Florida Senate - 2006                      COMMITTEE AMENDMENT
    Bill No. SB 416
                        Barcode 355618
                            CHAMBER ACTION
              Senate                               House
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 1           Comm: RCS             .                    
       04/25/2006 05:44 PM         .                    
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11  The Committee on Health Care (Jones) recommended the following
12  amendment:
13  
14         Senate Amendment (with title amendment) 
15         Delete everything after the enacting clause
16  
17  and insert:  
18         Section 1.  The Legislature finds that there exists a
19  compelling state interest in patients being informed of the
20  credentials of the health care practitioners who treat them
21  and in the public being protected from misleading health care
22  advertising. The Legislature further finds that the areas of
23  licensure for the practice of health care can be extremely
24  confusing for patients and that health care practitioners can
25  easily mislead patients into believing that the practitioner
26  is better qualified than other health care practitioners
27  simply by creating a sham practice designation. Therefore, the
28  Legislature has determined that the most direct and effective
29  manner in which to protect patients from this identifiable
30  harm is to ensure that patients and the public be informed of
31  the training of health care practitioners and intends by this
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Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 act to require the provision of the information. 2 Section 2. Section 456.072, Florida Statutes, is 3 amended to read: 4 456.072 Grounds for discipline; penalties; 5 enforcement.-- 6 (1) The following acts shall constitute grounds for 7 which the disciplinary actions specified in subsection (2) may 8 be taken: 9 (a) Making misleading, deceptive, or fraudulent 10 representations in or related to the practice of the 11 licensee's profession. 12 (b) Intentionally violating any rule adopted by the 13 board or the department, as appropriate. 14 (c) Being convicted or found guilty of, or entering a 15 plea of guilty or nolo contendere to, regardless of 16 adjudication, a crime in any jurisdiction which relates to the 17 practice of, or the ability to practice, a licensee's 18 profession. 19 (d) Using a Class III or a Class IV laser device or 20 product, as defined by federal regulations, without having 21 complied with the rules adopted under pursuant to s. 22 501.122(2) governing the registration of the such devices. 23 (e) Failing to comply with the educational course 24 requirements for human immunodeficiency virus and acquired 25 immune deficiency syndrome. 26 (f) Having a license or the authority to practice any 27 regulated profession revoked, suspended, or otherwise acted 28 against, including the denial of licensure, by the licensing 29 authority of any jurisdiction, including its agencies or 30 subdivisions, for a violation that would constitute a 31 violation under Florida law. The licensing authority's 2 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 acceptance of a relinquishment of licensure, stipulation, 2 consent order, or other settlement, offered in response to or 3 in anticipation of the filing of charges against the license, 4 shall be construed as action against the license. 5 (g) Having been found liable in a civil proceeding for 6 knowingly filing a false report or complaint with the 7 department against another licensee. 8 (h) Attempting to obtain, obtaining, or renewing a 9 license to practice a profession by bribery, by fraudulent 10 misrepresentation, or through an error of the department or 11 the board. 12 (i) Except as provided in s. 465.016, failing to 13 report to the department any person who the licensee knows is 14 in violation of this chapter, the chapter regulating the 15 alleged violator, or the rules of the department or the board. 16 (j) Aiding, assisting, procuring, employing, or 17 advising any unlicensed person or entity to practice a 18 profession contrary to this chapter, the chapter regulating 19 the profession, or the rules of the department or the board. 20 (k) Failing to perform any statutory or legal 21 obligation placed upon a licensee. For purposes of this 22 section, failing to repay a student loan issued or guaranteed 23 by the state or the Federal Government in accordance with the 24 terms of the loan or failing to comply with service 25 scholarship obligations shall be considered a failure to 26 perform a statutory or legal obligation, and the minimum 27 disciplinary action imposed shall be a suspension of the 28 license until new payment terms are agreed upon or the 29 scholarship obligation is resumed, followed by probation for 30 the duration of the student loan or remaining scholarship 31 obligation period, and a fine equal to 10 percent of the 3 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 defaulted loan amount. Fines collected shall be deposited into 2 the Medical Quality Assurance Trust Fund. 3 (l) Making or filing a report which the licensee knows 4 to be false, intentionally or negligently failing to file a 5 report or record required by state or federal law, or 6 willfully impeding or obstructing another person to do so. 7 Such reports or records shall include only those that are 8 signed in the capacity of a licensee. 9 (m) Making deceptive, untrue, or fraudulent 10 representations in or related to the practice of a profession 11 or employing a trick or scheme in or related to the practice 12 of a profession. 13 (n) Exercising influence on the patient or client for 14 the purpose of financial gain of the licensee or a third 15 party. 16 (o) Practicing or offering to practice beyond the 17 scope permitted by law or accepting and performing 18 professional responsibilities the licensee knows, or has 19 reason to know, the licensee is not competent to perform. 20 (p) Delegating or contracting for the performance of 21 professional responsibilities by a person when the licensee 22 delegating or contracting for performance of the such 23 responsibilities knows, or has reason to know, the such person 24 is not qualified by training, experience, and authorization 25 when required to perform them. 26 (q) Violating a lawful order of the department or the 27 board, or failing to comply with a lawfully issued subpoena of 28 the department. 29 (r) Improperly interfering with an investigation or 30 inspection authorized by statute, or with any disciplinary 31 proceeding. 4 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 (s) Failing to comply with the educational course 2 requirements for domestic violence. 3 (t) Failing to identify through written notice, which 4 may include the wearing of a name tag, or orally to a patient 5 the type of license under which the practitioner is 6 practicing. Any advertisement for health care services naming 7 the practitioner must identify the type of license the 8 practitioner holds. This paragraph does not apply to a 9 practitioner while the practitioner is providing services in a 10 facility licensed under chapter 394, chapter 395, or chapter 11 400. Each board, or the department where there is no board, is 12 authorized by rule to determine how its practitioners may 13 comply with this disclosure requirement. 14 (u)(t) Failing to comply with the requirements of ss. 15 381.026 and 381.0261 to provide patients with information 16 about their patient rights and how to file a patient 17 complaint. 18 (v)(u) Engaging or attempting to engage in sexual 19 misconduct as defined and prohibited in s. 456.063(1). 20 (w)(v) Failing to comply with the requirements for 21 profiling and credentialing, including, but not limited to, 22 failing to provide initial information, failing to timely 23 provide updated information, or making misleading, untrue, 24 deceptive, or fraudulent representations on a profile, 25 credentialing, or initial or renewal licensure application. 26 (x)(w) Failing to report to the board, or the 27 department if there is no board, in writing within 30 days 28 after the licensee has been convicted or found guilty of, or 29 entered a plea of nolo contendere to, regardless of 30 adjudication, a crime in any jurisdiction. Convictions, 31 findings, adjudications, and pleas entered into prior to the 5 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 enactment of this paragraph must be reported in writing to the 2 board, or department if there is no board, on or before 3 October 1, 1999. 4 (y)(x) Using information about people involved in 5 motor vehicle accidents which has been derived from accident 6 reports made by law enforcement officers or persons involved 7 in accidents under pursuant to s. 316.066, or using 8 information published in a newspaper or other news publication 9 or through a radio or television broadcast that has used 10 information gained from such reports, for the purposes of 11 commercial or any other solicitation whatsoever of the people 12 involved in the such accidents. 13 (z)(y) Being unable to practice with reasonable skill 14 and safety to patients by reason of illness or use of alcohol, 15 drugs, narcotics, chemicals, or any other type of material or 16 as a result of any mental or physical condition. In enforcing 17 this paragraph, the department shall have, upon a finding of 18 the secretary or the secretary's designee that probable cause 19 exists to believe that the licensee is unable to practice 20 because of the reasons stated in this paragraph, the authority 21 to issue an order to compel a licensee to submit to a mental 22 or physical examination by physicians designated by the 23 department. If the licensee refuses to comply with the such 24 order, the department's order directing the such examination 25 may be enforced by filing a petition for enforcement in the 26 circuit court where the licensee resides or does business. The 27 department shall be entitled to the summary procedure provided 28 in s. 51.011. A licensee or certificateholder affected under 29 this paragraph shall at reasonable intervals be afforded an 30 opportunity to demonstrate that he or she can resume the 31 competent practice of his or her profession with reasonable 6 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 skill and safety to patients. 2 (aa)(z) Testing positive for any drug, as defined in 3 s. 112.0455, on any confirmed preemployment or 4 employer-ordered drug screening when the practitioner does not 5 have a lawful prescription and legitimate medical reason for 6 using the such drug. 7 (bb)(aa) Performing or attempting to perform health 8 care services on the wrong patient, a wrong-site procedure, a 9 wrong procedure, or an unauthorized procedure or a procedure 10 that is medically unnecessary or otherwise unrelated to the 11 patient's diagnosis or medical condition. For the purposes of 12 this paragraph, performing or attempting to perform health 13 care services includes the preparation of the patient. 14 (cc)(bb) Leaving a foreign body in a patient, such as 15 a sponge, clamp, forceps, surgical needle, or other 16 paraphernalia commonly used in surgical, examination, or other 17 diagnostic procedures. For the purposes of this paragraph, it 18 shall be legally presumed that retention of a foreign body is 19 not in the best interest of the patient and is not within the 20 standard of care of the profession, regardless of the intent 21 of the professional. 22 (dd)(cc) Violating any provision of this chapter, the 23 applicable practice act, or any rules adopted pursuant 24 thereto. 25 (ee)(dd) With respect to making a personal injury 26 protection claim as required by s. 627.736, intentionally 27 submitting a claim, statement, or bill that has been "upcoded" 28 as defined in s. 627.732. 29 (ff)(ee) With respect to making a personal injury 30 protection claim as required by s. 627.736, intentionally 31 submitting a claim, statement, or bill for payment of services 7 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 that were not rendered. 2 (gg)(ff) Engaging in a pattern of practice when 3 prescribing medicinal drugs or controlled substances which 4 demonstrates a lack of reasonable skill or safety to patients, 5 a violation of any provision of this chapter, a violation of 6 the applicable practice act, or a violation of any rules 7 adopted under pursuant to this chapter or the applicable 8 practice act of the prescribing practitioner. Notwithstanding 9 s. 456.073(13), the department may initiate an investigation 10 and establish such a pattern from billing records, data, or 11 any other information obtained by the department. 12 (hh)(gg) Being terminated from a treatment program for 13 impaired practitioners, which is overseen by an impaired 14 practitioner consultant as described in s. 456.076, for 15 failure to comply, without good cause, with the terms of the 16 monitoring or treatment contract entered into by the licensee, 17 or for not successfully completing any drug treatment or 18 alcohol treatment program. 19 (2) When the board, or the department when there is no 20 board, finds any person guilty of the grounds set forth in 21 subsection (1) or of any grounds set forth in the applicable 22 practice act, including conduct constituting a substantial 23 violation of subsection (1) or a violation of the applicable 24 practice act which occurred prior to obtaining a license, it 25 may enter an order imposing one or more of the following 26 penalties: 27 (a) Refusal to certify, or to certify with 28 restrictions, an application for a license. 29 (b) Suspension or permanent revocation of a license. 30 (c) Restriction of practice or license, including, but 31 not limited to, restricting the licensee from practicing in 8 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 certain settings, restricting the licensee to work only under 2 designated conditions or in certain settings, restricting the 3 licensee from performing or providing designated clinical and 4 administrative services, restricting the licensee from 5 practicing more than a designated number of hours, or any 6 other restriction found to be necessary for the protection of 7 the public health, safety, and welfare. 8 (d) Imposition of an administrative fine not to exceed 9 $10,000 for each count or separate offense. If the violation 10 is for fraud or making a false or fraudulent representation, 11 the board, or the department if there is no board, must impose 12 a fine of $10,000 per count or offense. 13 (e) Issuance of a reprimand or letter of concern. 14 (f) Placement of the licensee on probation for a 15 period of time and subject to such conditions as the board, or 16 the department when there is no board, may specify. Those 17 conditions may include, but are not limited to, requiring the 18 licensee to undergo treatment, attend continuing education 19 courses, submit to be reexamined, work under the supervision 20 of another licensee, or satisfy any terms which are reasonably 21 tailored to the violations found. 22 (g) Corrective action. 23 (h) Imposition of an administrative fine in accordance 24 with s. 381.0261 for violations regarding patient rights. 25 (i) Refund of fees billed and collected from the 26 patient or a third party on behalf of the patient. 27 (j) Requirement that the practitioner undergo remedial 28 education. 29 30 In determining what action is appropriate, the board, or 31 department when there is no board, must first consider what 9 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 sanctions are necessary to protect the public or to compensate 2 the patient. Only after those sanctions have been imposed may 3 the disciplining authority consider and include in the order 4 requirements designed to rehabilitate the practitioner. All 5 costs associated with compliance with orders issued under this 6 subsection are the obligation of the practitioner. 7 (3)(a) Notwithstanding subsection (2), if the ground 8 for disciplinary action is the first-time failure of the 9 licensee to satisfy continuing education requirements 10 established by the board, or by the department if there is no 11 board, the board or department, as applicable, shall issue a 12 citation in accordance with s. 456.077 and assess a fine, as 13 determined by the board or department by rule. In addition, 14 for each hour of continuing education not completed or 15 completed late, the board or department, as applicable, may 16 require the licensee to take 1 additional hour of continuing 17 education for each hour not completed or completed late. 18 (b) Notwithstanding subsection (2), if the ground for 19 disciplinary action is the first-time violation of a practice 20 act for unprofessional conduct, as used in ss. 464.018(1)(h), 21 467.203(1)(f), 468.365(1)(f), and 478.52(1)(f), and no actual 22 harm to the patient occurred, the board or department, as 23 applicable, shall issue a citation in accordance with s. 24 456.077 and assess a penalty as determined by rule of the 25 board or department. 26 (4) In addition to any other discipline imposed 27 through final order, or citation, entered on or after July 1, 28 2001, under pursuant to this section or discipline imposed 29 through final order, or citation, entered on or after July 1, 30 2001, for a violation of any practice act, the board, or the 31 department when there is no board, shall assess costs related 10 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 to the investigation and prosecution of the case. The Such 2 costs related to the investigation and prosecution include, 3 but are not limited to, salaries and benefits of personnel, 4 costs related to the time spent by the attorney and other 5 personnel working on the case, and any other expenses incurred 6 by the department for the case. The board, or the department 7 when there in no board, shall determine the amount of costs to 8 be assessed after its consideration of an affidavit of 9 itemized costs and any written objections thereto. In any case 10 where the board or the department imposes a fine or assessment 11 and the fine or assessment is not paid within a reasonable 12 time, the such reasonable time to be prescribed in the rules 13 of the board, or the department when there is no board, or in 14 the order assessing the such fines or costs, the department or 15 the Department of Legal Affairs may contract for the 16 collection of, or bring a civil action to recover, the fine or 17 assessment. 18 (5) In addition to, or in lieu of, any other remedy or 19 criminal prosecution, the department may file a proceeding in 20 the name of the state seeking issuance of an injunction or a 21 writ of mandamus against any person who violates any of the 22 provisions of this chapter, or any provision of law with 23 respect to professions regulated by the department, or any 24 board therein, or the rules adopted pursuant thereto. 25 (6) If In the event the board, or the department when 26 there is no board, determines that revocation of a license is 27 the appropriate penalty, the revocation shall be permanent. 28 However, the board may establish by rule requirements for 29 reapplication by applicants whose licenses have been 30 permanently revoked. The Such requirements may include, but 31 are shall not be limited to, satisfying current requirements 11 11:05 AM 04/24/06 s0416d-he13-k0a
Florida Senate - 2006 COMMITTEE AMENDMENT Bill No. SB 416 Barcode 355618 1 for an initial license. 2 (7) The purpose of this section is to facilitate 3 uniform discipline for those actions made punishable under 4 this section and, to this end, a reference to this section 5 constitutes a general reference under the doctrine of 6 incorporation by reference. 7 Section 3. This act shall take effect July 1, 2006. 8 9 10 ================ T I T L E A M E N D M E N T =============== 11 And the title is amended as follows: 12 Delete everything before the enacting clause 13 14 and insert: 15 A bill to be entitled 16 An act relating to health care practitioners; 17 providing legislative findings and intent; 18 amending s. 456.072, F.S., relating to grounds 19 for discipline, penalties, and enforcement 20 applicable to health care practitioners; 21 providing that a practitioner's failure to 22 identify the type of license under which he or 23 she is practicing constitutes grounds for 24 disciplinary action; providing exceptions; 25 authorizing certain entities to determine 26 compliance with a disclosure requirement; 27 providing penalties; specifying that a 28 reference to the section constitutes a general 29 reference under the doctrine of incorporation 30 by reference; providing an effective date. 31 12 11:05 AM 04/24/06 s0416d-he13-k0a