HB 699

1	A bill to be entitled
2	An act relating to health care; amending ss. 458.331 and
3	459.015, F.S.; requiring the Board of Medicine and the
4	Board of Osteopathic Medicine to establish by rule certain
5	standards of practice and standards of care for physicians
6	and osteopathic physicians who supervise licensed health
7	care practitioners who are not under direct, onsite
8	supervision by the supervising physician; providing an
9	effective date.
10
11	Be It Enacted by the Legislature of the State of Florida:
12
13	Section 1.  Paragraph (dd) of subsection (1) of section
14	458.331, Florida Statutes, is amended to read:
15	458.331  Grounds for disciplinary action; action by the
16	board and department.--
17	(1)  The following acts constitute grounds for denial of a
18	license or disciplinary action, as specified in s. 456.072(2):
19	(dd)  Failing to supervise adequately the activities of
20	those physician assistants, paramedics, emergency medical
21	technicians, advanced registered nurse practitioners, or
22	anesthesiologist assistants acting under the supervision of the
23	physician. Notwithstanding any other provision of this chapter,
24	the board shall establish by rule standards of practice and
25	standards of care for physicians who supervise licensed health
26	care practitioners who are not under direct, onsite supervision
27	of the supervising physician. The standards established in the
28	rules may vary depending on the specialty of the physician, the
29	type of licensed health care practitioner under supervision, and
30	the practice setting. The rules must include, but need not be
31	limited to, the percentage of time the supervising physician
32	spends directly supervising the licensed health care
33	practitioners; standards for adequate supervision, including the
34	distance of the licensed health care practitioner from the
35	supervising physician; and the number of each type of licensed
36	health care practitioner which a supervising physician may
37	supervise.
38	Section 2.  Paragraph (hh) of subsection (1) of section
39	459.015, Florida Statutes, is amended to read:
40	459.015  Grounds for disciplinary action; action by the
41	board and department.--
42	(1)  The following acts constitute grounds for denial of a
43	license or disciplinary action, as specified in s. 456.072(2):
44	(hh)  Failing to supervise adequately the activities of
45	those physician assistants, paramedics, emergency medical
46	technicians, advanced registered nurse practitioners,
47	anesthesiologist assistants, or other persons acting under the
48	supervision of the osteopathic physician. Notwithstanding any
49	other provision of this chapter, the board shall establish by
50	rule standards of practice and standards of care for osteopathic
51	physicians who supervise licensed health care practitioners who
52	are not under direct, onsite supervision of the supervising
53	osteopathic physician. The standards established in the rules
54	may vary depending on the specialty of the physician, the type
55	of licensed health care practitioner under supervision, and the
56	practice setting. The rules must include, but need not be
57	limited to, the percentage of time the supervising osteopathic
58	physician spends directly supervising the licensed health care
59	practitioners; standards for adequate supervision, including the
60	distance of the licensed health care practitioner from the
61	supervising osteopathic physician; and the number of each type
62	of licensed health care practitioner which a supervising
63	osteopathic physician may supervise.
64	Section 3.  This act shall take effect upon becoming a law.

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