CODING: Words stricken are deletions; words underlined are additions.



                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Farkas offered the following:

12

13         Amendment to Amendment (114491) (with title amendment) 

14         On page 53, line 3, through page 59, line 11,

15  remove:  all of said lines

16

17  and insert:

18         Section 1.  Subsection (6) of section 381.0011, Florida

19  Statutes, is amended to read:

20         381.0011  Duties and powers of the Department of

21  Health.--It is the duty of the Department of Health to:

22         (6)  Declare, enforce, modify, and abolish quarantine

23  of persons, animals, and premises as the circumstances

24  indicate for controlling communicable diseases or providing

25  protection from unsafe conditions that pose a threat to public

26  health, except as provided in ss. 384.28 and 392.545-392.60.

27         (a)  The department shall adopt rules to specify the

28  conditions and procedures for imposing and releasing a

29  quarantine. The rules must include provisions related to:

30         1.  The closure of premises.

31         2.  The movement of persons or animals exposed to or

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                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)





  1  infected with a communicable disease.

  2         3.  The tests or prophylactic treatment, including

  3  vaccination, for communicable disease required prior to

  4  employment or admission to the premises or to comply with a

  5  quarantine.

  6         4.  Testing or destruction of animals with or suspected

  7  of having a disease transmissible to humans.

  8         5.  Access by the department to quarantined premises.

  9         6.  The disinfection of quarantined animals, persons,

10  or premises.

11         7.  Methods of quarantine.

12         (b)  Any health regulation that restricts travel or

13  trade within the state may not be adopted or enforced in this

14  state except by authority of the department.

15         Section 2.  Section 381.00315, Florida Statutes, is

16  amended to read:

17         381.00315  Public health advisories; public health

18  emergencies.--The State Health Officer is responsible for

19  declaring public health emergencies and issuing public health

20  advisories.

21         (1)  As used in this section, the term:

22         (a)  "Public health advisory" means any warning or

23  report giving information to the public about a potential

24  public health threat. Prior to issuing any public health

25  advisory, the State Health Officer must consult with any state

26  or local agency regarding areas of responsibility which may be

27  affected by such advisory. Upon determining that issuing a

28  public health advisory is necessary to protect the public

29  health and safety, and prior to issuing the advisory, the

30  State Health Officer must notify each county health department

31  within the area which is affected by the advisory of the State

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                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)





  1  Health Officer's intent to issue the advisory. The State

  2  Health Officer is authorized to take any action appropriate to

  3  enforce any public health advisory.

  4         (b)  "Public health emergency" means any occurrence, or

  5  threat thereof, whether natural or man made, which results or

  6  may result in substantial injury or harm to the public health

  7  from infectious disease, chemical agents, nuclear agents,

  8  biological toxins, or situations involving mass casualties or

  9  natural disasters. Prior to declaring a public health

10  emergency, the State Health Officer shall, to the extent

11  possible, consult with the Governor and shall notify the Chief

12  of Domestic Security Initiatives as created in s. 943.03. The

13  declaration of a public health emergency shall continue until

14  the State Health Officer finds that the threat or danger has

15  been dealt with to the extent that the emergency conditions no

16  longer exist and he or she terminates the declaration.

17  However, a declaration of a public health emergency may not

18  continue for longer than 60 days unless the Governor concurs

19  in the renewal of the declaration. The State Health Officer,

20  upon declaration of a public health emergency, may take

21  actions that are necessary to protect the public health. Such

22  actions include, but are not limited to:

23         1.  Directing manufacturers of prescription drugs or

24  over-the-counter drugs who are permitted under chapter 499 and

25  wholesalers of prescription drugs located in this state who

26  are permitted under chapter 499 to give priority to the

27  shipping of specified drugs to pharmacies and health care

28  providers within geographic areas that have been identified by

29  the State Health Officer. The State Health Officer must

30  identify the drugs to be shipped. Manufacturers and

31  wholesalers located in the state must respond to the State

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                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)





  1  Health Officer's priority shipping directive before shipping

  2  the specified drugs.

  3         2.  Notwithstanding chapters 465 and 499 and rules

  4  adopted thereunder, directing pharmacists employed by the

  5  department to compound bulk prescription drugs and provide

  6  these bulk prescription drugs to physicians, physician

  7  assistants, and nurses of county health departments or any

  8  qualified person authorized by the State Health Officer for

  9  administration to persons as part of a prophylactic or

10  treatment regimen.

11         3.  Notwithstanding s. 456.036, temporarily

12  reactivating the inactive license of the following health care

13  practitioners, when such practitioners are needed to respond

14  to the public health emergency: physicians licensed under

15  chapter 458 or chapter 459; physician assistants licensed

16  under chapter 458 or chapter 459; licensed practical nurses,

17  registered nurses, and advanced registered nurse practitioners

18  licensed under part I of chapter 464; respiratory therapists

19  licensed under part V of chapter 468; and emergency medical

20  technicians and paramedics certified under part III of chapter

21  401. Only those health care practitioners specified in this

22  paragraph who possess an unencumbered inactive license and who

23  request that such license be reactivated are eligible for

24  reactivation. An inactive license that is reactivated under

25  this paragraph shall return to inactive status when the public

26  health emergency ends or prior to the end of the public health

27  emergency if the State Health Officer determines that the

28  health care practitioner is no longer needed to provide

29  services during the public health emergency. Such licenses may

30  only be reactivated for a period not to exceed 90 days without

31  meeting the requirements of s. 456.036 or chapter 401, as

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                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)





  1  applicable. If a physician assistant requests reactivation and

  2  volunteers during the declared public health emergency, the

  3  county health department may serve as the supervising

  4  physician for the physician assistant.

  5         4.  Ordering an individual to be examined, tested,

  6  vaccinated, treated, or quarantined for communicable diseases

  7  that have significant morbidity or mortality and present a

  8  severe danger to public health. Individuals who are unable or

  9  unwilling to be examined, tested, vaccinated or treated for

10  reasons of health, religion or conscience may be subjected to

11  quarantine.

12         a.  Examination, testing, vaccination, or treatment may

13  be performed by any qualified person authorized by the State

14  Health Officer.

15         b.  If the individual poses a danger to the public

16  health, the State Health Officer may subject the individual to

17  quarantine. If there is no practical method to quarantine the

18  individual, the State Health Officer may use any means

19  necessary to vaccinate or treat the individual.

20

21  Any order of the State Health Officer given to effectuate this

22  paragraph shall be immediately enforceable by a law

23  enforcement officer under s. 381.0012.

24         (2)  Individuals who assist the State Health Officer at

25  his or her request on a volunteer basis during a public health

26  emergency are entitled to the benefits specified in s. 110.504

27  (2), (3), (4), and (5).

28

29

30  ================ T I T L E   A M E N D M E N T ===============

31  And the title is amended as follows:

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                                                   HOUSE AMENDMENT

                           Bill No. CS for CS for SB 362, 2nd Eng.

    Amendment No. ___ (for drafter's use only)





  1         On page 155, line 13, after the first semicolon,

  2  through line 22, of the amendment

  3  remove:  all of said lines

  4

  5  and insert:

  6         amending s. 381.0011, F.S.; revising the

  7         rulemaking authority of the Department of

  8         Health with respect to its power to impose

  9         quarantine, including requiring vaccination;

10         amending s. 381.00315, F.S.; defining the terms

11         "public health advisory" and "public health

12         emergency"; specifying the terms under which a

13         public health emergency is declared; providing

14         for consultation for, notice, and duration of a

15         declaration of a public health emergency;

16         authorizing the State Health Officer to take

17         specified actions upon the declaration of a

18         public health emergency relating to shipping of

19         specified drugs, directing the compounding of

20         bulk prescription drugs, and specifying the use

21         of such drugs; authorizing the State Health

22         Officer to reactivate the inactive licenses of

23         certain practitioners who request such

24         reactivation; authorizing the State Health

25         Officer to order that an individual be

26         examined, tested, vaccinated, treated, or

27         quarantined for certain communicable diseases

28         under specified circumstances;

29

30

31

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    File original & 9 copies    03/20/02
    hcs0005                     10:09 am         00362-0052-892921