Florida Senate - 2010 SB 970 By Senator Richter 37-00509C-10 2010970__ 1 A bill to be entitled 2 An act relating to the practice of dentistry; 3 requiring persons who apply for licensure renewal as a 4 dentist or dental hygienist to furnish certain 5 information to the Department of Health in a dental 6 workforce survey; requiring the Board of Dentistry to 7 issue a nondisciplinary citation and a notice for 8 failure to complete the survey within a specified 9 time; providing notification requirements for the 10 citation; requiring the department to serve as the 11 coordinating body for the purpose of collecting, 12 disseminating, and updating dental workforce data; 13 requiring the department to maintain a database 14 regarding the state’s dental workforce; requiring the 15 department to develop strategies to maximize federal 16 and state programs and to work with an advisory body 17 to address matters relating to the state’s dental 18 workforce; providing membership of the advisory body; 19 requiring the department to act as a clearinghouse for 20 collecting and disseminating information regarding the 21 dental workforce; requiring the department and the 22 board to adopt rules; providing legislative intent 23 regarding implementation of the act within existing 24 resources; amending s. 499.01, F.S.; authorizing 25 certain business entities to pay for prescription 26 drugs obtained by practitioners licensed under ch. 27 466, F.S.; providing an effective date. 28 29 Be It Enacted by the Legislature of the State of Florida: 30 31 Section 1. Dental workforce survey.— 32 (1) Beginning in 2012, each person who applies for 33 licensure renewal as a dentist or dental hygienist under chapter 34 466, Florida Statutes, must, in conjunction with the renewal of 35 such license under procedures and forms adopted by the Board of 36 Dentistry and in addition to any other information that may be 37 required from the applicant, furnish the following information 38 to the Department of Health, working in conjunction with the 39 board, in a dental workforce survey: 40 (a) Licensee information, including, but not limited to: 41 1. The name of the dental school or dental hygiene program 42 that the dentist or dental hygienist graduated from and the year 43 of graduation. 44 2. The year that the dentist or dental hygienist began 45 practicing or working in this state. 46 3. The geographic location of the dentist’s or dental 47 hygienist’s practice or address within the state. 48 4. For a dentist in private practice: 49 a. The number of full-time dental hygienists employed by 50 the dentist during the reporting period. 51 b. The number of full-time dental assistants employed by 52 the dentist during the reporting period. 53 c. The average number of patients treated per week by the 54 dentist during the reporting period. 55 d. The settings where the dental care was delivered. 56 5. Anticipated plans of the dentist to change the status of 57 his or her license or practice. 58 6. The dentist’s areas of specialty or certification. 59 7. The year that the dentist completed a specialty program 60 recognized by the American Dental Association. 61 8. For a hygienist: 62 a. The average number of patients treated per week by the 63 hygienist during the reporting period. 64 b. The settings where the dental care was delivered. 65 9. The dentist’s or dental hygienist’s memberships in 66 professional organizations. 67 10. The number of pro bono hours provided by the dentist or 68 dental hygienist during the last biennium. 69 (b) Information concerning the availability and trends 70 relating to critically needed services, including, but not 71 limited to, the following types of care provided by the dentist 72 or dental hygienist: 73 1. Dental care to children having special needs. 74 2. Geriatric dental care. 75 3. Dental services in emergency departments. 76 4. Medicaid services. 77 5. Other critically needed specialty areas, as determined 78 by the advisory body. 79 (2) The information furnished must include a statement 80 submitted by the dentist or dental hygienist that the 81 information provided is true and accurate to the best of his or 82 her knowledge and the submission does not contain any knowingly 83 false information. 84 (3) Beginning in 2012, renewal of a license by a dentist or 85 dental hygienist licensed under chapter 466, Florida Statutes, 86 is not contingent upon the completion and submission of the 87 dental workforce survey; however, for any subsequent license 88 renewal, the board may not renew the license of any dentist or 89 dental hygienist until the survey required under this section is 90 completed and submitted by the licensee. 91 (4)(a) Beginning in 2012, the Board of Dentistry shall 92 issue a nondisciplinary citation to any dentist or dental 93 hygienist licensed under chapter 466, Florida Statutes, who 94 fails to complete the survey within 90 days after the renewal of 95 his or her license to practice as a dentist or dental hygienist. 96 (b) The citation must notify a dentist or dental hygienist 97 who fails to complete the survey required by this section that 98 his or her license will not be renewed for any subsequent 99 license renewal unless the dentist or dental hygienist completes 100 the survey. 101 (c) In conjunction with issuing the license renewal notice 102 required by s. 456.038, Florida Statutes, the board shall notify 103 each dentist or dental hygienist licensed under chapter 466, 104 Florida Statutes, who has failed to complete the survey at the 105 licensee’s last known address of record with the board of the 106 requirement that the dentist survey be completed before the 107 subsequent license renewal. 108 Section 2. (1) The Department of Health shall serve as the 109 coordinating body for the purpose of collecting and regularly 110 updating and disseminating dental workforce data. The department 111 shall work with multiple stakeholders, including the Florida 112 Dental Association and the Florida Dental Hygiene Association, 113 to assess and share with all communities of interest all data 114 collected in a timely fashion. 115 (2) The Department of Health shall maintain a current 116 database to serve as a statewide source of data concerning the 117 dental workforce. The department, in conjunction with the board, 118 shall also: 119 (a) Develop strategies to maximize federal and state 120 programs that provide incentives for dentists to practice in 121 shortage areas that are federally designated. Strategies shall 122 include programs such as the Florida Health Services Corps 123 established under s. 381.0302, Florida Statutes. 124 (b) Work in conjunction with an advisory body to address 125 matters relating to the state’s dental workforce. The advisory 126 body shall provide input on developing questions for the dentist 127 workforce survey. An advisory body shall include, but need not 128 be limited to, the State Surgeon General or his or her designee, 129 the dean of each dental school accredited in the United States 130 and based in this state or his or her designee, a representative 131 from the Florida Dental Association, a representative from the 132 Florida Dental Hygiene Association, a representative from the 133 Florida Board of Dentistry, and a dentist from each of the 134 dental specialties recognized by the American Dental 135 Association’s Commission on Dental Accreditation. 136 (c) Act as a clearinghouse for collecting and disseminating 137 information concerning the dental workforce. 138 (3) The Department of Health and the Board of Dentistry 139 shall adopt rules necessary to administer this section. 140 Section 3. It is the intent of the Legislature that the 141 Department of Health and the Board of Dentistry implement the 142 provisions of this act within existing resources. 143 Section 4. Paragraph (t) of subsection (2) of section 144 499.01, Florida Statutes, is amended to read: 145 499.01 Permits.— 146 (2) The following permits are established: 147 (t) Health care clinic establishment permit.—Effective 148 January 1, 2009, a health care clinic establishment permit is 149 required for the purchase of a prescription drug by a place of 150 business at one general physical location that provides health 151 care or veterinary services, which is owned and operated by a 152 business entity that has been issued a federal employer tax 153 identification number. For the purpose of this paragraph, the 154 term “qualifying practitioner” means a licensed health care 155 practitioner defined in s. 456.001, or a veterinarian licensed 156 under chapter 474, who is authorized under the appropriate 157 practice act to prescribe and administer a prescription drug. 158 1. An establishment must provide, as part of the 159 application required under s. 499.012, designation of a 160 qualifying practitioner who will be responsible for complying 161 with all legal and regulatory requirements related to the 162 purchase, recordkeeping, storage, and handling of the 163 prescription drugs. In addition, the designated qualifying 164 practitioner shall be the practitioner whose name, establishment 165 address, and license number is used on all distribution 166 documents for prescription drugs purchased or returned by the 167 health care clinic establishment. Upon initial appointment of a 168 qualifying practitioner, the qualifying practitioner and the 169 health care clinic establishment shall notify the department on 170 a form furnished by the department within 10 days after such 171 employment. In addition, the qualifying practitioner and health 172 care clinic establishment shall notify the department within 10 173 days after any subsequent change. 174 2. The health care clinic establishment must employ a 175 qualifying practitioner at each establishment. 176 3. In addition to the remedies and penalties provided in 177 this part, a violation of this chapter by the health care clinic 178 establishment or qualifying practitioner constitutes grounds for 179 discipline of the qualifying practitioner by the appropriate 180 regulatory board. 181 4. The purchase of prescription drugs by the health care 182 clinic establishment is prohibited during any period of time 183 when the establishment does not comply with this paragraph. 184 5. A health care clinic establishment permit is not a 185 pharmacy permit or otherwise subject to chapter 465. A health 186 care clinic establishment that meets the criteria of a modified 187 Class II institutional pharmacy under s. 465.019 is not eligible 188 to be permitted under this paragraph. 189 6. This paragraph does not apply to the purchase of a 190 prescription drug by a licensed practitioner under his or her 191 license. A professional corporation or limited liability company 192 composed of dentists and operating as authorized in s. 466.0285 193 may pay for prescription drugs obtained by a practitioner 194 licensed under chapter 466, and the licensed practitioner is 195 deemed the purchaser and owner of the prescription drugs. 196 Section 5. This act shall take effect July 1, 2010.