Senate Bill 0776

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    Florida Senate - 1998                                   SB 776

    By Senator Clary





    7-578A-98

  1                      A bill to be entitled

  2         An act relating to physician assistant

  3         certification; amending s. 458.347, F.S.;

  4         exempting applicants from a practical

  5         examination requirement; providing guidelines

  6         for the translation of the examination into

  7         other languages; providing for examinations to

  8         be administered at specified intervals,

  9         providing an effective date.

10

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

12

13         Section 1.  Paragraph (b) of subsection (7) of section

14  458.347, Florida Statutes, is amended to read:

15         458.347  Physician assistants.--

16         (7)  PHYSICIAN ASSISTANT CERTIFICATION.--

17         (b)1.  Notwithstanding subparagraph (a)2. and

18  sub-subparagraph (a)3.a., the agency shall examine each

19  applicant who the Board of Medicine certifies:

20         a.  Has completed the application form and remitted a

21  nonrefundable application fee not to exceed $500 and an

22  examination fee not to exceed $300, plus the actual cost to

23  the agency to provide the examination. The examination fee is

24  refundable if the applicant is found to be ineligible to take

25  the examination. The agency shall not require the applicant to

26  pass a practical component of the examination. Competencies

27  required for practicing physician assistants must be

28  incorporated into the written examination through a

29  multiple-choice format. The agency shall translate the

30  examination into the native language of any applicant who

31  requests and agrees to pay all costs of such translation, if

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    Florida Senate - 1998                                   SB 776
    7-578A-98




  1  the translation request is filed with the board office no

  2  later than 9 months before the scheduled examination, the

  3  applicant remits translation fees as specified by the

  4  department no later than 6 months before the scheduled

  5  examination, and provided the applicant demonstrates to the

  6  agency the ability to communicate orally in basic English. An

  7  applicant who is unable to pay translation costs may take the

  8  next available examination in English if the applicant submits

  9  a request in writing by the application deadline and is

10  otherwise eligible. To demonstrate the ability to communicate

11  in basic English, a passing score or grade is required, as

12  determined by the department or organization that developed

13  it, on one of the following English examinations:

14         (I)  The test for spoken English (TSE) by the

15  Educational Testing Service (ETS);

16         (II)  The test of English as a foreign language

17  (TOEFL), by ETS;

18         (III)  A high school or college level English Course;

19  or

20         (IV)  The English examination for citizenship,

21  Immigration and Naturalization Service.

22

23  A notarized copy of an Educational Commission for Foreign

24  Medical Graduates (ECFMG) certificate may also be used to

25  demonstrate the ability to communicate in basic English.

26         b.  Is an unlicensed physician who graduated from a

27  foreign medical school listed with the World Health

28  Organization who has not previously taken and failed the

29  examination of the National Commission on Certification of

30  Physician Assistants and who has been certified by the Board

31  of Medicine as having met the requirements for licensure as a

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    Florida Senate - 1998                                   SB 776
    7-578A-98




  1  medical doctor by examination as set forth in s. 458.311(1),

  2  (3), (4), and (5), with the exception that the applicant is

  3  not required to have completed an approved residency of at

  4  least 1 year and the applicant is not required to have passed

  5  the licensing examination specified under s. 458.311 or hold a

  6  valid, active certificate issued by the Educational Commission

  7  for Foreign Medical Graduates.

  8         c.  Was eligible and made initial application for

  9  certification as a physician assistant in this state between

10  July 1, 1990, and June 30, 1991.

11         d.  Was a resident of this state on July 1, 1990, or

12  was licensed or certified in any state in the United States as

13  a physician assistant on July 1, 1990.

14         2.  The agency may grant temporary certification to an

15  applicant who meets the requirements of subparagraph 1.

16  Between meetings of the council, the agency may grant

17  temporary certification to practice based on the completion of

18  all temporary certification requirements. All such

19  administratively issued certifications shall be reviewed and

20  acted on at the next regular meeting of the council.  A

21  temporary certificate expires upon receipt and notice of

22  scores to the certificateholder from the first available

23  examination specified in subparagraph 1. following

24  certification by the agency. An applicant who fails the

25  proficiency examination is no longer temporarily certified,

26  but may apply for a one-time extension of temporary

27  certification after reapplying for the next available

28  examination.  Extended certification shall expire upon failure

29  of the certificateholder to sit for the next available

30  examination or upon receipt and notice of scores to the

31  certificateholder from such examination.

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    Florida Senate - 1998                                   SB 776
    7-578A-98




  1         3.  Notwithstanding any other provision of law, the

  2  examination specified pursuant to subparagraph 1. shall be

  3  administered by the agency only five times.  Applicants

  4  certified by the board for examination shall receive at least

  5  6 months' notice of eligibility prior to the administration of

  6  the initial examination. Subsequent examinations shall be

  7  administered at 1-year intervals following determined by the

  8  agency after the reporting of the scores of the first and

  9  subsequent examinations examination.  For the purposes of this

10  paragraph, the agency may develop, contract for the

11  development of, purchase, or approve an examination, including

12  a practical component, that adequately measures an applicant's

13  ability to practice with reasonable skill and safety.  The

14  minimum passing score on the examination shall be established

15  by the agency, with the advice of the board.  Those applicants

16  failing to pass that examination or any subsequent examination

17  shall receive notice of the administration of the next

18  examination with the notice of scores following such

19  examination.  Any applicant who passes the examination and

20  meets the requirements of this section shall be certified as a

21  physician assistant with all rights defined thereby.

22         Section 2.  This act shall take effect July 1, 1998.

23

24            *****************************************

25                          SENATE SUMMARY

26    Revises provisions relating to physician assistant
      certification. Exempts applicants from certain exams;
27    establishes guidelines for translation of the examination
      into other languages; and provides for the examinations
28    to be administered at specified intervals.

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