CODING: Words stricken are deletions; words underlined are additions.
                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2228
    Amendment No.    
                            CHAMBER ACTION
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11  Senator Gutman moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 33, between lines 8 and 9,
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16  insert:
17         Section 36.  Paragraphs (b) and (c) of subsection (1)
18  of section 458.3115, Florida Statutes, 1998 Supplement, are
19  amended to read:
20         458.3115  Restricted license; certain foreign-licensed
21  physicians; United States Medical Licensing Examination
22  (USMLE) or agency-developed examination; restrictions on
23  practice; full licensure.--
24         (1)
25         (b)  A person who is eligible to take and elects to
26  take the USMLE who has previously passed part 1 or part 2 of
27  the previously administered FLEX shall not be required to
28  retake or pass the equivalent parts of the USMLE up to the
29  year 2002 2000.
30         (c)  A person shall be eligible to take such
31  examination for restricted licensure if the person:
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2228
    Amendment No.    
 1         1.  Has taken, upon approval by the board, and
 2  completed, in November 1990 or November 1992, one of the
 3  special preparatory medical update courses authorized by the
 4  board and the University of Miami Medical School and
 5  subsequently passed the final course examination; upon
 6  approval by the board to take the course completed in 1990 or
 7  in 1992, has a certificate of successful completion of that
 8  course from the University of Miami or the Stanley H. Kaplan
 9  course; or can document to the department that he or she was
10  one of the persons who took and successfully completed the
11  Stanley H. Kaplan course that was approved by the Board of
12  Medicine and supervised by the University of Miami. At a
13  minimum, the documentation must include class attendance
14  records and the test score on the final course examination;
15         2.  Applies to the agency and submits an application
16  fee that is nonrefundable and equivalent to the fee required
17  for full licensure;
18         3.  Documents no less than 2 years of the active
19  practice of medicine in any another jurisdiction;
20         4.  Submits an examination fee that is nonrefundable
21  and equivalent to the fee required for full licensure plus the
22  actual per-applicant cost to the agency to provide either
23  examination described in this section;
24         5.  Has not committed any act or offense in this or any
25  other jurisdiction that would constitute a substantial basis
26  for disciplining a physician under this chapter or part II of
27  chapter 455; and
28         6.  Is not under discipline, investigation, or
29  prosecution in this or any other jurisdiction for an act that
30  would constitute a violation of this chapter or part II of
31  chapter 455 and that substantially threatened or threatens the
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2228
    Amendment No.    
 1  public health, safety, or welfare.
 2         Section 37.  Subsection (2) of section 458.3124,
 3  Florida Statutes, 1998 Supplement, is amended to read:
 4         458.3124  Restricted license; certain experienced
 5  foreign-trained physicians.--
 6         (2)  A person applying for licensure under this section
 7  must submit to the Department of Health on or before December
 8  31, 2000 1998:
 9         (a)  A completed application and documentation required
10  by the Board of Medicine to prove compliance with subsection
11  (1); and
12         (b)  A nonrefundable application fee not to exceed $500
13  and a nonrefundable examination fee not to exceed $300 plus
14  the actual cost to purchase and administer the examination.
15         Section 38.  Effective upon this act becoming a law,
16  section 301 of chapter 98-166, Laws of Florida, is amended to
17  read:
18         Section 301.  The sum of $1.2 million from the
19  unallocated balance in the Medical Quality Assurance Trust
20  Fund is appropriated to the Department of Health to allow the
21  department to develop the examination required for foreign
22  licensed physicians in section 458.3115(1)(a), Florida
23  Statutes, through a contract with the University of South
24  Florida. The department shall charge examinees a fee not to
25  exceed 25 percent of the cost of the actual costs of the first
26  examination administered pursuant to section 458.3115, Florida
27  Statutes, 1998 Supplement, and a fee not to exceed 75 percent
28  of the actual costs for any subsequent examination
29  administered pursuant to that section.
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31  (Redesignate subsequent sections.)
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2228
    Amendment No.    
 1  ================ T I T L E   A M E N D M E N T ===============
 2  And the title is amended as follows:
 3         On page 1, lines 2 and 3, delete those lines
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 5  and insert:
 6         An act relating to health care; amending s.
 7         458.3115, F.S.; revising requirements with
 8         respect to eligibility of certain
 9         foreign-licensed physicians to take and pass
10         standardized examinations; amending s.
11         458.3124, F.S.; changing the date by which
12         application for a restricted license must be
13         submitted; amending s. 301, ch. 98-166, Laws of
14         Florida; prescribing fees for foreign-licensed
15         physicians taking a certain examination;
16         providing legislative findings with respect to
17         end-of-life care; authorizing the Secretary
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