Senate Bill 2406

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    Florida Senate - 1999                                  SB 2406

    By Senator Silver





    38-1023-99

  1                      A bill to be entitled

  2         An act relating to respiratory care; amending

  3         s. 468.352, F.S.; redefining the term "board";

  4         amending s. 468.353, F.S.; conforming

  5         provision; providing for the adoption of rules;

  6         amending s. 468.354, F.S.; creating the Board

  7         of Respiratory Care; providing for membership,

  8         powers, and duties; amending s. 468.355, F.S.;

  9         providing for periodic rather than annual

10         review of certain examinations and standards;

11         amending s. 458.357, F.S.; conforming

12         provisions; deleting obsolete provisions;

13         amending s. 468.364, F.S.; deleting an

14         examination fee; amending s. 468.365, F.S.;

15         conforming provisions; providing an effective

16         date.

17

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

19

20         Section 1.  Subsection (1) of section 468.352, Florida

21  Statutes, is amended to read:

22         468.352  Definitions.--As used in this part, unless the

23  context otherwise requires, the term:

24         (1)  "Board" means the Board of Respiratory Care

25  Medicine.

26         Section 2.  Section 468.353, Florida Statutes, is

27  amended to read:

28         468.353  Board of Respiratory Care Medicine; powers and

29  duties.--

30         (1)  The board, with the assistance of the Advisory

31  Council on Respiratory Care, is authorized to establish

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    Florida Senate - 1999                                  SB 2406
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  1  minimum standards for the delivery of respiratory care

  2  services and to adopt those rules necessary to administer this

  3  part.

  4         (2)  The board may administer oaths, summon witnesses,

  5  and take testimony in all matters relating to its duties under

  6  this part.

  7         (3)  The board may adopt rules to administer this part,

  8  including rules governing the investigation, inspection, and

  9  review of schools and colleges that offer courses in

10  respiratory care in order to ascertain their compliance with

11  standards established by the board or appropriate accrediting

12  agencies delegate such powers and duties to the council as it

13  may deem proper.

14         Section 3.  Section 468.354, Florida Statutes, is

15  amended to read:

16         468.354  Board of Advisory Council on Respiratory Care;

17  organization; function.--

18         (1)  There is created within the department, the Board

19  of Advisory Council on Respiratory Care, composed of seven

20  members appointed by the Governor and confirmed by the Senate

21  under the supervision of the board.

22         (2)  The board council shall consist of five members

23  appointed by the board and shall include:

24         (a)  A registered respiratory therapist.

25         (b)  A certified respiratory therapist care

26  practitioner.

27         (c)  A respiratory care professional from each of the

28  following areas:

29         1.  Respiratory care education.

30         2.  Respiratory care management and supervision.

31         3.  Homecare/subacute Cardiopulmonary diagnostics.

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    Florida Senate - 1999                                  SB 2406
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  1         (d)  Two consumer members, who are residents of this

  2  state and have never been licensed as health care

  3  practitioners.

  4

  5  Each member of the council shall be a respiratory care

  6  professional on the board must have who has been actively

  7  engaged in the delivery of respiratory care services in this

  8  state for at least 4 consecutive years prior to appointment.

  9         (3)(a)  Except as provided in paragraph (b), the term

10  of office for each board council member shall be 4 years.  No

11  member shall serve for more than two consecutive terms.  Any

12  time there is a vacancy to be filled on the council, all

13  professional organizations dealing with respiratory therapy

14  incorporated within the state as not for profit which register

15  their interest with the board shall recommend at least twice

16  as many persons to fill the vacancy to the council as the

17  number of vacancies to be filled, and the Governor board may

18  appoint from the submitted list, in his its discretion, any of

19  those persons so recommended.  The Governor board shall,

20  insofar as possible, appoint persons from different

21  geographical areas.

22         (b)  In order To achieve staggering of terms, within

23  120 days after July 1, 1999, October 1, 1984, the Governor

24  board shall appoint the board members of the council as

25  follows:

26         1.  Two members One member shall be appointed for terms

27  a term of 2 years.

28         2.  Two members shall be appointed for terms of 3

29  years.

30         3.  Three Two members shall be appointed for terms of 4

31  years.

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  1         (c)  All provisions of part II of chapter 455, relating

  2  to boards apply to this part.

  3         (4)(a)  The board council shall annually elect from

  4  among its members a chair and vice chair.

  5         (b)  The board council shall meet at least twice a year

  6  and shall hold such additional meetings as are deemed

  7  necessary by the board.  Four Three members of the council

  8  constitute a quorum.

  9         (c)  Unless otherwise provided by law, a board council

10  member shall be compensated $50 for each day he or she attends

11  an official board meeting of the council and for each day he

12  or she participates in any other board business involving the

13  council.  A board council member shall also be entitled to

14  reimbursement for expenses pursuant to s. 112.061. Travel out

15  of the state shall require the prior approval of the secretary

16  of the department.

17         (5)(a)  The board may council shall recommend to the

18  department a code of ethics for those persons licensed

19  pursuant to this part.

20         (b)  The council shall make recommendations to the

21  department for the approval of continuing education courses.

22         Section 4.  Section 468.355, Florida Statutes, is

23  amended to read:

24         468.355  Eligibility for licensure; temporary

25  licensure.--

26         (1)  To be eligible for licensure by the board as a

27  respiratory care practitioner, an applicant must:

28         (a)  Be at least 18 years old.

29         (b)  Possess a high school diploma or a graduate

30  equivalency diploma.

31         (c)  Meet at least one of the following criteria:

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  1         1.  The applicant has successfully completed a training

  2  program for respiratory therapy technicians or respiratory

  3  therapists approved by the Commission on Accreditation of

  4  Allied Health Education Programs, or the equivalent thereof,

  5  as accepted by the board.

  6         2.  The applicant is currently a "Certified Respiratory

  7  Therapy Technician" certified by the National Board for

  8  Respiratory Care, or the equivalent thereof, as accepted by

  9  the board.

10         3.  The applicant is currently a "Registered

11  Respiratory Therapist" registered by the National Board for

12  Respiratory Care, or the equivalent thereof, as accepted by

13  the board.

14         4.  The applicant is currently employed in this state

15  as a respiratory care practitioner or respiratory therapist on

16  October 1, 1984.

17

18  The criteria set forth in subparagraphs 2. and 3.

19  notwithstanding, the board shall periodically annually review

20  the examinations and standards of the National Board for

21  Respiratory Care and may reject those examinations and

22  standards if they are deemed inappropriate.

23         (2)  To be eligible for licensure by the board as a

24  respiratory therapist, an applicant must:

25         (a)  Be at least 18 years old.

26         (b)  Possess a high school diploma or a graduate

27  equivalency diploma.

28         (c)  Meet at least one of the following criteria:

29         1.  The applicant has successfully completed a training

30  program for respiratory therapists approved by the Commission

31

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    Florida Senate - 1999                                  SB 2406
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  1  on Accreditation of Allied Health Education Programs, or the

  2  equivalent thereof, as accepted by the board.

  3         2.  The applicant is currently a "Registered

  4  Respiratory Therapist" registered by the National Board for

  5  Respiratory Care, or the equivalent thereof, as accepted by

  6  the board.

  7

  8  The criteria set forth in subparagraphs 1. and 2.

  9  notwithstanding, the board shall periodically annually review

10  the examinations and standards of the National Board for

11  Respiratory Care and may reject those examinations and

12  standards if they are deemed inappropriate.

13         (3)  With respect to the delivery of respiratory care

14  services, the board shall establish procedures for temporary

15  licensure of eligible individuals entering the state and

16  temporary licensure of those persons who have graduated from a

17  program approved by the board.  Such temporary licensure shall

18  be for a period not to exceed 1 year.

19         Section 5.  Section 468.357, Florida Statutes, is

20  amended to read:

21         468.357  Licensure by examination.--

22         (1)  A person who desires to be licensed as a

23  respiratory care practitioner may submit an application to the

24  department to take the examination, in accordance with board

25  rule to be administered by the department.

26         (a)  The department shall examine Each applicant may

27  take the examination who is determined by the board to have:

28         1.  Completed the application form and remitted the

29  applicable fee set by the board;

30         2.  Submitted required documentation as required in s.

31  468.355; and

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    Florida Senate - 1999                                  SB 2406
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  1         3.  Remitted an examination fee set by the examination

  2  provider board.

  3         (b)  The department shall conduct Examinations for

  4  licensure of respiratory care practitioners must be conducted

  5  no less than two times a year in such geographical locations

  6  or by such methods as are deemed advantageous to the majority

  7  of the applicants.

  8         (c)  The examination given for respiratory care

  9  practitioners shall be the same as that given by the National

10  Board for Respiratory Care for entry-level certification of

11  respiratory therapy technicians.  However, an equivalent

12  examination may be accepted by the board in lieu of that

13  examination.

14         (2)  Each applicant who passes the examination shall be

15  entitled to licensure as a respiratory care practitioner, and

16  the department shall issue a license pursuant to this part to

17  any applicant who successfully completes the examination in

18  accordance with this section.  However, the department shall

19  not issue a license to any applicant who is under

20  investigation in another jurisdiction for an offense which

21  would constitute a violation of this part.  Upon completion of

22  such an investigation, if the applicant is found guilty of

23  such an offense, the applicable provisions of s. 468.365 will

24  apply.

25         (3)  Any person who was employed in this state on or

26  before September 30, 1983, as a respiratory therapy technician

27  or respiratory therapist, and who has performed services in

28  such professional capacity for 4 years or more by October 1,

29  1987, under the supervision of a licensed physician or in a

30  hospital or licensed health care facility, shall be issued a

31  license without examination, if such person provides

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  1  acceptable documentation of performance of such services to

  2  the board.  Such documentation shall include certification by

  3  a physician licensed pursuant to chapter 458 or chapter 459

  4  who has direct knowledge of the practice of, or who has

  5  supervised, the person.  If such person is not determined to

  6  have performed critical care respiratory services for at least

  7  4 years, the board may limit the license of such person to the

  8  performance of noncritical care respiratory services.

  9         Section 6.  Section 468.364, Florida Statutes, 1998

10  Supplement, is amended to read:

11         468.364  Fees; establishment; disposition.--

12         (1)  The board shall establish by rule fees for the

13  following purposes:

14         (a)  Application, a fee not to exceed $50.

15         (b)  Examination, a fee not to exceed $125 plus the

16  actual per applicant cost to the department for purchase of

17  the examination from the National Board for Respiratory Care

18  or a similar national organization.

19         (b)(c)  Initial licensure, a fee not to exceed $200.

20         (c)(d)  Renewal of licensure, a fee not to exceed $200

21  biennially.

22         (d)(e)  Renewal of inactive licensure, a fee not to

23  exceed $50.

24         (e)(f)  Reactivation, a fee not to exceed $50.

25         (2)  The fees established pursuant to subsection (1)

26  shall be based upon the actual costs incurred by the

27  department in carrying out its responsibilities under this

28  part.

29         (3)  All moneys collected by the department under this

30  part shall be deposited as required by s. 455.587.

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    Florida Senate - 1999                                  SB 2406
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  1         Section 7.  Paragraph (f) of subsection (1) of section

  2  468.365, Florida Statutes, 1998 Supplement, is amended to

  3  read:

  4         468.365  Disciplinary grounds and actions.--

  5         (1)  The following acts constitute grounds for which

  6  the disciplinary actions in subsection (2) may be taken:

  7         (f)  Unprofessional conduct, which includes, but is not

  8  limited to, any departure from, or failure to conform to,

  9  acceptable standards related to the delivery of respiratory

10  care services, as set forth by the board and the Advisory

11  Council on Respiratory Care in rules adopted pursuant to this

12  part.

13         Section 8.  This act shall take effect upon becoming a

14  law.

15

16            *****************************************

17                          SENATE SUMMARY

18    Creates the Board of Respiratory Care, dissolves the
      Advisory Council on Respiratory Care, and gives the board
19    the powers and duties over respiratory care practitioners
      that are currently held by the Board of Medicine.
20    Provides for membership and establishes powers and duties
      of the board. Deletes an examination fee, deletes
21    obsolete provisions, and conforms provisions to comply
      with the substantive changes.
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