CS/HB 547: Scope of Practice of Advanced Practice Registered Nurses & Physician Assistants
GENERAL BILL by Health Innovation Subcommittee ; Pigman ; (CO-INTRODUCERS) Campbell ; Rehwinkel Vasilinda
Scope of Practice of Advanced Practice Registered Nurses & Physician Assistants; Redesignates ARNPs as advanced registered practice nurses (APRNs); provides for independent APRNs (IAPRNs) to practice advanced or specialized nursing; exempts IAPRNs & physician assistants (PAs) from requirement that certain medical acts be supervised by physician; revises APRN certification requirements; authorizes APRNs & PAs to administer, dispense, & prescribe medicinal drugs pursuant to protocol; provides for registration of IAPRNs who meet certain requirements; specifies acts that IAPRNs & physician assistants are authorized to perform without physician supervision or protocol; provides for eligibility of IAPRNs for clinical privileges; requires IAPRNs to maintain medical malpractice insurance or provide proof of financial responsibility.
Effective Date: 7/1/2015
Last Action: 4/28/2015 House - Died on Calendar, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111)
Bill Text: PDF
Last Action: 4/28/2015 House - Died on Calendar, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111)
Bill Text: PDF
Bill History
| Date | Chamber | Action |
|---|---|---|
| 2/2/2015 | House |
• Filed |
| 2/11/2015 | House |
• Referred to Health Innovation Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee -HJ 47 |
| 3/3/2015 | House |
• Introduced -HJ 45 |
| 3/16/2015 | House |
• On Committee agenda-- Health Innovation Subcommittee, 03/18/15, 9:00 am, 306 HOB --Temporarily postponed |
| 3/23/2015 | House |
• On Committee agenda-- Health Innovation Subcommittee, 03/25/15, 9:00 am, 306 HOB |
| 3/25/2015 | House |
• CS by Health Innovation Subcommittee; YEAS 9 NAYS 4 -HJ 330 |
| 3/26/2015 | House |
• Pending review of CS under Rule 7.19(c) • CS by Health Innovation Subcommittee read 1st time -HJ 320 |
| 3/27/2015 | House |
• Original reference(s) removed: Health Care Appropriations Subcommittee • CS referred to Health and Human Services Committee -HJ 343 • Now in Health and Human Services Committee -HJ 343 |
| 4/7/2015 | House |
• On Committee agenda-- Health and Human Services Committee, 04/09/15, 9:00 am, Morris Hall |
| 4/9/2015 | House |
• Favorable by- Health and Human Services Committee; YEAS 13 NAYS 4 -HJ 505 • Placed on Calendar -HJ 505 |
| 4/28/2015 | House |
• Died on Calendar, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111) |
Related Bills
| Bill Number | Subject | Filed By | Relationship | Last Action and Location | Track Bills |
|---|---|---|---|---|---|
| H 281 (c2) | Drug Prescription by Advanced Registered Nurse Practitioners & Physician Assistants | Pigman | Compare |
Last Action: 4/28/2015 H Died on Calendar
Location: On 2nd Reading Calendar |
|
| H 335 (er) | Psychiatric Nurses | Plasencia | Compare |
Last Action: 6/11/2015 Chapter No. 2015-111
Location: Became Law |
|
| S 476 (c1) | Mental Health | Grimsley | Compare |
Last Action: 4/23/2015 S Laid on Table, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111) -SJ 591
Location: Laid on Table |
|
| S 614 (c3) | Health Care | Grimsley | Compare |
Last Action: 5/1/2015 S Died on Calendar
Location: On 2nd Reading Calendar |
|
| S 7068 (e2) | Mental Health and Substance Abuse | Appropriations | Compare |
Last Action: 4/29/2015 H Died in returning Messages, companion bill(s) passed, see CS/HB 79 (Ch. 2015-102), CS/CS/HB 335 (Ch. 2015-111), CS/CS/HB 1069 (Ch. 2015-178), CS/SB 954 (Ch. 2015-67)
Location: In returning messages from Senate |
|
| S 7070 (c2) | Mental Health and Substance Abuse | Appropriations | Compare |
Last Action: 5/1/2015 S Died on Calendar, companion bill(s) passed, see CS/HB 79 (Ch. 2015-102), CS/CS/HB 335 (Ch. 2015-111), CS/SB 954 (Ch. 2015-67)
Location: On 2nd Reading Calendar |
|
Committee Amendments
| Amendment | Sponsor | Filed | Last Committee Action | Format |
|---|---|---|---|---|
|
706771 - Strike All Amendment Remove everything after the enacting clause and insert: |
Pigman |
3/17/2015 5:45 PM |
Adopted
3/18/2015 |
|
343487 - Substitute Amendment (706771) Remove everything after the enacting clause and insert: |
Renuart |
3/17/2015 5:52 PM |
Failed to Adopt
3/18/2015 |
Floor Amendments
No Floor Amendments Available
Bill Analyses
| Type | Analysis | Author | Posted | Format |
|---|---|---|---|---|
| Bill Analysis | H 547 | Health and Human Services Committee (Post-Meeting) | 4/9/2015 3:31 PM | |
| Bill Analysis | H 547 | Health Innovation Subcommittee (Post-Meeting) | 3/26/2015 1:10 PM |
Vote History - Committee
No Committee Vote History AvailableVote History - Floor
No Vote History AvailableCitations - Statutes (105)
| Citation | Catchline | Location in Bill Location In Bill Help |
|---|---|---|
| 39.303 | Child protection teams; services; eligible cases. | Page 33 (pdf) |
| 39.304 | Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. | Page 35 (pdf) |
| 90.503 | Psychotherapist-patient privilege. | Page 36 (pdf) |
| 110.12315 | Prescription drug program. | Page 37 (pdf) |
| 112.0455 | Drug-Free Workplace Act. | Page 38 (pdf) |
| 121.0515 | Special Risk Class. | Page 39 (pdf) |
| 252.515 | Postdisaster Relief Assistance Act; immunity from civil liability. | Page 40 (pdf) |
| 310.071 | Deputy pilot certification. | Page 41 (pdf) |
| 310.073 | State pilot licensing. | Page 42 (pdf) |
| 310.081 | Department to examine and license state pilots and certificate deputy pilots; vacancies. | Page 44 (pdf) |
| 320.0848 | Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. | Page 45 (pdf) |
| 381.00315 | Public health advisories; public health emergencies; quarantines. | Page 47 (pdf) |
| 381.00593 | Public school volunteer health care practitioner program. | Page 50 (pdf) |
| 381.026 | Florida Patient’s Bill of Rights and Responsibilities. | Page 51 (pdf) |
| 382.008 | Death and fetal death registration. | Page 51 (pdf) |
| 383.14 | Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. | Page 54 (pdf) |
| 383.141 | Prenatally diagnosed conditions; patient to be provided information; definitions; information clearinghouse; advisory council. | Page 56 (pdf) |
| 390.0111 | Termination of pregnancies. | Page 56 (pdf) |
| 390.012 | Powers of agency; rules; disposal of fetal remains. | Page 59 (pdf) |
| 394.455 | Definitions. | Page 63 (pdf) |
| 394.463 | Involuntary examination. | Page 64 (pdf) |
| 395.0191 | Staff membership and clinical privileges. | Page 66 (pdf) |
| 395.602 | Rural hospitals. | Page 68 (pdf) |
| 395.605 | Emergency care hospitals. | Page 70 (pdf) |
| 397.311 | Definitions. | Page 70 (pdf) |
| 397.405 | Exemptions from licensure. | Page 71 (pdf) |
| 397.427 | Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. | Page 73 (pdf) |
| 397.501 | Rights of individuals. | Page 76 (pdf) |
| 400.021 | Definitions. | Page 77 (pdf) |
| 400.0255 | Resident transfer or discharge; requirements and procedures; hearings. | Page 77 (pdf) |
| 400.172 | Respite care provided in nursing home facilities. | Page 78 (pdf) |
| 400.462 | Definitions. | Page 79 (pdf) |
| 400.487 | Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. | Page 79 (pdf) |
| 400.506 | Licensure of nurse registries; requirements; penalties. | Page 80 (pdf) |
| 400.9905 | Definitions. | Page 81 (pdf) |
| 401.445 | Emergency examination and treatment of incapacitated persons. | Page 83 (pdf) |
| 409.905 | Mandatory Medicaid services. | Page 84 (pdf) |
| 409.908 | Reimbursement of Medicaid providers. | Page 86 (pdf) |
| 409.9081 | Copayments. | Page 88 (pdf) |
| 409.973 | Benefits. | Page 88 (pdf) |
| 429.26 | Appropriateness of placements; examinations of residents. | Page 89 (pdf) |
| 429.918 | Licensure designation as a specialized Alzheimer’s services adult day care center. | Page 90 (pdf) |
| 440.102 | Drug-free workplace program requirements. | Page 92 (pdf) |
| 456.0391 | Advanced registered nurse practitioners; information required for certification. | Page 90 (pdf) |
| 456.0392 | Prescription labeling. | Page 94 (pdf) |
| 456.041 | Practitioner profile; creation. | Page 94 (pdf) |
| 456.048 | Financial responsibility requirements for certain health care practitioners. | Page 95 (pdf) |
| 456.053 | Financial arrangements between referring health care providers and providers of health care services. | Page 97 (pdf) |
| 456.072 | Grounds for discipline; penalties; enforcement. | Page 101 (pdf) |
| 456.44 | Controlled substance prescribing. | Page 101 (pdf) |
| 458.3265 | Pain-management clinics. | Page 107 (pdf) |
| 458.331 | Grounds for disciplinary action; action by the board and department. | Page 108 (pdf) |
| 458.347 | Physician assistants. | Page 108 (pdf) |
| 458.348 | Formal supervisory relationships, standing orders, and established protocols; notice; standards. | Page 110 (pdf) |
| 459.0137 | Pain-management clinics. | Page 115 (pdf) |
| 459.015 | Grounds for disciplinary action; action by the board and department. | Page 115 (pdf) |
| 459.025 | Formal supervisory relationships, standing orders, and established protocols; notice; standards. | Page 116 (pdf) |
| 464.003 | Definitions. | Page 14 (pdf) |
| 464.004 | Board of Nursing; membership; appointment; terms. | Page 121 (pdf) |
| 464.012 | Certification of advanced registered nurse practitioners; fees. | Page 18 (pdf) |
| 464.0125 | Page 23 (pdf) | |
| 464.015 | Titles and abbreviations; restrictions; penalty. | Page 25 (pdf) |
| 464.0155 | Page 26 (pdf) | |
| 464.016 | Violations and penalties. | Page 27 (pdf) |
| 464.018 | Disciplinary actions. | Page 28 (pdf) |
| 464.0205 | Retired volunteer nurse certificate. | Page 121 (pdf) |
| 467.003 | Definitions. | Page 122 (pdf) |
| 480.0475 | Massage establishments; prohibited practices. | Page 122 (pdf) |
| 483.041 | Definitions. | Page 123 (pdf) |
| 483.181 | Acceptance, collection, identification, and examination of specimens. | Page 123 (pdf) |
| 483.801 | Exemptions. | Page 124 (pdf) |
| 486.021 | Definitions. | Page 124 (pdf) |
| 490.012 | Violations; penalties; injunction. | Page 126 (pdf) |
| 491.0057 | Dual licensure as a marriage and family therapist. | Page 126 (pdf) |
| 491.012 | Violations; penalty; injunction. | Page 127 (pdf) |
| 493.6108 | Investigation of applicants by Department of Agriculture and Consumer Services. | Page 128 (pdf) |
| 626.9707 | Disability insurance; discrimination on basis of sickle-cell trait prohibited. | Page 129 (pdf) |
| 627.357 | Medical malpractice self-insurance. | Page 130 (pdf) |
| 627.6471 | Contracts for reduced rates of payment; limitations; coinsurance and deductibles. | Page 131 (pdf) |
| 627.6472 | Exclusive provider organizations. | Page 131 (pdf) |
| 627.736 | Required personal injury protection benefits; exclusions; priority; claims. | Page 133 (pdf) |
| 633.412 | Firefighters; qualifications for certification. | Page 137 (pdf) |
| 641.3923 | Discrimination against providers prohibited. | Page 138 (pdf) |
| 641.495 | Requirements for issuance and maintenance of certificate. | Page 139 (pdf) |
| 744.331 | Procedures to determine incapacity. | Page 139 (pdf) |
| 744.703 | Office of public guardian; appointment, notification. | Page 141 (pdf) |
| 766.102 | Medical negligence; standards of recovery; expert witness. | Page 142 (pdf) |
| 766.103 | Florida Medical Consent Law. | Page 142 (pdf) |
| 766.1115 | Health care providers; creation of agency relationship with governmental contractors. | Page 144 (pdf) |
| 766.1116 | Health care practitioner; waiver of license renewal fees and continuing education requirements. | Page 146 (pdf) |
| 766.118 | Determination of noneconomic damages. | Page 147 (pdf) |
| 768.135 | Volunteer team physicians; immunity. | Page 147 (pdf) |
| 782.071 | Vehicular homicide. | Page 148 (pdf) |
| 794.08 | Female genital mutilation. | Page 148 (pdf) |
| 893.02 | Definitions. | Page 149 (pdf) |
| 943.13 | Officers’ minimum qualifications for employment or appointment. | Page 150 (pdf) |
| 945.603 | Powers and duties of authority. | Page 151 (pdf) |
| 960.28 | Payment for victims’ initial forensic physical examinations. | Page 152 (pdf) |
| 1002.20 | K-12 student and parent rights. | Page 153 (pdf) |
| 1002.42 | Private schools. | Page 155 (pdf) |
| 1006.062 | Administration of medication and provision of medical services by district school board personnel. | Page 156 (pdf) |
| 1006.20 | Athletics in public K-12 schools. | Page 157 (pdf) |
| 1009.65 | Medical Education Reimbursement and Loan Repayment Program. | Page 159 (pdf) |
| 1009.66 | Nursing Student Loan Forgiveness Program. | Page 160 (pdf) |
| 1009.67 | Nursing scholarship program. | Page 160 (pdf) |
Citations - Constitution (0)
No Constitutional citations.
Citations - Chapter Law (0)
No Chapter Law citations.
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