathic
  422  medicine revoked, suspended, or otherwise acted against by the
  423  licensing authority of any jurisdiction unless the board
  424  determines that the grounds on which such action was taken do
  425  not adversely affect the applicant’s present ability and fitness
  426  to practice osteopathic medicine. A licensing authority’s
  427  acceptance of a physician’s relinquishment of license,
  428  stipulation, consent order, or other settlement, offered in
  429  response to or in anticipation of the filing of administrative
  430  charges against the osteopathic physician, shall be considered
  431  action against the osteopathic physician’s license;
  432         (h) Not have received less than a satisfactory evaluation
  433  from an internship, residency, or fellowship training program,
  434  unless the board determines that such act does not adversely
  435  affect the applicant’s present ability and fitness to practice
  436  osteopathic medicine. Such evaluation shall be provided by the
  437  director of medical education from the medical training
  438  facility;
  439         (i) Have met the criteria set forth in s. 459.0075, s.
  440  459.0077, or s. 459.021, whichever is applicable;
  441         (j) Submit to the department a set of fingerprints on a
  442  form and under procedures specified by the department, along
  443  with a payment in an amount equal to the costs incurred by the
  444  Department of Health for the criminal background check of the
  445  applicant;
  446         (k) Demonstrate that he or she is a graduate of a medical
  447  college recognized and approved by the American Osteopathic
  448  Association;
  449         (l) Demonstrate that she or he has successfully completed
  450  an internship or residency a resident internship of not less
  451  than 12 months in a program accredited hospital approved for
  452  this purpose by the Board of Trustees of the American
  453  Osteopathic Association or the Accreditation Council for
  454  Graduate Medical Education any other internship program approved
  455  by the board upon a showing of good cause by the applicant. This
  456  requirement may be waived for an applicant who matriculated in a
  457  college of osteopathic medicine during or before 1948; and
  458         (m) Demonstrate that she or he has obtained a passing
  459  score, as established by rule of the board, on all parts of the
  460  examination conducted by the National Board of Osteopathic
  461  Medical Examiners or other examination approved by the board no
  462  more than 5 years before making application in this state or, if
  463  holding a valid active license in another state, that the
  464  initial licensure in the other state occurred no more than 5
  465  years after the applicant obtained a passing score on the
  466  examination conducted by the National Board of Osteopathic
  467  Medical Examiners or other substantially similar examination
  468  approved by the board.
  469         Section 8. Section 460.4166, Florida Statutes, is repealed.
  470         Section 9. Subsection (10) of section 464.019, Florida
  471  Statutes, is amended to read:
  472         464.019 Approval of nursing education programs.—
  473         (10) IMPLEMENTATION STUDY.—The Florida Center for Nursing
  474  shall study the administration of this section and submit
  475  reports to the Governor, the President of the Senate, and the
  476  Speaker of the House of Representatives annually by January 30,
  477  through January 30, 2025 2020. The annual reports shall address
  478  the previous academic year; provide data on the measures
  479  specified in paragraphs (a) and (b), as such data becomes
  480  available; and include an evaluation of such data for purposes
  481  of determining whether this section is increasing the
  482  availability of nursing education programs and the production of
  483  quality nurses. The department and each approved program or
  484  accredited program shall comply with requests for data from the
  485  Florida Center for Nursing.
  486         (a) The Florida Center for Nursing shall evaluate program
  487  specific data for each approved program and accredited program
  488  conducted in the state, including, but not limited to:
  489         1. The number of programs and student slots available.
  490         2. The number of student applications submitted, the number
  491  of qualified applicants, and the number of students accepted.
  492         3. The number of program graduates.
  493         4. Program retention rates of students tracked from program
  494  entry to graduation.
  495         5. Graduate passage rates on the National Council of State
  496  Boards of Nursing Licensing Examination.
  497         6. The number of graduates who become employed as practical
  498  or professional nurses in the state.
  499         (b) The Florida Center for Nursing shall evaluate the
  500  board’s implementation of the:
  501         1. Program application approval process, including, but not
  502  limited to, the number of program applications submitted under
  503  subsection (1),; the number of program applications approved and
  504  denied by the board under subsection (2),; the number of denials
  505  of program applications reviewed under chapter 120,; and a
  506  description of the outcomes of those reviews.
  507         2. Accountability processes, including, but not limited to,
  508  the number of programs on probationary status, the number of
  509  approved programs for which the program director is required to
  510  appear before the board under subsection (5), the number of
  511  approved programs terminated by the board, the number of
  512  terminations reviewed under chapter 120, and a description of
  513  the outcomes of those reviews.
  514         (c) The Florida Center for Nursing shall complete an annual
  515  assessment of compliance by programs with the accreditation
  516  requirements of subsection (11), include in the assessment a
  517  determination of the accreditation process status for each
  518  program, and submit the assessment as part of the reports
  519  required by this subsection.
  520         Section 10. Section 464.202, Florida Statutes, is amended
  521  to read:
  522         464.202 Duties and powers of the board.—The board shall
  523  maintain, or contract with or approve another entity to
  524  maintain, a state registry of certified nursing assistants. The
  525  registry must consist of the name of each certified nursing
  526  assistant in this state; other identifying information defined
  527  by board rule; certification status; the effective date of
  528  certification; other information required by state or federal
  529  law; information regarding any crime or any abuse, neglect, or
  530  exploitation as provided under chapter 435; and any disciplinary
  531  action taken against the certified nursing assistant. The
  532  registry shall be accessible to the public, the
  533  certificateholder, employers, and other state agencies. The
  534  board shall adopt by rule testing procedures for use in
  535  certifying nursing assistants and shall adopt rules regulating
  536  the practice of certified nursing assistants, including
  537  disciplinary procedures and standards of practice, and
  538  specifying the scope of practice authorized and the level of
  539  supervision required for the practice of certified nursing
  540  assistants. The board may contract with or approve another
  541  entity or organization to provide the examination services,
  542  including the development and administration of examinations.
  543  The board shall require that the contract provider offer
  544  certified nursing assistant applications via the Internet, and
  545  may require the contract provider to accept certified nursing
  546  assistant applications for processing via the Internet. The
  547  board shall require the contract provider to provide the
  548  preliminary results of the certified nursing examination on the
  549  date the test is administered. The provider shall pay all
  550  reasonable costs and expenses incurred by the board in
  551  evaluating the provider’s application and performance during the
  552  delivery of services, including examination services and
  553  procedures for maintaining the certified nursing assistant
  554  registry.
  555         Section 11. Paragraph (c) of subsection (1) of section
  556  464.203, Florida Statutes, is amended to read:
  557         464.203 Certified nursing assistants; certification
  558  requirement.—
  559         (1) The board shall issue a certificate to practice as a
  560  certified nursing assistant to any person who demonstrates a
  561  minimum competency to read and write and successfully passes the
  562  required background screening pursuant to s. 400.215. If the
  563  person has successfully passed the required background screening
  564  pursuant to s. 400.215 or s. 408.809 within 90 days before
  565  applying for a certificate to practice and the person’s
  566  background screening results are not retained in the
  567  clearinghouse created under s. 435.12, the board shall waive the
  568  requirement that the applicant successfully pass an additional
  569  background screening pursuant to s. 400.215. The person must
  570  also meet one of the following requirements:
  571         (c) Is currently certified in another state or territory of
  572  the United States or in the District of Columbia; is listed on
  573  that jurisdiction’s state’s certified nursing assistant
  574  registry; and has not been found to have committed abuse,
  575  neglect, or exploitation in that jurisdiction state.
  576         Section 12. Paragraph (b) of subsection (1) of section
  577  464.204, Florida Statutes, is amended to read:
  578         464.204 Denial, suspension, or revocation of certification;
  579  disciplinary actions.—
  580         (1) The following acts constitute grounds for which the
  581  board may impose disciplinary sanctions as specified in
  582  subsection (2):
  583         (b) Intentionally Violating any provision of this chapter,
  584  chapter 456, or the rules adopted by the board.
  585         Section 13. Subsections (3) and (4) of section 466.006,
  586  Florida Statutes, are amended to read:
  587         466.006 Examination of dentists.—
  588         (3) If an applicant is a graduate of a dental college or
  589  school not accredited in accordance with paragraph (2)(b) or of
  590  a dental college or school not approved by the board, the
  591  applicant is not entitled to take the examinations required in
  592  this section to practice dentistry until she or he satisfies one
  593  of the following:
  594         (a) Completes a program of study, as defined by the board
  595  by rule, at an accredited American dental school and
  596  demonstrates receipt of a D.D.S. or D.M.D. from said school; or
  597         (b) Submits proof of having successfully completed at least
  598  2 consecutive academic years at a full-time supplemental general
  599  dentistry program accredited by the American Dental Association
  600  Commission on Dental Accreditation. This program must provide
  601  didactic and clinical education at the level of a D.D.S. or
  602  D.M.D. program accredited by the American Dental Association
  603  Commission on Dental Accreditation. For purposes of this
  604  paragraph, a supplemental general dentistry program does not
  605  include an advanced education program in a dental specialty.
  606         (4) Notwithstanding any other provision of law in chapter
  607  456 pertaining to the clinical dental licensure examination or
  608  national examinations, to be licensed as a dentist in this
  609  state, an applicant must successfully complete both of the
  610  following:
  611         (a) A written examination on the laws and rules of the
  612  state regulating the practice of dentistry.;
  613         (b)1. A practical or clinical examination, which must shall
  614  be the American Dental Licensing Examination produced by the
  615  American Board of Dental Examiners, Inc., or its successor
  616  entity, if any, that is administered in this state and graded by
  617  dentists licensed in this state and employed by the department
  618  for just such purpose, provided that the board has attained, and
  619  continues to maintain thereafter, representation on the board of
  620  directors of the American Board of Dental Examiners, the
  621  examination development committee of the American Board of
  622  Dental Examiners, and such other committees of the American
  623  Board of Dental Examiners as the board deems appropriate by rule
  624  to assure that the standards established herein are maintained
  625  organizationally. A passing score on the American Dental
  626  Licensing Examination administered in this state and graded by
  627  dentists who are licensed in this state is valid for 365 days
  628  after the date the official examination results are published.
  629         1.2.a. As an alternative to such practical or clinical
  630  examination the requirements of subparagraph 1., an applicant
  631  may submit scores from an American Dental Licensing Examination
  632  previously administered in a jurisdiction other than this state
  633  after October 1, 2011, and such examination results shall be
  634  recognized as valid for the purpose of licensure in this state.
  635  A passing score on the American Dental Licensing Examination
  636  administered out of state out-of-state shall be the same as the
  637  passing score for the American Dental Licensing Examination
  638  administered in this state and graded by dentists who are
  639  licensed in this state. The examination results are valid for
  640  365 days after the date the official examination results are
  641  published. The applicant must have completed the examination
  642  after October 1, 2011.
  643         b. This subparagraph may not be given retroactive
  644  application.
  645         2.3. If the date of an applicant’s passing American Dental
  646  Licensing Examination scores from an examination previously
  647  administered in a jurisdiction other than this state under
  648  subparagraph 1. subparagraph 2. is older than 365 days, then
  649  such scores are shall nevertheless be recognized as valid for
  650  the purpose of licensure in this state, but only if the
  651  applicant demonstrates that all of the following additional
  652  standards have been met:
  653         a.(I) The applicant completed the American Dental Licensing
  654  Examination after October 1, 2011.
  655         (II) This sub-subparagraph may not be given retroactive
  656  application;
  657         b. The applicant graduated from a dental school accredited
  658  by the American Dental Association Commission on Dental
  659  Accreditation or its successor entity, if any, or any other
  660  dental accrediting organization recognized by the United States
  661  Department of Education. Provided, however, if the applicant did
  662  not graduate from such a dental school, the applicant may submit
  663  proof of having successfully completed a full-time supplemental
  664  general dentistry program accredited by the American Dental
  665  Association Commission on Dental Accreditation of at least 2
  666  consecutive academic years at such accredited sponsoring
  667  institution. Such program must provide didactic and clinical
  668  education at the level of a D.D.S. or D.M.D. program accredited
  669  by the American Dental Association Commission on Dental
  670  Accreditation. For purposes of this paragraph, a supplemental
  671  general dentistry program does not include an advanced education
  672  program in a dental specialty;
  673         c. The applicant currently possesses a valid and active
  674  dental license in good standing, with no restriction, which has
  675  never been revoked, suspended, restricted, or otherwise
  676  disciplined, from another state or territory of the United
  677  States, the District of Columbia, or the Commonwealth of Puerto
  678  Rico;
  679         d. The applicant submits proof that he or she has never
  680  been reported to the National Practitioner Data Bank, the
  681  Healthcare Integrity and Protection Data Bank, or the American
  682  Association of Dental Boards Clearinghouse. This sub
  683  subparagraph does not apply if the applicant successfully
  684  appealed to have his or her name removed from the data banks of
  685  these agencies;
  686         e.(I)(A)In the 5 years immediately preceding the date of
  687  application for licensure in this state, The applicant submits
  688  must submit proof of having been consecutively engaged in the
  689  full-time practice of dentistry in another state or territory of
  690  the United States, the District of Columbia, or the Commonwealth
  691  of Puerto Rico in the 5 years immediately preceding the date of
  692  application for licensure in this state;, or,
  693         (B) If the applicant has been licensed in another state or
  694  territory of the United States, the District of Columbia, or the
  695  Commonwealth of Puerto Rico for less than 5 years, the applicant
  696  submits must submit proof of having been engaged in the full
  697  time practice of dentistry since the date of his or her initial
  698  licensure.
  699         (II) As used in this section, “full-time practice” is
  700  defined as a minimum of 1,200 hours per year for each and every
  701  year in the consecutive 5-year period or, when where applicable,
  702  the period since initial licensure, and must include any
  703  combination of the following:
  704         (A) Active clinical practice of dentistry providing direct
  705  patient care.
  706         (B) Full-time practice as a faculty member employed by a
  707  dental or dental hygiene school approved by the board or
  708  accredited by the American Dental Association Commission on
  709  Dental Accreditation.
  710         (C) Full-time practice as a student at a postgraduate
  711  dental education program approved by the board or accredited by
  712  the American Dental Association Commission on Dental
  713  Accreditation.
  714         (III) The board shall develop rules to determine what type
  715  of proof of full-time practice is required and to recoup the
  716  cost to the board of verifying full-time practice under this
  717  section. Such proof must, at a minimum, be:
  718         (A) Admissible as evidence in an administrative proceeding;
  719         (B) Submitted in writing;
  720         (C) Submitted by the applicant under oath with penalties of
  721  perjury attached;
  722         (D) Further documented by an affidavit of someone unrelated
  723  to the applicant who is familiar with the applicant’s practice
  724  and testifies with particularity that the applicant has been
  725  engaged in full-time practice; and
  726         (E) Specifically found by the board to be both credible and
  727  admissible.
  728         (IV) An affidavit of only the applicant is not acceptable
  729  proof of full-time practice unless it is further attested to by
  730  someone unrelated to the applicant who has personal knowledge of
  731  the applicant’s practice. If the board deems it necessary to
  732  assess credibility or accuracy, the board may require the
  733  applicant or the applicant’s witnesses to appear before the
  734  board and give oral testimony under oath;
  735         f. The applicant submits must submit documentation that he
  736  or she has completed, or will complete before he or she is
  737  licensed, prior to licensure in this state, continuing education
  738  equivalent to this state’s requirements for the last full
  739  reporting biennium;
  740         g. The applicant proves must prove that he or she has never
  741  been convicted of, or pled nolo contendere to, regardless of
  742  adjudication, any felony or misdemeanor related to the practice
  743  of a health care profession in any jurisdiction;
  744         h. The applicant has must successfully passed pass a
  745  written examination on the laws and rules of this state
  746  regulating the practice of dentistry and must successfully pass
  747  the computer-based diagnostic skills examination; and
  748         i. The applicant submits must submit documentation that he
  749  or she has successfully completed the applicable examination
  750  administered by the Joint Commission on National Dental
  751  Examinations or its successor organization National Board of
  752  Dental Examiners dental examination.
  753         Section 14. Notwithstanding the January 1, 2020, repeal of
  754  section 466.0067, Florida Statutes, that section is revived,
  755  reenacted, and amended, to read:
  756         466.0067 Application for health access dental license.—The
  757  Legislature finds that there is an important state interest in
  758  attracting dentists to practice in underserved health access
  759  settings in this state and further, that allowing out-of-state
  760  dentists who meet certain criteria to practice in health access
  761  settings without the supervision of a dentist licensed in this
  762  state is substantially related to achieving this important state
  763  interest. Therefore, notwithstanding the requirements of s.
  764  466.006, the board shall grant a health access dental license to
  765  practice dentistry in this state in health access settings as
  766  defined in s. 466.003 to an applicant who that:
  767         (1) Files an appropriate application approved by the board;
  768         (2) Pays an application license fee for a health access
  769  dental license, laws-and-rule exam fee, and an initial licensure
  770  fee. The fees specified in this subsection may not differ from
  771  an applicant seeking licensure pursuant to s. 466.006;
  772         (3) Has not been convicted of or pled nolo contendere to,
  773  regardless of adjudication, any felony or misdemeanor related to
  774  the practice of a health care profession;
  775         (4) Submits proof of graduation from a dental school
  776  accredited by the Commission on Dental Accreditation of the
  777  American Dental Association or its successor agency;
  778         (5) Submits documentation that she or he has completed, or
  779  will obtain before prior to licensure, continuing education
  780  equivalent to this state’s requirement for dentists licensed
  781  under s. 466.006 for the last full reporting biennium before
  782  applying for a health access dental license;
  783         (6) Submits proof of her or his successful completion of
  784  parts I and II of the dental examination by the National Board
  785  of Dental Examiners and a state or regional clinical dental
  786  licensing examination that the board has determined effectively
  787  measures the applicant’s ability to practice safely;
  788         (7) Currently holds a valid, active, dental license in good
  789  standing which has not been revoked, suspended, restricted, or
  790  otherwise disciplined from another of the United States, the
  791  District of Columbia, or a United States territory;
  792         (8) Has never had a license revoked from another of the
  793  United States, the District of Columbia, or a United States
  794  territory;
  795         (9) Has never failed the examination specified in s.
  796  466.006, unless the applicant was reexamined pursuant to s.
  797  466.006 and received a license to practice dentistry in this
  798  state;
  799         (10) Has not been reported to the National Practitioner
  800  Data Bank, unless the applicant successfully appealed to have
  801  his or her name removed from the data bank;
  802         (11) Submits proof that he or she has been engaged in the
  803  active, clinical practice of dentistry providing direct patient
  804  care for 5 years immediately preceding the date of application,
  805  or in instances when the applicant has graduated from an
  806  accredited dental school within the preceding 5 years, submits
  807  proof of continuous clinical practice providing direct patient
  808  care since graduation; and
  809         (12) Has passed an examination covering the laws and rules
  810  of the practice of dentistry in this state as described in s.
  811  466.006(4)(a).
  812         Section 15. Notwithstanding the January 1, 2020, repeal of
  813  section 466.00671, Florida Statutes, that section is revived,
  814  reenacted, and amended to read:
  815         466.00671 Renewal of the health access dental license.—
  816         (1) A health access dental licensee shall apply for renewal
  817  each biennium. At the time of renewal, the licensee shall sign a
  818  statement that she or he has complied with all continuing
  819  education requirements of an active dentist licensee. The board
  820  shall renew a health access dental license for an applicant who
  821  that:
  822         (a) Submits documentation, as approved by the board, from
  823  the employer in the health access setting that the licensee has
  824  at all times pertinent remained an employee;
  825         (b) Has not been convicted of or pled nolo contendere to,
  826  regardless of adjudication, any felony or misdemeanor related to
  827  the practice of a health care profession;
  828         (c) Has paid a renewal fee set by the board. The fee
  829  specified herein may not differ from the renewal fee adopted by
  830  the board pursuant to s. 466.013. The department may provide
  831  payment for these fees through the dentist’s salary, benefits,
  832  or other department funds;
  833         (d) Has not failed the examination specified in s. 466.006
  834  since initially receiving a health access dental license or
  835  since the last renewal; and
  836         (e) Has not been reported to the National Practitioner Data
  837  Bank, unless the applicant successfully appealed to have his or
  838  her name removed from the data bank.
  839         (2) The board may undertake measures to independently
  840  verify the health access dental licensee’s ongoing employment
  841  status in the health access setting.
  842         Section 16. Notwithstanding the January 1, 2020, repeal of
  843  section 466.00672, Florida Statutes, that section is revived and
  844  reenacted to read:
  845         466.00672 Revocation of health access dental license.—
  846         (1) The board shall revoke a health access dental license
  847  upon:
  848         (a) The licensee’s termination from employment from a
  849  qualifying health access setting;
  850         (b) Final agency action determining that the licensee has
  851  violated any provision of s. 466.027 or s. 466.028, other than
  852  infractions constituting citation offenses or minor violations;
  853  or
  854         (c) Failure of the Florida dental licensure examination.
  855         (2) Failure of an individual licensed pursuant to s.
  856  466.0067 to limit the practice of dentistry to health access
  857  settings as defined in s. 466.003 constitutes the unlicensed
  858  practice of dentistry.
  859         Section 17. Paragraph (b) of subsection (4) and paragraph
  860  (a) of subsection (6) of section 466.007, Florida Statutes, are
  861  amended to read:
  862         466.007 Examination of dental hygienists.—
  863         (4) Effective July 1, 2012, to be licensed as a dental
  864  hygienist in this state, an applicant must successfully complete
  865  the following:
  866         (b) A practical or clinical examination approved by the
  867  board. The examination shall be the Dental Hygiene Examination
  868  produced by the American Board of Dental Examiners, Inc. (ADEX)
  869  or its successor entity, if any, if the board finds that the
  870  successor entity’s clinical examination meets or exceeds the
  871  provisions of this section. The board shall approve the ADEX
  872  Dental Hygiene Examination if the board has attained and
  873  continues to maintain representation on the ADEX House of
  874  Representatives, the ADEX Dental Hygiene Examination Development
  875  Committee, and such other ADEX Dental Hygiene committees as the
  876  board deems appropriate through rulemaking to ensure that the
  877  standards established in this section are maintained
  878  organizationally. The ADEX Dental Hygiene Examination or the
  879  examination produced by its successor entity is a comprehensive
  880  examination in which an applicant must demonstrate skills within
  881  the dental hygiene scope of practice on a live patient and any
  882  other components that the board deems necessary for the
  883  applicant to successfully demonstrate competency for the purpose
  884  of licensure. The ADEX Dental Hygiene Examination or the
  885  examination by the successor entity administered in this state
  886  shall be graded by dentists and dental hygienists licensed in
  887  this state who are employed by the department for this purpose.
  888         (6)(a) A passing score on the ADEX Dental Hygiene
  889  Examination administered out of state must shall be considered
  890  the same as a passing score for the ADEX Dental Hygiene
  891  Examination administered in this state and graded by licensed
  892  dentists and dental hygienists.
  893         Section 18. Subsections (9) through (15) are added to
  894  section 466.017, Florida Statutes, to read:
  895         466.017 Prescription of drugs; anesthesia.—
  896         (9)Any adverse incident that occurs in an office
  897  maintained by a dentist must be reported to the department. The
  898  required notification to the department must be submitted in
  899  writing by certified mail and postmarked within 48 hours after
  900  the incident occurs.
  901         (10)A dentist practicing in this state must notify the
  902  board in writing by certified mail within 48 hours after any
  903  adverse incident that occurs in the dentist’s outpatient
  904  facility. A complete written report must be filed with the board
  905  within 30 days after the incident occurs.
  906         (11)Any certified registered dental hygienist
  907  administering local anesthesia must notify the board in writing
  908  by registered mail within 48 hours after any adverse incident
  909  that was related to or the result of the administration of local
  910  anesthesia. A complete written report must be filed with the
  911  board within 30 days after the mortality or other adverse
  912  incident.
  913         (12)A failure by the dentist or dental hygienist to timely
  914  and completely comply with all the reporting requirements in
  915  this section is the basis for disciplinary action by the board
  916  pursuant to s. 466.028(1).
  917         (13)The department shall review each adverse incident and
  918  determine whether it involved conduct by a health care
  919  professional subject to disciplinary action, in which case s.
  920  456.073 applies. Disciplinary action, if any, shall be taken by
  921  the board under which the health care professional is licensed.
  922         (14)As used in subsections (9)-(13), the term “adverse
  923  incident” means any mortality that occurs during or as the
  924  result of a dental procedure, or an incident that results in a
  925  temporary or permanent physical or mental injury that requires
  926  hospitalization or emergency room treatment of a dental patient
  927  which occurs during or as a direct result of the use of general
  928  anesthesia, deep sedation, moderate sedation, pediatric moderate
  929  sedation, oral sedation, minimal sedation (anxiolysis), nitrous
  930  oxide, or local anesthesia.
  931         (15)The board may adopt rules to administer this section.
  932         Section 19. Section 466.031, Florida Statutes, is amended
  933  to read:
  934         466.031 Dental laboratories laboratory” defined.—
  935         (1)As used in this chapter, the term “dental laboratory”
  936  as used in this chapter:
  937         (1) includes any person, firm, or corporation that who
  938  performs for a fee of any kind, gratuitously, or otherwise,
  939  directly or through an agent or an employee, by any means or
  940  method, or who in any way supplies or manufactures artificial
  941  substitutes for the natural teeth;, or who furnishes, supplies,
  942  constructs, or reproduces or repairs any prosthetic denture,
  943  bridge, or appliance to be worn in the human mouth; or who in
  944  any way represents holds itself out as a dental laboratory.
  945         (2) The term does not include a Excludes any dental
  946  laboratory technician who constructs or repairs dental
  947  prosthetic appliances in the office of a licensed dentist
  948  exclusively for that such dentist only and under her or his
  949  supervision and work order.
  950         (2) An employee or independent contractor of a dental
  951  laboratory, acting as an agent of that dental laboratory, may
  952  engage in onsite consultation with a licensed dentist during a
  953  dental procedure.
  954         Section 20. Section 466.036, Florida Statutes, is amended
  955  to read:
  956         466.036 Information; periodic inspections; equipment and
  957  supplies.—The department may require from the applicant for a
  958  registration certificate to operate a dental laboratory any
  959  information necessary to carry out the purpose of this chapter,
  960  including proof that the applicant has the equipment and
  961  supplies necessary to operate as determined by rule of the
  962  department, and shall require periodic inspection of all dental
  963  laboratories operating in this state at least once each biennial
  964  registration period. Such inspections must shall include, but
  965  need not be limited to, inspection of sanitary conditions,
  966  equipment, supplies, and facilities on the premises. The
  967  department shall specify dental equipment and supplies that are
  968  not allowed permitted in a registered dental laboratory.
  969         Section 21. Subsection (1) of section 468.701, Florida
  970  Statutes, is amended to read:
  971         468.701 Definitions.—As used in this part, the term:
  972         (1) “Athletic trainer” means a person licensed under this
  973  part who has met the requirements of under this part, including
  974  the education requirements established as set forth by the
  975  Commission on Accreditation of Athletic Training Education or
  976  its successor organization and necessary credentials from the
  977  Board of Certification. An individual who is licensed as an
  978  athletic trainer may not provide, offer to provide, or represent
  979  that he or she is qualified to provide any care or services that
  980  he or she lacks the education, training, or experience to
  981  provide, or that he or she is otherwise prohibited by law from
  982  providing.
  983         Section 22. Section 468.707, Florida Statutes, is amended
  984  to read:
  985         468.707 Licensure requirements.—Any person desiring to be
  986  licensed as an athletic trainer shall apply to the department on
  987  a form approved by the department. An applicant shall also
  988  provide records or other evidence, as determined by the board,
  989  to prove he or she has met the requirements of this section. The
  990  department shall license each applicant who:
  991         (1) Has completed the application form and remitted the
  992  required fees.
  993         (2) For a person who applies on or after July 1, 2016, Has
  994  submitted to background screening pursuant to s. 456.0135. The
  995  board may require a background screening for an applicant whose
  996  license has expired or who is undergoing disciplinary action.
  997         (3)(a) Has obtained, at a minimum, a bachelor’s
  998  baccalaureate or higher degree from a college or university
  999  professional athletic training degree program accredited by the
 1000  Commission on Accreditation of Athletic Training Education or
 1001  its successor organization recognized and approved by the United
 1002  States Department of Education or the Commission on Recognition
 1003  of Postsecondary Accreditation, approved by the board, or
 1004  recognized by the Board of Certification, and has passed the
 1005  national examination to be certified by the Board of
 1006  Certification; or.
 1007         (b)(4)Has obtained, at a minimum, a bachelor’s degree, has
 1008  completed the Board of Certification internship requirements,
 1009  and holds If graduated before 2004, has a current certification
 1010  from the Board of Certification.
 1011         (4)(5) Has current certification in both cardiopulmonary
 1012  resuscitation and the use of an automated external defibrillator
 1013  set forth in the continuing education requirements as determined
 1014  by the board pursuant to s. 468.711.
 1015         (5)(6) Has completed any other requirements as determined
 1016  by the department and approved by the board.
 1017         Section 23. Subsection (3) of section 468.711, Florida
 1018  Statutes, is amended to read:
 1019         468.711 Renewal of license; continuing education.—
 1020         (3) If initially licensed after January 1, 1998, the
 1021  licensee must be currently certified by the Board of
 1022  Certification or its successor agency and maintain that
 1023  certification in good standing without lapse.
 1024         Section 24. Section 468.713, Florida Statutes, is amended
 1025  to read:
 1026         468.713 Responsibilities of athletic trainers.—
 1027         (1) An athletic trainer shall practice under the direction
 1028  of a physician licensed under chapter 458, chapter 459, chapter
 1029  460, or otherwise authorized by Florida law to practice
 1030  medicine. The physician shall communicate his or her direction
 1031  through oral or written prescriptions or protocols as deemed
 1032  appropriate by the physician for the provision of services and
 1033  care by the athletic trainer. An athletic trainer shall provide
 1034  service or care in the manner dictated by the physician.
 1035         (2) An athletic trainer shall work within his or her
 1036  allowable scope of practice as specified in board rule under s.
 1037  468.705. An athletic trainer may not provide, offer to provide,
 1038  or represent that he or she is qualified to provide any care or
 1039  services that he or she lacks the education, training, or
 1040  experience to provide or that he or she is otherwise prohibited
 1041  by law from providing.
 1042         Section 25. Subsection (2) of section 468.723, Florida
 1043  Statutes, is amended to read:
 1044         468.723 Exemptions.—This part does not prohibit prevent or
 1045  restrict:
 1046         (2) An athletic training student acting under the direct
 1047  supervision of a licensed athletic trainer. For purposes of this
 1048  subsection, “direct supervision” means the physical presence of
 1049  an athletic trainer so that the athletic trainer is immediately
 1050  available to the athletic training student and able to intervene
 1051  on behalf of the athletic training student. The supervision must
 1052  comply with board rule in accordance with the standards set
 1053  forth by the Commission on Accreditation of Athletic Training
 1054  Education or its successor.
 1055         Section 26. Subsections (1), (3), and (4) of section
 1056  468.803, Florida Statutes, are amended to read:
 1057         468.803 License, registration, and examination
 1058  requirements.—
 1059         (1) The department shall issue a license to practice
 1060  orthotics, prosthetics, or pedorthics, or a registration for a
 1061  resident to practice orthotics or prosthetics, to qualified
 1062  applicants. Licenses to practice shall be granted independently
 1063  in orthotics, prosthetics, or pedorthics must be granted
 1064  independently, but a person may be licensed in more than one
 1065  such discipline, and a prosthetist-orthotist license may be
 1066  granted to persons meeting the requirements for licensure both
 1067  as a prosthetist and as an orthotist license. Registrations to
 1068  practice shall be granted independently in orthotics or
 1069  prosthetics must be granted independently, and a person may be
 1070  registered in both disciplines fields at the same time or
 1071  jointly in orthotics and prosthetics as a dual registration.
 1072         (3) A person seeking to attain the required orthotics or
 1073  prosthetics experience required for licensure in this state must
 1074  be approved by the board and registered as a resident by the
 1075  department. Although a registration may be held in both
 1076  disciplines practice fields, for independent registrations the
 1077  board may shall not approve a second registration until at least
 1078  1 year after the issuance of the first registration.
 1079  Notwithstanding subsection (2), a person an applicant who has
 1080  been approved by the board and registered by the department in
 1081  one discipline practice field may apply for registration in the
 1082  second discipline practice field without an additional state or
 1083  national criminal history check during the period in which the
 1084  first registration is valid. Each independent registration or
 1085  dual registration is valid for 2 years after from the date of
 1086  issuance unless otherwise revoked by the department upon
 1087  recommendation of the board. The board shall set a registration
 1088  fee not to exceed $500 to be paid by the applicant. A
 1089  registration may be renewed once by the department upon
 1090  recommendation of the board for a period no longer than 1 year,
 1091  as such renewal is defined by the board by rule. The
 1092  registration renewal fee may shall not exceed one-half the
 1093  current registration fee. To be considered by the board for
 1094  approval of registration as a resident, the applicant must have
 1095  one of the following:
 1096         (a) A Bachelor of Science or higher-level postgraduate
 1097  degree in orthotics and prosthetics from a regionally accredited
 1098  college or university recognized by the Commission on
 1099  Accreditation of Allied Health Education Programs. or, at
 1100         (b) A minimum of, a bachelor’s degree from a regionally
 1101  accredited college or university and a certificate in orthotics
 1102  or prosthetics from a program recognized by the Commission on
 1103  Accreditation of Allied Health Education Programs, or its
 1104  equivalent, as determined by the board.; or
 1105         (c)A minimum of a bachelor’s degree from a regionally
 1106  accredited college or university and a dual certificate in both
 1107  orthotics and prosthetics from programs recognized by the
 1108  Commission on Accreditation of Allied Health Education Programs,
 1109  or its equivalent, as determined by the board.
 1110         (b)A Bachelor of Science or higher-level postgraduate
 1111  degree in Orthotics and Prosthetics from a regionally accredited
 1112  college or university recognized by the Commission on
 1113  Accreditation of Allied Health Education Programs or, at a
 1114  minimum, a bachelor’s degree from a regionally accredited
 1115  college or university and a certificate in prosthetics from a
 1116  program recognized by the Commission on Accreditation of Allied
 1117  Health Education Programs, or its equivalent, as determined by
 1118  the board.
 1119         (4) The department may develop and administer a state
 1120  examination for an orthotist or a prosthetist license, or the
 1121  board may approve the existing examination of a national
 1122  standards organization. The examination must be predicated on a
 1123  minimum of a baccalaureate-level education and formalized
 1124  specialized training in the appropriate field. Each examination
 1125  must demonstrate a minimum level of competence in basic
 1126  scientific knowledge, written problem solving, and practical
 1127  clinical patient management. The board shall require an
 1128  examination fee not to exceed the actual cost to the board in
 1129  developing, administering, and approving the examination, which
 1130  fee must be paid by the applicant. To be considered by the board
 1131  for examination, the applicant must have:
 1132         (a) For an examination in orthotics:
 1133         1. A Bachelor of Science or higher-level postgraduate
 1134  degree in orthotics and prosthetics from a regionally accredited
 1135  college or university recognized by the Commission on
 1136  Accreditation of Allied Health Education Programs or, at a
 1137  minimum, a bachelor’s degree from a regionally accredited
 1138  college or university and a certificate in orthotics from a
 1139  program recognized by the Commission on Accreditation of Allied
 1140  Health Education Programs, or its equivalent, as determined by
 1141  the board; and
 1142         2. An approved orthotics internship of 1 year of qualified
 1143  experience, as determined by the board, or an orthotic residency
 1144  or dual residency program recognized by the board.
 1145         (b) For an examination in prosthetics:
 1146         1. A Bachelor of Science or higher-level postgraduate
 1147  degree in orthotics and prosthetics from a regionally accredited
 1148  college or university recognized by the Commission on
 1149  Accreditation of Allied Health Education Programs or, at a
 1150  minimum, a bachelor’s degree from a regionally accredited
 1151  college or university and a certificate in prosthetics from a
 1152  program recognized by the Commission on Accreditation of Allied
 1153  Health Education Programs, or its equivalent, as determined by
 1154  the board; and
 1155         2. An approved prosthetics internship of 1 year of
 1156  qualified experience, as determined by the board, or a
 1157  prosthetic residency or dual residency program recognized by the
 1158  board.
 1159         Section 27. Subsection (5) of section 480.033, Florida
 1160  Statutes, is amended to read:
 1161         480.033 Definitions.—As used in this act:
 1162         (5) “Apprentice” means a person approved by the board to
 1163  study colonic irrigation massage under the instruction of a
 1164  licensed massage therapist practicing colonic irrigation.
 1165         Section 28. Subsections (1) and (2) of section 480.041,
 1166  Florida Statutes, are amended, and subsection (8) is added to
 1167  that section, to read:
 1168         480.041 Massage therapists; qualifications; licensure;
 1169  endorsement.—
 1170         (1) Any person is qualified for licensure as a massage
 1171  therapist under this act who:
 1172         (a) Is at least 18 years of age or has received a high
 1173  school diploma or high school equivalency diploma;
 1174         (b) Has completed a course of study at a board-approved
 1175  massage school or has completed an apprenticeship program that
 1176  meets standards adopted by the board; and
 1177         (c) Has received a passing grade on a national an
 1178  examination designated administered by the board department.
 1179         (2) Every person desiring to be examined for licensure as a
 1180  massage therapist must shall apply to the department in writing
 1181  upon forms prepared and furnished by the department. Such
 1182  applicants are shall be subject to the provisions of s.
 1183  480.046(1). Applicants may take an examination administered by
 1184  the department only upon meeting the requirements of this
 1185  section as determined by the board.
 1186         (8)A person issued a license as a massage apprentice
 1187  before July 1, 2020, may continue that apprenticeship and
 1188  perform massage therapy as authorized under that license until
 1189  it expires. Upon completion of the apprenticeship, which must
 1190  occur before July 1, 2023, a massage apprentice may apply to the
 1191  board for full licensure and be granted a license if all other
 1192  applicable licensure requirements are met.
 1193         Section 29. Section 480.042, Florida Statutes, is repealed.
 1194         Section 30. Subsection (3) of section 490.003, Florida
 1195  Statutes, is amended to read:
 1196         490.003 Definitions.—As used in this chapter:
 1197         (3)(a)Prior to July 1, 1999, “doctoral-level psychological
 1198  education” and “doctoral degree in psychology” mean a Psy.D., an
 1199  Ed.D. in psychology, or a Ph.D. in psychology from:
 1200         1.An educational institution which, at the time the
 1201  applicant was enrolled and graduated, had institutional
 1202  accreditation from an agency recognized and approved by the
 1203  United States Department of Education or was recognized as a
 1204  member in good standing with the Association of Universities and
 1205  Colleges of Canada; and
 1206         2.A psychology program within that educational institution
 1207  which, at the time the applicant was enrolled and graduated, had
 1208  programmatic accreditation from an accrediting agency recognized
 1209  and approved by the United States Department of Education or was
 1210  comparable to such programs.
 1211         (b) Effective July 1, 1999, “doctoral-level psychological
 1212  education” and “doctoral degree in psychology” mean a Psy.D., an
 1213  Ed.D. in psychology, or a Ph.D. in psychology from a psychology
 1214  program at:
 1215         1. an educational institution that which, at the time the
 1216  applicant was enrolled and graduated:
 1217         (a) , Had institutional accreditation from an agency
 1218  recognized and approved by the United States Department of
 1219  Education or was recognized as a member in good standing with
 1220  the Association of Universities and Colleges of Canada; and
 1221         (b)2.A psychology program within that educational
 1222  institution which, at the time the applicant was enrolled and
 1223  graduated, Had programmatic accreditation from the American
 1224  Psychological Association an agency recognized and approved by
 1225  the United States Department of Education.
 1226         Section 31. Paragraph (b) of subsection (1) and paragraph
 1227  (b) of subsection (2) of section 490.005, Florida Statutes, are
 1228  amended to read:
 1229         490.005 Licensure by examination.—
 1230         (1) Any person desiring to be licensed as a psychologist
 1231  shall apply to the department to take the licensure examination.
 1232  The department shall license each applicant who the board
 1233  certifies has:
 1234         (b) Submitted proof satisfactory to the board that the
 1235  applicant has received:
 1236         1. Received Doctoral-level psychological education, as
 1237  defined in s. 490.003(3); or
 1238         2. Received The equivalent of a doctoral-level
 1239  psychological education, as defined in s. 490.003(3), from a
 1240  program at a school or university located outside the United
 1241  States of America and Canada, which was officially recognized by
 1242  the government of the country in which it is located as an
 1243  institution or program to train students to practice
 1244  professional psychology. The applicant has the burden of
 1245  establishing that this requirement has the requirements of this
 1246  provision have been met shall be upon the applicant;
 1247         3.Received and submitted to the board, prior to July 1,
 1248  1999, certification of an augmented doctoral-level psychological
 1249  education from the program director of a doctoral-level
 1250  psychology program accredited by a programmatic agency
 1251  recognized and approved by the United States Department of
 1252  Education; or
 1253         4.Received and submitted to the board, prior to August 31,
 1254  2001, certification of a doctoral-level program that at the time
 1255  the applicant was enrolled and graduated maintained a standard
 1256  of education and training comparable to the standard of training
 1257  of programs accredited by a programmatic agency recognized and
 1258  approved by the United States Department of Education. Such
 1259  certification of comparability shall be provided by the program
 1260  director of a doctoral-level psychology program accredited by a
 1261  programmatic agency recognized and approved by the United States
 1262  Department of Education.
 1263         (2) Any person desiring to be licensed as a school
 1264  psychologist shall apply to the department to take the licensure
 1265  examination. The department shall license each applicant who the
 1266  department certifies has:
 1267         (b) Submitted satisfactory proof to the department that the
 1268  applicant:
 1269         1. Has received a doctorate, specialist, or equivalent
 1270  degree from a program primarily psychological in nature and has
 1271  completed 60 semester hours or 90 quarter hours of graduate
 1272  study, in areas related to school psychology as defined by rule
 1273  of the department, from a college or university which at the
 1274  time the applicant was enrolled and graduated was accredited by
 1275  an accrediting agency recognized and approved by the Council for
 1276  Higher Education Accreditation or its successor organization
 1277  Commission on Recognition of Postsecondary Accreditation or from
 1278  an institution that which is publicly recognized as a member in
 1279  good standing with the Association of Universities and Colleges
 1280  of Canada.
 1281         2. Has had a minimum of 3 years of experience in school
 1282  psychology, 2 years of which must be supervised by an individual
 1283  who is a licensed school psychologist or who has otherwise
 1284  qualified as a school psychologist supervisor, by education and
 1285  experience, as set forth by rule of the department. A doctoral
 1286  internship may be applied toward the supervision requirement.
 1287         3. Has passed an examination provided by the department.
 1288         Section 32. Subsection (1) of section 490.006, Florida
 1289  Statutes, is amended to read:
 1290         490.006 Licensure by endorsement.—
 1291         (1) The department shall license a person as a psychologist
 1292  or school psychologist who, upon applying to the department and
 1293  remitting the appropriate fee, demonstrates to the department
 1294  or, in the case of psychologists, to the board that the
 1295  applicant:
 1296         (a)Holds a valid license or certificate in another state
 1297  to practice psychology or school psychology, as applicable,
 1298  provided that, when the applicant secured such license or
 1299  certificate, the requirements were substantially equivalent to
 1300  or more stringent than those set forth in this chapter at that
 1301  time; and, if no Florida law existed at that time, then the
 1302  requirements in the other state must have been substantially
 1303  equivalent to or more stringent than those set forth in this
 1304  chapter at the present time;
 1305         (a)(b) Is a diplomate in good standing with the American
 1306  Board of Professional Psychology, Inc.; or
 1307         (b)(c) Possesses a doctoral degree in psychology as
 1308  described in s. 490.003 and has at least 10 20 years of
 1309  experience as a licensed psychologist in any jurisdiction or
 1310  territory of the United States within the 25 years preceding the
 1311  date of application.
 1312         Section 33. Subsection (6) of section 491.0045, Florida
 1313  Statutes, as amended by chapter 2016-80 and chapter 2016-241,
 1314  Laws of Florida, is amended to read:
 1315         491.0045 Intern registration; requirements.—
 1316         (6) A registration issued on or before March 31, 2017,
 1317  expires March 31, 2022, and may not be renewed or reissued. Any
 1318  registration issued after March 31, 2017, expires 60 months
 1319  after the date it is issued. The board may make a one-time
 1320  exception from the requirements of this subsection in emergency
 1321  or hardship cases, as defined by board rule, if A subsequent
 1322  intern registration may not be issued unless the candidate has
 1323  passed the theory and practice examination described in s.
 1324  491.005(1)(d), (3)(d), and (4)(d).
 1325         Section 34. Subsections (3) and (4) of section 491.005,
 1326  Florida Statutes, are amended to read:
 1327         491.005 Licensure by examination.—
 1328         (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of
 1329  documentation and payment of a fee not to exceed $200, as set by
 1330  board rule, plus the actual cost of to the department for the
 1331  purchase of the examination from the Association of Marital and
 1332  Family Therapy Regulatory Board, or similar national
 1333  organization, the department shall issue a license as a marriage
 1334  and family therapist to an applicant who the board certifies:
 1335         (a) Has submitted an application and paid the appropriate
 1336  fee.
 1337         (b)1. Has a minimum of a master’s degree with major
 1338  emphasis in marriage and family therapy, or a closely related
 1339  field from a program accredited by the Commission on
 1340  Accreditation for Marriage and Family Therapy Education or from
 1341  a Florida university program accredited by the Council for
 1342  Accreditation of Counseling and Related Educational Programs,
 1343  and graduate courses approved by the Board of Clinical Social
 1344  Work, Marriage and Family Therapy, and Mental Health Counseling
 1345  has completed all of the following requirements:
 1346         a.Thirty-six semester hours or 48 quarter hours of
 1347  graduate coursework, which must include a minimum of 3 semester
 1348  hours or 4 quarter hours of graduate-level course credits in
 1349  each of the following nine areas: dynamics of marriage and
 1350  family systems; marriage therapy and counseling theory and
 1351  techniques; family therapy and counseling theory and techniques;
 1352  individual human development theories throughout the life cycle;
 1353  personality theory or general counseling theory and techniques;
 1354  psychopathology; human sexuality theory and counseling
 1355  techniques; psychosocial theory; and substance abuse theory and
 1356  counseling techniques. Courses in research, evaluation,
 1357  appraisal, assessment, or testing theories and procedures;
 1358  thesis or dissertation work; or practicums, internships, or
 1359  fieldwork may not be applied toward this requirement.
 1360         b.A minimum of one graduate-level course of 3 semester
 1361  hours or 4 quarter hours in legal, ethical, and professional
 1362  standards issues in the practice of marriage and family therapy
 1363  or a course determined by the board to be equivalent.
 1364         c.A minimum of one graduate-level course of 3 semester
 1365  hours or 4 quarter hours in diagnosis, appraisal, assessment,
 1366  and testing for individual or interpersonal disorder or
 1367  dysfunction; and a minimum of one 3-semester-hour or 4-quarter
 1368  hour graduate-level course in behavioral research which focuses
 1369  on the interpretation and application of research data as it
 1370  applies to clinical practice. Credit for thesis or dissertation
 1371  work, practicums, internships, or fieldwork may not be applied
 1372  toward this requirement.
 1373         d.A minimum of one supervised clinical practicum,
 1374  internship, or field experience in a marriage and family
 1375  counseling setting, during which the student provided 180 direct
 1376  client contact hours of marriage and family therapy services
 1377  under the supervision of an individual who met the requirements
 1378  for supervision under paragraph (c). This requirement may be met
 1379  by a supervised practice experience which took place outside the
 1380  academic arena, but which is certified as equivalent to a
 1381  graduate-level practicum or internship program which required a
 1382  minimum of 180 direct client contact hours of marriage and
 1383  family therapy services currently offered within an academic
 1384  program of a college or university accredited by an accrediting
 1385  agency approved by the United States Department of Education, or
 1386  an institution which is publicly recognized as a member in good
 1387  standing with the Association of Universities and Colleges of
 1388  Canada or a training institution accredited by the Commission on
 1389  Accreditation for Marriage and Family Therapy Education
 1390  recognized by the United States Department of Education.
 1391  Certification shall be required from an official of such
 1392  college, university, or training institution.
 1393         2. If the course title that which appears on the
 1394  applicant’s transcript does not clearly identify the content of
 1395  the coursework, the applicant shall be required to provide
 1396  additional documentation, including, but not limited to, a
 1397  syllabus or catalog description published for the course.
 1398  
 1399  The required master’s degree must have been received in an
 1400  institution of higher education that, which at the time the
 1401  applicant graduated, was: fully accredited by a regional
 1402  accrediting body recognized by the Commission on Recognition of
 1403  Postsecondary Accreditation or; publicly recognized as a member
 1404  in good standing with the Association of Universities and
 1405  Colleges of Canada,; or an institution of higher education
 1406  located outside the United States and Canada, which, at the time
 1407  the applicant was enrolled and at the time the applicant
 1408  graduated, maintained a standard of training substantially
 1409  equivalent to the standards of training of those institutions in
 1410  the United States which are accredited by a regional accrediting
 1411  body recognized by the Commission on Recognition of
 1412  Postsecondary Accreditation. Such foreign education and training
 1413  must have been received in an institution or program of higher
 1414  education officially recognized by the government of the country
 1415  in which it is located as an institution or program to train
 1416  students to practice as professional marriage and family
 1417  therapists or psychotherapists. The applicant has the burden of
 1418  establishing that the requirements of this provision have been
 1419  met shall be upon the applicant, and the board shall require
 1420  documentation, such as, but not limited to, an evaluation by a
 1421  foreign equivalency determination service, as evidence that the
 1422  applicant’s graduate degree program and education were
 1423  equivalent to an accredited program in this country. An
 1424  applicant with a master’s degree from a program that which did
 1425  not emphasize marriage and family therapy may complete the
 1426  coursework requirement in a training institution fully
 1427  accredited by the Commission on Accreditation for Marriage and
 1428  Family Therapy Education recognized by the United States
 1429  Department of Education.
 1430         (c) Has had at least 2 years of clinical experience during
 1431  which 50 percent of the applicant’s clients were receiving
 1432  marriage and family therapy services, which must be at the post
 1433  master’s level under the supervision of a licensed marriage and
 1434  family therapist with at least 5 years of experience, or the
 1435  equivalent, who is a qualified supervisor as determined by the
 1436  board. An individual who intends to practice in Florida to
 1437  satisfy the clinical experience requirements must register
 1438  pursuant to s. 491.0045 before commencing practice. If a
 1439  graduate has a master’s degree with a major emphasis in marriage
 1440  and family therapy or a closely related field which that did not
 1441  include all of the coursework required by subparagraph (b)1.
 1442  under sub-subparagraphs (b)1.a.-c., credit for the post-master’s
 1443  level clinical experience may shall not commence until the
 1444  applicant has completed a minimum of 10 of the courses required
 1445  by subparagraph (b)1. under sub-subparagraphs (b)1.a.-c., as
 1446  determined by the board, and at least 6 semester hours or 9
 1447  quarter hours of the course credits must have been completed in
 1448  the area of marriage and family systems, theories, or
 1449  techniques. Within the 2 3 years of required experience, the
 1450  applicant shall provide direct individual, group, or family
 1451  therapy and counseling, to include the following categories of
 1452  cases including those involving: unmarried dyads, married
 1453  couples, separating and divorcing couples, and family groups
 1454  that include including children. A doctoral internship may be
 1455  applied toward the clinical experience requirement. A licensed
 1456  mental health professional must be on the premises when clinical
 1457  services are provided by a registered intern in a private
 1458  practice setting.
 1459         (d) Has passed a theory and practice examination provided
 1460  by the department for this purpose.
 1461         (e) Has demonstrated, in a manner designated by board rule
 1462  of the board, knowledge of the laws and rules governing the
 1463  practice of clinical social work, marriage and family therapy,
 1464  and mental health counseling.
 1465         (f)
 1466  
 1467  For the purposes of dual licensure, the department shall license
 1468  as a marriage and family therapist any person who meets the
 1469  requirements of s. 491.0057. Fees for dual licensure may shall
 1470  not exceed those stated in this subsection.
 1471         (4) MENTAL HEALTH COUNSELING.—Upon verification of
 1472  documentation and payment of a fee not to exceed $200, as set by
 1473  board rule, plus the actual per applicant cost of to the
 1474  department for purchase of the examination from the National
 1475  Board for Certified Counselors or its successor Professional
 1476  Examination Service for the National Academy of Certified
 1477  Clinical Mental Health Counselors or a similar national
 1478  organization, the department shall issue a license as a mental
 1479  health counselor to an applicant who the board certifies:
 1480         (a) Has submitted an application and paid the appropriate
 1481  fee.
 1482         (b)1. Has a minimum of an earned master’s degree from a
 1483  mental health counseling program accredited by the Council for
 1484  the Accreditation of Counseling and Related Educational Programs
 1485  which that consists of at least 60 semester hours or 80 quarter
 1486  hours of clinical and didactic instruction, including a course
 1487  in human sexuality and a course in substance abuse. If the
 1488  master’s degree is earned from a program related to the practice
 1489  of mental health counseling which that is not accredited by the
 1490  Council for the Accreditation of Counseling and Related
 1491  Educational Programs, then the coursework and practicum,
 1492  internship, or fieldwork must consist of at least 60 semester
 1493  hours or 80 quarter hours and meet all of the following
 1494  requirements:
 1495         a. Thirty-three semester hours or 44 quarter hours of
 1496  graduate coursework, which must include a minimum of 3 semester
 1497  hours or 4 quarter hours of graduate-level coursework in each of
 1498  the following 11 content areas: counseling theories and
 1499  practice; human growth and development; diagnosis and treatment
 1500  of psychopathology; human sexuality; group theories and
 1501  practice; individual evaluation and assessment; career and
 1502  lifestyle assessment; research and program evaluation; social
 1503  and cultural foundations; substance abuse; and legal, ethical,
 1504  and professional standards issues in the practice of mental
 1505  health counseling in community settings; and substance abuse.
 1506  Courses in research, thesis or dissertation work, practicums,
 1507  internships, or fieldwork may not be applied toward this
 1508  requirement.
 1509         b. A minimum of 3 semester hours or 4 quarter hours of
 1510  graduate-level coursework addressing diagnostic processes,
 1511  including differential diagnosis and the use of the current
 1512  diagnostic tools, such as the current edition of the American
 1513  Psychiatric Association’s Diagnostic and Statistical Manual of
 1514  Mental Disorders. The graduate program must have emphasized the
 1515  common core curricular experience in legal, ethical, and
 1516  professional standards issues in the practice of mental health
 1517  counseling, which includes goals, objectives, and practices of
 1518  professional counseling organizations, codes of ethics, legal
 1519  considerations, standards of preparation, certifications and
 1520  licensing, and the role identity and professional obligations of
 1521  mental health counselors. Courses in research, thesis or
 1522  dissertation work, practicums, internships, or fieldwork may not
 1523  be applied toward this requirement.
 1524         c. The equivalent, as determined by the board, of at least
 1525  700 1,000 hours of university-sponsored supervised clinical
 1526  practicum, internship, or field experience that includes at
 1527  least 280 hours of direct client services, as required in the
 1528  accrediting standards of the Council for Accreditation of
 1529  Counseling and Related Educational Programs for mental health
 1530  counseling programs. This experience may not be used to satisfy
 1531  the post-master’s clinical experience requirement.
 1532         2. Has provided additional documentation if a the course
 1533  title that which appears on the applicant’s transcript does not
 1534  clearly identify the content of the coursework., The applicant
 1535  shall be required to provide additional documentation must
 1536  include, including, but is not limited to, a syllabus or catalog
 1537  description published for the course.
 1538  
 1539  Education and training in mental health counseling must have
 1540  been received in an institution of higher education that, which
 1541  at the time the applicant graduated, was: fully accredited by a
 1542  regional accrediting body recognized by the Council for Higher
 1543  Education Accreditation or its successor organization or
 1544  Commission on Recognition of Postsecondary Accreditation;
 1545  publicly recognized as a member in good standing with the
 1546  Association of Universities and Colleges of Canada,; or an
 1547  institution of higher education located outside the United
 1548  States and Canada, which, at the time the applicant was enrolled
 1549  and at the time the applicant graduated, maintained a standard
 1550  of training substantially equivalent to the standards of
 1551  training of those institutions in the United States which are
 1552  accredited by a regional accrediting body recognized by the
 1553  Council for Higher Education Accreditation or its successor
 1554  organization Commission on Recognition of Postsecondary
 1555  Accreditation. Such foreign education and training must have
 1556  been received in an institution or program of higher education
 1557  officially recognized by the government of the country in which
 1558  it is located as an institution or program to train students to
 1559  practice as mental health counselors. The applicant has the
 1560  burden of establishing that the requirements of this provision
 1561  have been met shall be upon the applicant, and the board shall
 1562  require documentation, such as, but not limited to, an
 1563  evaluation by a foreign equivalency determination service, as
 1564  evidence that the applicant’s graduate degree program and
 1565  education were equivalent to an accredited program in this
 1566  country. Beginning July 1, 2025, an applicant must have a
 1567  master’s degree from a program that is accredited by the Council
 1568  for Accreditation of Counseling and Related Educational Programs
 1569  which consists of at least 60 semester hours or 80 quarter hours
 1570  to apply for licensure under this paragraph.
 1571         (c) Has had at least 2 years of clinical experience in
 1572  mental health counseling, which must be at the post-master’s
 1573  level under the supervision of a licensed mental health
 1574  counselor or the equivalent who is a qualified supervisor as
 1575  determined by the board. An individual who intends to practice
 1576  in Florida to satisfy the clinical experience requirements must
 1577  register pursuant to s. 491.0045 before commencing practice. If
 1578  a graduate has a master’s degree with a major related to the
 1579  practice of mental health counseling which that did not include
 1580  all the coursework required under sub-subparagraphs (b)1.a. and
 1581  b. (b)1.a.-b., credit for the post-master’s level clinical
 1582  experience may shall not commence until the applicant has
 1583  completed a minimum of seven of the courses required under sub
 1584  subparagraphs (b)1.a. and b. (b)1.a.-b., as determined by the
 1585  board, one of which must be a course in psychopathology or
 1586  abnormal psychology. A doctoral internship may be applied toward
 1587  the clinical experience requirement. A licensed mental health
 1588  professional must be on the premises when clinical services are
 1589  provided by a registered intern in a private practice setting.
 1590         (d) Has passed a theory and practice examination provided
 1591  by the department for this purpose.
 1592         (e) Has demonstrated, in a manner designated by board rule
 1593  of the board, knowledge of the laws and rules governing the
 1594  practice of clinical social work, marriage and family therapy,
 1595  and mental health counseling.
 1596         Section 35. Paragraph (b) of subsection (1) of section
 1597  491.006, Florida Statutes, is amended to read:
 1598         491.006 Licensure or certification by endorsement.—
 1599         (1) The department shall license or grant a certificate to
 1600  a person in a profession regulated by this chapter who, upon
 1601  applying to the department and remitting the appropriate fee,
 1602  demonstrates to the board that he or she:
 1603         (b)1. Holds an active valid license to practice and has
 1604  actively practiced the licensed profession for which licensure
 1605  is applied in another state for 3 of the last 5 years
 1606  immediately preceding licensure;.
 1607         2.Meets the education requirements of this chapter for the
 1608  profession for which licensure is applied.
 1609         2.3. Has passed a substantially equivalent licensing
 1610  examination in another state or has passed the licensure
 1611  examination in this state in the profession for which the
 1612  applicant seeks licensure; and.
 1613         3.4. Holds a license in good standing, is not under
 1614  investigation for an act that would constitute a violation of
 1615  this chapter, and has not been found to have committed any act
 1616  that would constitute a violation of this chapter.
 1617  
 1618  The fees paid by any applicant for certification as a master
 1619  social worker under this section are nonrefundable.
 1620         Section 36. Subsection (3) of section 491.007, Florida
 1621  Statutes, is amended to read:
 1622         491.007 Renewal of license, registration, or certificate.—
 1623         (3)The board or department shall prescribe by rule a
 1624  method for the biennial renewal of an intern registration at a
 1625  fee set by rule, not to exceed $100.
 1626         Section 37. Subsection (2) of section 491.009, Florida
 1627  Statutes, is amended to read:
 1628         491.009 Discipline.—
 1629         (2) The board department, or, in the case of certified
 1630  master social workers psychologists, the department board, may
 1631  enter an order denying licensure or imposing any of the
 1632  penalties authorized in s. 456.072(2) against any applicant for
 1633  licensure or any licensee who violates is found guilty of
 1634  violating any provision of subsection (1) of this section or who
 1635  is found guilty of violating any provision of s. 456.072(1).
 1636         Section 38. Subsection (2) of section 491.0046, Florida
 1637  Statutes, is amended to read:
 1638         491.0046 Provisional license; requirements.—
 1639         (2) The department shall issue a provisional clinical
 1640  social worker license, provisional marriage and family therapist
 1641  license, or provisional mental health counselor license to each
 1642  applicant who the board certifies has:
 1643         (a) Completed the application form and remitted a
 1644  nonrefundable application fee not to exceed $100, as set by
 1645  board rule; and
 1646         (b) Earned a graduate degree in social work, a graduate
 1647  degree with a major emphasis in marriage and family therapy or a
 1648  closely related field, or a graduate degree in a major related
 1649  to the practice of mental health counseling; and
 1650         (c) Has Met the following minimum coursework requirements:
 1651         1. For clinical social work, a minimum of 15 semester hours
 1652  or 22 quarter hours of the coursework required by s.
 1653  491.005(1)(b)2.b.
 1654         2. For marriage and family therapy, 10 of the courses
 1655  required by s. 491.005(3)(b)1. s. 491.005(3)(b)1.a.-c., as
 1656  determined by the board, and at least 6 semester hours or 9
 1657  quarter hours of the course credits must have been completed in
 1658  the area of marriage and family systems, theories, or
 1659  techniques.
 1660         3. For mental health counseling, a minimum of seven of the
 1661  courses required under s. 491.005(4)(b)1.a.-c.
 1662         Section 39. Subsection (11) of section 945.42, Florida
 1663  Statutes, is amended to read:
 1664         945.42 Definitions; ss. 945.40-945.49.—As used in ss.
 1665  945.40-945.49, the following terms shall have the meanings
 1666  ascribed to them, unless the context shall clearly indicate
 1667  otherwise:
 1668         (11) “Psychological professional” means a behavioral
 1669  practitioner who has an approved doctoral degree in psychology
 1670  as defined in s. 490.003(3) s. 490.003(3)(b) and is employed by
 1671  the department or who is licensed as a psychologist pursuant to
 1672  chapter 490.
 1673         Section 40. This act shall take effect July 1, 2020.