Florida Senate - 2009 COMMITTEE AMENDMENT
Bill No. SB 720
Barcode 177886
LEGISLATIVE ACTION
Senate . House
Comm: RS .
04/15/2009 .
.
.
.
—————————————————————————————————————————————————————————————————
—————————————————————————————————————————————————————————————————
The Committee on Health Regulation (Bennett) recommended the
following:
1 Senate Amendment (with title amendment)
2
3 Between lines 95 and 96
4 insert:
5 Section 2. Subsection (3) of section 458.348, Florida
6 Statutes is republished, and paragraph (e) of subsection (4) of
7 that section is amended to read:
8 458.348 Formal supervisory relationships, standing orders,
9 and established protocols; notice; standards.—
10 (3) PROTOCOLS REQUIRING DIRECT SUPERVISION.—All protocols
11 relating to electrolysis or electrology using laser or light
12 based hair removal or reduction by persons other than physicians
13 licensed under this chapter or chapter 459 shall require the
14 person performing such service to be appropriately trained and
15 work only under the direct supervision and responsibility of a
16 physician licensed under this chapter or chapter 459.
17 (4) SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE SETTINGS.—A
18 physician who supervises an advanced registered nurse
19 practitioner or physician assistant at a medical office other
20 than the physician’s primary practice location, where the
21 advanced registered nurse practitioner or physician assistant is
22 not under the onsite supervision of a supervising physician,
23 must comply with the standards set forth in this subsection. For
24 the purpose of this subsection, a physician’s “primary practice
25 location” means the address reflected on the physician’s profile
26 published pursuant to s. 456.041.
27 (e) This subsection does not apply to health care services
28 provided in facilities licensed under chapter 395 or in
29 conjunction with a college of medicine, a college of nursing, an
30 accredited graduate medical program, or a nursing education
31 program; offices where the only service being performed is hair
32 removal by an advanced registered nurse practitioner or
33 physician assistant; not-for-profit, family-planning clinics
34 that are not licensed pursuant to chapter 390; rural and
35 federally qualified health centers; health care services
36 provided in a nursing home licensed under part II of chapter
37 400, an assisted living facility licensed under part I of
38 chapter 429, a continuing care facility licensed under chapter
39 651, or a retirement community consisting of independent living
40 units and a licensed nursing home or assisted living facility;
41 anesthesia services provided in accordance with law; health care
42 services provided in a designated rural health clinic; health
43 care services provided to persons enrolled in a program designed
44 to maintain elderly persons and persons with disabilities in a
45 home or community-based setting; university primary care student
46 health centers; school health clinics; or health care services
47 provided in federal, state, or local government facilities.
48 Subsection (3) and this subsection do not apply to offices at
49 which the exclusive service being performed is laser hair
50 removal by an advanced registered nurse practitioner or
51 physician assistant.
52
53 ================= T I T L E A M E N D M E N T ================
54 And the title is amended as follows:
55 Delete lines 2 - 8
56 and insert:
57 An act relating to physician assistants and advanced
58 registered nurse practitioners; amending ss. 458.347
59 and 459.022, F.S.; providing that a supervising
60 physician may not be required to review and cosign a
61 physician assistant’s charts or medical records;
62 deleting certain supervisory physician requirements
63 related to prescribing and dispensing medications
64 noted in appropriate medical records; amending s.
65 458.348, F.S.; exempting offices at which laser hair
66 removal is the exclusive service being performed from
67 certain provisions requiring direct supervision by a
68 physician;