House Bill hb0507e1

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                                        CS/HB 507, First Engrossed



  1                      A bill to be entitled

  2         An act relating to responsiveness to

  3         emergencies and disasters; providing

  4         legislative findings; amending s. 381.0011,

  5         F.S.; revising duties of the Department of

  6         Health; authorizing the State Health Officer to

  7         take specified emergency actions to protect the

  8         public health; amending s. 381.0034, F.S.;

  9         providing a requirement for instruction of

10         certain health care licensees on conditions

11         caused by nuclear, biological, and chemical

12         terrorism, as a condition of initial licensure,

13         and, in lieu of the requirement for instruction

14         on HIV and AIDS, as a condition of relicensure;

15         amending s. 381.0035, F.S.; providing a

16         requirement for instruction of employees at

17         certain health care facilities on conditions

18         caused by nuclear, biological, and chemical

19         terrorism, upon initial employment, and, in

20         lieu of the requirement of instruction on HIV

21         and AIDS, as biennial continuing education;

22         providing an exception; creating s. 381.0421,

23         F.S.; requiring postsecondary education

24         institutions to provide information on

25         hepatitis B; requiring individuals residing in

26         on-campus housing to document vaccinations

27         against hepatitis B or sign a waiver; amending

28         ss. 395.1027 and 401.245, F.S.; correcting

29         cross references; amending s. 401.23, F.S.;

30         revising definitions of "advanced life support"

31         and "basic life support" and defining


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                                        CS/HB 507, First Engrossed



  1         "emergency medical condition"; amending s.

  2         401.252, F.S.; authorizing physician assistants

  3         to conduct interfacility transfers in a

  4         permitted ambulance under certain

  5         circumstances; amending s. 401.27, F.S.;

  6         providing that the course on conditions caused

  7         by nuclear, biological, and chemical terrorism

  8         shall count toward the total required hours for

  9         biennial recertification of emergency medical

10         technicians and paramedics; amending s.

11         456.033, F.S.; providing a requirement for

12         instruction of certain health care

13         practitioners on conditions caused by nuclear,

14         biological, and chemical terrorism, as a

15         condition of initial licensure, and, in lieu of

16         the requirement for instruction on HIV and

17         AIDS, as part of biennial relicensure; creating

18         s. 456.0345, F.S.; providing continuing

19         education credits to health care practitioners

20         for certain life support training; amending s.

21         456.072, F.S.; conforming provisions relating

22         to grounds for disciplinary actions to changes

23         in health care practitioners' course

24         requirements; amending s. 456.38, F.S.;

25         revising provisions relating to the health care

26         practitioner registry for disasters and

27         emergencies; prohibiting certain termination of

28         or discrimination against a practitioner

29         providing disaster medical assistance; amending

30         ss. 458.319 and 459.008, F.S.; conforming

31         provisions relating to exceptions to continuing


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                                        CS/HB 507, First Engrossed



  1         education requirements for physicians and

  2         osteopathic physicians; amending ss. 401.2715,

  3         633.35, and 943.135, F.S.; authorizing certain

  4         substitution of terrorism response training for

  5         other training required for recertification of

  6         emergency medical technicians and paramedics,

  7         certification of firefighters, and continued

  8         employment or appointment of law enforcement

  9         officers, correctional officers, and

10         correctional probation officers; authorizing

11         rulemaking; providing an effective date.

12

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

14

15         Section 1.  Legislative findings.--The Legislature

16  finds that it is critical that Florida be prepared to respond

17  appropriately to a health crisis and injuries in the event of

18  an emergency or disaster. The Legislature finds that there is

19  a need to better educate health care practitioners on diseases

20  and conditions that might be caused by nuclear, biological,

21  and chemical terrorism so that health care practitioners can

22  more effectively care for patients and better educate patients

23  as to prevention and treatment. Additionally, the Legislature

24  finds that not all health care practitioners have been

25  recently trained in life support and first aid and that all

26  health care practitioners should be encouraged to obtain such

27  training. The Legislature finds that health care practitioners

28  who are willing to respond in emergencies or disasters should

29  not be penalized for providing their assistance.

30         Section 2.  Section 381.0011, Florida Statutes, is

31  amended to read:


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                                        CS/HB 507, First Engrossed



  1         381.0011  Duties and powers of the Department of

  2  Health; authority of State Health Officer.--

  3         (1)  It is the duty of the Department of Health to:

  4         (a)(1)  Assess the public health status and needs of

  5  the state through statewide data collection and other

  6  appropriate means, with special attention to future needs that

  7  may result from population growth, technological advancements,

  8  new societal priorities, or other changes.

  9         (b)(2)  Formulate general policies affecting the public

10  health of the state.

11         (c)(3)  Include in the department's strategic plan

12  developed under s. 186.021 a summary of all aspects of the

13  public health mission and health status objectives to direct

14  the use of public health resources with an emphasis on

15  prevention.

16         (d)(4)  Administer and enforce laws and rules relating

17  to sanitation, control of communicable diseases, illnesses and

18  hazards to health among humans and from animals to humans, and

19  the general health of the people of the state.

20         (e)(5)  Cooperate with and accept assistance from

21  federal, state, and local officials for the prevention and

22  suppression of communicable and other diseases, illnesses,

23  injuries, and hazards to human health.

24         (f)(6)  Declare, enforce, modify, and abolish

25  quarantine of persons, animals, and premises as the

26  circumstances indicate for controlling communicable diseases

27  or providing protection from unsafe conditions that pose a

28  threat to public health, except as provided in ss. 384.28 and

29  392.545-392.60.

30

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                                        CS/HB 507, First Engrossed



  1         1.(a)  The department shall adopt rules to specify the

  2  conditions and procedures for imposing and releasing a

  3  quarantine. The rules must include provisions related to:

  4         a.1.  The closure of premises.

  5         b.2.  The movement of persons or animals exposed to or

  6  infected with a communicable disease.

  7         c.3.  The tests or prophylactic treatment, including

  8  vaccination, for communicable disease required prior to

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

10  quarantine.

11         d.4.  Testing or destruction of animals with or

12  suspected of having a disease transmissible to humans.

13         e.5.  Access by the department to quarantined premises.

14         f.6.  The disinfection of quarantined animals, persons,

15  or premises.

16         g.  Methods of quarantine.

17         2.(b)  Any health regulation that restricts travel or

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

19  state except by authority of the department.

20         (g)(7)  Provide for a thorough investigation and study

21  of the incidence, causes, modes of propagation and

22  transmission, and means of prevention, control, and cure of

23  diseases, illnesses, and hazards to human health.

24         (h)(8)  Provide for the dissemination of information to

25  the public relative to the prevention, control, and cure of

26  diseases, illnesses, and hazards to human health.  The

27  department shall conduct a workshop before issuing any health

28  alert or advisory relating to food-borne illness or

29  communicable disease in public lodging or food service

30  establishments in order to inform persons, trade associations,

31  and businesses of the risk to public health and to seek the


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                                        CS/HB 507, First Engrossed



  1  input of affected persons, trade associations, and businesses

  2  on the best methods of informing and protecting the public,

  3  except in an emergency, in which case the workshop must be

  4  held within 14 days after the issuance of the emergency alert

  5  or advisory.

  6         (i)(9)  Act as registrar of vital statistics.

  7         (j)(10)  Cooperate with and assist federal health

  8  officials in enforcing public health laws and regulations.

  9         (k)(11)  Cooperate with other departments, local

10  officials, and private boards and organizations for the

11  improvement and preservation of the public health.

12         (l)(12)  Cooperate with other departments, local

13  officials, and private organizations in developing and

14  implementing a statewide injury control program.

15         (m)(13)  Adopt rules pursuant to ss. 120.536(1) and

16  120.54 to implement the provisions of law conferring duties

17  upon it.  This paragraph subsection does not authorize the

18  department to require a permit or license unless such

19  requirement is specifically provided by law.

20         (n)(14)  Perform any other duties prescribed by law.

21         (2)  The State Health Officer is authorized to take the

22  following actions to protect the public health:

23         (a)  Notwithstanding chapters 465 and 499 and rules

24  adopted thereunder, the State Health Officer may direct

25  pharmacists employed by the department to compound bulk

26  prescription drugs and provide these bulk prescription drugs

27  to county health department physicians, physician assistants,

28  and nurses for administration to persons as part of a

29  prophylactic or treatment regimen when there is a significant

30  risk to the public health from a disease, an environmental

31


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                                        CS/HB 507, First Engrossed



  1  contaminant, or a suspected act of nuclear, biological, or

  2  chemical terrorism.

  3         (b)  The State Health Officer, upon declaration of a

  4  public health emergency pursuant to s. 381.00315, may take

  5  such actions as are necessary to protect the public health.

  6  Such actions shall include, but are not limited to:

  7         1.  Directing Florida manufacturers and wholesalers of

  8  prescription and over-the-counter drugs permitted under

  9  chapter 499 to give priority to shipping such drugs to

10  pharmacies and health care providers located in geographic

11  areas identified by the State Health Officer. Florida

12  manufacturers and wholesalers must respond to the State Health

13  Officer's priority shipping directive before shipping the

14  specified drugs to other pharmacies or health care providers

15  in Florida.

16         2.  Notwithstanding s. 456.036, temporarily

17  reactivating the inactive licenses of physicians licensed

18  under chapter 458 or chapter 459; physician assistants

19  licensed under chapter 458 or chapter 459; licensed practical

20  nurses, registered nurses, and advanced registered nurse

21  practitioners licensed under chapter 464; respiratory

22  therapists licensed under part V of chapter 468; and emergency

23  medical technicians and paramedics licensed under chapter 401

24  when such practitioners are needed to respond to the public

25  health emergency. Only those licensees referenced in this

26  subparagraph who request reactivation and have unencumbered

27  inactive licenses are eligible for reactivation.  Any inactive

28  license reactivated pursuant to this subparagraph shall return

29  to inactive status when the public health emergency ends or

30  prior to the end of the public health emergency if the State

31  Health Officer determines that the health care practitioner is


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                                        CS/HB 507, First Engrossed



  1  no longer needed to provide services during the emergency. The

  2  license may only be reactivated for a period not to exceed 90

  3  days without meeting the requirements of s. 456.036 or chapter

  4  401. If a physician assistant or advanced registered nurse

  5  practitioner requests reactivation and volunteers during the

  6  declared public health emergency, the county health department

  7  medical director, if appropriate, shall serve as the

  8  supervising physician for the physician assistant and shall be

  9  authorized to delegate acts of medical diagnosis and treatment

10  to the advanced registered nurse practitioner.

11         3.  Notwithstanding any law to the contrary, compelling

12  an individual to be examined, tested, vaccinated, treated, or

13  quarantined for communicable diseases that have significant

14  morbidity or mortality and present a severe danger to public

15  health. Prior to taking action under this subparagraph, the

16  State Health Officer shall, to the extent possible, consult

17  with the Governor.

18         a.  Examination, testing, or treatment may be performed

19  by any qualified person authorized by the State Health

20  Officer.

21         b.  If the individual poses a danger to public health,

22  the State Health Officer may subject the individual to

23  quarantine. If there is no practicable method to quarantine

24  the individual, the State Health Officer may use any means

25  necessary to vaccinate or treat the individual.

26         c.  Any order of the State Health Officer given to

27  effectuate this subparagraph shall be immediately enforceable

28  by law enforcement.

29

30  Individuals who assist the State Health Officer at his or her

31  request on a volunteer basis during a public health emergency


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                                        CS/HB 507, First Engrossed



  1  declared pursuant to s. 381.00315 shall be entitled to the

  2  benefits in s. 110.504(2), (3), (4), and (5).

  3         Section 3.  Section 381.0034, Florida Statutes, is

  4  amended to read:

  5         381.0034  Requirement for instruction on conditions

  6  caused by nuclear, biological, and chemical terrorism and on

  7  human immunodeficiency virus and acquired immune deficiency

  8  syndrome.--

  9         (1)  As of July 1, 1991, The Department of Health shall

10  require each person licensed or certified under chapter 401,

11  chapter 467, part IV of chapter 468, or chapter 483, as a

12  condition of biennial relicensure, to complete an educational

13  course approved by the department on conditions caused by

14  nuclear, biological, and chemical terrorism. The course shall

15  consist of education on diagnosis and treatment, the modes of

16  transmission, infection control procedures, and clinical

17  management. Such course shall also include information on

18  reporting suspected cases of conditions caused by nuclear,

19  biological, or chemical terrorism to the appropriate health

20  and law enforcement authorities, and prevention of human

21  immunodeficiency virus and acquired immune deficiency

22  syndrome. Such course shall include information on current

23  Florida law on acquired immune deficiency syndrome and its

24  impact on testing, confidentiality of test results, and

25  treatment of patients. Each such licensee or certificateholder

26  shall submit confirmation of having completed said course, on

27  a form provided by the department, when submitting fees or

28  application for each biennial renewal.

29         (2)  Failure to complete the requirements of this

30  section shall be grounds for disciplinary action contained in

31  the chapters specified in subsection (1).  In addition to


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                                        CS/HB 507, First Engrossed



  1  discipline by the department, the licensee or

  2  certificateholder shall be required to complete the required

  3  said course or courses.

  4         (3)  The department shall require, as a condition of

  5  granting a license under the chapters specified in subsection

  6  (1), that an applicant making initial application for

  7  licensure complete respective an educational courses course

  8  acceptable to the department on conditions caused by nuclear,

  9  biological, and chemical terrorism and on human

10  immunodeficiency virus and acquired immune deficiency

11  syndrome.  An applicant who has not taken such courses a

12  course at the time of licensure shall, upon an affidavit

13  showing good cause, be allowed 6 months to complete this

14  requirement.

15         (4)  The department shall have the authority to adopt

16  rules to carry out the provisions of this section.

17         (5)  Any professional holding two or more licenses or

18  certificates subject to the provisions of this section shall

19  be permitted to show proof of having taken one

20  department-approved course on conditions caused by nuclear,

21  biological, and chemical terrorism human immunodeficiency

22  virus and acquired immune deficiency syndrome, for purposes of

23  relicensure or recertification for the additional licenses.

24         Section 4.  Section 381.0035, Florida Statutes, is

25  amended to read:

26         381.0035  Educational courses course on human

27  immunodeficiency virus and acquired immune deficiency syndrome

28  and on conditions caused by nuclear, biological, and chemical

29  terrorism; employees and clients of certain health care

30  facilities.--

31


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                                        CS/HB 507, First Engrossed



  1         (1)(a)  The Department of Health shall require all

  2  employees and clients of facilities licensed under chapters

  3  393, 394, and 397 and employees of facilities licensed under

  4  chapter 395 and parts II, III, IV, and VI of chapter 400 to

  5  complete, biennially, a continuing educational course on the

  6  modes of transmission, infection control procedures, clinical

  7  management, and prevention of human immunodeficiency virus and

  8  acquired immune deficiency syndrome with an emphasis on

  9  appropriate behavior and attitude change. Such instruction

10  shall include information on current Florida law and its

11  impact on testing, confidentiality of test results, and

12  treatment of patients and any protocols and procedures

13  applicable to human immunodeficiency counseling and testing,

14  reporting, the offering of HIV testing to pregnant women, and

15  partner notification issues pursuant to ss. 381.004 and

16  384.25.

17         (b)  The department shall require all employees of

18  facilities licensed under chapters 393, 394, 395, and 397 and

19  parts II, III, IV, and VI of chapter 400 to complete,

20  biennially, a continuing educational course on conditions

21  caused by nuclear, biological, and chemical terrorism. The

22  course shall consist of education on diagnosis and treatment,

23  modes of transmission, infection control procedures, and

24  clinical management. Such course shall also include

25  information on reporting suspected cases of conditions caused

26  by nuclear, biological, or chemical terrorism to the

27  appropriate health and law enforcement authorities.

28         (2)  New employees of facilities licensed under

29  chapters 393, 394, 395, and 397 and parts II, III, IV, and VI

30  of chapter 400 shall be required to complete a course on human

31  immunodeficiency virus and acquired immune deficiency


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                                        CS/HB 507, First Engrossed



  1  syndrome, with instruction to include information on current

  2  Florida law and its impact on testing, confidentiality of test

  3  results, and treatment of patients. New employees of such

  4  facilities shall also be required to complete a course on

  5  conditions caused by nuclear, biological, and chemical

  6  terrorism, with instruction to include information on

  7  reporting suspected cases to the appropriate health and law

  8  enforcement authorities.

  9         (3)  Facilities licensed under chapters 393, 394, 395,

10  and 397, and parts II, III, IV, and VI of chapter 400 shall

11  maintain a record of employees and dates of attendance at

12  human immunodeficiency virus and acquired immune deficiency

13  syndrome educational courses on human immunodeficiency virus

14  and acquired immune deficiency syndrome and on conditions

15  caused by nuclear, biological, and chemical terrorism.

16         (4)  The department shall have the authority to review

17  the records of each facility to determine compliance with the

18  requirements of this section.  The department may adopt rules

19  to carry out the provisions of this section.

20         (5)  In lieu of completing a course as required in

21  paragraph (1)(b), the employee may complete a course on

22  end-of-life care and palliative health care or a course on

23  HIV/AIDS so long as the employee completed an approved course

24  on conditions caused by nuclear, biological, and chemical

25  terrorism in the immediately preceding biennium.

26         Section 5.  Section 381.0421, Florida Statutes, is

27  created to read:

28         381.0421  Vaccination against hepatitis B.--

29         (1)  A postsecondary education institution shall

30  provide detailed information concerning the risks associated

31  with hepatitis B and the availability, effectiveness, and


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                                        CS/HB 507, First Engrossed



  1  known contraindications of any required or recommended vaccine

  2  against hepatitis B to every student, or to the student's

  3  parent or guardian if the student is a minor, who has been

  4  accepted for admission.

  5         (2)  An individual enrolled in a postsecondary

  6  education institution who will be residing in on-campus

  7  housing shall provide documentation of vaccinations against

  8  hepatitis B unless the individual, if the individual is 18

  9  years of age or older, or the individual's parent or guardian,

10  if the individual is a minor, declines the vaccinations and

11  the individual, parent, or guardian signs a waiver provided by

12  the institution acknowledging receipt and review of the

13  information provided.

14         (3)  This section does not require any postsecondary

15  education institution to provide or pay for vaccinations

16  against hepatitis B.

17         Section 6.  Subsection (4) of section 395.1027, Florida

18  Statutes, is amended to read:

19         395.1027  Regional poison control centers.--

20         (4)  By October 1, 1999, each regional poison control

21  center shall develop a prehospital emergency dispatch protocol

22  with each licensee defined by s. 401.23(14)(13) in the

23  geographic area covered by the regional poison control center.

24  The prehospital emergency dispatch protocol shall be developed

25  by each licensee's medical director in conjunction with the

26  designated regional poison control center responsible for the

27  geographic area in which the licensee operates. The protocol

28  shall define toxic substances and describe the procedure by

29  which the designated regional poison control center may be

30  consulted by the licensee. If a call is transferred to the

31  designated regional poison control center in accordance with


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                                        CS/HB 507, First Engrossed



  1  the protocol established under this section and s. 401.268,

  2  the designated regional poison control center shall assume

  3  responsibility and liability for the call.

  4         Section 7.  Section 401.23, Florida Statutes, is

  5  amended to read:

  6         401.23  Definitions.--As used in this part, the term:

  7         (1)  "Advanced life support" means the use of skills

  8  and techniques described in the most recent United States

  9  Department of Transportation National Standard Paramedic

10  Curriculum by a paramedic under the supervision of a

11  licensee's medical director as required by rules of the

12  department. The term "advanced life support" also includes

13  other techniques that have been approved and are performed

14  under conditions specified by rules of the department. The

15  term "advanced life support" also includes provision of care

16  by a paramedic under the supervision of a licensee's medical

17  director to a person experiencing an emergency medical

18  condition as defined in subsection (11) treatment of

19  life-threatening medical emergencies through the use of

20  techniques such as endotracheal intubation, the administration

21  of drugs or intravenous fluids, telemetry, cardiac monitoring,

22  and cardiac defibrillation by a qualified person, pursuant to

23  rules of the department.

24         (2)  "Advanced life support service" means any

25  emergency medical transport or nontransport service which uses

26  advanced life support techniques.

27         (3)  "Air ambulance" means any fixed-wing or

28  rotary-wing aircraft used for, or intended to be used for, air

29  transportation of sick or injured persons requiring or likely

30  to require medical attention during transport.

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                                        CS/HB 507, First Engrossed



  1         (4)  "Air ambulance service" means any publicly or

  2  privately owned service, licensed in accordance with the

  3  provisions of this part, which operates air ambulances to

  4  transport persons requiring or likely to require medical

  5  attention during transport.

  6         (5)  "Ambulance" or "emergency medical services

  7  vehicle" means any privately or publicly owned land or water

  8  vehicle that is designed, constructed, reconstructed,

  9  maintained, equipped, or operated for, and is used for, or

10  intended to be used for, land or water transportation of sick

11  or injured persons requiring or likely to require medical

12  attention during transport.

13         (6)  "Ambulance driver" means any person who meets the

14  requirements of s. 401.281.

15         (7)  "Basic life support" means the use of skills and

16  techniques described in the most recent United States

17  Department of Transportation National Standard EMT-Basic

18  Curriculum by an emergency medical technician or paramedic

19  under the supervision of a licensee's medical director as

20  required by rules of the department. The term "basic life

21  support" also includes other techniques that have been

22  approved and are performed under conditions specified by rules

23  of the department. The term "basic life support" also includes

24  provision of care by a paramedic or emergency medical

25  technician under the supervision of a licensee's medical

26  director to a person experiencing an emergency medical

27  condition as defined in subsection (11) treatment of medical

28  emergencies by a qualified person through the use of

29  techniques such as patient assessment, cardiopulmonary

30  resuscitation (CPR), splinting, obstetrical assistance,

31  bandaging, administration of oxygen, application of medical


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  1  antishock trousers, administration of a subcutaneous injection

  2  using a premeasured autoinjector of epinephrine to a person

  3  suffering an anaphylactic reaction, and other techniques

  4  described in the Emergency Medical Technician Basic Training

  5  Course Curriculum of the United States Department of

  6  Transportation.  The term "basic life support" also includes

  7  other techniques which have been approved and are performed

  8  under conditions specified by rules of the department.

  9         (8)  "Basic life support service" means any emergency

10  medical service which uses only basic life support techniques.

11         (9)  "Certification" means any authorization issued

12  pursuant to this part to a person to act as an emergency

13  medical technician or a paramedic.

14         (10)  "Department" means the Department of Health.

15         (11)  "Emergency medical condition" means:

16         (a)  A medical condition manifesting itself by acute

17  symptoms of sufficient severity, which may include severe

18  pain, psychiatric disturbances, symptoms of substance abuse,

19  or other acute symptoms, such that the absence of immediate

20  medical attention could reasonably be expected to result in

21  any of the following:

22         1.  Serious jeopardy to the health of a patient,

23  including a pregnant woman or fetus.

24         2.  Serious impairment to bodily functions.

25         3.  Serious dysfunction of any bodily organ or part.

26         (b)  With respect to a pregnant woman, that there is

27  evidence of the onset and persistence of uterine contractions

28  or rupture of the membranes.

29         (c)  With respect to a person exhibiting acute

30  psychiatric disturbance or substance abuse, that the absence

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  1  of immediate medical attention could reasonably be expected to

  2  result in:

  3         1.  Serious jeopardy to the health of a patient; or

  4         2.  Serious jeopardy to the health of others.

  5         (12)(11)  "Emergency medical technician" means a person

  6  who is certified by the department to perform basic life

  7  support pursuant to this part.

  8         (13)(12)  "Interfacility transfer" means the

  9  transportation by ambulance of a patient between two

10  facilities licensed under chapter 393, chapter 395, or chapter

11  400, pursuant to this part.

12         (14)(13)  "Licensee" means any basic life support

13  service, advanced life support service, or air ambulance

14  service licensed pursuant to this part.

15         (15)(14)  "Medical direction" means direct supervision

16  by a physician through two-way voice communication or, when

17  such voice communication is unavailable, through established

18  standing orders, pursuant to rules of the department.

19         (16)(15)  "Medical director" means a physician who is

20  employed or contracted by a licensee and who provides medical

21  supervision, including appropriate quality assurance but not

22  including administrative and managerial functions, for daily

23  operations and training pursuant to this part.

24         (17)(16)  "Mutual aid agreement" means a written

25  agreement between two or more entities whereby the signing

26  parties agree to lend aid to one another under conditions

27  specified in the agreement and as sanctioned by the governing

28  body of each affected county.

29         (18)(17)  "Paramedic" means a person who is certified

30  by the department to perform basic and advanced life support

31  pursuant to this part.


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                                        CS/HB 507, First Engrossed



  1         (19)(18)  "Permit" means any authorization issued

  2  pursuant to this part for a vehicle to be operated as a basic

  3  life support or advanced life support transport vehicle or an

  4  advanced life support nontransport vehicle providing basic or

  5  advanced life support.

  6         (20)(19)  "Physician" means a practitioner who is

  7  licensed under the provisions of chapter 458 or chapter 459.

  8  For the purpose of providing "medical direction" as defined in

  9  subsection (15) (14) for the treatment of patients immediately

10  prior to or during transportation to a United States

11  Department of Veterans Affairs medical facility, "physician"

12  also means a practitioner employed by the United States

13  Department of Veterans Affairs.

14         (21)(20)  "Registered nurse" means a practitioner who

15  is licensed to practice professional nursing pursuant to part

16  I of chapter 464.

17         (22)(21)  "Secretary" means the Secretary of Health.

18         (23)(22)  "Service location" means any permanent

19  location in or from which a licensee solicits, accepts, or

20  conducts business under this part.

21         Section 8.  Paragraph (b) of subsection (2) of section

22  401.245, Florida Statutes, is amended to read:

23         401.245  Emergency Medical Services Advisory Council.--

24         (2)

25         (b)  Representation on the Emergency Medical Services

26  Advisory Council shall include:  two licensed physicians who

27  are "medical directors" as defined in s. 401.23(16)(15) or

28  whose medical practice is closely related to emergency medical

29  services; two emergency medical service administrators, one of

30  whom is employed by a fire service; two certified paramedics,

31  one of whom is employed by a fire service; two certified


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                                        CS/HB 507, First Engrossed



  1  emergency medical technicians, one of whom is employed by a

  2  fire service; one emergency medical services educator; one

  3  emergency nurse; one hospital administrator; one

  4  representative of air ambulance services; one representative

  5  of a commercial ambulance operator; and two laypersons who are

  6  in no way connected with emergency medical services, one of

  7  whom is a representative of the elderly. Ex officio members of

  8  the advisory council from state agencies shall include, but

  9  shall not be limited to, representatives from the Department

10  of Education, the Department of Management Services, the

11  Department of Insurance, the Department of Highway Safety and

12  Motor Vehicles, the Department of Transportation, and the

13  Department of Community Affairs.

14         Section 9.  Subsection (1) of section 401.252, Florida

15  Statutes, is amended to read:

16         401.252  Interfacility transfer.--

17         (1)  A licensed basic or advanced life support

18  ambulance service may conduct interfacility transfers in a

19  permitted ambulance, using a registered nurse or physician

20  assistant in place of an emergency medical technician or

21  paramedic, if:

22         (a)  The registered nurse or physician assistant holds

23  a current certificate of successful course completion in

24  advanced cardiac life support;

25         (b)  The physician in charge has granted permission for

26  such a transfer, has designated the level of service required

27  for such transfer, and has deemed the patient to be in such a

28  condition appropriate to this type of ambulance staffing; and

29         (c)  The registered nurse operates within the scope of

30  part I of chapter 464 or the physician assistant operates

31


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                                        CS/HB 507, First Engrossed



  1  within the physician assistant's scope of practice under

  2  chapter 458 or chapter 459.

  3         Section 10.  Subsection (6) of section 401.27, Florida

  4  Statutes, is amended to read:

  5         401.27  Personnel; standards and certification.--

  6         (6)(a)  The department shall establish by rule a

  7  procedure for biennial renewal certification of emergency

  8  medical technicians. Such rules must require a United States

  9  Department of Transportation refresher training program of at

10  least 30 hours as approved by the department every 2 years.

11  Completion of the course required by s. 381.0034(1) shall

12  count toward the 30 hours. The refresher program may be

13  offered in multiple presentations spread over the 2-year

14  period.  The rules must also provide that the refresher course

15  requirement may be satisfied by passing a challenge

16  examination.

17         (b)  The department shall establish by rule a procedure

18  for biennial renewal certification of paramedics.  Such rules

19  must require candidates for renewal to have taken at least 30

20  hours of continuing education units during the 2-year period.

21  Completion of the course required by s. 381.0034(1) shall

22  count toward the 30 hours. The rules must provide that the

23  continuing education requirement may be satisfied by passing a

24  challenge examination.

25         Section 11.  Section 456.033, Florida Statutes, is

26  amended to read:

27         456.033  Requirement for instruction for certain

28  licensees on conditions caused by nuclear, biological, and

29  chemical terrorism and on HIV and AIDS.--

30         (1)  The appropriate board shall require each person

31  licensed or certified under chapter 457; chapter 458; chapter


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                                        CS/HB 507, First Engrossed



  1  459; chapter 460; chapter 461; chapter 463; part I of chapter

  2  464; chapter 465; chapter 466; part II, part III, part V, or

  3  part X of chapter 468; or chapter 486 to complete a continuing

  4  educational course, approved by the board, on conditions

  5  caused by nuclear, biological, and chemical terrorism human

  6  immunodeficiency virus and acquired immune deficiency syndrome

  7  as part of biennial relicensure or recertification. The course

  8  shall consist of education on diagnosis and treatment, the

  9  modes of transmission, infection control procedures, and

10  clinical management. Such course shall also include

11  information on reporting suspected cases of conditions caused

12  by nuclear, biological, or chemical terrorism to the

13  appropriate health and law enforcement authorities, and

14  prevention of human immunodeficiency virus and acquired immune

15  deficiency syndrome. Such course shall include information on

16  current Florida law on acquired immune deficiency syndrome and

17  its impact on testing, confidentiality of test results,

18  treatment of patients, and any protocols and procedures

19  applicable to human immunodeficiency virus counseling and

20  testing, reporting, the offering of HIV testing to pregnant

21  women, and partner notification issues pursuant to ss. 381.004

22  and 384.25.

23         (2)  Each such licensee or certificateholder shall

24  submit confirmation of having completed said course, on a form

25  as provided by the board, when submitting fees for each

26  biennial renewal.

27         (3)  The board shall have the authority to approve

28  additional equivalent courses that may be used to satisfy the

29  requirements in subsection (1).  Each licensing board that

30  requires a licensee to complete an educational course pursuant

31  to this section may count the hours required for completion of


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                                        CS/HB 507, First Engrossed



  1  the course included in the total continuing educational

  2  requirements as required by law.

  3         (4)  Any person holding two or more licenses subject to

  4  the provisions of this section shall be permitted to show

  5  proof of having taken one board-approved course on conditions

  6  caused by nuclear, biological, and chemical terrorism human

  7  immunodeficiency virus and acquired immune deficiency

  8  syndrome, for purposes of relicensure or recertification for

  9  additional licenses.

10         (5)  Failure to comply with the above requirements of

11  this section shall constitute grounds for disciplinary action

12  under each respective licensing chapter and s. 456.072(1)(e).

13  In addition to discipline by the board, the licensee shall be

14  required to complete the required course or courses.

15         (6)  The board shall require as a condition of granting

16  a license under the chapters and parts specified in subsection

17  (1) that an applicant making initial application for licensure

18  complete respective an educational courses course acceptable

19  to the board on conditions caused by nuclear, biological, and

20  chemical terrorism and on human immunodeficiency virus and

21  acquired immune deficiency syndrome. An applicant who has not

22  taken such courses a course at the time of licensure shall,

23  upon an affidavit showing good cause, be allowed 6 months to

24  complete this requirement.

25         (7)  The board shall have the authority to adopt rules

26  to carry out the provisions of this section.

27         (8)  The board shall report to the Legislature by March

28  1 of each year as to the implementation and compliance with

29  the requirements of this section.

30         (9)(a)  In lieu of completing a course as required in

31  subsection (1), the licensee may complete a course on in


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                                        CS/HB 507, First Engrossed



  1  end-of-life care and palliative health care or a course on

  2  HIV/AIDS, so long as the licensee completed an approved

  3  AIDS/HIV course on conditions caused by nuclear, biological,

  4  and chemical terrorism in the immediately preceding biennium.

  5         (b)  In lieu of completing a course as required by

  6  subsection (1), a person licensed under chapter 466 who has

  7  completed an approved AIDS/HIV course in the immediately

  8  preceding 2 years may complete a course approved by the Board

  9  of Dentistry.

10         Section 12.  Section 456.0345, Florida Statutes, is

11  created to read:

12         456.0345  Life support training.--Health care

13  practitioners who obtain training in advanced cardiac life

14  support, cardiopulmonary resuscitation, or emergency first aid

15  shall receive an equivalent number of continuing education

16  course credits which may be applied toward licensure renewal

17  requirements.

18         Section 13.  Paragraph (e) of subsection (1) of section

19  456.072, Florida Statutes, is amended to read:

20         456.072  Grounds for discipline; penalties;

21  enforcement.--

22         (1)  The following acts shall constitute grounds for

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

24  be taken:

25         (e)  Failing to comply with the educational course

26  requirements for conditions caused by nuclear, biological, and

27  chemical terrorism or for human immunodeficiency virus and

28  acquired immune deficiency syndrome.

29         Section 14.  Section 456.38, Florida Statutes, is

30  amended to read:

31


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                                        CS/HB 507, First Engrossed



  1         456.38  Practitioner registry for disasters and

  2  emergencies.--The Department of Health shall may include on

  3  its application and renewal forms for the licensure or

  4  certification of health care practitioners licensed pursuant

  5  to chapter 458, chapter 459, chapter 464, or part V of chapter

  6  468, as defined in s. 456.001, who could assist the department

  7  in the event of a disaster a question asking if the

  8  practitioner would be available to provide health care

  9  services in special needs shelters or to help staff disaster

10  medical assistance teams during times of emergency or major

11  disaster. The names of practitioners who answer affirmatively

12  shall be maintained by the department as a health care

13  practitioner registry for disasters and emergencies. A health

14  care practitioner who volunteers his or her services in a

15  special needs shelter or as part of a disaster medical

16  assistance team during a time of emergency or disaster shall

17  not be terminated or discriminated against by his or her

18  employer for such volunteer work, provided that the health

19  care practitioner returns to his or her regular employment

20  within 2 weeks or within a longer period that has been

21  previously approved by the employer in writing.

22         Section 15.  Subsection (4) of section 458.319, Florida

23  Statutes, is amended to read:

24         458.319  Renewal of license.--

25         (4)  Notwithstanding the provisions of s. 456.033, a

26  physician may complete continuing education on end-of-life

27  care and palliative care in lieu of continuing education in

28  conditions caused by nuclear, biological, and chemical

29  terrorism AIDS/HIV, if that physician has completed the

30  AIDS/HIV continuing education in conditions caused by nuclear,

31


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                                        CS/HB 507, First Engrossed



  1  biological, and chemical terrorism in the immediately

  2  preceding biennium.

  3         Section 16.  Subsection (5) of section 459.008, Florida

  4  Statutes, is amended to read:

  5         459.008  Renewal of licenses and certificates.--

  6         (5)  Notwithstanding the provisions of s. 456.033, an

  7  osteopathic physician may complete continuing education on

  8  end-of-life and palliative care in lieu of continuing

  9  education in conditions caused by nuclear, biological, and

10  chemical terrorism AIDS/HIV, if that physician has completed

11  the AIDS/HIV continuing education in conditions caused by

12  nuclear, biological, and chemical terrorism in the immediately

13  preceding biennium.

14         Section 17.  Subsection (4) is added to section

15  401.2715, Florida Statutes, to read:

16         401.2715  Recertification training of emergency medical

17  technicians and paramedics.--

18         (4)  Any certified emergency medical technician or

19  paramedic may, as a condition of recertification, complete up

20  to 8 hours of training to respond to terrorism, as defined in

21  s. 775.30, and such hours completed may be substituted on an

22  hour-for-hour basis for any other areas of training required

23  for recertification. The department may adopt rules necessary

24  to administer this subsection.

25         Section 18.  Subsection (1) of section 633.35, Florida

26  Statutes, is amended to read:

27         633.35  Firefighter training and certification.--

28         (1)  The division shall establish a firefighter

29  training program of not less than 360 hours, administered by

30  such agencies and institutions as it approves for the purpose

31  of providing basic employment training for firefighters. Any


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                                        CS/HB 507, First Engrossed



  1  firefighter may, as a condition of certification, complete up

  2  to 8 hours of training to respond to terrorism, as defined in

  3  s. 775.30, and such hours completed may be substituted on an

  4  hour-for-hour basis for any other areas of training required

  5  for certification. The division may adopt rules necessary to

  6  administer this subsection. Nothing herein shall require a

  7  public employer to pay the cost of such training.

  8         Section 19.  Subsection (1) of section 943.135, Florida

  9  Statutes, is amended to read:

10         943.135  Requirements for continued employment.--

11         (1)  The commission shall, by rule, adopt a program

12  that requires all officers, as a condition of continued

13  employment or appointment as officers, to receive periodic

14  commission-approved continuing training or education. Such

15  continuing training or education shall be required at the rate

16  of 40 hours every 4 years, up to 8 hours of which may consist

17  of training to respond to terrorism as defined in s. 775.30.

18  No officer shall be denied a reasonable opportunity by the

19  employing agency to comply with this section.  The employing

20  agency must document that the continuing training or education

21  is job-related and consistent with the needs of the employing

22  agency. The employing agency must maintain and submit, or

23  electronically transmit, the documentation to the commission,

24  in a format approved by the commission.  The rule shall also

25  provide:

26         (a)  Assistance to an employing agency in identifying

27  each affected officer, the date of his or her employment or

28  appointment, and his or her most recent date for successful

29  completion of continuing training or education;

30         (b)  A procedure for reactivation of the certification

31  of an officer who is not in compliance with this section; and


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                                        CS/HB 507, First Engrossed



  1         (c)  A remediation program supervised by the training

  2  center director within the geographic area for any officer who

  3  is attempting to comply with the provisions of this subsection

  4  and in whom learning disabilities are identified.  The officer

  5  shall be assigned nonofficer duties, without loss of employee

  6  benefits, and the program shall not exceed 90 days.

  7         Section 20.  This act shall take effect upon becoming a

  8  law.

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