SENATE AMENDMENT
    Bill No. CS for SB 2750
    Amendment No. ___   Barcode 274008
                            CHAMBER ACTION
              Senate                               House
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       04/30/2003 06:38 PM         .                    
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11  Senator Bennett moved the following amendment to amendment
12  (423980):
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14         Senate Amendment (with title amendment) 
15         On page 2, line 22,
16  
17  insert:  
18         Section 45.  Section 466.055, Florida Statutes, is
19  created to read:
20         466.055  Board of Dentistry Empowerment Act.--
21         (1)  If requested by the Board of Dentistry, it shall
22  direct the department whom to appoint as executive director
23  pursuant to the rules of the state personnel system. The
24  committee conducting interviews of candidates for executive
25  director shall consist of the board chairman or his designee
26  and the secretary or his or her designee. A list of final
27  candidates shall be submitted to the board, which shall
28  approve the candidate to be hired. The approval process shall
29  include the right of the board to interview the list of
30  submitted candidates. The board may reject all the candidates
31  on the submitted list and request that a new list be submitted
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    8:17 AM   04/29/03                              s2750c1c-21m0a

SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 by the interview committee. The executive director shall 2 perform those duties and responsibilities specific to the 3 Board of Dentistry and shall exclusively serve the Board of 4 Dentistry. The board shall monitor the performance of the 5 executive director, based on established performance standards 6 and should the board determine, by a majority vote, that the 7 performance of the executive director is consistently below 8 the performance standards of the board and thus unacceptable, 9 the board shall promptly notify the department of its 10 findings, in writing, and the department shall take 11 appropriate action to replace the executive director, pursuant 12 to the state personnel rules. 13 (2) The executive director shall be responsible for 14 overseeing the hiring of all other staff members who work 15 directly for the executive director and who perform services 16 for the board. 17 (3) The department shall contract for a dental intake 18 officer when requested by the Board of Dentistry in accordance 19 with the state personnel system and qualifications established 20 for such position by the Board of Dentistry. The 21 qualifications for the position shall include a requirement 22 that the candidate be a licensed Florida dentist in good 23 standing. 24 (4) The dental intake officer shall be responsible for 25 determining the legal sufficiency of all dental complaints 26 received by the department within 5 working days after the 27 complaint is filed; advising the board regarding dental health 28 regulation issues; and advising field investigators on dental 29 issues related to the complaints to assure that complaints are 30 properly investigated in a timely and efficacious manner. 31 (5) The Board of Dentistry, in consultation with the 2 8:17 AM 04/29/03 s2750c1c-21m0a
SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 department, shall establish reasonable and comprehensive 2 performance parameters for the prosecution of disciplinary 3 cases by the department. Such parameters shall reflect the 4 quality and quantity of services to be provided to the board, 5 including, but not limited to, the proportion of cases that 6 are successfully prosecuted through final hearing and appeal 7 if such cases involve irremediable harm or injury or the 8 immediate threat of irremediable harm or injury to the 9 patient. The board shall conduct an annual evaluation to 10 determine if the department has met the established 11 performance parameters. A finding by the board that the 12 department has failed to meet established parameters shall 13 enable the board, by a majority vote, to instruct the 14 department to retain sufficient outside contractual 15 prosecutorial services pursuant to s. 287.057(3), to fulfill 16 the immediate and forseeable prosecutorial needs of the board. 17 Contract negotiations and vendor selection shall be conducted 18 in consultation with the chairman of the board or his 19 designee. Each contract for prosecutorial services shall 20 include, at a minimum, the performance parameters developed by 21 the board for its assessment of the department. 22 (6) If requested, a representative of testing services 23 of the Department of Health shall appear before the board, or 24 a committee of the board, following the completion of each 25 examination cycle to discuss examination issues. If the board 26 identifies issues to be addressed, testing services shall 27 report to the board, as requested at the next board meeting, 28 on its progress in addressing the issues identified by the 29 board. 30 (7)(a) In conjunction with each fiscal year budgetary 31 cycle, the department, in consultation with the board, shall 3 8:17 AM 04/29/03 s2750c1c-21m0a
SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 develop a Board of Dentistry spending plan encompassing 2 anticipated revenue of all types along with all anticipated 3 operating expenses of the board and associated support 4 services of the department, which shall include all direct and 5 allocated expenses necessary to enable the board to fulfill 6 its responsibilities. All expenditure detail as provided 7 herein shall reflect the methodology and calculations of the 8 department in allocating common expenses among all regulatory 9 boards. 10 (b) The Board of Dentistry shall have spending 11 authority over discretionary budgetary items, as determined by 12 the department and the board jointly. Discretionary budgetary 13 items shall include the selection of board meeting venue, 14 hotel facilities, and accommodations; travel of board members 15 and necessary staff to all meetings of the board; attendance 16 by board members at meetings and conferences deemed to be 17 important by the board in fulfilling its responsibilities, 18 monitoring performance, and confirming the accuracy of 19 information provided to the board or others which relates to 20 the duties and responsibilities of the board; and an 21 operational contingency. Operational contingency is that 22 portion of cash on hand that exceeds that required for the 23 5-year spending plan as described in s. 456.005. The 24 operational contingency may be used for a special project by 25 the board in fulfilling its responsibilities if a deficit does 26 not or would not exist for the profession. In exercising its 27 spending authority over discretionary budget items, the board 28 must adhere to all applicable state laws and directives; 29 assure that all meeting locations are accessible to the public 30 and licensees; assure that board meetings are conducted in an 31 effective and efficient manner for the public and licensees; 4 8:17 AM 04/29/03 s2750c1c-21m0a
SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 assure that the minimal number of board members or staff 2 attend any meeting or conference; and assure the maximum use 3 of technology. When requested by the board, the department 4 shall provide timely procurement assistance to facilitate all 5 discretionary expenditures of the board. 6 (8)(a) The department shall submit a report to the 7 Governor, the President of the Senate, and the Speaker of the 8 House of Representatives by November 1 of each year on the 9 effectiveness and efficiency of this section, including: 10 1. The revenues, expenditures, and cash balances for 11 the prior year, and a review of the adequacy of existing 12 revenues; 13 2. The nature and extent of all services provided to 14 the board by the department; 15 3. The total cost allocated by the department for each 16 service provided by the department to the board and the amount 17 and percent by which each cost is appropriate to dentistry's 18 pro-rata share of the total cost of such services provided by 19 the department to all affected boards, councils, and 20 professions; 21 4. The number of licensure examinations taken, the 22 fees collected for licensure examination, and the time from 23 which a candidate for licensure completed the required 24 examination to the time in which the candidate received the 25 results; 26 5. The number of licenses issued, revoked, or 27 suspended; 28 6. The number of disciplinary complaints received, 29 determined to be legally sufficient, investigated, referred to 30 the board's probable cause panel, prosecuted, subject to final 31 board action, and appealed; the number, maximum, and average 5 8:17 AM 04/29/03 s2750c1c-21m0a
SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 duration of licenses suspended; the number of licenses 2 revoked; the number of cases spanning more than 180,270, and 3 365 days from receipt of complaints to submission to the 4 board's probable cause panel; the proportion of cases which 5 were eligible for and the number of cases actually resolved by 6 citation; the proportion of cases where probable cause was 7 found; the number of cases were probable cause was found that 8 were not prosecuted or that did not result in stipulated 9 agreements; the number of cases involving stipulated 10 agreements; the number of cases involving stipulated 11 agreements which were changed by the board and the number of 12 cases involving stipulated agreements that were rejected 13 without modification by the board; the number of cases taking 14 in excess of 1 year from the date of receipt of a complaint to 15 final board action; the number of cases involving formal 16 hearings; the status of all cases appealed; the number of 17 cases where licensure suspension or revocation was stayed 18 pending appeal; the number of emergency suspension orders 19 issued; the average and maximum range of costs of complaint 20 investigations and prosecutions; and the amount of fines and 21 expenses collected by type of cases prosecuted; 22 7. The status of the development and implementation of 23 rules providing for disciplinary guidelines pursuant to s. 24 456.079; and 25 8. Such recommendations for administrative and 26 statutory changes necessary to facilitate efficient and 27 cost-effective operation of the board and the department. 28 (b) The department shall include in the report any 29 statement, comment, suggestion, recommendation, or objection 30 made by the board in response to the report. 31 6 8:17 AM 04/29/03 s2750c1c-21m0a
SENATE AMENDMENT Bill No. CS for SB 2750 Amendment No. ___ Barcode 274008 1 ================ T I T L E A M E N D M E N T =============== 2 And the title is amended as follows: 3 On page 3, line 4, after the semicolon, 4 5 insert: 6 creating s. 466.055, F.S.; providing for the 7 appointment of an executive director; providing 8 for duties, and board oversight; requiring 9 director to oversee staff; requiring the 10 department to contract for a dental intake 11 officer and providing qualifications; requiring 12 certain responsibilities of the officer; 13 requiring the board to establish certain 14 performance parameters for departmental 15 handling of disciplinary cases, and 16 consequences; requiring testing services to 17 report to the board if requested; requiring a 18 board spending plan and its content; requiring 19 board spending authority over discretionary 20 budget items; requiring a department report of 21 certain information; providing for a board 22 response; 23 24 25 26 27 28 29 30 31 7 8:17 AM 04/29/03 s2750c1c-21m0a