Florida Senate - 2016                        COMMITTEE AMENDMENT
       Bill No. CS for SB 918
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/29/2016           .                                

       Appropriations Subcommittee on Health and Human Services
       (Richter) recommended the following:
    1         Senate Amendment to Amendment (573036) (with title
    2  amendment)
    4         Between lines 762 and 763
    5  insert:
    6         Section 15. Paragraph (e) of subsection (4) of section
    7  459.022, Florida Statutes, is amended to read:
    8         459.022 Physician assistants.—
   10         (e) A supervisory physician may delegate to a fully
   11  licensed physician assistant the authority to prescribe or
   12  dispense any medication used in the supervisory physician’s
   13  practice unless such medication is listed on the formulary
   14  created pursuant to s. 458.347. A fully licensed physician
   15  assistant may only prescribe or dispense such medication under
   16  the following circumstances:
   17         1. A physician assistant must clearly identify to the
   18  patient that she or he is a physician assistant and.
   19  Furthermore, the physician assistant must inform the patient
   20  that the patient has the right to see the physician before a
   21  prior to any prescription is being prescribed or dispensed by
   22  the physician assistant.
   23         2. The supervisory physician must notify the department of
   24  her or his intent to delegate, on a department-approved form,
   25  before delegating such authority and notify the department of
   26  any change in prescriptive privileges of the physician
   27  assistant. Authority to dispense may be delegated only by a
   28  supervisory physician who is registered as a dispensing
   29  practitioner in compliance with s. 465.0276.
   30         3. The physician assistant must complete file with the
   31  department a signed affidavit that she or he has completed a
   32  minimum of 10 continuing medical education hours in the
   33  specialty practice in which the physician assistant has
   34  prescriptive privileges with each licensure renewal application.
   35         4. The department may issue a prescriber number to the
   36  physician assistant granting authority for the prescribing of
   37  medicinal drugs authorized within this paragraph upon completion
   38  of the foregoing requirements of this paragraph. The physician
   39  assistant is shall not be required to independently register
   40  pursuant to s. 465.0276.
   41         5. The prescription must be written in a form that complies
   42  with chapter 499 and, in addition to the supervisory physician’s
   43  name, address, and telephone number, must contain, in addition
   44  to the supervisory physician’s name, address, and telephone
   45  number, the physician assistant’s prescriber number. Unless it
   46  is a drug or drug sample dispensed by the physician assistant,
   47  the prescription must be filled in a pharmacy permitted under
   48  chapter 465, and must be dispensed in that pharmacy by a
   49  pharmacist licensed under chapter 465. The inclusion appearance
   50  of the prescriber number creates a presumption that the
   51  physician assistant is authorized to prescribe the medicinal
   52  drug and the prescription is valid.
   53         6. The physician assistant must note the prescription or
   54  dispensing of medication in the appropriate medical record.
   56  ================= T I T L E  A M E N D M E N T ================
   57  And the title is amended as follows:
   58         Delete lines 1352 - 1354
   59  and insert:
   60         certain documentation from applicants; amending ss.
   61         458.347 and 459.022, F.S.; deleting a requirement that
   62         a physician assistant file a signed affidavit with the
   63         department; making technical changes; amending s.
   64         460.402, F.S.;