Senate Bill 0472e1

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    SB 472                                         First Engrossed



  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         revising requirements for certain persons to

  8         take the examination for licensure as a

  9         veterinarian; eliminating obsolete provisions;

10         amending s. 474.211, F.S.; requiring criteria

11         for providers of continuing education to be

12         approved by the board; amending s. 474.2125,

13         F.S.; exempting veterinarians licensed in

14         another state from certain requirements for

15         temporary licensure in this state; conforming a

16         cross-reference; amending s. 474.214, F.S.;

17         increasing the administrative fine; amending s.

18         474.215, F.S.; requiring limited service

19         permittees to register each location and

20         providing a registration fee; providing

21         requirements for certain temporary rabies

22         vaccination efforts; providing permit and other

23         requirements for persons who are not licensed

24         veterinarians but who desire to own and operate

25         a veterinary medical establishment; providing

26         disciplinary actions applicable to holders of

27         premises permits; amending s. 474.217, F.S.,

28         relating to licensure by endorsement; revising

29         a reference to an examination; providing for

30         participation of veterinarians in impaired

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    SB 472                                         First Engrossed



  1         practitioner treatment programs; providing an

  2         effective date.

  3

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

  5

  6         Section 1.  Section 474.203, Florida Statutes, is

  7  amended to read:

  8         474.203  Exemptions.--This chapter does shall not apply

  9  to:

10         (1)  Any faculty member practicing only in conjunction

11  with teaching duties at a school or college of veterinary

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

13  this state and be accredited by the American Veterinary

14  Medical Association Council on Education. However, this

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

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

17  graduate of a school or college of veterinary medicine

18  accredited by the American Veterinary Medical Association

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

20  American Veterinary Medical Association Commission for Foreign

21  Veterinary Graduates. The faculty member exemption shall

22  automatically expire when such school or college terminates

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

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

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

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

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

28  list.

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

30  resident veterinarian and who does not hold a valid license

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


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    SB 472                                         First Engrossed



  1  a school or college of veterinary medicine located in this

  2  state and accredited by the American Veterinary Medical

  3  Association Council on Education. Such an intern or resident

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

  5  medicine accredited by the American Veterinary Medical

  6  Association Council on Education or a school or college

  7  recognized by the American Veterinary Medical Association

  8  Commission for Foreign Veterinary Graduates. This exemption is

  9  no longer applicable to an individual after he or she

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

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

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

13  written list of all such interns or residents designated for

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

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

16         (3)(2)  A student in a school or college of veterinary

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

18  his instructor or when working as a preceptor under the

19  immediate supervision of a licensee, provided that such

20  preceptorship is required for graduation from an accredited

21  school or college of veterinary medicine.  The licensed

22  veterinarian shall be responsible for all acts performed by a

23  preceptor under her or his supervision.

24         (4)(3)  Any doctor of veterinary medicine in the employ

25  of a state agency or the United States Government while

26  actually engaged in the performance of her or his official

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

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

29  official duties or is not working at the installations for

30  which her or his services were engaged.

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    SB 472                                         First Engrossed



  1         (5)(4)  Any person, or the person's regular employee,

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

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

  4  and dehorning of herd animals, unless title has been

  5  transferred or employment provided for the purpose of

  6  circumventing this law. This exemption shall not apply to

  7  out-of-state veterinarians practicing temporarily in the

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

  9  animal for diseases which are communicable to humans and which

10  are of public health significance.

11         (6)(5)  State agencies, accredited schools,

12  institutions, foundations, business corporations or

13  associations, physicians licensed to practice medicine and

14  surgery in all its branches, graduate doctors of veterinary

15  medicine, or persons under the direct supervision thereof,

16  which or who conduct experiments and scientific research on

17  animals in the development of pharmaceuticals, biologicals,

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

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

20  the study and development of methods and techniques directly

21  or indirectly applicable to the problems of the practice of

22  veterinary medicine.

23         (7)(6)  Any veterinary aide, nurse, laboratory

24  technician, preceptor, or other employee of a licensed

25  veterinarian who administers medication or who renders

26  auxiliary or supporting assistance under the responsible

27  supervision of a such licensed veterinarian practitioner,

28  including those tasks identified by rule of the board

29  requiring immediate supervision. However, the licensed

30  veterinarian is shall be responsible for all such acts

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    SB 472                                         First Engrossed



  1  performed under this subsection by persons under her or his

  2  supervision.

  3         (8)  A veterinarian, licensed by and actively

  4  practicing veterinary medicine in another state, who is board

  5  certified in a specialty recognized by the board and who

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

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

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

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

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

11  veterinarian who practices under this subsection is not

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

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

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

15  are considered to be duly licensed practitioners authorized by

16  the laws of this state to prescribe drugs or medicinal

17  supplies.

18         Section 2.  Section 474.207, Florida Statutes, is

19  amended to read:

20         474.207  Licensure by examination.--

21         (1)  Any person desiring to be licensed as a

22  veterinarian shall apply to the department to take a licensure

23  examination.  The board may by rule adopt use of a national

24  examination in lieu of part or all of the examination required

25  by this section, with a reasonable passing score to be set by

26  rule of the board.

27         (2)  The department shall license each applicant who

28  the board certifies has:

29         (a)  Completed the application form and remitted an

30  examination fee set by the board.

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  1         (b)1.  Graduated from a college of veterinary medicine

  2  accredited by the American Veterinary Medical Association

  3  Council on Education; or

  4         2.  Graduated from a college of veterinary medicine

  5  listed in the American Veterinary Medical Association Roster

  6  of Veterinary Colleges of the World and obtained a certificate

  7  from the Education Commission for Foreign Veterinary

  8  Graduates.

  9         (c)  Successfully completed the examination provided by

10  the department for this purpose, or an examination determined

11  by the board to be equivalent.

12         (d)  Demonstrated knowledge of the laws and rules

13  governing the practice of veterinary medicine in Florida in a

14  manner designated by rules of the board.

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16  The department shall not issue a license to any applicant who

17  is under investigation in any state or territory of the United

18  States or in the District of Columbia for an act which would

19  constitute a violation of this chapter until the investigation

20  is complete and disciplinary proceedings have been terminated,

21  at which time the provisions of s. 474.214 shall apply.

22         (3)  Notwithstanding the provisions of paragraph

23  (2)(b), An applicant has shall be deemed to have met the

24  education requirements for licensure upon submission of

25  evidence that the applicant meets one of the following:

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

27  board prior to October 1, 1989; or

28         (b)  The applicant immigrated to the United States

29  after leaving her or his home country because of political

30  reasons, if provided such country is located in the Western

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    SB 472                                         First Engrossed



  1  Hemisphere and lacks diplomatic relations with the United

  2  States,; and:

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

  4  or his application for licensure; and

  5         (b)1.2.  Demonstrates to the board, through submission

  6  of documentation verified by the applicant's respective

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

  8  professional degree in veterinary medicine from a college or

  9  university located in the country from which she or he

10  emigrated. However, the board may not require the receipt of

11  transcripts from the Republic of Cuba as a condition of

12  eligibility under this section; and

13         2.  Demonstrates to the board that, prior to October 1,

14  1989, he or she was enrolled in a school of veterinary

15  medicine listed in the American Veterinary Medical Association

16  Roster of Colleges of the World; and

17         3.  Successfully completed a course of 250 hours in

18  veterinary science offered on October 8, 1997, by the Cuban

19  Veterinary Medical Association in Exile, in conjunction with

20  the Florida International Medical Association and Dade County

21  public schools, which included a competency-based examination

22  and the granting of licenses to persons passing the

23  examination; or

24         (c)1.  The applicant demonstrates to the board that,

25  prior to October 1, 1989, he or she was enrolled in a school

26  of veterinary medicine listed in the American Veterinary

27  Medical Association Roster of Colleges of the World;

28         2.  Was a Florida resident immediately preceding her or

29  his application for licensure; and

30         3.  Successfully completed a course of 250 hours in

31  veterinary science offered on October 8, 1997, by the Cuban


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    SB 472                                         First Engrossed



  1  Veterinary Medical Association in Exile, in conjunction with

  2  the Florida International Medical Association and Dade County

  3  public schools, which included a competency-based examination

  4  and the granting of licenses to persons passing the

  5  examination.

  6         3.  Lawfully practiced her or his profession for at

  7  least 3 years.

  8         (4)  Applicants certified for examination or

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

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

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

12  the requirements of paragraph (2)(b) or paragraph (3)(c) prior

13  to any further reexamination or certification for licensure.

14         (5)  An unlicensed doctor of veterinary medicine who

15  has graduated from an approved college or school of veterinary

16  medicine and has completed all parts of the examination for

17  licensure is permitted, while awaiting the results of such

18  examination for licensure or while awaiting issuance of the

19  license, to practice under the immediate supervision of a

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

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

22  capacity as other nonlicensed veterinary employees, until she

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

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

25  Statutes, is amended to read:

26         474.211  Renewal of license.--

27         (3)  The board may by rule prescribe continuing

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

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

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

31  board.


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    SB 472                                         First Engrossed



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

  2  Statutes, is amended to read:

  3         474.2125  Temporary license.--

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

  5  issuance of a temporary license to a licensed veterinarian of

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

  7  provide veterinary medical services in this state for the

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

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

10  animals of multiple owners, provided the applicant would

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

12  that the applicant need not have demonstrated compliance with

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

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

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

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

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

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

19  required.

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

21  474.214, Florida Statutes, is amended to read:

22         474.214  Disciplinary proceedings.--

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

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

25  regardless of whether the violation occurred prior to

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

27  following penalties:

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

29  $5,000 $1,000 for each count or separate offense.

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    SB 472                                         First Engrossed



  1  In determining appropriate action, the board must first

  2  consider those sanctions necessary to protect the public.

  3  Only after those sanctions have been imposed may the

  4  disciplining authority consider and include in its order

  5  requirements designed to rehabilitate the veterinarian.  All

  6  costs associated with compliance with any order issued under

  7  this subsection are the obligation of the veterinarian.

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

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

10  that section, to read:

11         474.215  Premises permits.--

12         (7)  The board by rule shall establish minimum

13  standards for the operation of limited service veterinary

14  medical practices. The Such rules must shall not restrict

15  limited service veterinary medical practices and must shall be

16  consistent with the type of limited veterinary medical service

17  provided.

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

19  service veterinary medical practice shall obtain from the

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

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

22  register each location where limited service clinics are held

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

24  each such location.

25         (b)  All permits issued under this subsection are

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

27         (c)  Notwithstanding any provision of this subsection

28  to the contrary, any temporary rabies vaccination effort

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

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

31  consultation with the State Veterinarian, is not subject to


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    SB 472                                         First Engrossed



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

  2  must adhere to all other requirements for limited service

  3  veterinary medical practice as prescribed by rule. The fee

  4  charged to the public for a rabies vaccination administered

  5  during such a temporary rabies vaccination effort must not

  6  exceed the actual cost of administering the rabies vaccine.

  7  Such rabies vaccination efforts may not be used for any

  8  purpose other than to address the public health consequences

  9  of the rabies outbreak. The board shall be immediately

10  notified in writing of any temporary rabies vaccination effort

11  operated under this paragraph.

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

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

14  veterinary medical establishment shall apply to the board for

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

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

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

18  issued unless a licensed veterinarian is designated to

19  undertake the professional supervision of the veterinary

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

21  board for premises where veterinary medicine is practiced.

22  Upon application, the department shall request a statewide

23  criminal records correspondence check of the applicant through

24  the Department of Law Enforcement. The permittee shall notify

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

26  veterinarian responsible for such duties. Any permittee under

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

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

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

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

31  permittee under this section who has:


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    SB 472                                         First Engrossed



  1         1.  Obtained a permit by misrepresentation or fraud or

  2  through an error of the department or board;

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

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

  5  representation;

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

  7  any rule of the board; or

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

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

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

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

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

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

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

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

16  from the premises all signs and symbols identifying the

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

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

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

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

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

22  the date of the revocation. Upon the effective date of the

23  revocation, the permittee shall advise the board of the

24  disposition of any and all medicinal drugs and shall make

25  provision for ensuring the security, confidentiality, and

26  availability to clients of all patient medical records.

27         Section 7.  Section 474.217, Florida Statutes, is

28  amended to read:

29         474.217  Licensure by endorsement.--

30         (1)  The department shall issue a license by

31  endorsement to any applicant who, upon applying to the


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    SB 472                                         First Engrossed



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

  2  to the board that she or he:

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

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

  5  practice of veterinary medicine in this state; and

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

  7  immediately preceding the application for licensure, a valid,

  8  active license to practice veterinary medicine in another

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

10  territory of the United States, provided that the requirements

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

12  equivalent to or more stringent than the requirements of this

13  chapter; or

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

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

16  other examination which is equivalent to or more stringent

17  than the examination approved by the board and certified given

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

19  competency examination or another clinical competency

20  examination specified by rule of the board.

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

22  endorsement to any applicant who is under investigation in any

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

24  which would constitute a violation of this chapter until the

25  investigation is complete and disciplinary proceedings have

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

27  applies shall apply.

28         Section 8.  Notwithstanding the transfer of the

29  Division of Medical Quality Assurance to the Department of

30  Health or any other provision of law to the contrary,

31  veterinarians licensed under chapter 474, Florida Statutes,


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  1  shall be governed by the treatment of impaired practitioners

  2  provisions of section 455.707, Florida Statutes, as if they

  3  were under the jurisdiction of the Division of Medical Quality

  4  Assurance, except that for veterinarians the Department of

  5  Business and Professional Regulation shall, at its option,

  6  exercise any of the powers granted to the Department of Health

  7  by that provision, and "board" shall mean board as defined in

  8  chapter 474, Florida Statutes.

  9         Section 9.  This act shall take effect July 1, 1998.

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