CODING: Words stricken are deletions; words underlined are additions.
SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
CHAMBER ACTION
Senate House
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11 Senators Grant and Childers moved the following amendment to
12 amendment (664658):
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14 Senate Amendment (with title amendment)
15 On page 32, between lines 22 and 23,
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17 insert:
18 Section 22. (1) The Program in Medical Sciences
19 (PIMS) at the Florida State University is established as a
20 2-year medical school within the Florida State University.
21 After the initial 2-year academic education is provided at the
22 Florida State University, in Leon County, with rotation in
23 local community hospitals, the second 2-year clinical rotation
24 for Program In Medical Sciences (PIMS) students will include
25 experience in underserved areas and will be coordinated with
26 the University of Florida and the Mayo Clinic in Jacksonville,
27 Florida. The medical degree will be conferred by the
28 University of Florida. Students will be actively recruited
29 from underserved rural and urban areas of Florida, and all
30 training will emphasize the unique medical needs of Florida's
31 elder citizens.
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 (2) This section shall take effect July 1, 1999,
2 unless repealed during the 1999 Regular Session of the
3 Legislature. It is the intent of the Legislature to repeal
4 this section in the event that:
5 (a) The study commissioned by the Board of Regents
6 pursuant to this act finds that the expansion of the Program
7 in Medical Sciences at Florida State University under this act
8 would unquestionably jeopardize the accreditation of the
9 University of Florida School of Medicine; or
10 (b) The Legislature determines, based upon an
11 independent analysis of cost, that the cost of the expansion
12 of the Program in Medical Sciences at Florida State University
13 under this act is too prohibitive, and decides to cease
14 funding of the expansion.
15 Section 23. (1) The Board of Regents is directed to
16 commission an independent study of medical education in
17 Florida. In commissioning the study, the Board of Regents
18 shall solicit the involvement of affected universities in
19 Florida and clinical facilities, including the Mayo Clinic in
20 Jacksonville, with which the universities propose to affiliate
21 in order to provide clinical components of the curriculum. The
22 purpose of the study shall be to assess the current adequacy
23 and capacity of the state's undergraduate and graduate medical
24 education and training programs by determining whether older
25 Floridians have access to an adequate supply of geriatricians
26 and primary care physicians who understand the unique medical
27 needs of Florida's elders, and whether underrepresented
28 populations have fair and adequate access to medical education
29 and training in Florida. The study shall include:
30 (a) Recommended strategies to ensure access to medical
31 education by people from underserved rural and urban areas.
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 (b) Recommended strategies to increase the production
2 of primary care physicians who understand the unique medical
3 needs of Florida's elders.
4 (c) Issues that may be raised by the Liaison Committee
5 on Medical Education (LCME) and recommendations to resolve
6 such issues. The Liaison Committee on Medical Education shall
7 be invited to Florida in order to identify any areas of
8 concern in order to clarify and reach agreement regarding
9 actions necessary to address LCME concerns.
10 (d) A specific study of the fiscal and programmatic
11 implications of adding a second year to the Program in Medical
12 Sciences (PIMS) at Florida State University as provided for in
13 this act.
14 (e) Recommended strategies, an implementation plan,
15 and a timeline to achieve the objectives of the study and an
16 estimate of the fiscal and programmatic considerations
17 associated with each recommendation.
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19 The study shall be considered by the Board of Regents in
20 developing its 5-year plan, and shall be submitted to the
21 Governor, the President of the Senate, and the Speaker of the
22 House of Representatives by January 1, 1999.
23 (2) This section shall take effect upon becoming a
24 law.
25 Section 24. Paragraph (i) of subsection (1) and
26 subsection (4) of section 458.3145, Florida Statutes, is
27 amended to read:
28 458.3145 Medical faculty certificate.--
29 (1) A medical faculty certificate may be issued
30 without examination to an individual who:
31 (a) Is a graduate of an accredited medical school or
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 its equivalent, or is a graduate of a foreign medical school
2 listed with the World Health Organization;
3 (b) Holds a valid, current license to practice
4 medicine in another jurisdiction;
5 (c) Has completed the application form and remitted a
6 nonrefundable application fee not to exceed $500;
7 (d) Has completed an approved residency or fellowship
8 of at least 1 year or has received training which has been
9 determined by the board to be equivalent to the 1-year
10 residency requirement;
11 (e) Is at least 21 years of age;
12 (f) Is of good moral character;
13 (g) Has not committed any act in this or any other
14 jurisdiction which would constitute the basis for disciplining
15 a physician under s. 458.331;
16 (h) For any applicant who has graduated from medical
17 school after October 1, 1992, has completed, before entering
18 medical school, the equivalent of 2 academic years of
19 preprofessional, postsecondary education, as determined by
20 rule of the board, which must include, at a minimum, courses
21 in such fields as anatomy, biology, and chemistry; and
22 (i) Has been offered and has accepted a full-time
23 faculty appointment to teach in a program of medicine at:
24 1. The University of Florida,
25 2. The University of Miami,
26 3. The University of South Florida, or
27 4. Florida State University, or
28 5.4. The Mayo Clinic Jacksonville, Florida.
29 (2) The certificate authorizes the holder to practice
30 only in conjunction with his or her faculty position at an
31 accredited medical school and its affiliated clinical
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 facilities or teaching hospitals that are registered with the
2 Board of Medicine as sites at which holders of medical faculty
3 certificates will be practicing. Such certificate
4 automatically expires when the holder's relationship with the
5 medical school is terminated or after a period of 24 months,
6 whichever occurs sooner, and is renewable every 2 years by a
7 holder who applies to the board on a form prescribed by the
8 board and provides certification by the dean of the medical
9 school that the holder is a distinguished medical scholar and
10 an outstanding practicing physician.
11 (3) The holder of a medical faculty certificate issued
12 under this section has all rights and responsibilities
13 prescribed by law for the holder of a license issued under s.
14 458.311, except as specifically provided otherwise by law.
15 Such responsibilities include compliance with continuing
16 medical education requirements as set forth by rule of the
17 board. A hospital or ambulatory surgical center licensed under
18 chapter 395, health maintenance organization certified under
19 chapter 641, insurer as defined in s. 624.03,
20 multiple-employer welfare arrangement as defined in s.
21 624.437, or any other entity in this state, in considering and
22 acting upon an application for staff membership, clinical
23 privileges, or other credentials as a health care provider,
24 may not deny the application of an otherwise qualified
25 physician for such staff membership, clinical privileges, or
26 other credentials solely because the applicant is a holder of
27 a medical faculty certificate under this section.
28 (4) In any year, the maximum number of extended
29 medical faculty certificate holders as provided in subsection
30 (2) may not exceed 15 persons at each institution named in
31 subparagraphs (1)(i)1.-4.3. and at the facility named in s.
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 240.512 and may not exceed 5 persons at the institution named
2 in subparagraph (1)(i)5.4.
3 5. Annual review of all such certificate recipients
4 will be made by the deans of the accredited 4-year medical
5 schools within this state and reported to the Board of
6 Medicine.
7 (5) Notwithstanding subsection (1), any physician,
8 when providing medical care or treatment in connection with
9 the education of students, residents, or faculty at the
10 request of the dean of an accredited medical school within
11 this state or at the request of the medical director of a
12 statutory teaching hospital as defined in s. 408.07, may do so
13 upon registration with the board and demonstration of
14 financial responsibility pursuant to s. 458.320(1) or (2)
15 unless such physician is exempt under s. 458.320(5)(a). The
16 performance of such medical care or treatment must be limited
17 to a single period of time, which may not exceed 180
18 consecutive days, and must be rendered within a facility
19 registered under subsection (2) or within a statutory teaching
20 hospital as defined in s. 408.07. A registration fee not to
21 exceed $300, as set by the board, is required of each
22 physician registered under this subsection. However, no more
23 than three physicians per year per institution may be
24 registered under this subsection, and an exemption under this
25 subsection may not be granted to a physician more than once in
26 any given 5-year period.
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30 And the title is amended as follows:
31 On page 1, line 6, through
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SENATE AMENDMENT
Bill No. HB 755, 3rd Eng.
Amendment No.
1 page 2, line 2, delete those lines
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3 and insert:
4 establishing the Program in Medical Sciences as
5 a 2-year medical school within the Florida
6 State University; providing legislative
7 findings and intent; providing for future
8 effectiveness and contingent repeal; requiring
9 the Board of Regents to commission an
10 independent study of medical education;
11 providing components of the study; providing
12 for submission of the study to the Governor,
13 the President of the Senate, and the Speaker of
14 the House of Representatives by January 1,
15 1999; amending s. 458.3145, F.S.; providing for
16 the issuance of a medical faculty certificate
17 without examination to an individual who has
18 received a full-time faculty appointment to
19 teach a program of medicine at Florida State
20 University; providing an effective date.
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