Florida Senate - 2008 (Reformatted) SB 1016
By Senator Bennett
21-02653A-08 20081016__
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A bill to be entitled
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An act relating to podiatrists; amending s. 461.003, F.S.;
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redefining the term "practice of podiatric medicine";
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creating s. 461.0145, F.S.; prohibiting a licensed
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podiatrist from performing ankle surgery unless the
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podiatrist meets certain requirements for education and
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training; providing a period during which a licensed
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podiatrist must meet the eligibility requirements in order
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to perform ankle surgery; providing accreditation
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requirements for the hospital or surgical center at which
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ankle surgery is performed; authorizing a podiatrist to
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perform nonsurgical care; prohibiting a podiatrist from
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performing surgery on certain fractures; providing an
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effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Subsection (5) of section 461.003, Florida
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Statutes, is amended to read:
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461.003 Definitions.--As used in this chapter:
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(5) "Practice of podiatric medicine" means the diagnosis or
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medical, surgical, palliative, and mechanical treatment of
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ailments of the human foot and leg,. The surgical treatment of
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ailments of the human foot and leg shall be limited anatomically
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to that part below the anterior tibial tubercle. The practice of
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podiatric medicine includes shall include the amputation of the
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toes or other parts of the foot but does shall not include the
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amputation of the foot or leg in its entirety. A podiatric
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physician may prescribe drugs that relate specifically to the
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scope of practice authorized herein.
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Section 2. Section 461.0145, Florida Statutes, is created
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to read:
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461.0145 Surgery.--
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(1) A licensed podiatrist may not perform ankle surgery
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unless the podiatrist meets one of the following requirements:
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(a) The licensed podiatrist was credentialed to perform
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ankle surgery by a hospital or ambulatory surgical treatment
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center accredited by the Joint Commission on Accreditation of
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Health Care Organizations on or before October 2, 1995. Such
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podiatrist shall:
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1. Notify the board as to the hospital or ambulatory
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surgical treatment center at which he or she was credentialed to
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perform ankle surgery on or before October 2, 1995;
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2. Obtain and maintain evidence of obtaining at least 10
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hours of approved continuing education related to ankle surgery
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annually; and
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3. Comply with any other requirements established by the
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board to ensure continued proficiency in performing ankle
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surgery; or
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(b) The licensed podiatrist has completed a surgical
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residency program of at least 36 months in length which has been
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approved by the Council on Podiatric Medical Education and is
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currently eligible for certification to perform reconstructive
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rearfoot or ankle surgery by the American Board of Podiatric
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Surgery. A podiatrist who qualifies to perform ankle surgery
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under this paragraph shall obtain certification to perform
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reconstructive rearfoot or ankle surgery from the American Board
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of Podiatric Surgery by July 1, 2014, or within 6 years after
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first becoming eligible for certification, whichever date is
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later. A licensed podiatrist may not continue to perform ankle
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surgery if he or she has not obtained certification by the end of
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the 6-year period.
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(2) A licensed podiatrist may perform ankle surgery only in
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a hospital or ambulatory surgical treatment center that is
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accredited by the Joint Commission on Accreditation of Health
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Care Organizations at which the podiatrist has surgical
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privileges to perform ankle surgery. A podiatrist who performs
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ankle surgery in an ambulatory surgical treatment center must
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first have surgical privileges to perform ankle surgery at a
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local hospital. A licensed podiatrist who performs ankle surgery
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must meet the same standard of care applicable to an orthopedic
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surgeon who performs ankle surgery.
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(3) A licensed podiatrist may perform nonsurgical care
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without meeting the requirements of subsection (1). A licensed
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podiatrist may also perform Achilles tendon repair, subject to
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subsection (1), but may not perform surgery on Pilon fractures or
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tibial fractures that do not enter the ankle joint.
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Section 3. This act shall take effect July 1, 2008.
CODING: Words stricken are deletions; words underlined are additions.