House Bill 0699er

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    1999 Legislature                       HB 699, First Engrossed



  1

  2         An act relating to athletic trainers; amending

  3         s. 468.701, F.S.; revising and removing

  4         definitions; amending s. 468.703, F.S.;

  5         replacing the Council of Athletic Training with

  6         a Board of Athletic Training; providing for

  7         appointment of board members and their

  8         successors; providing for staggering of terms;

  9         providing for applicability of other provisions

10         of law relating to activities of regulatory

11         boards; providing for the board's headquarters;

12         amending ss. 468.705, 468.707, 468.709,

13         468.711, 468.719, and 468.721, F.S., relating

14         to rulemaking authority, licensure by

15         examination, fees, continuing education,

16         disciplinary actions, and certain regulatory

17         transition; transferring to the board certain

18         duties of the Department of Health relating to

19         regulation of athletic trainers; amending ss.

20         20.43, 232.435, 455.607, and 455.667, F.S.;

21         correcting cross references, to conform;

22         providing for termination of the council and

23         the terms of council members; authorizing

24         consideration of former council members for

25         appointment to the board; providing an

26         effective date.

27

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

29

30         Section 1.  Section 468.701, Florida Statutes, 1998

31  Supplement, is amended to read:


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  1         468.701  Definitions.--As used in this part, the term:

  2         (1)  "Athlete" means a person who participates in an

  3  athletic activity.

  4         (2)  "Athletic activity" means the participation in an

  5  activity, conducted by an educational institution, a

  6  professional athletic organization, or an amateur athletic

  7  organization, involving exercises, sports, games, or

  8  recreation requiring any of the physical attributes of

  9  strength, agility, flexibility, range of motion, speed, and

10  stamina.

11         (3)  "Athletic injury" means an injury sustained which

12  affects the athlete's ability to participate or perform in

13  athletic activity.

14         (4)  "Athletic trainer" means a person licensed under

15  this part.

16         (5)  "Athletic training" means the recognition,

17  prevention, and treatment of athletic injuries.

18         (6)  "Board Council" means the Board Council of

19  Athletic Training.

20         (7)  "Department" means the Department of Health.

21         (8)  "Direct supervision" means the physical presence

22  of the supervisor on the premises so that the supervisor is

23  immediately available to the trainee when needed.

24         (9)  "Secretary" means the Secretary of Health.

25         (9)(10)  "Supervision" means the easy availability of

26  the supervisor to the athletic trainer, which includes the

27  ability to communicate by telecommunications.

28         Section 2.  Section 468.703, Florida Statutes, 1998

29  Supplement, is amended to read:

30         468.703  Board Council of Athletic Training.--

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    1999 Legislature                       HB 699, First Engrossed



  1         (1)  The Board Council of Athletic Training is created

  2  within the department and shall consist of nine seven members

  3  to be appointed by the Governor and confirmed by the Senate

  4  secretary.

  5         (2)  Five Four members of the board must council shall

  6  be licensed athletic trainers. One member of the board must

  7  council shall be a physician licensed under chapter 458 or

  8  chapter 459. One member of the board must council shall be a

  9  physician licensed under chapter 460. Two members One member

10  of the board shall be consumer members, each of whom must

11  council shall be a resident of this state who has never worked

12  as an athletic trainer, who has no financial interest in the

13  practice of athletic training, and who has never been a

14  licensed health care practitioner as defined in s. 455.501(4).

15  Members of the council shall serve staggered 4-year terms as

16  determined by rule of the department; however, no member may

17  serve more than two consecutive terms.

18         (3)  For the purpose of staggering terms, the Governor

19  shall appoint the initial members of the board as follows:

20         (a)  Three members for terms of 2 years each.

21         (b)  Three members for terms of 3 years each.

22         (c)  Three members for terms of 4 years each.

23         (4)  As the terms of the members expire, the Governor

24  shall appoint successors for terms of 4 years and such members

25  shall serve until their successors are appointed.

26         (5)  All provisions of part II of chapter 455 relating

27  to activities of the board shall apply.

28         (6)  The board shall maintain its official headquarters

29  in Tallahassee.

30         (3)  The council shall advise and assist the department

31  in:


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  1         (a)  Developing rules relating to licensure

  2  requirements, the licensure examination, continuing education

  3  requirements, fees, records and reports to be filed by

  4  licensees, and any other requirements necessary to regulate

  5  the practice of athletic training.

  6         (b)  Monitoring the practice of athletic training in

  7  other jurisdictions.

  8         (c)  Educating the public about the role of athletic

  9  trainers.

10         (d)  Collecting and reviewing data regarding the

11  licensed practice of athletic training.

12         (e)  Addressing concerns and problems of athletic

13  trainers in order to promote improved safety in the practice

14  of athletic training.

15         (4)  Members of the council shall be entitled to

16  compensation and reimbursement for expenses in the same manner

17  as board members are compensated and reimbursed under s.

18  455.534.

19         Section 3.  Section 468.705, Florida Statutes, 1998

20  Supplement, is amended to read:

21         468.705  Rulemaking authority.--The board department is

22  authorized to adopt rules pursuant to ss. 120.536(1) and

23  120.54 to implement provisions of this part conferring duties

24  upon it. The provisions of s. 455.534(5) shall apply to the

25  board's activity. Such rules shall include, but not be limited

26  to, the allowable scope of practice regarding the use of

27  equipment, procedures, and medication and requirements for a

28  written protocol between the athletic trainer and a

29  supervising physician, licensure requirements, licensure

30  examination, continuing education requirements, fees, records

31  and reports to be filed by licensees, protocols, and any other


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  1  requirements necessary to regulate the practice of athletic

  2  training.

  3         Section 4.  Section 468.707, Florida Statutes, 1998

  4  Supplement, is amended to read:

  5         468.707  Licensure by examination; requirements.--

  6         (1)  Any person desiring to be licensed as an athletic

  7  trainer shall apply to the department on a form approved by

  8  the department.

  9         (a)  The department shall license each applicant who:

10         1.  Has completed the application form and remitted the

11  required fees.

12         2.  Is at least 21 years of age.

13         3.  Has obtained a baccalaureate degree from a college

14  or university accredited by an accrediting agency recognized

15  and approved by the United States Department of Education or

16  the Commission on Recognition of Postsecondary Accreditation,

17  or approved by the board department.

18         4.  Has completed coursework from a college or

19  university accredited by an accrediting agency recognized and

20  approved by the United States Department of Education or the

21  Commission on Recognition of Postsecondary Accreditation, or

22  approved by the board department, in each of the following

23  areas, as provided by rule: health, human anatomy,

24  kinesiology/biomechanics, human physiology, physiology of

25  exercise, basic athletic training, and advanced athletic

26  training.

27         5.  Has current certification in standard first aid and

28  cardiovascular pulmonary resuscitation from the American Red

29  Cross or an equivalent certification as determined by the

30  board department.

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  1         6.  Has, within 2 of the preceding 5 years, attained a

  2  minimum of 800 hours of athletic training experience under the

  3  direct supervision of a licensed athletic trainer or an

  4  athletic trainer certified by the National Athletic Trainers'

  5  Association or a comparable national athletic standards

  6  organization.

  7         7.  Has passed an examination administered or approved

  8  by the board department.

  9         (b)  The department shall also license each applicant

10  who:

11         1.  Has completed the application form and remitted the

12  required fees no later than October 1, 1996.

13         2.  Is at least 21 years of age.

14         3.  Has current certification in standard first aid and

15  cardiovascular pulmonary resuscitation from the American Red

16  Cross or an equivalent certification as determined by the

17  board department.

18         4.a.  Has practiced athletic training for at least 3 of

19  the 5 years preceding application; or

20         b.  Is currently certified by the National Athletic

21  Trainers' Association or a comparable national athletic

22  standards organization.

23         (2)  Pursuant to the requirements of s. 455.607

24  455.604, each applicant shall complete a continuing education

25  course on human immunodeficiency virus and acquired immune

26  deficiency syndrome as part of initial licensure.

27         Section 5.  Section 468.709, Florida Statutes, is

28  amended to read:

29         468.709  Fees.--

30         (1)  The board department shall, by rule, establish

31  fees for the following purposes:


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  1         (a)  An application fee, not to exceed $100.

  2         (b)  An examination fee, not to exceed $200.

  3         (c)  An initial licensure fee, not to exceed $200.

  4         (d)  A biennial renewal fee, not to exceed $200.

  5         (e)  An inactive fee, not to exceed $100.

  6         (f)  A delinquent fee, not to exceed $100.

  7         (g)  A reactivation fee, not to exceed $100.

  8         (h)  A voluntary inactive fee, not to exceed $100.

  9         (2)  The board department shall establish fees at a

10  level, not to exceed the statutory fee cap, that is adequate

11  to ensure the continued operation of the regulatory program

12  under this part. The board department shall neither set nor

13  maintain the fees at a level that will substantially exceed

14  this need.

15         Section 6.  Subsections (2) and (3) of section 468.711,

16  Florida Statutes, 1998 Supplement, are amended to read:

17         468.711  Renewal of license; continuing education.--

18         (2)  The board department may, by rule, prescribe

19  continuing education requirements, not to exceed 24 hours

20  biennially. The criteria for continuing education shall be

21  approved by the board department and shall include 4 hours in

22  standard first aid and cardiovascular pulmonary resuscitation

23  from the American Red Cross or equivalent training as

24  determined by board department.

25         (3)  Pursuant to the requirements of s. 455.607

26  455.604, each licensee shall complete a continuing education

27  course on human immunodeficiency virus and acquired immune

28  deficiency syndrome as part of biennial relicensure.

29         Section 7.  Subsection (2) of section 468.719, Florida

30  Statutes, 1998 Supplement, is amended to read:

31         468.719  Disciplinary actions.--


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  1         (2)  When the board department finds any person guilty

  2  of any of the acts set forth in subsection (1), the board

  3  department may enter an order imposing one or more of the

  4  penalties provided in s. 455.624.

  5         Section 8.  Section 468.721, Florida Statutes, is

  6  amended to read:

  7         468.721  Saving clause.--

  8         (1)  An athletic trainer registration which is valid on

  9  October 1, 1995, shall become for all purposes an athletic

10  trainer license as required by this part, subject to any

11  disciplinary or administrative action pending on October 1,

12  1995, and shall be subject to all the same terms and

13  conditions as athletic trainer licenses issued after October

14  1, 1995. The department shall retain jurisdiction to impose

15  discipline for any violation of this part which occurred prior

16  to October 1, 1995, but is discovered after October 1, 1995,

17  under the terms of this part prior to October 1, 1995.

18         (2)  No judicial or administrative proceeding pending

19  on July 1, 1995, shall be abated as a result of enactment of

20  any provision of this act.

21         (3)  Rules adopted by the department relating to the

22  regulation registration of athletic trainers under this part

23  prior to October 1, 1999, shall remain in effect until the

24  board department adopts rules relating to the regulation

25  licensure of athletic trainers under this part which supersede

26  such earlier rules.

27         Section 9.  Paragraph (g) of subsection (3) of section

28  20.43, Florida Statutes, 1998 Supplement, is amended to read:

29         20.43  Department of Health.--There is created a

30  Department of Health.

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  1         (3)  The following divisions of the Department of

  2  Health are established:

  3         (g)  Division of Medical Quality Assurance, which is

  4  responsible for the following boards and professions

  5  established within the division:

  6         1.  Nursing assistants, as provided under s. 400.211.

  7         2.  Health care services pools, as provided under s.

  8  402.48.

  9         3.  The Board of Acupuncture, created under chapter

10  457.

11         4.  The Board of Medicine, created under chapter 458.

12         5.  The Board of Osteopathic Medicine, created under

13  chapter 459.

14         6.  The Board of Chiropractic Medicine, created under

15  chapter 460.

16         7.  The Board of Podiatric Medicine, created under

17  chapter 461.

18         8.  Naturopathy, as provided under chapter 462.

19         9.  The Board of Optometry, created under chapter 463.

20         10.  The Board of Nursing, created under chapter 464.

21         11.  The Board of Pharmacy, created under chapter 465.

22         12.  The Board of Dentistry, created under chapter 466.

23         13.  Midwifery, as provided under chapter 467.

24         14.  The Board of Speech-Language Pathology and

25  Audiology, created under part I of chapter 468.

26         15.  The Board of Nursing Home Administrators, created

27  under part II of chapter 468.

28         16.  The Board of Occupational Therapy, created under

29  part III of chapter 468.

30         17.  Respiratory therapy, as provided under part V of

31  chapter 468.


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  1         18.  Dietetics and nutrition practice, as provided

  2  under part X of chapter 468.

  3         19.  The Board of Athletic Training trainers, created

  4  as provided under part XIII of chapter 468.

  5         20.  The Board of Orthotists and Prosthetists, created

  6  under part XIV of chapter 468.

  7         21.  Electrolysis, as provided under chapter 478.

  8         22.  The Board of Massage Therapy, created under

  9  chapter 480.

10         23.  The Board of Clinical Laboratory Personnel,

11  created under part III of chapter 483.

12         24.  Medical physicists, as provided under part IV of

13  chapter 483.

14         25.  The Board of Opticianry, created under part I of

15  chapter 484.

16         26.  The Board of Hearing Aid Specialists, created

17  under part II of chapter 484.

18         27.  The Board of Physical Therapy Practice, created

19  under chapter 486.

20         28.  The Board of Psychology, created under chapter

21  490.

22         29.  School psychologists, as provided under chapter

23  490.

24         30.  The Board of Clinical Social Work, Marriage and

25  Family Therapy, and Mental Health Counseling, created under

26  chapter 491.

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28  The department may contract with the Agency for Health Care

29  Administration who shall provide consumer complaint,

30  investigative, and prosecutorial services required by the

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  1  Division of Medical Quality Assurance, councils, or boards, as

  2  appropriate.

  3         Section 10.  Paragraph (b) of subsection (3) of section

  4  232.435, Florida Statutes, is amended to read:

  5         232.435  Extracurricular athletic activities; athletic

  6  trainers.--

  7         (3)

  8         (b)  If a school district uses the services of an

  9  athletic trainer who is not a teacher athletic trainer or a

10  teacher apprentice trainer within the requirements of this

11  section, such athletic trainer must be licensed as required by

12  part XIII XIV of chapter 468.

13         Section 11.  Subsection (1) of section 455.607, Florida

14  Statutes, is amended to read:

15         455.607  Athletic trainers and massage therapists;

16  requirement for instruction on human immunodeficiency virus

17  and acquired immune deficiency syndrome.--

18         (1)  The board, or the department where there is no

19  board, shall require each person licensed or certified under

20  part XIII XIV of chapter 468 or chapter 480 to complete a

21  continuing educational course approved by the board, or the

22  department where there is no board, on human immunodeficiency

23  virus and acquired immune deficiency syndrome as part of

24  biennial relicensure or recertification.  The course shall

25  consist of education on modes of transmission, infection

26  control procedures, clinical management, and prevention of

27  human immunodeficiency virus and acquired immune deficiency

28  syndrome, with an emphasis on appropriate behavior and

29  attitude change.

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  1         Section 12.  Paragraph (f) of subsection (2) of section

  2  455.667, Florida Statutes, 1998 Supplement, is amended to

  3  read:

  4         455.667  Ownership and control of patient records;

  5  report or copies of records to be furnished.--

  6         (2)  As used in this section, the terms "records

  7  owner," "health care practitioner," and "health care

  8  practitioner's employer" do not include any of the following

  9  persons or entities; furthermore, the following persons or

10  entities are not authorized to acquire or own medical records,

11  but are authorized under the confidentiality and disclosure

12  requirements of this section to maintain those documents

13  required by the part or chapter under which they are licensed

14  or regulated:

15         (f)  Athletic trainers licensed under part XIII XIV of

16  chapter 468.

17         Section 13.  The Council of Athletic Training and the

18  terms of all council members are terminated on October 1,

19  1999. However, such termination in no way precludes the

20  Governor from considering any former council member for

21  appointment to the Board of Athletic Training created by this

22  act.

23         Section 14.  This act shall take effect October 1,

24  1999.

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