Florida Senate - 2014 COMMITTEE AMENDMENT
Bill No. SB 1230
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LEGISLATIVE ACTION
Senate . House
Comm: RE .
04/02/2014 .
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following:
1 Senate Amendment to Amendment (730402) (with title
2 amendment)
3
4 Between lines 115 and 116
5 insert:
6 Section 2. Paragraph (c) of subsection (4) of section
7 458.348, Florida Statutes, is amended to read:
8 458.348 Formal supervisory relationships, standing orders,
9 and established protocols; notice; standards.—
10 (4) SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE SETTINGS.—A
11 physician who supervises an advanced registered nurse
12 practitioner or physician assistant at a medical office other
13 than the physician’s primary practice location, where the
14 advanced registered nurse practitioner or physician assistant is
15 not under the onsite supervision of a supervising physician,
16 must comply with the standards set forth in this subsection. For
17 the purpose of this subsection, a physician’s “primary practice
18 location” means the address reflected on the physician’s profile
19 published pursuant to s. 456.041.
20 (c) A physician who supervises an advanced registered nurse
21 practitioner or physician assistant at a medical office other
22 than the physician’s primary practice location, where the
23 advanced registered nurse practitioner or physician assistant is
24 not under the onsite supervision of a supervising physician and
25 the services offered at the office are primarily dermatologic or
26 skin care services, which include aesthetic skin care services
27 other than plastic surgery, must comply with the standards
28 listed in subparagraphs 1.-4. Notwithstanding s.
29 458.347(4)(e)6., a physician supervising a physician assistant
30 pursuant to this paragraph may not be required to review and
31 cosign charts or medical records prepared by such physician
32 assistant.
33 1. The physician shall submit to the board the addresses of
34 all offices where he or she is supervising an advanced
35 registered nurse practitioner or a physician’s assistant which
36 are not the physician’s primary practice location.
37 2. The physician must be board certified or board eligible
38 in dermatology or plastic surgery as recognized by the board
39 pursuant to s. 458.3312.
40 3. All such offices that are not the physician’s primary
41 place of practice must be within 25 miles of the physician’s
42 primary place of practice or in a county that is contiguous to
43 the county of the physician’s primary place of practice.
44 However, the distance between any of the offices may not exceed
45 75 miles.
46 4. The physician may supervise only one office other than
47 the physician’s primary place of practice except that until July
48 1, 2011, the physician may supervise up to two medical offices
49 other than the physician’s primary place of practice if the
50 addresses of the offices are submitted to the board before July
51 1, 2006. Effective July 1, 2011, the physician may supervise
52 only one office other than the physician’s primary place of
53 practice, regardless of when the addresses of the offices were
54 submitted to the board.
55 5.a. Subparagraphs 2. and 4. do not apply to an office
56 where nonablative aesthetic skin care services are being
57 performed by a physician assistant under the supervision of a
58 physician if the physician assistant has successfully completed
59 at least:
60 (I) Eighty hours of education and clinical training on
61 physiology of the skin, skin conditions, skin disorders, skin
62 diseases, pre- and post-skin procedure care, and infection
63 control;
64 (II) Ten hours of education and clinical training on laser
65 and light technologies and skin applications; and
66 (III) Thirty-two hours of education and clinical training
67 on injectables and fillers.
68 b. As used in this paragraph, the term “nonablative
69 aesthetic services” includes, but is not limited to, services
70 provided using intense pulsed light, lasers, radio frequency,
71 ultrasound, injectables, and fillers. The supervising physician
72 shall submit to the board documentation evidencing successful
73 completion of the education and training required by this
74 paragraph for the physician assistants that he or she is
75 supervising. A physician may not supervise more than two offices
76 in addition to the physician’s primary practice location.
77
78 ================= T I T L E A M E N D M E N T ================
79 And the title is amended as follows:
80 Delete lines 234 - 235
81 and insert:
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