CODING: Words stricken are deletions; words underlined are additions.
HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
CHAMBER ACTION
Senate House
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11 Representative(s) Fasano offered the following:
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13 Amendment (with title amendment)
14 On page 80, line 17 through page 85, line 18,
15 remove from the bill: all of said lines
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17 and insert in lieu thereof:
18 Section 43. Section 458.3135, Florida Statutes, is
19 created to read:
20 458.3135 Temporary certificate for visiting physicians
21 to practice in approved cancer centers.--
22 (1) Any physician who has been accepted for a course
23 of training by a cancer center approved by the board and who
24 meets all of the qualifications set forth in this section may
25 be issued a temporary certificate to practice in a
26 board-approved cancer center under the International Cancer
27 Center Visiting Physician Program. A certificate may be issued
28 to a physician who will be training under the direct
29 supervision of a physician employed by or under contract with
30 an approved cancer center for a period of no more than 1 year.
31 The purpose of the International Cancer Center Visiting
1
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 Physician Program is to provide to internationally respected
2 and highly qualified physicians advanced education and
3 training on cancer treatment techniques developed at an
4 approved cancer center. The board may issue this temporary
5 certificate in accordance with the restrictions set forth in
6 this section.
7 (2) A temporary certificate for practice in an
8 approved cancer center may be issued without examination to an
9 individual who:
10 (a) Is a graduate of an accredited medical school or
11 its equivalent, or is a graduate of a foreign medical school
12 listed with the World Health Organization;
13 (b) Holds a valid and unencumbered license to practice
14 medicine in another country;
15 (c) Has completed the application form adopted by the
16 board and remitted a nonrefundable application fee not to
17 exceed $300;
18 (d) Has not committed any act in this or any other
19 jurisdiction which would constitute the basis for disciplining
20 a physician under s. 455.624 or s. 458.331;
21 (e) Meets the financial responsibility requirements of
22 s. 458.320; and
23 (f) Has been accepted for a course of training by a
24 cancer center approved by the board.
25 (3) The board shall by rule establish qualifications
26 for approval of cancer centers under this section, which at a
27 minimum shall require the cancer center to be licensed under
28 chapter 395 and have met the standards required to be a
29 National Cancer Institute-designated cancer center. The board
30 shall review the cancer centers approved under this section
31 not less than annually to ascertain that the minimum
2
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 requirements of this chapter and the rules adopted thereunder
2 are being complied with. If it is determined that such minimum
3 requirements are not being met by an approved cancer center,
4 the board shall rescind its approval of that cancer center and
5 no temporary certificate for that cancer center shall be valid
6 until such time as the board reinstates its approval of that
7 cancer center.
8 (4) A recipient of a temporary certificate for
9 practice in an approved cancer center may use the certificate
10 to practice for the duration of the course of training at the
11 approved cancer center so long as the duration of the course
12 does not exceed 1 year. If at any time the cancer center is no
13 longer approved by the board, the temporary certificate shall
14 expire and the recipient shall no longer be authorized to
15 practice in this state.
16 (5) A recipient of a temporary certificate for
17 practice in an approved cancer center is limited to practicing
18 in facilities owned or operated by that approved cancer center
19 and is limited to only practicing under the direct supervision
20 of a physician who holds a valid, active, and unencumbered
21 license to practice medicine in this state issued under this
22 chapter or chapter 459.
23 (6) The board shall not issue a temporary certificate
24 for practice in an approved cancer center to any physician who
25 is under investigation in another jurisdiction for an act that
26 would constitute a violation of this chapter or chapter 455
27 until such time as the investigation is complete and the
28 physician is found innocent of all charges.
29 (7) A physician applying under this section is exempt
30 from the requirements of ss. 455.565-455.5656. All other
31 provisions of chapters 455 and 458 apply.
3
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 (8) In any year, the maximum number of temporary
2 certificates that may be issued by the board under this
3 section may not exceed 10 at each approved cancer center.
4 (9) The board may adopt rules pursuant to ss.
5 120.536(1) and 120.54 as necessary to implement this section.
6 (10) Nothing in this section may be construed to
7 authorize a physician who is not licensed to practice medicine
8 in this state to qualify for or otherwise engage in the
9 practice of medicine in this state, except as provided in this
10 section.
11 Section 44. Paragraph (i) of subsection (1), and
12 subsection (4) of section 458.3145, Florida Statutes, are
13 amended to read:
14 458.3145 Medical faculty certificate.--
15 (1) A medical faculty certificate may be issued
16 without examination to an individual who:
17 (a) Is a graduate of an accredited medical school or
18 its equivalent, or is a graduate of a foreign medical school
19 listed with the World Health Organization;
20 (b) Holds a valid, current license to practice
21 medicine in another jurisdiction;
22 (c) Has completed the application form and remitted a
23 nonrefundable application fee not to exceed $500;
24 (d) Has completed an approved residency or fellowship
25 of at least 1 year or has received training which has been
26 determined by the board to be equivalent to the 1-year
27 residency requirement;
28 (e) Is at least 21 years of age;
29 (f) Is of good moral character;
30 (g) Has not committed any act in this or any other
31 jurisdiction which would constitute the basis for disciplining
4
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 a physician under s. 458.331;
2 (h) For any applicant who has graduated from medical
3 school after October 1, 1992, has completed, before entering
4 medical school, the equivalent of 2 academic years of
5 preprofessional, postsecondary education, as determined by
6 rule of the board, which must include, at a minimum, courses
7 in such fields as anatomy, biology, and chemistry; and
8 (i) Has been offered and has accepted a full-time
9 faculty appointment to teach in a program of medicine at:
10 1. The University of Florida,
11 2. The University of Miami,
12 3. The University of South Florida, or
13 4. The Florida State University, or
14 54. The Mayo Medical School at the Mayo Clinic in
15 Jacksonville, Florida.
16 (2) The certificate authorizes the holder to practice
17 only in conjunction with his or her faculty position at an
18 accredited medical school and its affiliated clinical
19 facilities or teaching hospitals that are registered with the
20 Board of Medicine as sites at which holders of medical faculty
21 certificates will be practicing. Such certificate
22 automatically expires when the holder's relationship with the
23 medical school is terminated or after a period of 24 months,
24 whichever occurs sooner, and is renewable every 2 years by a
25 holder who applies to the board on a form prescribed by the
26 board and provides certification by the dean of the medical
27 school that the holder is a distinguished medical scholar and
28 an outstanding practicing physician.
29 (3) The holder of a medical faculty certificate issued
30 under this section has all rights and responsibilities
31 prescribed by law for the holder of a license issued under s.
5
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 458.311, except as specifically provided otherwise by law.
2 Such responsibilities include compliance with continuing
3 medical education requirements as set forth by rule of the
4 board. A hospital or ambulatory surgical center licensed under
5 chapter 395, health maintenance organization certified under
6 chapter 641, insurer as defined in s. 624.03,
7 multiple-employer welfare arrangement as defined in s.
8 624.437, or any other entity in this state, in considering and
9 acting upon an application for staff membership, clinical
10 privileges, or other credentials as a health care provider,
11 may not deny the application of an otherwise qualified
12 physician for such staff membership, clinical privileges, or
13 other credentials solely because the applicant is a holder of
14 a medical faculty certificate under this section.
15 (4) In any year, the maximum number of extended
16 medical faculty certificateholders as provided in subsection
17 (2) may not exceed 15 persons at each institution named in
18 subparagraphs (1)(i)1.-43. and at the facility named in s.
19 240.512 and may not exceed 5 persons at the institution named
20 in subparagraph (1)(i)54.
21 5. Annual review of all such certificate recipients
22 will be made by the deans of the accredited 4-year medical
23 schools within this state and reported to the Board of
24 Medicine.
25 (5) Notwithstanding subsection (1), any physician,
26 when providing medical care or treatment in connection with
27 the education of students, residents, or faculty at the
28 request of the dean of an accredited medical school within
29 this state or at the request of the medical director of a
30 statutory teaching hospital as defined in s. 408.07, may do so
31 upon registration with the board and demonstration of
6
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 financial responsibility pursuant to s. 458.320(1) or (2)
2 unless such physician is exempt under s. 458.320(5)(a). The
3 performance of such medical care or treatment must be limited
4 to a single period of time, which may not exceed 180
5 consecutive days, and must be rendered within a facility
6 registered under subsection (2) or within a statutory teaching
7 hospital as defined in s. 408.07. A registration fee not to
8 exceed $300, as set by the board, is required of each
9 physician registered under this subsection. However, no more
10 than three physicians per year per institution may be
11 registered under this subsection, and an exemption under this
12 subsection may not be granted to a physician more than once in
13 any given 5-year period.
14 Section 45. Subsection (5) is added to section
15 458.315, Florida Statutes, to read:
16 458.315 Temporary certificate for practice in areas of
17 critical need.--Any physician who is licensed to practice in
18 any other state, whose license is currently valid, and who
19 pays an application fee of $300 may be issued a temporary
20 certificate to practice in communities of Florida where there
21 is a critical need for physicians. A certificate may be
22 issued to a physician who will be employed by a county health
23 department, correctional facility, community health center
24 funded by s. 329, s. 330, or s. 340 of the United States
25 Public Health Services Act, or other entity that provides
26 health care to indigents and that is approved by the State
27 Health Officer. The Board of Medicine may issue this
28 temporary certificate with the following restrictions:
29 (5) The application fee and all licensure fees,
30 including neurological injury compensation assessments, shall
31 be waived for those persons obtaining a temporary certificate
7
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 to practice in areas of critical need for the purpose of
2 providing volunteer, uncompensated care for low-income
3 Floridians. The applicant must submit an affidavit from the
4 employing agency or institution stating that the physician
5 will not receive any compensation for any service involving
6 the practice of medicine.
7 Section 46. Section 458.345, Florida Statutes, is
8 amended to read:
9 458.345 Registration of resident physicians, interns,
10 and fellows; list of hospital employees; prescribing of
11 medicinal drugs; penalty.--
12 (1) Any person desiring to practice as a resident
13 physician, assistant resident physician, house physician,
14 intern, or fellow in fellowship training which leads to
15 subspecialty board certification in this state, or any person
16 desiring to practice as a resident physician, assistant
17 resident physician, house physician, intern, or fellow in
18 fellowship training in a teaching hospital in this state as
19 defined in s. 408.07(44) or s. 395.805(2), who does not hold a
20 valid, active license issued under this chapter shall apply to
21 the department to be registered and shall remit a fee not to
22 exceed $300 as set by the board. The department shall
23 register any applicant the board certifies has met the
24 following requirements:
25 (a) Is at least 21 years of age.
26 (b) Has not committed any act or offense within or
27 without the state which would constitute the basis for refusal
28 to certify an application for licensure pursuant to s.
29 458.331.
30 (c) Is a graduate of a medical school or college as
31 specified in s. 458.311(1)(f).
8
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 (2) The board shall not certify to the department for
2 registration any applicant who is under investigation in any
3 state or jurisdiction for an act which would constitute the
4 basis for imposing a disciplinary penalty specified in s.
5 458.331(2)(b) until such time as the investigation is
6 completed, at which time the provisions of s. 458.331 shall
7 apply.
8 (3) Every hospital or teaching hospital employing or
9 utilizing the services of a resident physician, assistant
10 resident physician, house physician, intern, or fellow in
11 fellowship training registered under this section which leads
12 to subspecialty board certification shall designate a person
13 who shall, on dates designated by the board, in consultation
14 with the department, furnish the department with a list of
15 such the hospital's employees and such other information as
16 the board may direct. The chief executive officer of each
17 such hospital shall provide the executive director of the
18 board with the name, title, and address of the person
19 responsible for furnishing such reports.
20 (4) Registration under this section shall
21 automatically expire after 2 years without further action by
22 the board or the department unless an application for renewal
23 is approved by the board. No person registered under this
24 section may be employed or utilized as a house physician or
25 act as a resident physician, an assistant resident physician,
26 an intern, or a fellow in fellowship training which leads to a
27 subspecialty board certification in a hospital or teaching
28 hospital of this state for more than 2 years without a valid,
29 active license or renewal of registration under this section.
30 Requirements for renewal of registration shall be established
31 by rule of the board. An application fee not to exceed $300
9
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 as set by the board shall accompany the application for
2 renewal, except that resident physicians, assistant resident
3 physicians, interns, and fellows in fellowship training
4 registered under this section which leads to subspecialty
5 board certification shall be exempt from payment of any
6 renewal fees.
7 (5) Notwithstanding any provision of this section or
8 s. 120.52 to the contrary, any person who is registered under
9 this section is subject to the provisions of s. 458.331.
10 (6) A person registered as a resident physician under
11 this section may in the normal course of his or her employment
12 prescribe medicinal drugs described in schedules set out in
13 chapter 893 when:
14 (a) The person prescribes such medicinal drugs through
15 use of a Drug Enforcement Administration number issued to the
16 hospital or teaching hospital by which the person is employed
17 or at which the person's services are used;
18 (b) The person is identified by a discrete suffix to
19 the identification number issued to such the hospital; and
20 (c) The use of the institutional identification number
21 and individual suffixes conforms to the requirements of the
22 federal Drug Enforcement Administration.
23 (7) Any person willfully violating this section
24 commits a misdemeanor of the first degree, punishable as
25 provided in s. 775.082 or s. 775.083.
26 (8) The board shall promulgate rules pursuant to ss.
27 120.536(1) and 120.54 as necessary to implement this section.
28 Section 47. Subsection (3) of section 458.348, Florida
29 Statutes, is created to read:
30 458.348 Formal supervisory relationships, standing
31 orders, and established protocols; notice; standards.--
10
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 (3) PROTOCOLS REQUIRING DIRECT SUPERVISION.--All
2 protocols relating to electrolysis or electrology using laser
3 or light-based hair removal or reduction by persons other than
4 physicians licensed under this chapter or chapter 459 shall
5 require the person performing such service to be appropriately
6 trained and work only under the direct supervision and
7 responsibility of a physician licensed under this chapter or
8 chapter 459.
9 Section 48. Section 459.021, Florida Statutes, is
10 amended to read:
11 459.021 Registration of resident physicians, interns,
12 and fellows; list of hospital employees; penalty.--
13 (1) Any person who holds a degree of Doctor of
14 Osteopathic Medicine from a college of osteopathic medicine
15 recognized and approved by the American Osteopathic
16 Association who desires to practice as a resident physician,
17 assistant resident physician, house physician, intern, or
18 fellow in fellowship training which leads to subspecialty
19 board certification in this state, or any person desiring to
20 practice as a resident physician, assistant resident
21 physician, house physician, intern, or fellow in fellowship
22 training in a teaching hospital in this state as defined in s.
23 408.07(44) or s. 395.805(2), who does not hold an active
24 license issued under this chapter shall apply to the
25 department to be registered, on an application provided by the
26 department, within 30 days of commencing such a training
27 program and shall remit a fee not to exceed $300 as set by the
28 board.
29 (2) Any person required to be registered under this
30 section shall renew such registration annually. Such
31 registration shall be terminated upon the registrant's receipt
11
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 of an active license issued under this chapter. No person
2 shall be registered under this section for an aggregate of
3 more than 5 years, unless additional years are approved by the
4 board.
5 (3) Every hospital or teaching hospital having
6 employed or contracted with or utilized the services of a
7 person who holds a degree of Doctor of Osteopathic Medicine
8 from a college of osteopathic medicine recognized and approved
9 by the American Osteopathic Association as a resident
10 physician, assistant resident physician, house physician,
11 intern, or fellow in fellowship training registered under this
12 section which leads to subspecialty board certification shall
13 designate a person who shall furnish, on dates designated by
14 the board, in consultation with the department, to the
15 department a list of all such persons who have served in such
16 the hospital during the preceding 6-month period. The chief
17 executive officer of each such hospital shall provide the
18 executive director of the board with the name, title, and
19 address of the person responsible for filing such reports.
20 (4) The registration may be revoked or the department
21 may refuse to issue any registration for any cause which would
22 be a ground for its revocation or refusal to issue a license
23 to practice osteopathic medicine, as well as on the following
24 grounds:
25 (a) Omission of the name of an intern, resident
26 physician, assistant resident physician, house physician, or
27 fellow in fellowship training from the list of employees
28 required by subsection (3) to be furnished to the department
29 by the hospital or teaching hospital served by the employee.
30 (b) Practicing osteopathic medicine outside of a bona
31 fide hospital training program.
12
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 (5) It is a misdemeanor of the second degree,
2 punishable as provided in s. 775.082 or s. 775.083 for any
3 hospital or teaching hospital, and also for the
4 superintendent, administrator, and other person or persons
5 having administrative authority in such a hospital:
6 (a) To employ the services in such the hospital of any
7 person listed in subsection (3), unless such person is
8 registered with the department under the law or the holder of
9 a license to practice osteopathic medicine under this chapter.
10 (b) To fail to furnish to the department the list and
11 information required by subsection (3).
12 (6) Any person desiring registration pursuant to this
13 section shall meet all the requirements of s. 459.0055.
14 (7) The board shall promulgate rules pursuant to ss.
15 120.536(1) and 120.54 as necessary to implement this section.
16 (8) Notwithstanding any provision of this section or
17 s. 120.52 to the contrary, any person who is registered under
18 this section is subject to the provisions of s. 459.015.
19 (9) A person registered as a resident physician under
20 this section may in the normal course of his or her employment
21 prescribe medicinal drugs described in schedules set out in
22 chapter 893 when:
23 (a) The person prescribes such medicinal drugs through
24 use of a Drug Enforcement Administration number issued to the
25 hospital or teaching hospital by which the person is employed
26 or at which the person's services are used;
27 (b) The person is identified by a discrete suffix to
28 the identification number issued to such the hospital; and
29 (c) The use of the institutional identification number
30 and individual suffixes conforms to the requirements of the
31 federal Drug Enforcement Administration.
13
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 Section 49. Paragraph (d) is added to subsection (9)
2 of section 458.347, Florida Statutes, to read:
3 458.347 Physician assistants.--
4 (9) COUNCIL ON PHYSICIAN ASSISTANTS.--The Council on
5 Physician Assistants is created within the department.
6 (a) The council shall consist of five members
7 appointed as follows:
8 1. The chairperson of the Board of Medicine shall
9 appoint three members who are physicians and members of the
10 Board of Medicine. One of the physicians must supervise a
11 physician assistant in the physician's practice.
12 2. The chairperson of the Board of Osteopathic
13 Medicine shall appoint one member who is a physician and a
14 member of the Board of Osteopathic Medicine.
15 3. The secretary of the department or his or her
16 designee shall appoint a fully licensed physician assistant
17 licensed under this chapter or chapter 459.
18 (b) Two of the members appointed to the council must
19 be physicians who supervise physician assistants in their
20 practice. Members shall be appointed to terms of 4 years,
21 except that of the initial appointments, two members shall be
22 appointed to terms of 2 years, two members shall be appointed
23 to terms of 3 years, and one member shall be appointed to a
24 term of 4 years, as established by rule of the boards.
25 Council members may not serve more than two consecutive terms.
26 The council shall annually elect a chairperson from among its
27 members.
28 (c) The council shall:
29 1. Recommend to the department the licensure of
30 physician assistants.
31 2. Develop all rules regulating the use of physician
14
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 assistants by physicians under this chapter and chapter 459,
2 except for rules relating to the formulary developed under
3 paragraph (4)(f). The council shall also develop rules to
4 ensure that the continuity of supervision is maintained in
5 each practice setting. The boards shall consider adopting a
6 proposed rule developed by the council at the regularly
7 scheduled meeting immediately following the submission of the
8 proposed rule by the council. A proposed rule submitted by
9 the council may not be adopted by either board unless both
10 boards have accepted and approved the identical language
11 contained in the proposed rule. The language of all proposed
12 rules submitted by the council must be approved by both boards
13 pursuant to each respective board's guidelines and standards
14 regarding the adoption of proposed rules. If either board
15 rejects the council's proposed rule, that board must specify
16 its objection to the council with particularity and include
17 any recommendations it may have for the modification of the
18 proposed rule.
19 3. Make recommendations to the boards regarding all
20 matters relating to physician assistants.
21 4. Address concerns and problems of practicing
22 physician assistants in order to improve safety in the
23 clinical practices of licensed physician assistants.
24 (d) When the Council finds that an applicant for
25 licensure has failed to meet, to the Council's satisfaction,
26 each of the requirements for licensure set forth in this
27 section, the Council may enter an order to:
28 1. Refuse to certify the applicant for licensure;
29 2. Approve the applicant for licensure with
30 restrictions on the scope of practice or license; or
31 3. Approve the applicant for conditional licensure.
15
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 Such conditions may include placement of the licensee on
2 probation for a period of time and subject to such conditions
3 as the Council may specify, including but not limited to,
4 requiring the licensee to undergo treatment, to attend
5 continuing education courses, to work under the direct
6 supervision of a physician licensed in this state, or to take
7 corrective action.
8 Section 50. Paragraph (d) is added to subsection (9)
9 of section 459.022, Florida Statutes, to read:
10 459.022 Physician assistants.--
11 (9) COUNCIL ON PHYSICIAN ASSISTANTS.--The Council on
12 Physician Assistants is created within the department.
13 (a) The council shall consist of five members
14 appointed as follows:
15 1. The chairperson of the Board of Medicine shall
16 appoint three members who are physicians and members of the
17 Board of Medicine. One of the physicians must supervise a
18 physician assistant in the physician's practice.
19 2. The chairperson of the Board of Osteopathic
20 Medicine shall appoint one member who is a physician and a
21 member of the Board of Osteopathic Medicine.
22 3. The secretary of the department or her or his
23 designee shall appoint a fully licensed physician assistant
24 licensed under chapter 458 or this chapter.
25 (b) Two of the members appointed to the council must
26 be physicians who supervise physician assistants in their
27 practice. Members shall be appointed to terms of 4 years,
28 except that of the initial appointments, two members shall be
29 appointed to terms of 2 years, two members shall be appointed
30 to terms of 3 years, and one member shall be appointed to a
31 term of 4 years, as established by rule of the boards.
16
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 Council members may not serve more than two consecutive terms.
2 The council shall annually elect a chairperson from among its
3 members.
4 (c) The council shall:
5 1. Recommend to the department the licensure of
6 physician assistants.
7 2. Develop all rules regulating the use of physician
8 assistants by physicians under chapter 458 and this chapter,
9 except for rules relating to the formulary developed under s.
10 458.347(4)(f). The council shall also develop rules to ensure
11 that the continuity of supervision is maintained in each
12 practice setting. The boards shall consider adopting a
13 proposed rule developed by the council at the regularly
14 scheduled meeting immediately following the submission of the
15 proposed rule by the council. A proposed rule submitted by
16 the council may not be adopted by either board unless both
17 boards have accepted and approved the identical language
18 contained in the proposed rule. The language of all proposed
19 rules submitted by the council must be approved by both boards
20 pursuant to each respective board's guidelines and standards
21 regarding the adoption of proposed rules. If either board
22 rejects the council's proposed rule, that board must specify
23 its objection to the council with particularity and include
24 any recommendations it may have for the modification of the
25 proposed rule.
26 3. Make recommendations to the boards regarding all
27 matters relating to physician assistants.
28 4. Address concerns and problems of practicing
29 physician assistants in order to improve safety in the
30 clinical practices of licensed physician assistants.
31 (d) When the Council finds that an applicant for
17
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 licensure has failed to meet, to the Council's satisfaction,
2 each of the requirements for licensure set forth in this
3 section, the Council may enter an order to:
4 1. Refuse to certify the applicant for licensure;
5 2. Approve the applicant for licensure with
6 restrictions on the scope of practice or license; or
7 3. Approve the applicant for conditional licensure.
8 Such conditions may include placement of the licensee on
9 probation for a period of time and subject to such conditions
10 as the Council may specify, including but not limited to,
11 requiring the licensee to undergo treatment, to attend
12 continuing education courses, to work under the direct
13 supervision of a physician licensed in this state, or to take
14 corrective action.
15
16 (Renumber subsequent sections)
17
18
19 ================ T I T L E A M E N D M E N T ===============
20 And the title is amended as follows:
21 On page 6, line 4, after the semicolon
22
23 insert:
24 creating s. 458.3135, F.S.; providing for
25 temporary certification for visiting physicians
26 to practice in approved cancer centers;
27 providing certification requirements; providing
28 fees; providing for approval of cancer centers
29 and annual review of such approval; providing
30 practice limitations and conditions; limiting
31 the number of certificates that may be issued;
18
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HOUSE AMENDMENT
Bill No. CS/HB 1659, 1st Eng.
Amendment No. (for drafter's use only)
1 providing rulemaking authority; amending s.
2 458.3145, F.S.; adding medical schools to list
3 of programs at which medical faculty
4 certificateholders may practice; amending s.
5 458.315, F.S.; waiving application and
6 licensure fees for physicians obtaining a
7 temporary certificate to practice in areas of
8 critical need when such practice is limited to
9 volunteer, uncompensated care for low-income
10 persons; amending ss. 458.345 and 459.021,
11 F.S.; providing for registration of persons
12 desiring to practice as a resident physician,
13 assistant resident physician, house physician,
14 intern, or fellow in fellowship training in a
15 statutory teaching hospital; providing
16 requirements; providing fees; providing
17 penalties; providing rulemaking authority;
18 amending s. 458.348, F.S.; requiring protocols
19 to contain specified requirements;
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31
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