House Bill hb0015B

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    Florida House of Representatives - 2001                HB 15-B

        By Representative Farkas






  1                      A bill to be entitled

  2         An act relating to health care; transferring to

  3         the Department of Health the powers, duties,

  4         functions, and assets that relate to the

  5         consumer complaint services, investigations,

  6         and prosecutorial services performed by the

  7         Agency for Health Care Administration under

  8         contract with the department; amending s.

  9         20.43, F.S.; deleting provisions authorizing

10         the department to enter into such contracts

11         with the agency, to conform; amending s.

12         456.073, F.S.; revising procedures and

13         timeframes for formal hearings of health care

14         practitioner disciplinary cases; providing an

15         alternative hearings procedure under specified

16         circumstances; amending s. 456.076, F.S.;

17         requiring impaired practitioners to pay a

18         portion of the cost of the impaired

19         practitioner programs and consultants and the

20         full cost of the required treatment program or

21         plan; repealing s. 456.047, F.S., relating to

22         standardized credentialing for health care

23         practitioners; providing an effective date.

24

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

26

27         Section 1.  (1)  Effective January 1, 2002, all powers,

28  duties, functions, records, personnel, property, and

29  unexpended balances of appropriations, allocations, and other

30  funds of the Agency for Health Care Administration that relate

31  to consumer complaint services, investigations, and

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    Florida House of Representatives - 2001                HB 15-B

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  1  prosecutorial services currently provided by the Agency for

  2  Health Care Administration under a contract with the

  3  Department of Health are transferred to the Department of

  4  Health by a type two transfer, as defined in s. 20.06(2),

  5  Florida Statutes.

  6         (2)(a)  All records, personnel, and funds of the

  7  consumer complaint and investigative services units of the

  8  agency are transferred and assigned to the Division of Medical

  9  Quality Assurance of the Department of Health.

10         (b)  All records, personnel, and funds of the

11  prosecutorial unit of the agency are transferred and assigned

12  to the Office of the General Counsel of the Department of

13  Health.

14         Section 2.  Paragraph (g) of subsection (3) of section

15  20.43, Florida Statutes, is amended to read:

16         20.43  Department of Health.--There is created a

17  Department of Health.

18         (3)  The following divisions of the Department of

19  Health are established:

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

21  responsible for the following boards and professions

22  established within the division:

23         1.  The Board of Acupuncture, created under chapter

24  457.

25         2.  The Board of Medicine, created under chapter 458.

26         3.  The Board of Osteopathic Medicine, created under

27  chapter 459.

28         4.  The Board of Chiropractic Medicine, created under

29  chapter 460.

30         5.  The Board of Podiatric Medicine, created under

31  chapter 461.

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    Florida House of Representatives - 2001                HB 15-B

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  1         6.  Naturopathy, as provided under chapter 462.

  2         7.  The Board of Optometry, created under chapter 463.

  3         8.  The Board of Nursing, created under part I of

  4  chapter 464.

  5         9.  Nursing assistants, as provided under part II of

  6  chapter 464.

  7         10.  The Board of Pharmacy, created under chapter 465.

  8         11.  The Board of Dentistry, created under chapter 466.

  9         12.  Midwifery, as provided under chapter 467.

10         13.  The Board of Speech-Language Pathology and

11  Audiology, created under part I of chapter 468.

12         14.  The Board of Nursing Home Administrators, created

13  under part II of chapter 468.

14         15.  The Board of Occupational Therapy, created under

15  part III of chapter 468.

16         16.  Respiratory therapy, as provided under part V of

17  chapter 468.

18         17.  Dietetics and nutrition practice, as provided

19  under part X of chapter 468.

20         18.  The Board of Athletic Training, created under part

21  XIII of chapter 468.

22         19.  The Board of Orthotists and Prosthetists, created

23  under part XIV of chapter 468.

24         20.  Electrolysis, as provided under chapter 478.

25         21.  The Board of Massage Therapy, created under

26  chapter 480.

27         22.  The Board of Clinical Laboratory Personnel,

28  created under part III of chapter 483.

29         23.  Medical physicists, as provided under part IV of

30  chapter 483.

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  1         24.  The Board of Opticianry, created under part I of

  2  chapter 484.

  3         25.  The Board of Hearing Aid Specialists, created

  4  under part II of chapter 484.

  5         26.  The Board of Physical Therapy Practice, created

  6  under chapter 486.

  7         27.  The Board of Psychology, created under chapter

  8  490.

  9         28.  School psychologists, as provided under chapter

10  490.

11         29.  The Board of Clinical Social Work, Marriage and

12  Family Therapy, and Mental Health Counseling, created under

13  chapter 491.

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15  The department may contract with the Agency for Health Care

16  Administration who shall provide consumer complaint,

17  investigative, and prosecutorial services required by the

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

19  appropriate.

20         Section 3.  Subsection (5) of section 456.073, Florida

21  Statutes, is amended to read:

22         456.073  Disciplinary proceedings.--Disciplinary

23  proceedings for each board shall be within the jurisdiction of

24  the department.

25         (5)(a)  A formal hearing before an administrative law

26  judge from the Division of Administrative Hearings shall be

27  held pursuant to chapter 120 if there are any disputed issues

28  of material fact raised within 45 days after service of the

29  administrative complaint. The administrative law judge shall

30  issue a recommended order pursuant to chapter 120. However, if

31  the department determines that the material fact in dispute is

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  1  whether the licensee practiced below the standard of care;

  2  improperly delegated a task; inappropriately or improperly

  3  prescribed, dispensed, or administered; or is unable to

  4  practice with reasonable skill and safety, a hearing before a

  5  hearing officer appointed by the Secretary of Health shall be

  6  held instead. If any party raises an issue of disputed fact

  7  during an informal hearing, the hearing shall be terminated

  8  and a formal hearing pursuant to chapter 120 shall be held.

  9         (b)  Notwithstanding s. 120.569(2), the department

10  shall notify the Division of Administrative Hearings within 45

11  days after receipt of a petition or request for hearing that

12  the department has determined requires a formal hearing before

13  an administrative law judge.

14         Section 4.  Subsection (7) is added to section 456.076,

15  Florida Statutes, to read:

16         456.076  Treatment programs for impaired

17  practitioners.--

18         (7)  Each licensee participating in an impaired

19  practitioner program pursuant to this section shall pay 40

20  percent of the costs of the consultant and impaired

21  practitioner program incurred as a result of that licensee.

22  The remaining 60 percent of the costs shall be paid out of the

23  Medical Quality Assurance Trust Fund or other federal, state,

24  or private program funds. Each licensee shall pay the full

25  cost of the approved treatment program or other treatment plan

26  required by the impaired practitioner program, unless private

27  funds are available to assist with such payment.

28         Section 5.  Section 456.047, Florida Statutes, is

29  repealed.

30         Section 6.  This act shall take effect January 1, 2002.

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    Florida House of Representatives - 2001                HB 15-B

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  2                          HOUSE SUMMARY

  3
      Transfers to the Department of Health all powers, duties,
  4    functions, and assets relating to consumer complaints,
      investigations, and prosecutorial services currently
  5    provided for the department through contract with the
      Agency for Health Care Administration. Revises procedures
  6    and timeframes for formal hearings by an administrative
      law judge of disciplinary cases involving health care
  7    practitioners. Provides for hearings by hearing officers
      appointed by the Secretary of Health for specified types
  8    of cases. Requires impaired practitioners to pay 40
      percent of the costs of the impaired practitioner
  9    programs and consultants and the full cost of the
      required treatment program or plan. Repeals provisions
10    relating to standardized credentialing for health care
      practitioners.
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