House Bill 1659c1

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    Florida House of Representatives - 2000             CS/HB 1659

        By the Committees on Governmental Rules & Regulations,
    Health Care Licensing & Regulation and Representative Fasano





  1                      A bill to be entitled

  2         An act relating to regulation of the health

  3         care professions; amending s. 455.564, F.S.;

  4         revising general licensing provisions for

  5         professions under the jurisdiction of the

  6         Department of Health; providing for processing

  7         of applications from foreign or nonresident

  8         applicants not yet having a social security

  9         number; providing for temporary licensure of

10         such applicants; revising provisions relating

11         to ongoing criminal investigations or

12         prosecutions; requiring proof of restoration of

13         civil rights under certain circumstances;

14         authorizing requirement for personal appearance

15         prior to grant or denial of a license;

16         providing for tolling of application decision

17         deadlines under certain circumstances; amending

18         s. 455.565, F.S.; eliminating duplicative

19         submission of fingerprints and other

20         information required for criminal history

21         checks; providing for certain access to

22         criminal history information through the

23         department's health care practitioner

24         credentialing system; creating s. 455.56505,

25         F.S.; requiring certain health care

26         practitioners seeking licensure or renewed

27         licensure to submit information and

28         fingerprints for profiling purposes according

29         to the schedule provided; requiring a report

30         from the department; amending s. 455.5651,

31         F.S.; authorizing the department to publish

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  1         certain information in practitioner profiles;

  2         amending s. 455.5653, F.S.; deleting obsolete

  3         language relating to scheduling and development

  4         of practitioner profiles for additional health

  5         care practitioners; providing the department

  6         access to information on health care

  7         practitioners maintained by the Agency for

  8         Health Care Administration for corroboration

  9         purposes; amending s. 455.5654, F.S.; providing

10         for adoption by rule of a form for submission

11         of profiling information; amending s. 455.567,

12         F.S.; expanding the prohibition against sexual

13         misconduct to cover violations against

14         guardians and representatives of patients or

15         clients; providing penalties; amending s.

16         455.574, F.S.; providing for determination of

17         the amount of the examination fee when the

18         board or department purchases the examination;

19         amending s. 455.624, F.S.; revising and

20         providing grounds for disciplinary action

21         relating to having a license to practice a

22         regulated health care profession acted against,

23         sexual misconduct, inability to practice

24         properly due to alcohol or substance abuse or a

25         mental or physical condition, and testing

26         positive for a drug without a lawful

27         prescription therefor; providing for

28         restriction of license as a disciplinary

29         action; providing for issuance of a citation

30         and assessment of a fine for certain first-time

31         violations; reenacting ss. 455.577, 455.631,

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  1         455.651(2), 455.712(1), 458.347(7)(g),

  2         459.022(7)(f), 468.1755(1)(a), 468.719(1)(a)

  3         and (2), 468.811, and 484.056(1)(a), F.S.,

  4         relating to theft or reproduction of an

  5         examination, giving false information,

  6         disclosure of confidential information,

  7         business establishments providing regulated

  8         services without an active status license, and

  9         practice violations by physician assistants,

10         nursing home administrators, athletic trainers,

11         orthotists, prosthetists, pedorthists, and

12         hearing aid specialists, to incorporate the

13         amendment to s. 455.624, F.S., in references

14         thereto; repealing s. 455.704, F.S., relating

15         to the Impaired Practitioners Committee;

16         amending s. 455.707, F.S., relating to impaired

17         practitioners, to conform; clarifying

18         provisions relating to complaints against

19         impaired practitioners; amending s. 310.102,

20         F.S.; revising and removing references, to

21         conform; amending s. 455.711, F.S.; revising

22         provisions relating to active and inactive

23         status licensure; eliminating reference to

24         delinquency as a licensure status; providing

25         rulemaking authority; amending ss. 455.587 and

26         455.714, F.S.; revising references, to conform;

27         creating s. 455.719, F.S.; providing that the

28         appropriate medical regulatory board, or the

29         department when there is no board, has

30         exclusive authority to grant exemptions from

31         disqualification from employment or contracting

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  1         with respect to persons under the licensing

  2         jurisdiction of that board or the department,

  3         as applicable; amending s. 943.0585, F.S.;

  4         providing expunged criminal history records to

  5         the department under certain circumstances;

  6         providing an appropriation to the Agency for

  7         Health Care Administration for continued review

  8         of clinical laboratory services for kidney

  9         dialysis patients and requiring a report

10         thereon; amending s. 455.637, F.S.; revising

11         provisions relating to sanctions against the

12         unlicensed practice of a health care

13         profession; providing legislative intent;

14         revising and expanding provisions relating to

15         civil and administrative remedies; providing

16         criminal penalties; incorporating and modifying

17         the substance of current provisions that impose

18         a fee to combat unlicensed activity and provide

19         for disposition of the proceeds thereof;

20         providing applicability; repealing s. 455.641,

21         F.S., relating to unlicensed activity fees, to

22         conform; reenacting ss. 455.574(1)(d),

23         468.1295(1), 484.014(1), and 484.056(1), F.S.,

24         relating to violation of security provisions

25         for examinations and violations involving

26         speech-language pathology, audiology,

27         opticianry, and the dispensing of hearing aids,

28         to incorporate the amendment to s. 455.637,

29         F.S., in references thereto; creating s.

30         455.665, F.S.; requiring a specified statement

31         in any advertisement by a health care

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  1         practitioner for a surgical procedure; amending

  2         s. 921.0022, F.S.; modifying the criminal

  3         offense severity ranking chart to add or

  4         increase the level of various offenses relating

  5         to the practice of a health care profession,

  6         the practice of medicine, osteopathic medicine,

  7         chiropractic medicine, podiatric medicine,

  8         naturopathy, optometry, nursing, pharmacy,

  9         dentistry, dental hygiene, midwifery,

10         respiratory therapy, and medical physics,

11         practicing as clinical laboratory personnel,

12         and the dispensing of hearing aids; amending s.

13         457.102, F.S.; revising the definition of

14         "acupuncture"; amending s. 457.105, F.S.;

15         revising licensure qualifications to practice

16         acupuncture; amending s. 457.107, F.S.;

17         modifying the fee for renewal of a license to

18         practice acupuncture; providing an effective

19         date.

20

21         WHEREAS, streamlining regulation of the health care

22  professions will enable more qualified health care

23  practitioners to be available to provide health care services

24  to the people of Florida to address the current shortage of

25  certain types of health care practitioners, and

26         WHEREAS, health care consumers desire access to

27  information about health care practitioners in order for them

28  to make informed health care decisions, and

29         WHEREAS, Floridians have no tolerance for practitioner

30  misconduct, because such misconduct erodes public trust and

31  confidence in health care delivery systems, and

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  1         WHEREAS, the protection of Florida residents and

  2  visitors from death or serious bodily injury that may be

  3  caused by unlicensed health care practitioners is a state

  4  priority, and

  5         WHEREAS, the existing criminal prohibitions have not

  6  been vigorously enforced in the past, and

  7         WHEREAS, the existing penalties are not severe enough

  8  to deter the unlicensed practice of the health care

  9  professions, and

10         WHEREAS, persons convicted of practicing without a

11  license should be imprisoned so they cannot continue to hurt

12  Floridians, and

13         WHEREAS, persons convicted of practicing without a

14  license who are not citizens of this country should be

15  deported following incarceration to guarantee that they cannot

16  continue to endanger Floridians, NOW, THEREFORE,

17

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

19

20         Section 1.  Subsections (1) and (3) of section 455.564,

21  Florida Statutes, are amended to read:

22         455.564  Department; general licensing provisions.--

23         (1)(a)  Any person desiring to be licensed in a

24  profession within the jurisdiction of the department shall

25  apply to the department in writing to take the licensure

26  examination.  The application shall be made on a form prepared

27  and furnished by the department and shall require the social

28  security number of the applicant, except as provided in

29  paragraph (b). The form shall be supplemented as needed to

30  reflect any material change in any circumstance or condition

31  stated in the application which takes place between the

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  1  initial filing of the application and the final grant or

  2  denial of the license and which might affect the decision of

  3  the department. An incomplete application shall expire 1 year

  4  after initial filing. In order to further the economic

  5  development goals of the state, and notwithstanding any law to

  6  the contrary, the department may enter into an agreement with

  7  the county tax collector for the purpose of appointing the

  8  county tax collector as the department's agent to accept

  9  applications for licenses and applications for renewals of

10  licenses. The agreement must specify the time within which the

11  tax collector must forward any applications and accompanying

12  application fees to the department.

13         (b)  If an applicant has not been issued a social

14  security number by the Federal Government at the time of

15  application because the applicant is not a citizen or resident

16  of this country, the department may process the application

17  using a unique personal identification number. If such an

18  applicant is otherwise eligible for licensure, the board, or

19  the department when there is no board, may issue a temporary

20  license to the applicant, which shall expire 30 days after

21  issuance unless a social security number is obtained and

22  submitted in writing to the department. Upon receipt of the

23  applicant's social security number, the department shall issue

24  a new license, which shall expire at the end of the current

25  biennium.

26         (3)(a)  The board, or the department when there is no

27  board, may refuse to issue an initial license to any applicant

28  who is under investigation or prosecution in any jurisdiction

29  for an action that would constitute a violation of this part

30  or the professional practice acts administered by the

31  department and the boards, until such time as the

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  1  investigation or prosecution is complete, and the time period

  2  in which the licensure application must be granted or denied

  3  shall be tolled until 15 days after the receipt of the final

  4  results of the investigation or prosecution.

  5         (b)  If an applicant has been convicted of a felony

  6  related to the practice or ability to practice any health care

  7  profession, the board, or the department when there is no

  8  board, may require the applicant to prove that his or her

  9  civil rights have been restored.

10         (c)  In considering applications for licensure, the

11  board, or the department when there is no board, may require a

12  personal appearance of the applicant. If the applicant is

13  required to appear, the time period in which a licensure

14  application must be granted or denied shall be tolled until

15  such time as the applicant appears. However, if the applicant

16  fails to appear before the board at either of the next two

17  regularly scheduled board meetings, or fails to appear before

18  the department within 30 days if there is no board, the

19  application for licensure shall be denied.

20         Section 2.  Paragraph (d) is added to subsection (4) of

21  section 455.565, Florida Statutes, to read:

22         455.565  Designated health care professionals;

23  information required for licensure.--

24         (4)

25         (d)  Any applicant for initial licensure or renewal of

26  licensure as a health care practitioner who submits to the

27  Department of Health a set of fingerprints or information

28  required for the criminal history check required under this

29  section shall not be required to provide a subsequent set of

30  fingerprints or other duplicate information required for a

31  criminal history check to the Agency for Health Care

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  1  Administration, the Department of Juvenile Justice, or the

  2  Department of Children and Family Services for employment or

  3  licensure with such agency or department if the applicant has

  4  undergone a criminal history check as a condition of initial

  5  licensure or licensure renewal as a health care practitioner

  6  with the Department of Health or any of its regulatory boards,

  7  notwithstanding any other provision of law to the contrary. In

  8  lieu of such duplicate submission, the Agency for Health Care

  9  Administration, the Department of Juvenile Justice, and the

10  Department of Children and Family Services shall obtain

11  criminal history information for employment or licensure of

12  health care practitioners by such agency and departments from

13  the Department of Health's health care practitioner

14  credentialing system.

15         Section 3.  Section 455.56505, Florida Statutes, is

16  created to read:

17         455.56505  Health care practitioners; information

18  required for licensure.--

19         (1)  It is the intent of the Legislature to provide

20  consumers of health care services access to information about

21  health care practitioners which will enable consumers to make

22  informed decisions in choosing their health care

23  practitioners. It is also the intent of the Legislature to

24  provide a mechanism to the Department of Health and the

25  regulatory boards under the department to update and verify

26  existing information regarding the credentials and background

27  of health care practitioners which was provided to the

28  department at the time of initial application for licensure.

29  It is further the intent of the Legislature that any

30  practitioner who is found to have provided false, misleading,

31  or incorrect information or failed to provide the information

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  1  requested at the time of application be held responsible for

  2  such action in accordance with the disciplinary provisions of

  3  this chapter and the chapter regulating that profession.

  4  Accordingly, the Department of Health shall report to the

  5  President of the Senate and the Speaker of the House of

  6  Representatives by January 1, 2001, whether those intentions

  7  are being met by the requirements of practitioner profiling

  8  and shall include any recommendations related thereto.

  9         (2)  Health care practitioners shall submit to the

10  Department of Health, and the department shall collect,

11  compile, and publish, practitioner information in accordance

12  with the following schedule:

13         (a)  Beginning July 1, 2001, advanced registered nurse

14  practitioners certified or applying for certification pursuant

15  to s. 464.012 and practitioners licensed or applying for

16  licensure pursuant to chapter 458, chapter 459, chapter 460,

17  or chapter 461, except a person applying for registration

18  pursuant to s. 458.345 or s. 459.021 and physicians previously

19  profiled pursuant to s. 455.565, shall comply with the

20  requirements of this section as a condition of licensure and

21  licensure renewal.

22         (b)  Beginning July 1, 2002, practitioners licensed or

23  applying for licensure pursuant to chapter 463, chapter 466,

24  chapter 467, chapter 480, chapter 490, or chapter 491 shall

25  comply with the requirements of this section as a condition of

26  licensure and licensure renewal.

27         (c)  Beginning July 1, 2003, practitioners licensed or

28  applying for licensure pursuant to chapter 457, chapter 462,

29  chapter 465, chapter 478, or chapter 484 shall comply with the

30  requirements of this section as a condition of licensure and

31  licensure renewal.

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  1         (d)  Beginning July 1, 2004, practitioners licensed or

  2  applying for licensure pursuant to chapter 468, chapter 483,

  3  or chapter 486 shall comply with the requirements of this

  4  section as a condition of licensure and licensure renewal.

  5         (e)  Beginning July 1, 2005, nurses licensed or

  6  applying for licensure pursuant to chapter 464, except

  7  advanced registered nurse practitioners, shall comply with the

  8  requirements of this section as a condition of licensure and

  9  licensure renewal.

10         (f)  Beginning July 1, 2006, other practitioners

11  licensed by the Division of Medical Quality Assurance may be

12  required, by rule of the department, to comply with the

13  requirements of this section as a condition of licensure and

14  licensure renewal.

15         (3)(a)  In accordance with the schedule set forth in

16  subsection (2), each person who applies for initial licensure

17  must, at the time of application, and each person who applies

18  for license renewal must, in conjunction with the renewal of

19  such license and under procedures adopted by the Department of

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

21  required from the applicant, furnish the following information

22  to the Department of Health:

23         1.  The name of each school or training program that

24  the applicant has attended, with the months and years of

25  attendance and the month and year of graduation, and, if

26  applicable, a description of all graduate professional

27  education completed by the applicant, excluding any coursework

28  taken to satisfy continuing education requirements.

29         2.  The name of each location at which the applicant

30  practices.

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  1         3.  The address at which the applicant will primarily

  2  conduct his or her practice.

  3         4.  Any certification or designation that the applicant

  4  has received from a specialty or certification board that is

  5  recognized or approved by the regulatory board or department

  6  to which the applicant is applying.

  7         5.  The year that the applicant received initial

  8  licensure and began practicing the profession in any

  9  jurisdiction and the year that the applicant received initial

10  licensure in this state.

11         6.  Any appointment that the applicant currently holds

12  to the faculty of a school related to the profession and an

13  indication as to whether the applicant has had the

14  responsibility for graduate education within the most recent

15  10 years.

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

17  applicant has been found guilty, regardless of whether

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

19  has pled guilty or nolo contendere. A criminal offense

20  committed in another jurisdiction which would have been a

21  felony or misdemeanor if committed in this state must be

22  reported. If the applicant indicates that a criminal offense

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

24  that criminal offense, the department must state that the

25  criminal offense is under appeal if the criminal offense is

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

27  indicates to the department that a criminal offense is under

28  appeal, the applicant must, within 15 days after the

29  disposition of the appeal, submit to the department a copy of

30  the final written order of disposition.

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  1         8.  A description of any final disciplinary action

  2  taken within the previous 10 years against the applicant by a

  3  licensing or regulatory body in any jurisdiction, by a

  4  specialty board that is recognized by the board or department,

  5  or by a hospital, health maintenance organization, prepaid

  6  health clinic, ambulatory surgical center, or nursing home.

  7  Disciplinary action includes resignation from or nonrenewal of

  8  staff membership or the restriction of privileges at a

  9  hospital, health maintenance organization, prepaid health

10  clinic, ambulatory surgical center, or nursing home taken in

11  lieu of or in settlement of a pending disciplinary case

12  related to competence or character. If the applicant indicates

13  that the disciplinary action is under appeal and submits a

14  copy of the document initiating an appeal of the disciplinary

15  action, the department must state that the disciplinary action

16  is under appeal if the disciplinary action is reported in the

17  applicant's profile.

18         (b)  In addition to the information required under

19  paragraph (a), each applicant for initial licensure or

20  licensure renewal must provide the information required of

21  licensees pursuant to s. 455.697.

22         (4)  The Department of Health shall send a notice to

23  each licensee at the licensee's last known address of record,

24  as required by s. 455.714, regarding the requirements for

25  information to be submitted by practitioners pursuant to this

26  section as a condition of the renewal of such license. Failure

27  to submit the information required in subsection (3) or a set

28  of fingerprints as required by subsection (6) shall render the

29  license delinquent until such time as all requirements have

30  been met.

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  1         (5)  Each person who has submitted information pursuant

  2  to subsection (3) must update that information electronically

  3  within 45 days after the occurrence of an event or the

  4  attainment of a status that is required to be reported by

  5  subsection (3). Failure to comply with the requirements of

  6  this subsection to update and submit information constitutes a

  7  ground for disciplinary action under each respective licensing

  8  chapter and s. 455.624(1)(k). For failure to comply with the

  9  requirements of this subsection to update and submit

10  information, the Department of Health or the board, as

11  appropriate, may:

12         (a)  Refuse to issue a license to any person applying

13  for initial licensure who fails to submit and update the

14  required information.

15         (b)  Issue a citation to any licensee who fails to

16  submit and update the required information and may fine the

17  licensee up to $50 for each day that the licensee is not in

18  compliance with this subsection. The citation must clearly

19  state that the licensee may choose, in lieu of accepting the

20  citation, to follow the procedure under s. 455.621. If the

21  licensee disputes the matter in the citation, the procedures

22  set forth in s. 455.621 must be followed. However, if the

23  licensee does not dispute the matter in the citation with the

24  department within 30 days after the citation is served, the

25  citation becomes a final order and constitutes discipline.

26  Service of a citation may be made by personal service or

27  certified mail, restricted delivery, to the subject at the

28  licensee's last known address.

29         (6)(a)  An applicant for initial licensure must submit

30  a set of fingerprints to the Department of Health on a form

31  and under procedures specified by the department, along with

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  1  payment in an amount equal to the costs incurred by the

  2  Department of Health for a national criminal history check of

  3  the applicant.

  4         (b)  An applicant for renewed licensure who has not

  5  previously submitted a set of fingerprints to the Department

  6  of Health for purposes of licensure must submit a set of

  7  fingerprints to the department as a condition of renewal of

  8  license. The applicant for renewed licensure must submit the

  9  fingerprints on a form and under procedures specified by the

10  department, along with payment in an amount equal to the costs

11  incurred by the Department of Health for a national criminal

12  history check. For subsequent renewals, the applicant for

13  renewed licensure must only submit information necessary to

14  conduct a statewide criminal history check, along with payment

15  in an amount equal to the costs incurred by the Department of

16  Health for a statewide criminal history check.

17         (c)1.  The Department of Health shall submit the

18  fingerprints provided by an applicant for initial licensure to

19  the Florida Department of Law Enforcement for a statewide

20  criminal history check, and the Florida Department of Law

21  Enforcement shall forward the fingerprints to the Federal

22  Bureau of Investigation for a national criminal history check

23  of the applicant.

24         2.  The department shall submit the fingerprints

25  provided by an applicant for the initial renewal of license to

26  the Florida Department of Law Enforcement for a statewide

27  criminal history check, and the Florida Department of Law

28  Enforcement shall forward the fingerprints to the Federal

29  Bureau of Investigation for a national criminal history check

30  for the initial renewal of the applicant's license after the

31  effective date of this section.

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  1         3.  For any subsequent renewal of the applicant's

  2  license, the department shall submit the required information

  3  for a statewide criminal history check of the applicant to the

  4  Florida Department of Law Enforcement.

  5         (d)  Any applicant for initial licensure or renewal of

  6  licensure as a health care practitioner who submits to the

  7  Department of Health a set of fingerprints and information

  8  required for the criminal history check required under this

  9  section shall not be required to provide a subsequent set of

10  fingerprints or other duplicate information required for a

11  criminal history check to the Agency for Health Care

12  Administration, the Department of Juvenile Justice, or the

13  Department of Children and Family Services for employment or

14  licensure with such agency or department, if the applicant has

15  undergone a criminal history check as a condition of initial

16  licensure or renewal of licensure as a health care

17  practitioner with the Department of Health or any of its

18  regulatory boards, notwithstanding any other provision of law

19  to the contrary. In lieu of such duplicate submission, the

20  Agency for Health Care Administration, the Department of

21  Juvenile Justice, and the Department of Children and Family

22  Services shall obtain criminal history information for

23  employment or licensure of health care practitioners by such

24  agency or department from the Department of Health's health

25  care practitioner credentialing system.

26         (7)  Each person who is required to submit information

27  to the Department of Health pursuant to this section may

28  submit additional information to the department under

29  procedures specified by the department. Such information may

30  include, but is not limited to:

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  1         (a)  Information regarding publications in

  2  peer-reviewed professional literature within the previous 10

  3  years.

  4         (b)  Information regarding professional or community

  5  service activities or awards.

  6         (c)  Languages, other than English, used by the

  7  applicant to communicate with patients or clients and

  8  identification of any translating service that may be

  9  available at the place where the applicant primarily conducts

10  his or her practice.

11         (d)  An indication of whether the person participates

12  in the Medicaid program.

13         (8)  All information submitted pursuant to this

14  section, except fingerprints, shall be submitted

15  electronically by the practitioner, along with payment in an

16  amount equal to the costs incurred by the department to

17  collect, compile, and publish the information, through a

18  secure on-line licensing program.

19         Section 4.  Section 455.5651, Florida Statutes, is

20  amended to read:

21         455.5651  Practitioner profile; creation.--

22         (1)  Beginning July 1, 1999, the Department of Health

23  shall compile the information submitted pursuant to s. 455.565

24  into a practitioner profile of the applicant submitting the

25  information, except that the Department of Health may develop

26  a format to compile uniformly any information submitted under

27  s. 455.565(4)(b). Beginning July 1, 2001, the Department of

28  Health may compile the information submitted pursuant to s.

29  455.56505 into a practitioner profile of the applicant

30  submitting the information.

31

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  1         (2)  On the profile published required under subsection

  2  (1), the department shall indicate if the information provided

  3  under s. 455.565(1)(a)7. or s. 455.56505(3)(a)7. is not

  4  corroborated by a criminal history check conducted according

  5  to this subsection. If the information provided under s.

  6  455.565(1)(a)7. or s. 455.56505(3)(a)7. is corroborated by the

  7  criminal history check, the fact that the criminal history

  8  check was performed need not be indicated on the profile. The

  9  department, or the board having regulatory authority over the

10  practitioner acting on behalf of the department, shall

11  investigate any information received by the department or the

12  board when it has reasonable grounds to believe that the

13  practitioner has violated any law that relates to the

14  practitioner's practice.

15         (3)  The Department of Health may include in each

16  practitioner's practitioner profile that criminal information

17  that directly relates to the practitioner's ability to

18  competently practice his or her profession.  The department

19  must include in each practitioner's practitioner profile the

20  following statement:  "The criminal history information, if

21  any exists, may be incomplete; federal criminal history

22  information is not available to the public." The department

23  shall not publish a criminal conviction if such conviction has

24  been sealed, expunged, or pardoned.

25         (4)  The Department of Health shall include, with

26  respect to a practitioner licensed under chapter 458 or

27  chapter 459, a statement of how the practitioner has elected

28  to comply with the financial responsibility requirements of s.

29  458.320 or s. 459.0085. The department shall include, with

30  respect to practitioners subject to s. 455.694, a statement of

31  how the practitioner has elected to comply with the financial

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  1  responsibility requirements of that section. The department

  2  shall include, with respect to practitioners licensed under

  3  chapter 458, chapter 459, or chapter 461, or chapter 466,

  4  information relating to liability actions which has been

  5  reported under s. 455.697 or s. 627.912 within the previous 10

  6  years for any paid claim that exceeds $5,000. Such claims

  7  information shall be reported in the context of comparing an

  8  individual practitioner's claims to the experience of other

  9  practitioners physicians within the same specialty, or

10  profession if the practitioner is not a specialist, to the

11  extent such information is available to the Department of

12  Health. If information relating to a liability action is

13  included in a practitioner's practitioner profile, the profile

14  must also include the following statement:  "Settlement of a

15  claim may occur for a variety of reasons that do not

16  necessarily reflect negatively on the professional competence

17  or conduct of the practitioner physician.  A payment in

18  settlement of a medical malpractice action or claim should not

19  be construed as creating a presumption that medical

20  malpractice has occurred."

21         (5)  The Department of Health may not include

22  disciplinary action taken by a licensed hospital or an

23  ambulatory surgical center in the practitioner profile.

24         (6)  The Department of Health may include in the

25  practitioner's practitioner profile any other information that

26  is a public record of any governmental entity and that relates

27  to a practitioner's ability to competently practice his or her

28  profession.  However, the department must consult with the

29  board having regulatory authority over the practitioner before

30  such information is included in his or her profile.

31

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  1         (7)  Upon the completion of a practitioner profile

  2  under this section, the Department of Health shall furnish the

  3  practitioner who is the subject of the profile a copy of it.

  4  The practitioner has a period of 30 days in which to review

  5  the profile and to correct any factual inaccuracies in it. The

  6  Department of Health shall make the profile available to the

  7  public at the end of the 30-day period. The department shall

  8  make the profiles available to the public through the World

  9  Wide Web and other commonly used means of distribution.

10         (8)  Making a practitioner profile available to the

11  public under this section does not constitute agency action

12  for which a hearing under s. 120.57 may be sought.

13         Section 5.  Section 455.5653, Florida Statutes, is

14  amended to read:

15         455.5653  Practitioner profiles; data

16  storage.--Effective upon this act becoming a law, the

17  Department of Health must develop or contract for a computer

18  system to accommodate the new data collection and storage

19  requirements under this act pending the development and

20  operation of a computer system by the Department of Health for

21  handling the collection, input, revision, and update of data

22  submitted by physicians as a part of their initial licensure

23  or renewal to be compiled into individual practitioner

24  profiles. The Department of Health must incorporate any data

25  required by this act into the computer system used in

26  conjunction with the regulation of health care professions

27  under its jurisdiction. The department must develop, by the

28  year 2000, a schedule and procedures for each practitioner

29  within a health care profession regulated within the Division

30  of Medical Quality Assurance to submit relevant information to

31  be compiled into a profile to be made available to the public.

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  1  The Department of Health is authorized to contract with and

  2  negotiate any interagency agreement necessary to develop and

  3  implement the practitioner profiles. The Department of Health

  4  shall have access to any information or record maintained by

  5  the Agency for Health Care Administration, including any

  6  information or record that is otherwise confidential and

  7  exempt from the provisions of chapter 119 and s. 24(a), Art. I

  8  of the State Constitution, so that the Department of Health

  9  may corroborate any information that practitioners physicians

10  are required to report under s. 455.565 or s. 455.56505.

11         Section 6.  Section 455.5654, Florida Statutes, is

12  amended to read:

13         455.5654  Practitioner profiles; rules;

14  workshops.--Effective upon this act becoming a law, the

15  Department of Health shall adopt rules for the form of a

16  practitioner profile that the agency is required to prepare.

17  The Department of Health, pursuant to chapter 120, must hold

18  public workshops for purposes of rule development to implement

19  this section. An agency to which information is to be

20  submitted under this act may adopt by rule a form for the

21  submission of the information required under s. 455.565 or s.

22  455.56505.

23         Section 7.  Subsection (1) of section 455.567, Florida

24  Statutes, is amended to read:

25         455.567  Sexual misconduct; disqualification for

26  license, certificate, or registration.--

27         (1)  Sexual misconduct in the practice of a health care

28  profession means violation of the professional relationship

29  through which the health care practitioner uses such

30  relationship to engage or attempt to engage the patient or

31  client, or an immediate family member, guardian, or

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  1  representative of the patient or client in, or to induce or

  2  attempt to induce such person to engage in, verbal or physical

  3  sexual activity outside the scope of the professional practice

  4  of such health care profession. Sexual misconduct in the

  5  practice of a health care profession is prohibited.

  6         Section 8.  Paragraph (g) is added to subsection (1) of

  7  section 455.574, Florida Statutes, to read:

  8         455.574  Department of Health; examinations.--

  9         (1)

10         (g)  If the board or department purchases an

11  examination to test candidates for initial licensure, the

12  examination fee shall be set by rule of the appropriate board,

13  or the department when there is no board, in an amount not to

14  exceed the examination fee set forth in the applicable

15  practice act as of October 1, 1999, plus the actual

16  per-applicant cost to the board or department to purchase the

17  examination, notwithstanding any other provision of law to the

18  contrary.

19         Section 9.  Paragraphs (f) and (u) of subsection (1),

20  paragraph (c) of subsection (2), and subsection (3) of section

21  455.624, Florida Statutes, are amended, and paragraphs (y) and

22  (z) are added to subsection (1) of said section, to read:

23         455.624  Grounds for discipline; penalties;

24  enforcement.--

25         (1)  The following acts shall constitute grounds for

26  which the disciplinary actions specified in subsection (2) may

27  be taken:

28         (f)  Having a license or the authority to practice any

29  the regulated profession revoked, suspended, or otherwise

30  acted against, including the denial of licensure, by the

31  licensing authority of any jurisdiction, including its

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  1  agencies or subdivisions, for a violation that would

  2  constitute a violation under Florida law. The licensing

  3  authority's acceptance of a relinquishment of licensure,

  4  stipulation, consent order, or other settlement, offered in

  5  response to or in anticipation of the filing of charges

  6  against the license, shall be construed as action against the

  7  license.

  8         (u)  Engaging or attempting to engage in sexual

  9  misconduct as defined and prohibited in s. 455.567(1) a

10  patient or client in verbal or physical sexual activity. For

11  the purposes of this section, a patient or client shall be

12  presumed to be incapable of giving free, full, and informed

13  consent to verbal or physical sexual activity.

14         (y)  Being unable to practice with reasonable skill and

15  safety to patients by reason of illness or use of alcohol,

16  drugs, narcotics, chemicals, or any other type of material or

17  as a result of any mental or physical condition. In enforcing

18  this paragraph, the department shall have, upon a finding of

19  the secretary or the secretary's designee that probable cause

20  exists to believe that the licensee is unable to practice

21  because of the reasons stated in this paragraph, the authority

22  to issue an order to compel a licensee to submit to a mental

23  or physical examination by physicians designated by the

24  department. If the licensee refuses to comply with such order,

25  the department's order directing such examination may be

26  enforced by filing a petition for enforcement in the circuit

27  court where the licensee resides or does business. The

28  licensee against whom the petition is filed may not be named

29  or identified by initials in any public court records or

30  documents, and the proceedings shall be closed to the public.

31  The department shall be entitled to the summary procedure

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  1  provided in s. 51.011. A licensee or certificateholder

  2  affected under this paragraph shall at reasonable intervals be

  3  afforded an opportunity to demonstrate that he or she can

  4  resume the competent practice of his or her profession with

  5  reasonable skill and safety to patients.

  6         (z)  Testing positive for any drug, as defined in s.

  7  112.0455, on any confirmed preemployment or employer-ordered

  8  drug screening when the practitioner does not have a lawful

  9  prescription and legitimate medical reason for using such

10  drug.

11         (2)  When the board, or the department when there is no

12  board, finds any person guilty of the grounds set forth in

13  subsection (1) or of any grounds set forth in the applicable

14  practice act, including conduct constituting a substantial

15  violation of subsection (1) or a violation of the applicable

16  practice act which occurred prior to obtaining a license, it

17  may enter an order imposing one or more of the following

18  penalties:

19         (c)  Restriction of practice or license.

20

21  In determining what action is appropriate, the board, or

22  department when there is no board, must first consider what

23  sanctions are necessary to protect the public or to compensate

24  the patient. Only after those sanctions have been imposed may

25  the disciplining authority consider and include in the order

26  requirements designed to rehabilitate the practitioner. All

27  costs associated with compliance with orders issued under this

28  subsection are the obligation of the practitioner.

29         (3)(a)  Notwithstanding subsection (2), if the ground

30  for disciplinary action is the first-time failure of the

31  licensee to satisfy continuing education requirements

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  1  established by the board, or by the department if there is no

  2  board, the board or department, as applicable, shall issue a

  3  citation in accordance with s. 455.617 and assess a fine, as

  4  determined by the board or department by rule. In addition,

  5  for each hour of continuing education not completed or

  6  completed late, the board or department, as applicable, may

  7  require the licensee to take 1 additional hour of continuing

  8  education for each hour not completed or completed late.

  9         (b)  Notwithstanding subsection (2), if the ground for

10  disciplinary action is the first-time violation of a practice

11  act for unprofessional conduct, as used in ss. 464.018(1)(h),

12  467.203(1)(f), 468.365(1)(f), and 478.52(1)(f), and no actual

13  harm to the patient occurred, the board or department, as

14  applicable, shall issue a citation in accordance with s.

15  455.617 and assess a penalty as determined by rule of the

16  board or department.

17         Section 10.  For the purpose of incorporating the

18  amendment to section 455.624, Florida Statutes, in references

19  thereto, the sections or subdivisions of Florida Statutes set

20  forth below are reenacted to read:

21         455.577  Penalty for theft or reproduction of an

22  examination.--In addition to, or in lieu of, any other

23  discipline imposed pursuant to s. 455.624, the theft of an

24  examination in whole or in part or the act of reproducing or

25  copying any examination administered by the department,

26  whether such examination is reproduced or copied in part or in

27  whole and by any means, constitutes a felony of the third

28  degree, punishable as provided in s. 775.082, s. 775.083, or

29  s. 775.084.

30         455.631  Penalty for giving false information.--In

31  addition to, or in lieu of, any other discipline imposed

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  1  pursuant to s. 455.624, the act of knowingly giving false

  2  information in the course of applying for or obtaining a

  3  license from the department, or any board thereunder, with

  4  intent to mislead a public servant in the performance of his

  5  or her official duties, or the act of attempting to obtain or

  6  obtaining a license from the department, or any board

  7  thereunder, to practice a profession by knowingly misleading

  8  statements or knowing misrepresentations constitutes a felony

  9  of the third degree, punishable as provided in s. 775.082, s.

10  775.083, or s. 775.084.

11         455.651  Disclosure of confidential information.--

12         (2)  Any person who willfully violates any provision of

13  this section is guilty of a misdemeanor of the first degree,

14  punishable as provided in s. 775.082 or s. 775.083, and may be

15  subject to discipline pursuant to s. 455.624, and, if

16  applicable, shall be removed from office, employment, or the

17  contractual relationship.

18         455.712  Business establishments; requirements for

19  active status licenses.--

20         (1)  A business establishment regulated by the Division

21  of Medical Quality Assurance pursuant to this part may provide

22  regulated services only if the business establishment has an

23  active status license. A business establishment that provides

24  regulated services without an active status license is in

25  violation of this section and s. 455.624, and the board, or

26  the department if there is no board, may impose discipline on

27  the business establishment.

28         458.347  Physician assistants.--

29         (7)  PHYSICIAN ASSISTANT LICENSURE.--

30         (g)  The Board of Medicine may impose any of the

31  penalties specified in ss. 455.624 and 458.331(2) upon a

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  1  physician assistant if the physician assistant or the

  2  supervising physician has been found guilty of or is being

  3  investigated for any act that constitutes a violation of this

  4  chapter or part II of chapter 455.

  5         459.022  Physician assistants.--

  6         (7)  PHYSICIAN ASSISTANT LICENSURE.--

  7         (f)  The Board of Osteopathic Medicine may impose any

  8  of the penalties specified in ss. 455.624 and 459.015(2) upon

  9  a physician assistant if the physician assistant or the

10  supervising physician has been found guilty of or is being

11  investigated for any act that constitutes a violation of this

12  chapter or part II of chapter 455.

13         468.1755  Disciplinary proceedings.--

14         (1)  The following acts shall constitute grounds for

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

16         (a)  Violation of any provision of s. 455.624(1) or s.

17  468.1745(1).

18         468.719  Disciplinary actions.--

19         (1)  The following acts shall be grounds for

20  disciplinary actions provided for in subsection (2):

21         (a)  A violation of any law relating to the practice of

22  athletic training, including, but not limited to, any

23  violation of this part, s. 455.624, or any rule adopted

24  pursuant thereto.

25         (2)  When the board finds any person guilty of any of

26  the acts set forth in subsection (1), the board may enter an

27  order imposing one or more of the penalties provided in s.

28  455.624.

29         468.811  Disciplinary proceedings.--

30         (1)  The following acts are grounds for disciplinary

31  action against a licensee and the issuance of cease and desist

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  1  orders or other related action by the department, pursuant to

  2  s. 455.624, against any person who engages in or aids in a

  3  violation.

  4         (a)  Attempting to procure a license by fraudulent

  5  misrepresentation.

  6         (b)  Having a license to practice orthotics,

  7  prosthetics, or pedorthics revoked, suspended, or otherwise

  8  acted against, including the denial of licensure in another

  9  jurisdiction.

10         (c)  Being convicted or found guilty of or pleading

11  nolo contendere to, regardless of adjudication, in any

12  jurisdiction, a crime that directly relates to the practice of

13  orthotics, prosthetics, or pedorthics, including violations of

14  federal laws or regulations regarding orthotics, prosthetics,

15  or pedorthics.

16         (d)  Filing a report or record that the licensee knows

17  is false, intentionally or negligently failing to file a

18  report or record required by state or federal law, willfully

19  impeding or obstructing such filing, or inducing another

20  person to impede or obstruct such filing. Such reports or

21  records include only reports or records that are signed in a

22  person's capacity as a licensee under this act.

23         (e)  Advertising goods or services in a fraudulent,

24  false, deceptive, or misleading manner.

25         (f)  Violation of this act or part II of chapter 455,

26  or any rules adopted thereunder.

27         (g)  Violation of an order of the board, agency, or

28  department previously entered in a disciplinary hearing or

29  failure to comply with a subpoena issued by the board, agency,

30  or department.

31

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  1         (h)  Practicing with a revoked, suspended, or inactive

  2  license.

  3         (i)  Gross or repeated malpractice or the failure to

  4  deliver orthotic, prosthetic, or pedorthic services with that

  5  level of care and skill which is recognized by a reasonably

  6  prudent licensed practitioner with similar professional

  7  training as being acceptable under similar conditions and

  8  circumstances.

  9         (j)  Failing to provide written notice of any

10  applicable warranty for an orthosis, prosthesis, or pedorthic

11  device that is provided to a patient.

12         (2)  The board may enter an order imposing one or more

13  of the penalties in s. 455.624(2) against any person who

14  violates any provision of subsection (1).

15         484.056  Disciplinary proceedings.--

16         (1)  The following acts relating to the practice of

17  dispensing hearing aids shall be grounds for both disciplinary

18  action against a hearing aid specialist as set forth in this

19  section and cease and desist or other related action by the

20  department as set forth in s. 455.637 against any person

21  owning or operating a hearing aid establishment who engages

22  in, aids, or abets any such violation:

23         (a)  Violation of any provision of s. 455.624(1), s.

24  484.0512, or s. 484.053.

25         Section 11.  Section 455.704, Florida Statutes, is

26  repealed.

27         Section 12.  Subsections (1), (2), and (3) of section

28  455.707, Florida Statutes, are amended to read:

29         455.707  Treatment programs for impaired

30  practitioners.--

31

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  1         (1)  For professions that do not have impaired

  2  practitioner programs provided for in their practice acts, the

  3  department shall, by rule, designate approved impaired

  4  practitioner treatment programs under this section. The

  5  department may adopt rules setting forth appropriate criteria

  6  for approval of treatment providers based on the policies and

  7  guidelines established by the Impaired Practitioners

  8  Committee.  The rules may must specify the manner in which the

  9  consultant, retained as set forth in subsection (2), works

10  with the department in intervention, requirements for

11  evaluating and treating a professional, and requirements for

12  the continued care and monitoring of a professional by the

13  consultant by an approved at a department-approved treatment

14  provider.  The department shall not compel any impaired

15  practitioner program in existence on October 1, 1992, to serve

16  additional professions.

17         (2)  The department shall retain one or more impaired

18  practitioner consultants as recommended by the committee.  A

19  consultant shall be a licensee or recovered licensee under the

20  jurisdiction of the Division of Medical Quality Assurance

21  within the department, and at least one consultant must be a

22  practitioner or recovered practitioner licensed under chapter

23  458, chapter 459, or chapter 464.  The consultant shall assist

24  the probable cause panel and department in carrying out the

25  responsibilities of this section.  This shall include working

26  with department investigators to determine whether a

27  practitioner is, in fact, impaired.

28         (3)(a)  Whenever the department receives a written or

29  oral legally sufficient complaint alleging that a licensee

30  under the jurisdiction of the Division of Medical Quality

31  Assurance within the department is impaired as a result of the

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  1  misuse or abuse of alcohol or drugs, or both, or due to a

  2  mental or physical condition which could affect the licensee's

  3  ability to practice with skill and safety, and no complaint

  4  against the licensee other than impairment exists, the

  5  reporting of such information shall not constitute grounds for

  6  discipline pursuant to s. 455.624 or the corresponding grounds

  7  for discipline within the applicable practice act a complaint

  8  within the meaning of s. 455.621 if the probable cause panel

  9  of the appropriate board, or the department when there is no

10  board, finds:

11         1.  The licensee has acknowledged the impairment

12  problem.

13         2.  The licensee has voluntarily enrolled in an

14  appropriate, approved treatment program.

15         3.  The licensee has voluntarily withdrawn from

16  practice or limited the scope of practice as required by the

17  consultant determined by the panel, or the department when

18  there is no board, in each case, until such time as the panel,

19  or the department when there is no board, is satisfied the

20  licensee has successfully completed an approved treatment

21  program.

22         4.  The licensee has executed releases for medical

23  records, authorizing the release of all records of

24  evaluations, diagnoses, and treatment of the licensee,

25  including records of treatment for emotional or mental

26  conditions, to the consultant. The consultant shall make no

27  copies or reports of records that do not regard the issue of

28  the licensee's impairment and his or her participation in a

29  treatment program.

30         (b)  If, however, the department has not received a

31  legally sufficient complaint and the licensee agrees to

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  1  withdraw from practice until such time as the consultant

  2  determines the licensee has satisfactorily completed an

  3  approved treatment program or evaluation, the probable cause

  4  panel, or the department when there is no board, shall not

  5  become involved in the licensee's case.

  6         (c)  Inquiries related to impairment treatment programs

  7  designed to provide information to the licensee and others and

  8  which do not indicate that the licensee presents a danger to

  9  the public shall not constitute a complaint within the meaning

10  of s. 455.621 and shall be exempt from the provisions of this

11  subsection.

12         (d)  Whenever the department receives a legally

13  sufficient complaint alleging that a licensee is impaired as

14  described in paragraph (a) and no complaint against the

15  licensee other than impairment exists, the department shall

16  forward all information in its possession regarding the

17  impaired licensee to the consultant. For the purposes of this

18  section, a suspension from hospital staff privileges due to

19  the impairment does not constitute a complaint.

20         (e)  The probable cause panel, or the department when

21  there is no board, shall work directly with the consultant,

22  and all information concerning a practitioner obtained from

23  the consultant by the panel, or the department when there is

24  no board, shall remain confidential and exempt from the

25  provisions of s. 119.07(1), subject to the provisions of

26  subsections (5) and (6).

27         (f)  A finding of probable cause shall not be made as

28  long as the panel, or the department when there is no board,

29  is satisfied, based upon information it receives from the

30  consultant and the department, that the licensee is

31  progressing satisfactorily in an approved impaired

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  1  practitioner treatment program and no other complaint against

  2  the licensee exists.

  3         Section 13.  Subsection (1) of section 310.102, Florida

  4  Statutes, is amended to read:

  5         310.102  Treatment programs for impaired pilots and

  6  deputy pilots.--

  7         (1)  The department shall, by rule, designate approved

  8  treatment programs for impaired pilots and deputy pilots under

  9  this section. The department may adopt rules setting forth

10  appropriate criteria for approval of treatment providers based

11  on the policies and guidelines established by the Impaired

12  Practitioners Committee under s. 455.704.

13         Section 14.  Section 455.711, Florida Statutes, is

14  amended to read:

15         455.711  Licenses; active and inactive and delinquent

16  status; delinquency.--

17         (1)  A licensee may practice a profession only if the

18  licensee has an active status license. A licensee who

19  practices a profession without an active status license is in

20  violation of this section and s. 455.624, and the board, or

21  the department if there is no board, may impose discipline on

22  the licensee.

23         (2)  Each board, or the department if there is no

24  board, shall permit a licensee to choose, at the time of

25  licensure renewal, an active or inactive status. However, a

26  licensee who changes from inactive to active status is not

27  eligible to return to inactive status until the licensee

28  thereafter completes a licensure cycle on active status.

29         (3)  Each board, or the department if there is no

30  board, shall by rule impose a fee for renewal of an active or

31  inactive status license. The renewal fee for an inactive

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  1  status license may not exceed which is no greater than the fee

  2  for an active status license.

  3         (4)  Notwithstanding any other provision of law to the

  4  contrary, a licensee may change licensure status at any time.

  5         (a)  Active status licensees choosing inactive status

  6  at the time of license renewal must pay the inactive status

  7  renewal fee, and, if applicable, the delinquency fee and the

  8  fee to change licensure status. Active status licensees

  9  choosing inactive status at any other time than at the time of

10  license renewal must pay the fee to change licensure status.

11         (b)  An inactive status licensee may change to active

12  status at any time, if the licensee meets all requirements for

13  active status, pays any additional licensure fees necessary to

14  equal those imposed on an active status licensee, pays any

15  applicable reactivation fees as set by the board, or the

16  department if there is no board, and meets all continuing

17  education requirements as specified in this section. Inactive

18  status licensees choosing active status at the time of license

19  renewal must pay the active status renewal fee, any applicable

20  reactivation fees as set by the board, or the department if

21  there is no board, and, if applicable, the delinquency fee and

22  the fee to change licensure status. Inactive status licensees

23  choosing active status at any other time than at the time of

24  license renewal must pay the difference between the inactive

25  status renewal fee and the active status renewal fee, if any

26  exists, any applicable reactivation fees as set by the board,

27  or the department if there is no board, and the fee to change

28  licensure status.

29         (5)  A licensee must apply with a complete application,

30  as defined by rule of the board, or the department if there is

31  no board, to renew an active status or inactive status license

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  1  before the license expires. If a licensee fails to renew

  2  before the license expires, the license becomes delinquent in

  3  the license cycle following expiration.

  4         (6)  A delinquent status licensee must affirmatively

  5  apply with a complete application, as defined by rule of the

  6  board, or the department if there is no board, for active or

  7  inactive status during the licensure cycle in which a licensee

  8  becomes delinquent. Failure by a delinquent status licensee to

  9  become active or inactive before the expiration of the current

10  licensure cycle renders the license null without any further

11  action by the board or the department. Any subsequent

12  licensure shall be as a result of applying for and meeting all

13  requirements imposed on an applicant for new licensure.

14         (7)  Each board, or the department if there is no

15  board, shall by rule impose an additional delinquency fee, not

16  to exceed the biennial renewal fee for an active status

17  license, on a delinquent status licensee when such licensee

18  applies for active or inactive status.

19         (8)  Each board, or the department if there is no

20  board, shall by rule impose an additional fee, not to exceed

21  the biennial renewal fee for an active status license, for

22  processing a licensee's request to change licensure status at

23  any time other than at the beginning of a licensure cycle.

24         (9)  Each board, or the department if there is no

25  board, may by rule impose reasonable conditions, excluding

26  full reexamination but including part of a national

27  examination or a special purpose examination to assess current

28  competency, necessary to ensure that a licensee who has been

29  on inactive status for more than two consecutive biennial

30  licensure cycles and who applies for active status can

31  practice with the care and skill sufficient to protect the

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  1  health, safety, and welfare of the public. Reactivation

  2  requirements may differ depending on the length of time

  3  licensees are inactive. The costs to meet reactivation

  4  requirements shall be borne by licensees requesting

  5  reactivation.

  6         (10)  Before reactivation, an inactive status licensee

  7  or a delinquent licensee who was inactive prior to becoming

  8  delinquent must meet the same continuing education

  9  requirements, if any, imposed on an active status licensee for

10  all biennial licensure periods in which the licensee was

11  inactive or delinquent.

12         (11)  The status or a change in status of a licensee

13  does not alter in any way the right of the board, or of the

14  department if there is no board, to impose discipline or to

15  enforce discipline previously imposed on a licensee for acts

16  or omissions committed by the licensee while holding a

17  license, whether active, inactive, or delinquent.

18         (12)  This section does not apply to a business

19  establishment registered, permitted, or licensed by the

20  department to do business.

21         (13)  The board, or the department when there is no

22  board, may adopt rules pursuant to ss. 120.536(1) and 120.54

23  as necessary to implement this section.

24         Section 15.  Subsection (3) of section 455.587, Florida

25  Statutes, is amended to read:

26         455.587  Fees; receipts; disposition.--

27         (3)  Each board, or the department if there is no

28  board, may, by rule, assess and collect a one-time fee from

29  each active status licensee and each voluntary inactive status

30  licensee in an amount necessary to eliminate a cash deficit

31  or, if there is not a cash deficit, in an amount sufficient to

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  1  maintain the financial integrity of the professions as

  2  required in this section. Not more than one such assessment

  3  may be made in any 4-year period without specific legislative

  4  authorization.

  5         Section 16.  Subsection (1) of section 455.714, Florida

  6  Statutes, is amended to read:

  7         455.714  Renewal and cancellation notices.--

  8         (1)  At least 90 days before the end of a licensure

  9  cycle, the department shall:

10         (a)  Forward a licensure renewal notification to an

11  active or inactive status licensee at the licensee's last

12  known address of record with the department.

13         (b)  Forward a notice of pending cancellation of

14  licensure to a delinquent status licensee at the licensee's

15  last known address of record with the department.

16         Section 17.  Section 455.719, Florida Statutes, is

17  created to read:

18         455.719  Health care professionals; exemption from

19  disqualification from employment or contracting.--Any other

20  provision of law to the contrary notwithstanding, only the

21  appropriate regulatory board, or the department when there is

22  no board, may grant an exemption from disqualification from

23  employment or contracting as provided in s. 435.07 to a person

24  under the licensing jurisdiction of that board or the

25  department, as applicable.

26         Section 18.  Paragraph (a) of subsection (4) of section

27  943.0585, Florida Statutes, is amended to read:

28         943.0585  Court-ordered expunction of criminal history

29  records.--The courts of this state have jurisdiction over

30  their own procedures, including the maintenance, expunction,

31  and correction of judicial records containing criminal history

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  1  information to the extent such procedures are not inconsistent

  2  with the conditions, responsibilities, and duties established

  3  by this section.  Any court of competent jurisdiction may

  4  order a criminal justice agency to expunge the criminal

  5  history record of a minor or an adult who complies with the

  6  requirements of this section.  The court shall not order a

  7  criminal justice agency to expunge a criminal history record

  8  until the person seeking to expunge a criminal history record

  9  has applied for and received a certificate of eligibility for

10  expunction pursuant to subsection (2).  A criminal history

11  record that relates to a violation of chapter 794, s. 800.04,

12  s. 817.034, s. 827.071, chapter 839, s. 893.135, or a

13  violation enumerated in s. 907.041 may not be expunged,

14  without regard to whether adjudication was withheld, if the

15  defendant was found guilty of or pled guilty or nolo

16  contendere to the offense, or if the defendant, as a minor,

17  was found to have committed, or pled guilty or nolo contendere

18  to committing, the offense as a delinquent act. The court may

19  only order expunction of a criminal history record pertaining

20  to one arrest or one incident of alleged criminal activity,

21  except as provided in this section. The court may, at its sole

22  discretion, order the expunction of a criminal history record

23  pertaining to more than one arrest if the additional arrests

24  directly relate to the original arrest. If the court intends

25  to order the expunction of records pertaining to such

26  additional arrests, such intent must be specified in the

27  order. A criminal justice agency may not expunge any record

28  pertaining to such additional arrests if the order to expunge

29  does not articulate the intention of the court to expunge a

30  record pertaining to more than one arrest. This section does

31  not prevent the court from ordering the expunction of only a

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  1  portion of a criminal history record pertaining to one arrest

  2  or one incident of alleged criminal activity.  Notwithstanding

  3  any law to the contrary, a criminal justice agency may comply

  4  with laws, court orders, and official requests of other

  5  jurisdictions relating to expunction, correction, or

  6  confidential handling of criminal history records or

  7  information derived therefrom.  This section does not confer

  8  any right to the expunction of any criminal history record,

  9  and any request for expunction of a criminal history record

10  may be denied at the sole discretion of the court.

11         (4)  EFFECT OF CRIMINAL HISTORY RECORD EXPUNCTION.--Any

12  criminal history record of a minor or an adult which is

13  ordered expunged by a court of competent jurisdiction pursuant

14  to this section must be physically destroyed or obliterated by

15  any criminal justice agency having custody of such record;

16  except that any criminal history record in the custody of the

17  department must be retained in all cases. A criminal history

18  record ordered expunged that is retained by the department is

19  confidential and exempt from the provisions of s. 119.07(1)

20  and s. 24(a), Art. I of the State Constitution and not

21  available to any person or entity except upon order of a court

22  of competent jurisdiction. A criminal justice agency may

23  retain a notation indicating compliance with an order to

24  expunge.

25         (a)  The person who is the subject of a criminal

26  history record that is expunged under this section or under

27  other provisions of law, including former s. 893.14, former s.

28  901.33, and former s. 943.058, may lawfully deny or fail to

29  acknowledge the arrests covered by the expunged record, except

30  when the subject of the record:

31

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  1         1.  Is a candidate for employment with a criminal

  2  justice agency;

  3         2.  Is a defendant in a criminal prosecution;

  4         3.  Concurrently or subsequently petitions for relief

  5  under this section or s. 943.059;

  6         4.  Is a candidate for admission to The Florida Bar;

  7         5.  Is seeking to be employed or licensed by or to

  8  contract with the Department of Children and Family Services

  9  or the Department of Juvenile Justice or to be employed or

10  used by such contractor or licensee in a sensitive position

11  having direct contact with children, the developmentally

12  disabled, the aged, or the elderly as provided in s.

13  110.1127(3), s. 393.063(15), s. 394.4572(1), s. 397.451, s.

14  402.302(3), s. 402.313(3), s. 409.175(2)(i), s. 415.102(4), s.

15  415.1075(4), s. 985.407, or chapter 400; or

16         6.  Is seeking to be employed or licensed by the Office

17  of Teacher Education, Certification, Staff Development, and

18  Professional Practices of the Department of Education, any

19  district school board, or any local governmental entity that

20  licenses child care facilities; or.

21         7.  Is seeking to be employed or licensed by or to

22  contract with the Department of Health or to be employed or

23  used by such contractor or licensee in a sensitive position

24  having direct contact with children, the developmentally

25  disabled, the aged, or the elderly as provided in s.

26  110.1127(3), s. 393.063(15), s. 394.4572(1), s. 397.451, s.

27  402.302(3), s. 402.313(3), s. 409.175(2)(i), s. 415.102(4), s.

28  415.1075(4), s. 985.407, or chapter 400.

29         Section 19.  Pursuant to section 187 of chapter 99-397,

30  Laws of Florida, the Agency for Health Care Administration was

31  directed to conduct a detailed study and analysis of clinical

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  1  laboratory services for kidney dialysis patients in the State

  2  of Florida and to report back to the Legislature no later than

  3  February 1, 2000. The agency reported that additional time and

  4  investigative resources were necessary to adequately respond

  5  to the legislative directives. Therefore, the sum of $230,000

  6  from the Agency for Health Care Administration Tobacco

  7  Settlement Trust Fund is appropriated to the Agency for Health

  8  Care Administration to contract with the University of South

  9  Florida to conduct a review of laboratory test utilization,

10  any self-referral to clinical laboratories, financial

11  arrangements among kidney dialysis centers, their medical

12  directors, referring physicians, and any business

13  relationships and affiliations with clinical laboratories, and

14  the quality and effectiveness of kidney dialysis treatment in

15  this state. A report on the findings from such review shall be

16  presented to the President of the Senate, the Speaker of the

17  House of Representatives, and the chairs of the appropriate

18  substantive committees of the Legislature no later than

19  February 1, 2001.

20         Section 20.  Section 455.637, Florida Statutes, is

21  amended to read:

22         455.637  Unlicensed practice of a health care

23  profession; intent; cease and desist notice; penalties civil

24  penalty; enforcement; citations; fees; allocation and

25  disposition of moneys collected.--

26         (1)  It is the intent of the Legislature that vigorous

27  enforcement of licensure regulation for all health care

28  professions is a state priority in order to protect Florida

29  residents and visitors from the potentially serious and

30  dangerous consequences of receiving medical and health care

31  services from unlicensed persons whose professional education

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  1  and training and other relevant qualifications have not been

  2  approved through the issuance of a license by the appropriate

  3  regulatory board or the department when there is no board. The

  4  unlicensed practice of a health care profession or the

  5  performance or delivery of medical or health care services to

  6  patients in this state without a valid, active license to

  7  practice that profession, regardless of the means of the

  8  performance or delivery of such services, is strictly

  9  prohibited.

10         (2)  The penalties for unlicensed practice of a health

11  care profession shall include the following:

12         (a)(1)  When the department has probable cause to

13  believe that any person not licensed by the department, or the

14  appropriate regulatory board within the department, has

15  violated any provision of this part or any statute that

16  relates to the practice of a profession regulated by the

17  department, or any rule adopted pursuant thereto, the

18  department may issue and deliver to such person a notice to

19  cease and desist from such violation. In addition, the

20  department may issue and deliver a notice to cease and desist

21  to any person who aids and abets the unlicensed practice of a

22  profession by employing such unlicensed person. The issuance

23  of a notice to cease and desist shall not constitute agency

24  action for which a hearing under ss. 120.569 and 120.57 may be

25  sought. For the purpose of enforcing a cease and desist order,

26  the department may file a proceeding in the name of the state

27  seeking issuance of an injunction or a writ of mandamus

28  against any person who violates any provisions of such order.

29         (b)  In addition to the foregoing remedies under

30  paragraph (a), the department may impose by citation an

31  administrative penalty not to exceed $5,000 per incident

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  1  pursuant to the provisions of chapter 120 or may issue a

  2  citation pursuant to the provisions of subsection (3). The

  3  citation shall be issued to the subject and shall contain the

  4  subject's name and any other information the department

  5  determines to be necessary to identify the subject, a brief

  6  factual statement, the sections of the law allegedly violated,

  7  and the penalty imposed. If the subject does not dispute the

  8  matter in the citation with the department within 30 days

  9  after the citation is served, the citation shall become a

10  final order of the department. The department may adopt rules

11  to implement this section. The penalty shall be a fine of not

12  less than $500 nor more than $5,000 as established by rule of

13  the department. Each day that the unlicensed practice

14  continues after issuance of a notice to cease and desist

15  constitutes a separate violation. The department shall be

16  entitled to recover the costs of investigation and prosecution

17  in addition to the fine levied pursuant to the citation.

18  Service of a citation may be made by personal service or by

19  mail to the subject at the subject's last known address or

20  place of practice. If the department is required to seek

21  enforcement of the cease and desist or agency order for a

22  penalty pursuant to s. 120.569, it shall be entitled to

23  collect its attorney's fees and costs, together with any cost

24  of collection.

25         (c)(2)  In addition to or in lieu of any other

26  administrative remedy provided in subsection (1), the

27  department may seek the imposition of a civil penalty through

28  the circuit court for any violation for which the department

29  may issue a notice to cease and desist under subsection (1).

30  The civil penalty shall be no less than $500 and no more than

31  $5,000 for each offense. The court may also award to the

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  1  prevailing party court costs and reasonable attorney fees and,

  2  in the event the department prevails, may also award

  3  reasonable costs of investigation and prosecution.

  4         (d)  In addition to the administrative and civil

  5  remedies under paragraphs (b) and (c) and in addition to the

  6  criminal violations and penalties listed in the individual

  7  health care practice acts:

  8         1.  It is a felony of the third degree, punishable as

  9  provided in s. 775.082, s. 775.083, or s. 775.084, to

10  practice, attempt to practice, or offer to practice a health

11  care profession without an active, valid Florida license to

12  practice that profession. Practicing without an active, valid

13  license also includes practicing on a suspended, revoked, or

14  void license, but does not include practicing, attempting to

15  practice, or offering to practice with an inactive or

16  delinquent license for a period of up to 12 months which is

17  addressed in subparagraph 3. Applying for employment for a

18  position that requires a license without notifying the

19  employer that the person does not currently possess a valid,

20  active license to practice that profession shall be deemed to

21  be an attempt or offer to practice that health care profession

22  without a license. Holding oneself out, regardless of the

23  means of communication, as able to practice a health care

24  profession or as able to provide services that require a

25  health care license shall be deemed to be an attempt or offer

26  to practice such profession without a license. The minimum

27  penalty for violating this subparagraph shall be a fine of

28  $1,000 and a minimum mandatory period of incarceration of 1

29  year.

30         2.  It is a felony of the second degree, punishable as

31  provided in s. 775.082, s. 775.083, or s. 775.084, to practice

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  1  a health care profession without an active, valid Florida

  2  license to practice that profession when such practice results

  3  in serious bodily injury. For purposes of this section,

  4  "serious bodily injury" means death; brain or spinal damage;

  5  disfigurement; fracture or dislocation of bones or joints;

  6  limitation of neurological, physical, or sensory function; or

  7  any condition that required subsequent surgical repair. The

  8  minimum penalty for violating this subparagraph shall be a

  9  fine of $1,000 and a minimum mandatory period of incarceration

10  of 1 year.

11         3.  It is a misdemeanor of the first degree, punishable

12  as provided in s. 775.082 or s. 775.083, to practice, attempt

13  to practice, or offer to practice a health care profession

14  with an inactive or delinquent license for any period of time

15  up to 12 months. However, practicing, attempting to practice,

16  or offering to practice a health care profession when that

17  person's license has been inactive or delinquent for a period

18  of time of 12 months or more shall be a felony of the third

19  degree, punishable as provided in s. 775.082, s. 775.083, or

20  s. 775.084. The minimum penalty for violating this

21  subparagraph shall be a term of imprisonment of 30 days and a

22  fine of $500.

23         (3)  Because all enforcement costs should be covered by

24  professions regulated by the department, the department shall

25  impose, upon initial licensure and each licensure renewal, a

26  special fee of $5 per licensee to fund efforts to combat

27  unlicensed activity. Such fee shall be in addition to all

28  other fees collected from each licensee. The board with

29  concurrence of the department, or the department when there is

30  no board, may earmark $5 of the current licensure fee for this

31  purpose, if such board, or profession regulated by the

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  1  department, is not in a deficit and has a reasonable cash

  2  balance. The department shall make direct charges to the

  3  Medical Quality Assurance Trust Fund by profession. The

  4  department shall seek board advice regarding enforcement

  5  methods and strategies. The department shall directly credit

  6  the Medical Quality Assurance Trust Fund, by profession, with

  7  the revenues received from the department's efforts to enforce

  8  licensure provisions. The department shall include all

  9  financial and statistical data resulting from unlicensed

10  activity enforcement as a separate category in the quarterly

11  management report provided for in s. 455.587. For an

12  unlicensed activity account, a balance which remains at the

13  end of a renewal cycle may, with concurrence of the applicable

14  board and the department, be transferred to the operating fund

15  account of that profession. The department shall also use

16  these funds to inform and educate consumers generally on the

17  importance of using licensed health care practitioners.

18         (3)(a)  Notwithstanding the provisions of s. 455.621,

19  the department shall adopt rules to permit the issuance of

20  citations for unlicensed practice of a profession. The

21  citation shall be issued to the subject and shall contain the

22  subject's name and any other information the department

23  determines to be necessary to identify the subject, a brief

24  factual statement, the sections of the law allegedly violated,

25  and the penalty imposed. The citation must clearly state that

26  the subject may choose, in lieu of accepting the citation, to

27  follow the procedure under s. 455.621. If the subject disputes

28  the matter in the citation, the procedures set forth in s.

29  455.621 must be followed. However, if the subject does not

30  dispute the matter in the citation with the department within

31  30 days after the citation is served, the citation shall

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  1  become a final order of the department. The penalty shall be a

  2  fine of not less than $500 or more than $5,000 or other

  3  conditions as established by rule.

  4         (b)  Each day that the unlicensed practice continues

  5  after issuance of a citation constitutes a separate violation.

  6         (c)  The department shall be entitled to recover the

  7  costs of investigation, in addition to any penalty provided

  8  according to department rule as part of the penalty levied

  9  pursuant to the citation.

10         (d)  Service of a citation may be made by personal

11  service or certified mail, restricted delivery, to the subject

12  at the subject's last known address.

13         (4)  All fines, fees, and costs collected through the

14  procedures set forth in this section shall be allocated to the

15  professions in the manner provided for in s. 455.641 for the

16  allocation of the fees assessed and collected to combat

17  unlicensed practice of a profession.

18         (4)(5)  The provisions of this section apply only to

19  health care the professional practice acts administered by the

20  department.

21         Section 21.  The amendment of s. 455.637, Florida

22  Statutes, by this act applies to offenses committed on or

23  after the effective date of such section.

24         Section 22.  Section 455.641, Florida Statutes, is

25  repealed.

26         Section 23.  For the purpose of incorporating the

27  amendment to section 455.637, Florida Statutes, in references

28  thereto, the sections or subdivisions of Florida Statutes set

29  forth below are reenacted to read:

30         455.574  Department of Health; examinations.--

31         (1)

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  1         (d)  Each board, or the department when there is no

  2  board, shall adopt rules regarding the security and monitoring

  3  of examinations.  The department shall implement those rules

  4  adopted by the respective boards.  In order to maintain the

  5  security of examinations, the department may employ the

  6  procedures set forth in s. 455.637 to seek fines and

  7  injunctive relief against an examinee who violates the

  8  provisions of s. 455.577 or the rules adopted pursuant to this

  9  paragraph.  The department, or any agent thereof, may, for the

10  purposes of investigation, confiscate any written,

11  photographic, or recording material or device in the

12  possession of the examinee at the examination site which the

13  department deems necessary to enforce such provisions or

14  rules.

15         468.1295  Disciplinary proceedings.--

16         (1)  The following acts constitute grounds for both

17  disciplinary actions as set forth in subsection (2) and cease

18  and desist or other related actions by the department as set

19  forth in s. 455.637:

20         (a)  Procuring or attempting to procure a license by

21  bribery, by fraudulent misrepresentation, or through an error

22  of the department or the board.

23         (b)  Having a license revoked, suspended, or otherwise

24  acted against, including denial of licensure, by the licensing

25  authority of another state, territory, or country.

26         (c)  Being convicted or found guilty of, or entering a

27  plea of nolo contendere to, regardless of adjudication, a

28  crime in any jurisdiction which directly relates to the

29  practice of speech-language pathology or audiology.

30         (d)  Making or filing a report or record which the

31  licensee knows to be false, intentionally or negligently

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  1  failing to file a report or records required by state or

  2  federal law, willfully impeding or obstructing such filing, or

  3  inducing another person to impede or obstruct such filing.

  4  Such report or record shall include only those reports or

  5  records which are signed in one's capacity as a licensed

  6  speech-language pathologist or audiologist.

  7         (e)  Advertising goods or services in a manner which is

  8  fraudulent, false, deceptive, or misleading in form or

  9  content.

10         (f)  Being proven guilty of fraud or deceit or of

11  negligence, incompetency, or misconduct in the practice of

12  speech-language pathology or audiology.

13         (g)  Violating a lawful order of the board or

14  department previously entered in a disciplinary hearing, or

15  failing to comply with a lawfully issued subpoena of the board

16  or department.

17         (h)  Practicing with a revoked, suspended, inactive, or

18  delinquent license.

19         (i)  Using, or causing or promoting the use of, any

20  advertising matter, promotional literature, testimonial,

21  guarantee, warranty, label, brand, insignia, or other

22  representation, however disseminated or published, which is

23  misleading, deceiving, or untruthful.

24         (j)  Showing or demonstrating or, in the event of sale,

25  delivery of a product unusable or impractical for the purpose

26  represented or implied by such action.

27         (k)  Failing to submit to the board on an annual basis,

28  or such other basis as may be provided by rule, certification

29  of testing and calibration of such equipment as designated by

30  the board and on the form approved by the board.

31

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  1         (l)  Aiding, assisting, procuring, employing, or

  2  advising any licensee or business entity to practice

  3  speech-language pathology or audiology contrary to this part,

  4  part II of chapter 455, or any rule adopted pursuant thereto.

  5         (m)  Violating any provision of this part or part II of

  6  chapter 455 or any rule adopted pursuant thereto.

  7         (n)  Misrepresenting the professional services

  8  available in the fitting, sale, adjustment, service, or repair

  9  of a hearing aid, or using any other term or title which might

10  connote the availability of professional services when such

11  use is not accurate.

12         (o)  Representing, advertising, or implying that a

13  hearing aid or its repair is guaranteed without providing full

14  disclosure of the identity of the guarantor; the nature,

15  extent, and duration of the guarantee; and the existence of

16  conditions or limitations imposed upon the guarantee.

17         (p)  Representing, directly or by implication, that a

18  hearing aid utilizing bone conduction has certain specified

19  features, such as the absence of anything in the ear or

20  leading to the ear, or the like, without disclosing clearly

21  and conspicuously that the instrument operates on the bone

22  conduction principle and that in many cases of hearing loss

23  this type of instrument may not be suitable.

24         (q)  Stating or implying that the use of any hearing

25  aid will improve or preserve hearing or prevent or retard the

26  progression of a hearing impairment or that it will have any

27  similar or opposite effect.

28         (r)  Making any statement regarding the cure of the

29  cause of a hearing impairment by the use of a hearing aid.

30         (s)  Representing or implying that a hearing aid is or

31  will be "custom-made," "made to order," or

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  1  "prescription-made," or in any other sense specially

  2  fabricated for an individual, when such is not the case.

  3         (t)  Canvassing from house to house or by telephone,

  4  either in person or by an agent, for the purpose of selling a

  5  hearing aid, except that contacting persons who have evidenced

  6  an interest in hearing aids, or have been referred as in need

  7  of hearing aids, shall not be considered canvassing.

  8         (u)  Failing to notify the department in writing of a

  9  change in current mailing and place-of-practice address within

10  30 days after such change.

11         (v)  Failing to provide all information as described in

12  ss. 468.1225(5)(b), 468.1245(1), and 468.1246.

13         (w)  Exercising influence on a client in such a manner

14  as to exploit the client for financial gain of the licensee or

15  of a third party.

16         (x)  Practicing or offering to practice beyond the

17  scope permitted by law or accepting and performing

18  professional responsibilities the licensee or

19  certificateholder knows, or has reason to know, the licensee

20  or certificateholder is not competent to perform.

21         (y)  Aiding, assisting, procuring, or employing any

22  unlicensed person to practice speech-language pathology or

23  audiology.

24         (z)  Delegating or contracting for the performance of

25  professional responsibilities by a person when the licensee

26  delegating or contracting for performance of such

27  responsibilities knows, or has reason to know, such person is

28  not qualified by training, experience, and authorization to

29  perform them.

30

31

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  1         (aa)  Committing any act upon a patient or client which

  2  would constitute sexual battery or which would constitute

  3  sexual misconduct as defined pursuant to s. 468.1296.

  4         (bb)  Being unable to practice the profession for which

  5  he or she is licensed or certified under this chapter with

  6  reasonable skill or competence as a result of any mental or

  7  physical condition or by reason of illness, drunkenness, or

  8  use of drugs, narcotics, chemicals, or any other substance. In

  9  enforcing this paragraph, upon a finding by the secretary, his

10  or her designee, or the board that probable cause exists to

11  believe that the licensee or certificateholder is unable to

12  practice the profession because of the reasons stated in this

13  paragraph, the department shall have the authority to compel a

14  licensee or certificateholder to submit to a mental or

15  physical examination by a physician, psychologist, clinical

16  social worker, marriage and family therapist, or mental health

17  counselor designated by the department or board.  If the

18  licensee or certificateholder refuses to comply with the

19  department's order directing the examination, such order may

20  be enforced by filing a petition for enforcement in the

21  circuit court in the circuit in which the licensee or

22  certificateholder resides or does business.  The department

23  shall be entitled to the summary procedure provided in s.

24  51.011.  A licensee or certificateholder affected under this

25  paragraph shall at reasonable intervals be afforded an

26  opportunity to demonstrate that he or she can resume the

27  competent practice for which he or she is licensed or

28  certified with reasonable skill and safety to patients.

29         484.014  Disciplinary actions.--

30         (1)  The following acts relating to the practice of

31  opticianry shall be grounds for both disciplinary action

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  1  against an optician as set forth in this section and cease and

  2  desist or other related action by the department as set forth

  3  in s. 455.637 against any person operating an optical

  4  establishment who engages in, aids, or abets any such

  5  violation:

  6         (a)  Procuring or attempting to procure a license by

  7  misrepresentation, bribery, or fraud or through an error of

  8  the department or the board.

  9         (b)  Procuring or attempting to procure a license for

10  any other person by making or causing to be made any false

11  representation.

12         (c)  Making or filing a report or record which the

13  licensee knows to be false, intentionally or negligently

14  failing to file a report or record required by federal or

15  state law, willfully impeding or obstructing such filing, or

16  inducing another person to do so. Such reports or records

17  shall include only those which the person is required to make

18  or file as an optician.

19         (d)  Failing to make fee or price information readily

20  available by providing such information upon request or upon

21  the presentation of a prescription.

22         (e)  Advertising goods or services in a manner which is

23  fraudulent, false, deceptive, or misleading in form or

24  content.

25         (f)  Fraud or deceit, or negligence, incompetency, or

26  misconduct, in the authorized practice of opticianry.

27         (g)  Violation or repeated violation of this part or of

28  part II of chapter 455 or any rules promulgated pursuant

29  thereto.

30         (h)  Practicing with a revoked, suspended, inactive, or

31  delinquent license.

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  1         (i)  Violation of a lawful order of the board or

  2  department previously entered in a disciplinary hearing or

  3  failing to comply with a lawfully issued subpoena of the

  4  department.

  5         (j)  Violation of any provision of s. 484.012.

  6         (k)  Conspiring with another licensee or with any

  7  person to commit an act, or committing an act, which would

  8  coerce, intimidate, or preclude another licensee from lawfully

  9  advertising her or his services.

10         (l)  Willfully submitting to any third-party payor a

11  claim for services which were not provided to a patient.

12         (m)  Failing to keep written prescription files.

13         (n)  Willfully failing to report any person who the

14  licensee knows is in violation of this part or of rules of the

15  department or the board.

16         (o)  Exercising influence on a client in such a manner

17  as to exploit the client for financial gain of the licensee or

18  of a third party.

19         (p)  Gross or repeated malpractice.

20         (q)  Permitting any person not licensed as an optician

21  in this state to fit or dispense any lenses, spectacles,

22  eyeglasses, or other optical devices which are part of the

23  practice of opticianry.

24         (r)  Being convicted or found guilty of, or entering a

25  plea of nolo contendere to, regardless of adjudication, in a

26  court of this state or other jurisdiction, a crime which

27  relates to the ability to practice opticianry or to the

28  practice of opticianry.

29         (s)  Having been disciplined by a regulatory agency in

30  another state for any offense that would constitute a

31  violation of Florida law or rules regulating opticianry.

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  1         (t)  Being unable to practice opticianry with

  2  reasonable skill and safety by reason of illness or use of

  3  drugs, narcotics, chemicals, or any other type of material or

  4  as a result of any mental or physical condition. An optician

  5  affected under this paragraph shall at reasonable intervals be

  6  afforded an opportunity to demonstrate that she or he can

  7  resume the competent practice of opticianry with reasonable

  8  skill and safety to her or his customers.

  9         484.056  Disciplinary proceedings.--

10         (1)  The following acts relating to the practice of

11  dispensing hearing aids shall be grounds for both disciplinary

12  action against a hearing aid specialist as set forth in this

13  section and cease and desist or other related action by the

14  department as set forth in s. 455.637 against any person

15  owning or operating a hearing aid establishment who engages

16  in, aids, or abets any such violation:

17         (a)  Violation of any provision of s. 455.624(1), s.

18  484.0512, or s. 484.053.

19         (b)  Attempting to procure a license to dispense

20  hearing aids by bribery, by fraudulent misrepresentations, or

21  through an error of the department or the board.

22         (c)  Having a license to dispense hearing aids revoked,

23  suspended, or otherwise acted against, including the denial of

24  licensure, by the licensing authority of another state,

25  territory, or country.

26         (d)  Being convicted or found guilty of, or entering a

27  plea of nolo contendere to, regardless of adjudication, a

28  crime in any jurisdiction which directly relates to the

29  practice of dispensing hearing aids or the ability to practice

30  dispensing hearing aids, including violations of any federal

31  laws or regulations regarding hearing aids.

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  1         (e)  Making or filing a report or record which the

  2  licensee knows to be false, intentionally or negligently

  3  failing to file a report or record required by state or

  4  federal law, willfully impeding or obstructing such filing, or

  5  inducing another person to impede or obstruct such filing.

  6  Such reports or records shall include only those reports or

  7  records which are signed in one's capacity as a licensed

  8  hearing aid specialist.

  9         (f)  Advertising goods or services in a manner which is

10  fraudulent, false, deceptive, or misleading in form or

11  content.

12         (g)  Proof that the licensee is guilty of fraud or

13  deceit or of negligence, incompetency, or misconduct in the

14  practice of dispensing hearing aids.

15         (h)  Violation or repeated violation of this part or of

16  part II of chapter 455, or any rules promulgated pursuant

17  thereto.

18         (i)  Violation of a lawful order of the board or

19  department previously entered in a disciplinary hearing or

20  failure to comply with a lawfully issued subpoena of the board

21  or department.

22         (j)  Practicing with a revoked, suspended, inactive, or

23  delinquent license.

24         (k)  Using, or causing or promoting the use of, any

25  advertising matter, promotional literature, testimonial,

26  guarantee, warranty, label, brand, insignia, or other

27  representation, however disseminated or published, which is

28  misleading, deceiving, or untruthful.

29         (l)  Showing or demonstrating, or, in the event of

30  sale, delivery of, a product unusable or impractical for the

31  purpose represented or implied by such action.

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  1         (m)  Misrepresentation of professional services

  2  available in the fitting, sale, adjustment, service, or repair

  3  of a hearing aid, or use of the terms "doctor," "clinic,"

  4  "clinical," "medical audiologist," "clinical audiologist,"

  5  "research audiologist," or "audiologic" or any other term or

  6  title which might connote the availability of professional

  7  services when such use is not accurate.

  8         (n)  Representation, advertisement, or implication that

  9  a hearing aid or its repair is guaranteed without providing

10  full disclosure of the identity of the guarantor; the nature,

11  extent, and duration of the guarantee; and the existence of

12  conditions or limitations imposed upon the guarantee.

13         (o)  Representing, directly or by implication, that a

14  hearing aid utilizing bone conduction has certain specified

15  features, such as the absence of anything in the ear or

16  leading to the ear, or the like, without disclosing clearly

17  and conspicuously that the instrument operates on the bone

18  conduction principle and that in many cases of hearing loss

19  this type of instrument may not be suitable.

20         (p)  Making any predictions or prognostications as to

21  the future course of a hearing impairment, either in general

22  terms or with reference to an individual person.

23         (q)  Stating or implying that the use of any hearing

24  aid will improve or preserve hearing or prevent or retard the

25  progression of a hearing impairment or that it will have any

26  similar or opposite effect.

27         (r)  Making any statement regarding the cure of the

28  cause of a hearing impairment by the use of a hearing aid.

29         (s)  Representing or implying that a hearing aid is or

30  will be "custom-made," "made to order," or "prescription-made"

31

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  1  or in any other sense specially fabricated for an individual

  2  person when such is not the case.

  3         (t)  Canvassing from house to house or by telephone

  4  either in person or by an agent for the purpose of selling a

  5  hearing aid, except that contacting persons who have evidenced

  6  an interest in hearing aids, or have been referred as in need

  7  of hearing aids, shall not be considered canvassing.

  8         (u)  Failure to submit to the board on an annual basis,

  9  or such other basis as may be provided by rule, certification

10  of testing and calibration of audiometric testing equipment on

11  the form approved by the board.

12         (v)  Failing to provide all information as described in

13  s. 484.051(1).

14         (w)  Exercising influence on a client in such a manner

15  as to exploit the client for financial gain of the licensee or

16  of a third party.

17         Section 24.  Section 455.665, Florida Statutes, is

18  created to read:

19         455.665  Advertisement by a health care practitioner

20  for a surgical procedure; required statement.--

21         (1)  In the text of any written advertisement for a

22  surgical procedure, the following statement must appear in

23  capital letters clearly distinguishable from the rest of the

24  text: "MANY SURGICAL PROCEDURES CARRY RISKS OF UNINTENDED

25  SERIOUS BODILY INJURY OR DEATH.  CONSULT A LICENSED

26  PRACTITIONER CONCERNING THESE RISKS BEFORE SUBMITTING TO ANY

27  SURGERY."

28         (2)  Any advertisement that has an audible component

29  must orally contain the statement required in subsection (1)

30  verbatim.

31

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  1         Section 25.  Paragraphs (a) and (g) of subsection (3)

  2  of section 921.0022, Florida Statutes, are amended to read:

  3         921.0022  Criminal Punishment Code; offense severity

  4  ranking chart.--

  5         (3)  OFFENSE SEVERITY RANKING CHART

  6

  7  Florida           Felony

  8  Statute           Degree             Description

  9

10                              (a)  LEVEL 1

11  24.118(3)(a)       3rd      Counterfeit or altered state

12                              lottery ticket.

13  212.054(2)(b)      3rd      Discretionary sales surtax;

14                              limitations, administration, and

15                              collection.

16  212.15(2)(b)       3rd      Failure to remit sales taxes,

17                              amount greater than $300 but less

18                              than $20,000.

19  319.30(5)          3rd      Sell, exchange, give away

20                              certificate of title or

21                              identification number plate.

22  319.35(1)(a)       3rd      Tamper, adjust, change, etc., an

23                              odometer.

24  320.26(1)(a)       3rd      Counterfeit, manufacture, or sell

25                              registration license plates or

26                              validation stickers.

27  322.212(1)         3rd      Possession of forged, stolen,

28                              counterfeit, or unlawfully issued

29                              driver's license; possession of

30                              simulated identification.

31

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  1  322.212(4)         3rd      Supply or aid in supplying

  2                              unauthorized driver's license or

  3                              identification card.

  4  322.212(5)(a)      3rd      False application for driver's

  5                              license or identification card.

  6  370.13(3)(a)       3rd      Molest any stone crab trap, line,

  7                              or buoy which is property of

  8                              licenseholder.

  9  370.135(1)         3rd      Molest any blue crab trap, line,

10                              or buoy which is property of

11                              licenseholder.

12  372.663(1)         3rd      Poach any alligator or

13                              crocodilia.

14  414.39(2)          3rd      Unauthorized use, possession,

15                              forgery, or alteration of food

16                              stamps, Medicaid ID, value

17                              greater than $200.

18  414.39(3)(a)       3rd      Fraudulent misappropriation of

19                              public assistance funds by

20                              employee/official, value more

21                              than $200.

22  443.071(1)         3rd      False statement or representation

23                              to obtain or increase

24                              unemployment compensation

25                              benefits.

26  458.327(1)(a)      3rd      Unlicensed practice of medicine.

27  466.026(1)(a)      3rd      Unlicensed practice of dentistry

28                              or dental hygiene.

29  509.151(1)         3rd      Defraud an innkeeper, food or

30                              lodging value greater than $300.

31

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  1  517.302(1)         3rd      Violation of the Florida

  2                              Securities and Investor

  3                              Protection Act.

  4  562.27(1)          3rd      Possess still or still apparatus.

  5  713.69             3rd      Tenant removes property upon

  6                              which lien has accrued, value

  7                              more than $50.

  8  812.014(3)(c)      3rd      Petit theft (3rd conviction);

  9                              theft of any property not

10                              specified in subsection (2).

11  812.081(2)         3rd      Unlawfully makes or causes to be

12                              made a reproduction of a trade

13                              secret.

14  815.04(4)(a)       3rd      Offense against intellectual

15                              property (i.e., computer

16                              programs, data).

17  817.52(2)          3rd      Hiring with intent to defraud,

18                              motor vehicle services.

19  826.01             3rd      Bigamy.

20  828.122(3)         3rd      Fighting or baiting animals.

21  831.04(1)          3rd      Any erasure, alteration, etc., of

22                              any replacement deed, map, plat,

23                              or other document listed in s.

24                              92.28.

25  831.31(1)(a)       3rd      Sell, deliver, or possess

26                              counterfeit controlled

27                              substances, all but s. 893.03(5)

28                              drugs.

29  832.041(1)         3rd      Stopping payment with intent to

30                              defraud $150 or more.

31

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  1  832.05

  2   (2)(b)&(4)(c)     3rd      Knowing, making, issuing

  3                              worthless checks $150 or more or

  4                              obtaining property in return for

  5                              worthless check $150 or more.

  6  838.015(3)         3rd      Bribery.

  7  838.016(1)         3rd      Public servant receiving unlawful

  8                              compensation.

  9  838.15(2)          3rd      Commercial bribe receiving.

10  838.16             3rd      Commercial bribery.

11  843.18             3rd      Fleeing by boat to elude a law

12                              enforcement officer.

13  847.011(1)(a)      3rd      Sell, distribute, etc., obscene,

14                              lewd, etc., material (2nd

15                              conviction).

16  849.01             3rd      Keeping gambling house.

17  849.09(1)(a)-(d)   3rd      Lottery; set up, promote, etc.,

18                              or assist therein, conduct or

19                              advertise drawing for prizes, or

20                              dispose of property or money by

21                              means of lottery.

22  849.23             3rd      Gambling-related machines;

23                              "common offender" as to property

24                              rights.

25  849.25(2)          3rd      Engaging in bookmaking.

26  860.08             3rd      Interfere with a railroad signal.

27  860.13(1)(a)       3rd      Operate aircraft while under the

28                              influence.

29  893.13(2)(a)2.     3rd      Purchase of cannabis.

30  893.13(6)(a)       3rd      Possession of cannabis (more than

31                              20 grams).

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  1  893.13(7)(a)10.    3rd      Affix false or forged label to

  2                              package of controlled substance.

  3  934.03(1)(a)       3rd      Intercepts, or procures any other

  4                              person to intercept, any wire or

  5                              oral communication.

  6                              (g)  LEVEL 7

  7  316.193(3)(c)2.    3rd      DUI resulting in serious bodily

  8                              injury.

  9  327.35(3)(c)2.     3rd      Vessel BUI resulting in serious

10                              bodily injury.

11  402.319(2)         2nd      Misrepresentation and negligence

12                              or intentional act resulting in

13                              great bodily harm, permanent

14                              disfiguration, permanent

15                              disability, or death.

16  409.920(2)         3rd      Medicaid provider fraud.

17  455.637(2)         3rd      Practicing a health care

18                              profession without a license.

19  455.637(2)         2nd      Practicing a health care

20                              profession without a license

21                              which results in serious bodily

22                              injury.

23  458.327(1)         3rd      Practicing medicine without a

24                              license.

25  459.013(1)         3rd      Practicing osteopathic medicine

26                              without a license.

27  460.411(1)         3rd      Practicing chiropractic medicine

28                              without a license.

29  461.012(1)         3rd      Practicing podiatric medicine

30                              without a license.

31

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  1  462.17             3rd      Practicing naturopathy without a

  2                              license.

  3  463.015(1)         3rd      Practicing optometry without a

  4                              license.

  5  464.016(1)         3rd      Practicing nursing without a

  6                              license.

  7  465.015(2)         3rd      Practicing pharmacy without a

  8                              license.

  9  466.026(1)         3rd      Practicing dentistry or dental

10                              hygiene without a license.

11  467.201            3rd      Practicing midwifery without a

12                              license.

13  468.366            3rd      Delivering respiratory care

14                              services without a license.

15  483.828(1)         3rd      Practicing as clinical laboratory

16                              personnel without a license.

17  483.901(9)         3rd      Practicing medical physics

18                              without a license.

19  484.053            3rd      Dispensing hearing aids without a

20                              license.

21  494.0018(2)        1st      Conviction of any violation of

22                              ss. 494.001-494.0077 in which the

23                              total money and property

24                              unlawfully obtained exceeded

25                              $50,000 and there were five or

26                              more victims.

27  782.051(3)         2nd      Attempted felony murder of a

28                              person by a person other than the

29                              perpetrator or the perpetrator of

30                              an attempted felony.

31

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  1  782.07(1)          2nd      Killing of a human being by the

  2                              act, procurement, or culpable

  3                              negligence of another

  4                              (manslaughter).

  5  782.071            2nd      Killing of human being or viable

  6                              fetus by the operation of a motor

  7                              vehicle in a reckless manner

  8                              (vehicular homicide).

  9  782.072            2nd      Killing of a human being by the

10                              operation of a vessel in a

11                              reckless manner (vessel

12                              homicide).

13  784.045(1)(a)1.    2nd      Aggravated battery; intentionally

14                              causing great bodily harm or

15                              disfigurement.

16  784.045(1)(a)2.    2nd      Aggravated battery; using deadly

17                              weapon.

18  784.045(1)(b)      2nd      Aggravated battery; perpetrator

19                              aware victim pregnant.

20  784.048(4)         3rd      Aggravated stalking; violation of

21                              injunction or court order.

22  784.07(2)(d)       1st      Aggravated battery on law

23                              enforcement officer.

24  784.08(2)(a)       1st      Aggravated battery on a person 65

25                              years of age or older.

26  784.081(1)         1st      Aggravated battery on specified

27                              official or employee.

28  784.082(1)         1st      Aggravated battery by detained

29                              person on visitor or other

30                              detainee.

31

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  1  784.083(1)         1st      Aggravated battery on code

  2                              inspector.

  3  790.07(4)          1st      Specified weapons violation

  4                              subsequent to previous conviction

  5                              of s. 790.07(1) or (2).

  6  790.16(1)          1st      Discharge of a machine gun under

  7                              specified circumstances.

  8  796.03             2nd      Procuring any person under 16

  9                              years for prostitution.

10  800.04(5)(c)1.     2nd      Lewd or lascivious molestation;

11                              victim less than 12 years of age;

12                              offender less than 18 years.

13  800.04(5)(c)2.     2nd      Lewd or lascivious molestation;

14                              victim 12 years of age or older

15                              but less than 16 years; offender

16                              18 years or older.

17  806.01(2)          2nd      Maliciously damage structure by

18                              fire or explosive.

19  810.02(3)(a)       2nd      Burglary of occupied dwelling;

20                              unarmed; no assault or battery.

21  810.02(3)(b)       2nd      Burglary of unoccupied dwelling;

22                              unarmed; no assault or battery.

23  810.02(3)(d)       2nd      Burglary of occupied conveyance;

24                              unarmed; no assault or battery.

25  812.014(2)(a)      1st      Property stolen, valued at

26                              $100,000 or more; property stolen

27                              while causing other property

28                              damage; 1st degree grand theft.

29

30

31

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  1  812.019(2)         1st      Stolen property; initiates,

  2                              organizes, plans, etc., the theft

  3                              of property and traffics in

  4                              stolen property.

  5  812.131(2)(a)      2nd      Robbery by sudden snatching.

  6  812.133(2)(b)      1st      Carjacking; no firearm, deadly

  7                              weapon, or other weapon.

  8  825.102(3)(b)      2nd      Neglecting an elderly person or

  9                              disabled adult causing great

10                              bodily harm, disability, or

11                              disfigurement.

12  825.1025(2)        2nd      Lewd or lascivious battery upon

13                              an elderly person or disabled

14                              adult.

15  825.103(2)(b)      2nd      Exploiting an elderly person or

16                              disabled adult and property is

17                              valued at $20,000 or more, but

18                              less than $100,000.

19  827.03(3)(b)       2nd      Neglect of a child causing great

20                              bodily harm, disability, or

21                              disfigurement.

22  827.04(3)          3rd      Impregnation of a child under 16

23                              years of age by person 21 years

24                              of age or older.

25  837.05(2)          3rd      Giving false information about

26                              alleged capital felony to a law

27                              enforcement officer.

28  872.06             2nd      Abuse of a dead human body.

29

30

31

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  1  893.13(1)(c)1.     1st      Sell, manufacture, or deliver

  2                              cocaine (or other drug prohibited

  3                              under s. 893.03(1)(a), (1)(b),

  4                              (1)(d), (2)(a), or (2)(b)) within

  5                              1,000 feet of a child care

  6                              facility or school.

  7  893.13(1)(e)       1st      Sell, manufacture, or deliver

  8                              cocaine or other drug prohibited

  9                              under s. 893.03(1)(a), (1)(b),

10                              (1)(d), (2)(a), or (2)(b), within

11                              1,000 feet of property used for

12                              religious services or a specified

13                              business site.

14  893.13(4)(a)       1st      Deliver to minor cocaine (or

15                              other s. 893.03(1)(a), (1)(b),

16                              (1)(d), (2)(a), or (2)(b) drugs).

17  893.135(1)(a)1.    1st      Trafficking in cannabis, more

18                              than 50 lbs., less than 2,000

19                              lbs.

20  893.135

21   (1)(b)1.a.        1st      Trafficking in cocaine, more than

22                              28 grams, less than 200 grams.

23  893.135

24   (1)(c)1.a.        1st      Trafficking in illegal drugs,

25                              more than 4 grams, less than 14

26                              grams.

27  893.135

28   (1)(d)1.          1st      Trafficking in phencyclidine,

29                              more than 28 grams, less than 200

30                              grams.

31

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  1  893.135(1)(e)1.    1st      Trafficking in methaqualone, more

  2                              than 200 grams, less than 5

  3                              kilograms.

  4  893.135(1)(f)1.    1st      Trafficking in amphetamine, more

  5                              than 14 grams, less than 28

  6                              grams.

  7  893.135

  8   (1)(g)1.a.        1st      Trafficking in flunitrazepam, 4

  9                              grams or more, less than 14

10                              grams.

11         Section 26.  Subsection (1) of section 458.327, Florida

12  Statutes, reads:

13         458.327  Penalty for violations.--

14         (1)  Each of the following acts constitutes a felony of

15  the third degree, punishable as provided in s. 775.082, s.

16  775.083, or s. 775.084:

17         (a)  The practice of medicine or an attempt to practice

18  medicine without a license to practice in Florida.

19         (b)  The use or attempted use of a license which is

20  suspended or revoked to practice medicine.

21         (c)  Attempting to obtain or obtaining a license to

22  practice medicine by knowing misrepresentation.

23         (d)  Attempting to obtain or obtaining a position as a

24  medical practitioner or medical resident in a clinic or

25  hospital through knowing misrepresentation of education,

26  training, or experience.

27         Section 27.  Subsection (1) of section 459.013, Florida

28  Statutes, reads:

29         459.013  Penalty for violations.--

30

31

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  1         (1)  Each of the following acts constitutes a felony of

  2  the third degree, punishable as provided in s. 775.082, s.

  3  775.083, or s. 775.084:

  4         (a)  The practice of osteopathic medicine, or an

  5  attempt to practice osteopathic medicine, without an active

  6  license or certificate issued pursuant to this chapter.

  7         (b)  The practice of osteopathic medicine by a person

  8  holding a limited license, osteopathic faculty certificate, or

  9  other certificate issued under this chapter beyond the scope

10  of practice authorized for such licensee or certificateholder.

11         (c)  Attempting to obtain or obtaining a license to

12  practice osteopathic medicine by knowing misrepresentation.

13         (d)  Attempting to obtain or obtaining a position as an

14  osteopathic medical practitioner or osteopathic medical

15  resident in a clinic or hospital through knowing

16  misrepresentation of education, training, or experience.

17         Section 28.  Subsection (1) of section 460.411, Florida

18  Statutes, reads:

19         460.411  Violations and penalties.--

20         (1)  Each of the following acts constitutes a violation

21  of this chapter and is a felony of the third degree,

22  punishable as provided in s. 775.082, s. 775.083, or s.

23  775.084:

24         (a)  Practicing or attempting to practice chiropractic

25  medicine without an active license or with a license

26  fraudulently obtained.

27         (b)  Using or attempting to use a license to practice

28  chiropractic medicine which has been suspended or revoked.

29         Section 29.  Subsection (1) of section 461.012, Florida

30  Statutes, reads:

31         461.012  Violations and penalties.--

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  1         (1)  Each of the following acts constitutes a violation

  2  of this chapter and is a felony of the third degree,

  3  punishable as provided in s. 775.082, s. 775.083, or s.

  4  775.084:

  5         (a)  Practicing or attempting to practice podiatric

  6  medicine without an active license or with a license

  7  fraudulently obtained.

  8         (b)  Advertising podiatric services without an active

  9  license obtained pursuant to this chapter or with a license

10  fraudulently obtained.

11         (c)  Using or attempting to use a license to practice

12  podiatric medicine which has been suspended or revoked.

13         Section 30.  Section 462.17, Florida Statutes, reads:

14         462.17  Penalty for offenses relating to

15  naturopathy.--Any person who shall:

16         (1)  Sell, fraudulently obtain, or furnish any

17  naturopathic diploma, license, record, or registration or aid

18  or abet in the same;

19         (2)  Practice naturopathy under the cover of any

20  diploma, license, record, or registration illegally or

21  fraudulently obtained or secured or issued unlawfully or upon

22  fraudulent representations;

23         (3)  Advertise to practice naturopathy under a name

24  other than her or his own or under an assumed name;

25         (4)  Falsely impersonate another practitioner of a like

26  or different name;

27         (5)  Practice or advertise to practice naturopathy or

28  use in connection with her or his name any designation tending

29  to imply or to designate the person as a practitioner of

30  naturopathy without then being lawfully licensed and

31  authorized to practice naturopathy in this state; or

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  1         (6)  Practice naturopathy during the time her or his

  2  license is suspended or revoked

  3

  4  shall be guilty of a felony of the third degree, punishable as

  5  provided in s. 775.082, s. 775.083, or s. 775.084.

  6         Section 31.  Subsection (1) of section 463.015, Florida

  7  Statutes, reads:

  8         463.015  Violations and penalties.--

  9         (1)  Each of the following acts constitutes a felony of

10  the third degree, punishable as provided in s. 775.082, s.

11  775.083, or s. 775.084:

12         (a)  Practicing or attempting to practice optometry

13  without a valid active license issued pursuant to this

14  chapter.

15         (b)  Attempting to obtain or obtaining a license to

16  practice optometry by fraudulent misrepresentation.

17         (c)  Using or attempting to use a license to practice

18  optometry which has been suspended or revoked.

19         Section 32.  Subsection (1) of section 464.016, Florida

20  Statutes, reads:

21         464.016  Violations and penalties.--

22         (1)  Each of the following acts constitutes a felony of

23  the third degree, punishable as provided in s. 775.082, s.

24  775.083, or s. 775.084:

25         (a)  Practicing advanced or specialized, professional

26  or practical nursing, as defined in this chapter, unless

27  holding an active license or certificate to do so.

28         (b)  Using or attempting to use a license or

29  certificate which has been suspended or revoked.

30         (c)  Knowingly employing unlicensed persons in the

31  practice of nursing.

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  1         (d)  Obtaining or attempting to obtain a license or

  2  certificate under this chapter by misleading statements or

  3  knowing misrepresentation.

  4         Section 33.  Subsection (2) of section 465.015, Florida

  5  Statutes, reads:

  6         465.015  Violations and penalties.--

  7         (2)  It is unlawful for any person:

  8         (a)  To make a false or fraudulent statement, either

  9  for herself or himself or for another person, in any

10  application, affidavit, or statement presented to the board or

11  in any proceeding before the board.

12         (b)  To fill, compound, or dispense prescriptions or to

13  dispense medicinal drugs if such person does not hold an

14  active license as a pharmacist in this state, is not

15  registered as an intern in this state, or is an intern not

16  acting under the direct and immediate personal supervision of

17  a licensed pharmacist.

18         (c)  To sell or dispense drugs as defined in s.

19  465.003(8) without first being furnished with a prescription.

20         (d)  To sell samples or complimentary packages of drug

21  products.

22         Section 34.  Subsection (1) of section 466.026, Florida

23  Statutes, reads:

24         466.026  Prohibitions; penalties.--

25         (1)  Each of the following acts constitutes a felony of

26  the third degree, punishable as provided in s. 775.082, s.

27  775.083, or s. 775.084:

28         (a)  Practicing dentistry or dental hygiene unless the

29  person has an appropriate, active license issued by the

30  department pursuant to this chapter.

31

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  1         (b)  Using or attempting to use a license issued

  2  pursuant to this chapter which license has been suspended or

  3  revoked.

  4         (c)  Knowingly employing any person to perform duties

  5  outside the scope allowed such person under this chapter or

  6  the rules of the board.

  7         (d)  Giving false or forged evidence to the department

  8  or board for the purpose of obtaining a license.

  9         (e)  Selling or offering to sell a diploma conferring a

10  degree from a dental college or dental hygiene school or

11  college, or a license issued pursuant to this chapter, or

12  procuring such diploma or license with intent that it shall be

13  used as evidence of that which the document stands for, by a

14  person other than the one upon whom it was conferred or to

15  whom it was granted.

16         Section 35.  Section 467.201, Florida Statutes, reads:

17         467.201  Violations and penalties.--Each of the

18  following acts constitutes a felony of the third degree,

19  punishable as provided in s. 775.082, s. 775.083, or s.

20  775.084:

21         (1)  Practicing midwifery, unless holding an active

22  license to do so.

23         (2)  Using or attempting to use a license which has

24  been suspended or revoked.

25         (3)  The willful practice of midwifery by a student

26  midwife without a preceptor present, except in an emergency.

27         (4)  Knowingly allowing a student midwife to practice

28  midwifery without a preceptor present, except in an emergency.

29         (5)  Obtaining or attempting to obtain a license under

30  this chapter through bribery or fraudulent misrepresentation.

31

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  1         (6)  Using the name or title "midwife" or "licensed

  2  midwife" or any other name or title which implies that a

  3  person is licensed to practice midwifery, unless such person

  4  is duly licensed as provided in this chapter.

  5         (7)  Knowingly concealing information relating to the

  6  enforcement of this chapter or rules adopted pursuant thereto.

  7         Section 36.  Section 468.366, Florida Statutes, reads:

  8         468.366  Penalties for violations.--

  9         (1)  It is a violation of law for any person, including

10  any firm, association, or corporation, to:

11         (a)  Sell or fraudulently obtain, attempt to obtain, or

12  furnish to any person a diploma, license, or record, or aid or

13  abet in the sale, procurement, or attempted procurement

14  thereof.

15         (b)  Deliver respiratory care services, as defined by

16  this part or by rule of the board, under cover of any diploma,

17  license, or record that was illegally or fraudulently obtained

18  or signed or issued unlawfully or under fraudulent

19  representation.

20         (c)  Deliver respiratory care services, as defined by

21  this part or by rule of the board, unless such person is duly

22  licensed to do so under the provisions of this part or unless

23  such person is exempted pursuant to s. 468.368.

24         (d)  Use, in connection with his or her name, any

25  designation tending to imply that he or she is a respiratory

26  care practitioner or a respiratory therapist, duly licensed

27  under the provisions of this part, unless he or she is so

28  licensed.

29         (e)  Advertise an educational program as meeting the

30  requirements of this part, or conduct an educational program

31  for the preparation of respiratory care practitioners or

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  1  respiratory therapists, unless such program has been approved

  2  by the board.

  3         (f)  Knowingly employ unlicensed persons in the

  4  delivery of respiratory care services, unless exempted by this

  5  part.

  6         (g)  Knowingly conceal information relative to any

  7  violation of this part.

  8         (2)  Any violation of this section is a felony of the

  9  third degree, punishable as provided in s. 775.082, s.

10  775.083, or s. 775.084.

11         Section 37.  Subsection (1) of section 483.828, Florida

12  Statutes, reads:

13         483.828  Penalties for violations.--

14         (1)  Each of the following acts constitutes a felony of

15  the third degree, punishable as provided in s. 775.082, s.

16  775.083, or s. 775.084:

17         (a)  Practicing as clinical laboratory personnel

18  without an active license.

19         (b)  Using or attempting to use a license to practice

20  as clinical laboratory personnel which is suspended or

21  revoked.

22         (c)  Attempting to obtain or obtaining a license to

23  practice as clinical laboratory personnel by knowing

24  misrepresentation.

25         Section 38.  Subsection (9) of section 483.901, Florida

26  Statutes, reads:

27         483.901  Medical physicists; definitions; licensure.--

28         (9)  PENALTY FOR VIOLATIONS.--It is a felony of the

29  third degree, punishable as provided in s. 775.082, s.

30  775.083, or s. 775.084, to:

31

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  1         (a)  Practice or attempt to practice medical physics or

  2  hold oneself out to be a licensed medical physicist without

  3  holding an active license.

  4         (b)  Practice or attempt to practice medical physics

  5  under a name other than one's own.

  6         (c)  Use or attempt to use a revoked or suspended

  7  license or the license of another.

  8         Section 39.  Section 484.053, Florida Statutes, reads:

  9         484.053  Prohibitions; penalties.--

10         (1)  A person may not:

11         (a)  Practice dispensing hearing aids unless the person

12  is a licensed hearing aid specialist;

13         (b)  Use the name or title "hearing aid specialist"

14  when the person has not been licensed under this part;

15         (c)  Present as her or his own the license of another;

16         (d)  Give false, incomplete, or forged evidence to the

17  board or a member thereof for the purposes of obtaining a

18  license;

19         (e)  Use or attempt to use a hearing aid specialist

20  license that is delinquent or has been suspended, revoked, or

21  placed on inactive status;

22         (f)  Knowingly employ unlicensed persons in the

23  practice of dispensing hearing aids; or

24         (g)  Knowingly conceal information relative to

25  violations of this part.

26         (2)  Any person who violates any of the provisions of

27  this section is guilty of a felony of the third degree,

28  punishable as provided in s. 775.082 or s. 775.083.

29         (3)  If a person licensed under this part allows the

30  sale of a hearing aid by an unlicensed person not registered

31  as a trainee or fails to comply with the requirements of s.

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  1  484.0445(2) relating to supervision of trainees, the board

  2  shall, upon determination of that violation, order the full

  3  refund of moneys paid by the purchaser upon return of the

  4  hearing aid to the seller's place of business.

  5         Section 40.  Subsection (1) of section 457.102, Florida

  6  Statutes, is amended to read:

  7         457.102  Definitions.--As used in this chapter:

  8         (1)  "Acupuncture" means a form of primary health care,

  9  based on traditional Chinese medical concepts and modern

10  oriental medical techniques, that employs acupuncture

11  diagnosis and treatment, as well as adjunctive therapies and

12  diagnostic techniques, for the promotion, maintenance, and

13  restoration of health and the prevention of disease.

14  Acupuncture shall include, but not be limited to, the

15  insertion of acupuncture needles and the application of

16  moxibustion to specific areas of the human body and the use of

17  electroacupuncture, Qi Gong, oriental massage, herbal therapy,

18  dietary guidelines, and other adjunctive therapies, as defined

19  by board rule.

20         Section 41.  Section 457.105, Florida Statutes, is

21  amended to read:

22         457.105  Licensure qualifications and fees.--

23         (1)  It is unlawful for any person to practice

24  acupuncture in this state unless such person has been licensed

25  by the board, is in a board-approved course of study, or is

26  otherwise exempted by this chapter.

27         (2)  A person may become licensed to practice

28  acupuncture if the person applies to the department and:

29         (a)  Is 21 18 years of age or older, has good moral

30  character, and has the ability to communicate in English,

31  which is demonstrated by having passed the national written

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  1  examination in English or, if such examination was passed in a

  2  foreign language, by also having passed a nationally

  3  recognized English proficiency examination;

  4         (b)  Has completed 60 college credits from an

  5  accredited postsecondary institution as a prerequisite to

  6  enrollment in an authorized 3-year course of study in

  7  acupuncture and oriental medicine, and has completed a 3-year

  8  course of study in acupuncture and oriental medicine, and

  9  effective July 31, 2001, a 4-year course of study in

10  acupuncture and oriental medicine, which meets standards

11  established by the board by rule, which standards include, but

12  are not limited to, successful completion of academic courses

13  in western anatomy, western physiology, western pathology,

14  western biomedical terminology, first aid, and cardiopulmonary

15  resuscitation (CPR). However, any person who enrolled in an

16  authorized course of study in acupuncture before August 1,

17  1997, must have completed only a 2-year course of study which

18  meets standards established by the board by rule, which

19  standards must include, but are not limited to, successful

20  completion of academic courses in western anatomy, western

21  physiology, and western pathology;

22         (c)  Has successfully completed a board-approved

23  national certification process, is actively licensed in a

24  state that has examination requirements that are substantially

25  equivalent to or more stringent than those of this state, or

26  passes an examination administered by the department, which

27  examination tests the applicant's competency and knowledge of

28  the practice of acupuncture and oriental medicine. At the

29  request of any applicant, oriental nomenclature for the points

30  shall be used in the examination. The examination shall

31  include a practical examination of the knowledge and skills

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  1  required to practice modern and traditional acupuncture and

  2  oriental medicine, covering diagnostic and treatment

  3  techniques and procedures; and

  4         (d)  Pays the required fees set by the board by rule

  5  not to exceed the following amounts:

  6         1.  Examination fee: $500 plus the actual per applicant

  7  cost to the department for purchase of the written and

  8  practical portions of the examination from a national

  9  organization approved by the board.

10         2.  Application fee: $300.

11         3.  Reexamination fee: $500 plus the actual per

12  applicant cost to the department for purchase of the written

13  and practical portions of the examination from a national

14  organization approved by the board.

15         4.  Initial biennial licensure fee: $400, if licensed

16  in the first half of the biennium, and $200, if licensed in

17  the second half of the biennium.

18         Section 42.  Subsection (1) of section 457.107, Florida

19  Statutes, is amended to read:

20         457.107  Renewal of licenses; continuing education.--

21         (1)  The department shall renew a license upon receipt

22  of the renewal application and the fee set by the board by

23  rule, not to exceed $500 $700.

24         Section 43.  This act shall take effect July 1, 2000.

25

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