Senate Bill sb1462

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2004                                  SB 1462

    By the Committee on Health, Aging, and Long-Term Care





    317-634A-04

  1                      A bill to be entitled

  2         An act relating to the licensure of health care

  3         practitioners; amending s. 456.039, F.S.;

  4         revising the requirements for information

  5         submitted by designated health care

  6         professionals for licensure, licensure renewal,

  7         and updates thereof; authorizing the Department

  8         of Health to receive automated criminal arrest

  9         information concerning health care

10         professionals who are subject to the profiling

11         requirements; requiring certain health

12         professionals to submit fingerprints to the

13         Department of Health and to pay fees for a

14         criminal history records check; amending s.

15         456.0391, F.S.; revising the requirements for

16         information submitted by advanced registered

17         nurse practitioners for certification;

18         authorizing the Department of Health to receive

19         automated criminal arrest information

20         concerning health care professionals who are

21         subject to the profiling requirements;

22         requiring certain health professionals to

23         submit fingerprints to the Department of Health

24         and to pay fees for a criminal history records

25         check; amending s. 456.041, F.S.; revising the

26         duties of the Department of Health with respect

27         to its compilation of information into a

28         practitioner profile for designated health care

29         professionals; requiring the department to

30         verify specified information submitted for

31         compilation into practitioner profiles;

                                  1

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         requiring the department to include in each

 2         practitioner's profile specified criminal

 3         history information, specified information

 4         regarding the status of the practitioner's

 5         license, and, upon notification, information

 6         regarding the date of death of the

 7         practitioner; requiring applications for a

 8         physician license and license renewal to be

 9         submitted electronically by a specified date;

10         amending s. 456.042, F.S.; requiring designated

11         health care practitioners to electronically

12         submit updates of required information for

13         compilation into practitioner profiles;

14         amending s. 456.051, F.S.; revising

15         requirements for the Department of Health to

16         publish reports of claims or actions for

17         damages for certain health care practitioners

18         on the practitioner profiles; amending ss.

19         458.319, 459.008, 460.407, and 461.007, F.S.;

20         revising requirements for physician licensure

21         renewal; authorizing the Department of Health

22         to gain access to renewal applicants' records

23         in an automated system maintained by the

24         Department of Law Enforcement; providing an

25         effective date.

26  

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

28  

29         Section 1.  Subsections (1), (3), and (4) of section

30  456.039, Florida Statutes, are amended to read:

31  

                                  2

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         456.039  Designated health care professionals;

 2  information required for licensure.--

 3         (1)  Each person who applies for initial licensure as a

 4  physician under chapter 458, chapter 459, chapter 460, or

 5  chapter 461, except a person applying for registration under

 6  pursuant to ss. 458.345 and 459.021, must, at the time of

 7  application, and each physician who applies for license

 8  renewal under chapter 458, chapter 459, chapter 460, or

 9  chapter 461, except a person registered under pursuant to ss.

10  458.345 and 459.021, must, in conjunction with the renewal of

11  the such license and under procedures adopted by the

12  department of Health, and in addition to any other information

13  that may be required from the applicant, furnish the following

14  information to the department of Health:

15         (a)1.  The name of each medical school that the

16  applicant has attended, with the dates of attendance and the

17  date of graduation, and a description of all graduate medical

18  education completed by the applicant, excluding any coursework

19  taken to satisfy medical licensure continuing education

20  requirements.

21         2.  The name of each hospital at which the applicant

22  has privileges.

23         3.  The address at which the applicant will primarily

24  conduct his or her practice and any other address at which the

25  applicant regularly conducts his or her practice, clearly

26  identifying each county in the state in which the applicant

27  practices.

28         4.  Any certification that the applicant has received

29  from a specialty board that is recognized by the board to

30  which the applicant is applying.

31  

                                  3

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         5.  The year that the applicant began practicing

 2  medicine.

 3         6.  Any appointment to the faculty of a medical school

 4  which the applicant currently holds and an indication as to

 5  whether the applicant has had the responsibility for graduate

 6  medical education within the most recent 10 years.

 7         7.  A description of any criminal offense of which the

 8  applicant has been found guilty, regardless of whether

 9  adjudication of guilt was withheld, or to which the applicant

10  has pled guilty or nolo contendere.  A criminal offense

11  committed in another jurisdiction which would have been a

12  felony or misdemeanor if committed in this state must be

13  reported. If the applicant indicates that a criminal offense

14  is under appeal and submits a copy of the notice for appeal of

15  that criminal offense, the department must state that the

16  criminal offense is under appeal if the criminal offense is

17  reported in the applicant's profile. If the applicant

18  indicates to the department that a criminal offense is under

19  appeal, the applicant must, upon disposition of the appeal,

20  submit to the department a copy of the final written order of

21  disposition.

22         8.  A description of any final disciplinary action

23  taken within the previous 10 years against the applicant by

24  the agency regulating the profession that the applicant is or

25  has been licensed to practice, whether in this state or in any

26  other jurisdiction, by a specialty board that is recognized by

27  the American Board of Medical Specialties, the American

28  Osteopathic Association, or a similar national organization,

29  or by a licensed hospital, health maintenance organization,

30  prepaid health clinic, ambulatory surgical center, or nursing

31  home. Disciplinary action includes resignation from or

                                  4

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  nonrenewal of medical staff membership or the restriction of

 2  privileges at a licensed hospital, health maintenance

 3  organization, prepaid health clinic, ambulatory surgical

 4  center, or nursing home taken in lieu of or in settlement of a

 5  pending disciplinary case related to competence or character.

 6  If the applicant indicates that the disciplinary action is

 7  under appeal and submits a copy of the document initiating an

 8  appeal of the disciplinary action, the department must state

 9  that the disciplinary action is under appeal if the

10  disciplinary action is reported in the applicant's profile.

11         9.  Relevant professional qualifications as defined by

12  the applicable board.

13         10.  The percentage of time that the physician

14  practices in the board-certified specialty, if the physician

15  is a board-certified specialist.

16         11.  The practice area to which the physician limits

17  his or her practice, if the physician is not a board-certified

18  specialist and the physician limits his or her practice to a

19  particular area.

20         12.  The type of practice settings in which the

21  physician practices, including hospitals, specialty hospitals,

22  veterans hospitals, ambulatory surgical centers, other

23  clinics, county health departments, physician offices, or

24  other locations.

25         13.  An indication of whether the physician has retired

26  and is not actively practicing his or her profession.

27         14.  An indication of the number of hours per week in

28  which the physician actively practices, if the physician is in

29  active practice fewer than 40 hours per week.

30         15.  The method by which the physician is in compliance

31  with the financial responsibilty requirements, including the

                                  5

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  type of coverage obtained, the amount of coverage maintained,

 2  and the name of the coverage provider, if applicable.

 3         (b)  In addition to the information required under

 4  paragraph (a), each applicant who seeks licensure under

 5  chapter 458, chapter 459, or chapter 461, and who has

 6  practiced previously in this state or in another jurisdiction

 7  or a foreign country must provide the information required of

 8  licensees under those chapters under pursuant to s. 456.049.

 9  An applicant for licensure under chapter 460 who has practiced

10  previously in this state or in another jurisdiction or a

11  foreign country must provide the same information as is

12  required of licensees under chapter 458, under pursuant to s.

13  456.049.

14         (3)  Each person who has submitted information under

15  pursuant to subsection (1) must update that information in

16  writing by notifying the department of Health within 15 45

17  days after the occurrence of an event or the attainment of a

18  status that is required to be reported by subsection (1).

19  Failure to comply with the requirements of this subsection to

20  update and submit information constitutes a ground for

21  disciplinary action under each respective licensing chapter

22  and s. 456.072(1)(k). For failure to comply with the

23  requirements of this subsection to update and submit

24  information, the department or board, as appropriate, may:

25         (a)  Refuse to issue a license to any person applying

26  for initial licensure who fails to submit and update the

27  required information.

28         (b)  Issue a citation to any licensee who fails to

29  submit and update the required information and may fine the

30  licensee up to $50 for each day that the licensee is not in

31  compliance with this subsection. The citation must clearly

                                  6

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  state that the licensee may choose, in lieu of accepting the

 2  citation, to follow the procedure under s. 456.073. If the

 3  licensee disputes the matter in the citation, the procedures

 4  set forth in s. 456.073 must be followed. However, if the

 5  licensee does not dispute the matter in the citation with the

 6  department within 30 days after the citation is served, the

 7  citation becomes a final order and constitutes discipline.

 8  Service of a citation may be made by personal service or

 9  certified mail, restricted delivery, to the subject at the

10  licensee's last known address.

11         (4)(a)  An applicant for initial licensure must submit

12  a set of fingerprints to the Department of Health in

13  accordance with s. 458.311, s. 458.3115, s. 458.3124, s.

14  458.313, s. 459.0055, s. 460.406, or s. 461.006.

15         (b)  An applicant for renewed licensure must submit a

16  set of fingerprints for the initial renewal of his or her

17  license after January 1, 2005 2000, to the department agency

18  regulating that profession in accordance with procedures

19  established under s. 458.319, s. 459.008, s. 460.407, or s.

20  461.007. If an applicant for license renewal has previously

21  submitted fingerprints that are retained by the Department of

22  Law Enforcement in the statewide automated fingerprint

23  identification system, the applicant shall not be required to

24  resubmit his or her fingerprints.

25         (c)  The Department of Health shall submit the

26  fingerprints provided by an applicant for initial licensure to

27  the Florida Department of Law Enforcement for a statewide

28  criminal history check until arrest information is available

29  to the department from the Department of Law Enforcement's

30  operation of the statewide automated fingerprint

31  identification system, and the Florida Department of Law

                                  7

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  Enforcement shall forward the fingerprints to the Federal

 2  Bureau of Investigation for a national criminal history check

 3  of the applicant. The department shall submit the fingerprints

 4  provided by an applicant for a renewed license to the Florida

 5  Department of Law Enforcement for a statewide criminal history

 6  check, and the Florida Department of Law Enforcement shall

 7  forward the fingerprints to the Federal Bureau of

 8  Investigation for a national criminal history check for the

 9  initial renewal of the applicant's license after January 1,

10  2000; for any subsequent renewal of the applicant's license,

11  the department shall submit the required information for a

12  statewide criminal history check of the applicant.

13         (d)  Any applicant for initial licensure or renewal of

14  licensure as a health care practitioner who submits to the

15  Department of Health a set of fingerprints or information

16  required for the criminal history check required under this

17  section shall not be required to provide a subsequent set of

18  fingerprints or other duplicate information required for a

19  criminal history check to the Agency for Health Care

20  Administration, the Department of Juvenile Justice, or the

21  Department of Children and Family Services for employment or

22  licensure with such agency or department if the applicant has

23  undergone a criminal history check as a condition of initial

24  licensure or licensure renewal as a health care practitioner

25  with the Department of Health or any of its regulatory boards,

26  notwithstanding any other provision of law to the contrary. In

27  lieu of such duplicate submission, the Agency for Health Care

28  Administration, the Department of Juvenile Justice, and the

29  Department of Children and Family Services shall obtain

30  criminal history information for employment or licensure of

31  health care practitioners by such agency and departments from

                                  8

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  the Department of Health's health care practitioner

 2  credentialing system.

 3         (e)  Fingerprints obtained by the Department of Health

 4  under paragraph (a) or paragraph (b) shall be retained by the

 5  Department of Law Enforcement and must be entered in the

 6  statewide automated fingerprint identification system

 7  authorized by s. 943.05(2)(b). Such fingerprints shall

 8  thereafter be available for all purposes and uses authorized

 9  for arrest fingerprint cards entered in the statewide

10  automated fingerprint identification system pursuant to s.

11  943.051.

12         (f)  Beginning December 15, 2005, the Department of Law

13  Enforcement shall search all arrest fingerprint cards received

14  under s. 943.051 against the fingerprints retained in the

15  statewide automated fingerprint identification system under

16  paragraph (e). Any arrest records that are thus identified

17  with the retained applicant fingerprints must be reported to

18  the Department of Health. The Department of Health must

19  participate in this search process by paying an annual fee to

20  the Department of Law Enforcement and by informing the

21  Department of Law Enforcement of any change in the licensure

22  status of each applicant whose fingerprints are retained under

23  paragraph (e). The Department of Law Enforcement shall

24  establish by rule the amount of the annual fee to be imposed

25  on the Department of Health for performing these searches, for

26  retaining fingerprints of licensed health care practitioners,

27  and for disseminating search results. Each applicant for

28  licensure or license renewal who is subject to the

29  requirements of this section shall pay to the Department of

30  Health, at the time of initial licensure or license renewal,

31  an amount equal to the costs incurred by the Department of

                                  9

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  Health for access to records in the statewide automated

 2  fingerprint identification system in lieu of payment of fees

 3  for a statewide criminal background check of the applicant.

 4         Section 2.  Subsections (3) and (4) of section

 5  456.0391, Florida Statutes, are amended to read:

 6         456.0391  Advanced registered nurse practitioners;

 7  information required for certification.--

 8         (3)  Each person certified under s. 464.012 who has

 9  submitted information pursuant to subsection (1) must update

10  that information in writing by notifying the department of

11  Health within 15 45 days after the occurrence of an event or

12  the attainment of a status that is required to be reported by

13  subsection (1). Failure to comply with the requirements of

14  this subsection to update and submit information constitutes a

15  ground for disciplinary action under chapter 464 and s.

16  456.072(1)(k). For failure to comply with the requirements of

17  this subsection to update and submit information, the

18  department or board, as appropriate, may:

19         (a)  Refuse to issue a certificate to any person

20  applying for initial certification who fails to submit and

21  update the required information.

22         (b)  Issue a citation to any certificateholder who

23  fails to submit and update the required information and may

24  fine the certificateholder up to $50 for each day that the

25  certificateholder is not in compliance with this subsection.

26  The citation must clearly state that the certificateholder may

27  choose, in lieu of accepting the citation, to follow the

28  procedure under s. 456.073. If the certificateholder disputes

29  the matter in the citation, the procedures set forth in s.

30  456.073 must be followed. However, if the certificateholder

31  does not dispute the matter in the citation with the

                                  10

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  department within 30 days after the citation is served, the

 2  citation becomes a final order and constitutes discipline.

 3  Service of a citation may be made by personal service or

 4  certified mail, restricted delivery, to the subject at the

 5  certificateholder's last known address.

 6         (4)(a)  An applicant for initial certification under s.

 7  464.012 must submit a set of fingerprints to the Department of

 8  Health on a form and under procedures specified by the

 9  department, along with payment in an amount equal to the costs

10  incurred by the Department of Health for a national criminal

11  history check of the applicant.

12         (b)  An applicant for renewed certification who has not

13  previously submitted a set of fingerprints to the Department

14  of Health for purposes of certification must submit a set of

15  fingerprints to the department as a condition of the initial

16  renewal of his or her certificate after January 1, 2005 the

17  effective date of this section. The applicant must submit the

18  fingerprints on a form and under procedures specified by the

19  department, along with payment in an amount equal to the costs

20  incurred by the Department of Health for retaining and

21  processing of fingerprints in the Department of Law

22  Enforcement's statewide automated fingerprint identification

23  system. If an applicant for renewed certification has

24  previously submitted fingerprints that are retained by the

25  Department of Law Enforcement in the statewide automated

26  fingerprint identification system, the applicant shall not be

27  required to resubmit his or her fingerprints a national

28  criminal history check. For subsequent renewals, the applicant

29  for renewed certification must only submit information

30  necessary to conduct a statewide criminal history check, along

31  

                                  11

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  with payment in an amount equal to the costs incurred by the

 2  Department of Health for a statewide criminal history check.

 3         (c)1.  The Department of Health shall submit the

 4  fingerprints provided by an applicant for initial

 5  certification to the Florida Department of Law Enforcement for

 6  a statewide criminal history check until arrest information is

 7  available to the Department of Health from the Department of

 8  Law Enforcement's implementation of the statewide automated

 9  fingerprint identification system, and the Florida Department

10  of Law Enforcement shall forward the fingerprints to the

11  Federal Bureau of Investigation for a national criminal

12  history check of the applicant.

13         2.  The department shall submit the fingerprints

14  provided by an applicant for the initial renewal of

15  certification to the Florida Department of Law Enforcement for

16  a statewide criminal history check until arrest information is

17  available to the Department of Health from the Department of

18  Law Enforcement's implementation of the statewide automated

19  fingerprint identification system, and the Florida Department

20  of Law Enforcement shall forward the fingerprints to the

21  Federal Bureau of Investigation for a national criminal

22  history check for the initial renewal of the applicant's

23  certificate after the effective date of this section.

24         3.  For any subsequent renewal of the applicant's

25  certificate, the department shall submit the required

26  information for a statewide criminal history check of the

27  applicant to the Florida Department of Law Enforcement.

28         (d)  Any applicant for initial certification or renewal

29  of certification as an advanced registered nurse practitioner

30  who submits to the Department of Health a set of fingerprints

31  and information required for the criminal history check

                                  12

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  required under this section shall not be required to provide a

 2  subsequent set of fingerprints or other duplicate information

 3  required for a criminal history check to the Agency for Health

 4  Care Administration, the Department of Juvenile Justice, or

 5  the Department of Children and Family Services for employment

 6  or licensure with such agency or department, if the applicant

 7  has undergone a criminal history check as a condition of

 8  initial certification or renewal of certification as an

 9  advanced registered nurse practitioner with the Department of

10  Health, notwithstanding any other provision of law to the

11  contrary. In lieu of such duplicate submission, the Agency for

12  Health Care Administration, the Department of Juvenile

13  Justice, and the Department of Children and Family Services

14  shall obtain criminal history information for employment or

15  licensure of persons certified under s. 464.012 by such agency

16  or department from the Department of Health's health care

17  practitioner credentialing system.

18         (e)  Fingerprints obtained by the Department of Health

19  under paragraph (a) or paragraph (b) shall be retained by the

20  Department of Law Enforcement and must be entered in the

21  statewide automated fingerprint identification system

22  authorized by s. 943.05(2)(b). Such fingerprints shall

23  thereafter be available for all purposes and uses authorized

24  for arrest fingerprint cards entered in the statewide

25  automated fingerprint identification system pursuant to s.

26  943.051.

27         (f)  Beginning December 15, 2005, the Department of Law

28  Enforcement shall search all arrest fingerprint cards received

29  under s. 943.051 against the fingerprints retained in the

30  statewide automated fingerprint identification system under

31  paragraph (e). Any arrest records that are thus identified

                                  13

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  with the retained applicant fingerprints must be reported to

 2  the Department of Health. The Department of Health must

 3  participate in this search process by paying an annual fee to

 4  the Department of Law Enforcement and by informing the

 5  Department of Law Enforcement of any change in the

 6  certification status of each applicant whose fingerprints are

 7  retained under paragraph (e). The Department of Law

 8  Enforcement shall establish by rule the amount of the annual

 9  fee to be imposed on the Department of Health for performing

10  these searches, for retaining fingerprints of certified health

11  care practitioners, and for disseminating search results. Each

12  applicant for certification or certification renewal who is

13  subject to the requirements of this section shall pay to the

14  Department of Health, at the time of initial certification or

15  certification renewal, an amount equal to the costs incurred

16  by the Department of Health for access to records in the

17  statewide automated fingerprint identification system in lieu

18  of payment of fees for a statewide criminal background check

19  of the applicant.

20         Section 3.  Subsections (1), (3), and (8) of section

21  456.041, Florida Statutes, are amended, present subsection

22  (10) is redesignated as subsection (11), and a new subsection

23  (10) is added to that section, to read:

24         456.041  Practitioner profile; creation.--

25         (1)(a)  The Department of Health shall compile the

26  information submitted under pursuant to s. 456.039 into a

27  practitioner profile of the applicant submitting the

28  information, except that the department of Health shall

29  develop a format to compile uniformly any information

30  submitted under s. 456.039(4)(b).

31  

                                  14

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         (b)  Beginning July 1, 2004, the department shall

 2  verify information concerning medical education, postgraduate

 3  medical training, current staff privileges, any physician

 4  licenses held in other states, disciplinary history, and

 5  malpractice claims which is submitted under s. 456.039 by each

 6  applicant for initial and renewal licensure.

 7         (c)  Beginning July 1, 2001, the department of Health

 8  may compile the information submitted under pursuant to s.

 9  456.0391 into a practitioner profile of the applicant

10  submitting the information.

11         (d)(b)  Within 30 calendar days after receiving an

12  update of information required for the practitioner's profile,

13  the department shall update the practitioner's profile in

14  accordance with the requirements of subsection (7).

15         (3)  The department of Health shall include in each

16  practitioner's practitioner profile that criminal history

17  information submitted under s. 456.039 or s. 456.0391 that

18  directly relates to the practitioner's ability to competently

19  practice his or her profession. The department must include in

20  each practitioner's practitioner profile the following

21  statement: "The criminal history information, if any exists,

22  may be incomplete; federal criminal history information is not

23  available to the public." The department shall provide in each

24  practitioner profile, for every final disciplinary action

25  taken against the practitioner, an easy-to-read narrative

26  description that explains the administrative complaint filed

27  against the practitioner and the final disciplinary action

28  imposed on the practitioner. The department shall include a

29  hyperlink to each final order listed in its website report of

30  dispositions of recent disciplinary actions taken against

31  practitioners.

                                  15

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         (8)  The department of Health must provide in each

 2  profile an easy-to-read explanation of any disciplinary action

 3  taken and the reason the sanction or sanctions were imposed.

 4  The department must provide the status of the practitioner's

 5  license on each practitioner's profile and state whether or

 6  not the practitioner has relinquished a license or had a

 7  license revoked in any state or jurisdiction.

 8         (10)  Upon notification, the department shall indicate

 9  on each practitioner's profile the date of death of the

10  practitioner.

11         Section 4.  Beginning July 1, 2004, the application

12  forms for an initial license and a license renewal for

13  physicians licensed under chapter 458, chapter 459, chapter

14  460, or chapter 461 shall be submitted electronically through

15  the Internet. The department shall issue the license or renew

16  a license if the applicant provides satisfactory evidence that

17  all conditions and requirements of licensure or license

18  renewal have been met, including, but not limited to, the

19  payment of fees, the completion of required continuing

20  education coursework, and, if applicable, the maintenance of

21  financial responsibilty. This section does not reduce or

22  eliminate any requirement set forth in chapter 456, Florida

23  Statutes, or the applicable practice act.

24         Section 5.  Section 456.042, Florida Statutes, is

25  amended to read:

26         456.042  Practitioner profiles; update.--A practitioner

27  must electronically submit updates of required information

28  through the Internet within 15 days after the final activity

29  that renders such information a fact. The department of Health

30  shall update each practitioner's practitioner profile

31  

                                  16

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  periodically. An updated profile is subject to the same

 2  requirements as an original profile.

 3         Section 6.  Subsection (1) of section 456.051, Florida

 4  Statutes, is amended to read:

 5         456.051  Reports of professional liability actions;

 6  bankruptcies; Department of Health's responsibility to

 7  provide.--

 8         (1)  The report of a claim or action for damages for

 9  personal injury which is required to be provided to the

10  Department of Health under s. 456.049 or s. 627.912 is public

11  information except for the name of the claimant or injured

12  person, which remains confidential as provided in ss.

13  456.049(2)(d) and 627.912(2)(e). The Department of Health

14  shall, upon request, make such report available to any person.

15  The department shall make such report available as a part of

16  the practitioner's profile in accordance with s. 456.041(4)

17  within 30 calendar days after receipt.

18         Section 7.  Subsection (1) of section 458.319, Florida

19  Statutes, is amended to read:

20         458.319  Renewal of license.--

21         (1)  The department shall renew a license upon receipt

22  of the renewal application, evidence that the applicant has

23  actively practiced medicine or has been on the active teaching

24  faculty of an accredited medical school for at least 2 years

25  of the immediately preceding 4 years, and a fee not to exceed

26  $500; provided, however, that if the licensee is either a

27  resident physician, assistant resident physician, fellow,

28  house physician, or intern in an approved postgraduate

29  training program, as defined by the board by rule, the fee

30  shall not exceed $100 per annum.  If the licensee has not

31  actively practiced medicine for at least 2 years of the

                                  17

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  immediately preceding 4 years, the board shall require that

 2  the licensee successfully complete a board-approved clinical

 3  competency examination prior to renewal of the license.

 4  "Actively practiced medicine" means that practice of medicine

 5  by physicians, including those employed by any governmental

 6  entity in community or public health, as defined by this

 7  chapter, including physicians practicing administrative

 8  medicine. An applicant for a renewed license must also submit

 9  the information required under s. 456.039 to the department on

10  a form and under procedures specified by the department, along

11  with payment in an amount equal to the costs incurred by the

12  Department of Health for the statewide criminal background

13  check of the applicant. After the statewide automated

14  fingerprint identification system is implemented, the

15  applicant must pay the Department of Health an amount equal to

16  the costs incurred by the Department of Health for access to

17  records in the statewide automated fingerprint identification

18  system in lieu of payment of fees for a statewide criminal

19  background check of the applicant. The applicant must submit a

20  set of fingerprints to the Department of Health on a form and

21  under procedures specified by the department, along with

22  payment in an amount equal to the costs incurred by the

23  department for retaining and processing fingerprints in the

24  Department of Law Enforcement's statewide automated

25  fingerprint identification system a national criminal

26  background check of the applicant for the initial renewal of

27  his or her license after January 1, 2005 2000. If the

28  applicant fails to submit either the information required

29  under s. 456.039 or a set of fingerprints to the department as

30  required by this section, the department shall issue a notice

31  of noncompliance, and the applicant will be given 30

                                  18

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  additional days to comply. If the applicant fails to comply

 2  within 30 days after the notice of noncompliance is issued,

 3  the department or board, as appropriate, may issue a citation

 4  to the applicant and may fine the applicant up to $50 for each

 5  day that the applicant is not in compliance with the

 6  requirements of s. 456.039. The citation must clearly state

 7  that the applicant may choose, in lieu of accepting the

 8  citation, to follow the procedure under s. 456.073. If the

 9  applicant disputes the matter in the citation, the procedures

10  set forth in s. 456.073 must be followed. However, if the

11  applicant does not dispute the matter in the citation with the

12  department within 30 days after the citation is served, the

13  citation becomes a final order and constitutes discipline.

14  Service of a citation may be made by personal service or

15  certified mail, restricted delivery, to the subject at the

16  applicant's last known address. If an applicant has submitted

17  fingerprints to the department for a national criminal history

18  check upon initial licensure and is renewing his or her

19  license for the first time, then the applicant need only

20  submit the information and fee required for a statewide

21  criminal history check. However, if the applicant's

22  fingerprints are not retained by the Department of Law

23  Enforcement in the statewide automated fingerprint

24  identification system and the Department of Health is using

25  that system for access to arrest information of licensed

26  health practitioners, then the applicant must resubmit his or

27  her fingerprints and submit the information and fee required

28  by s. 456.039 for access to records in the statewide automated

29  fingerprint identification system in lieu of payment of fees

30  for a criminal background check of the applicant.

31  

                                  19

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         Section 8.  Subsection (1) of section 459.008, Florida

 2  Statutes, is amended to read:

 3         459.008  Renewal of licenses and certificates.--

 4         (1)  The department shall renew a license or

 5  certificate upon receipt of the renewal application and fee.

 6  An applicant for a renewed license must also submit the

 7  information required under s. 456.039 to the department on a

 8  form and under procedures specified by the department, along

 9  with payment in an amount equal to the costs incurred by the

10  Department of Health for the statewide criminal background

11  check of the applicant. After the statewide automated

12  fingerprint identification system is implemented, the

13  applicant must pay the Department of Health an amount equal to

14  the costs incurred by the Department of Health for access to

15  records in the statewide automated fingerprint identification

16  system in lieu of payment of fees for a statewide criminal

17  background check of the applicant.  The applicant must submit

18  a set of fingerprints to the Department of Health on a form

19  and under procedures specified by the department, along with

20  payment in an amount equal to the costs incurred by the

21  department for retaining and processing fingerprints in the

22  Department of Law Enforcement's statewide automated

23  fingerprint identification system a national criminal

24  background check of the applicant for the initial renewal of

25  his or her license after January 1, 2005 2000. If the

26  applicant fails to submit either the information required

27  under s. 456.039 or a set of fingerprints to the department as

28  required by this section, the department shall issue a notice

29  of noncompliance, and the applicant will be given 30

30  additional days to comply. If the applicant fails to comply

31  within 30 days after the notice of noncompliance is issued,

                                  20

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  the department or board, as appropriate, may issue a citation

 2  to the applicant and may fine the applicant up to $50 for each

 3  day that the applicant is not in compliance with the

 4  requirements of s. 456.039. The citation must clearly state

 5  that the applicant may choose, in lieu of accepting the

 6  citation, to follow the procedure under s. 456.073. If the

 7  applicant disputes the matter in the citation, the procedures

 8  set forth in s. 456.073 must be followed. However, if the

 9  applicant does not dispute the matter in the citation with the

10  department within 30 days after the citation is served, the

11  citation becomes a final order and constitutes discipline.

12  Service of a citation may be made by personal service or

13  certified mail, restricted delivery, to the subject at the

14  applicant's last known address. If an applicant has submitted

15  fingerprints to the department for a national criminal history

16  check upon initial licensure and is renewing his or her

17  license for the first time, then the applicant need only

18  submit the information and fee required for a statewide

19  criminal history check. However, if the applicant's

20  fingerprints are not retained by the Department of Law

21  Enforcement in the statewide automated fingerprint

22  identification system and the Department of Health is using

23  that system for access to arrest information of licensed

24  health practitioners, then the applicant must resubmit his or

25  her fingerprints and submit the information and fee required

26  by s. 456.039 for access to records in the statewide automated

27  fingerprint identification system in lieu of payment of fees

28  for a criminal background check of the applicant.

29         Section 9.  Subsection (1) of section 460.407, Florida

30  Statutes, is amended to read:

31         460.407  Renewal of license.--

                                  21

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1         (1)  The department shall renew a license upon receipt

 2  of the renewal application and the fee set by the board not to

 3  exceed $500. An applicant for a renewed license must also

 4  submit the information required under s. 456.039 to the

 5  department on a form and under procedures specified by the

 6  department, along with payment in an amount equal to the costs

 7  incurred by the Department of Health for the statewide

 8  criminal background check of the applicant. After the

 9  statewide automated fingerprint identification system is

10  implemented, the applicant must pay the Department of Health

11  an amount equal to the costs incurred by the Department of

12  Health for access to records in the statewide automated

13  fingerprint identification system in lieu of payment of fees

14  for a statewide criminal background check of the applicant.

15  The applicant must submit a set of fingerprints to the

16  Department of Health on a form and under procedures specified

17  by the department, along with payment in an amount equal to

18  the costs incurred by the department for retaining and

19  processing fingerprints in the Department of Law Enforcement's

20  statewide automated fingerprint identification system a

21  national criminal background check of the applicant for the

22  initial renewal of his or her license after January 1, 2005

23  2000. If the applicant fails to submit either the information

24  required under s. 456.039 or a set of fingerprints to the

25  department as required by this section, the department shall

26  issue a notice of noncompliance, and the applicant will be

27  given 30 additional days to comply. If the applicant fails to

28  comply within 30 days after the notice of noncompliance is

29  issued, the department or board, as appropriate, may issue a

30  citation to the applicant and may fine the applicant up to $50

31  for each day that the applicant is not in compliance with the

                                  22

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  requirements of s. 456.039. The citation must clearly state

 2  that the applicant may choose, in lieu of accepting the

 3  citation, to follow the procedure under s. 456.073. If the

 4  applicant disputes the matter in the citation, the procedures

 5  set forth in s. 456.073 must be followed. However, if the

 6  applicant does not dispute the matter in the citation with the

 7  department within 30 days after the citation is served, the

 8  citation becomes a final order and constitutes discipline.

 9  Service of a citation may be made by personal service or

10  certified mail, restricted delivery, to the subject at the

11  applicant's last known address. If an applicant has submitted

12  fingerprints to the department for a national criminal history

13  check upon initial licensure and is renewing his or her

14  license for the first time, then the applicant need only

15  submit the information and fee required for a statewide

16  criminal history check. However, if the applicant's

17  fingerprints are not retained by the Department of Law

18  Enforcement in the statewide automated fingerprint

19  identification system and the Department of Health is using

20  that system for access to arrest information of licensed

21  health practitioners, then the applicant must resubmit his or

22  her fingerprints and submit the information and fee required

23  by s. 456.039 for access to records in the statewide automated

24  fingerprint identification system in lieu of payment of fees

25  for a criminal background check of the applicant.

26         Section 10.  Subsection (1) of section 461.007, Florida

27  Statutes, is amended to read:

28         461.007  Renewal of license.--

29         (1)  The department shall renew a license upon receipt

30  of the renewal application and a fee not to exceed $350 set by

31  the board, and evidence that the applicant has actively

                                  23

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  practiced podiatric medicine or has been on the active

 2  teaching faculty of an accredited school of podiatric medicine

 3  for at least 2 years of the immediately preceding 4 years. If

 4  the licensee has not actively practiced podiatric medicine for

 5  at least 2 years of the immediately preceding 4 years, the

 6  board shall require that the licensee successfully complete a

 7  board-approved course prior to renewal of the license. For

 8  purposes of this subsection, "actively practiced podiatric

 9  medicine" means the licensed practice of podiatric medicine as

10  defined in s. 461.003(5) by podiatric physicians, including

11  podiatric physicians employed by any governmental entity, on

12  the active teaching faculty of an accredited school of

13  podiatric medicine, or practicing administrative podiatric

14  medicine. An applicant for a renewed license must also submit

15  the information required under s. 456.039 to the department on

16  a form and under procedures specified by the department, along

17  with payment in an amount equal to the costs incurred by the

18  Department of Health for the statewide criminal background

19  check of the applicant. After the statewide automated

20  fingerprint identification system is implemented, the

21  applicant must pay the Department of Health an amount equal to

22  the costs incurred by the Department of Health for access to

23  records in the statewide automated fingerprint identification

24  system in lieu of payment of fees for a statewide criminal

25  background check of the applicant. The applicant must submit a

26  set of fingerprints to the Department of Health on a form and

27  under procedures specified by the department, along with

28  payment in an amount equal to the costs incurred by the

29  department for retaining and processing fingerprints in the

30  Department of Law Enforcement's statewide automated

31  fingerprint identification system a national criminal

                                  24

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  background check of the applicant for the initial renewal of

 2  his or her license after January 1, 2005 2000. If the

 3  applicant fails to submit either the information required

 4  under s. 456.039 or a set of fingerprints to the department as

 5  required by this section, the department shall issue a notice

 6  of noncompliance, and the applicant will be given 30

 7  additional days to comply. If the applicant fails to comply

 8  within 30 days after the notice of noncompliance is issued,

 9  the department or board, as appropriate, may issue a citation

10  to the applicant and may fine the applicant up to $50 for each

11  day that the applicant is not in compliance with the

12  requirements of s. 456.039. The citation must clearly state

13  that the applicant may choose, in lieu of accepting the

14  citation, to follow the procedure under s. 456.073. If the

15  applicant disputes the matter in the citation, the procedures

16  set forth in s. 456.073 must be followed. However, if the

17  applicant does not dispute the matter in the citation with the

18  department within 30 days after the citation is served, the

19  citation becomes a final order and constitutes discipline.

20  Service of a citation may be made by personal service or

21  certified mail, restricted delivery, to the subject at the

22  applicant's last known address. If an applicant has submitted

23  fingerprints to the department for a national criminal history

24  check upon initial licensure and is renewing his or her

25  license for the first time, then the applicant need only

26  submit the information and fee required for a statewide

27  criminal history check. However, if the applicant's

28  fingerprints are not retained by the Department of Law

29  Enforcement in the statewide automated fingerprint

30  identification system and the Department of Health is using

31  that system for access to arrest information of licensed

                                  25

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






    Florida Senate - 2004                                  SB 1462
    317-634A-04




 1  health practitioners, then the applicant must resubmit his or

 2  her fingerprints and submit the information and fee required

 3  by s. 456.039 for access to records in the statewide automated

 4  fingerprint identification system in lieu of payment of fees

 5  for a criminal background check of the applicant.

 6         Section 11.  This act shall take effect July 1, 2004.

 7  

 8            *****************************************

 9                          SENATE SUMMARY

10    Revises the requirements for information submitted by
      specified health care professionals for initial and
11    renewal licenses. Revises the duties of the Department of
      Health in compiling information into a practitioner's
12    profile. Requires the department to verify certain
      information submitted by applicants for licensure.
13    Requires the department to include the criminal history,
      the status of the practitioner's license, and the
14    notification of death in a practitioner's profile.
      Requires practitioners to submit applications for
15    licensure and updated information electronically through
      the Internet by a specified date. Requires the Department
16    of Law Enforcement to retain fingerprints of health care
      professionals and search arrest records against the
17    fingerprints of health care professionals. Requires
      arrest information concerning a health care professional
18    to be provided to the Department of Health. Provides for
      payment of an annual fee to the Department of Law
19    Enforcement. (See bill for details.)

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  26

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