Florida Senate - 2009 COMMITTEE AMENDMENT
Bill No. SB 720
Barcode 205328
LEGISLATIVE ACTION
Senate . House
Comm: RCS .
04/15/2009 .
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The Committee on Health Regulation (Bennett) recommended the
following:
1 Senate Substitute for Amendment (177886) (with title
2 amendment)
3
4 Between lines 95 and 96
5 insert:
6 Section 2. Subsection (3) of section 458.348, Florida
7 Statutes is republished, and paragraph (e) of subsection (4) of
8 that section is amended to read:
9 458.348 Formal supervisory relationships, standing orders,
10 and established protocols; notice; standards.—
11 (3) PROTOCOLS REQUIRING DIRECT SUPERVISION.—All protocols
12 relating to electrolysis or electrology using laser or light
13 based hair removal or reduction by persons other than physicians
14 licensed under this chapter or chapter 459 shall require the
15 person performing such service to be appropriately trained and
16 work only under the direct supervision and responsibility of a
17 physician licensed under this chapter or chapter 459.
18 (4) SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE SETTINGS.—A
19 physician who supervises an advanced registered nurse
20 practitioner or physician assistant at a medical office other
21 than the physician’s primary practice location, where the
22 advanced registered nurse practitioner or physician assistant is
23 not under the onsite supervision of a supervising physician,
24 must comply with the standards set forth in this subsection. For
25 the purpose of this subsection, a physician’s “primary practice
26 location” means the address reflected on the physician’s profile
27 published pursuant to s. 456.041.
28 (e) This subsection does not apply to health care services
29 provided in facilities licensed under chapter 395 or in
30 conjunction with a college of medicine, a college of nursing, an
31 accredited graduate medical program, or a nursing education
32 program; offices where the only service being performed is hair
33 removal by an advanced registered nurse practitioner or
34 physician assistant; not-for-profit, family-planning clinics
35 that are not licensed pursuant to chapter 390; rural and
36 federally qualified health centers; health care services
37 provided in a nursing home licensed under part II of chapter
38 400, an assisted living facility licensed under part I of
39 chapter 429, a continuing care facility licensed under chapter
40 651, or a retirement community consisting of independent living
41 units and a licensed nursing home or assisted living facility;
42 anesthesia services provided in accordance with law; health care
43 services provided in a designated rural health clinic; health
44 care services provided to persons enrolled in a program designed
45 to maintain elderly persons and persons with disabilities in a
46 home or community-based setting; university primary care student
47 health centers; school health clinics; or health care services
48 provided in federal, state, or local government facilities.
49 Subsection (3) and this subsection do not apply to offices at
50 which the exclusive service being performed is laser hair
51 removal by an advanced registered nurse practitioner or
52 physician assistant.
53
54 ================= T I T L E A M E N D M E N T ================
55 And the title is amended as follows:
56 Delete lines 2 - 9
57 and insert:
58 An act relating to supervisory physician requirements; amending
59 ss. 458.347 and 459.022, F.S.; providing that a supervising
60 physician may not be required to review and cosign a physician
61 assistant’s charts or medical records; deleting certain
62 supervisory physician requirements related to prescribing and
63 dispensing medications noted in appropriate medical records;
64 amending s. 458.348, F.S.; exempting offices at which laser hair
65 removal is the exclusive service being performed from certain
66 provisions requiring direct supervision by a physician;