Senate Bill sb2066

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    Florida Senate - 2003                                  SB 2066

    By Senator Jones





    13-1198-03

  1                      A bill to be entitled

  2         An act relating to health care; providing

  3         legislative findings and intent; amending s.

  4         456.72, F.S.; providing that a practitioner's

  5         failure to disclose training constitutes

  6         grounds for disciplinary action; providing an

  7         exception; amending s. 458.309, F.S.;

  8         establishing criteria applicable to boards that

  9         certify practitioners; amending s. 458.331,

10         F.S.; providing requirements for advertising by

11         physicians licensed under ch. 458, F.S.;

12         amending s. 458.3312, F.S.; providing

13         prerequisites for claiming to be a

14         board-certified specialist; providing an

15         effective date.

16  

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

18  

19         Section 1.  Legislative findings; intent.--The

20  Legislature finds that there is a compelling state interest in

21  having patients informed of the credentials of the health care

22  practitioners who treat them and in protecting the public from

23  misleading health care advertising. The Legislature further

24  finds that the subjects of licensure and board certification

25  of health care practitioners can be extremely confusing for

26  patients and that a health care practitioner could easily

27  mislead patients into believing that the practitioner is

28  better qualified than other practitioners simply by creating a

29  sham designation or a sham certification body. Moreover, the

30  Legislature finds that the American Council on Graduate

31  Medical Education and the American Board of Medical

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    Florida Senate - 2003                                  SB 2066
    13-1198-03




 1  Specialties and its component boards are universally

 2  recognized as the preeminent certification organizations that

 3  promote and uphold the highest standards in medical

 4  specialization. Therefore, the Legislature intends that

 5  patients be protected from this identifiable harm in the most

 6  direct and effective manner, by ensuring that patients have a

 7  standard and easily understood method of recognizing

 8  legitimate certification bodies and that patients be informed

 9  of the training of their health care practitioners.

10         Section 2.  Present paragraphs (t)-(cc) of

11  subsection(1) of section 456.072, Florida Statutes, are

12  redesignated as paragraphs (v)-(ee), respectively, and new

13  paragraphs (t) and (u) are added to that subsection, to read:

14         456.072  Grounds for discipline; penalties;

15  enforcement.--

16         (1)  The following acts shall constitute grounds for

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

18  be taken:

19         (t)  In any advertisement for health care services, and

20  no later than at the inception of the professional

21  relationship, failing to inform the patient in writing, at a

22  minimum, as to the type of license under which the

23  practitioner is operating. This paragraph does not apply to a

24  practitioner while that practitioner is providing services in

25  a facility licensed under chapter 395 or chapter 400.

26         (u)  When providing a professional opinion, regardless

27  of the setting in which the opinion is provided, failing to

28  inform the patient, at a minimum, as to the type of license

29  under which the practitioner is operating and the scope of the

30  practitioner's practice. This paragraph does not apply to a

31  

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    Florida Senate - 2003                                  SB 2066
    13-1198-03




 1  practitioner while that practitioner is providing services in

 2  a facility licensed under chapter 395 or chapter 400.

 3         Section 3.  Paragraph (d) is added to subsection (2) of

 4  section 458.309, Florida Statutes, to read:

 5         458.309  Rulemaking authority.--

 6         (2)

 7         (d)  In any rules relating to board certification which

 8  the board adopts, the term "board" must mean a board approved

 9  by the American Board of Medical Specialties or by the Florida

10  Board of Medicine, or both. The Board of Medicine may approve

11  only those specialty boards that require the successful

12  completion of a residency approved by the American Council on

13  Graduate Medical Education and provide evidence that their

14  criteria for board certification are at least equivalent to

15  those established by the American Board of Medical

16  Specialties.

17         Section 4.  Paragraph (d) of subsection (1) of section

18  458.331, Florida Statutes, is amended to read:

19         458.331  Grounds for disciplinary action; action by the

20  board and department.--

21         (1)  The following acts constitute grounds for denial

22  of a license or disciplinary action, as specified in s.

23  456.072(2):

24         (d)  False, deceptive, or misleading advertising,

25  including, but not limited to, the dissemination of any

26  advertisement or informed consent form that does not include,

27  at a minimum, whether or not the physician is board certified

28  by a specialty board approved by the American Board of Medical

29  Specialties and the name of any such board that has awarded

30  certification. In addition, a physician may disclose only the

31  postgraduate education that he or she has undertaken in a

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    Florida Senate - 2003                                  SB 2066
    13-1198-03




 1  program approved by the American Council on Graduate Medical

 2  Education and whether he or she completed the program.

 3         Section 5.  Section 458.3312, Florida Statutes, is

 4  amended to read:

 5         458.3312  Specialties.--A physician licensed under this

 6  chapter may not hold himself or herself out as a

 7  board-certified specialist unless the physician has

 8  successfully completed a residency program in that specialty,

 9  which program is accredited by the American Council on

10  Graduate Medical Education, and has received formal

11  recognition as a specialist from a specialty board of the

12  American Board of Medical Specialties or other recognizing

13  agency approved by the board. However, a physician may

14  indicate the services offered and may state that his or her

15  practice is limited to one or more types of services when this

16  accurately reflects the scope of practice of the physician.

17         Section 6.  This act shall take effect July 1, 2003.

18  

19            *****************************************

20                          SENATE SUMMARY

21    States the legislative intent to assure that patients are
      informed about the credentials of health care
22    practitioners. Provides that a practitioner's failure to
      disclose his or her training constitutes grounds for
23    disciplinary action. Establishes criteria applicable to
      boards that certify practitioners. Provides requirements
24    for advertising by medical doctors. Provides
      prerequisites for claiming to be a board-certified
25    specialist.

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