Senate Bill 0472

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    Florida Senate - 1998                                   SB 472

    By Senator Dyer





    14-413-98

  1                      A bill to be entitled

  2         An act relating to the practice of veterinary

  3         medicine; amending s. 474.203, F.S.; revising

  4         and providing exemptions from regulation under

  5         chapter 474, F.S., relating to veterinary

  6         medical practice; amending s. 474.207, F.S.,

  7         relating to licensure by examination;

  8         eliminating obsolete provisions; amending s.

  9         474.211, F.S.; requiring criteria for providers

10         of continuing education to be approved by the

11         board; amending s. 474.2125, F.S.; exempting

12         veterinarians licensed in another state from

13         certain requirements for temporary licensure in

14         this state; conforming a cross-reference;

15         amending s. 474.214, F.S.; increasing the

16         administrative fine; amending s. 474.215, F.S.;

17         requiring limited service permittees to

18         register each location and providing a

19         registration fee; providing requirements for

20         certain temporary rabies vaccination efforts;

21         providing permit and other requirements for

22         persons who are not licensed veterinarians but

23         who desire to own and operate a veterinary

24         medical establishment; providing disciplinary

25         actions applicable to holders of premises

26         permits; amending s. 474.217, F.S., relating to

27         licensure by endorsement; revising a reference

28         to an examination; providing an effective date.

29

30  Be It Enacted by the Legislature of the State of Florida:

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  1         Section 1.  Section 474.203, Florida Statutes, is

  2  amended to read:

  3         474.203  Exemptions.--This chapter does shall not apply

  4  to:

  5         (1)  Any faculty member practicing only in conjunction

  6  with teaching duties at a school or college of veterinary

  7  medicine which is. Such school or college shall be located in

  8  this state and be accredited by the American Veterinary

  9  Medical Association Council on Education. However, this

10  exemption applies only to such a faculty member who does not

11  hold a valid license issued under this chapter but who is a

12  graduate of a school or college of veterinary medicine

13  accredited by the American Veterinary Medical Association

14  Council on Education or a school or college recognized by the

15  American Veterinary Medical Association Commission for Foreign

16  Veterinary Graduates. The faculty member exemption shall

17  automatically expire when such school or college terminates

18  the faculty member from such teaching duties.  On July 1

19  December 31 of each year, such school or college shall provide

20  the board with a written list of all faculty who are exempt

21  from this chapter. Such school or college shall also notify

22  the board in writing of any additions or deletions to such

23  list.

24         (2)  A person who is practicing as an intern or

25  resident veterinarian and who does not hold a valid license

26  issued under this chapter but who is a graduate in training at

27  a school or college of veterinary medicine located in this

28  state and accredited by the American Veterinary Medical

29  Association Council on Education. Such an intern or resident

30  must be a graduate of a school or college of veterinary

31  medicine accredited by the American Veterinary Medical

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  1  Association Council on Education or a school or college

  2  recognized by the American Veterinary Medical Association

  3  Commission for Foreign Veterinary Graduates. This exemption is

  4  no longer applicable to an individual after he or she

  5  completes or is terminated from such training. Each school or

  6  college at which such an intern or resident is in training

  7  shall, on July 1 of each year, provide the board with a

  8  written list of all such interns or residents designated for

  9  this exemption, and the school or college shall also notify

10  the board of any additions to or deletions from the list.

11         (3)(2)  A student in a school or college of veterinary

12  medicine while in the performance of duties assigned by her or

13  his instructor or when working as a preceptor under the

14  immediate supervision of a licensee, provided that such

15  preceptorship is required for graduation from an accredited

16  school or college of veterinary medicine.  The licensed

17  veterinarian shall be responsible for all acts performed by a

18  preceptor under her or his supervision.

19         (4)(3)  Any doctor of veterinary medicine in the employ

20  of a state agency or the United States Government while

21  actually engaged in the performance of her or his official

22  duties; however, this exemption shall not apply to such person

23  when the person is not engaged in carrying out her or his

24  official duties or is not working at the installations for

25  which her or his services were engaged.

26         (5)(4)  Any person, or the person's regular employee,

27  administering to the ills or injuries of her or his own

28  animals, including, but not limited to, castration, spaying,

29  and dehorning of herd animals, unless title has been

30  transferred or employment provided for the purpose of

31  circumventing this law. This exemption shall not apply to

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  1  out-of-state veterinarians practicing temporarily in the

  2  state. However, only a veterinarian may immunize or treat an

  3  animal for diseases which are communicable to humans and which

  4  are of public health significance.

  5         (6)(5)  State agencies, accredited schools,

  6  institutions, foundations, business corporations or

  7  associations, physicians licensed to practice medicine and

  8  surgery in all its branches, graduate doctors of veterinary

  9  medicine, or persons under the direct supervision thereof,

10  which or who conduct experiments and scientific research on

11  animals in the development of pharmaceuticals, biologicals,

12  serums, or methods of treatment, or techniques for the

13  diagnosis or treatment of human ailments, or when engaged in

14  the study and development of methods and techniques directly

15  or indirectly applicable to the problems of the practice of

16  veterinary medicine.

17         (7)(6)  Any veterinary aide, nurse, laboratory

18  technician, preceptor, or other employee of a licensed

19  veterinarian who administers medication or who renders

20  auxiliary or supporting assistance under the responsible

21  supervision of a such licensed veterinarian practitioner,

22  including those tasks identified by rule of the board

23  requiring immediate supervision. However, the licensed

24  veterinarian is shall be responsible for all such acts

25  performed under this subsection by persons under her or his

26  supervision.

27         (8)  A veterinarian, licensed by and actively

28  practicing veterinary medicine in another state, who is board

29  certified in a specialty recognized by the board and who

30  responds to a request of a veterinarian licensed in this state

31  to assist with the treatment on a specific case of a specific

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  1  animal or with the treatment on a specific case of the animals

  2  of a single owner, as long as the veterinarian licensed in

  3  this state requests the other veterinarian's presence. A

  4  veterinarian who practices under this subsection is not

  5  eligible to apply for a premises permit under s. 474.215.

  6         (9)  For the purposes of chapters 465 and 893, persons

  7  exempt under subsection (1), subsection (2), or subsection (4)

  8  are considered to be duly licensed practitioners authorized by

  9  the laws of this state to prescribe drugs or medicinal

10  supplies.

11         Section 2.  Subsection (3) of section 474.207, Florida

12  Statutes, is amended to read:

13         474.207  Licensure by examination.--

14         (3)  Notwithstanding the provisions of paragraph

15  (2)(b), an applicant has shall be deemed to have met the

16  education requirements for licensure upon submission of

17  evidence that the applicant meets one of the following:

18         (a)  The applicant was certified for examination by the

19  board prior to October 1, 1989; or

20         (b)  The applicant immigrated to the United States

21  after leaving her or his home country because of political

22  reasons, provided such country is located in the Western

23  Hemisphere and lacks diplomatic relations with the United

24  States,; and:

25         (a)1.  Was a Florida resident immediately preceding her

26  or his application for licensure;

27         (b)2.  Demonstrates to the board, through submission of

28  documentation verified by the applicant's respective

29  professional association in exile, that she or he received a

30  professional degree in veterinary medicine from a college or

31  university located in the country from which she or he

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  1  emigrated. However, the board may not require receipt

  2  transcripts from the Republic of Cuba as a condition of

  3  eligibility under this section; and

  4         (c)3.  Lawfully practiced her or his profession for at

  5  least 3 years.

  6         (4)  Applicants certified for examination or

  7  reexamination under subsection (3) who fail or have failed the

  8  examination three times must subsequent to October 1, 1989,

  9  shall be required to demonstrate to the board that they meet

10  the requirements of paragraph (2)(b) prior to any further

11  reexamination or certification for licensure.

12         (5)  An unlicensed doctor of veterinary medicine who

13  has graduated from an approved college or school of veterinary

14  medicine and has completed all parts of the examination for

15  licensure is permitted, while awaiting the results of such

16  examination for licensure or while awaiting issuance of the

17  license, to practice under the immediate supervision of a

18  licensed veterinarian. A person who fails any part of the

19  examination may not continue to practice, except in the same

20  capacity as other nonlicensed veterinary employees, until she

21  or he passes the examination and is eligible for licensure.

22         Section 3.  Subsection (3) of section 474.211, Florida

23  Statutes, is amended to read:

24         474.211  Renewal of license.--

25         (3)  The board may by rule prescribe continuing

26  education, not to exceed 30 hours biennially, as a condition

27  for renewal of a license or certificate. The criteria for such

28  programs, providers, or courses must shall be approved by the

29  board.

30         Section 4.  Subsection (1) of section 474.2125, Florida

31  Statutes, is amended to read:

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  1         474.2125  Temporary license.--

  2         (1)  The board shall adopt rules providing for the

  3  issuance of a temporary license to a licensed veterinarian of

  4  another state for the purpose of enabling her or him to

  5  provide veterinary medical services in this state for the

  6  animals of a specific owner or, as may be needed in an

  7  emergency as defined in s. 252.34(3) s. 252.34(2), for the

  8  animals of multiple owners, provided the applicant would

  9  qualify for licensure by endorsement under s. 474.217, except

10  that the applicant need not have demonstrated compliance with

11  s. 474.217(1)(a) before the license is issued. A No temporary

12  license is not shall be valid for more than 30 days after its

13  issuance, and a no license may not shall cover more than the

14  treatment of the animals of one owner except in an emergency

15  as defined in s. 252.34(3) s. 252.34(2). When After the

16  expiration of 30 days have expired, a new temporary license is

17  required.

18         Section 5.  Paragraph (c) of subsection (2) of section

19  474.214, Florida Statutes, is amended to read:

20         474.214  Disciplinary proceedings.--

21         (2)  When the board finds any applicant or veterinarian

22  guilty of any of the grounds set forth in subsection (1),

23  regardless of whether the violation occurred prior to

24  licensure, it may enter an order imposing one or more of the

25  following penalties:

26         (c)  Imposition of an administrative fine not to exceed

27  $5,000 $1,000 for each count or separate offense.

28

29  In determining appropriate action, the board must first

30  consider those sanctions necessary to protect the public.

31  Only after those sanctions have been imposed may the

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  1  disciplining authority consider and include in its order

  2  requirements designed to rehabilitate the veterinarian.  All

  3  costs associated with compliance with any order issued under

  4  this subsection are the obligation of the veterinarian.

  5         Section 6.  Subsection (7) of section 474.215, Florida

  6  Statutes, is amended, and subsections (8) and (9) are added to

  7  that section, to read:

  8         474.215  Premises permits.--

  9         (7)  The board by rule shall establish minimum

10  standards for the operation of limited service veterinary

11  medical practices. The Such rules must shall not restrict

12  limited service veterinary medical practices and must shall be

13  consistent with the type of limited veterinary medical service

14  provided.

15         (a)  Any person who that offers or provides limited

16  service veterinary medical practice shall obtain from the

17  board a biennial permit from the board the cost of which must

18  shall not exceed $250. The limited service permittee shall

19  register each location where limited service clinics are held

20  and shall pay a fee set by rule not to exceed $25 to register

21  each such location.

22         (b)  All permits issued under this subsection are

23  subject to the provisions of ss. 474.213 and 474.214.

24         (c)  Notwithstanding any provision of this subsection

25  to the contrary, any temporary rabies vaccination effort

26  operated by a county health department in response to a public

27  health threat, as declared by the State Health Officer in

28  consultation with the State Veterinarian, is not subject to

29  any preregistration, time limitation, or fee requirements, but

30  must adhere to all other requirements for limited service

31  veterinary medical practice as prescribed by rule. The fee

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  1  charged to the public for a rabies vaccination administered

  2  during such a temporary rabies vaccination effort must not

  3  exceed the actual cost of administering the rabies vaccine.

  4  Such rabies vaccination efforts may not be used for any

  5  purpose other than to address the public health consequences

  6  of the rabies outbreak. The board shall be immediately

  7  notified in writing of any temporary rabies vaccination effort

  8  operated under this paragraph.

  9         (8)  Any person who is not a veterinarian licensed

10  under this chapter but who desires to own and operate a

11  veterinary medical establishment shall apply to the board for

12  a premises permit. If the board certifies that the applicant

13  complies with the applicable laws and rules of the board, the

14  department shall issue a premises permit. A permit must not be

15  issued unless a licensed veterinarian is designated to

16  undertake the professional supervision of the veterinary

17  medical practice and the minimum standards set by rule of the

18  board for premises where veterinary medicine is practiced.

19  Upon application, the department shall request a statewide

20  criminal records correspondence check of the applicant through

21  the Department of Law Enforcement. The permittee shall notify

22  the board within 10 days after any change of the licensed

23  veterinarian responsible for such duties. Any permittee under

24  this subsection is subject to subsection (9) and s. 474.214.

25         (9)(a)  The department or the board may deny, revoke,

26  or suspend the permit of any permittee under this section and

27  may fine, place on probation, or otherwise discipline any

28  permittee under this section who has:

29         1.  Obtained a permit by misrepresentation or fraud or

30  through an error of the department or board;

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  1         2.  Attempted to procure, or has procured, a permit for

  2  any other person by making, or causing to be made, any false

  3  representation;

  4         3.  Violated any of the requirements of this chapter or

  5  any rule of the board; or

  6         4.  Been convicted or found guilty of, or entered a

  7  plea of nolo contendere to, a felony in any court of this

  8  state, of any other state, or of the United States.

  9         (b)  If the permit is revoked or suspended, the owner,

10  manager, or proprietor shall cease to operate the premises as

11  a veterinary medical practice as of the effective date of the

12  suspension or revocation. In the event of such revocation or

13  suspension, the owner, manager, or proprietor shall remove

14  from the premises all signs and symbols identifying the

15  premises as a veterinary medical practice. The period of any

16  such suspension must be prescribed by rule of the board, but

17  may not exceed 1 year. If the permit is revoked, the person

18  who owns or operates the establishment may not apply for a

19  permit to operate such premises for a period of 1 year after

20  the date of the revocation. Upon the effective date of the

21  revocation, the permittee shall advise the board of the

22  disposition of any and all medicinal drugs and shall make

23  provision for ensuring the security, confidentiality, and

24  availability to clients of all patient medical records.

25         Section 7.  Section 474.217, Florida Statutes, is

26  amended to read:

27         474.217  Licensure by endorsement.--

28         (1)  The department shall issue a license by

29  endorsement to any applicant who, upon applying to the

30  department and remitting a fee set by the board, demonstrates

31  to the board that she or he:

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  1         (a)  Has demonstrated, in a manner designated by rule

  2  of the board, knowledge of the laws and rules governing the

  3  practice of veterinary medicine in this state; and

  4         (b)1.  Either holds, and has held for the 3 years

  5  immediately preceding the application for licensure, a valid,

  6  active license to practice veterinary medicine in another

  7  state of the United States, the District of Columbia, or a

  8  territory of the United States, provided that the requirements

  9  for licensure in the issuing state, district, or territory are

10  equivalent to or more stringent than the requirements of this

11  chapter; or

12         2.  Meets the qualifications of s. 474.207(2)(b) and

13  has successfully completed a state, regional, national, or

14  other examination which is equivalent to or more stringent

15  than the examination approved by the board and certified given

16  by the department and has passed the board's clinical

17  competency examination or another clinical competency

18  examination specified by rule of the board.

19         (2)  The department may shall not issue a license by

20  endorsement to any applicant who is under investigation in any

21  state, territory, or the District of Columbia for an act that

22  which would constitute a violation of this chapter until the

23  investigation is complete and disciplinary proceedings have

24  been terminated, at which time the provisions of s. 474.214

25  applies shall apply.

26         Section 8.  This act shall take effect July 1, 1998.

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  2                          SENATE SUMMARY

  3    Amends regulations relating to the practice of veterinary
      medicine. Provides exemptions from ch. 474, F.S. Provides
  4    for the Board of Veterinary Medicine to approve criteria
      for providers of continuing education. Increases the
  5    maximum amount of an administrative fine from $1,000 to
      $5,000. Requires the registration of locations at which
  6    limited service clinics are held, and provides for fees.
      Exempts certain temporary rabies vaccination efforts from
  7    specified requirements. Places restrictions on fees
      charged for such temporary efforts and limits the uses to
  8    which those temporary efforts may be put. Requires that
      the board be notified of such a temporary effort within
  9    30 days. Provides for premises permits for
      nonveterinarians, and establishes conditions for
10    operating such premises. Provides for disciplinary
      actions applicable to holders of premises permits.
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