HB 0695CS

CHAMBER ACTION




1The Health Care Regulation Committee recommends the following:
2
3     Council/Committee Substitute
4     Remove the entire bill and insert:
5
A bill to be entitled
6An act relating to naturopathic medicine; providing a
7popular name; changing the title of ch. 462, F.S., from
8"Naturopathy" to "Naturopathic Medicine"; amending s.
9462.01, F.S.; revising and providing definitions; creating
10s. 462.0215, F.S.; creating the Board of Naturopathic
11Medicine; providing membership and duties of the board;
12providing guidelines for probable cause panels and
13disciplinary decisions; providing applicability of ch. 456,
14F.S.; amending s. 462.023, F.S.; providing powers and
15duties of the board under ch. 462, F.S., including
16rulemaking authority; deleting obsolete language; amending
17s. 462.08, F.S.; conforming terminology; amending s.
18462.11, F.S.; conforming and correcting terminology;
19amending s. 462.13, F.S.; providing additional powers and
20duties of the board; amending s. 462.14, F.S.; specifying
21authority of the board and the department with respect to
22disciplinary action and revising grounds for disciplinary
23action with respect to such authority; conforming
24terminology; amending s. 462.16, F.S.; specifying authority
25for setting the fee for the reissuance of license under
26certain circumstances; conforming terminology; amending s.
27462.17, F.S.; conforming terminology; amending s. 462.18,
28F.S.; revising educational requirements; conforming
29terminology; amending s. 462.19, F.S.; increasing the
30maximum amount at which the inactive status fee may be set;
31creating s. 462.193, F.S.; providing requirements for
32licensure as a doctor of naturopathic medicine,
33naturopathic doctor, or naturopathic physician; providing
34fees; providing grounds for denying or restricting
35licenses; providing for the applicability of certain rights
36to doctors of naturopathic medicine, naturopathic doctors,
37or naturopathic physicians who have certain qualifications;
38creating s. 462.195, F.S.; providing exemptions from
39licensure requirements; amending s. 462.2001, F.S.;
40updating the saving clause; conforming terminology;
41providing that certain rights and privileges of active
42licensees are retained; amending ss. 20.43, 381.0031,
43468.301, 476.044, 477.0135, 485.003, 486.161, 627.351,
44893.02, and 921.0022, F.S.; conforming terminology;
45creating s. 462.30, F.S.; establishing the Naturopathic
46Medical Formulary Council; providing for membership and
47terms; providing for establishment of a formulary for
48doctors of naturopathic medicine, naturopathic doctors, and
49naturopathic physicians; creating s. 462.40, F.S.;
50providing responsibility of patients to disclose to their
51primary care physicians medications prescribed or
52recommended by doctors of naturopathic medicine,
53naturopathic doctors, and naturopathic physicians;
54providing an effective date.
55
56Be It Enacted by the Legislature of the State of Florida:
57
58     Section 1.  This act may be cited as the "Dr. R. Wilson
59Geldner Naturopathic Medicine Act of 2005."
60     Section 2.  Chapter 462, Florida Statutes, which is
61entitled "Naturopathy," is redesignated as "Naturopathic
62Medicine."
63     Section 3.  Section 462.01, Florida Statutes, is amended to
64read:
65     462.01  Definitions.--As used in this chapter, the term:
66     (1)  "Board" means the Board of Naturopathic Medicine.
67     (2)  "Department" means the Department of Health.
68     (3)  "Doctor of naturopathic medicine," "naturopathic
69doctor," or "naturopathic physician" means a person licensed to
70practice naturopathic medicine under this chapter.
71     (4)(1)  "Natureopathy," and "naturopathy," and
72"naturopathic medicine" shall be construed as synonymous terms
73and mean a distinct and comprehensive system of primary health
74care for the prevention, diagnosis, and treatment of human
75health conditions, injuries, and disease; the promotion or
76restoration of health; and the support and stimulation of a
77patient's self-healing processes through patient education and
78use of natural therapies and therapeutic substances. Doctors of
79naturopathic medicine employ the use and practice of
80psychological, mechanical, and material health sciences to aid
81in purifying, cleansing, and normalizing human tissues for the
82preservation or restoration of health, according to the
83fundamental principles of anatomy, physiology, and applied
84psychology, as may be required. Naturopathic medicine practice
85employs, among other agencies, phytotherapy, dietetics,
86psychotherapy, suggestotherapy, hydrotherapy, zone therapy,
87biochemistry, external applications, electrotherapy,
88mechanotherapy, mechanical and electrical appliances, hygiene,
89first aid, sanitation, the administration of vitamins, food, and
90food supplements, and heliotherapy.; provided, However, that
91nothing in this chapter shall be held or construed to authorize
92any doctor of naturopathic medicine, naturopathic doctor, or
93naturopathic physician licensed under this chapter hereunder to
94practice materia medica, or surgery, or chiropractic medicine,
95acupuncture, oriental medicine, child birth attendance, or
96midwifery, or to examine, diagnose, or treat teeth and gums, nor
97shall the provisions of this chapter law in any manner apply to
98or affect the practice of osteopathic medicine, chiropractic
99medicine, Christian Science, or any other treatment authorized
100and provided for by law for the cure or prevention of disease
101and ailments. It is recognized that many of the therapies used
102by naturopathic physicians, including, but not limited to,
103homeopathic remedies, nutritional and dietary supplements,
104herbs, and such physical forces as heat, cold, water, touch, and
105light, are not the exclusive privilege of naturopathic
106physicians. Consistent with the requirements of s. 11.62, the
107Sunrise Act, it is not the intent of this act to prohibit or
108restrict to naturopathic physicians the use of the modalities
109identified in this chapter.
110     (5)  "Approved naturopathic medical program" means:
111     (a)  A naturopathic medical education program in the United
112States that is accredited by, or has candidacy status with, the
113Council on Naturopathic Medical Education or an equivalent
114accrediting body for the naturopathic medical profession that is
115recognized by the United States Department of Education and the
116board. This program shall offer graduate-level didactic and
117supervised clinical training leading to the degree of Doctor of
118Naturopathy or Doctor of Naturopathic Medicine; or
119     (b)  A degree-granting college or university that offers a
120full-time structured curriculum in basic sciences and supervised
121patient care comprising a doctoral naturopathic medical
122education. As a prerequisite to graduation from a college of
123liberal arts and naturopathic medicine which is reputable and in
124good standing in the judgment of the board, a student must have
125been enrolled for not less than 132 weeks and must complete the
126course of study within a period of not less than 35 months.
127"Reputable and in good standing" means the college or university
128is accredited by an accrediting body for the naturopathic
129medical profession recognized by the United States Department of
130Education and that is licensed by the Commission for Independent
131Education.
132     Section 4.  Section 462.0215, Florida Statutes, is created
133to read:
134     462.0215  Board of Naturopathic Medicine.--
135     (1)  There is created within the department the Board of
136Naturopathic Medicine, composed of seven members appointed by
137the Governor and confirmed by the Senate.
138     (2)(a)  Five members of the board must be:
139     1.  Licensed doctors of naturopathic medicine or
140naturopathic physicians in good standing in this state who are
141residents of the state and who have been engaged in the practice
142of naturopathic medicine for at least 5 years; or
143     2.  Persons who have been teaching naturopathic medicine
144and who hold a doctorate of naturopathic medicine from an
145institution accredited by an accrediting body recognized by the
146United States Department of Education.
147     (b)  The remaining two members of the board must be
148residents of the state who are not and never have been licensed
149health care practitioners.
150     (c)  At least one member of the board must be 60 years of
151age or older.
152     (3)  For the purpose of staggering terms, the Governor
153shall initially appoint to the board three members for terms of
1544 years each, two members for terms of 3 years each, and two
155members for terms of 2 years each. As the terms of board members
156expire, the Governor shall appoint successors for terms of 4
157years and such members shall serve until their successors are
158appointed.
159     (4)  The board, in conjunction with the department, shall
160establish a disciplinary training program for members of the
161board. The program shall provide for initial and periodic
162training in the grounds for disciplinary action, the actions
163that may be taken by the board and the department, changes in
164relevant statutes and rules, and any relevant judicial and
165administrative decisions. A member of the board may not
166participate on a probable cause panel or in a disciplinary
167decision of the board unless she or he has completed the
168disciplinary training program.
169     (5)  During the time members of the board are appointed to
170a probable cause panel, they shall attempt to complete their
171work on every case presented to them. If consideration of a case
172is begun but is not completed during the term of the board
173members on the panel, they may reconvene as a probable cause
174panel for the purpose of completing their deliberations on that
175case.
176     (6)  All provisions of chapter 456 relating to activities
177of the board are applicable.
178     Section 5.  Section 462.023, Florida Statutes, is amended
179to read:
180     462.023  Powers and duties of the board and the
181department.--The board and the department may adopt such rules
182as are necessary to carry out the purposes of this chapter, may
183initiate disciplinary action as provided by this chapter, and
184shall establish fees as provided by this chapter based on their
185its estimates of the revenue required to administer this chapter
186provided the fees do but shall not exceed the fee amounts
187provided in this chapter. The department shall not adopt any
188rules which would cause any person who was not licensed in
189accordance with this chapter on July 1, 1959, and had not been a
190resident of the state for 2 years prior to such date, to become
191licensed.
192     Section 6.  Section 462.08, Florida Statutes, is amended to
193read:
194     462.08  Renewal of license to practice naturopathic
195medicine naturopathy.--Each licensee licenseholder shall
196biennially renew her or his license to practice naturopathic
197medicine naturopathy. The applicant must furnish to the board
198department such evidence as it requires of the applicant's
199compliance with s. 462.18, relating to educational requirements.
200The biennial renewal fee, the amount of which shall be
201determined by the board department but which may not exceed
202$1,000, must be paid at the time the application for renewal of
203the license is filed.
204     Section 7.  Section 462.11, Florida Statutes, is amended to
205read:
206     462.11  Doctors of naturopathic medicine, naturopathic
207doctors, or naturopathic physicians Naturopaths to observe
208regulations.--Doctors of naturopathic medicine, naturopathic
209doctors, or naturopathic physicians naturopathy shall observe
210and be subject to all state, county, and municipal regulations
211in regard to the control of contagious and infectious diseases,
212the reporting of births and deaths, and to any and all other
213matters pertaining to the public health in the same manner as is
214required of other practitioners of the healing arts art.
215     Section 8.  Section 462.13, Florida Statutes, is amended to
216read:
217     462.13  Additional powers and duties of the board and the
218department.--The board and the department may administer oaths,
219summon witnesses, and take testimony in all matters relating to
220their its duties pursuant to this chapter. Every unrevoked
221license shall be presumptive evidence in all courts and places
222that the person therein named is legally licensed to practice
223naturopathic medicine naturopathy. The board and the department
224shall aid the prosecuting attorneys of the state in the
225enforcement of this chapter.
226     Section 9.  Section 462.14, Florida Statutes, is amended to
227read:
228     462.14  Grounds for disciplinary action; action by the
229board and the department.--
230     (1)  The following acts constitute grounds for denial of a
231license or disciplinary action, as specified in s. 456.072(2):
232     (a)  Attempting to obtain, obtaining, or renewing a license
233to practice naturopathic medicine by bribery, by fraudulent
234misrepresentation, or through an error of the board or the
235department.
236     (b)  Having a license to practice naturopathic medicine
237revoked, suspended, or otherwise acted against, including the
238denial of licensure, by the licensing authority of another
239state, territory, or country.
240     (c)  Being convicted or found guilty, regardless of
241adjudication, of a crime in any jurisdiction which directly
242relates to the practice of naturopathic medicine or to the
243ability to practice naturopathic medicine. Any plea of nolo
244contendere shall be considered a conviction for purposes of this
245chapter.
246     (d)  False, deceptive, or misleading advertising.
247     (e)  Advertising, practicing, or attempting to practice
248under a name other than one's own.
249     (f)  Failing to report to the department any person who the
250licensee knows is in violation of this chapter or of the rules
251of the board or the department.
252     (g)  Aiding, assisting, procuring, or advising any
253unlicensed person to practice naturopathic medicine contrary to
254this chapter or to a rule of the board or the department.
255     (h)  Failing to perform any statutory or legal obligation
256placed upon a licensed doctor of naturopathic medicine,
257naturopathic doctor, or naturopathic physician.
258     (i)  Making or filing a report which the licensee knows to
259be false, intentionally or negligently failing to file a report
260or record required by state or federal law, willfully impeding
261or obstructing such filing or inducing another person to do so.
262Such reports or records shall include only those which are
263signed in the capacity as a licensed doctor of naturopathic
264medicine, naturopathic doctor, or naturopathic physician.
265     (j)  Paying or receiving any commission, bonus, kickback,
266or rebate, or engaging in any split-fee arrangement in any form
267whatsoever with a physician, organization, agency, or person,
268either directly or indirectly, for patients referred to
269providers of health care goods and services, including, but not
270limited to, hospitals, nursing homes, clinical laboratories,
271ambulatory surgical centers, or pharmacies. The provisions of
272this paragraph shall not be construed to prevent a doctor of
273naturopathic medicine, naturopathic doctor, or naturopathic
274physician from receiving a fee for professional consultation
275services.
276     (k)  Exercising influence within a patient-physician
277relationship for purposes of engaging a patient in sexual
278activity. A patient shall be presumed to be incapable of giving
279free, full, and informed consent to sexual activity with her or
280his physician.
281     (l)  Making deceptive, untrue, or fraudulent
282representations in the practice of naturopathic medicine or
283employing a trick or scheme in the practice of naturopathic
284medicine when such scheme or trick fails to conform to the
285generally prevailing standards of treatment in the medical
286community.
287     (m)  Soliciting patients, either personally or through an
288agent, through the use of fraud, intimidation, undue influence,
289or a form of overreaching or vexatious conduct. A "solicitation"
290is any communication which directly or implicitly requests an
291immediate oral response from the recipient.
292     (n)  Failing to keep written medical records justifying the
293course of treatment of the patient, including, but not limited
294to, patient histories, examination results, test results, X
295rays, and records of the prescribing, dispensing, and
296administering of drugs.
297     (o)  Exercising influence on the patient or client in such
298a manner as to exploit the patient or client for the financial
299gain of the licensee or of a third party, which shall include,
300but not be limited to, the promoting or selling of services,
301goods, appliances, or drugs and the promoting or advertising on
302any prescription form of a community pharmacy unless the form
303also states "This prescription may be filled at any pharmacy of
304your choice."
305     (p)  Performing professional services which have not been
306duly authorized by the patient or client, or her or his legal
307representative, except as provided in s. 743.064, s. 766.103, or
308s. 768.13.
309     (q)  Prescribing, dispensing, administering, mixing, or
310otherwise preparing a legend drug, including any controlled
311substance, other than in the course of the doctor of
312naturopathic medicine's, naturopathic doctor's, or naturopathic
313physician's professional practice. For the purposes of this
314paragraph, it shall be legally presumed that prescribing,
315dispensing, administering, mixing, or otherwise preparing legend
316drugs, including all controlled substances, inappropriately or
317in excessive or inappropriate quantities is not in the best
318interest of the patient and is not in the course of the doctor
319of naturopathic medicine's, naturopathic doctor's, or
320naturopathic physician's professional practice, without regard
321to her or his intent.
322     (r)  Prescribing, dispensing, or administering any
323medicinal drug appearing on any schedule set forth in chapter
324893 by the doctor of naturopathic medicine, naturopathic doctor,
325or naturopathic physician to herself or himself, except one
326prescribed, dispensed, or administered to the doctor of
327naturopathic medicine, naturopathic doctor, or naturopathic
328physician by another practitioner authorized to prescribe,
329dispense, or administer medicinal drugs.
330     (s)  Being unable to practice naturopathic medicine with
331reasonable skill and safety to patients by reason of illness or
332use of alcohol, drugs, narcotics, chemicals, or any other type
333of material or as a result of any mental or physical condition.
334In enforcing this paragraph, the department shall have, upon
335probable cause, authority to compel a doctor of naturopathic
336medicine, naturopathic doctor, or naturopathic physician to
337submit to a mental or physical examination by physicians
338designated by the department. The failure of a doctor of
339naturopathic medicine, naturopathic doctor, or naturopathic
340physician to submit to such an examination when so directed
341shall constitute an admission of the allegations against her or
342him upon which a default and final order may be entered without
343the taking of testimony or presentation of evidence, unless the
344failure was due to circumstances beyond the doctor of
345naturopathic medicine's, naturopathic doctor's, or naturopathic
346physician's control. A doctor of naturopathic medicine,
347naturopathic doctor, or naturopathic physician affected under
348this paragraph shall at reasonable intervals be afforded an
349opportunity to demonstrate that she or he can resume the
350competent practice of naturopathic medicine with reasonable
351skill and safety to patients. In any proceeding under this
352paragraph, neither the record of proceedings nor the orders
353entered by the department may be used against a doctor of
354naturopathic medicine, naturopathic doctor, or naturopathic
355physician in any other proceeding.
356     (t)  Gross or repeated malpractice or the failure to
357practice naturopathic medicine with that level of care, skill,
358and treatment which is recognized by a reasonably prudent
359similar physician as being acceptable under similar conditions
360and circumstances. The board department shall give great weight
361to the provisions of s. 766.102 when enforcing this paragraph.
362     (u)  Performing any procedure or prescribing any therapy
363which, by the prevailing standards of medical practice in the
364community, constitutes experimentation on a human subject,
365without first obtaining full, informed, and written consent.
366     (v)  Practicing or offering to practice beyond the scope
367permitted by law or accepting and performing professional
368responsibilities which the licensee knows or has reason to know
369that she or he is not competent to perform.
370     (w)  Delegating professional responsibilities to a person
371when the licensee delegating such responsibilities knows or has
372reason to know that such person is not qualified by training,
373experience, or licensure to perform them.
374     (x)  Violating a lawful order of the board or the
375department previously entered in a disciplinary hearing or
376failing to comply with a lawfully issued subpoena of the
377department.
378     (y)  Conspiring with another licensee or with any other
379person to commit an act, or committing an act, which would tend
380to coerce, intimidate, or preclude another licensee from
381lawfully advertising her or his services.
382     (z)  Procuring, or aiding or abetting in the procuring of,
383an unlawful termination of pregnancy.
384     (aa)  Presigning blank prescription forms.
385     (bb)  Prescribing by the doctor of naturopathic medicine,
386naturopathic doctor, or naturopathic physician for office use
387any controlled substance medicinal drug appearing on Schedule I,
388Schedule II, or Schedule III in chapter 893.
389     (cc)  Prescribing, ordering, dispensing, administering,
390supplying, selling, or giving any drug which is an amphetamine
391or sympathomimetic amine drug, or a compound designated pursuant
392to chapter 893 as a Schedule II controlled substance to or for
393any person except for:
394     1.  The treatment of narcolepsy; hyperkinesis; behavioral
395syndrome in children characterized by the developmentally
396inappropriate symptoms of moderate to severe distractability,
397short attention span, hyperactivity, emotional lability, and
398impulsivity; or drug-induced brain dysfunction.
399     2.  The differential diagnostic psychiatric evaluation of
400depression or the treatment of depression shown to be refractory
401to other therapeutic modalities.
402     3.  The clinical investigation of the effects of such drugs
403or compounds when an investigative protocol therefor is
404submitted to, reviewed, and approved by the board department
405before such investigation is begun.
406     (dd)  Prescribing, ordering, dispensing, administering,
407supplying, selling, or giving growth hormones, testosterone or
408its analogs, human chorionic gonadotropin (HCG), or other
409hormones for the purpose of muscle building or to enhance
410athletic performance. For the purposes of this subsection, the
411term "muscle building" does not include the treatment of injured
412muscle. A prescription written for the drug products listed
413above may be dispensed by the pharmacist with the presumption
414that the prescription is for legitimate medical use.
415     (ee)  Violating any provision of this chapter or chapter
416456, or any rules adopted pursuant thereto.
417     (2)  The board department may enter an order denying
418licensure or imposing any of the penalties in s. 456.072(2)
419against any applicant for licensure or licensee who is found
420guilty of violating any provision of subsection (1) of this
421section or who is found guilty of violating any provision of s.
422456.072(1).
423     (3)  The board department shall not reinstate the license
424of a doctor of naturopathic medicine, naturopathic doctor, or
425naturopathic physician until such time as the board department
426is satisfied that such person has complied with all the terms
427and conditions set forth in the final order and that such person
428is capable of safely engaging in the practice of naturopathic
429medicine.
430     (4)  The board department shall by rule establish
431guidelines for the disposition of disciplinary cases involving
432specific types of violations. Such guidelines may include
433minimum and maximum fines, periods of supervision or probation,
434or conditions of probation or reissuance of a license.
435     Section 10.  Section 462.16, Florida Statutes, is amended
436to read:
437     462.16  Reissue of license.--Any person who practices
438naturopathic medicine shall practice naturopathy after her or
439his license has been revoked and registration annulled shall be
440deemed to have practiced naturopathic medicine naturopathy
441without a license; provided, however, at any time after 6 months
442after the date of said conviction, the department may grant a
443license to the person affected, restoring to her or him all the
444rights and privileges of and pertaining to the practice of
445naturopathic medicine naturopathy as defined and regulated by
446this chapter. The fee therefor shall be set by the board not to
447exceed $250.
448     Section 11.  Section 462.17, Florida Statutes, is amended
449to read:
450     462.17  Penalty for offenses relating to naturopathic
451medicine naturopathy.--Any person who shall:
452     (1)  Sell, fraudulently obtain, or furnish any naturopathic
453diploma, license, record, or registration or aid or abet in the
454same;
455     (2)  Practice naturopathic medicine naturopathy under the
456cover of any diploma, license, record, or registration illegally
457or fraudulently obtained or secured or issued unlawfully or upon
458fraudulent representations;
459     (3)  Advertise to practice naturopathic medicine
460naturopathy under a name other than her or his own or under an
461assumed name;
462     (4)  Falsely impersonate another practitioner of a like or
463different name;
464     (5)  Practice or advertise to practice naturopathic
465medicine naturopathy or use in connection with her or his name
466any designation tending to imply or to designate the person as a
467practitioner of naturopathic medicine naturopathy without then
468being lawfully licensed and authorized to practice naturopathic
469medicine naturopathy in this state; or
470     (6)  Practice naturopathic medicine naturopathy during the
471time her or his license is suspended or revoked
472
473commits shall be guilty of a felony of the third degree,
474punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
475     Section 12.  Section 462.18, Florida Statutes, is amended
476to read:
477     462.18  Educational requirements.--
478     (1)  At the time each licensee renews shall renew her or
479his license as otherwise provided in this chapter, each
480licensee, beginning with the license renewal due May 1, 1944, in
481addition to the payment of the regular renewal fee, shall
482furnish to the board department satisfactory evidence that, in
483the year preceding each such application for renewal, the
484licensee has attended the 2-day educational program as
485promulgated and conducted by the Florida Naturopathic Physicians
486Association, Inc., or, as a substitute therefor, the equivalent
487of that program as approved by the board department. The board
488shall require each licensee to receive at least 40 hours of
489continuing education every 2 years, including courses on the
490prevention of medical errors. The licensee must establish that
491the continuing education was consistent with the requirements of
492chapter 456. The department shall send a written notice to this
493effect to every person holding a valid license to practice
494naturopathic medicine naturopathy within this state at least 30
495days prior to May 1 in each biennial year, directed to the last
496known address of such licensee, and shall enclose with the
497notice proper blank forms for application for annual license
498renewal. All of the details and requirements of the aforesaid
499educational program shall be adopted and prescribed by the board
500department. In the event of national emergencies, or for
501sufficient reason, the board may department shall have the power
502to excuse the naturopathic physicians as a group or as
503individuals from taking this postgraduate course.
504     (2)  The determination of whether a substitute annual
505educational program is necessary shall be solely within the
506discretion of the board department.
507     Section 13.  Subsection (3) of section 462.19, Florida
508Statutes, is amended to read:
509     462.19  Renewal of license; inactive status.--
510     (3)  A licensee may request that her or his license be
511placed in an inactive status by making application to the
512department and paying a fee in an amount set by the department
513not to exceed $100 $50.
514     Section 14.  Section 462.193, Florida Statutes, is created
515to read:
516     462.193  Licensure by examination; requirements; fees.--
517     (1)  Any person desiring to be licensed as a doctor of
518naturopathic medicine, naturopathic doctor, or naturopathic
519physician shall apply to the department on forms furnished by
520the department. The department shall license each applicant who
521the board certifies:
522     (a)  Has completed the application form and remitted a
523nonrefundable application fee set by the board not to exceed
524$500.
525     (b)  Is at least 21 years of age.
526     (c)  Is of good moral character.
527     (d)  Has not committed any act or offense in this or any
528other jurisdiction which would constitute the basis for
529disciplining a doctor of naturopathic medicine, naturopathic
530doctor, or naturopathic physician pursuant to s. 462.14.
531     (e)  Has been awarded a bachelor's degree from an
532institution accredited by an accrediting body for the
533naturopathic medical profession recognized by the United States
534Department of Education and completed a program of study that
535included, at a minimum and as determined by rule of the board,
536courses in such fields as anatomy, biology, and chemistry prior
537to entering naturopathic medical school.
538     (f)  Meets one of the following naturopathic medical
539education and postgraduate training requirements:
540     1.  Is a graduate of an approved naturopathic medical
541program;
542     2.  Is a graduate of an approved school of naturopathic
543medicine which was licensed by the Florida Commission for
544Independent Education to grant the degree of Doctor of
545Naturopathic Medicine prior to July 1, 2004; or
546     3.  Is a graduate of a foreign medical school recognized by
547the Educational Commission for Foreign Medical Graduates (ECFMG)
548to be examined in the basic and clinical medical sciences, or a
549graduate of an accredited United States allopathic,
550chiropractic, or osteopathic medical school, and has completed
551at least a 2-year course in naturopathic medicine from a board-
552approved naturopathic medical school.
553     (g)  Has submitted to the department a set of fingerprints
554on a form and in accordance with s. 456.039(4)(c) and with
555procedures specified by the department, along with payment in an
556amount equal to the costs incurred by the department for the
557criminal background check of the applicant.
558     (h)  Has obtained a passing score on a competency-based
559national naturopathic licensing examination administered by the
560North American Board of Naturopathic Examiners or equivalent or
561successor agency as recognized by the board. For graduates of an
562approved naturopathic medical program as defined in s.
563462.01(5), eligibility for licensure may be granted upon
564submission of evidence of successful passage of a board-approved
565state competency examination or a Canadian provincial
566examination. For graduates of foreign medical schools or
567allopathic, osteopathic, or chiropractic medical schools who
568have completed at least a 2-year course in naturopathic medicine
569from an approved naturopathic medical program, eligibility for
570licensure may be granted upon submission of evidence of
571successful passage of their respective medical examinations,
572part one, in basic medical sciences, and part two, in clinical
573medical sciences, and successful passage of part two in clinical
574sciences examinations of the Naturopathic Physicians Licensing
575Examination administered by the North American Board of
576Naturopathic Examiners or an equivalent or successor agency that
577is recognized by the board.
578     (i)  Has completed an approved internship or residency of
579at least 1 year.
580     (j)  Is physically and mentally fit to practice as a doctor
581of naturopathic medicine, naturopathic doctor, or naturopathic
582physician.
583     (k)  Has not had her or his license to practice any
584profession refused, revoked, or suspended by any other state,
585district, or territory of the United States or another country
586for reasons that relate to her or his ability to skillfully and
587safely practice as a doctor of naturopathic medicine,
588naturopathic doctor, or naturopathic physician in this state.
589     (l)  Has not been found guilty of a felony.
590     (2)  As prescribed by board rule, the board may require an
591applicant who does not pass the licensing examination after five
592attempts to complete additional remedial education or training.
593The board shall prescribe the additional requirements in a
594manner that permits the applicant to complete the requirements
595and be reexamined within 2 years after the date the applicant
596petitions the board to retake the examination a sixth or
597subsequent time. The board has the authority to limit the number
598of times that a person may take the examination.
599     (3)  The department and the board shall ensure that
600applicants for licensure meet the criteria in subsection (1)
601through an investigative process. When the investigation is not
602completed within the time set out in s. 120.60(1) and the board
603or the department has reason to believe that the applicant does
604not meet the criteria, the secretary or the secretary's designee
605may issue a 90-day licensure delay, which must be in writing and
606sufficient to notify the applicant of the reason for the delay.
607This subsection controls over any conflicting provisions of s.
608120.60(1).
609     (4)  The board may not certify to the department for
610licensure any applicant who is under investigation in another
611jurisdiction for an offense that would constitute a violation of
612this chapter until the investigation has been completed. Upon
613completion of the investigation, s. 462.14 applies. Furthermore,
614the department may not issue an unrestricted license to any
615individual who has committed an act or offense in any
616jurisdiction which would constitute the basis for disciplining a
617naturopathic physician under s. 462.14. If the board finds that
618an individual has committed an act or offense in any
619jurisdiction which would constitute the basis for disciplining a
620naturopathic physician under s. 462.14, the board may enter an
621order imposing one or more of the sanctions set forth in ss.
622462.14 and 456.072(2).
623     (5)  Each applicant who meets the requirements of this
624chapter shall be licensed as a doctor of naturopathic medicine,
625naturopathic doctor, or naturopathic physician, with rights as
626defined by law.
627     (6)  Upon certification by the board, the department shall
628impose conditions, limitations, or restrictions on a license if
629the applicant is on probation in another jurisdiction for an act
630that would constitute a violation of this chapter.
631     (7)  If the board determines that an applicant for
632licensure has failed to meet, to the board's satisfaction, any
633of the applicable requirements set forth in this section, it may
634enter an order that imposes one or more of the following
635sanctions:
636     (a)  Refusal to certify to the department an application
637for licensure.
638     (b)  Certification to the department of an application for
639licensure with restrictions on the scope of practice of the
640doctor of naturopathic medicine, naturopathic doctor, or
641naturopathic physician.
642     (c)  Certification to the department of an application for
643licensure with placement of the doctor of naturopathic medicine,
644naturopathic doctor, or naturopathic physician on probation for
645a period of time and subject to such conditions as the board
646specifies, including, but not limited to, requiring the doctor
647of naturopathic medicine, naturopathic doctor, or naturopathic
648physician to submit to treatment, attend continuing education
649courses, submit to reexamination, or work under the supervision
650of another doctor of naturopathic medicine, naturopathic doctor,
651or naturopathic physician.
652     (8)  A person may not promote, identify, or describe
653herself or himself as a doctor of naturopathic medicine
654(N.M.D.), naturopathic doctor (N.D.), or naturopathic physician
655(N.P.) without being licensed pursuant to this chapter.
656     Section 15.  Section 462.195, Florida Statutes, is created
657to read:
658     462.195  Exemptions from naturopathic licensure
659requirements.--Licensure requirements for practitioners of
660naturopathic medicine under this chapter are inapplicable to:
661     (1)  Any individual who is engaged in selling, marketing,
662distributing, using, or recommending, or furnishing information
663or counseling about, the use of vitamins, health foods, dietary
664supplements, herbs, homeopathic remedies, or other products of
665nature the sale of which is not otherwise prohibited under state
666or federal law. This exemption does not:
667     (a)  Allow a person to diagnose any human disease, ailment,
668injury, infirmity, deformity, pain, or other condition; or
669     (b)  Prohibit providing information regarding any of the
670products listed in this subsection, which information is
671truthful and is not misleading.
672     (2)  Any individual who is:
673     (a)  Engaged in good faith in the practice of the religious
674tenets of any church or religious belief, without the use of
675prescription drugs; or
676     (b)  Acting in good faith for religious reasons as a matter
677of conscience or on the basis of a personal belief when
678obtaining or providing information regarding health care and the
679use of any product.
680     (3)  Any individual who is administering a domestic or
681family remedy.
682     (4)  No provision of this chapter shall be construed to
683prohibit any person licensed in this state from the lawful
684practice of her or his profession under the statutes applicable
685to the profession of chiropractic physician, podiatric
686physician, doctor of medicine, massage therapist, nurse,
687osteopathic physician or surgeon, optometrist, occupational
688therapist, physical therapist, psychologist, or psychotherapist.
689     Section 16.  Section 462.2001, Florida Statutes, is amended
690to read:
691     462.2001  Saving clause.--All licenses to practice
692naturopathic medicine naturopathy issued pursuant to this
693chapter and valid on July 1, 2005 October 1, 1985, shall remain
694in full force and effect.
695     Section 17.  Licensed doctors of naturopathic medicine,
696naturopathic doctors, or naturopathic physicians who hold a
697license on the effective date of this act shall retain the same
698rights and privileges as they had before implementation of the
699amendments to chapter 462, Florida Statutes, by this act.
700     Section 18.  Paragraph (g) of subsection (3) of section
70120.43, Florida Statutes, is amended to read:
702     20.43  Department of Health.--There is created a Department
703of Health.
704     (3)  The following divisions of the Department of Health
705are established:
706     (g)  Division of Medical Quality Assurance, which is
707responsible for the following boards and professions established
708within the division:
709     1.  The Board of Acupuncture, created under chapter 457.
710     2.  The Board of Medicine, created under chapter 458.
711     3.  The Board of Osteopathic Medicine, created under
712chapter 459.
713     4.  The Board of Chiropractic Medicine, created under
714chapter 460.
715     5.  The Board of Podiatric Medicine, created under chapter
716461.
717     6.  The Board of Naturopathic Medicine Naturopathy, created
718as provided under chapter 462.
719     7.  The Board of Optometry, created under chapter 463.
720     8.  The Board of Nursing, created under part I of chapter
721464.
722     9.  Nursing assistants, as provided under part II of
723chapter 464.
724     10.  The Board of Pharmacy, created under chapter 465.
725     11.  The Board of Dentistry, created under chapter 466.
726     12.  Midwifery, as provided under chapter 467.
727     13.  The Board of Speech-Language Pathology and Audiology,
728created under part I of chapter 468.
729     14.  The Board of Nursing Home Administrators, created
730under part II of chapter 468.
731     15.  The Board of Occupational Therapy, created under part
732III of chapter 468.
733     16.  Respiratory therapy, as provided under part V of
734chapter 468.
735     17.  Dietetics and nutrition practice, as provided under
736part X of chapter 468.
737     18.  The Board of Athletic Training, created under part
738XIII of chapter 468.
739     19.  The Board of Orthotists and Prosthetists, created
740under part XIV of chapter 468.
741     20.  Electrolysis, as provided under chapter 478.
742     21.  The Board of Massage Therapy, created under chapter
743480.
744     22.  The Board of Clinical Laboratory Personnel, created
745under part III of chapter 483.
746     23.  Medical physicists, as provided under part IV of
747chapter 483.
748     24.  The Board of Opticianry, created under part I of
749chapter 484.
750     25.  The Board of Hearing Aid Specialists, created under
751part II of chapter 484.
752     26.  The Board of Physical Therapy Practice, created under
753chapter 486.
754     27.  The Board of Psychology, created under chapter 490.
755     28.  School psychologists, as provided under chapter 490.
756     29.  The Board of Clinical Social Work, Marriage and Family
757Therapy, and Mental Health Counseling, created under chapter
758491.
759     Section 19.  Subsection (1) of section 381.0031, Florida
760Statutes, is amended to read:
761     381.0031  Report of diseases of public health significance
762to department.--
763     (1)  Any practitioner licensed in this state to practice
764medicine, osteopathic medicine, chiropractic medicine,
765naturopathic medicine naturopathy, or veterinary medicine; any
766hospital licensed under part I of chapter 395; or any laboratory
767licensed under chapter 483 that diagnoses or suspects the
768existence of a disease of public health significance shall
769immediately report the fact to the Department of Health.
770
771This section does not affect s. 384.25.
772     Section 20.  Subsection (10) of section 468.301, Florida
773Statutes, is amended to read:
774     468.301  Definitions.--As used in this part, the term:
775     (10)  "Licensed practitioner" means a person who is
776licensed or otherwise authorized by law to practice medicine,
777podiatric medicine, chiropody, osteopathic medicine,
778naturopathic medicine naturopathy, or chiropractic medicine in
779this state.
780     Section 21.  Subsection (1) of section 476.044, Florida
781Statutes, is amended to read:
782     476.044  Exemptions.--This chapter does not apply to the
783following persons when practicing pursuant to their professional
784responsibilities and duties:
785     (1)  Persons authorized under the laws of this state to
786practice medicine, surgery, osteopathic medicine, chiropractic
787medicine, naturopathic medicine naturopathy, or podiatric
788medicine;
789     Section 22.  Paragraph (a) of subsection (1) of section
790477.0135, Florida Statutes, is amended to read:
791     477.0135  Exemptions.--
792     (1)  This chapter does not apply to the following persons
793when practicing pursuant to their professional or occupational
794responsibilities and duties:
795     (a)  Persons authorized under the laws of this state to
796practice medicine, surgery, osteopathic medicine, chiropractic
797medicine, massage, naturopathic medicine naturopathy, or
798podiatric medicine.
799     Section 23.  Subsections (2) and (3) of section 485.003,
800Florida Statutes, are amended to read:
801     485.003  Definitions.--In construing this chapter, the
802words, phrases, or terms, unless the context otherwise
803indicates, shall have the following meanings:
804     (2)  "Healing arts" shall mean the practice of medicine,
805surgery, psychiatry, dentistry, osteopathic medicine,
806chiropractic medicine, naturopathic medicine naturopathy,
807podiatric medicine, chiropody, psychology, clinical social work,
808marriage and family therapy, mental health counseling, and
809optometry.
810     (3)  "Practitioner of the healing arts" shall mean a person
811licensed under the laws of the state to practice medicine,
812surgery, psychiatry, dentistry, osteopathic medicine,
813chiropractic medicine, naturopathic medicine naturopathy,
814podiatric medicine, chiropody, psychology, clinical social work,
815marriage and family therapy, mental health counseling, or
816optometry within the scope of his or her professional training
817and competence and within the purview of the statutes applicable
818to his or her respective profession, and who may refer a patient
819for treatment by a qualified person, who shall employ hypnotic
820techniques under the supervision, direction, prescription, and
821responsibility of such referring practitioner.
822     Section 24.  Subsection (1) of section 486.161, Florida
823Statutes, is amended to read:
824     486.161  Exemptions.--
825     (1)  No provision of this chapter shall be construed to
826prohibit any person licensed in this state from using any
827physical agent as a part of, or incidental to, the lawful
828practice of her or his profession under the statutes applicable
829to the profession of chiropractic physician, podiatric
830physician, doctor of medicine, massage therapist, nurse,
831osteopathic physician or surgeon, occupational therapist, or
832doctor of naturopathic medicine, naturopathic doctor, or
833naturopathic physician naturopath.
834     Section 25.  Paragraph (h) of subsection (4) of section
835627.351, Florida Statutes, is amended to read:
836     627.351  Insurance risk apportionment plans.--
837     (4)  MEDICAL MALPRACTICE RISK APPORTIONMENT.--
838     (h)  As used in this subsection:
839     1.  "Health care provider" means hospitals licensed under
840chapter 395; physicians licensed under chapter 458; osteopathic
841physicians licensed under chapter 459; podiatric physicians
842licensed under chapter 461; dentists licensed under chapter 466;
843chiropractic physicians licensed under chapter 460; doctors of
844naturopathic medicine, naturopathic doctors, or naturopathic
845physicians naturopaths licensed under chapter 462; nurses
846licensed under part I of chapter 464; midwives licensed under
847chapter 467; clinical laboratories registered under chapter 483;
848physician assistants licensed under chapter 458 or chapter 459;
849physical therapists and physical therapist assistants licensed
850under chapter 486; health maintenance organizations certificated
851under part I of chapter 641; ambulatory surgical centers
852licensed under chapter 395; other medical facilities as defined
853in subparagraph 2.; blood banks, plasma centers, industrial
854clinics, and renal dialysis facilities; or professional
855associations, partnerships, corporations, joint ventures, or
856other associations for professional activity by health care
857providers.
858     2.  "Other medical facility" means a facility the primary
859purpose of which is to provide human medical diagnostic services
860or a facility providing nonsurgical human medical treatment, to
861which facility the patient is admitted and from which facility
862the patient is discharged within the same working day, and which
863facility is not part of a hospital. However, a facility existing
864for the primary purpose of performing terminations of pregnancy
865or an office maintained by a physician or dentist for the
866practice of medicine shall not be construed to be an "other
867medical facility."
868     3.  "Health care facility" means any hospital licensed
869under chapter 395, health maintenance organization certificated
870under part I of chapter 641, ambulatory surgical center licensed
871under chapter 395, or other medical facility as defined in
872subparagraph 2.
873     Section 26.  Subsection (19) of section 893.02, Florida
874Statutes, is amended to read:
875     893.02  Definitions.--The following words and phrases as
876used in this chapter shall have the following meanings, unless
877the context otherwise requires:
878     (19)  "Practitioner" means a physician licensed pursuant to
879chapter 458, a dentist licensed pursuant to chapter 466, a
880veterinarian licensed pursuant to chapter 474, an osteopathic
881physician licensed pursuant to chapter 459, a doctor of
882naturopathic medicine, naturopathic doctor, or naturopathic
883physician naturopath licensed pursuant to chapter 462, or a
884podiatric physician licensed pursuant to chapter 461, provided
885such practitioner holds a valid federal controlled substance
886registry number.
887     Section 27.  Paragraph (g) of subsection (3) of section
888921.0022, Florida Statutes, is amended to read:
889     921.0022  Criminal Punishment Code; offense severity
890ranking chart.--
891     (3)  OFFENSE SEVERITY RANKING CHART
892
 
FloridaStatuteFelonyDegreeDescription
893
 


(g)  LEVEL 7
894
 
316.027(1)(b)2ndAccident involving death, failure to stop; leaving scene.
895
 
316.193(3)(c)2.3rdDUI resulting in serious bodily injury.
896
 
316.1935(3)(b)1stCausing serious bodily injury or death to another person; driving at high speed or with wanton disregard for safety while fleeing or attempting to elude law enforcement officer who is in a patrol vehicle with siren and lights activated.
897
 
327.35(3)(c)2.3rdVessel BUI resulting in serious bodily injury.
898
 
402.319(2)2ndMisrepresentation and negligence or intentional act resulting in great bodily harm, permanent disfiguration, permanent disability, or death.
899
 
409.920(2)3rdMedicaid provider fraud.
900
 
456.065(2)3rdPracticing a health care profession without a license.
901
 
456.065(2)2ndPracticing a health care profession without a license which results in serious bodily injury.
902
 
458.327(1)3rdPracticing medicine without a license.
903
 
459.013(1)3rdPracticing osteopathic medicine without a license.
904
 
460.411(1)3rdPracticing chiropractic medicine without a license.
905
 
461.012(1)3rdPracticing podiatric medicine without a license.
906
 
462.173rdPracticing naturopathic medicine naturopathy without a license.
907
 
463.015(1)3rdPracticing optometry without a license.
908
 
464.016(1)3rdPracticing nursing without a license.
909
 
465.015(2)3rdPracticing pharmacy without a license.
910
 
466.026(1)3rdPracticing dentistry or dental hygiene without a license.
911
 
467.2013rdPracticing midwifery without a license.
912
 
468.3663rdDelivering respiratory care services without a license.
913
 
483.828(1)3rdPracticing as clinical laboratory personnel without a license.
914
 
483.901(9)3rdPracticing medical physics without a license.
915
 
484.013(1)(c)3rdPreparing or dispensing optical devices without a prescription.
916
 
484.0533rdDispensing hearing aids without a license.
917
 
494.0018(2)1stConviction of any violation of ss. 494.001-494.0077 in which the total money and property unlawfully obtained exceeded $50,000 and there were five or more victims.
918
 
560.123(8)(b)1.3rdFailure to report currency or payment instruments exceeding $300 but less than $20,000 by money transmitter.
919
 
560.125(5)(a)3rdMoney transmitter business by unauthorized person, currency or payment instruments exceeding $300 but less than $20,000.
920
 
655.50(10)(b)1.3rdFailure to report financial transactions exceeding $300 but less than $20,000 by financial institution.
921
 
782.051(3)2ndAttempted felony murder of a person by a person other than the perpetrator or the perpetrator of an attempted felony.
922
 
782.07(1)2ndKilling of a human being by the act, procurement, or culpable negligence of another (manslaughter).
923
 
782.0712ndKilling of human being or viable fetus by the operation of a motor vehicle in a reckless manner (vehicular homicide).
924
 
782.0722ndKilling of a human being by the operation of a vessel in a reckless manner (vessel homicide).
925
 
784.045(1)(a)1.2ndAggravated battery; intentionally causing great bodily harm or disfigurement.
926
 
784.045(1)(a)2.2ndAggravated battery; using deadly weapon.
927
 
784.045(1)(b)2ndAggravated battery; perpetrator aware victim pregnant.
928
 
784.048(4)3rdAggravated stalking; violation of injunction or court order.
929
 
784.048(7)3rdAggravated stalking; violation of court order.
930
 
784.07(2)(d)1stAggravated battery on law enforcement officer.
931
 
784.074(1)(a)1stAggravated battery on sexually violent predators facility staff.
932
 
784.08(2)(a)1stAggravated battery on a person 65 years of age or older.
933
 
784.081(1)1stAggravated battery on specified official or employee.
934
 
784.082(1)1stAggravated battery by detained person on visitor or other detainee.
935
 
784.083(1)1stAggravated battery on code inspector.
936
 
790.07(4)1stSpecified weapons violation subsequent to previous conviction of s. 790.07(1) or (2).
937
 
790.16(1)1stDischarge of a machine gun under specified circumstances.
938
 
790.165(2)2ndManufacture, sell, possess, or deliver hoax bomb.
939
 
790.165(3)2ndPossessing, displaying, or threatening to use any hoax bomb while committing or attempting to commit a felony.
940
 
790.166(3)2ndPossessing, selling, using, or attempting to use a hoax weapon of mass destruction.
941
 
790.166(4)2ndPossessing, displaying, or threatening to use a hoax weapon of mass destruction while committing or attempting to commit a felony.
942
 
796.032ndProcuring any person under 16 years for prostitution.
943
 
800.04(5)(c)1.2ndLewd or lascivious molestation; victim less than 12 years of age; offender less than 18 years.
944
 
800.04(5)(c)2.2ndLewd or lascivious molestation; victim 12 years of age or older but less than 16 years; offender 18 years or older.
945
 
806.01(2)2ndMaliciously damage structure by fire or explosive.
946
 
810.02(3)(a)2ndBurglary of occupied dwelling; unarmed; no assault or battery.
947
 
810.02(3)(b)2ndBurglary of unoccupied dwelling; unarmed; no assault or battery.
948
 
810.02(3)(d)2ndBurglary of occupied conveyance; unarmed; no assault or battery.
949
 
812.014(2)(a)1.1stProperty stolen, valued at $100,000 or more; cargo stolen valued at $50,000 or more; property stolen while causing other property damage; 1st degree grand theft.
950
 
812.014(2)(b)2.2ndProperty stolen, cargo valued at less than $50,000, grand theft in 2nd degree.
951
 
812.014(2)(b)3.2ndProperty stolen, emergency medical equipment; 2nd degree grand theft.
952
 
812.0145(2)(a)1stTheft from person 65 years of age or older; $50,000 or more.
953
 
812.019(2)1stStolen property; initiates, organizes, plans, etc., the theft of property and traffics in stolen property.
954
 
812.131(2)(a)2ndRobbery by sudden snatching.
955
 
812.133(2)(b)1stCarjacking; no firearm, deadly weapon, or other weapon.
956
 
817.234(8)(a)2ndSolicitation of motor vehicle accident victims with intent to defraud.
957
 
817.234(9)2ndOrganizing, planning, or participating in an intentional motor vehicle collision.
958
 
817.234(11)(c)1stInsurance fraud; property value $100,000 or more.
959
 
817.2341(2)(b) & (3)(b)1stMaking false entries of material fact or false statements regarding property values relating to the solvency of an insuring entity which are a significant cause of the insolvency of that entity.
960
 
825.102(3)(b)2ndNeglecting an elderly person or disabled adult causing great bodily harm, disability, or disfigurement.
961
 
825.103(2)(b)2ndExploiting an elderly person or disabled adult and property is valued at $20,000 or more, but less than $100,000.
962
 
827.03(3)(b)2ndNeglect of a child causing great bodily harm, disability, or disfigurement.
963
 
827.04(3)3rdImpregnation of a child under 16 years of age by person 21 years of age or older.
964
 
837.05(2)3rdGiving false information about alleged capital felony to a law enforcement officer.
965
 
838.0152ndBribery.
966
 
838.0162ndUnlawful compensation or reward for official behavior.
967
 
838.021(3)(a)2ndUnlawful harm to a public servant.
968
 
838.222ndBid tampering.
969
 
872.062ndAbuse of a dead human body.
970
 
893.13(1)(c)1.1stSell, manufacture, or deliver cocaine (or other drug prohibited under s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)4.) within 1,000 feet of a child care facility, school, or state, county, or municipal park or publicly owned recreational facility or community center.
971
 
893.13(1)(e)1.1stSell, manufacture, or deliver cocaine or other drug prohibited under s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)4., within 1,000 feet of property used for religious services or a specified business site.
972
 
893.13(4)(a)1stDeliver to minor cocaine (or other s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)4. drugs).
973
 
893.135(1)(a)1.1stTrafficking in cannabis, more than 25 lbs., less than 2,000 lbs.
974
 
893.135(1)(b)1.a.1stTrafficking in cocaine, more than 28 grams, less than 200 grams.
975
 
893.135(1)(c)1.a.1stTrafficking in illegal drugs, more than 4 grams, less than 14 grams.
976
 
893.135(1)(d)1.1stTrafficking in phencyclidine, more than 28 grams, less than 200 grams.
977
 
893.135(1)(e)1.1stTrafficking in methaqualone, more than 200 grams, less than 5 kilograms.
978
 
893.135(1)(f)1.1stTrafficking in amphetamine, more than 14 grams, less than 28 grams.
979
 
893.135(1)(g)1.a.1stTrafficking in flunitrazepam, 4 grams or more, less than 14 grams.
980
 
893.135(1)(h)1.a.1stTrafficking in gamma-hydroxybutyric acid (GHB), 1 kilogram or more, less than 5 kilograms.
981
 
893.135(1)(j)1.a.1stTrafficking in 1,4-Butanediol, 1 kilogram or more, less than 5 kilograms.
982
 
893.135(1)(k)2.a.1stTrafficking in Phenethylamines, 10 grams or more, less than 200 grams.
983
 
896.101(5)(a)3rdMoney laundering, financial transactions exceeding $300 but less than $20,000.
984
 
896.104(4)(a)1.3rdStructuring transactions to evade reporting or registration requirements, financial transactions exceeding $300 but less than $20,000.
985
986     Section 28.  Section 462.30, Florida Statutes, is created
987to read:
988     462.30  Naturopathic Medical Formulary Council.--
989     (1)  The Naturopathic Medical Formulary Council is
990established, which is separate and distinct from the board, to
991be composed of seven members. Two members shall be doctors of
992naturopathic medicine, naturopathic doctors, or naturopathic
993physicians licensed under this chapter appointed by the Board of
994Naturopathic Medicine. Three members shall be pharmacists
995licensed under chapter 465 appointed by the Board of
996Naturopathic Medicine from a list of nominees provided by the
997Board of Pharmacy. Two members shall be physicians licensed
998under chapter 458 appointed by the Board of Naturopathic
999Medicine from a list of nominees provided by the Board of
1000Medicine. The initial council shall be appointed as follows: One
1001doctor of naturopathic medicine, naturopathic doctor, or
1002naturopathic physician shall be appointed for a 1-year term; one
1003physician licensed under chapter 458 and one pharmacist shall
1004each be appointed for a 2-year term; and two pharmacists, one
1005doctor of naturopathic medicine, naturopathic doctor, or
1006naturopathic physician, and one physician licensed under chapter
1007458 shall each be appointed for a 3-year term. Thereafter, the
1008term of office shall be 3 years. A quorum shall consist of five
1009members and shall be required for any vote to be taken.
1010     (2)  The council shall establish a formulary for use by
1011naturopathic physicians and immediately upon adoption or
1012revision of the formulary, the council shall transmit the
1013approved formulary to the board, which shall adopt the formulary
1014by temporary rule. The formulary shall be reviewed annually by
1015the council or at any time at the request of the board. The
1016formulary may not go beyond the scope of prescription medicines
1017and medical devices covered by approved naturopathic medical
1018education and training and existing naturopathic medical
1019formularies or board-approved continuing education. The
1020naturopathic medical formulary shall not include medicines and
1021devices that are inconsistent with the training provided by
1022approved naturopathic medical colleges or universities. Nothing
1023in this section authorizes a doctor of naturopathic medicine,
1024naturopathic doctor, or naturopathic physician to dispense,
1025administer, or prescribe any prescription drug as defined in s.
1026893.03 or medical device unless such prescription drug or
1027medical device is specifically included in the naturopathic
1028medical formulary.
1029     Section 29.  Section 462.40, Florida Statutes, is created
1030to read:
1031     462.40  Disclosure of medications by patients.--Patients
1032who are provided prescriptions for medications, nutrients, or
1033other natural medicine substances by their treating doctor of
1034naturopathic medicine, naturopathic doctor, or naturopathic
1035physician shall have the responsibility to advise their primary
1036care physician or other treating health care provider of the
1037medications or substances that have been prescribed or
1038recommended by their doctor of naturopathic medicine,
1039naturopathic doctor, or naturopathic physician. Doctors of
1040naturopathic medicine, naturopathic doctors, or naturopathic
1041physicians shall have the responsibility to advise their
1042patients of this requirement in writing, maintain a signed copy
1043of the disclosure in the medical records of that patient, and
1044provide a copy of the disclosure to their patients upon request.
1045Failure of any patient to disclose medication prescribed by a
1046doctor of naturopathic medicine, naturopathic doctor, or
1047naturopathic physician as required by this section shall
1048establish a presumption that subsequent injuries sustained by
1049such patient were caused by the failure to disclose medication
1050prescribed by a doctor of naturopathic medicine, naturopathic
1051doctor, or naturopathic physician. This presumption may be
1052rebutted by clear and convincing evidence that such patient's
1053injuries were caused by the negligence of the primary care
1054physician.
1055     Section 30.  This act shall take effect January 1, 2006.


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