Senate Bill sb1462c1

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    Florida Senate - 2004                           CS for SB 1462

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





    317-1948-04

  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; requiring issuance of a

  8         notice of noncompliance for failure to comply

  9         with reporting requirements; authorizing the

10         Department of Health to receive automated

11         criminal arrest information concerning health

12         care professionals who are subject to the

13         profiling requirements; requiring certain

14         health professionals to submit fingerprints to

15         the Department of Health and to pay fees for a

16         criminal history records check; amending s.

17         456.0391, F.S.; revising the requirements for

18         information submitted by advanced registered

19         nurse practitioners for certification;

20         authorizing the Department of Health to receive

21         automated criminal arrest information

22         concerning health care professionals who are

23         subject to the profiling requirements;

24         requiring certain health professionals to

25         submit fingerprints to the Department of Health

26         and to pay fees for a criminal history records

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

28         duties of the Department of Health with respect

29         to its compilation of information into a

30         practitioner profile for designated health care

31         professionals; requiring the department to

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    Florida Senate - 2004                           CS for SB 1462
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 1         verify specified information submitted for

 2         compilation into practitioner profiles;

 3         requiring the department to include in each

 4         practitioner's profile specified information

 5         regarding the status of the practitioner's

 6         license and, upon notification, information

 7         regarding the date of death of the

 8         practitioner; requiring applications for a

 9         physician license and license renewal to be

10         submitted electronically by a specified date;

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

12         health care practitioners to electronically

13         submit updates of required information for

14         compilation into practitioner profiles;

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

16         requirements for the Department of Health to

17         publish reports of claims or actions for

18         damages for certain health care practitioners

19         on the practitioner profiles; amending ss.

20         458.319, 459.008, 460.407, and 461.007, F.S.;

21         revising requirements for physician licensure

22         renewal; authorizing the Department of Health

23         to gain access to renewal applicants' records

24         in an automated system maintained by the

25         Department of Law Enforcement; providing an

26         effective date.

27  

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

29  

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

31  456.039, Florida Statutes, are amended to read:

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 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  

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 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

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 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.  For any physician who is actively practicing fewer

28  than 40 hours per week, an indication of whether the physician

29  practices fewer than 20 hours per week or practices between 20

30  and 40 hours per week.

31  

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

 2  with the financial responsibilty requirements, including the

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

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

 5         (b)  In addition to the information required under

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

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

 8  practiced previously in this state or in another jurisdiction

 9  or a foreign country must provide the information required of

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

11  An applicant for licensure under chapter 460 who has practiced

12  previously in this state or in another jurisdiction or a

13  foreign country must provide the same information as is

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

15  456.049.

16         (3)  Each person who has submitted information under

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

18  writing by notifying the department of Health within 15 45

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

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

21         (a)  Failure to comply with the requirements of this

22  subsection to update and submit information required by

23  subparagraphs (1)(a)1.-9. constitutes a ground for

24  disciplinary action under each respective licensing chapter

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

26  requirements of this subsection to update and submit

27  information required by subparagraphs (1)(a)1.-9., the

28  department or board, as appropriate, may:

29         1.(a)  Refuse to issue a license to any person applying

30  for initial licensure who fails to submit and update the

31  required information.

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 1         2.(b)  Issue a citation to any licensee who fails to

 2  submit and update the required information and may fine the

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

 4  compliance with this subsection. The citation must clearly

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

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

 7  licensee disputes the matter in the citation, the procedures

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

 9  licensee 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  licensee's last known address.

15         (b)  Failure to comply with the requirements of this

16  subsection to update and submit information required by

17  subparagraphs (1)(a)10.-15. shall result in the issuance of a

18  notice of noncompliance.

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

20  a set of fingerprints to the Department of Health in

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

22  458.313, s. 459.0055, s. 460.406, or s. 461.006.

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

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

25  license after January 1, 2000, to the department agency

26  regulating that profession in accordance with procedures

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

28  461.007.

29         (c)  The Department of Health shall submit the

30  fingerprints provided by an applicant for initial licensure to

31  the Florida Department of Law Enforcement for a statewide

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 1  criminal history check, and the Florida Department of Law

 2  Enforcement shall forward the fingerprints to the Federal

 3  Bureau of Investigation for a national criminal history check

 4  of the applicant.  The department shall submit the

 5  fingerprints provided by an applicant for a renewed license to

 6  the Florida Department of Law Enforcement for a statewide

 7  criminal history check, and the Florida Department of Law

 8  Enforcement shall forward the fingerprints to the Federal

 9  Bureau of Investigation for a national criminal history check

10  for the initial renewal of the applicant's license after

11  January 1, 2000; for any subsequent renewal of the applicant's

12  license, the department shall submit the required information

13  for a statewide criminal history check of the applicant.

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

15  licensure as a health care practitioner who submits to the

16  Department of Health a set of fingerprints or information

17  required for the criminal history check required under this

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

19  fingerprints or other duplicate information required for a

20  criminal history check to the Agency for Health Care

21  Administration, the Department of Juvenile Justice, or the

22  Department of Children and Family Services for employment or

23  licensure with such agency or department if the applicant has

24  undergone a criminal history check as a condition of initial

25  licensure or licensure renewal as a health care practitioner

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

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

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

29  Administration, the Department of Juvenile Justice, and the

30  Department of Children and Family Services shall obtain

31  criminal history information for employment or licensure of

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 1  health care practitioners by such agency and departments from

 2  the Department of Health's health care practitioner

 3  credentialing system.

 4         (e)  Fingerprints obtained by the Department of Health

 5  under paragraph (a) shall be retained by the Department of Law

 6  Enforcement and must be entered in the statewide automated

 7  fingerprint identification system authorized by s.

 8  943.05(2)(b). Such fingerprints shall thereafter be available

 9  for all purposes and uses authorized for arrest fingerprint

10  cards entered in the statewide automated fingerprint

11  identification system pursuant to s. 943.051.

12         (f)  Beginning December 15, 2004, 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 and whose fingerprints are

30  retained by the Department of Law Enforcement shall pay to the

31  Department of Health, at the time of initial licensure or

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 1  license renewal, an amount equal to the costs incurred by the

 2  Department of Health for access to records in the statewide

 3  automated fingerprint identification system in lieu of payment

 4  of fees for a statewide criminal background check of the

 5  applicant.

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

 7  456.0391, Florida Statutes, are amended to read:

 8         456.0391  Advanced registered nurse practitioners;

 9  information required for certification.--

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

11  submitted information pursuant to subsection (1) must update

12  that information in writing by notifying the department of

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

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

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

16  this subsection to update and submit information constitutes a

17  ground for disciplinary action under chapter 464 and s.

18  456.072(1)(k). For failure to comply with the requirements of

19  this subsection to update and submit information, the

20  department or board, as appropriate, may:

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

22  applying for initial certification who fails to submit and

23  update the required information.

24         (b)  Issue a citation to any certificateholder who

25  fails to submit and update the required information and may

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

27  certificateholder is not in compliance with this subsection.

28  The citation must clearly state that the certificateholder may

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

30  procedure under s. 456.073. If the certificateholder disputes

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

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 1  456.073 must be followed. However, if the certificateholder

 2  does not dispute the matter in the citation with the

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

 4  citation becomes a final order and constitutes discipline.

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

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

 7  certificateholder's last known address.

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

 9  464.012 must submit a set of fingerprints to the Department of

10  Health on a form and under procedures specified by the

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

12  incurred by the Department of Health for a national criminal

13  history check of the applicant.

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

15  previously submitted a set of fingerprints to the Department

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

17  fingerprints to the department as a condition of the initial

18  renewal of his or her certificate after the effective date of

19  this section. The applicant must submit the fingerprints on a

20  form and under procedures specified by the department, along

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

22  Department of Health for a national criminal history check.

23  For subsequent renewals, the applicant for renewed

24  certification must only submit information necessary to

25  conduct a statewide criminal history check, along with payment

26  in an amount equal to the costs incurred by the Department of

27  Health for a statewide criminal history check.

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

29  fingerprints provided by an applicant for initial

30  certification to the Florida Department of Law Enforcement for

31  a statewide criminal history check, and the Florida Department

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 1  of Law Enforcement shall forward the fingerprints to the

 2  Federal Bureau of Investigation for a national criminal

 3  history check of the applicant.

 4         2.  The department shall submit the fingerprints

 5  provided by an applicant for the initial renewal of

 6  certification to the Florida Department of Law Enforcement for

 7  a statewide criminal history check, and the Florida Department

 8  of Law Enforcement shall forward the fingerprints to the

 9  Federal Bureau of Investigation for a national criminal

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

11  certificate after the effective date of this section.

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

13  certificate, the department shall submit the required

14  information for a statewide criminal history check of the

15  applicant to the Florida Department of Law Enforcement.

16         (d)  Any applicant for initial certification or renewal

17  of certification as an advanced registered nurse practitioner

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

19  and information required for the criminal history check

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

21  subsequent set of fingerprints or other duplicate information

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

23  Care Administration, the Department of Juvenile Justice, or

24  the Department of Children and Family Services for employment

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

26  has undergone a criminal history check as a condition of

27  initial certification or renewal of certification as an

28  advanced registered nurse practitioner with the Department of

29  Health, notwithstanding any other provision of law to the

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

31  Health Care Administration, the Department of Juvenile

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 1  Justice, and the Department of Children and Family Services

 2  shall obtain criminal history information for employment or

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

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

 5  practitioner credentialing system.

 6         (e)  Fingerprints obtained by the Department of Health

 7  under paragraph (a) shall be retained by the Department of Law

 8  Enforcement and must be entered in the statewide automated

 9  fingerprint identification system authorized by s.

10  943.05(2)(b). Such fingerprints shall thereafter be available

11  for all purposes and uses authorized for arrest fingerprint

12  cards entered in the statewide automated fingerprint

13  identification system pursuant to s. 943.051.

14         (f)  Beginning December 15, 2004, the Department of Law

15  Enforcement shall search all arrest fingerprint cards received

16  under s. 943.051 against the fingerprints retained in the

17  statewide automated fingerprint identification system under

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

19  with the retained applicant fingerprints must be reported to

20  the Department of Health. The Department of Health must

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

22  the Department of Law Enforcement and by informing the

23  Department of Law Enforcement of any change in the

24  certification status of each applicant whose fingerprints are

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

26  Enforcement shall establish by rule the amount of the annual

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

28  these searches, for retaining fingerprints of certified health

29  care practitioners, and for disseminating search results. Each

30  applicant for certification or certification renewal who is

31  subject to the requirements of this section and whose

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 1  fingerprints are retained by the Department of Law Enforcement

 2  shall pay to the Department of Health, at the time of initial

 3  certification or certification renewal, an amount equal to the

 4  costs incurred by the Department of Health for access to

 5  records in the statewide automated fingerprint identification

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

 7  background check of the applicant.

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

 9  456.041, Florida Statutes, are amended, present subsection

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

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

12         456.041  Practitioner profile; creation.--

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

14  information submitted under pursuant to s. 456.039 into a

15  practitioner profile of the applicant submitting the

16  information, except that the department of Health shall

17  develop a format to compile uniformly any information

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

19         (b)  Beginning January 1, 2005, the department shall

20  verify through a source other than the applicant the following

21  information if the department determines that the information

22  submitted during the initial licensure process was not

23  verified: medical school education, postgraduate medical

24  training, any physicians licenses held in other states,

25  disciplinary history, and malpractice claims that are

26  submitted under s. 456.039 by each applicant for initial and

27  renewal licensure. Beginning January 1, 2005, the department

28  shall perform random audits to determine the accuracy of

29  information submitted under s. 456.039 regarding current staff

30  privileges for applicants for initial and renewal licensure.

31  

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

 2  may compile the information submitted under pursuant to s.

 3  456.0391 into a practitioner profile of the applicant

 4  submitting the information.

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

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

 7  the department shall update the practitioner's profile in

 8  accordance with the requirements of subsection (7).

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

10  practitioner's practitioner profile that criminal information

11  that directly relates to the practitioner's ability to

12  competently practice his or her profession. The department

13  must include in each practitioner's practitioner profile the

14  following statement: "The criminal history information, if any

15  exists, may be incomplete; federal criminal history

16  information is not available to the public." The department

17  shall provide in each practitioner profile, for every final

18  disciplinary action taken against the practitioner, an

19  easy-to-read narrative description that explains the

20  administrative complaint filed against the practitioner and

21  the final disciplinary action imposed on the practitioner. The

22  department shall include a hyperlink to each final order

23  listed in its website report of dispositions of recent

24  disciplinary actions taken against practitioners.

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

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

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

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

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

30  not the practitioner has relinquished a license or had a

31  license revoked in any state or jurisdiction.

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 1         (10)  Upon notification, the department shall indicate

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

 3  practitioner.

 4         Section 4.  (1)(a)  Beginning July 1, 2006, the

 5  application forms for an initial license and a license renewal

 6  for physicians licensed under chapter 458, chapter 459,

 7  chapter 460, or chapter 461, Florida Statutes, shall be

 8  submitted electronically through the Internet unless the

 9  applicant provides an explanation for not doing so.

10         (b)  Beginning July 1, 2007, the application forms for

11  an initial license and a license renewal for physicians

12  licensed under chapter 458, chapter 459, chapter 460, or

13  chapter 461, Florida Statutes, shall be submitted

14  electronically through the Internet.

15         (c)  The department shall issue the license or renew a

16  license if the applicant provides satisfactory evidence that

17  all conditions and requirements of licensure or license

18  renewal have been met.

19         Section 5.  Section 456.042, Florida Statutes, is

20  amended to read:

21         456.042  Practitioner profiles; update.--A practitioner

22  must submit updates of required information within 15 days

23  after the final activity that renders such information a fact.

24  Practitioners may submit the required information

25  electronically through the Internet. Beginning July 1, 2007, a

26  practitioner must electronically submit updates of required

27  information through the Internet within 15 days after the

28  final activity that renders such information a fact. The

29  department of Health shall update each practitioner's

30  practitioner profile periodically. An updated profile is

31  subject to the same requirements as an original profile.

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

 2  Statutes, is amended to read:

 3         456.051  Reports of professional liability actions;

 4  bankruptcies; Department of Health's responsibility to

 5  provide.--

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

 7  personal injury which is required to be provided to the

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

 9  information except for the name of the claimant or injured

10  person, which remains confidential as provided in ss.

11  456.049(2)(d) and 627.912(2)(e). The Department of Health

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

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

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

15  within 30 calendar days after receipt.

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

17  Statutes, is amended to read:

18         458.319  Renewal of license.--

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

20  of the renewal application, evidence that the applicant has

21  actively practiced medicine or has been on the active teaching

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

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

24  $500; provided, however, that if the licensee is either a

25  resident physician, assistant resident physician, fellow,

26  house physician, or intern in an approved postgraduate

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

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

29  actively practiced medicine for at least 2 years of the

30  immediately preceding 4 years, the board shall require that

31  the licensee successfully complete a board-approved clinical

                                  17

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    Florida Senate - 2004                           CS for SB 1462
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 1  competency examination prior to renewal of the license.

 2  "Actively practiced medicine" means that practice of medicine

 3  by physicians, including those employed by any governmental

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

 5  chapter, including physicians practicing administrative

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

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

 8  a 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 whose fingerprints are retained in that system must

14  pay the Department of Health an amount equal to the costs

15  incurred by the Department of Health for access to records in

16  the statewide automated fingerprint identification system in

17  lieu of payment of fees for a statewide criminal background

18  check of the applicant. The applicant must submit a set of

19  fingerprints to the Department of Health on a form and under

20  procedures specified by the department, along with payment in

21  an amount equal to the costs incurred by the department for a

22  national criminal background check of the applicant for the

23  initial renewal of his or her license after January 1, 2000.

24  If the applicant fails to submit either the information

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

26  department as required by this section, the department shall

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

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

29  comply within 30 days after the notice of noncompliance is

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

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

                                  18

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    Florida Senate - 2004                           CS for SB 1462
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 1  for each day that the applicant is not in compliance with the

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

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

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

 5  applicant disputes the matter in the citation, the procedures

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

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

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

 9  citation becomes a final order and constitutes discipline.

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

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

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

13  fingerprints to the department for a national criminal history

14  check upon initial licensure and is renewing his or her

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

16  submit the information and fee required for a statewide

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

18  fingerprints are retained by the Department of Law Enforcement

19  in the statewide automated fingerprint identification system

20  and the Department of Health is using that system for access

21  to arrest information of licensed health practitioners, then

22  the applicant must submit the information and fee required by

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

27  Statutes, is amended to read:

28         459.008  Renewal of licenses and certificates.--

29         (1)  The department shall renew a license or

30  certificate upon receipt of the renewal application and fee.

31  An applicant for a renewed license must also submit the

                                  19

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    Florida Senate - 2004                           CS for SB 1462
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 1  information required under s. 456.039 to the department on a

 2  form and under procedures specified by the department, along

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

 4  Department of Health for the statewide criminal background

 5  check of the applicant. After the statewide automated

 6  fingerprint identification system is implemented, the

 7  applicant whose fingerprints are retained in that system must

 8  pay the Department of Health an amount equal to the costs

 9  incurred by the Department of Health for access to records in

10  the statewide automated fingerprint identification system in

11  lieu of payment of fees for a statewide criminal background

12  check of the applicant.  The applicant must submit a set of

13  fingerprints to the Department of Health on a form and under

14  procedures specified by the department, along with payment in

15  an amount equal to the costs incurred by the department for a

16  national criminal background check of the applicant for the

17  initial renewal of his or her license after January 1, 2000.

18  If the applicant fails to submit either the information

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

20  department as required by this section, the department shall

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

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

23  comply within 30 days after the notice of noncompliance is

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

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

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

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

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

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

30  applicant disputes the matter in the citation, the procedures

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

                                  20

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    Florida Senate - 2004                           CS for SB 1462
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 1  applicant does not dispute the matter in the citation with the

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

 3  citation becomes a final order and constitutes discipline.

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

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

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

 7  fingerprints to the department for a national criminal history

 8  check upon initial licensure and is renewing his or her

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

10  submit the information and fee required for a statewide

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

12  fingerprints are retained by the Department of Law Enforcement

13  in the statewide automated fingerprint identification system

14  and the Department of Health is using that system for access

15  to arrest information of licensed health practitioners, then

16  the applicant must submit the information and fee required by

17  s. 456.039 for access to records in the statewide automated

18  fingerprint identification system in lieu of payment of fees

19  for a criminal background check of the applicant.

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

21  Statutes, is amended to read:

22         460.407  Renewal of license.--

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

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

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

26  submit the information required under s. 456.039 to the

27  department on a form and under procedures specified by the

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

29  incurred by the Department of Health for the statewide

30  criminal background check of the applicant. After the

31  statewide automated fingerprint identification system is

                                  21

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    Florida Senate - 2004                           CS for SB 1462
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 1  implemented, the applicant whose fingerprints are retained in

 2  that system must pay the Department of Health an amount equal

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

 4  to records in the statewide automated fingerprint

 5  identification system in lieu of payment of fees for a

 6  statewide criminal background check of the applicant. The

 7  applicant must submit a set of fingerprints to the Department

 8  of 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 for a national criminal background

11  check of the applicant for the initial renewal of his or her

12  license after January 1, 2000. If the applicant fails to

13  submit either the information required under s. 456.039 or a

14  set of fingerprints to the department as required by this

15  section, the department shall issue a notice of noncompliance,

16  and the applicant will be given 30 additional days to comply.

17  If the applicant fails to comply within 30 days after the

18  notice of noncompliance is issued, the department or board, as

19  appropriate, may issue a citation to the applicant and may

20  fine the applicant up to $50 for each day that the applicant

21  is not in compliance with the requirements of s. 456.039. The

22  citation must clearly state that the applicant may choose, in

23  lieu of accepting the citation, to follow the procedure under

24  s. 456.073. If the applicant disputes the matter in the

25  citation, the procedures set forth in s. 456.073 must be

26  followed. However, if the applicant does not dispute the

27  matter in the citation with the department within 30 days

28  after the citation is served, the citation becomes a final

29  order and constitutes discipline. Service of a citation may be

30  made by personal service or certified mail, restricted

31  delivery, to the subject at the applicant's last known

                                  22

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    Florida Senate - 2004                           CS for SB 1462
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 1  address. If an applicant has submitted fingerprints to the

 2  department for a national criminal history check upon initial

 3  licensure and is renewing his or her license for the first

 4  time, then the applicant need only submit the information and

 5  fee required for a statewide criminal history check. However,

 6  if the applicant's fingerprints are retained by the Department

 7  of Law Enforcement in the statewide automated fingerprint

 8  identification system and the Department of Health is using

 9  that system for access to arrest information of licensed

10  health practitioners, then the applicant must submit the

11  information and fee required by s. 456.039 for access to

12  records in the statewide automated fingerprint identification

13  system in lieu of payment of fees for a criminal background

14  check of the applicant.

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

16  Statutes, is amended to read:

17         461.007  Renewal of license.--

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

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

20  the board, and evidence that the applicant has actively

21  practiced podiatric medicine or has been on the active

22  teaching faculty of an accredited school of podiatric medicine

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

24  the licensee has not actively practiced podiatric medicine for

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

26  board shall require that the licensee successfully complete a

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

28  purposes of this subsection, "actively practiced podiatric

29  medicine" means the licensed practice of podiatric medicine as

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

31  podiatric physicians employed by any governmental entity, on

                                  23

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    Florida Senate - 2004                           CS for SB 1462
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 1  the active teaching faculty of an accredited school of

 2  podiatric medicine, or practicing administrative podiatric

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

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

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

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

 7  Department of Health for the statewide criminal background

 8  check of the applicant. After the statewide automated

 9  fingerprint identification system is implemented, the

10  applicant whose fingerprints are retained in that system must

11  pay the Department of Health an amount equal to the costs

12  incurred by the Department of Health for access to records in

13  the statewide automated fingerprint identification system in

14  lieu of payment of fees for a statewide criminal background

15  check of the applicant. The applicant must submit a set of

16  fingerprints to the Department of Health on a form and under

17  procedures specified by the department, along with payment in

18  an amount equal to the costs incurred by the department for a

19  national criminal background check of the applicant for the

20  initial renewal of his or her license after January 1, 2000.

21  If the applicant fails to submit either the information

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

23  department as required by this section, the department shall

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

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

26  comply within 30 days after the notice of noncompliance is

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

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

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

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

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

                                  24

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    Florida Senate - 2004                           CS for SB 1462
    317-1948-04




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

 2  applicant disputes the matter in the citation, the procedures

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

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

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

 6  citation becomes a final order and constitutes discipline.

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

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

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

10  fingerprints to the department for a national criminal history

11  check upon initial licensure and is renewing his or her

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

13  submit the information and fee required for a statewide

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

15  fingerprints are retained by the Department of Law Enforcement

16  in the statewide automated fingerprint identification system

17  and the Department of Health is using that system for access

18  to arrest information of licensed health practitioners, then

19  the applicant must submit the information and fee required by

20  s. 456.039 for access to records in the statewide automated

21  fingerprint identification system in lieu of payment of fees

22  for a criminal background check of the applicant.

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

24  

25  

26  

27  

28  

29  

30  

31  

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    Florida Senate - 2004                           CS for SB 1462
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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 1462

 3                                 

 4  The bill no longer requires licensure renewal applicants to
    submit fingerprints to enable the Department of Health to have
 5  access to automated criminal history information of the
    applicant. The bill revises the additional information that
 6  physicians must submit as part of the practitioner profiling
    requirements and the penalty for physicians who fail to submit
 7  the information. The bill revises requirements for the
    Department of Health to verify specified information submitted
 8  by physician applicants. The requirements for the electronic
    submission of practitioner profile updates and licensure
 9  applications for certain health care practitioners are
    revised. The publishing requirements for criminal history
10  information are revised to no longer delete the requirement
    that the information must directly relate to the competency of
11  a practitioner to practice his or her profession in order to
    be published in the profile of a practitioner.
12  

13  

14  

15  

16  

17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

                                  26

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