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House Bill 1593c1

Florida House of Representatives - 1997 CS/HB 1593 By the Committee on Health Care Standards & Regulatory Reform and Representatives Thrasher, Morroni, Culp, Wise, Brooks, Jacobs, Bitner, Bradley, Stafford, Fasano, Horan, Kelly, Gay, Trovillion, Brennan, Chestnut, D. Prewitt, Stabins and Sublette 1 A bill to be entitled 2 An act relating to dentistry; amending s. 3 466.001, F.S.; revising purpose and providing 4 additional legislative intent; amending s. 5 466.028, F.S.; revising and providing grounds 6 for disciplinary action; providing penalties; 7 amending s. 466.0285, F.S.; expanding 8 provisions relating to proprietorship by 9 nondentists, including applicability thereof to 10 certain entities; providing penalties; 11 providing that contracts and arrangements 12 entered into or undertaken in violation of the 13 section are void; providing applicability of 14 the act to certain contracts; providing an 15 effective date. 16 17 Be It Enacted by the Legislature of the State of Florida: 18 19 Section 1. Section 466.001, Florida Statutes, is 20 amended to read: 21 466.001 Legislative purpose and intent.--The 22 legislative purpose for enacting this chapter is to ensure 23 that every dentist or dental hygienist practicing in this 24 state meets minimum requirements for safe practice without 25 undue clinical interference by persons not licensed under this 26 chapter. It is the legislative intent that dental services be 27 provided only in accordance with the provisions of this 28 chapter and not be delegated to unauthorized individuals. It 29 is the further legislative intent that dentists and dental 30 hygienists who fall below minimum competency or who otherwise 31 present a danger to the public shall be prohibited from 1 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 CS/HB 1593 601-122-97 1 practicing in this state. All provisions of this chapter 2 relating to the practice of dentistry and dental hygiene shall 3 be liberally construed to carry out such this purpose and 4 intent. 5 Section 2. Paragraphs (h) and (r) of subsection (1) of 6 section 466.028, Florida Statutes, are amended, and paragraph 7 (kk) is added to said subsection, to read: 8 466.028 Grounds for disciplinary action; action by the 9 board.-- 10 (1) The following acts shall constitute grounds for 11 which the disciplinary actions specified in subsection (2) may 12 be taken: 13 (h) Being employed by any corporation, organization, 14 group, or person other than a dentist or a professional 15 corporation or limited liability company association composed 16 of dentists to practice dentistry; however, a dentist may be 17 employed by a corporation or group for purposes of providing 18 services to the employees and members of such corporation or 19 group and to members of their immediate families, and a 20 corporation may employ a hygienist if it has employed a 21 dentist to provide supervision pursuant to this chapter. 22 (r) Prescribing, procuring, ordering, dispensing, 23 administering, supplying, selling, or giving any drug which is 24 a Schedule II an amphetamine or a Schedule II sympathomimetic 25 amine drug or a compound thereof designated as a Schedule II 26 controlled substance, pursuant to chapter 893, to or for any 27 person except for the clinical investigation of the effects of 28 such drugs or compounds when an investigative protocol 29 therefor is submitted to, and reviewed and approved by, the 30 board before such investigation is begun. 31 2 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 CS/HB 1593 601-122-97 1 (kk) Allowing any person other than another dentist or 2 a professional corporation or limited liability company 3 composed of dentists to direct, control, or interfere with a 4 dentist's clinical judgment; however, this paragraph may not 5 be construed to limit a patient's right of informed consent. 6 To "direct, control, or interfere with a dentist's clinical 7 judgment" may not be interpreted to mean dental services 8 contractually excluded, the application of alternative 9 benefits that may be appropriate given the dentist's 10 prescribed course of treatment, or the application of 11 contractual provisions and scope-of-coverage determinations in 12 comparison with a dentist's prescribed treatment on behalf of 13 a covered person by an insurer, a health maintenance 14 organization, or a prepaid limited health service 15 organization. 16 Section 3. Section 466.0285, Florida Statutes, is 17 amended to read: 18 466.0285 Proprietorship by nondentists.-- 19 (1) No person other than a dentist licensed pursuant 20 to this chapter, nor any entity other than a professional 21 corporation or limited liability company composed of dentists, 22 may: 23 (a) Employ a dentist or dental hygienist in the 24 operation of a dental office. 25 (b) Control the use of any dental equipment or 26 material while such equipment or material is being used for 27 the provision of dental services, whether those services are 28 provided by a dentist, a dental hygienist, or a dental 29 assistant. 30 (c) Direct, control, or interfere with a dentist's 31 clinical judgment. To "direct, control, or interfere with a 3 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 CS/HB 1593 601-122-97 1 dentist's clinical judgment" may not be interpreted to mean 2 dental services contractually excluded, the application of 3 alternative benefits that may be appropriate given the 4 dentist's prescribed course of treatment, or the application 5 of contractual provisions and scope-of-coverage determinations 6 in comparison with a dentist's prescribed treatment on behalf 7 of a covered person by an insurer, a health maintenance 8 organization, or a prepaid limited health service 9 organization. 10 11 Any lease agreement, rental agreement, or other arrangement 12 between a nondentist and a dentist whereby the nondentist 13 provides the dentist with dental equipment or dental materials 14 shall contain a provision whereby the dentist expressly 15 maintains complete care, custody, and control of the equipment 16 or practice. 17 (2) The purpose of this section is to prevent a 18 nondentist from influencing or otherwise interfering with the 19 exercise of a dentist's independent professional judgment. In 20 addition to the acts specified in subsection (1), no person 21 who is not a dentist licensed pursuant to this chapter nor any 22 entity that is not a professional corporation or limited 23 liability company composed of dentists shall enter into a 24 relationship with a licensee pursuant to which such unlicensed 25 person or such entity exercises control over the following: 26 (a) The selection of a course of treatment for a 27 patient, the procedures or materials to be used as part of 28 such course of treatment, and the manner in which such course 29 of treatment is carried out by the licensee; 30 (b) The patient records of a dentist; 31 4 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 CS/HB 1593 601-122-97 1 (c) Policies and decisions relating to pricing, 2 credit, refunds, warranties, and advertising; and 3 (d) Decisions relating to office personnel and hours 4 of practice. 5 (3) Any person who violates this section commits is 6 guilty of a felony of the third degree, punishable as provided 7 in s. 775.082, s. 775.083, or s. 775.084. 8 (4) Any contract or arrangement entered into or 9 undertaken in violation of this section shall be void as 10 contrary to public policy. 11 Section 4. This act shall take effect October 1, 1997, 12 and shall apply to contracts entered into or renewed on or 13 after October 1, 1997. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 5