Senate Bill sb2448c1

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    Florida Senate - 2004                           CS for SB 2448

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




    317-2292-04

  1                      A bill to be entitled

  2         An act relating to public health; amending s.

  3         17.41, F.S.; authorizing funds from the Tobacco

  4         Settlement Clearing Trust Fund to be disbursed

  5         to the Biomedical Research Trust Fund in the

  6         Department of Health; amending s. 20.43, F.S.;

  7         designating the Division of Emergency Medical

  8         Services and Community Health Resources as the

  9         "Division of Emergency Medical Operations";

10         designating the Division of Information

11         Resource Management as the "Division of

12         Information Technology"; designating the

13         Division of Health Awareness and Tobacco as the

14         "Division of Health Access and Tobacco";

15         creating the Division of Disability

16         Determinations; amending s. 216.2625, F.S.;

17         providing that certain positions within the

18         Department of Health are exempt from a

19         limitation on the number of authorized

20         positions; amending s. 381.0011, F.S.; revising

21         duties of the Department of Health; providing

22         for a statewide injury prevention program;

23         amending s. 381.006, F.S.; including within the

24         department's environmental health program the

25         function of investigating elevated levels of

26         lead in blood; amending s. 381.0065, F.S.,

27         relating to onsite sewage treatment and

28         disposal systems; revising a definition;

29         deleting a requirement that the department make

30         certain biennial reports to the Legislature;

31         authorizing the department to require the

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    Florida Senate - 2004                           CS for SB 2448
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 1         submission of certain construction plans

 2         pursuant to adopted rule; amending s. 381.0066,

 3         F.S.; continuing a requirement imposing a

 4         permit fee on new construction; amending s.

 5         381.0072, F.S.; exempting certain schools,

 6         bars, and lounges from certification

 7         requirements for food service managers;

 8         removing a licensure exemption for certain food

 9         service establishments licensed by the Office

10         of Licensure and Certification, the Child Care

11         Services Program Office, or the Developmental

12         Disabilities Program Office; creating s.

13         381.0409, F.S.; requiring the department to

14         establish a tobacco prevention program,

15         contingent upon a specific appropriation;

16         specifying components of the program; providing

17         for the department to provide technical

18         assistance and training to state and local

19         entities; authorizing the department to

20         contract for program activities; creating s.

21         381.86, F.S.; establishing the Institutional

22         Review Board within the Department of Health to

23         review certain biomedical and behavioral

24         research; providing for the membership of the

25         board; authorizing board members to be

26         reimbursed for per diem and travel expenses;

27         authorizing the department to charge fees for

28         the research oversight performed by the board;

29         authorizing the department to adopt rules;

30         amending s. 381.89, F.S.; authorizing the

31         Department of Health to impose certain

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    Florida Senate - 2004                           CS for SB 2448
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 1         licensure fees on tanning facilities; amending

 2         s. 381.90, F.S.; revising the membership and

 3         reporting requirements of the Health

 4         Information Systems Council; amending s.

 5         383.14, F.S.; authorizing the State Public

 6         Health Laboratory to release certain test

 7         results to a newborn's primary care physician;

 8         revising certain testing requirements for

 9         newborns; increasing the membership of the

10         Genetics and Newborn Screening Advisory

11         Council; amending s. 383.402, F.S.; revising

12         the criteria under which the state and local

13         child abuse death review committees are

14         required to review the death of a child;

15         amending s. 391.021, F.S.; redefining the term

16         "children with special health care needs" for

17         purposes of the Children's Medical Services

18         Act; amending ss. 391.025, 391.029, 391.035,

19         and 391.055, F.S., relating to the Children's

20         Medical Services program; revising the

21         application requirements for the program;

22         revising requirements for eligibility for

23         services under the program; authorizing the

24         department to contract with out-of-state health

25         care providers to provide services to program

26         participants; authorizing the department to

27         adopt rules; requiring that certain newborns

28         with abnormal screening results be referred to

29         the program; amending s. 391.302, F.S.;

30         revising certain definitions relating to

31         developmental evaluation and intervention

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    Florida Senate - 2004                           CS for SB 2448
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 1         services; amending s. 391.303, F.S.; revising

 2         certain requirements for providing those

 3         services; amending s. 391.308, F.S.; creating

 4         the Infants and Toddlers Early Intervention

 5         Program within the Department of Health;

 6         requiring the department, jointly with the

 7         Department of Education, to prepare grant

 8         applications and to include certain services

 9         under the program; amending s. 395.1027, F.S.;

10         authorizing certain licensed facilities to

11         release patient information to regional poison

12         control centers; amending s. 395.404, F.S.;

13         revising reporting requirements to the trauma

14         registry data system maintained by the

15         Department of Health; providing that hospitals,

16         pediatric trauma referral centers, and trauma

17         centers subject to reporting trauma registry

18         data to the department are required to comply

19         with other duties concerning the

20         moderate-to-severe brain or spinal cord injury

21         registry maintained by the department;

22         correcting references to the term "trauma

23         center"; amending s. 401.211, F.S.; providing

24         legislative intent with respect to a statewide

25         injury-prevention program; creating s. 401.243,

26         F.S.; providing duties of the department for

27         establishing such a program; authorizing the

28         department to adopt rules; creating s.

29         401.27001, F.S.; providing requirements for

30         background screening for applicants for initial

31         certification as an emergency medical

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    Florida Senate - 2004                           CS for SB 2448
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 1         technician or paramedic and for renewal of

 2         certification; requiring an applicant to pay

 3         the costs of screening; requiring that

 4         fingerprints be submitted to the Department of

 5         Law Enforcement and forwarded to the Federal

 6         Bureau of Investigation; specifying the

 7         offenses that are grounds for denial of

 8         certification; authorizing the department to

 9         grant an exemption to an applicant,

10         notwithstanding certain convictions; requiring

11         the department to adopt rules; amending s.

12         404.056, F.S.; revising the radon testing

13         requirements for schools and certain

14         state-operated or state-licensed facilities;

15         amending s. 409.814, F.S.; providing certain

16         eligibility requirements for the Florida

17         Healthy Kids and Medikids programs; amending s.

18         468.302, F.S.; revising certain requirements

19         for administering radiation and performing

20         certain other procedures; amending s. 468.304,

21         F.S.; revising requirements for obtaining

22         certification from the department as an X-ray

23         machine operator, a radiographer, or a nuclear

24         medicine technologist; amending s. 468.306,

25         F.S.; requiring remedial education for certain

26         applicants for certification; amending s.

27         468.3065, F.S.; providing that the application

28         fee is nonrefundable; amending s. 468.307,

29         F.S.; revising the expiration date of a

30         certificate; amending s. 468.309, F.S.;

31         revising requirements for certification as a

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    Florida Senate - 2004                           CS for SB 2448
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 1         radiologic technologist; providing for a

 2         certificateholder to resign a certification;

 3         amending s. 468.3095, F.S.; revising

 4         requirements for reactivating an expired

 5         certificate; amending s. 468.3101, F.S.;

 6         authorizing the department to conduct

 7         investigations and inspections; clarifying

 8         certain grounds for disciplinary actions;

 9         amending s. 489.553, F.S.; providing

10         requirements for registration as a master

11         septic tank contractor; amending s. 489.554,

12         F.S.; authorizing inactive registration as a

13         septic tank contractor; providing for renewing

14         a certification of registration following a

15         period of inactive status; amending s. 784.081,

16         F.S.; increasing certain penalties for an

17         assault or battery that is committed against an

18         employee of the Department of Health or against

19         a direct service provider of the department;

20         repealing ss. 381.0098(9), 385.103(2)(f),

21         385.205, 385.209, 391.301(3), 391.305(2),

22         393.064(5), and 445.033(7), F.S., relating to

23         obsolete provisions governing the handling of

24         biomedical waste, rulemaking authority with

25         respect to community intervention programs,

26         programs covering chronic renal disease,

27         information on cholesterol, intervention

28         programs for certain hearing-impaired infants,

29         contract authority over the Raymond C. Philips

30         Research and Education Unit, and an exemption

31         from the Florida Biomedical and Social Research

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    Florida Senate - 2004                           CS for SB 2448
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 1         Act for certain evaluations; providing an

 2         effective date.

 3  

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

 5  

 6         Section 1.  Subsection (5) of section 17.41, Florida

 7  Statutes, is amended to read:

 8         17.41  Department of Financial Services Tobacco

 9  Settlement Clearing Trust Fund.--

10         (5)  The department shall disburse funds, by

11  nonoperating transfer, from the Tobacco Settlement Clearing

12  Trust Fund to the tobacco settlement trust funds of the

13  various agencies or the Biomedical Research Trust Fund in the

14  Department of Health, as appropriate, in amounts equal to the

15  annual appropriations made from those agencies' trust funds in

16  the General Appropriations Act.

17         Section 2.  Paragraphs (f), (i), and (j) of subsection

18  (3) of section 20.43, Florida Statutes, are amended, and

19  paragraph (k) is added to that subsection, to read:

20         20.43  Department of Health.--There is created a

21  Department of Health.

22         (3)  The following divisions of the Department of

23  Health are established:

24         (f)  Division of Emergency Medical Operations Services

25  and Community Health Resources.

26         (i)  Division of Information Technology Resource

27  Management.

28         (j)  Division of Health Access Awareness and Tobacco.

29         (k)  Division of Disability Determinations.

30  

31  

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    Florida Senate - 2004                           CS for SB 2448
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 1         Section 3.  Section 216.341, Florida Statutes, is

 2  transferred, renumbered as section 216.2625, Florida Statutes,

 3  and amended to read:

 4         216.2625 216.341  Disbursement of county health

 5  department trust funds of the Department of Health; authorized

 6  positions.--

 7         (1)  County health department trust funds may be

 8  expended by the Department of Health for the respective county

 9  health departments in accordance with budgets and plans agreed

10  upon by the county authorities of each county and the

11  Department of Health.

12         (2)  The limitations on the number of authorized

13  positions appropriations provided in s. 216.262(1) do shall

14  not apply to positions within the Department of Health which

15  are funded by:

16         (a)  County health department trust funds; or.

17         (b)  The United States Trust Fund.

18         Section 4.  Subsection (12) of section 381.0011,

19  Florida Statutes, is amended to read:

20         381.0011  Duties and powers of the Department of

21  Health.--It is the duty of the Department of Health to:

22         (12)  Maintain Cooperate with other departments, local

23  officials, and private organizations in developing and

24  implementing a statewide injury-prevention injury control

25  program.

26         Section 5.  Subsection (17) is added to section

27  381.006, Florida Statutes, to read:

28         381.006  Environmental health.--The department shall

29  conduct an environmental health program as part of fulfilling

30  the state's public health mission. The purpose of this program

31  is to detect and prevent disease caused by natural and manmade

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    Florida Senate - 2004                           CS for SB 2448
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 1  factors in the environment.  The environmental health program

 2  shall include, but not be limited to:

 3         (17)  A function for investigating elevated levels of

 4  lead in blood. Each participating county health department may

 5  expend funds for federally mandated certification or

 6  recertification fees related to conducting investigations of

 7  elevated levels of lead in blood.

 8  

 9  The department may adopt rules to carry out the provisions of

10  this section.

11         Section 6.  Paragraph (k) of subsection (2) and

12  paragraphs (d) and (e) of subsection (4) of section 381.0065,

13  Florida Statutes, are amended, and paragraph (v) is added to

14  subsection (4) of that section, to read:

15         381.0065  Onsite sewage treatment and disposal systems;

16  regulation.--

17         (2)  DEFINITIONS.--As used in ss. 381.0065-381.0067,

18  the term:

19         (k)  "Permanent nontidal surface water body" means a

20  perennial stream, a perennial river, an intermittent stream, a

21  perennial lake, a submerged marsh or swamp, a submerged wooded

22  marsh or swamp, a spring, or a seep, as identified on the most

23  recent quadrangle map, 7.5 minute series (topographic),

24  produced by the United States Geological Survey, or products

25  derived from that series. "Permanent nontidal surface water

26  body" shall also mean an artificial surface water body that

27  does not have an impermeable bottom and side and that is

28  designed to hold, or does hold, visible standing water for at

29  least 180 days of the year. However, a nontidal surface water

30  body that is drained, either naturally or artificially, where

31  the intent or the result is that such drainage be temporary,

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    Florida Senate - 2004                           CS for SB 2448
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 1  shall be considered a permanent nontidal surface water body. A

 2  nontidal surface water body that is drained of all visible

 3  surface water, where the lawful intent or the result of such

 4  drainage is that such drainage will be permanent, shall not be

 5  considered a permanent nontidal surface water body. The

 6  boundary of a permanent nontidal surface water body shall be

 7  the mean annual flood line.

 8         (4)  PERMITS; INSTALLATION; AND CONDITIONS.--A person

 9  may not construct, repair, modify, abandon, or operate an

10  onsite sewage treatment and disposal system without first

11  obtaining a permit approved by the department. The department

12  may issue permits to carry out this section, but shall not

13  make the issuance of such permits contingent upon prior

14  approval by the Department of Environmental Protection. A

15  construction permit is valid for 18 months from the issuance

16  date and may be extended by the department for one 90-day

17  period under rules adopted by the department.  A repair permit

18  is valid for 90 days from the date of issuance. An operating

19  permit must be obtained prior to the use of any aerobic

20  treatment unit or if the establishment generates commercial

21  waste. Buildings or establishments that use an aerobic

22  treatment unit or generate commercial waste shall be inspected

23  by the department at least annually to assure compliance with

24  the terms of the operating permit. The operating permit for a

25  commercial wastewater system is valid for 1 year from the date

26  of issuance and must be renewed annually. The operating permit

27  for an aerobic treatment unit is valid for 2 years from the

28  date of issuance and must be renewed every 2 years.  If all

29  information pertaining to the siting, location, and

30  installation conditions or repair of an onsite sewage

31  treatment and disposal system remains the same, a construction

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 1  or repair permit for the onsite sewage treatment and disposal

 2  system may be transferred to another person, if the transferee

 3  files, within 60 days after the transfer of ownership, an

 4  amended application providing all corrected information and

 5  proof of ownership of the property.  There is no fee

 6  associated with the processing of this supplemental

 7  information.  A person may not contract to construct, modify,

 8  alter, repair, service, abandon, or maintain any portion of an

 9  onsite sewage treatment and disposal system without being

10  registered under part III of chapter 489.  A property owner

11  who personally performs construction, maintenance, or repairs

12  to a system serving his or her own owner-occupied

13  single-family residence is exempt from registration

14  requirements for performing such construction, maintenance, or

15  repairs on that residence, but is subject to all permitting

16  requirements. A municipality or political subdivision of the

17  state may not issue a building or plumbing permit for any

18  building that requires the use of an onsite sewage treatment

19  and disposal system unless the owner or builder has received a

20  construction permit for such system from the department. A

21  building or structure may not be occupied and a municipality,

22  political subdivision, or any state or federal agency may not

23  authorize occupancy until the department approves the final

24  installation of the onsite sewage treatment and disposal

25  system. A municipality or political subdivision of the state

26  may not approve any change in occupancy or tenancy of a

27  building that uses an onsite sewage treatment and disposal

28  system until the department has reviewed the use of the system

29  with the proposed change, approved the change, and amended the

30  operating permit.

31  

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 1         (d)  Paragraphs (a) and (b) do not apply to any

 2  proposed residential subdivision with more than 50 lots or to

 3  any proposed commercial subdivision with more than 5 lots

 4  where a publicly owned or investor-owned sewerage system is

 5  available.  It is the intent of this paragraph not to allow

 6  development of additional proposed subdivisions in order to

 7  evade the requirements of this paragraph.  The department

 8  shall report to the Legislature by February 1 of each

 9  odd-numbered year concerning the success in meeting this

10  intent.

11         (e)  Onsite sewage treatment and disposal systems must

12  not be placed closer than:

13         1.  Seventy-five feet from a private potable well.

14         2.  Two hundred feet from a public potable well serving

15  a residential or nonresidential establishment having a total

16  sewage flow of greater than 2,000 gallons per day.

17         3.  One hundred feet from a public potable well serving

18  a residential or nonresidential establishment having a total

19  sewage flow of less than or equal to 2,000 gallons per day.

20         4.  Fifty feet from any nonpotable well.

21         5.  Ten feet from any storm sewer pipe, to the maximum

22  extent possible, but in no instance shall the setback be less

23  than 5 feet.

24         6.  Seventy-five feet from the mean high-water line of

25  a tidally influenced surface water body.

26         7.  Seventy-five feet from the mean normal annual flood

27  line of a permanent nontidal surface water body.

28         8.  Fifteen feet from the design high-water line of

29  retention areas, detention areas, or swales designed to

30  contain standing or flowing water for less than 72 hours after

31  a rainfall or the design high-water level of normally dry

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 1  drainage ditches or normally dry individual lot stormwater

 2  retention areas.

 3         (v)  The department may require the submission of

 4  detailed system construction plans that are prepared by a

 5  professional engineer registered in this state. The department

 6  shall establish by rule criteria for determining when such a

 7  submission is required.

 8         Section 7.  Paragraph (k) of subsection (2) of section

 9  381.0066, Florida Statutes, is amended to read:

10         381.0066  Onsite sewage treatment and disposal systems;

11  fees.--

12         (2)  The minimum fees in the following fee schedule

13  apply until changed by rule by the department within the

14  following limits:

15         (k)  Research: An additional $5 fee shall be added to

16  each new system construction permit issued during fiscal years

17  1996-2004 to be used for onsite sewage treatment and disposal

18  system research, demonstration, and training projects. Five

19  dollars from any repair permit fee collected under this

20  section shall be used for funding the hands-on training

21  centers described in s. 381.0065(3)(j).

22  

23  The funds collected pursuant to this subsection must be

24  deposited in a trust fund administered by the department, to

25  be used for the purposes stated in this section and ss.

26  381.0065 and 381.00655.

27         Section 8.  Paragraph (a) of subsection (2), paragraph

28  (a) of subsection (3), and paragraph (a) of subsection (4) of

29  section 381.0072, Florida Statutes, are amended to read:

30         381.0072  Food service protection.--It shall be the

31  duty of the Department of Health to adopt and enforce

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 1  sanitation rules consistent with law to ensure the protection

 2  of the public from food-borne illness. These rules shall

 3  provide the standards and requirements for the storage,

 4  preparation, serving, or display of food in food service

 5  establishments as defined in this section and which are not

 6  permitted or licensed under chapter 500 or chapter 509.

 7         (2)  DUTIES.--

 8         (a)  The department shall adopt rules, including

 9  definitions of terms which are consistent with law prescribing

10  minimum sanitation standards and manager certification

11  requirements as prescribed in s. 509.039, and which shall be

12  enforced in food service establishments as defined in this

13  section. The sanitation standards must address the

14  construction, operation, and maintenance of the establishment;

15  lighting, ventilation, laundry rooms, lockers, use and storage

16  of toxic materials and cleaning compounds, and first-aid

17  supplies; plan review; design, construction, installation,

18  location, maintenance, sanitation, and storage of food

19  equipment and utensils; employee training, health, hygiene,

20  and work practices; food supplies, preparation, storage,

21  transportation, and service, including access to the areas

22  where food is stored or prepared; and sanitary facilities and

23  controls, including water supply and sewage disposal; plumbing

24  and toilet facilities; garbage and refuse collection, storage,

25  and disposal; and vermin control. Public and private schools,

26  if the food service is operated by school employees; hospitals

27  licensed under chapter 395;, nursing homes licensed under part

28  II of chapter 400;, child care facilities as defined in s.

29  402.301;, and residential facilities colocated with a nursing

30  home or hospital, if all food is prepared in a central kitchen

31  that complies with nursing or hospital regulations; and bars

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 1  and lounges, as defined by department rule, are shall be

 2  exempt from the rules developed for manager certification. The

 3  department shall administer a comprehensive inspection,

 4  monitoring, and sampling program to ensure such standards are

 5  maintained. With respect to food service establishments

 6  permitted or licensed under chapter 500 or chapter 509, the

 7  department shall assist the Division of Hotels and Restaurants

 8  of the Department of Business and Professional Regulation and

 9  the Department of Agriculture and Consumer Services with

10  rulemaking by providing technical information.

11         (3)  LICENSES REQUIRED.--

12         (a)  Licenses; annual renewals.--Each food service

13  establishment regulated under this section shall obtain a

14  license from the department annually.  Food service

15  establishment licenses shall expire annually and shall not be

16  transferable from one place or individual to another. However,

17  those facilities licensed by the department's Office of

18  Licensure and Certification, the Child Care Services Program

19  Office, or the Developmental Disabilities Program Office are

20  exempt from this subsection. It shall be a misdemeanor of the

21  second degree, punishable as provided in s. 381.0061, s.

22  775.082, or s. 775.083, for such an establishment to operate

23  without this license.  The department may refuse a license, or

24  a renewal thereof, to any establishment that is not

25  constructed or maintained in accordance with law and with the

26  rules of the department.  Annual application for renewal shall

27  not be required.

28         (4)  LICENSE; INSPECTION; FEES.--

29         (a)  The department is authorized to collect fees from

30  establishments licensed under this section and from those

31  facilities exempted from licensure under paragraph (3)(a).  It

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 1  is the intent of the Legislature that the total fees assessed

 2  under this section be in an amount sufficient to meet the cost

 3  of carrying out the provisions of this section.

 4         Section 9.  Section 381.0409, Florida Statutes, is

 5  created to read:

 6         381.0409  Tobacco prevention program.--The Department

 7  of Health shall establish a comprehensive tobacco prevention

 8  program designed to reduce premature mortality, reduce

 9  morbidity, and increase the life expectancy of people in this

10  state through public health interventions at the state and

11  local levels. Implementation of this program is contingent

12  upon the department's receiving a specific appropriation for

13  this purpose.

14         (1)  The comprehensive tobacco prevention program shall

15  include the following components:

16         (a)  Program elements based on "Best Practices for

17  Comprehensive Tobacco Control Programs" identified by the

18  Centers for Disease Control and Prevention and on the

19  peer-reviewed scientific literature on tobacco prevention.

20         (b)  Advocacy organizations of middle, high school, and

21  college students.

22         (c)  Cessation programs for youth and adults through

23  schools, county health departments, and local providers,

24  including a toll-free telephone quit line.

25         (d)  Partnerships with local communities and schools to

26  prevent and reduce tobacco use, including reducing disparities

27  in tobacco use among different population groups.

28         (e)  Local and statewide media campaigns separately

29  directed to youth and adults.

30  

31  

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 1         (f)  Implementation of the provisions of the Florida

 2  Clean Indoor Air Act under part II of chapter 386 which are

 3  applicable to the department.

 4         (2)  The department shall act as a clearinghouse for

 5  information on best practices and shall provide technical

 6  assistance and training to state and local entities on tobacco

 7  prevention activities.

 8         (3)  The department may accept funds from the private

 9  sector to implement this section.

10         (4)  The department shall conduct surveillance and

11  evaluations to measure program performance and improve

12  implementation strategies.

13         (5)  The department may contract for any of the

14  activities specified in this section.

15         Section 10.  Section 381.86, Florida Statutes, is

16  created to read:

17         381.86  Institutional Review Board.--

18         (1)  The Institutional Review Board is created within

19  the Department of Health in order to satisfy federal

20  requirements under 45 C.F.R. part 46 and 21 C.F.R. parts 50

21  and 56 that an institutional review board review all

22  biomedical and behavioral research on human subjects which is

23  funded or supported in any manner by the department.

24         (2)  Consistent with federal requirements, the

25  Secretary of Health shall determine and appoint the membership

26  of the board and designate its chair.

27         (3)  The department's Institutional Review Board may

28  serve as an institutional review board for other agencies at

29  the discretion of the secretary.

30  

31  

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 1         (4)  Each board member is entitled to reimbursement for

 2  per diem and travel expenses as provided in s. 112.061 while

 3  carrying out the official business of the board.

 4         (5)  The department shall charge for costs it incurs

 5  for the research oversight it provides according to a fee

 6  schedule, except that fees shall be waived for any student who

 7  is a candidate for a degree at a university located in this

 8  state. The fee schedule shall provide fees for initial review,

 9  amendments, and continuing review. The department may adopt

10  any rules necessary to comply with federal requirements and

11  this section. The rules must also prescribe procedures for

12  submitting an application for the Institutional Review Board's

13  review.

14         Section 11.  Paragraphs (b) and (c) of subsection (3)

15  of section 381.89, Florida Statutes, are amended to read:

16         381.89  Regulation of tanning facilities.--

17         (3)

18         (b)  The department shall establish procedures for the

19  issuance and annual renewal of licenses and shall establish

20  annual license and renewal fees and late-payment fees in an

21  amount necessary to cover the expenses of administering this

22  section. Annual license and renewal fees may not shall be not

23  less than $125 nor more than $250 per tanning device and a

24  maximum total fee per individual tanning facility may be set

25  by rule.  Effective October 1, 1991, the fee amount shall be

26  the minimum fee proscribed in this paragraph and such fee

27  amount shall remain in effect until the effective date of a

28  fee schedule adopted by the department.

29         (c)  The department may adopt a system under which

30  licenses expire on staggered dates and the annual renewal fees

31  

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 1  are prorated quarterly monthly to reflect the actual number of

 2  months the license is valid.

 3         Section 12.  Subsection (3) and paragraph (a) of

 4  subsection (7) of section 381.90, Florida Statutes, are

 5  amended to read:

 6         381.90  Health Information Systems Council; legislative

 7  intent; creation, appointment, duties.--

 8         (3)  The council shall be composed of the following

 9  members or their senior executive-level designees:

10         (a)  The Secretary of the Department of Health;

11         (b)  The Executive Director secretary of the Department

12  of Veterans' Affairs Business and Professional Regulation;

13         (c)  The Secretary of the Department of Children and

14  Family Services;

15         (d)  The Secretary of Health Care Administration;

16         (e)  The Secretary of the Department of Corrections;

17         (f)  The Attorney General;

18         (g)  The Executive Director of the Correctional Medical

19  Authority;

20         (h)  Two members representing county health

21  departments, one from a small county and one from a large

22  county, appointed by the Governor;

23         (i)  A representative from the Florida Association of

24  Counties;

25         (j)  The Chief Financial Officer;

26         (k)  A representative from the Florida Healthy Kids

27  Corporation;

28         (l)  A representative from a school of public health

29  chosen by the Commissioner of Education Board of Regents;

30         (m)  The Commissioner of Education;

31  

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 1         (n)  The Secretary of the Department of Elderly

 2  Affairs; and

 3         (o)  The Secretary of the Department of Juvenile

 4  Justice.

 5  

 6  Representatives of the Federal Government may serve without

 7  voting rights.

 8         (7)  The council's duties and responsibilities include,

 9  but are not limited to, the following:

10         (a)  By June March 1 of each year, to develop and

11  approve a strategic plan pursuant to the requirements set

12  forth in s. 186.022 s. 186.022(9). Copies of the plan shall be

13  transmitted electronically or in writing to the Executive

14  Office of the Governor, the Speaker of the House of

15  Representatives, and the President of the Senate.

16         Section 13.  Subsections (1) and (2), paragraphs (f)

17  and (g) of subsection (3), and subsection (5) of section

18  383.14, Florida Statutes, are amended to read:

19         383.14  Screening for metabolic disorders, other

20  hereditary and congenital disorders, and environmental risk

21  factors.--

22         (1)  SCREENING REQUIREMENTS.--To help ensure access to

23  the maternal and child health care system, the Department of

24  Health shall promote the screening of all newborns infants

25  born in Florida for phenylketonuria and other metabolic,

26  hereditary, and congenital disorders known to result in

27  significant impairment of health or intellect, as screening

28  programs accepted by current medical practice become available

29  and practical in the judgment of the department.  The

30  department shall also promote the identification and screening

31  of all newborns infants born in this state and their families

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 1  for environmental risk factors such as low income, poor

 2  education, maternal and family stress, emotional instability,

 3  substance abuse, and other high-risk conditions associated

 4  with increased risk of infant mortality and morbidity to

 5  provide early intervention, remediation, and prevention

 6  services, including, but not limited to, parent support and

 7  training programs, home visitation, and case management.

 8  Identification, perinatal screening, and intervention efforts

 9  shall begin prior to and immediately following the birth of

10  the child by the attending health care provider.  Such efforts

11  shall be conducted in hospitals, perinatal centers, county

12  health departments, school health programs that provide

13  prenatal care, and birthing centers, and reported to the

14  Office of Vital Statistics.

15         (a)  Prenatal screening.--The department shall develop

16  a multilevel screening process that includes a risk assessment

17  instrument to identify women at risk for a preterm birth or

18  other high-risk condition.  The primary health care provider

19  shall complete the risk assessment instrument and report the

20  results to the Office of Vital Statistics so that the woman

21  may immediately be notified and referred to appropriate

22  health, education, and social services.

23         (b)  Postnatal screening.--A risk factor analysis using

24  the department's designated risk assessment instrument shall

25  also be conducted as part of the medical screening process

26  upon the birth of a child and submitted to the department's

27  Office of Vital Statistics for recording and other purposes

28  provided for in this chapter.  The department's screening

29  process for risk assessment shall include a scoring mechanism

30  and procedures that establish thresholds for notification,

31  further assessment, referral, and eligibility for services by

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 1  professionals or paraprofessionals consistent with the level

 2  of risk. Procedures for developing and using the screening

 3  instrument, notification, referral, and care coordination

 4  services, reporting requirements, management information, and

 5  maintenance of a computer-driven registry in the Office of

 6  Vital Statistics which ensures privacy safeguards must be

 7  consistent with the provisions and plans established under

 8  chapter 411, Pub. L. No. 99-457, and this chapter.  Procedures

 9  established for reporting information and maintaining a

10  confidential registry must include a mechanism for a

11  centralized information depository at the state and county

12  levels.  The department shall coordinate with existing risk

13  assessment systems and information registries.  The department

14  must ensure, to the maximum extent possible, that the

15  screening information registry is integrated with the

16  department's automated data systems, including the Florida

17  On-line Recipient Integrated Data Access (FLORIDA) system.

18  Tests and screenings must be performed by the State Public

19  Health Laboratory, in coordination with Children's Medical

20  Services, at such times and in such manner as is prescribed by

21  the department after consultation with the Genetics and Infant

22  Screening Advisory Council and the State Coordinating Council

23  for School Readiness Programs.

24         (c)  Release of screening results.--Notwithstanding any

25  other law to the contrary, the State Public Health Laboratory

26  may release, directly or through the Children's Medical

27  Services program, the results of a newborn's hearing and

28  metabolic tests or screening to the newborn's primary care

29  physician.

30         (2)  RULES.--After consultation with the Genetics and

31  Newborn Infant Screening Advisory Council, the department

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 1  shall adopt and enforce rules requiring that every newborn

 2  infant born in this state shall, prior to becoming 1 week 2

 3  weeks of age, be subjected to a test for phenylketonuria and,

 4  at the appropriate age, be tested for such other metabolic

 5  diseases and hereditary or congenital disorders as the

 6  department may deem necessary from time to time. After

 7  consultation with the State Coordinating Council for School

 8  Readiness Programs, the department shall also adopt and

 9  enforce rules requiring every newborn infant born in this

10  state to be screened for environmental risk factors that place

11  children and their families at risk for increased morbidity,

12  mortality, and other negative outcomes.  The department shall

13  adopt such additional rules as are found necessary for the

14  administration of this section, including rules providing

15  definitions of terms, rules relating to the methods used and

16  time or times for testing as accepted medical practice

17  indicates, rules relating to charging and collecting fees for

18  screenings authorized by this section, rules for processing

19  requests and releasing test and screening results, and rules

20  requiring mandatory reporting of the results of tests and

21  screenings for these conditions to the department.

22         (3)  DEPARTMENT OF HEALTH; POWERS AND DUTIES.--The

23  department shall administer and provide certain services to

24  implement the provisions of this section and shall:

25         (f)  Promote the availability of genetic studies and

26  counseling in order that the parents, siblings, and affected

27  newborns infants may benefit from available knowledge of the

28  condition.

29         (g)  Have the authority to charge and collect fees for

30  screenings authorized in this section, as follows:

31  

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 1         1.  A fee of $20 will be charged for each live birth,

 2  as recorded by the Office of Vital Statistics, occurring in a

 3  hospital licensed under part I of chapter 395 or a birth

 4  center licensed under s. 383.305, up to 3,000 live births per

 5  licensed hospital per year or over 60 births per birth center

 6  per year.  The department shall calculate the annual

 7  assessment for each hospital and birth center, and this

 8  assessment must be paid in equal amounts quarterly. Quarterly,

 9  the department shall generate and mail to each hospital and

10  birth center a statement of the amount due.

11         2.  As part of the department's legislative budget

12  request prepared pursuant to chapter 216, the department shall

13  submit a certification by the department's inspector general,

14  or the director of auditing within the inspector general's

15  office, of the annual costs of the uniform testing and

16  reporting procedures of the newborn infant screening program.

17  In certifying the annual costs, the department's inspector

18  general or the director of auditing within the inspector

19  general's office shall calculate the direct costs of the

20  uniform testing and reporting procedures, including applicable

21  administrative costs. Administrative costs shall be limited to

22  those department costs which are reasonably and directly

23  associated with the administration of the uniform testing and

24  reporting procedures of the newborn infant screening program.

25  

26  All provisions of this subsection must be coordinated with the

27  provisions and plans established under this chapter, chapter

28  411, and Pub. L. No. 99-457.

29         (5)  ADVISORY COUNCIL.--There is established a Genetics

30  and Newborn Infant Screening Advisory Council made up of 15 12

31  members appointed by the Secretary of Health.  The council

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 1  shall be composed of two consumer members, three practicing

 2  pediatricians, at least one of whom must be a pediatric

 3  hematologist, one representative from each of the four medical

 4  schools in the state, the Secretary of Health or his or her

 5  designee, one representative from the Department of Health

 6  representing Children's Medical Services, one representative

 7  from the Florida Hospital Association, one individual with

 8  experience in newborn screening programs, one individual

 9  representing audiologists, and one representative from the

10  Developmental Disabilities Program Office of the Department of

11  Children and Family Services. All appointments shall be for a

12  term of 4 years.  The chairperson of the council shall be

13  elected from the membership of the council and shall serve for

14  a period of 2 years.  The council shall meet at least

15  semiannually or upon the call of the chairperson. The council

16  may establish ad hoc or temporary technical advisory groups to

17  assist the council with specific topics which come before the

18  council. Council members shall serve without pay. Pursuant to

19  the provisions of s. 112.061, the council members are entitled

20  to be reimbursed for per diem and travel expenses.  It is the

21  purpose of the council to advise the department about:

22         (a)  Conditions for which testing should be included

23  under the screening program and the genetics program.;

24         (b)  Procedures for collection and transmission of

25  specimens and recording of results.; and

26         (c)  Methods whereby screening programs and genetics

27  services for children now provided or proposed to be offered

28  in the state may be more effectively evaluated, coordinated,

29  and consolidated.

30         Section 14.  Subsection (1) of section 383.402, Florida

31  Statutes, is amended to read:

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 1         383.402  Child abuse death review; State Child Abuse

 2  Death Review Committee; local child abuse death review

 3  committees.--

 4         (1)  It is the intent of the Legislature to establish a

 5  statewide multidisciplinary, multiagency child abuse death

 6  assessment and prevention system that consists of state and

 7  local review committees. The state and local review committees

 8  shall review the facts and circumstances of all deaths of

 9  children from birth through age 18 which occur in this state

10  as the result of verified child abuse or neglect and for whom

11  at least one report of abuse or neglect was accepted by the

12  central abuse hotline within the Department of Children and

13  Family Services. The purpose of the review shall be to:

14         (a)  Achieve a greater understanding of the causes and

15  contributing factors of deaths resulting from child abuse.

16         (b)  Whenever possible, develop a communitywide

17  approach to address such cases and contributing factors.

18         (c)  Identify any gaps, deficiencies, or problems in

19  the delivery of services to children and their families by

20  public and private agencies which may be related to deaths

21  that are the result of child abuse.

22         (d)  Make and implement recommendations for changes in

23  law, rules, and policies, as well as develop practice

24  standards that support the safe and healthy development of

25  children and reduce preventable child abuse deaths.

26         Section 15.  Subsection (2) of section 391.021, Florida

27  Statutes, is amended to read:

28         391.021  Definitions.--When used in this act, unless

29  the context clearly indicates otherwise:

30         (2)  "Children with special health care needs" means

31  those children younger than under age 21 years of age who have

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 1  chronic physical, developmental, behavioral, or emotional

 2  conditions and who also require health care and related

 3  services of a type or amount beyond that which is generally

 4  required by children whose serious or chronic physical or

 5  developmental conditions require extensive preventive and

 6  maintenance care beyond that required by typically healthy

 7  children.  Health care utilization by these children exceeds

 8  the statistically expected usage of the normal child adjusted

 9  for chronological age.  These children often need complex care

10  requiring multiple providers, rehabilitation services, and

11  specialized equipment in a number of different settings.

12         Section 16.  Section 391.025, Florida Statutes, is

13  amended to read:

14         391.025  Applicability and scope.--

15         (1)  This act applies to health services provided to

16  eligible individuals who are:

17         (a)1.  Enrolled in the Medicaid program;

18         2.  Enrolled in the Florida Kidcare program; and

19         3.  Uninsured or underinsured, provided that they meet

20  the financial eligibility requirements established in this

21  act, and to the extent that resources are appropriated for

22  their care; or

23         (b)  Infants who receive an award of compensation under

24  s. 766.31(1).

25         (1)(2)  The Children's Medical Services program

26  consists of the following components:

27         (a)  The newborn infant metabolic screening program

28  established in s. 383.14.

29         (b)  The regional perinatal intensive care centers

30  program established in ss. 383.15-383.21.

31  

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 1         (c)  A federal or state program authorized by the

 2  Legislature.

 3         (d)  The developmental evaluation and intervention

 4  program, including the Florida Infants and Toddlers Early

 5  Intervention Program.

 6         (e)  The Children's Medical Services network.

 7         (2)(3)  The Children's Medical Services program shall

 8  not be deemed an insurer and is not subject to the licensing

 9  requirements of the Florida Insurance Code or the rules

10  adopted thereunder, when providing services to children who

11  receive Medicaid benefits, other Medicaid-eligible children

12  with special health care needs, and children participating in

13  the Florida Kidcare program.

14         Section 17.  Section 391.029, Florida Statutes, is

15  amended to read:

16         391.029  Program eligibility.--

17         (1)  The department shall establish the medical

18  criteria to determine if an applicant for the Children's

19  Medical Services program is an eligible individual.

20         (2)  The following individuals are financially eligible

21  to receive services through for the program:

22         (a)  A high-risk pregnant female who is eligible for

23  Medicaid.

24         (b)  Children A child with special health care needs

25  from birth to age 21 years of age who are is eligible for

26  Medicaid.

27         (c)  Children A child with special health care needs

28  from birth to age 19 years of age who are is eligible for a

29  program under Title XXI of the Social Security Act.

30  

31  

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 1         (3)  Subject to the availability of funds, the

 2  following individuals may receive services through the

 3  program:

 4         (a)(d)  Children A child with special health care needs

 5  from birth to age 21 years of age whose family income is above

 6  the requirements for financial eligibility under Title XXI of

 7  the Social Security Act and whose projected annual cost of

 8  care adjusts the family income to Medicaid financial criteria.

 9  In cases where the family income is adjusted based on a

10  projected annual cost of care, the family shall participate

11  financially in the cost of care based on criteria established

12  by the department.

13         (b)(e)  Children A child with special health care needs

14  from birth to 21 years of age, as provided defined in Title V

15  of the Social Security Act relating to children with special

16  health care needs.

17         (c)(f)  An infant who receives an award of compensation

18  under s. 766.31(1). The Florida Birth-Related Neurological

19  Injury Compensation Association shall reimburse the Children's

20  Medical Services Network the state's share of funding, which

21  must thereafter be used to obtain matching federal funds under

22  Title XXI of the Social Security Act.

23  

24  The department may continue to serve certain children with

25  special health care needs who are 21 years of age or older and

26  who were receiving services from the program prior to April 1,

27  1998.  Such children may be served by the department until

28  July 1, 2000.

29         (4)(3)  The department shall determine the financial

30  and medical eligibility of children for the program. The

31  department shall also determine the financial ability of the

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 1  parents, or persons or other agencies having legal custody

 2  over such individuals, to pay the costs of health services

 3  under the program. The department may pay reasonable travel

 4  expenses related to the determination of eligibility for or

 5  the provision of health services.

 6         (5)(4)  Any child who has been provided with surgical

 7  or medical care or treatment under this act prior to being

 8  adopted shall continue to be eligible to be provided with such

 9  care or treatment after his or her adoption, regardless of the

10  financial ability of the persons adopting the child.

11         Section 18.  Subsection (4) is added to section

12  391.035, Florida Statutes, to read:

13         391.035  Provider qualifications.--

14         (4)  Notwithstanding any other law, the department may

15  contract with health care providers licensed in another state

16  to provide health services to participants in the Children's

17  Medical Services program when necessary due to an emergency or

18  in order to provide specialty services or greater convenience

19  to the participants for receiving timely and effective health

20  care services. The department may adopt rules to administer

21  this subsection.

22         Section 19.  Subsection (4) is added to section

23  391.055, Florida Statutes, to read:

24         391.055  Service delivery systems.--

25         (4)  If a newborn has an abnormal screening result for

26  metabolic or other hereditary and congenital disorders which

27  is identified through the newborn screening program pursuant

28  to s. 383.14, the newborn shall be referred to the Children's

29  Medical Services program for additional testing, medical

30  management, early intervention services, or medical referral.

31  

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 1         Section 20.  Section 391.302, Florida Statutes, is

 2  amended to read:

 3         391.302  Definitions.--As used in ss. 391.301-391.307,

 4  the term:

 5         (1)  "Developmental intervention" means individualized

 6  therapies and services needed to enhance both the infant's or

 7  toddler's growth and development and family functioning.

 8         (2)  "Hearing-impaired infant" means an infant who is

 9  born with or who has acquired prelingually a hearing loss so

10  severe that, unaided, the infant cannot learn speech and

11  language through normal means.

12         (3)  "High-risk hearing-impaired infant" means an

13  infant who exhibits conditions and factors that include, but

14  are not limited to, a family history of hearing impairment or

15  anatomic malformation which place the infant at an increased

16  risk for hearing impairment.

17         (2)(4)  "Infant or toddler" means a child from birth

18  until the child's third birthday.

19         (3)(5)  "In-hospital intervention services" means the

20  provision of assessments; the provision of individualized

21  services therapies; monitoring and modifying the delivery of

22  medical interventions; and enhancing the environment for the

23  high-risk, developmentally disabled, or medically involved, or

24  hearing-impaired infant or toddler in order to achieve optimum

25  growth and development.

26         (4)(6)  "Parent support and training" means a range of

27  services to families of high-risk, developmentally disabled,

28  or medically involved, or hearing-impaired infants or

29  toddlers, including family counseling; financial planning;

30  agency referral; development of parent-to-parent support

31  groups; education concerning growth, development, and

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 1  developmental intervention and objective measurable skills,

 2  including abuse avoidance skills; training of parents to

 3  advocate for their child; and bereavement counseling.

 4         Section 21.  Section 391.303, Florida Statutes, is

 5  amended to read:

 6         391.303  Program requirements.--

 7         (1)  Developmental evaluation and intervention services

 8  shall be established at each hospital that provides Level II

 9  or Level III neonatal intensive care services. Program

10  services shall be made available to an infant or toddler

11  identified as being at risk for developmental disabilities, or

12  identified as medically involved, who, along with his or her

13  family, would benefit from program services. Program services

14  shall be made available to infants or toddlers in a Level II

15  or Level III neonatal intensive care unit or in a pediatric

16  intensive care unit, infants who are identified as being at

17  high risk for hearing impairment or who are hearing-impaired,

18  or infants who have a metabolic or genetic disorder or a

19  condition identified through the newborn screening program.

20  The developmental evaluation and intervention programs are

21  subject to the availability of moneys and the limitations

22  established by the General Appropriations Act or chapter 216.

23  Hearing screening, Evaluation and referral services, and

24  initial developmental assessments services shall be provided

25  to each infant or toddler. Other program services may be

26  provided to an infant or toddler, and the family of the infant

27  or toddler, who do not meet the financial eligibility criteria

28  for the Children's Medical Services program based on the

29  availability of funding, including insurance and fees.

30         (2)  Each developmental evaluation and intervention

31  program shall have a program director, a medical director, and

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 1  necessary staff to carry out the program. The program director

 2  shall establish and coordinate the developmental evaluation

 3  and intervention program. The program shall include, but is

 4  not limited to:

 5         (a)  In-hospital evaluation and intervention services,

 6  parent support and training, and family support planning and

 7  case management.

 8         (b)  Screening and evaluation services to identify each

 9  infant at risk of hearing impairment, and a medical and

10  educational followup and care management program for an infant

11  who is identified as hearing-impaired, with management

12  beginning as soon after birth as practicable. The medical

13  management program must include the genetic evaluation of an

14  infant suspected to have genetically determined deafness and

15  an evaluation of the relative risk.

16         (b)(c)  Regularly held multidisciplinary team meetings

17  to develop and update the family support plan. In addition to

18  the family, a multidisciplinary team may include a physician,

19  physician assistant, psychologist, psychotherapist, educator,

20  social worker, nurse, physical or occupational therapist,

21  speech pathologist, developmental evaluation and intervention

22  program director, case manager, others who are involved with

23  the in-hospital and posthospital discharge care plan, and

24  anyone the family wishes to include as a member of the team.

25  The family support plan is a written plan that describes the

26  infant or toddler, the therapies and services the infant or

27  toddler and his or her family need, and the intended outcomes

28  of the services.

29         (c)(d)  Discharge planning by the multidisciplinary

30  team, including referral and followup to primary medical care

31  and modification of the family support plan.

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 1         (d)(e)  Education and training for neonatal and

 2  pediatric intensive care services staff, volunteers, and

 3  others, as needed, in order to expand the services provided to

 4  high-risk, developmentally disabled, or medically involved, or

 5  hearing-impaired infants and toddlers and their families.

 6         (e)(f)  Followup intervention services after hospital

 7  discharge, to aid the family and the high-risk,

 8  developmentally disabled, or medically involved, or

 9  hearing-impaired infant's or toddler's transition into the

10  community. Support services shall be coordinated at the

11  request of the family and within the context of the family

12  support plan.

13         (f)(g)  Referral to and coordination of services with

14  community providers.

15         (g)(h)  Educational materials about infant care, infant

16  growth and development, community resources, medical

17  conditions and treatments, and family advocacy. Materials

18  regarding hearing impairments shall be provided to each parent

19  or guardian of a hearing-impaired infant or toddler.

20         (h)(i)  Involvement of the parents and guardians of

21  each identified high-risk, developmentally disabled, or

22  medically involved, or hearing-impaired infant or toddler.

23         Section 22.  Section 391.308, Florida Statutes, is

24  created to read:

25         391.308  Infants and Toddlers Early Intervention

26  Program.--The Department of Health may implement and

27  administer Part C of the federal Individuals with Disabilities

28  Education Act (IDEA).

29         (1)  The department, jointly with the Department of

30  Education, shall annually prepare a grant application to the

31  United States Department of Education for funding early

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 1  intervention services for infants and toddlers with

 2  disabilities, from birth through 36 months of age, and their

 3  families pursuant to Part C of the federal Individuals with

 4  Disabilities Education Act.

 5         (2)  The department, jointly with the Department of

 6  Education, shall include a reading initiative as an early

 7  intervention service for infants and toddlers.

 8         Section 23.  Present subsections (3) and (4) of section

 9  395.1027, Florida Statutes, are redesignated as subsections

10  (4) and (5), respectively, and a new subsection (3) is added

11  to that section, to read:

12         395.1027  Regional poison control centers.--

13         (3)  Upon request, a licensed facility shall release to

14  a regional poison control center any patient information that

15  is necessary for case management of poison cases.

16         Section 24.  Section 395.404, Florida Statutes, is

17  amended to read:

18         395.404  Review of trauma registry data; report to

19  central registry; confidentiality and limited release.--

20         (1)(a)  Each trauma center shall furnish, and, upon

21  request of the department, all acute care hospitals shall

22  furnish for department review, trauma registry data as

23  prescribed by rule of the department for the purpose of

24  monitoring patient outcome and ensuring compliance with the

25  standards of approval.

26         (b)  Trauma registry data obtained pursuant to this

27  subsection are confidential and exempt from the provisions of

28  s. 119.07(1) and s. 24(a), Art. I of the State Constitution.

29  However, the department may provide such trauma registry data

30  to the person, trauma center, hospital, emergency medical

31  service provider, local or regional trauma agency, medical

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 1  examiner, or other entity from which the data were obtained.

 2  The department may also use or provide trauma registry data

 3  for purposes of research in accordance with the provisions of

 4  chapter 405.

 5         (2)  Each trauma center, pediatric trauma referral

 6  center, and acute care hospital shall report to the

 7  department's brain and spinal cord injury central registry,

 8  consistent with the procedures and timeframes of s. 381.74,

 9  any person who has a moderate-to-severe brain or spinal cord

10  injury, and shall include in the report the name, age,

11  residence, and type of disability of the individual and any

12  additional information that the department finds necessary.

13  Notwithstanding the provisions of s. 381.74, each trauma

14  center and acute care hospital shall submit severe disability

15  and head-injury registry data to the department as provided by

16  rule. Each trauma center and acute care hospital shall

17  continue to provide initial notification of persons who have

18  severe disabilities and head injuries to the Department of

19  Health within timeframes provided in chapter 413. Such initial

20  notification shall be made in the manner prescribed by the

21  Department of Health for the purpose of providing timely

22  vocational rehabilitation services to the severely disabled or

23  head-injured person.

24         (3)  Trauma registry data obtained pursuant to this

25  section are confidential and exempt from the provisions of s.

26  119.07(1) and s. 24(a), Art. I of the State Constitution.

27  However, the department may provide such trauma registry data

28  to the person, trauma center, pediatric trauma referral

29  center, hospital, emergency medical service provider, local or

30  regional trauma agency, medical examiner, or other entity from

31  which the data were obtained. The department may also use or

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 1  provide trauma registry data for purposes of research in

 2  accordance with the provisions of chapter 405.

 3         Section 25.  Section 401.211, Florida Statutes, is

 4  amended to read:

 5         401.211  Legislative intent.--The Legislature

 6  recognizes that the systematic provision of emergency medical

 7  services saves lives and reduces disability associated with

 8  illness and injury.  In addition, that system of care must be

 9  equally capable of assessing, treating, and transporting

10  children, adults, and frail elderly persons.  Further, it is

11  the intent of the Legislature to encourage the development and

12  maintenance of emergency medical services because such

13  services are essential to the health and well-being of all

14  citizens of the state. The Legislature also recognizes that

15  the establishment of a comprehensive statewide

16  injury-prevention program supports state and community health

17  systems by further enhancing the total delivery system of

18  emergency medical services and reduces injuries for all

19  persons. The purpose of this part is to protect and enhance

20  the public health, welfare, and safety through the

21  establishment of an emergency medical services state plan, an

22  advisory council, a comprehensive statewide injury-prevention

23  program, minimum standards for emergency medical services

24  personnel, vehicles, services and medical direction, and the

25  establishment of a statewide inspection program created to

26  monitor the quality of patient care delivered by each licensed

27  service and appropriately certified personnel.

28         Section 26.  Section 401.243, Florida Statutes, is

29  created to read:

30         401.243  Injury prevention.--The department shall

31  establish an injury-prevention program with responsibility for

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 1  the statewide coordination and expansion of injury-prevention

 2  activities. The duties of the department under the program may

 3  include, but are not limited to, data collection,

 4  surveillance, education, and the promotion of interventions.

 5  In addition, the department may:

 6         (1)  Provide communities, county health departments,

 7  and other state agencies with expertise and guidance in injury

 8  prevention.

 9         (2)  Seek, receive, and expend funds received from

10  grants, donations, or contributions from public or private

11  sources for program purposes.

12         (3)  Develop, and revise as necessary, a comprehensive

13  state plan for injury prevention.

14         (4)  Adopt rules governing the implementation of grant

15  programs. The rules may include, but need not be limited to,

16  criteria regarding the application process, the selection of

17  grantees, the implementation of injury-prevention activities,

18  data collection, surveillance, education, and the promotion of

19  interventions.

20         Section 27.  Section 401.27001, Florida Statutes, is

21  created to read:

22         401.27001  Background screening required for

23  certification.--

24         (1)  An applicant for initial certification under s.

25  401.27 must submit information and a set of fingerprints to

26  the Department of Health on a form and according to procedures

27  specified by the department, along with payment in an amount

28  equal to the costs incurred by the Department of Health for a

29  statewide criminal history check and a national criminal

30  history check of the applicant.

31  

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 1         (2)  An applicant for initial renewal of certification

 2  on or after July 1, 2004, who has not previously submitted a

 3  set of fingerprints to the Department of Health must submit

 4  information required to perform a statewide criminal

 5  background check and a set of fingerprints required to perform

 6  a national criminal history check. The applicant must submit

 7  the fingerprints on a form and under procedures specified by

 8  the department for a national criminal history check, along

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

10  department. For subsequent renewals, the department shall, by

11  rule, adopt an application form that includes an oath or

12  affirmation attesting to the existence of any criminal

13  convictions, regardless of plea or adjudication, which have

14  occurred since the previous certification. If there has been a

15  criminal conviction, the provisions of this section apply. The

16  department shall notify each current certificateholder of the

17  requirement to undergo a criminal history background screening

18  sufficiently in advance of the 2004 biennial expiration for

19  the certificateholder to provide the required information

20  prior to submission of the renewal certification application.

21  The department may not deny eligibility for renewal of the

22  first renewal application subsequent to July 1, 2004, due to a

23  delay in obtaining the criminal history from the Department of

24  Law Enforcement, the Federal Bureau of Investigation, or the

25  Division of State Fire Marshal if the applicant has submitted

26  the required criminal background screening information or

27  affidavit and fees with the renewal certification application.

28  A certificate that expires on December 1, 2004, may be renewed

29  subject to withdrawal of certification pending the

30  department's determination of whether the certificateholder

31  will be granted an exemption as provided in subsection (8).

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 1  The applicant must make timely application for renewal and

 2  request the exemption from denial prior to expiration of the

 3  certificate.

 4         (3)  Pursuant to the requirements of s. 120.60, an

 5  application for certification must be processed within 90 days

 6  after receipt of the completed application. An application for

 7  certification is not complete until the criminal history and

 8  certified copies of all court documents for an applicant

 9  having a prior criminal conviction, pursuant to this section,

10  have been received by the department.

11         (4)  The department shall submit the fingerprints and

12  information required for a statewide criminal history check to

13  the Department of Law Enforcement, and the Department of Law

14  Enforcement shall forward the fingerprints to the Federal

15  Bureau of Investigation for a national criminal history check

16  of the applicant.

17         (5)  If an applicant has undergone a criminal history

18  check as a condition of employment or certification as a

19  firefighter under s. 633.34, the Division of State Fire

20  Marshal of the Department of Financial Services shall provide

21  the criminal history information regarding the applicant

22  seeking certification or renewal of certification under s.

23  401.27 to the department. Any applicant for initial

24  certification or renewal of certification who has already

25  submitted a set of fingerprints and information to the

26  Division of State Fire Marshal of the Department of Financial

27  Services for the criminal history check required for

28  employment and certification of firefighters under s. 633.34

29  within 2 years prior to application under s. 401.27 is not

30  required to provide to the department a subsequent set of

31  fingerprints or other duplicate information required for a

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 1  criminal history check if the applicant submits an affidavit

 2  in a form prescribed by the department attesting that he or

 3  she has been a state resident for the previous 2 years.

 4         (6)  Notwithstanding the grounds for certification

 5  denial outlined in s. 401.411, an applicant must not have been

 6  found guilty of, regardless of plea or adjudication, any

 7  offense prohibited under any of the following provisions of

 8  the Florida Statutes or under any similar statute of another

 9  jurisdiction:

10         (a)  Section 415.111, relating to abuse, neglect, or

11  exploitation of a vulnerable adult.

12         (b)  Section 782.04, relating to murder.

13         (c)  Section 782.07, relating to manslaughter,

14  aggravated manslaughter of an elderly person or disabled

15  adult, or aggravated manslaughter of a child.

16         (d)  Section 782.071, relating to vehicular homicide.

17         (e)  Section 782.09, relating to killing of an unborn

18  child by injury to the mother.

19         (f)  Section 784.011, relating to assault, if the

20  victim of the offense was a minor.

21         (g)  Section 784.021, relating to aggravated assault.

22         (h)  Section 784.03, relating to battery, if the victim

23  of the offense was a minor.

24         (i)  Section 784.045, relating to aggravated battery.

25         (j)  Section 784.01, relating to kidnapping.

26         (k)  Section 787.02, relating to false imprisonment.

27         (l)  Section 794.011, relating to sexual battery.

28         (m)  Former s. 794.041, relating to prohibited acts of

29  persons in familial or custodial authority.

30         (n)  Chapter 796, relating to prostitution.

31  

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 1         (o)  Section 798.02, relating to lewd and lascivious

 2  behavior.

 3         (p)  Chapter 800, relating to lewdness and indecent

 4  exposure.

 5         (q)  Section 806.01, relating to arson.

 6         (r)  Chapter 812, relating to theft, robbery, and

 7  related crimes, if the offense was a felony.

 8         (s)  Section 817.563, relating to the fraudulent sale

 9  of controlled substances, if the offense was a felony.

10         (t)  Section 825.102, relating to abuse, aggravated

11  abuse, or neglect of an elderly person or disabled adult.

12         (u)  Section 825.1025, relating to lewd or lascivious

13  offenses committed upon or in the presence of an elderly

14  person or disabled adult.

15         (v)  Section 825.103, relating to exploitation of an

16  elderly person or disabled adult, if the offense was a felony.

17         (w)  Section 826.04, relating to incest.

18         (x)  Section 827.03, relating to child abuse,

19  aggravated child abuse, or neglect of a child.

20         (y)  Section 827.04, relating to contributing to the

21  delinquency or dependency of a child.

22         (z)  Former s. 827.05, relating to negligent treatment

23  of children.

24         (aa)  Section 827.071, relating to sexual performance

25  by a child.

26         (bb)  Chapter 847, relating to obscene literature.

27         (cc)  Chapter 893, relating to drug abuse prevention

28  and control, if the offense was a felony or if any other

29  person involved in the offense was a minor.

30         (dd)  An act that constitutes domestic violence, as

31  defined in s. 741.28.

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 1         (7)  The department may grant to any applicant who

 2  would otherwise be denied certification or recertification

 3  under this subsection an exemption from that denial for:

 4         (a)  A felony committed more than 3 years prior to the

 5  date of disqualification;

 6         (b)  A misdemeanor prohibited under any of the Florida

 7  Statutes cited in this subsection or under similar statutes of

 8  other jurisdictions;

 9         (c)  An offense that was a felony when committed but

10  that is currently a misdemeanor;

11         (d)  A finding of delinquency; or

12         (e)  The commission of an act of domestic violence as

13  defined in s. 741.28.

14         (8)  For the department to grant an exemption to any

15  applicant under this section, the applicant must demonstrate

16  by clear and convincing evidence that the applicant should not

17  be disqualified from certification or renewed certification.

18  An applicant seeking an exemption has the burden of setting

19  forth sufficient evidence of rehabilitation, including, but

20  not limited to, the circumstances surrounding the criminal

21  incident for which an exemption is sought, the time period

22  that has elapsed since the incident, the nature of the harm

23  caused to the victim, and the history of the applicant since

24  the incident, or any other evidence or circumstances

25  indicating that the applicant will not present a danger if the

26  certification or renewed certification is granted. To make the

27  necessary demonstration, the applicant must request an

28  exemption and submit the required information supporting that

29  request at the time of application in order for the department

30  to make a determination in accordance with this section.

31  

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 1         (9)  Denial of certification or renewed certification

 2  under subsection (6) may not be removed from, and an exemption

 3  may not be granted to, any applicant who is found guilty of,

 4  regardless of plea or adjudication, any felony covered by

 5  subsection (6), solely by reason of a pardon, executive

 6  clemency, or restoration of civil rights.

 7         (10)  The department shall adopt rules pursuant to

 8  chapter 120 to administer this section.

 9         Section 28.  Subsection (4) of section 404.056, Florida

10  Statutes, is amended to read:

11         404.056  Environmental radiation standards and

12  projects; certification of persons performing measurement or

13  mitigation services; mandatory testing; notification on real

14  estate documents; rules.--

15         (4)  MANDATORY TESTING.--All public and private school

16  buildings or school sites housing students in kindergarten

17  through grade 12; all state-owned, state-operated,

18  state-regulated, or state-licensed 24-hour care facilities;

19  and all state-licensed day care centers for children or minors

20  which are located in counties designated within the Department

21  of Community Affairs' Florida Radon Protection Map Categories

22  as "Intermediate" or "Elevated Radon Potential" shall be

23  measured to determine the level of indoor radon, using

24  measurement procedures established by the department. Initial

25  measurements Testing shall be conducted completed within the

26  first year of construction in 20 percent of the habitable

27  first floor spaces within any of the regulated buildings and.

28  Initial measurements shall be completed and reported to the

29  department within 1 by July 1 of the year after the date the

30  building is opened for occupancy or within 1 year after

31  license approval for the entity residing in the existing

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 1  building. Followup testing must be completed in 5 percent of

 2  the habitable first floor spaces within any of the regulated

 3  buildings after the building has been occupied for 5 years,

 4  and results must be reported to the department by the first

 5  day July 1 of the 6th 5th year of occupancy. After radon

 6  measurements have been made twice, regulated buildings need

 7  not undergo further testing unless significant structural

 8  changes occur. No funds collected pursuant to s. 553.721 shall

 9  be used to carry out the provisions of this subsection.

10         Section 29.  Subsection (5) of section 409.814, Florida

11  Statutes, is amended to read:

12         409.814  Eligibility.--A child whose family income is

13  equal to or below 200 percent of the federal poverty level is

14  eligible for the Florida Kidcare program as provided in this

15  section. In determining the eligibility of such a child, an

16  assets test is not required. An applicant under 19 years of

17  age who, based on a complete application, appears to be

18  eligible for the Medicaid component of the Florida Kidcare

19  program is presumed eligible for coverage under Medicaid,

20  subject to federal rules. A child who has been deemed

21  presumptively eligible for Medicaid shall not be enrolled in a

22  managed care plan until the child's full eligibility

23  determination for Medicaid has been completed. The Florida

24  Healthy Kids Corporation may, subject to compliance with

25  applicable requirements of the Agency for Health Care

26  Administration and the Department of Children and Family

27  Services, be designated as an entity to conduct presumptive

28  eligibility determinations. An applicant under 19 years of age

29  who, based on a complete application, appears to be eligible

30  for the Medikids, Florida Healthy Kids, or Children's Medical

31  Services network program component, who is screened as

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 1  ineligible for Medicaid and prior to the monthly verification

 2  of the applicant's enrollment in Medicaid or of eligibility

 3  for coverage under the state employee health benefit plan, may

 4  be enrolled in and begin receiving coverage from the

 5  appropriate program component on the first day of the month

 6  following the receipt of a completed application.  For

 7  enrollment in the Children's Medical Services network, a

 8  complete application includes the medical or behavioral health

 9  screening. If, after verification, an individual is determined

10  to be ineligible for coverage, he or she must be disenrolled

11  from the respective Title XXI-funded Kidcare program

12  component.

13         (5)  A child whose family income is above 200 percent

14  of the federal poverty level or a child who is excluded under

15  the provisions of subsection (4) may participate in the

16  Florida Healthy Kids program or the Medikids Kidcare program,

17  excluding the Medicaid program, but is subject to the

18  following provisions:

19         (a)  The family is not eligible for premium assistance

20  payments and must pay the full cost of the premium, including

21  any administrative costs.

22         (b)  The agency is authorized to place limits on

23  enrollment in Medikids by these children in order to avoid

24  adverse selection.  The number of children participating in

25  Medikids whose family income exceeds 200 percent of the

26  federal poverty level must not exceed 10 percent of total

27  enrollees in the Medikids program.

28         (c)  The board of directors of the Florida Healthy Kids

29  Corporation is authorized to place limits on enrollment of

30  these children in order to avoid adverse selection. In

31  addition, the board is authorized to offer a reduced benefit

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 1  package to these children in order to limit program costs for

 2  such families. The number of children participating in the

 3  Florida Healthy Kids program whose family income exceeds 200

 4  percent of the federal poverty level must not exceed 10

 5  percent of total enrollees in the Florida Healthy Kids

 6  program.

 7         (d)  Children described in this subsection are not

 8  counted in the annual enrollment ceiling for the Florida

 9  Kidcare program.

10         Section 30.  Subsection (1) and paragraph (g) of

11  subsection (3) of section 468.302, Florida Statutes, are

12  amended to read:

13         468.302  Use of radiation; identification of certified

14  persons; limitations; exceptions.--

15         (1)  Except as hereinafter provided in this section, a

16  no person may not shall use radiation or otherwise practice

17  radiologic technology on a human being unless he or she:

18         (a)  Is a licensed practitioner; or

19         (b)  Is the holder of a certificate, as provided in

20  this part, and is operating under the direct supervision or

21  general supervision of a licensed practitioner in each

22  particular case.

23         (3)

24         (g)1.  A person holding a certificate as a nuclear

25  medicine technologist may only:

26         a.  Conduct in vivo and in vitro measurements of

27  radioactivity and administer radiopharmaceuticals to human

28  beings for diagnostic and therapeutic purposes.

29         b.  Administer X radiation from a combination nuclear

30  medicine-computed tomography device if that radiation is

31  administered as an integral part of a nuclear medicine

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 1  procedure that uses an automated computed tomography protocol

 2  for the purposes of attenuation correction and anatomical

 3  localization and the person has received device-specific

 4  training on the combination device. However,

 5         2.  The authority of a nuclear medicine technologist

 6  under this paragraph excludes:

 7         a.  Radioimmunoassay and other clinical laboratory

 8  testing regulated pursuant to chapter 483;.

 9         b.  Creating or modifying automated computed tomography

10  protocols; and

11         c.  Any other operation of a computed tomography

12  device, especially for the purposes of stand-alone diagnostic

13  imaging, which must be performed by a general radiographer

14  certified under this part.

15         Section 31.  Section 468.304, Florida Statutes, is

16  amended to read:

17         468.304  Certification examination; admission.--The

18  department shall certify admit to examination for

19  certification any applicant who meets the following criteria

20  pays to the department a nonrefundable fee not to exceed $100

21  plus the actual per-applicant cost to the department for

22  purchasing the examination from a national organization and

23  submits satisfactory evidence, verified by oath or

24  affirmation, that she or he:

25         (1)  Pays to the department a nonrefundable fee that

26  may not exceed $100, plus the actual per-applicant cost to the

27  department for purchasing the examination from a national

28  organization.

29         (2)  Submits a completed application on a form

30  specified by the department. An incomplete application expires

31  6 months after initial filing. The application must include

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 1  the social security number of the applicant. Each applicant

 2  shall notify the department in writing of his or her current

 3  mailing address. Notwithstanding any other law, service by

 4  regular mail to an applicant's last reported mailing address

 5  constitutes adequate and sufficient notice of any official

 6  departmental communication to the applicant.

 7         (3)  Submits satisfactory evidence, verified by oath or

 8  affirmation, that she or he:

 9         (a)(1)  Is at least 18 years of age at the time of

10  application;

11         (b)(2)  Is a high school, vocational school, technical

12  school, or college graduate or has successfully completed the

13  requirements for a graduate equivalency diploma (GED) or its

14  equivalent;

15         (c)(3)  Is of good moral character; and

16         (d)  Has passed an examination as specified in s.

17  468.306 or meets the requirements specified in s. 468.3065;

18  and

19         (e)1.(4)(a)  Has successfully completed an educational

20  program, which program may be established in a hospital

21  licensed pursuant to chapter 395 or in an accredited

22  postsecondary academic institution which is subject to

23  approval by the department as maintaining a satisfactory

24  standard; or

25         2.a.(b)1.  With respect to an applicant for a basic

26  X-ray machine operator's certificate, has completed a course

27  of study approved by the department with appropriate study

28  material provided the applicant by the department;

29         b.2.  With respect to an applicant for a basic X-ray

30  machine operator-podiatric medicine certificate, has completed

31  a course of study approved by the department, provided that

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 1  such course of study shall be limited to that information

 2  necessary to perform radiographic procedures within the scope

 3  of practice of a podiatric physician licensed pursuant to

 4  chapter 461;

 5         c.3.  With respect only to an applicant for a general

 6  radiographer's certificate who is a basic X-ray machine

 7  operator certificateholder, has completed an educational

 8  program or a 2-year training program that takes into account

 9  the types of procedures and level of supervision usually and

10  customarily practiced in a hospital, which educational or

11  training program complies with the rules of the department; or

12         d.4.  With respect only to an applicant for a nuclear

13  medicine technologist's certificate who is a general

14  radiographer certificateholder, has completed an educational

15  program or a 2-year training program that takes into account

16  the types of procedures and level of supervision usually and

17  customarily practiced in a hospital, which educational or

18  training program complies with the rules of the department.

19         (4)  Submits complete documentation of any criminal

20  offense in any jurisdiction of which the applicant has been

21  found guilty, regardless of whether adjudication of guilt was

22  withheld, or to which the applicant has pled guilty or nolo

23  contendere.

24         (5)  Submits complete documentation of any final

25  disciplinary action taken against the applicant by a licensing

26  or regulatory body in any jurisdiction, by a national

27  organization, or by a specialty board that is recognized by

28  the department. Disciplinary action includes revocation,

29  suspension, probation, reprimand, or being otherwise acted

30  against, including being denied certification or resigning

31  

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 1  from or nonrenewal of membership taken in lieu of or in

 2  settlement of a pending disciplinary case.

 3  

 4  The department may not certify any applicant who has committed

 5  an offense that would constitute a violation of any of the

 6  provisions of s. 468.3101 or the rules adopted thereunder if

 7  the applicant had been certified by the department at the time

 8  of the offense. No application for a limited computed

 9  tomography certificate shall be accepted.  All persons holding

10  valid computed tomography certificates as of October 1, 1984,

11  are subject to the provisions of s. 468.309.

12         Section 32.  Section 468.306, Florida Statutes, is

13  amended to read:

14         468.306  Examinations.--All applicants, except those

15  certified pursuant to s. 468.3065, shall be required to pass

16  an examination.  The department is authorized to develop or

17  use examinations for each type of certificate. The department

18  may require an applicant who does not pass an examination

19  after five attempts to complete additional remedial education,

20  as specified by rule of the department, before admitting the

21  applicant to subsequent examinations.

22         (1)  The department shall have the authority to

23  contract with organizations that develop such test

24  examinations. Examinations may be administered by the

25  department or the contracting organization.

26         (2)  Examinations shall be given for each type of

27  certificate at least twice a year at such times and places as

28  the department may determine to be advantageous for

29  applicants. If an applicant applies less than 75 days before

30  an examination, the department may schedule the applicant for

31  a later examination.

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 1         (3)  All examinations shall be written and include

 2  positioning, technique, and radiation protection.  The

 3  department shall either pass or fail each applicant on the

 4  basis of his or her final grade.  The examination for a basic

 5  X-ray machine operator shall include basic positioning and

 6  basic techniques directly related to the skills necessary to

 7  safely operate radiographic equipment.

 8         (4)  A nonrefundable fee not to exceed $75 plus the

 9  actual per-applicant cost for purchasing the examination from

10  a national organization shall be charged for any subsequent

11  examination.

12         Section 33.  Section 468.3065, Florida Statutes, is

13  amended to read:

14         468.3065  Certification by endorsement.--The department

15  may issue a certificate by endorsement to practice radiologic

16  technology to an applicant who, upon applying to the

17  department and remitting a nonrefundable fee not to exceed

18  $50, demonstrates to the department that he or she holds a

19  current certificate, license, or registration to practice

20  radiologic technology, provided that the requirements for such

21  certificate, license, or registration are deemed by the

22  department to be substantially equivalent to those established

23  under this part and rules adopted under this part hereunder.

24         Section 34.  Subsection (1) of section 468.307, Florida

25  Statutes, is amended to read:

26         468.307  Certificate; issuance; display.--

27         (1)  The department shall issue a certificate to each

28  candidate who has met the requirements of ss. 468.304 and

29  468.306 or has qualified under s. 468.3065. The department may

30  by rule establish a subcategory of a certificate issued under

31  this part limiting the certificateholder to a specific

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 1  procedure or specific type of equipment. The first regular

 2  certificate issued to a new certificateholder expires on the

 3  last day of the certificateholder's birth month and shall be

 4  valid for at least 12 months but no more than 24 months.

 5  However, if the new certificateholder already holds a regular,

 6  active certificate in a different category under this part,

 7  the new certificate shall be combined with and expire on the

 8  same date as the existing certificate.

 9         Section 35.  Section 468.309, Florida Statutes, is

10  amended to read:

11         468.309  Certificate; duration; renewal; reversion to

12  inactive status; members of Armed Forces and spouses.--

13         (1)(a)  A radiologic technologist's certificate issued

14  in accordance with this part expires as specified in rules

15  adopted by the department which establish a procedure for the

16  biennial renewal of certificates. A certificate shall be

17  renewed by the department for a period of 2 years upon payment

18  of a renewal fee in an amount not to exceed $75 and upon

19  submission of a renewal application containing such

20  information as the department deems necessary to show that the

21  applicant for renewal is a radiologic technologist in good

22  standing and has completed any continuing education

23  requirements that the department establishes.

24         (b)  Sixty days before the end of the biennium, the

25  department shall mail a notice of renewal to the last known

26  address of the certificateholder.

27         (c)  Each certificateholder shall notify the department

28  in writing of his or her current mailing address and place of

29  practice. Notwithstanding any other law, service by regular

30  mail to a certificateholder's last reported mailing address

31  

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 1  constitutes adequate and sufficient notice of any official

 2  departmental communication to the certificateholder.

 3         (2)  The department shall adopt rules establishing a

 4  procedure for the biennial renewal of certificates.

 5         (3)  The department may, by rule, prescribe continuing

 6  education requirements, not to exceed 24 hours each licensure

 7  period, as a condition for renewal of a certificate.  The

 8  criteria for approval of continuing education providers,

 9  courses, and programs shall be as specified approved by the

10  department.  Continuing education, which may be required for

11  persons certified under this part, may be obtained through

12  home study courses approved by the department.

13         (4)  Any certificate that which is not renewed by its

14  expiration date at the end of the biennium prescribed by the

15  department shall automatically be placed in an expired status,

16  and the certificateholder may not practice radiologic

17  technology until the certificate has been reactivated revert

18  to an inactive status. Such certificate may be reactivated

19  only if the certificateholder meets the other qualifications

20  for reactivation in s. 468.3095.

21         (5)  A certificateholder in good standing remains in

22  good standing when he or she becomes a member of the Armed

23  Forces of the United States on active duty without paying

24  renewal fees or accruing continuing education credits as long

25  as he or she is a member of the Armed Forces on active duty

26  and for a period of 6 months after discharge from active duty,

27  if he or she is not engaged in practicing radiologic

28  technology in the private sector for profit.  The

29  certificateholder must pay a renewal fee and complete

30  continuing education not to exceed 12 classroom hours to renew

31  the certificate.

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 1         (6)  A certificateholder who is in good standing

 2  remains in good standing if he or she is absent from the state

 3  because of his or her spouse's active duty with the Armed

 4  Forces of the United States.  The certificateholder remains in

 5  good standing without paying renewal fees or completing

 6  continuing education as long as his or her spouse is a member

 7  of the Armed Forces on active duty and for a period of 6

 8  months after the spouse's discharge from active duty, if the

 9  certificateholder is not engaged in practicing radiologic

10  technology in the private sector for profit.  The

11  certificateholder must pay a renewal fee and complete

12  continuing education not to exceed 12 classroom hours to renew

13  the certificate.

14         (7)  A certificateholder may resign his or her

15  certification by submitting to the department a written,

16  notarized resignation on a form specified by the department.

17  The resignation automatically becomes effective upon the

18  department's receipt of the resignation form, at which time

19  the certificateholder's certification automatically becomes

20  null and void and may not be reactivated or renewed or used to

21  practice radiologic technology. A certificateholder who has

22  resigned may become certified again only by reapplying to the

23  department for certification as a new applicant and meeting

24  the certification requirements pursuant to s. 468.304 or s.

25  468.3065. Any disciplinary action that had been imposed on the

26  certificateholder prior to his or her resignation shall be

27  tolled until he or she again becomes certified. Any

28  disciplinary action proposed at the time of the

29  certificateholder's resignation shall be tolled until he or

30  she again becomes certified.

31  

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 1         Section 36.  Subsection (2) of section 468.3095,

 2  Florida Statutes, is amended to read:

 3         468.3095  Inactive status; reactivation; automatic

 4  suspension; reinstatement.--

 5         (2)(a)  A certificate that which has been expired

 6  inactive for less than 10 years 1 year after the end of the

 7  biennium prescribed by the department may be reactivated

 8  renewed pursuant to s. 468.309 upon payment of the biennial

 9  renewal fee and a late renewal fee, not to exceed $100, and

10  submission of a reactivation application containing any

11  information that the department deems necessary to show that

12  the applicant is a radiologic technologist in good standing

13  and has met the requirements for continuing education. The

14  renewed certificate shall expire 2 years after the date the

15  certificate automatically reverted to inactive status.

16         (b)  A certificate which has been inactive for more

17  than 1 year may be reactivated upon application to the

18  department. The department shall prescribe, by rule,

19  continuing education requirements as a condition of

20  reactivating a certificate.  The continuing education

21  requirements for reactivating a certificate may shall not

22  exceed 10 classroom hours for each year the certificate was

23  expired inactive and may not shall in no event exceed 100

24  classroom hours for all years in which the certificate was

25  expired inactive.

26         (b)  A certificate that has been inactive for less than

27  10 years may be reactivated by meeting all of the requirements

28  of paragraph (a) for expired certificates, except for payment

29  of the fee for late renewal.

30         (c)  A certificate that which has been inactive for

31  more than 10 years or more shall automatically becomes null

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 1  and void and may not be reactivated, renewed, or used to

 2  practice radiologic technology be suspended. A

 3  certificateholder whose certificate has become null and void

 4  may become certified again only by reapplying to the

 5  department as a new applicant and meeting the requirements of

 6  s. 468.304 or s. 468.3065.

 7         (d)  When an expired or inactive certificate is

 8  reactivated, the reactivated certificate expires on the last

 9  day of the certificateholder's birth month and shall be valid

10  for at least 12 months but no more than 24 months. However, if

11  the reactivating certificateholder already holds a regular,

12  active certificate in a different category under this part,

13  the reactivated certificate shall be combined with and expire

14  on the same date as the existing certificate. One year before

15  the suspension, the department shall give notice to the

16  certificateholder.  A suspended certificate may be reinstated

17  as provided for original issuance in s. 468.307.

18         Section 37.  Subsection (1) of section 468.3101,

19  Florida Statutes, is amended, and subsections (5) and (6) are

20  added to that section, to read:

21         468.3101  Disciplinary grounds and actions.--

22         (1)  The department may make or require to be made any

23  investigations, inspections, evaluations, and tests, and

24  require the submission of any documents and statements, which

25  it considers necessary to determine whether a violation of

26  this part has occurred. The following acts shall be grounds

27  for disciplinary action as set forth in this section:

28         (a)  Procuring, attempting to procure, or renewing a

29  certificate to practice radiologic technology by bribery, by

30  fraudulent misrepresentation, or through an error of the

31  department.

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 1         (b)  Having a voluntary or mandatory certificate to

 2  practice radiologic technology revoked, suspended, or

 3  otherwise acted against, including being denied certification,

 4  by a national organization; by a specialty board recognized by

 5  the department; or by a the certification authority of another

 6  state, territory, or country.

 7         (c)  Being convicted or found guilty, regardless of

 8  adjudication, in any jurisdiction of a crime that which

 9  directly relates to the practice of radiologic technology or

10  to the ability to practice radiologic technology.  Pleading A

11  plea of nolo contendere shall be considered a conviction for

12  the purpose of this provision.

13         (d)  Being convicted or found guilty, regardless of

14  adjudication, in any jurisdiction of a crime against a person.

15  Pleading A plea of nolo contendere shall be considered a

16  conviction for the purposes of this provision.

17         (e)  Making or filing a false report or record that

18  which the certificateholder knows to be false, intentionally

19  or negligently failing to file a report or record required by

20  state or federal law, or willfully impeding or obstructing

21  such filing or inducing another to do so.  Such reports or

22  records include only those reports or records which are signed

23  in the capacity as a radiologic technologist.

24         (f)  Engaging in unprofessional conduct, which

25  includes, but is not limited to, any departure from, or the

26  failure to conform to, the standards of practice of radiologic

27  technology as established by the department, in which case

28  actual injury need not be established.

29         (g)  Being unable to practice radiologic technology

30  with reasonable skill and safety to patients by reason of

31  illness; drunkenness; or use of alcohol, drugs, narcotics,

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 1  chemicals, or other materials or as a result of any mental or

 2  physical condition.  A radiologic technologist affected under

 3  this paragraph shall, at reasonable intervals, be afforded an

 4  opportunity to demonstrate that he or she can resume the

 5  competent practice of radiologic technology with reasonable

 6  skill and safety.

 7         (h)  Failing to report to the department any person who

 8  the certificateholder knows is in violation of this part or of

 9  the rules of the department.

10         (i)  Violating any provision of this part, any rule of

11  the department, or any lawful order of the department

12  previously entered in a disciplinary proceeding or failing to

13  comply with a lawfully issued subpoena of the department.

14         (j)  Employing, for the purpose of applying ionizing

15  radiation or otherwise practicing radiologic technology on a

16  to any human being, any individual who is not certified under

17  the provisions of this part.

18         (k)  Testing positive for any drug, as defined in s.

19  112.0455, on any confirmed preemployment or employer-required

20  drug screening when the radiologic technologist does not have

21  a lawful prescription and legitimate medical reason for using

22  such drug.

23         (l)  Failing to report to the department in writing

24  within 30 days after the certificateholder has had a voluntary

25  or mandatory certificate to practice radiologic technology

26  revoked, suspended, or otherwise acted against, including

27  being denied certification, by a national organization, by a

28  specialty board recognized by the department, or by a

29  certification authority of another state, territory, or

30  country.

31  

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 1         (m)  Having been found guilty of, regardless of

 2  adjudication, or pleading guilty or nolo contendere to, any

 3  offense prohibited under s. 435.03 or under any similar

 4  statute of another jurisdiction.

 5         (n)  Failing to comply with the recommendations of the

 6  department's impaired practitioner program for treatment,

 7  evaluation, or monitoring. A letter from the director of the

 8  impaired practitioner program that the certificateholder is

 9  not in compliance shall be considered conclusive proof under

10  this part.

11         (5)  A final disciplinary action taken against a

12  radiologic technologist in another jurisdiction, whether

13  voluntary or mandatory, shall be considered conclusive proof

14  of grounds for a disciplinary proceeding under this part.

15         (6)  The department may revoke approval of a continuing

16  education provider and its approved courses if the provider's

17  certification has been revoked, suspended, or otherwise acted

18  against by a national organization; by a specialty board

19  recognized by the department; or by a certification authority

20  of another state, territory, or country. The department may

21  establish by rule additional guidelines and criteria for the

22  discipline of continuing education providers, including, but

23  not limited to, revoking approval of a continuing education

24  provider or a continuing education course and refusing to

25  approve a continuing education provider or continuing

26  education course.

27         Section 38.  Paragraph (a) of subsection (5) of section

28  489.553, Florida Statutes, is amended to read:

29         489.553  Administration of part; registration

30  qualifications; examination.--

31  

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 1         (5)  To be eligible for registration by the department

 2  as a master septic tank contractor, the applicant must:

 3         (a)  Have been a registered septic tank contractor in

 4  Florida for at least 3 years or a plumbing contractor

 5  certified under part I of this chapter who has provided septic

 6  tank contracting services for at least 3 years. The 3 years

 7  must immediately precede the date of application and may not

 8  be interrupted by any probation, suspension, or revocation

 9  imposed by the licensing agency.

10         Section 39.  Section 489.554, Florida Statutes, is

11  amended to read:

12         489.554  Registration renewal.--

13         (1)  The department shall prescribe by rule the method

14  for approving approval of continuing education courses, and

15  for renewing renewal of annual registration, for approving

16  inactive status for the late filing of a renewal application,

17  for allowing a contractor to hold a registration in inactive

18  status for a specified period, and for reactivating a

19  registration.

20         (2)  At a minimum, annual renewal shall include

21  continuing education requirements of not less than 6 classroom

22  hours annually for septic tank contractors and not less than

23  12 classroom hours annually for master septic tank

24  contractors.  The 12 classroom hours of continuing education

25  required for master septic tank contractors may include the 6

26  classroom hours required for septic tank contractors, but at a

27  minimum must include 6 classroom hours of approved master

28  septic tank contractor coursework.

29         (3)  A certificate of registration becomes inactive

30  when a renewal application is not filed in a timely manner. A

31  certificate that has become inactive may be reactivated under

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 1  this section by application to the department. A licensed

 2  contractor may apply to the department for voluntary inactive

 3  status at any time during the period of registration.

 4         (4)  A master septic tank contractor may elect to

 5  revert to the status of a registered septic tank contractor at

 6  any time during the period of registration. The department

 7  shall prescribe by rule the method for a master septic tank

 8  contractor who has reverted to the status of a registered

 9  septic tank contractor to apply for status as a master septic

10  tank contractor.

11         (5)  The department shall deny an application for

12  renewal if the applicant has failed to pay any administrative

13  penalty imposed by the department if the penalty is final

14  agency action and all judicial reviews have been exhausted.

15         Section 40.  Section 784.081, Florida Statutes, is

16  amended to read:

17         784.081  Assault or battery on specified officials or

18  employees; reclassification of offenses.--Whenever a person is

19  charged with committing an assault or aggravated assault or a

20  battery or aggravated battery upon any elected official or

21  employee of: a school district; a private school; the Florida

22  School for the Deaf and the Blind; a university developmental

23  research school; a state university or any other entity of the

24  state system of public education, as defined in s. 1000.04; an

25  employee or protective investigator of the Department of

26  Children and Family Services; or an employee of a lead

27  community-based provider and its direct service contract

28  providers; or an employee of the Department of Health or its

29  direct service contract providers, when the person committing

30  the offense knows or has reason to know the identity or

31  

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 1  position or employment of the victim, the offense for which

 2  the person is charged shall be reclassified as follows:

 3         (1)  In the case of aggravated battery, from a felony

 4  of the second degree to a felony of the first degree.

 5         (2)  In the case of aggravated assault, from a felony

 6  of the third degree to a felony of the second degree.

 7         (3)  In the case of battery, from a misdemeanor of the

 8  first degree to a felony of the third degree.

 9         (4)  In the case of assault, from a misdemeanor of the

10  second degree to a misdemeanor of the first degree.

11         Section 41.  Subsection (9) of section 381.0098,

12  paragraph (f) of subsection (2) of section 385.103, sections

13  385.205 and 385.209, subsection (3) of section 391.301,

14  subsection (2) of section 391.305, subsection (5) of section

15  393.064, and subsection (7) of section 445.033, Florida

16  Statutes, are repealed.

17         Section 42.  This act shall take effect July 1, 2004.

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

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 1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
 2                         Senate Bill 2448

 3                                 

 4  The committee substitute makes the following changes to SB
    2448:
 5  
    Revises the trauma registry data section of the bill to more
 6  clearly show that it is the trauma registry data obtained by
    the Department of Health that is confidential and exempt from
 7  the public records law. Each trauma center, pediatric trauma
    referral center, and acute care hospital must report to the
 8  department's brain and spinal cord injury central registry any
    person who has a moderate-to-severe brain or spinal cord
 9  injury. The requirement for reporting to the department's
    brain and spinal cord injury registry is also codified in s.
10  381.74, F.S.

11  Requires an applicant for certification or recertification as
    an emergency medical technician or paramedic to submit to a
12  criminal history background check. An applicant for renewed
    certification who has not previously submitted a set of
13  fingerprints to the Department of Health must submit
    information required to perform a statewide criminal history
14  check and a set of fingerprints to the department for a
    national criminal history check as a condition of the initial
15  renewal of his or her certificate. For subsequent
    certification renewals, the department must, by rule, adopt an
16  application form that includes a sworn oath or affirmation
    attesting to the existence of any criminal convictions,
17  regardless of plea or adjudication, which have occurred since
    the previous certification. The application of any applicant
18  with prior criminal convictions is not complete until the
    criminal history and certified copies of all court documents
19  for the prior criminal convictions have been received by the
    department. The bill enumerates a list of offenses which would
20  disqualify an EMT or paramedic applicant from certification or
    renewed certification and allows the department to grant
21  exemptions to such disqualification based on specified
    criteria.
22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

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