Amendment
Bill No. 0699

Amendment No. 871967

CHAMBER ACTION
Senate		House
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1	Representative(s) Negron offered the following:
2
3	Amendment (with title amendment)
4	Remove everything after the enacting clause and insert:
5	Section 1.  Section 456.031, Florida Statutes, is amended
6	to read:
7	456.031  Requirement for instruction on domestic
8	violence.--
9	(1)(a)  The appropriate board shall require each person
10	licensed or certified under chapter 458, chapter 459, part I of
11	chapter 464, chapter 466, chapter 467, chapter 490, or chapter
12	491 to complete a 1-hour continuing education course, approved
13	by the board, on domestic violence, as defined in s. 741.28, as
14	part of every third biennial relicensure or recertification. The
15	course shall consist of information on the number of patients in
16	that professional's practice who are likely to be victims of
17	domestic violence and the number who are likely to be
18	perpetrators of domestic violence, screening procedures for
19	determining whether a patient has any history of being either a
20	victim or a perpetrator of domestic violence, and instruction on
21	how to provide such patients with information on, or how to
22	refer such patients to, resources in the local community, such
23	as domestic violence centers and other advocacy groups, that
24	provide legal aid, shelter, victim counseling, batterer
25	counseling, or child protection services.
26	(b)  Each such licensee or certificateholder shall submit
27	confirmation of having completed such course, on a form provided
28	by the board, when submitting fees for every third each biennial
29	renewal.
30	(c)  The board may approve additional equivalent courses
31	that may be used to satisfy the requirements of paragraph (a).
32	Each licensing board that requires a licensee to complete an
33	educational course pursuant to this subsection may include the
34	hour required for completion of the course in the total hours of
35	continuing education required by law for such profession unless
36	the continuing education requirements for such profession
37	consist of fewer than 30 hours biennially.
38	(d)  Any person holding two or more licenses subject to the
39	provisions of this subsection shall be permitted to show proof
40	of having taken one board-approved course on domestic violence,
41	for purposes of relicensure or recertification for additional
42	licenses.
43	(e)  Failure to comply with the requirements of this
44	subsection shall constitute grounds for disciplinary action
45	under each respective practice act and under s. 456.072(1)(k).
46	In addition to discipline by the board, the licensee shall be
47	required to complete such course.
48	(2)  The board shall also require, as a condition of
49	granting a license under any chapter specified in paragraph
50	(1)(a), that each applicant for initial licensure under the
51	appropriate chapter complete an educational course acceptable to
52	the board on domestic violence which is substantially equivalent
53	to the course required in subsection (1). An applicant who has
54	not taken such course at the time of licensure shall, upon
55	submission of an affidavit showing good cause, be allowed 6
56	months to complete such requirement.
57	(3)(a)  In lieu of completing a course as required in
58	subsection (1), a licensee or certificateholder may complete a
59	course in end-of-life care and palliative health care, if the
60	licensee or certificateholder has completed an approved domestic
61	violence course in the immediately preceding biennium.
62	(b)  In lieu of completing a course as required by
63	subsection (1), a person licensed under chapter 466 who has
64	completed an approved domestic-violence education course in the
65	immediately preceding 2 years may complete a course approved by
66	the Board of Dentistry.
67	(2)(4)  Each board may adopt rules to carry out the
68	provisions of this section.
69	(5)  Each board shall report to the President of the
70	Senate, the Speaker of the House of Representatives, and the
71	chairs of the appropriate substantive committees of the
72	Legislature by March 1 of each year as to the implementation of
73	and compliance with the requirements of this section.
74	Section 2.  Section 456.033, Florida Statutes, is amended
75	to read:
76	456.033  Requirement for instruction for certain licensees
77	on HIV and AIDS.--
78	(1)  The appropriate board shall require each person
79	licensed or certified under chapter 457; chapter 458; chapter
80	459; chapter 460; chapter 461; chapter 463; part I of chapter
81	464; chapter 465; chapter 466; part II, part III, part V, or
82	part X of chapter 468; or chapter 486 to complete a continuing
83	education educational course, approved by the board, on human
84	immunodeficiency virus and acquired immune deficiency syndrome
85	as part of biennial relicensure or recertification. The course
86	shall consist of education on the modes of transmission,
87	infection control procedures, clinical management, and
88	prevention of human immunodeficiency virus and acquired immune
89	deficiency syndrome. Such course shall include information on
90	current Florida law on acquired immune deficiency syndrome and
91	its impact on testing, confidentiality of test results,
92	treatment of patients, and any protocols and procedures
93	applicable to human immunodeficiency virus counseling and
94	testing, reporting, the offering of HIV testing to pregnant
95	women, and partner notification issues pursuant to ss. 381.004
96	and 384.25.
97	(2)  Each such licensee or certificateholder shall submit
98	confirmation of having completed the said course required under
99	subsection (1), on a form as provided by the board, when
100	submitting fees for each biennial renewal.
101	(3)  The board shall have the authority to approve
102	additional equivalent courses that may be used to satisfy the
103	requirements in subsection (1). Each licensing board that
104	requires a licensee to complete an educational course pursuant
105	to this section may count the hours required for completion of
106	the course included in the total continuing educational
107	requirements as required by law.
108	(4)  Any person holding two or more licenses subject to the
109	provisions of this section shall be permitted to show proof of
110	having taken one board-approved course on human immunodeficiency
111	virus and acquired immune deficiency syndrome, for purposes of
112	relicensure or recertification for additional licenses.
113	(5)  Failure to comply with the above requirements shall
114	constitute grounds for disciplinary action under each respective
115	licensing chapter and s. 456.072(1)(e). In addition to
116	discipline by the board, the licensee shall be required to
117	complete the course.
118	(6)  The board regulating licensees under chapter 460 shall
119	require as a condition of granting a license under the chapters
120	and parts specified in subsection (1) that an applicant making
121	initial application for licensure to complete an educational
122	course acceptable to the board on human immunodeficiency virus
123	and acquired immune deficiency syndrome. An applicant under
124	chapter 460 who has not taken a course at the time of licensure
125	shall, upon an affidavit showing good cause, be allowed 6 months
126	to complete this requirement.
127	(7)  The board shall have the authority to adopt rules to
128	carry out the provisions of this section.
129	(8)  The following requirements apply to each person
130	licensed or certified under chapter 457; chapter 458; chapter
131	459; chapter 461; chapter 463; part I of chapter 464; chapter
132	465; chapter 466; part II, part III, part V, or part X of
133	chapter 468; or chapter 486:
134	(a)  Each person shall be required by the appropriate board
135	to complete a continuing education course described in
136	subsection (1) no later than upon first renewal.
137	(b)  Each person shall submit confirmation described in
138	subsection (2) when submitting fees for first renewal.
139	(c)  Each person shall be subject to subsections (3), (4),
140	and (5).
141	(8)  The board shall report to the Legislature by March 1
142	of each year as to the implementation and compliance with the
143	requirements of this section.
144	(9)(a)  In lieu of completing a course as required in
145	subsection (1), the licensee may complete a course in end-of-
146	life care and palliative health care, so long as the licensee
147	completed an approved AIDS/HIV course in the immediately
148	preceding biennium.
149	(b)  In lieu of completing a course as required by
150	subsection (1), a person licensed under chapter 466 who has
151	completed an approved AIDS/HIV course in the immediately
152	preceding 2 years may complete a course approved by the Board of
153	Dentistry.
154	Section 3.  Paragraph (a) of subsection (1) of section
155	456.041, Florida Statutes, is amended to read:
156	456.041  Practitioner profile; creation.--
157	(1)(a)  The Department of Health shall compile the
158	information submitted pursuant to s. 456.039 into a practitioner
159	profile of the applicant submitting the information, except that
160	the Department of Health shall develop a format to compile
161	uniformly any information submitted under s. 456.039(4)(b).
162	Beginning July 1, 2001, the Department of Health may compile the
163	information submitted pursuant to s. 456.0391 into a
164	practitioner profile of the applicant submitting the
165	information. The protocol submitted pursuant to s. 464.012(3)
166	must be included in the practitioner profile of the applicant
167	submitting the information to obtain certification as a advanced
168	registered nurse practitioner.
169	Section 4.  Subsections (4) and (5) of section 458.319,
170	Florida Statutes, are amended to read:
171	458.319  Renewal of license.--
172	(4)  Notwithstanding the provisions of s. 456.033, a
173	physician may complete continuing education on end-of-life care
174	and palliative care in lieu of continuing education in AIDS/HIV,
175	if that physician has completed the AIDS/HIV continuing
176	education in the immediately preceding biennium.
177	(4)(a)(5)(a)  Notwithstanding any provision of this chapter
178	or chapter 456, the requirements for the biennial renewal of the
179	license of any licensee who is a member of the Legislature shall
180	stand continued and extended without the requirement of any
181	filing by such a licensee of any notice or application for
182	renewal with the board or the department and such licensee's
183	license shall be an active status license under this chapter,
184	throughout the period that the licensee is a member of the
185	Legislature and for a period of 60 days after the licensee
186	ceases to be a member of the Legislature.
187	(b)  At any time during the licensee's legislative term of
188	office and during the period of 60 days after the licensee
189	ceases to be a member of the Legislature, the licensee may file
190	a completed renewal application that shall consist solely of:
191	1.  A license renewal fee of $250 for each year the
192	licensee's license renewal has been continued and extended
193	pursuant to the terms of this subsection since the last
194	otherwise regularly scheduled biennial renewal year and each
195	year during which the renewed license shall be effective until
196	the next regularly scheduled biennial renewal date;
197	2.  Documentation of the completion by the licensee of 10
198	hours of continuing medical education credits for each year from
199	the effective date of the last renewed license for the licensee
200	until the year in which the application is filed; and
201	3.  The information from the licensee expressly required in
202	s. 456.039(1)(a)1.-8. and (b), and (4)(a), (b), and (c).
203	(c)  The department and board may not impose any additional
204	requirements for the renewal of such licenses and, not later
205	than 20 days after receipt of a completed application as
206	specified in paragraph (b), shall renew the active status
207	license of the licensee, effective on and retroactive to the
208	last previous renewal date of the licensee's license. This Said
209	license renewal shall be valid until the next regularly
210	scheduled biennial renewal date for such said license, and
211	thereafter shall be subject to the biennial requirements for
212	renewal in this chapter and chapter 456.
213	Section 5.  Subsections (4), (5), and (6) are added to
214	section 458.348, Florida Statutes, to read:
215	458.348  Formal supervisory relationships, standing orders,
216	and established protocols; notice; standards.--
217	(4)  SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE
218	SETTINGS.--A physician who supervises an advanced registered
219	nurse practitioner or physician assistant at a medical office
220	other than the physician's primary practice location, where the
221	advanced registered nurse practitioner or physician assistant is
222	not under the onsite supervision of a supervising physician,
223	must comply with the standards set forth in this subsection. For
224	the purpose of this subsection, a physician's "primary practice
225	location" means the address reflected on the physician's profile
226	published pursuant to s. 456.041.
227	(a)  A physician who is engaged in providing primary health
228	care services may not supervise more than four offices in
229	addition to the physician's primary practice location. For the
230	purpose of this subsection, "primary health care" means health
231	care services that are commonly provided to patients without
232	referral from another practitioner, including obstetrical and
233	gynecological services, and excludes practices providing
234	primarily dermatologic and skin care services, which include
235	aesthetic skin care services.
236	(b)  A physician who is engaged in providing specialty
237	health care services may not supervise more than two offices in
238	addition to the physician's primary practice location. For the
239	purpose of this subsection, "specialty health care" means health
240	care services that are commonly provided to patients with a
241	referral from another practitioner and excludes practices
242	providing primarily dermatologic and skin care services, which
243	include aesthetic skin care services.
244	(c)  A physician who supervises an advanced registered
245	nurse practitioner or physician assistant at a medical office
246	other than the physician's primary practice location, where the
247	advanced registered nurse practitioner or physician assistant is
248	not under the onsite supervision of a supervising physician and
249	the services offered at the office are primarily dermatologic or
250	skin care services, which include aesthetic skin care services
251	other than plastic surgery, must comply with the standards
252	listed in subparagraphs 1.-4. Notwithstanding s.
253	458.347(4)(e)8., a physician supervising a physician assistant
254	pursuant to this paragraph may not be required to review and
255	cosign charts or medical records prepared by such physician
256	assistant.
257	1.  The physician shall submit to the board the addresses
258	of all offices where he or she is supervising an advanced
259	registered nurse practitioner or a physician's assistant which
260	are not the physician's primary practice location.
261	2.  The physician must be board-certified or board-eligible
262	in dermatology or plastic surgery as recognized by the board
263	pursuant to s. 458.3312.
264	3.  All such offices that are not the physician's primary
265	place of practice must be within 25 miles of the physician's
266	primary place of practice or in a county that is contiguous to
267	the county of the physician's primary place of practice.
268	However, the distance between any of the offices may not exceed
269	75 miles.
270	4.  The physician may supervise only one office other than
271	the physician's primary place of practice except that until July
272	1, 2011, the physician may supervise up to two medical offices
273	other than the physician's primary place of practice if the
274	addresses of the offices are submitted to the board before July
275	1, 2006. Effective July 1, 2011, the physician may supervise
276	only one office other than the physician's primary place of
277	practice, regardless of when the addresses of the offices were
278	submitted to the board.
279	(d)  A physician who supervises an office in addition to
280	the physician's primary practice location must conspicuously
281	post in each of the physician's offices a current schedule of
282	the regular hours when the physician is present in that office
283	and the hours when the office is open while the physician is not
284	present.
285	(e)  This subsection does not apply to health care services
286	provided in facilities licensed under chapter 395 or in
287	conjunction with a college of medicine, a college of nursing, an
288	accredited graduate medical program, or a nursing education
289	program; offices where the only service being performed is hair
290	removal by an advanced registered nurse practitioner or
291	physician assistant; not-for-profit, family-planning clinics
292	that are not licensed pursuant to chapter 390; rural and
293	federally qualified health centers; health care services
294	provided in a nursing home licensed under part II of chapter
295	400, an assisted living facility licensed under part III of
296	chapter 400, a continuing care facility licensed under chapter
297	651, or a retirement community consisting of independent living
298	units and a licensed nursing home or assisted living facility;
299	anesthesia services provided in accordance with law; health care
300	services provided in a designated rural health clinic; health
301	care services provided to persons enrolled in a program designed
302	to maintain elderly persons and persons with disabilities in a
303	home or community-based setting; university primary care student
304	health centers; school health clinics; or health care services
305	provided in federal, state, or local government facilities.
306	(5)  REQUIREMENTS FOR NOTICE AND REVIEW.--Upon initial
307	referral of a patient by another practitioner, the physician
308	receiving the referral must ensure that the patient is informed
309	of the type of license held by the physician and the type of
310	license held by any other practitioner who will be providing
311	services to the patient. When scheduling the initial examination
312	or consultation following such referral, the patient may decide
313	to see the physician or any other licensed practitioner
314	supervised by the physician and, before the initial examination
315	or consultation, shall sign a form indicating the patient's
316	choice of practitioner. The supervising physician must review
317	the medical record of the initial examination or consultation
318	and ensure that a written report of the initial examination or
319	consultation is furnished to the referring practitioner within
320	10 business days following the completion of the initial
321	examination or consultation.
322	(6)  LIMITATION ON RULEMAKING.--This section is self-
323	self-executing and does not require or provide authority for
324	additional rulemaking.
325	Section 6.  Subsection (5) of section 459.008, Florida
326	Statutes, is repealed.
327	Section 7.  Section 459.025, Florida Statutes, is created
328	to read:
329	459.025  Formal supervisory relationships, standing orders,
330	and established protocols; notice; standards.--
331	(1)  NOTICE.--
332	(a)  When an osteopathic physician enters into a formal
333	supervisory relationship or standing orders with an emergency
334	medical technician or paramedic licensed pursuant to s. 401.27,
335	which relationship or orders contemplate the performance of
336	medical acts, or when an osteopathic physician enters into an
337	established protocol with an advanced registered nurse
338	practitioner, which protocol contemplates the performance of
339	medical acts identified and approved by the joint committee
340	pursuant to s. 464.003(3)(c) or acts set forth in s. 464.012(3)
341	and (4), the osteopathic physician shall submit notice to the
342	board. The notice must contain a statement in substantially the
343	following form:
344	I, (name and professional license number of osteopathic
345	physician), of (address of osteopathic physician) have hereby
346	entered into a formal supervisory relationship, standing orders,
347	or an established protocol with (number of persons) emergency
348	medical technician(s), (number of persons) paramedic(s), or
349	(number of persons) advanced registered nurse practitioner(s).
350	(b)  Notice shall be filed within 30 days after entering
351	into the relationship, orders, or protocol. Notice also shall be
352	provided within 30 days after the osteopathic physician has
353	terminated any such relationship, orders, or protocol.
354	(2)  PROTOCOLS REQUIRING DIRECT SUPERVISION.--All protocols
355	relating to electrolysis or electrology using laser or
356	light-based hair removal or reduction by persons other than
357	osteopathic physicians licensed under this chapter or chapter
358	458 shall require the person performing such service to be
359	appropriately trained and to work only under the direct
360	supervision and responsibility of an osteopathic physician
361	licensed under this chapter or chapter 458.
362	(3)  SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE
363	SETTINGS.--An osteopathic physician who supervises an advanced
364	registered nurse practitioner or physician assistant at a
365	medical office other than the osteopathic physician's primary
366	practice location, where the advanced registered nurse
367	practitioner or physician assistant is not under the onsite
368	supervision of a supervising osteopathic physician, must comply
369	with the standards set forth in this subsection. For the purpose
370	of this subsection, an osteopathic physician's "primary practice
371	location" means the address reflected on the physician's profile
372	published pursuant to s. 456.041.
373	(a)  An osteopathic physician who is engaged in providing
374	primary health care services may not supervise more than four
375	offices in addition to the osteopathic physician's primary
376	practice location. For the purpose of this subsection, "primary
377	health care" means health care services that are commonly
378	provided to patients without referral from another practitioner,
379	including obstetrical and gynecological services, and excludes
380	practices providing primarily dermatologic and skin care
381	services, which include aesthetic skin care services.
382	(b)  An osteopathic physician who is engaged in providing
383	specialty health care services may not supervise more than two
384	offices in addition to the osteopathic physician's primary
385	practice location. For the purpose of this subsection,
386	"specialty health care" means health care services that are
387	commonly provided to patients with a referral from another
388	practitioner and excludes practices providing primarily
389	dermatologic and skin care services, which include aesthetic
390	skin care services.
391	(c)  An osteopathic physician who supervises an advanced
392	registered nurse practitioner or physician assistant at a
393	medical office other than the osteopathic physician's primary
394	practice location, where the advanced registered nurse
395	practitioner or physician assistant is not under the onsite
396	supervision of a supervising osteopathic physician and the
397	services offered at the office are primarily dermatologic or
398	skin care services, which include aesthetic skin care services
399	other than plastic surgery, must comply with the standards
400	listed in subparagraphs 1.-4. Notwithstanding s.
401	459.022(4)(e)8., an osteopathic physician supervising a
402	physician assistant pursuant to this paragraph may not be
403	required to review and cosign charts or medical records prepared
404	by such physician assistant.
405	1.  The osteopathic physician shall submit to the Board of
406	Osteopathic Medicine the addresses of all offices where he or
407	she is supervising or has a protocol with an advanced registered
408	nurse practitioner or a physician's assistant which are not the
409	osteopathic physician's primary practice location.
410	2.  The osteopathic physician must be board-certified or
411	board-eligible in dermatology or plastic surgery as recognized
412	by the Board of Osteopathic Medicine pursuant to s. 459.0152.
413	3.  All such offices that are not the osteopathic
414	physician's primary place of practice must be within 25 miles of
415	the osteopathic physician's primary place of practice or in a
416	county that is contiguous to the county of the osteopathic
417	physician's primary place of practice. However, the distance
418	between any of the offices may not exceed 75 miles.
419	4.  The osteopathic physician may supervise only one office
420	other than the osteopathic physician's primary place of practice
421	except that until July 1, 2011, the osteopathic physician may
422	supervise up to two medical offices other than the osteopathic
423	physician's primary place of practice if the addresses of the
424	offices are submitted to the Board of Osteopathic Medicine
425	before July 1, 2006. Effective July 1, 2011, the osteopathic
426	physician may supervise only one office other than the
427	osteopathic physician's primary place of practice, regardless of
428	when the addresses of the offices were submitted to the Board of
429	Osteopathic Medicine.
430	(d)  An osteopathic physician who supervises an office in
431	addition to the osteopathic physician's primary practice
432	location must conspicuously post in each of the osteopathic
433	physician's offices a current schedule of the regular hours when
434	the osteopathic physician is present in that office and the
435	hours when the office is open while the osteopathic physician is
436	not present.
437	(e)  This subsection does not apply to health care services
438	provided in facilities licensed under chapter 395 or in
439	conjunction with a college of medicine or college of nursing or
440	an accredited graduate medical or nursing education program;
441	offices where the only service being performed is hair removal
442	by an advanced registered nurse practitioner or physician
443	assistant; not-for-profit, family-planning clinics that are not
444	licensed pursuant to chapter 390; rural and federally qualified
445	health centers; health care services provided in a nursing home
446	licensed under part II of chapter 400, an assisted living
447	facility licensed under part III of chapter 400, a continuing
448	care facility licensed under chapter 651, or a retirement
449	community consisting of independent living units and either a
450	licensed nursing home or assisted living facility; anesthesia
451	services provided in accordance with law; health care services
452	provided in a designated rural health clinic; health care
453	services provided to persons enrolled in a program designed to
454	maintain elderly persons and persons with disabilities in a home
455	or community-based setting; university primary care student
456	health centers; school health clinics; or health care services
457	provided in federal, state, or local government facilities.
458	(4)  REQUIREMENTS FOR NOTICE AND REVIEW.--Upon initial
459	referral of a patient by another practitioner, the osteopathic
460	physician receiving the referral must ensure that the patient is
461	informed of the type of license held by the osteopathic
462	physician and the type of license held by any other practitioner
463	who will be providing services to the patient. When scheduling
464	the initial examination or consultation following such referral,
465	the patient may decide to see the osteopathic physician or any
466	other licensed practitioner supervised by the osteopathic
467	physician and, before the initial examination or consultation,
468	shall sign a form indicating the patient's choice of
469	practitioner. The supervising osteopathic physician must review
470	the medical record of the initial examination or consultation
471	and ensure that a written report of the initial examination or
472	consultation is furnished to the referring practitioner within
473	10 business days following the completion of the initial
474	examination or consultation.
475	(5)  LIMITATION ON RULEMAKING.--This section is self-
476	self-executing and does not require or provide authority for
477	additional rulemaking.
478	Section 8.  Subsection (3) of section 464.012, Florida
479	Statutes, is amended to read:
480	464.012  Certification of advanced registered nurse
481	practitioners; fees.--
482	(3)  An advanced registered nurse practitioner shall
483	perform those functions authorized in this section within the
484	framework of an established protocol that is filed with the
485	board upon biennial license renewal and within 30 days after
486	entering into a supervisory relationship with a physician or
487	changes to the protocol. The board shall review the protocol to
488	ensure compliance with applicable regulatory standards for
489	protocols. The board shall refer to the department licensees
490	submitting protocols that are not compliant with the regulatory
491	standards for protocols. A practitioner currently licensed under
492	chapter 458, chapter 459, or chapter 466 shall maintain
493	supervision for directing the specific course of medical
494	treatment.  Within the established framework, an advanced
495	registered nurse practitioner may:
496	(a)  Monitor and alter drug therapies.
497	(b)  Initiate appropriate therapies for certain conditions.
498	(c)  Perform additional functions as may be determined by
499	rule in accordance with s. 464.003(3)(c).
500	(d)  Order diagnostic tests and physical and occupational
501	therapy.
502	Section 9.  This act shall take effect July 1, 2006.
503
504	======= T I T L E  A M E N D M E N T ==========
505	Remove the entire title and insert:
506	A bill to be entitled
507	An act relating to health care practitioners; amending s.
508	456.031, F.S.; revising requirements for instruction of
509	certain health care practitioners concerning domestic
510	violence; amending s. 456.033, F.S.; revising requirements
511	for instruction of certain health care practitioners
512	concerning HIV and AIDS; amending s. 456.041, F.S.;
513	requiring advanced registered nurse practitioners to
514	submit protocols as part of practitioner profiles to the
515	Department of Health; amending s. 458.319, F.S.;
516	eliminating an option for medical physicians to complete
517	continuing education courses in end-of-life care in lieu
518	of continuing education in AIDS/HIV; amending s. 458.348,
519	F.S.; providing requirements for the supervision of
520	certain health care practitioners by physicians; providing
521	that the section is self-executing; repealing s.
522	459.008(5), F.S.; eliminating an option for osteopathic
523	physicians to complete continuing education courses in
524	end-of-life care in lieu of continuing education in
525	AIDS/HIV; creating s. 459.025, F.S.; providing
526	requirements for the supervision of certain health care
527	practitioners by osteopathic physicians; requiring
528	physicians or osteopathic physicians to supervise certain
529	persons performing electrolysis using laser or light-based
530	hair removal or reduction; providing that the section is
531	self-executing; amending s. 464.012, F.S.; requiring
532	certain advanced registered nurse practitioners to file
533	protocols with the Board of Nursing; specifying
534	requirements for the protocols; providing an effective
535	date.

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