CODING: Words stricken are deletions; words underlined are additions.





                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 4                                                                

 5                                           ORIGINAL STAMP BELOW

 6

 7

 8

 9

10                                                                

11  Representative(s) Brown and Ogles offered the following:

12

13         Amendment (with title amendment) 

14  Remove from the bill:  Everything after the enacting clause

15

16  and insert in lieu thereof:

17         Section 1.  Subsections (3) and (4) of section 11.62,

18  Florida Statutes, are amended to read:

19         11.62  Legislative review of proposed regulation of

20  unregulated functions.--

21         (3)  In determining whether to regulate a profession or

22  occupation, the Legislature shall consider the following

23  factors:

24         (a)  Whether the unregulated practice of the profession

25  or occupation will substantially harm or endanger the public

26  health, safety, or welfare, and whether the potential for harm

27  is recognizable and not remote;

28         (b)  Whether the practice of the profession or

29  occupation requires specialized skill or training, and whether

30  that skill or training is readily measurable or quantifiable

31  so that examination or training requirements would reasonably

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  assure initial and continuing professional or occupational

 2  ability;

 3         (c)  Whether the regulation will have an unreasonable

 4  effect on job creation or job retention in the state or will

 5  place unreasonable restrictions on the ability of individuals

 6  who seek to practice or who are practicing a given profession

 7  or occupation to find employment;

 8         (d)(c)  Whether the public is or can be effectively

 9  protected by other means; and

10         (e)(d)  Whether the overall cost-effectiveness and

11  economic impact of the proposed regulation, including the

12  indirect costs to consumers, will be favorable.

13         (4)  The proponents of legislation that provides for

14  the regulation of a profession or occupation not already

15  expressly subject to state regulation shall provide, upon

16  request, the following information in writing to the state

17  agency that is proposed to have jurisdiction over the

18  regulation and to the legislative committees to which the

19  legislation is referred:

20         (a)  The number of individuals or businesses that would

21  be subject to the regulation;

22         (b)  The name of each association that represents

23  members of the profession or occupation, together with a copy

24  of its codes of ethics or conduct;

25         (c)  Documentation of the nature and extent of the harm

26  to the public caused by the unregulated practice of the

27  profession or occupation, including a description of any

28  complaints that have been lodged against persons who have

29  practiced the profession or occupation in this state during

30  the preceding 3 years;

31         (d)  A list of states that regulate the profession or

                                  2

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  occupation, and the dates of enactment of each law providing

 2  for such regulation and a copy of each law;

 3         (e)  A list and description of state and federal laws

 4  that have been enacted to protect the public with respect to

 5  the profession or occupation and a statement of the reasons

 6  why these laws have not proven adequate to protect the public;

 7         (f)  A description of the voluntary efforts made by

 8  members of the profession or occupation to protect the public

 9  and a statement of the reasons why these efforts are not

10  adequate to protect the public;

11         (g)  A copy of any federal legislation mandating

12  regulation;

13         (h)  An explanation of the reasons why other types of

14  less restrictive regulation would not effectively protect the

15  public;

16         (i)  The cost, availability, and appropriateness of

17  training and examination requirements;

18         (j)(i)  The cost of regulation, including the indirect

19  cost to consumers, and the method proposed to finance the

20  regulation;

21         (k)  The cost imposed on applicants or practitioners or

22  on employers of applicants or practitioners as a result of the

23  regulation;

24         (l)(j)  The details of any previous efforts in this

25  state to implement regulation of the profession or occupation;

26  and

27         (m)(k)  Any other information the agency or the

28  committee considers relevant to the analysis of the proposed

29  legislation.

30         Section 2.  Subsection (4) of section 455.201, Florida

31  Statutes, is amended to read:

                                  3

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         455.201  Professions and occupations regulated by

 2  department; legislative intent; requirements.--

 3         (4)(a)  Neither the department nor any board may No

 4  board, nor the department, shall create unreasonably

 5  restrictive and extraordinary standards that deter qualified

 6  persons from entering the various professions. Neither the

 7  department nor any board may No board, nor the department,

 8  shall take any action that which tends to create or maintain

 9  an economic condition that unreasonably restricts competition,

10  except as specifically provided by law.

11         (b)  Neither the department nor any board may create a

12  regulation that has an unreasonable effect on job creation or

13  job retention in the state or that places unreasonable

14  restrictions on the ability of individuals who seek to

15  practice or who are practicing a given profession or

16  occupation to find employment.

17         (c)  The Legislature shall evaluate proposals to

18  increase regulation of already regulated professions or

19  occupations to determine their effect on job creation or

20  retention and employment opportunities.

21         Section 3.  Subsection (4) of section 455.517, Florida

22  Statutes, is amended to read:

23         455.517  Professions and occupations regulated by

24  department; legislative intent; requirements.--

25         (4)(a)  Neither the department nor any board may No

26  board, nor the department, shall create unreasonably

27  restrictive and extraordinary standards that deter qualified

28  persons from entering the various professions. Neither the

29  department nor any board may No board, nor the department,

30  shall take any action that which tends to create or maintain

31  an economic condition that unreasonably restricts competition,

                                  4

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  except as specifically provided by law.

 2         (b)  Neither the department nor any board may create a

 3  regulation that has an unreasonable effect on job creation or

 4  job retention in the state or that places unreasonable

 5  restrictions on the ability of individuals who seek to

 6  practice or who are practicing a profession or occupation to

 7  find employment.

 8         (c)  The Legislature shall evaluate proposals to

 9  increase the regulation of regulated professions or

10  occupations to determine the effect of increased regulation on

11  job creation or retention and employment opportunities.

12         Section 4.  Section 455.2035, Florida Statutes, is

13  created to read:

14         455.2035  Rulemaking authority for professions not

15  under a board.--The department may adopt rules pursuant to ss.

16  120.54 and 120.536(1) to implement the regulatory requirements

17  of any profession within the department's jurisdiction which

18  does not have a statutorily authorized regulatory board.

19         Section 5.  Section 455.2123, Florida Statutes, is

20  created to read:

21         455.2123  Continuing education.--A board, or the

22  department when there is no board, may provide by rule that

23  distance learning may be used to satisfy continuing education

24  requirements.

25         Section 6.  Section 455.2124, Florida Statutes, is

26  created to read:

27         455.2124  Proration of continuing education.--A board,

28  or the department when there is no board, may:

29         (1)  Prorate continuing education for new licensees by

30  requiring half of the required continuing education for any

31  applicant who becomes licensed with more than half the renewal

                                  5

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  period remaining and no continuing education for any applicant

 2  who becomes licensed with half or less than half of the

 3  renewal period remaining; or

 4         (2)  Require no continuing education until the first

 5  full renewal cycle of the licensee.

 6

 7  These options shall also apply when continuing education is

 8  first required or the number of hours required is increased by

 9  law or the board, or the department when there is no board.

10         Section 7.  Subsection (10) is added to section

11  455.213, Florida Statutes, 1998 Supplement, to read:

12         455.213  General licensing provisions.--

13         (10)  For any profession requiring fingerprints as part

14  of the registration, certification, or licensure process or

15  for any profession requiring a criminal history record check

16  to determine good moral character, a fingerprint card

17  containing the fingerprints of the applicant must accompany

18  all applications for registration, certification, or

19  licensure. The fingerprint card shall be forwarded to the

20  Division of Criminal Justice Information Systems within the

21  Department of Law Enforcement for purposes of processing the

22  fingerprint card to determine if the applicant has a criminal

23  history record. The fingerprint card shall also be forwarded

24  to the Federal Bureau of Investigation for purposes of

25  processing the fingerprint card to determine if the applicant

26  has a criminal history record. The information obtained by the

27  processing of the fingerprint card by the Florida Department

28  of Law Enforcement and the Federal Bureau of Investigation

29  shall be sent to the department for the purpose of determining

30  if the applicant is statutorily qualified for registration,

31  certification, or licensure.

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         Section 8.  Paragraph (e) of subsection (2) of section

 2  468.453, Florida Statutes, 1998 Supplement, is amended to

 3  read:

 4         468.453  Licensure required; qualifications;

 5  examination; bond.--

 6         (2)  A person shall be licensed as an athlete agent if

 7  the applicant:

 8         (e)  Has provided sufficient information which must be

 9  submitted to by the department a fingerprint card for a

10  criminal history records check through the Federal Bureau of

11  Investigation. The fingerprint card shall be forwarded to the

12  Division of Criminal Justice Information Systems within the

13  Department of Law Enforcement for purposes of processing the

14  fingerprint card to determine if the applicant has a criminal

15  history record. The fingerprint card shall also be forwarded

16  to the Federal Bureau of Investigation for purposes of

17  processing the fingerprint card to determine if the applicant

18  has a criminal history record. The information obtained by the

19  processing of the fingerprint card by the Florida Department

20  of Law Enforcement and the Federal Bureau of Investigation

21  shall be sent to the department for the purpose of determining

22  if the applicant is statutorily qualified for licensure.

23         Section 9.  Paragraph (a) of subsection (1) of section

24  475.175, Florida Statutes, is amended to read:

25         475.175  Examinations.--

26         (1)  A person shall be entitled to take the license

27  examination to practice in this state if the person:

28         (a)  Submits to the department the appropriate

29  notarized application and fee, two photographs of herself or

30  himself taken within the preceding year, and a fingerprint

31  card. The fingerprint card shall be forwarded to the Division

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  of Criminal Justice Information Systems within the Department

 2  of Law Enforcement for purposes of processing the fingerprint

 3  card to determine if the applicant has a criminal history

 4  record. The fingerprint card shall also be forwarded to the

 5  Federal Bureau of Investigation for purposes of processing the

 6  fingerprint card to determine if the applicant has a criminal

 7  history record. The information obtained by the processing of

 8  the fingerprint card by the Florida Department of Law

 9  Enforcement and the Federal Bureau of Investigation shall be

10  sent to the department for the purpose of determining if the

11  applicant is statutorily qualified for examination.

12  fingerprints for processing through appropriate law

13  enforcement agencies; and

14         Section 10.  Subsection (3) of section 475.615, Florida

15  Statutes, 1998 Supplement, is amended to read:

16         475.615  Qualifications for registration, licensure, or

17  certification.--

18         (3)  Appropriate fees, as set forth in the rules of the

19  board pursuant to s. 475.6147, and a fingerprint card

20  fingerprints for processing through appropriate law

21  enforcement agencies must accompany all applications for

22  registration, licensure, and certification, or licensure. The

23  fingerprint card shall be forwarded to the Division of

24  Criminal Justice Information Systems within the Department of

25  Law Enforcement for purposes of processing the fingerprint

26  card to determine if the applicant has a criminal history

27  record. The fingerprint card shall also be forwarded to the

28  Federal Bureau of Investigation for purposes of processing the

29  fingerprint card to determine if the applicant has a criminal

30  history record. The information obtained by the processing of

31  the fingerprint card by the Florida Department of Law

                                  8

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  Enforcement and the Federal Bureau of Investigation shall be

 2  sent to the department for the purpose of determining if the

 3  applicant is statutorily qualified for registration,

 4  certification, or licensure.

 5         Section 11.  Section 455.2255, Florida Statutes, is

 6  created to read:

 7         455.2255  Classification of disciplinary actions.--

 8         (1)  A licensee may petition the department to review a

 9  disciplinary incident to determine whether the specific

10  violation meets the standard of a minor violation as set forth

11  in s. 455.225(3). If the circumstances of the violation meet

12  that standard and 2 years have passed since the issuance of a

13  final order imposing discipline, the department shall

14  reclassify that violation as inactive if the licensee has not

15  been disciplined for any subsequent minor violation of the

16  same nature. After the department has reclassified the

17  violation as inactive, it is no longer considered to be part

18  of the licensee's disciplinary record, and the licensee may

19  lawfully deny or fail to acknowledge the incident as a

20  disciplinary action. 

21         (2)  The department may establish a schedule

22  classifying violations according to the severity of the

23  violation.  After the expiration of set periods of time, the

24  department may provide for such disciplinary records to become

25  inactive, according to their classification.  After the

26  disciplinary record has become inactive, the department may

27  clear the violation from the disciplinary record and the

28  subject person or business may lawfully deny or fail to

29  acknowledge such disciplinary actions. The department may

30  adopt rules to implement this subsection.

31         (3)  Notwithstanding s. 455.017, this section applies

                                  9

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  to the disciplinary records of all persons or businesses

 2  licensed by the department.

 3         Section 12.  Subsection (3) of section 455.227, Florida

 4  Statutes, is amended to read:

 5         455.227  Grounds for discipline; penalties;

 6  enforcement.--

 7         (3)(a)  In addition to any other discipline imposed

 8  pursuant to this section or discipline imposed for a violation

 9  of any practice act, the board, or the department when there

10  is no board, may assess costs related to the investigation and

11  prosecution of the case excluding costs associated with an

12  attorney's time.

13         (b)  In any case where the board or the department

14  imposes a fine or assessment and the fine or assessment is not

15  paid within a reasonable time, such reasonable time to be

16  prescribed in the rules of the board, or the department when

17  there is no board, or in the order assessing such fines or

18  costs, the department or the Department of Legal Affairs may

19  contract for the collection of, or bring a civil action to

20  recover, the fine or assessment.

21         (c)  The department shall not issue or renew a license

22  to any person against whom or business against which the board

23  has assessed a fine, interest, or costs associated with

24  investigation and prosecution until the person or business has

25  paid in full such fine, interest, or costs associated with

26  investigation and prosecution or until the person or business

27  complies with or satisfies all terms and conditions of the

28  final order.

29         Section 13.  Paragraph (k) of subsection (2) of section

30  455.557, Florida Statutes, is amended to read:

31         455.557  Standardized credentialing for health care

                                  10

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  practitioners.--

 2         (2)  DEFINITIONS.--As used in this section, the term:

 3         (k)  "Health care practitioner" means any person

 4  licensed, or, for credentialing purposes only, any person

 5  applying for licensure, under chapter 458, chapter 459,

 6  chapter 460, or chapter 461 or any person licensed or applying

 7  for licensure under a chapter subsequently made subject to

 8  this section by the department with the approval of the

 9  applicable board, except a person registered or applying for

10  registration pursuant to ss. 458.345 or 459.021.

11         Section 14.  Subsection (6) of section 455.564, Florida

12  Statutes, 1998 Supplement, is amended to read:

13         455.564  Department; general licensing provisions.--

14         (6)  As a condition of renewal of a license, the Board

15  of Medicine, the Board of Osteopathic Medicine, the Board of

16  Chiropractic Medicine, and the Board of Podiatric Medicine

17  shall each require licensees which they respectively regulate

18  to periodically demonstrate their professional competency by

19  completing at least 40 hours of continuing education every 2

20  years, which may include up to 1 hour of risk management or

21  cost containment and up to 2 hours of other topics related to

22  the applicable medical specialty, if required by board rule.

23  The boards may require by rule that up to 1 hour of the

24  required 40 or more hours be in the area of risk management or

25  cost containment. This provision shall not be construed to

26  limit the number of hours that a licensee may obtain in risk

27  management or cost containment to be credited toward

28  satisfying the 40 or more required hours. This provision shall

29  not be construed to require the boards to impose any

30  requirement on licensees except for the completion of at least

31  40 hours of continuing education every 2 years. Each of such

                                  11

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  boards shall determine whether any specific continuing

 2  education course requirements not otherwise mandated by law

 3  shall be mandated and shall approve criteria for, and the

 4  content of, any continuing education course mandated by such

 5  board. Notwithstanding any other provision of law, the board,

 6  or the department when there is no board, may approve by rule

 7  alternative methods of obtaining continuing education credits

 8  in risk management. The alternative methods may include

 9  attending a board meeting at which another a licensee is

10  disciplined, serving as a volunteer expert witness for the

11  department in a disciplinary case, or serving as a member of a

12  probable cause panel following the expiration of a board

13  member's term. Other boards within the Division of Medical

14  Quality Assurance, or the department if there is no board, may

15  adopt rules granting continuing education hours in risk

16  management for attending a board meeting at which another

17  licensee is disciplined, for serving as a volunteer expert

18  witness for the department in a disciplinary case, or for

19  serving as a member of a probable cause panel following the

20  expiration of a board member's term.

21         Section 15.  Subsection (1) of section 455.565, Florida

22  Statutes, 1998 Supplement, is amended to read:

23         455.565  Designated health care professionals;

24  information required for licensure.--

25         (1)  Each person who applies for initial licensure as a

26  physician under chapter 458, chapter 459, chapter 460, or

27  chapter 461, except a person applying for registration

28  pursuant to ss. 458.345 and 459.021  must, at the time of

29  application, and each physician who applies for license

30  renewal under chapter 458, chapter 459, chapter 460, or

31  chapter 461, except a person registered pursuant to ss.

                                  12

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  458.345 and 459.021 must, in conjunction with the renewal of

 2  such license and under procedures adopted by the Department of

 3  Health, and in addition to any other information that may be

 4  required from the applicant, furnish the following information

 5  to the Department of Health:

 6         (a)1.  The name of each medical school that the

 7  applicant has attended, with the dates of attendance and the

 8  date of graduation, and a description of all graduate medical

 9  education completed by the applicant, excluding any coursework

10  taken to satisfy medical licensure continuing education

11  requirements.

12         2.  The name of each hospital at which the applicant

13  has privileges.

14         3.  The address at which the applicant will primarily

15  conduct his or her practice.

16         4.  Any certification that the applicant has received

17  from a specialty board that is recognized by the board to

18  which the applicant is applying.

19         5.  The year that the applicant began practicing

20  medicine.

21         6.  Any appointment to the faculty of a medical school

22  which the applicant currently holds and an indication as to

23  whether the applicant has had the responsibility for graduate

24  medical education within the most recent 10 years.

25         7.  A description of any criminal offense of which the

26  applicant has been found guilty, regardless of whether

27  adjudication of guilt was withheld, or to which the applicant

28  has pled guilty or nolo contendere.  A criminal offense

29  committed in another jurisdiction which would have been a

30  felony or misdemeanor if committed in this state must be

31  reported. If the applicant indicates that a criminal offense

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  is under appeal and submits a copy of the notice for appeal of

 2  that criminal offense, the department must state that the

 3  criminal offense is under appeal if the criminal offense is

 4  reported in the applicant's profile. If the applicant

 5  indicates to the department that a criminal offense is under

 6  appeal, the applicant must, upon disposition of the appeal,

 7  submit to the department a copy of the final written order of

 8  disposition.

 9         8.  A description of any final disciplinary action

10  taken within the previous 10 years against the applicant by

11  the agency regulating the profession that the applicant is or

12  has been licensed to practice, whether in this state or in any

13  other jurisdiction, by a specialty board that is recognized by

14  the American Board of Medical Specialities, the American

15  Osteopathic Association, or a similar national organization,

16  or by a licensed hospital, health maintenance organization,

17  prepaid health clinic, ambulatory surgical center, or nursing

18  home.  Disciplinary action includes resignation from or

19  nonrenewal of medical staff membership or the restriction of

20  privileges at a licensed hospital, health maintenance

21  organization, prepaid health clinic, ambulatory surgical

22  center, or nursing home taken in lieu of or in settlement of a

23  pending disciplinary case related to competence or character.

24  If the applicant indicates that the disciplinary action is

25  under appeal and submits a copy of the document initiating an

26  appeal of the disciplinary action, the department must state

27  that the disciplinary action is under appeal if the

28  disciplinary action is reported in the applicant's profile.

29         (b)  In addition to the information required under

30  paragraph (a), each applicant who seeks licensure under

31  chapter 458, chapter 459, or chapter 461, and who has

                                  14

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  practiced previously in this state or in another jurisdiction

 2  or a foreign country must provide the information required of

 3  licensees under those chapters pursuant to s. 455.697.  An

 4  applicant for licensure under chapter 460 who has practiced

 5  previously in this state or in another jurisdiction or a

 6  foreign country must provide the same information as is

 7  required of licensees under chapter 458, pursuant to s.

 8  455.697.

 9         Section 16.  Section 455.601, Florida Statutes is

10  amended to read:

11         455.601  Hepatitis B or human immunodeficiency

12  carriers.--

13         (1)  The department and each appropriate board within

14  the Division of Medical Quality Assurance shall have the

15  authority to establish procedures to handle, counsel, and

16  provide other services to health care professionals within

17  their respective boards who are infected with hepatitis B or

18  the human immunodeficiency virus.

19         (2)  Any person licensed by the department and any

20  other person employed by a health care facility who contracts

21  a blood-borne infection shall have a rebuttable presumption

22  that the illness was contracted in the course and scope of his

23  or her employment, provided that the person, as soon as

24  practicable, reports to the person's supervisor or the

25  facility's risk manager any significant exposure, as that term

26  is defined in s. 381.004(2)(c), to blood or body fluids. The

27  employer may test the blood or body fluid to determine if it

28  is infected with the same disease contracted by the employee.

29  The employer may rebut the presumption by the perponderance of

30  the evidence.  Except as expressly provided in this

31  subsection, there shall be no presumption that a blood-borne

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  infection is a job-related injury or illness.

 2         Section 17.  Subsections (4) and (6) of section

 3  477.013, Florida Statutes, 1998 Supplement, are amended, and

 4  subsections (12) and (13) are added to that section, to read:

 5         477.013  Definitions.--As used in this chapter:

 6         (4)  "Cosmetology" means the mechanical or chemical

 7  treatment of the head, face, and scalp for aesthetic rather

 8  than medical purposes, including, but not limited to, hair

 9  shampooing, hair cutting, hair arranging, hair coloring,

10  permanent waving, and hair relaxing, hair removing pedicuring,

11  and manicuring, for compensation. This term also includes

12  performing hair removal, including wax treatments, manicures,

13  pedicures, and skin-care services.

14         (6)  "Specialty" means the practice of one or more of

15  the following:

16         (a)  Manicuring, or the cutting, polishing, tinting,

17  coloring, cleansing, adding, or extending of the nails, and

18  massaging of the hands. This term includes any procedure or

19  process for the affixing of artificial nails, except those

20  nails which may be applied solely by use of a simple adhesive.

21         (b)  Pedicuring, or the shaping, polishing, tinting, or

22  cleansing of the nails of the feet, and massaging or

23  beautifying of the feet.

24         (c)  Facials, or the massaging or treating of the face

25  or scalp with oils, creams, lotions, or other preparations,

26  and skin care services.

27         (12)  "Body wrapping" means a treatment program that

28  uses herbal wraps for the purposes of weight loss and of

29  cleansing and beautifying the skin of the body, but does not

30  include:

31         (a)  The application of oils, lotions, or other fluids

                                  16

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  to the body, except fluids contained in presoaked materials

 2  used in the wraps; or

 3         (b)  Manipulation of the body's superficial tissue,

 4  other than that arising from compression emanating from the

 5  wrap materials.

 6         (13)  "Skin care services" means the treatment of the

 7  skin of the body, other than the head, face, and scalp, by the

 8  use of a sponge, brush, cloth, or similar device to apply or

 9  remove a chemical preparation or other substance, except that

10  chemical peels may be removed by peeling an applied

11  preparation from the skin by hand. Skin care services must be

12  performed by a licensed cosmetologist or facial specialist

13  within a licensed cosmetology or specialty salon, and such

14  services may not involve massage, as defined in s. 480.033(3),

15  through manipulation of the superficial tissue.

16         Section 18.  Section 477.0132, Florida Statutes, 1998

17  Supplement, is amended to read:

18         477.0132  Hair braiding, and hair wrapping, and body

19  wrapping registration.--

20         (1)(a)  Persons whose occupation or practice is

21  confined solely to hair braiding must register with the

22  department, pay the applicable registration fee, and take a

23  two-day 16-hour course. The course shall be board approved and

24  consist of 5 hours of HIV/AIDS and other communicable

25  diseases, 5 hours of sanitation and sterilization, 4 hours of

26  disorders and diseases of the scalp, and 2 hours of studies

27  regarding laws affecting hair braiding.

28         (b)  Persons whose occupation or practice is confined

29  solely to hair wrapping must register with the department, pay

30  the applicable registration fee, and take a one-day 6-hour

31  course. The course shall be board approved and consist of

                                  17

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  education in HIV/AIDS and other communicable diseases,

 2  sanitation and sterilization, disorders and diseases of the

 3  scalp, and studies regarding laws affecting hair wrapping.

 4         (c)  Unless otherwise licensed or exempted from

 5  licensure under this chapter, any person whose occupation or

 6  practice is body wrapping must register with the department,

 7  pay the applicable registration fee, and take a two-day

 8  12-hour course. The course shall be board approved and consist

 9  of education in HIV/AIDS and other communicable diseases,

10  sanitation and sterilization, disorders and diseases of the

11  skin, and studies regarding laws affecting body wrapping.

12         (2)  Hair braiding, and hair wrapping, and body

13  wrapping are not required to be practiced in a cosmetology

14  salon or specialty salon. When hair braiding, or hair

15  wrapping, or body wrapping is practiced outside a cosmetology

16  salon or specialty salon, disposable implements must be used

17  or all implements must be sanitized in a disinfectant approved

18  for hospital use or approved by the federal Environmental

19  Protection Agency.

20         (3)  Pending issuance of registration, a person is

21  eligible to practice hair braiding, or hair wrapping, or body

22  wrapping upon submission of a registration application that

23  includes proof of successful completion of the education

24  requirements and payment of the applicable fees required by

25  this chapter.

26         Section 19.  Paragraph (c) of subsection (7) of section

27  477.019, Florida Statutes, 1998 Supplement, is amended to

28  read:

29         477.019  Cosmetologists; qualifications; licensure;

30  supervised practice; license renewal; endorsement; continuing

31  education.--

                                  18

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         (7)

 2         (c)  Any person whose occupation or practice is

 3  confined solely to hair braiding, or hair wrapping, or body

 4  wrapping is exempt from the continuing education requirements

 5  of this subsection.

 6         Section 20.  Paragraph (f) of subsection (1) of section

 7  477.026, Florida Statutes, 1998 Supplement, is amended to

 8  read:

 9         477.026  Fees; disposition.--

10         (1)  The board shall set fees according to the

11  following schedule:

12         (f)  For hair braiders, and hair wrappers, and body

13  wrappers, fees for registration shall not exceed $25.

14         Section 21.  Paragraph (g) is added to subsection (1)

15  of section 477.0265, Florida Statutes, to read:

16         477.0265  Prohibited acts.--

17         (1)  It is unlawful for any person to:

18         (g)  Advertise or imply that skin care services or body

19  wrapping, as performed under this chapter, have any

20  relationship to the practice of massage therapy as defined in

21  s. 480.033(3), except those practices or activities defined in

22  s. 477.013.

23         Section 22.  Paragraph (a) of subsection (1) of section

24  477.029, Florida Statutes, 1998 Supplement, is amended to

25  read:

26         477.029  Penalty.--

27         (1)  It is unlawful for any person to:

28         (a)  Hold himself or herself out as a cosmetologist,

29  specialist, hair wrapper, or hair braider, or body wrapper

30  unless duly licensed or registered, or otherwise authorized,

31  as provided in this chapter.

                                  19

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         Section 23.  Subsection (2) of section 455.209, Florida

 2  Statutes, 1998 Supplement, is amended to read:

 3         455.209  Accountability and liability of board

 4  members.--

 5         (2)  Each board member and each former board member

 6  serving on a probable cause panel shall be exempt from civil

 7  liability for any act or omission when acting in the member's

 8  official capacity, and the department, or the Department of

 9  Legal Affairs shall defend any such member in any action

10  against any board or member of a board arising from any such

11  act or omission. In addition, the department or the Department

12  of Legal Affairs may defend the member's company or business

13  in any action against the company or business if the

14  department or the Department of Legal Affairs determines that

15  the actions from which the suit arises are actions taken by

16  the member in the member's official capacity and were not

17  beyond the member's statutory authority. In providing such

18  defense, the department or the Department of Legal Affairs may

19  employ or utilize the legal services of the Department of

20  Legal Affairs or outside counsel retained pursuant to s.

21  287.059. Fees and costs of providing legal services provided

22  under this subsection shall be paid from the Professional

23  Regulation Trust Fund, subject to the provisions of ss.

24  455.219 and 215.37.

25         Section 24.  Subsection (1) of section 455.221, Florida

26  Statutes, is amended to read:

27         455.221  Legal and investigative services.--

28         (1)  The department shall provide board counsel for

29  boards within the department by contracting with the

30  Department of Legal Affairs, by retaining private counsel

31  pursuant to s. 287.059, or by providing department staff

                                  20

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  counsel A board shall retain, through the department's

 2  contract procedures, board counsel from the Department of

 3  Legal Affairs. The Department of Legal Affairs shall provide

 4  legal services to each board within the Department of Business

 5  and Professional Regulation, but the primary responsibility of

 6  board counsel the Department of Legal Affairs shall be to

 7  represent the interests of the citizens of the state by

 8  vigorously counseling the boards with respect to their

 9  obligations under the laws of the state. A board shall provide

10  for the periodic review and evaluation of the services

11  provided by its board counsel. Subject to the prior approval

12  of the Attorney General, any board may retain, through the

13  department's contract procedures, independent legal counsel to

14  provide legal advice to the board on a specific matter. Fees

15  and costs of such counsel by the Department of Legal Affairs

16  or independent legal counsel approved by the Attorney General

17  shall be paid from the Professional Regulation Trust Fund,

18  subject to the provisions of ss. 455.219 and 215.37. All

19  contracts for independent counsel shall provide for periodic

20  review and evaluation by the board and the department of

21  services provided.

22         Section 25.  Subsection (2) of section 455.541, Florida

23  Statutes, is amended to read:

24         455.541  Accountability and liability of board

25  members.--

26         (2)  Each board member and each former board member

27  serving on a probable cause panel shall be exempt from civil

28  liability for any act or omission when acting in the member's

29  official capacity, and the department or the Department of

30  Legal Affairs shall defend any such member in any action

31  against any board or member of a board arising from any such

                                  21

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  act or omission. In addition, the department or the Department

 2  of Legal Affairs may defend the member's company or business

 3  in any action against the company or business if the

 4  department or the Department of Legal Affairs determines that

 5  the actions from which the suit arises are actions taken by

 6  the member in the member's official capacity and were not

 7  beyond the member's statutory authority. In providing such

 8  defense, the department or the Department of Legal Affairs may

 9  employ or utilize the legal services of the Department of

10  Legal Affairs or outside counsel retained pursuant to s.

11  287.059. Fees and costs of providing legal services provided

12  under this subsection shall be paid from a trust fund used by

13  the department to implement this part, subject to the

14  provisions of s. 455.587.

15         Section 26.  Subsection (1) of section 455.594, Florida

16  Statutes, is amended to read:

17         455.594  Legal and investigative services.--

18         (1)  The department shall provide board counsel for

19  boards within the department by contracting with the

20  Department of Legal Affairs, by retaining private counsel

21  pursuant to s. 287.059, or by providing department staff

22  counsel A board shall retain, through the department's

23  contract procedures, board counsel from the Department of

24  Legal Affairs. The Department of Legal Affairs shall provide

25  legal services to each board within the Department of Health,

26  but the primary responsibility of board counsel the Department

27  of Legal Affairs shall be to represent the interests of the

28  citizens of the state by vigorously counseling the boards with

29  respect to their obligations under the laws of the state. A

30  board shall provide for the periodic review and evaluation of

31  the services provided by its board counsel. Subject to the

                                  22

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  prior approval of the Attorney General, any board may retain,

 2  through the department's contract procedures, independent

 3  legal counsel to provide legal advice to the board on a

 4  specific matter. Fees and costs of such counsel by the

 5  Department of Legal Affairs or independent legal counsel

 6  approved by the Attorney General shall be paid from a trust

 7  fund used by the department to implement this part, subject to

 8  the provisions of s. 455.587. All contracts for independent

 9  counsel shall provide for periodic review and evaluation by

10  the board and the department of services provided.

11         Section 27.  Subsection (16) of section 458.347,

12  Florida Statutes, 1998 Supplement, is amended to read:

13         458.347  Physician assistants.--

14         (16)  LEGAL SERVICES.--The Department of Legal Affairs

15  shall provide Legal services shall be provided to the council

16  pursuant to as authorized in s. 455.594(1).

17         Section 28.  Subsection (16) of section 459.022,

18  Florida Statutes, 1998 Supplement, is amended to read:

19         459.022  Physician assistants.--

20         (16)  LEGAL SERVICES.--The Department of Legal Affairs

21  shall provide Legal services shall be provided to the council

22  pursuant to as authorized in s. 455.594(1).

23         Section 29.  Paragraphs (b) and (c) of subsection (1)

24  of section 458.3115, Florida Statutes, 1998 Supplement, are

25  amended to read:

26         458.3115  Restricted license; certain foreign-licensed

27  physicians; United States Medical Licensing Examination

28  (USMLE) or agency-developed examination; restrictions on

29  practice; full licensure.--

30         (1)

31         (b)  A person who is eligible to take and elects to

                                  23

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  take the USMLE who has previously passed part 1 or part 2 of

 2  the previously administered FLEX shall not be required to

 3  retake or pass the equivalent parts of the USMLE up to the

 4  year 2002 2000.

 5         (c)  A person shall be eligible to take such

 6  examination for restricted licensure if the person:

 7         1.  Has taken, upon approval by the board, and

 8  completed, in November 1990 or November 1992, one of the

 9  special preparatory medical update courses authorized by the

10  board and the University of Miami Medical School and

11  subsequently passed the final course examination; upon

12  approval by the board to take the course completed in 1990 or

13  in 1992, has a certificate of successful completion of that

14  course from the University of Miami or the Stanley H. Kaplan

15  course; or can document to the department that he or she was

16  one of the persons who took and successfully completed the

17  Stanley H. Kaplan course that was approved by the Board of

18  Medicine and supervised by the University of Miami. At a

19  minimum, the documentation must include class attendance

20  records and the test score on the final course examination;

21         2.  Applies to the agency and submits an application

22  fee that is nonrefundable and equivalent to the fee required

23  for full licensure;

24         3.  Documents no less than 2 years of the active

25  practice of medicine in the field of medicine another

26  jurisdiction;

27         4.  Submits an examination fee that is nonrefundable

28  and equivalent to the fee required for full licensure plus the

29  actual per-applicant cost to the agency to provide either

30  examination described in this section;

31         5.  Has not committed any act or offense in this or any

                                  24

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  other jurisdiction that would constitute a substantial basis

 2  for disciplining a physician under this chapter or part II of

 3  chapter 455; and

 4         6.  Is not under discipline, investigation, or

 5  prosecution in this or any other jurisdiction for an act that

 6  would constitute a violation of this chapter or part II of

 7  chapter 455 and that substantially threatened or threatens the

 8  public health, safety, or welfare.

 9         Section 30.  Subsection (2) of section 458.3124,

10  Florida Statutes, 1998 Supplement, is amended to read:

11         458.3124  Restricted license; certain experienced

12  foreign-trained physicians.--

13         (2)  A person applying for licensure under this section

14  must submit to the Department of Health on or before December

15  31, 2000 1998:

16         (a)  A completed application and documentation required

17  by the Board of Medicine to prove compliance with subsection

18  (1); and

19         (b)  A nonrefundable application fee not to exceed $500

20  and a nonrefundable examination fee not to exceed $300 plus

21  the actual cost to purchase and administer the examination.

22         Section 31.  Effective upon this act becoming a law,

23  section 301 of chapter 98-166, Laws of Florida, is amended to

24  read:

25         Section 301.  The sum of $1.2 million from the

26  unallocated balance in the Medical Quality Assurance Trust

27  Fund is appropriated to the Department of Health to allow the

28  department to develop the examination required for foreign

29  licensed physicians in section 458.3115(1)(a), Florida

30  Statutes, through a contract with the University of South

31  Florida. The department shall charge examinees a fee not to

                                  25

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1  exceed 25 percent of the cost of the actual costs of the first

 2  examination administered pursuant to section 458.3115, Florida

 3  Statutes, 1998 Supplement, and a fee not to exceed 75 percent

 4  of the actual costs for any subsequent examination

 5  administered pursuant to that section.

 6         Section 32.  Except as otherwise provided herein, this

 7  act shall take effect July 1, 1999.

 8

 9

10  ================ T I T L E   A M E N D M E N T ===============

11  And the title is amended as follows:

12  remove from the title of the bill:  everything before the

13  enacting clause

14

15  and insert in lieu thereof:

16                      A bill to be entitled

17         An act relating to the regulation of

18         professions and occupations; amending s. 11.62,

19         F.S.; providing criteria for evaluating

20         proposals for new regulation of a profession or

21         occupation based on the effect of such

22         regulation on job creation or retention;

23         requiring proponents of legislation to regulate

24         a profession or occupation not already

25         regulated to provide additional cost

26         information; amending ss. 455.201, 455.517,

27         F.S.; prohibiting the Department of Business

28         and Professional Regulation and the Department

29         of Health and their regulatory boards from

30         creating any regulation that has an

31         unreasonable effect on job creation or

                                  26

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         retention or on employment opportunities;

 2         providing for evaluation of proposals to

 3         increase the regulation of already regulated

 4         professions to determine the effect of such

 5         regulation on job creation or retention and

 6         employment opportunities; creating s. 455.2035,

 7         F.S.; providing rulemaking authority to the

 8         Department of Business and Professional

 9         Regulation for the regulation of any profession

10         under its jurisdiction which does not have a

11         regulatory board; creating s. 455.2123, F.S.;

12         authorizing the use of distance learning to

13         satisfy continuing education requirements;

14         creating s. 455.2124, F.S.; authorizing

15         proration of continuing education requirements;

16         amending s. 455.213, F.S.; requiring

17         fingerprint cards with applications for

18         registration, certification, or licensure in

19         certain professions; providing for use of such

20         cards for criminal history record checks of

21         applicants; amending s. 468.453, F.S.; applying

22         such fingerprint card requirements to

23         applicants for licensure as an athlete agent;

24         amending s. 475.175, F.S.; applying such

25         fingerprint card requirements to persons

26         applying to take the examination for licensure

27         as a real estate broker or salesperson;

28         amending s. 475.615, F.S.; applying such

29         fingerprint card requirements to applicants for

30         registration, certification, or licensure as a

31         real estate appraiser; creating s. 455.2255,

                                  27

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         F.S.; providing for the department to classify

 2         disciplinary actions according to severity;

 3         providing for the periodic clearing of certain

 4         violations from the disciplinary record;

 5         amending s. 455.227, F.S.; providing for denial

 6         or renewal of a license under certain

 7         circumstances; amending ss. 455.557 and

 8         455.565, F.S.; ensuring that an intern in a

 9         hospital is not subject to the credentialing or

10         profiling laws; amending s. 455.564, F.S.;

11         clarifying continuing education requirements;

12         amending s. 455.601, F.S.; providing the basis

13         for presuming a blood-borne infection is

14         contracted in the course of employment;

15         amending s. 477.013, F.S.; redefining the terms

16         "cosmetology" and "specialty" and defining the

17         terms "body wrapping" and "skin care services";

18         amending s. 477.0132, F.S.; requiring

19         registration of persons whose occupation or

20         practice is body wrapping; requiring a

21         registration fee and certain education;

22         amending s. 477.019, F.S.; exempting persons

23         whose occupation or practice is confined solely

24         to body wrapping from certain continuing

25         education requirements; amending s. 477.026,

26         F.S.; providing for the registration fee;

27         amending s. 477.0265, F.S.; prohibiting

28         advertising or implying that skin care services

29         or body wrapping have any relationship to the

30         practice of massage therapy; providing

31         penalties; amending s. 477.029, F.S.;

                                  28

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                                                   HOUSE AMENDMENT

    dhs-21                                        Bill No. HB 1479

    Amendment No.     (for drafter's use only)





 1         prohibiting holding oneself out as a body

 2         wrapper unless licensed, registered, or

 3         otherwise authorized under chapter 477, F.S.;

 4         providing penalties; providing rulemaking

 5         authority; amending ss. 455.209, 455.221,

 6         455.541, and 455.594, F.S.; revising provisions

 7         relating to the provision of legal services for

 8         regulatory boards under the Department of

 9         Business and Professional Regulation and the

10         Department of Health; providing for the funding

11         of such services; amending ss. 458.347 and

12         459.022, F.S., relating to physician

13         assistants, to conform; amending s. 458.3115,

14         F.S.; revising requirements with respect to

15         eligibility of certain foreign-licensed

16         physicians to take and pass standardized

17         examinations; amending s. 458.3124, F.S.;

18         changing the date by which application for a

19         restricted license must be submitted; amending

20         s. 301, ch. 98-166, Laws of Florida;

21         prescribing fees for foreign-licensed

22         physicians taking a certain examination;

23         providing effective dates.

24

25

26

27

28

29

30

31

                                  29

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