| 1 | A bill to be entitled | 
| 2 | An act relating to health care practitioners; amending  | 
| 3 | 458.303, F.S.; removing a provision on grounds for  | 
| 4 | disciplinary action and certain action from a list of  | 
| 5 | exemptions for certain nursing services; providing  | 
| 6 | prohibitions for physicians; amending s. 459.002, F.S.;  | 
| 7 | providing prohibitions for osteopathic physicians;  | 
| 8 | providing an effective date. | 
| 9 | 
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| 10 | Be It Enacted by the Legislature of the State of Florida: | 
| 11 | 
  | 
| 12 |      Section 1.  Subsection (2) of section 458.303, Florida  | 
| 13 | Statutes, is amended to read: | 
| 14 |      458.303  Provisions not applicable to other practitioners;  | 
| 15 | exceptions, etc.-- | 
| 16 |      (2)  Nothing in s. 458.301, s. 458.303, s. 458.305, s.  | 
| 17 | 458.307, s. 458.309, s. 458.311, s. 458.313, s. 458.319, s.  | 
| 18 | 458.321, s. 458.327, s. 458.329, s. 458.331, s. 458.337, s.  | 
| 19 | 458.339, s. 458.341, s. 458.343, s. 458.345, or s. 458.347 shall  | 
| 20 | be construed to prohibit any service rendered by a registered  | 
| 21 | nurse or a licensed practical nurse, if such service is rendered  | 
| 22 | under the direct supervision and control of a licensed physician  | 
| 23 | who provides specific direction for any such service to be  | 
| 24 | performed; and gives final approval to all such services  | 
| 25 | performed. Further, nothing in this or any other chapter shall  | 
| 26 | be construed to prohibit any service rendered by a medical  | 
| 27 | assistant in accordance with the provisions of s. 458.3485;  | 
| 28 | notwithstanding the provisions in this subsection, the physician  | 
| 29 | shall not: | 
| 30 |      (a)  Practice or offer to practice beyond the scope  | 
| 31 | permitted by law. | 
| 32 |      (b)  Accept and perform professional responsibilities the  | 
| 33 | physician knows or has reason to know that the physician is not  | 
| 34 | competent to perform. | 
| 35 |      (c)  Delegate professional responsibilities to a person  | 
| 36 | when the physician delegating such responsibilities knows or has  | 
| 37 | reason to know that the person is not qualified by training,  | 
| 38 | experience, or licensure to perform such responsibilities. | 
| 39 |      Section 2.  Subsection (2) of section 459.002, Florida  | 
| 40 | Statutes, is amended to read: | 
| 41 |      459.002  Chapter not applicable to practice of medicine,  | 
| 42 | surgery, chiropractic medicine, etc.-- | 
| 43 |      (2)  Nothing in this chapter shall be construed to prohibit  | 
| 44 | any service rendered by any person if such service is rendered  | 
| 45 | under the direct supervision and control of a licensed  | 
| 46 | osteopathic physician who must be available when needed, must  | 
| 47 | provide specific direction for any service to be performed, and  | 
| 48 | must give final approval to all services performed;  | 
| 49 | notwithstanding the provisions in this subsection, the  | 
| 50 | osteopathic physician shall not: | 
| 51 |      (a)  Practice or offer to practice beyond the scope  | 
| 52 | permitted by law. | 
| 53 |      (b)  Accept and perform professional responsibilities the  | 
| 54 | osteopathic physician knows or has reason to know that the  | 
| 55 | osteopathic physician is not competent to perform. | 
| 56 |      (c)  Delegate professional responsibilities to any person  | 
| 57 | when the osteopathic physician delegating such responsibilities  | 
| 58 | knows or has reason to know that such person is not qualified by  | 
| 59 | training, experience, or licensure to perform such  | 
| 60 | responsibilities. | 
| 61 |      Section 3.  This act shall take effect July 1, 2005. |