Florida Senate - 2018                        COMMITTEE AMENDMENT
       Bill No. SB 1486
       
       
       
       
       
       
                                Ì276508;Î276508                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/30/2018           .                                
                                       .                                
                                       .                                
                                       .                                
       —————————————————————————————————————————————————————————————————




       —————————————————————————————————————————————————————————————————
       The Committee on Health Policy (Grimsley) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Paragraph (f) of subsection (3) of section
    6  381.4018, Florida Statutes, is amended to read:
    7         381.4018 Physician workforce assessment and development.—
    8         (3) GENERAL FUNCTIONS.—The department shall maximize the
    9  use of existing programs under the jurisdiction of the
   10  department and other state agencies and coordinate governmental
   11  and nongovernmental stakeholders and resources in order to
   12  develop a state strategic plan and assess the implementation of
   13  such strategic plan. In developing the state strategic plan, the
   14  department shall:
   15         (f) Develop strategies to maximize federal and state
   16  programs that provide for the use of incentives to attract
   17  physicians to this state or retain physicians within the state.
   18  Such strategies should explore and maximize federal-state
   19  partnerships that provide incentives for physicians to practice
   20  in federally designated shortage areas. Strategies shall also
   21  consider the use of state programs, such as the Medical
   22  Education Reimbursement and Loan Repayment Program pursuant to
   23  s. 1009.65, which provide for education loan repayment or loan
   24  forgiveness and provide monetary incentives for physicians to
   25  relocate to underserved areas of the state. To further encourage
   26  qualified physicians to relocate to and practice in underserved
   27  areas, the department, following federal requirements, shall
   28  adopt any rules necessary for the implementation of the Conrad
   29  30 Waiver Program established under s. 214(1) of the Immigration
   30  and Nationality Act.
   31         Section 2. Paragraph (a) of subsection (1) of section
   32  456.013, Florida Statutes, is amended to read:
   33         456.013 Department; general licensing provisions.—
   34         (1)(a) Any person desiring to be licensed in a profession
   35  within the jurisdiction of the department shall apply to the
   36  department in writing to take the licensure examination. The
   37  application shall be made on a form prepared and furnished by
   38  the department. The application form must be available on the
   39  World Wide Web and the department may accept electronically
   40  submitted applications beginning July 1, 2001. The application
   41  shall require the social security number and date of birth of
   42  the applicant, except as provided in paragraphs (b) and (c). The
   43  form shall be supplemented as needed to reflect any material
   44  change in any circumstance or condition stated in the
   45  application which takes place between the initial filing of the
   46  application and the final grant or denial of the license and
   47  which might affect the decision of the department. If an
   48  application is submitted electronically, the department may
   49  require supplemental materials, including an original signature
   50  of the applicant and verification of credentials, to be
   51  submitted in a nonelectronic format. An incomplete application
   52  shall expire 1 year after initial filing. In order to further
   53  the economic development goals of the state, and notwithstanding
   54  any law to the contrary, the department may enter into an
   55  agreement with the county tax collector for the purpose of
   56  appointing the county tax collector as the department’s agent to
   57  accept applications for licenses and applications for renewals
   58  of licenses. The agreement must specify the time within which
   59  the tax collector must forward any applications and accompanying
   60  application fees to the department.
   61         Section 3. Paragraphs (a) and (b) of subsection (3) and
   62  paragraph (j) of subsection (4) of section 456.024, Florida
   63  Statutes, are amended to read:
   64         456.024 Members of Armed Forces in good standing with
   65  administrative boards or the department; spouses; licensure.—
   66         (3)(a) A person is eligible for licensure as a health care
   67  practitioner in this state if he or she:
   68         1. Serves or has served as a health care practitioner in
   69  the United States Armed Forces, the United States Reserve
   70  Forces, or the National Guard;
   71         2. Serves or has served on active duty with the United
   72  States Armed Forces as a health care practitioner in the United
   73  States Public Health Service; or
   74         3. Is a health care practitioner, other than a dentist, in
   75  another state, the District of Columbia, or a possession or
   76  territory of the United States and is the spouse of a person
   77  serving on active duty with the United States Armed Forces.
   78  
   79  The department shall develop an application form, and each
   80  board, or the department if there is no board, shall waive the
   81  application fee, licensure fee, and unlicensed activity fee for
   82  such applicants. For purposes of this subsection, “health care
   83  practitioner” means a health care practitioner as defined in s.
   84  456.001 and a person licensed under part III of chapter 401 or
   85  part IV of chapter 468.
   86         (b) The board, or the department if there is no board,
   87  shall issue a license to practice in this state to a person who:
   88         1. Submits a complete application.
   89         2. If he or she is a member of the United States Armed
   90  Forces, the United States Reserve Forces, or the National Guard,
   91  submits proof that he or she has received an honorable discharge
   92  within 6 months before, or will receive an honorable discharge
   93  within 6 months after, the date of submission of the
   94  application.
   95         3.a. Holds an active, unencumbered license issued by
   96  another state, the District of Columbia, or a possession or
   97  territory of the United States and who has not had disciplinary
   98  action taken against him or her in the 5 years preceding the
   99  date of submission of the application;
  100         b. Is a military health care practitioner in a profession
  101  for which licensure in a state or jurisdiction is not required
  102  to practice in the United States Armed Forces, if he or she
  103  submits to the department evidence of military training or
  104  experience substantially equivalent to the requirements for
  105  licensure in this state in that profession and evidence that he
  106  or she has obtained a passing score on the appropriate
  107  examination of a national or regional standards organization if
  108  required for licensure in this state; or
  109         c. Is the spouse of a person serving on active duty in the
  110  United States Armed Forces and is a health care practitioner in
  111  a profession, excluding dentistry, for which licensure in
  112  another state or jurisdiction is not required, if he or she
  113  submits to the department evidence of training or experience
  114  substantially equivalent to the requirements for licensure in
  115  this state in that profession and evidence that he or she has
  116  obtained a passing score on the appropriate examination of a
  117  national or regional standards organization if required for
  118  licensure in this state.
  119         4. Attests that he or she is not, at the time of submission
  120  of the application, the subject of a disciplinary proceeding in
  121  a jurisdiction in which he or she holds a license or by the
  122  United States Department of Defense for reasons related to the
  123  practice of the profession for which he or she is applying.
  124         5. Actively practiced the profession for which he or she is
  125  applying for the 3 years preceding the date of submission of the
  126  application.
  127         6. Submits a set of fingerprints for a background screening
  128  pursuant to s. 456.0135, if required for the profession for
  129  which he or she is applying.
  130  
  131  The department shall verify information submitted by the
  132  applicant under this subsection using the National Practitioner
  133  Data Bank.
  134         (4)
  135         (j)An applicant who is issued a temporary professional
  136  license to practice as a dentist pursuant to this section must
  137  practice under the indirect supervision, as defined in s.
  138  466.003, of a dentist licensed pursuant to chapter 466.
  139         Section 4. Subsection (3) of section 458.309, Florida
  140  Statutes, is amended to read:
  141         458.309 Rulemaking authority.—
  142         (3)A physician who performs liposuction procedures in
  143  which more than 1,000 cubic centimeters of supernatant fat is
  144  removed, level 2 procedures lasting more than 5 minutes, and all
  145  level 3 surgical procedures in an office setting must register
  146  the office with the department unless that office is licensed as
  147  a facility under chapter 395. The department shall inspect the
  148  physician’s office annually unless the office is accredited by a
  149  nationally recognized accrediting agency or an accrediting
  150  organization subsequently approved by the Board of Medicine. The
  151  actual costs for registration and inspection or accreditation
  152  shall be paid by the person seeking to register and operate the
  153  office setting in which office surgery is performed.
  154         Section 5. Section 458.3312, Florida Statutes, is amended
  155  to read:
  156         458.3312 Specialties.—A physician licensed under this
  157  chapter may not hold himself or herself out as a board-certified
  158  specialist unless the physician has received formal recognition
  159  as a specialist from a specialty board of the American Board of
  160  Medical Specialties or other recognizing agency that has been
  161  approved by the board. However, a physician may indicate the
  162  services offered and may state that his or her practice is
  163  limited to one or more types of services when this accurately
  164  reflects the scope of practice of the physician. A physician may
  165  not hold himself or herself out as a board-certified specialist
  166  in dermatology unless the recognizing agency, whether authorized
  167  in statute or by rule, is triennially reviewed and reauthorized
  168  by the Board of Medicine.
  169         Section 6. Paragraph (d) of subsection (7) of section
  170  458.347, Florida Statutes, is amended to read:
  171         458.347 Physician assistants.—
  172         (7) PHYSICIAN ASSISTANT LICENSURE.—
  173         (d)1. Upon employment as a physician assistant, a licensed
  174  physician assistant must notify the department in writing within
  175  30 days after such employment and provide or after any
  176  subsequent changes in the supervising physician. The
  177  notification must include the full name, Florida medical license
  178  number, specialty, and address of a designated the supervising
  179  physician. Any subsequent changes to this information must be
  180  reported to the department within 30 days after the change.
  181  Assignment of a designated supervising physician does not
  182  preclude a physician assistant from practicing under the
  183  supervision of physicians other than the designated supervising
  184  physician.
  185         2. The designated supervising physician must be a physician
  186  designated by the facility or the practice as the primary
  187  contact and supervising physician for physician assistants in a
  188  practice where physician assistants are supervised by multiple
  189  supervising physicians. The designated supervising physician
  190  shall maintain a list of all approved supervising physicians at
  191  the practice or facility which includes the name of each
  192  supervising physician and his or her area of practice. The list
  193  must be kept current and must be provided to the department in a
  194  timely manner upon written request.
  195         Section 7. Paragraph (d) of subsection (7) of section
  196  459.022, Florida Statutes, is amended to read:
  197         459.022 Physician assistants.—
  198         (7) PHYSICIAN ASSISTANT LICENSURE.—
  199         (d)1. Upon employment as a physician assistant, a licensed
  200  physician assistant must notify the department in writing within
  201  30 days after such employment and provide or after any
  202  subsequent changes in the supervising physician. The
  203  notification must include the full name, Florida medical license
  204  number, specialty, and address of a designated the supervising
  205  physician. Any subsequent changes to this information must be
  206  reported to the department within 30 days after the change.
  207  Assignment of a designated supervising physician does not
  208  preclude a physician assistant from practicing under the
  209  supervision of physicians other than the designated supervising
  210  physician.
  211         2. The designated supervising physician must be a physician
  212  designated by the facility or the practice as the primary
  213  contact and supervising physician for physician assistants in a
  214  practice where physician assistants are supervised by multiple
  215  supervising physicians. The designated supervising physician
  216  shall maintain a list of all approved supervising physicians at
  217  the practice or facility which includes the name of each
  218  supervising physician and his or her area of practice. The list
  219  must be kept current and must be provided to the department in a
  220  timely manner upon written request.
  221         Section 8. Subsection (1) of section 460.408, Florida
  222  Statutes, is amended to read:
  223         460.408 Continuing chiropractic education.—
  224         (1) The board shall require licensees to periodically
  225  demonstrate their professional competence as a condition of
  226  renewal of a license by completing up to 40 contact classroom
  227  hours of continuing education. For purposes of this subsection,
  228  term “contact classroom hour” means a presentation in which the
  229  persons presenting and the persons attending the course are
  230  present on site. Up to 10 general credit continuing education
  231  hours may be completed online in place of contact classroom
  232  hours, as determined by board rule. Online continuing education
  233  courses must be competency based and must use the Sharable
  234  Content Objective Reference Model standard or more stringent
  235  standards, as determined by the board.
  236         (a) Continuing education courses sponsored by chiropractic
  237  colleges whose graduates are eligible for examination under any
  238  provision of this chapter may be approved upon review by the
  239  board if all other requirements of board rules setting forth
  240  criteria for course approval are met.
  241         (b) The board shall approve those courses that build upon
  242  the basic courses required for the practice of chiropractic
  243  medicine, and the board may also approve courses in adjunctive
  244  modalities. Courses that consist of instruction in the use,
  245  application, prescription, recommendation, or administration of
  246  a specific company’s brand of products or services are not
  247  eligible for approval.
  248         Section 9. Section 460.4166, Florida Statutes, is repealed.
  249         Section 10. Section 463.006, Florida Statutes, is amended
  250  to read:
  251         463.006 Licensure and certification by examination.—
  252         (1) Any person desiring to be a licensed practitioner
  253  pursuant to this chapter shall apply to the department to take
  254  the licensure and certification examinations. The department
  255  shall license examine each applicant who the board determines
  256  has:
  257         (a) Completed the application forms as required by the
  258  board, remitted an application fee for certification not to
  259  exceed $250, remitted an examination fee for certification not
  260  to exceed $250, and remitted a an examination fee for licensure
  261  not to exceed $325, all as set by the board.
  262         (b) Submitted proof satisfactory to the department that she
  263  or he:
  264         1. Is at least 18 years of age.
  265         2. Has graduated from an accredited school or college of
  266  optometry approved by rule of the board.
  267         3.Is of good moral character.
  268         3.4. Has successfully completed at least 110 hours of
  269  transcript-quality coursework and clinical training in general
  270  and ocular pharmacology as determined by the board, at an
  271  institution that:
  272         a. Has facilities for both didactic and clinical
  273  instructions in pharmacology; and
  274         b. Is accredited by a regional or professional accrediting
  275  organization that is recognized and approved by the Commission
  276  on Recognition of Postsecondary Accreditation or the United
  277  States Department of Education.
  278         4.5. Has completed at least 1 year of supervised experience
  279  in differential diagnosis of eye disease or disorders as part of
  280  the optometric training or in a clinical setting as part of the
  281  optometric experience.
  282         5.Has obtained a passing score, as established by rule of
  283  the board, on the licensure examination of the National Board of
  284  Examiners in Optometry or a similar nationally recognized
  285  examination approved by the board.
  286         (2)The examination shall consist of the appropriate
  287  subjects, including applicable state laws and rules and general
  288  and ocular pharmacology with emphasis on the use and side
  289  effects of ocular pharmaceutical agents. The board may by rule
  290  substitute a national examination as part or all of the
  291  examination and may by rule offer a practical examination in
  292  addition to the written examination.
  293         (2)(3) Each applicant who successfully passes the
  294  examination and otherwise meets the requirements of this chapter
  295  is entitled to be licensed as a practitioner and to be certified
  296  to administer and prescribe ocular pharmaceutical agents in the
  297  diagnosis and treatment of ocular conditions.
  298         Section 11. Section 463.0061, Florida Statutes, is created
  299  to read:
  300         463.0061Licensure by endorsement; requirements; fees.—
  301         (1)Any person desiring to be a licensed practitioner
  302  pursuant to this chapter shall apply to the department. The
  303  department shall issue a license by endorsement to any applicant
  304  who, upon applying to the department on forms furnished by the
  305  department and remitting a nonrefundable application fee set by
  306  the board not to exceed $250 and a licensure fee not to exceed
  307  $325, the board certifies:
  308         (a)Has graduated from an accredited school or college of
  309  optometry accredited by a regional or professional accrediting
  310  organization that is recognized and approved by the Commission
  311  on Recognition of Postsecondary Accreditation or the United
  312  States Department of Education.
  313         (b)Has obtained an overall passing score, as established
  314  by rule of the board, on the licensure examination of the
  315  National Board of Examiners in Optometry or a similar nationally
  316  recognized examination approved by the board.
  317         (c)Has submitted evidence of an active, licensed practice
  318  of optometry in another jurisdiction, for at least 5 of the
  319  immediately preceding 7 years, or evidence of successful
  320  completion of a board-approved clinical competency examination
  321  within the year preceding the filing of an application for
  322  licensure. For purposes of this paragraph, “active licensed
  323  practice of optometry” means the practice of optometry by
  324  optometrists, including those employed by any federal or state
  325  governmental entity in community or public health.
  326         (d)Has successfully completed the clinical skills portion
  327  of the examination developed by the National Board of Examiners
  328  in Optometry. In addition to an overall passing score on the
  329  clinical skills portion, an applicant must obtain a score of 75
  330  percent or better on each of the biomicroscopy, binocular
  331  indirect ophthalmoscopy, and dilated biomicroscopy and
  332  noncontact fundus lens evaluation skills individually.
  333         (e)Has successfully completed a written examination on
  334  applicable general laws and rules governing the practice of
  335  optometry.
  336         (f)Has obtained a passing score on either the Treatment
  337  and Management of Ocular Disease examination in the Patient
  338  Assessment and Management portion of the examination developed
  339  by the National Board of Examiners in Optometry or the stand
  340  alone Treatment and Management of Ocular Disease examination
  341  developed by the National Board of Examiners in Optometry.
  342         (2)The applicant shall submit evidence of completing a
  343  total of at least 30 hours of board-approved continuing
  344  education for the 2 calendar years immediately preceding
  345  application.
  346         (3)The department may not issue a license by endorsement
  347  to any applicant who is under investigation in any jurisdiction
  348  for an act or offense which would constitute a violation of this
  349  chapter until such time as the investigation is complete, at
  350  which time the provisions of s. 463.016 shall apply.
  351  Furthermore, the department may not issue an unrestricted
  352  license to any individual who has committed any act or offense
  353  in any jurisdiction constituting the basis for disciplining an
  354  optometrist pursuant to s. 463.016. If the board finds that an
  355  individual has committed an act or offense constituting the
  356  basis for disciplining an optometrist pursuant to s. 463.016,
  357  the board may enter an order imposing one or more of the terms
  358  set forth in subsection (4).
  359         (4)If the board determines that an applicant for licensure
  360  by endorsement has failed to satisfy the appropriate
  361  requirements in this section, it may enter an order that
  362  requires one or more of the following actions:
  363         (a)A refusal to certify to the department an application
  364  for licensure or certification;
  365         (b)A certification to the department of an application for
  366  licensure or certification with restrictions on the scope of
  367  practice of the licensee; or
  368         (c)A certification to the department of an application for
  369  licensure or certification with a probationary period subject to
  370  conditions specified by the board, including, but not limited
  371  to, requiring the optometrist to submit to treatment, attend
  372  continuing education courses, submit to reexamination, or work
  373  under the supervision of another licensed optometrist.
  374         Section 12. Section 464.006, Florida Statutes, is amended
  375  to read:
  376         464.006 Rulemaking authority.—The board may has authority
  377  to adopt rules pursuant to ss. 120.536(1) and 120.54 to
  378  implement the provisions of this part conferring duties upon it
  379  and establish standards of care.
  380         Section 13. Section 464.202, Florida Statutes, is amended
  381  to read:
  382         464.202 Duties and powers of the board.—The board shall
  383  maintain, or contract with or approve another entity to
  384  maintain, a state registry of certified nursing assistants. The
  385  registry must consist of the name of each certified nursing
  386  assistant in this state; other identifying information defined
  387  by board rule; certification status; the effective date of
  388  certification; other information required by state or federal
  389  law; information regarding any crime or any abuse, neglect, or
  390  exploitation as provided under chapter 435; and any disciplinary
  391  action taken against the certified nursing assistant. The
  392  registry shall be accessible to the public, the
  393  certificateholder, employers, and other state agencies. The
  394  board shall adopt by rule testing procedures for use in
  395  certifying nursing assistants and shall adopt rules regulating
  396  the practice of certified nursing assistants, including
  397  discipline and establishing standards of care, and specifying
  398  the scope of practice authorized and the level of supervision
  399  required for the practice of certified nursing assistants. The
  400  board may contract with or approve another entity or
  401  organization to provide the examination services, including the
  402  development and administration of examinations. The board shall
  403  require that the contract provider offer certified nursing
  404  assistant applications via the Internet, and may require the
  405  contract provider to accept certified nursing assistant
  406  applications for processing via the Internet. The board shall
  407  require the contract provider to provide the preliminary results
  408  of the certified nursing examination on the date the test is
  409  administered. The provider shall pay all reasonable costs and
  410  expenses incurred by the board in evaluating the provider’s
  411  application and performance during the delivery of services,
  412  including examination services and procedures for maintaining
  413  the certified nursing assistant registry.
  414         Section 14. Paragraph (c) of subsection (1) of section
  415  464.203, Florida Statutes, is amended to read:
  416         464.203 Certified nursing assistants; certification
  417  requirement.—
  418         (1) The board shall issue a certificate to practice as a
  419  certified nursing assistant to any person who demonstrates a
  420  minimum competency to read and write and successfully passes the
  421  required background screening pursuant to s. 400.215. If the
  422  person has successfully passed the required background screening
  423  pursuant to s. 400.215 or s. 408.809 within 90 days before
  424  applying for a certificate to practice and the person’s
  425  background screening results are not retained in the
  426  clearinghouse created under s. 435.12, the board shall waive the
  427  requirement that the applicant successfully pass an additional
  428  background screening pursuant to s. 400.215. The person must
  429  also meet one of the following requirements:
  430         (c) Is currently certified in another state or territory or
  431  the District of Columbia; is listed on that state’s certified
  432  nursing assistant registry; and has not been found to have
  433  committed abuse, neglect, or exploitation in that state.
  434         Section 15. Subsection (1) of section 464.204, Florida
  435  Statutes, is amended to read:
  436         464.204 Denial, suspension, or revocation of certification;
  437  disciplinary actions.—
  438         (1) The following acts constitute grounds for which the
  439  board may impose disciplinary sanctions as specified in
  440  subsection (2):
  441         (a) Obtaining or attempting to obtain certification or an
  442  exemption, or possessing or attempting to possess certification
  443  or a letter of exemption, by bribery, misrepresentation, deceit,
  444  or through an error of the board.
  445         (b) Intentionally Violating any provision of this chapter,
  446  chapter 456, or the rules adopted by the board.
  447         Section 16. Subsection (7) is added to section 465.019,
  448  Florida Statutes, to read:
  449         465.019 Institutional pharmacies; permits.—
  450         (7)An institutional pharmacy must pass an onsite
  451  inspection by the department as a prerequisite to the issuance
  452  of an initial permit or a permit for a change of location. The
  453  inspection must be completed within 90 days before the issuance
  454  of the permit.
  455         Section 17. Section 465.0193, Florida Statutes, is amended
  456  to read:
  457         465.0193 Nuclear pharmacy permits.—Any person desiring a
  458  permit to operate a nuclear pharmacy shall apply to the
  459  department. If the board certifies that the application complies
  460  with applicable law, the department shall issue the permit. No
  461  permit shall be issued unless a duly licensed and qualified
  462  nuclear pharmacist is designated as being responsible for
  463  activities described in s. 465.0126. A nuclear pharmacy must
  464  pass an onsite inspection by the department as a prerequisite to
  465  the issuance of an initial permit or a permit for a change of
  466  location. The inspection must be completed within 90 days before
  467  the issuance of the permit. The permittee shall notify the
  468  department within 10 days of any change of the licensed
  469  pharmacist responsible for the compounding and dispensing of
  470  nuclear pharmaceuticals.
  471         Section 18. Section 465.0195, Florida Statutes, is created
  472  to read:
  473         465.0195Pharmacy or outsourcing facility; sterile
  474  compounding permit.—Before a pharmacy or outsourcing facility
  475  located in this state dispenses, creates, delivers, ships, or
  476  mails, in any manner, a compounded sterile product, the pharmacy
  477  or outsourcing facility must hold a sterile compounding permit.
  478         (1)An application for a sterile compounding permit shall
  479  be submitted on a form furnished by the board. The board may
  480  require such information as it deems reasonably necessary to
  481  carry out the purposes of this section.
  482         (2)If the board certifies that the application complies
  483  with applicable laws and rules of the board governing
  484  pharmacies, the department shall issue the permit.
  485         (3)A pharmacy or outsourcing facility must pass an onsite
  486  inspection by the department as a prerequisite to the issuance
  487  of an initial permit or a permit for a change of location. The
  488  inspection must be completed within 90 days before the issuance
  489  of the permit. The board may adopt by rule standards for
  490  conducting an onsite inspection for issuance of a sterile
  491  compounding permit.
  492         (4)A permit may not be issued unless a licensed pharmacist
  493  is designated to undertake the professional supervision of the
  494  compounding and dispensing of all drugs dispensed by the
  495  permittee.
  496         (5)A permittee must notify the department within 10 days
  497  after any change of the licensed pharmacist under subsection
  498  (4). Each permittee that employs or otherwise uses registered
  499  pharmacy technicians shall have a written policy and procedures
  500  manual specifying those duties, tasks, and functions that a
  501  registered pharmacy technician is authorized to perform.
  502         (6)The board may adopt by rule standards of practice for
  503  sterile compounding. In adopting such rules, the board shall
  504  give due consideration to the standards and requirements
  505  provided in chapter 797 of the United States Pharmacopeia, or
  506  other professionally accepted standards deemed authoritative by
  507  the board. In adopting such rules for an outsourcing facility,
  508  the board shall consider the standards and requirements of
  509  current good manufacturing practices as set forth by federal law
  510  and any other professionally accepted standards deemed
  511  authoritative by the board.
  512         (7)All provisions relating to pharmacy permits found in
  513  ss. 465.022 and 465.023 apply to permits issued pursuant to this
  514  section.
  515         Section 19. Section 465.0196, Florida Statutes, is amended
  516  to read:
  517         465.0196 Special pharmacy permits.—Any person desiring a
  518  permit to operate a special pharmacy shall apply to the
  519  department for a special pharmacy permit. If the board certifies
  520  that the application complies with the applicable laws and rules
  521  of the board governing the practice of the profession of
  522  pharmacy, the department shall issue the permit. A special
  523  pharmacy must pass an onsite inspection by the department as a
  524  prerequisite to the issuance of an initial permit or a permit
  525  for a change of location. The inspection must be completed
  526  within 90 days before the issuance of the permit. A permit may
  527  not be issued unless a licensed pharmacist is designated to
  528  undertake the professional supervision of the compounding and
  529  dispensing of all drugs dispensed by the pharmacy. The licensed
  530  pharmacist shall be responsible for maintaining all drug records
  531  and for providing for the security of the area in the facility
  532  in which the compounding, storing, and dispensing of medicinal
  533  drugs occurs. The permittee shall notify the department within
  534  10 days after any change of the licensed pharmacist responsible
  535  for such duties. Each permittee that employs or otherwise uses
  536  registered pharmacy technicians shall have a written policy and
  537  procedures manual specifying those duties, tasks, and functions
  538  that a registered pharmacy technician is allowed to perform.
  539         Section 20. Subsection (2) of section 465.0197, Florida
  540  Statutes, is amended to read:
  541         465.0197 Internet pharmacy permits.—
  542         (2) An Internet pharmacy must obtain a permit under this
  543  section to sell medicinal drugs to persons in this state. An
  544  Internet pharmacy must pass an onsite inspection by the
  545  department as a prerequisite to the issuance of an initial
  546  permit or a permit for a change of location. The inspection must
  547  be completed within 90 days before the issuance of the permit.
  548         Section 21. Subsection (4) of section 466.006, Florida
  549  Statutes, is amended to read:
  550         466.006 Examination of dentists.—
  551         (4) Notwithstanding any other provision of law in chapter
  552  456 pertaining to the clinical dental licensure examination or
  553  national examinations, to be licensed as a dentist in this
  554  state, an applicant must successfully complete the following:
  555         (a) A written examination on the laws and rules of the
  556  state regulating the practice of dentistry;
  557         (b)1. A practical or clinical examination, which shall be
  558  the American Dental Licensing Examination produced by the
  559  American Board of Dental Examiners, Inc., or its successor
  560  entity, if any, that is administered in this state and graded by
  561  dentists licensed in this state and employed by the department
  562  for just such purpose, provided that the board has attained, and
  563  continues to maintain thereafter, representation on the board of
  564  directors of the American Board of Dental Examiners, the
  565  examination development committee of the American Board of
  566  Dental Examiners, and such other committees of the American
  567  Board of Dental Examiners as the board deems appropriate by rule
  568  to assure that the standards established herein are maintained
  569  organizationally. A passing score on the American Dental
  570  Licensing Examination administered in this state and graded by
  571  dentists who are licensed in this state is valid for 365 days
  572  after the date the official examination results are published.
  573         2.a. As an alternative to the requirements of subparagraph
  574  1., an applicant may submit scores from an American Dental
  575  Licensing Examination previously administered in a jurisdiction
  576  other than this state after October 1, 2011, and such
  577  examination results shall be recognized as valid for the purpose
  578  of licensure in this state. A passing score on the American
  579  Dental Licensing Examination administered out-of-state shall be
  580  the same as the passing score for the American Dental Licensing
  581  Examination administered in this state and graded by dentists
  582  who are licensed in this state. The examination results are
  583  valid for 365 days after the date the official examination
  584  results are published. The applicant must have completed the
  585  examination after October 1, 2011.
  586         b. This subparagraph may not be given retroactive
  587  application.
  588         3. If the date of an applicant’s passing American Dental
  589  Licensing Examination scores from an examination previously
  590  administered in a jurisdiction other than this state under
  591  subparagraph 2. is older than 365 days, then such scores shall
  592  nevertheless be recognized as valid for the purpose of licensure
  593  in this state, but only if the applicant demonstrates that all
  594  of the following additional standards have been met:
  595         a.(I) The applicant completed the American Dental Licensing
  596  Examination after October 1, 2011.
  597         (II) This sub-subparagraph may not be given retroactive
  598  application;
  599         b. The applicant graduated from a dental school accredited
  600  by the American Dental Association Commission on Dental
  601  Accreditation or its successor entity, if any, or any other
  602  dental accrediting organization recognized by the United States
  603  Department of Education. Provided, however, if the applicant did
  604  not graduate from such a dental school, the applicant may submit
  605  proof of having successfully completed a full-time supplemental
  606  general dentistry program accredited by the American Dental
  607  Association Commission on Dental Accreditation of at least 2
  608  consecutive academic years at such accredited sponsoring
  609  institution. Such program must provide didactic and clinical
  610  education at the level of a D.D.S. or D.M.D. program accredited
  611  by the American Dental Association Commission on Dental
  612  Accreditation;
  613         c. The applicant currently possesses a valid and active
  614  dental license in good standing, with no restriction, which has
  615  never been revoked, suspended, restricted, or otherwise
  616  disciplined, from another state or territory of the United
  617  States, the District of Columbia, or the Commonwealth of Puerto
  618  Rico;
  619         d. The applicant submits proof that he or she has never
  620  been reported to the National Practitioner Data Bank, the
  621  Healthcare Integrity and Protection Data Bank, or the American
  622  Association of Dental Boards Clearinghouse. This sub
  623  subparagraph does not apply if the applicant successfully
  624  appealed to have his or her name removed from the data banks of
  625  these agencies;
  626         e.(I) In the 5 years immediately preceding the date of
  627  application for licensure in this state, the applicant must
  628  submit proof of having been consecutively engaged in the full
  629  time practice of dentistry in another state or territory of the
  630  United States, the District of Columbia, or the Commonwealth of
  631  Puerto Rico, or, if the applicant has been licensed in another
  632  state or territory of the United States, the District of
  633  Columbia, or the Commonwealth of Puerto Rico for less than 5
  634  years, the applicant must submit proof of having been engaged in
  635  the full-time practice of dentistry since the date of his or her
  636  initial licensure.
  637         (II) As used in this section, “full-time practice” is
  638  defined as a minimum of 1,200 hours per year for each and every
  639  year in the consecutive 5-year period or, where applicable, the
  640  period since initial licensure, and must include any combination
  641  of the following:
  642         (A) Active clinical practice of dentistry providing direct
  643  patient care.
  644         (B) Full-time practice as a faculty member employed by a
  645  dental or dental hygiene school approved by the board or
  646  accredited by the American Dental Association Commission on
  647  Dental Accreditation.
  648         (C) Full-time practice as a student at a postgraduate
  649  dental education program approved by the board or accredited by
  650  the American Dental Association Commission on Dental
  651  Accreditation.
  652         (III) The board shall develop rules to determine what type
  653  of proof of full-time practice is required and to recoup the
  654  cost to the board of verifying full-time practice under this
  655  section. Such proof must, at a minimum, be:
  656         (A) Admissible as evidence in an administrative proceeding;
  657         (B) Submitted in writing;
  658         (C) Submitted by the applicant under oath with penalties of
  659  perjury attached;
  660         (D) Further documented by an affidavit of someone unrelated
  661  to the applicant who is familiar with the applicant’s practice
  662  and testifies with particularity that the applicant has been
  663  engaged in full-time practice; and
  664         (E) Specifically found by the board to be both credible and
  665  admissible.
  666         (IV) An affidavit of only the applicant is not acceptable
  667  proof of full-time practice unless it is further attested to by
  668  someone unrelated to the applicant who has personal knowledge of
  669  the applicant’s practice. If the board deems it necessary to
  670  assess credibility or accuracy, the board may require the
  671  applicant or the applicant’s witnesses to appear before the
  672  board and give oral testimony under oath;
  673         f. The applicant must submit documentation that he or she
  674  has completed, or will complete, prior to licensure in this
  675  state, continuing education equivalent to this state’s
  676  requirements for the last full reporting biennium;
  677         g. The applicant must prove that he or she has never been
  678  convicted of, or pled nolo contendere to, regardless of
  679  adjudication, any felony or misdemeanor related to the practice
  680  of a health care profession in any jurisdiction;
  681         h. The applicant must successfully pass a written
  682  examination on the laws and rules of this state regulating the
  683  practice of dentistry and must successfully pass the computer
  684  based diagnostic skills examination; and
  685         i. The applicant must submit documentation that he or she
  686  has successfully completed the National Board of Dental
  687  Examiners dental examination.
  688         Section 22. Paragraph (b) of subsection (4) and paragraph
  689  (a) of subsection (6) of section 466.007, Florida Statutes, are
  690  amended to read:
  691         466.007 Examination of dental hygienists.—
  692         (4) Effective July 1, 2012, to be licensed as a dental
  693  hygienist in this state, an applicant must successfully complete
  694  the following:
  695         (b) A practical or clinical examination approved by the
  696  board. The examination shall be the Dental Hygiene Examination
  697  produced by the American Board of Dental Examiners, Inc. (ADEX)
  698  or its successor entity, if any, if the board finds that the
  699  successor entity’s clinical examination meets or exceeds the
  700  provisions of this section. The board shall approve the ADEX
  701  Dental Hygiene Examination if the board has attained and
  702  continues to maintain representation on the ADEX House of
  703  Representatives, the ADEX Dental Hygiene Examination Development
  704  Committee, and such other ADEX Dental Hygiene committees as the
  705  board deems appropriate through rulemaking to ensure that the
  706  standards established in this section are maintained
  707  organizationally. The ADEX Dental Hygiene Examination or the
  708  examination produced by its successor entity is a comprehensive
  709  examination in which an applicant must demonstrate skills within
  710  the dental hygiene scope of practice on a live patient and any
  711  other components that the board deems necessary for the
  712  applicant to successfully demonstrate competency for the purpose
  713  of licensure. The ADEX Dental Hygiene Examination or the
  714  examination by the successor entity administered in this state
  715  shall be graded by dentists and dental hygienists licensed in
  716  this state who are employed by the department for this purpose.
  717         (6)(a) A passing score on the ADEX Dental Hygiene
  718  Examination administered out of state shall be considered the
  719  same as a passing score for the ADEX Dental Hygiene Examination
  720  administered in this state and graded by licensed dentists and
  721  dental hygienists.
  722         Section 23. Subsections (9) through (15) are added to
  723  section 466.017, Florida Statutes, to read:
  724         466.017 Prescription of drugs; anesthesia.—
  725         (9)Any adverse incident that occurs in an office
  726  maintained by a dentist must be reported to the department. The
  727  required notification to the department must be submitted in
  728  writing by certified mail and postmarked within 48 hours after
  729  the incident occurs.
  730         (10)A dentist practicing in this state must notify the
  731  board in writing by certified mail within 48 hours of any
  732  mortality or other adverse incident that occurs in the dentist’s
  733  outpatient facility. A complete written report must be filed
  734  with the board within 30 days after the mortality or other
  735  adverse incident.
  736         (11)For purposes of notification to the department
  737  pursuant to this section, the term “adverse incident” means any
  738  mortality that occurs during or as the result of a dental
  739  procedure, or an incident that results in a temporary or
  740  permanent physical or mental injury that requires
  741  hospitalization or emergency room treatment of a dental patient
  742  which occurred during or as a direct result of the use of
  743  anesthesia, deep sedation, moderate sedation, pediatric moderate
  744  sedation, oral sedation, minimal sedation(anxiolysis), nitrous
  745  oxide, or local anesthesia.
  746         (12)Any certified registered dental hygienist
  747  administering local anesthesia must notify the board, in writing
  748  by registered mail within 48 hours of any adverse incident that
  749  was related to or the result of the administration of local
  750  anesthesia. A complete written report must be filed with the
  751  board within 30 days after the mortality or other adverse
  752  incident.
  753         (13)A failure by the dentist or dental hygienist to timely
  754  and completely comply with all the reporting requirements in
  755  this section is the basis for disciplinary action by the board
  756  pursuant to s. 466.028(1).
  757         (14)The department shall review each incident and
  758  determine whether it involved conduct by a health care
  759  professional subject to disciplinary action, in which case s.
  760  456.073 applies. Disciplinary action, if any, shall be taken by
  761  the board under which the health care professional is licensed.
  762         (15)The board may adopt rules to administer this section.
  763         Section 24. Subsection (1) of section 466.031, Florida
  764  Statutes, is amended to read:
  765         466.031 “Dental laboratory” defined.—The term “dental
  766  laboratory” as used in this chapter:
  767         (1) Includes any person, firm, or corporation who performs
  768  for a fee of any kind, gratuitously, or otherwise, directly or
  769  through an agent or employee, by any means or method, or who in
  770  any way supplies or manufactures artificial substitutes for the
  771  natural teeth, or who furnishes, supplies, constructs, or
  772  reproduces or repairs any prosthetic denture, bridge, or
  773  appliance to be worn in the human mouth, or who provides onsite
  774  consultation during dental procedures, or who in any way holds
  775  itself out as a dental laboratory.
  776         Section 25. Section 466.036, Florida Statutes, is amended
  777  to read:
  778         466.036 Information; periodic inspections; equipment and
  779  supplies.—The department may require from the applicant for a
  780  registration certificate to operate a dental laboratory any
  781  information necessary to carry out the purpose of this chapter,
  782  including proof that the applicant has the equipment and
  783  supplies necessary to operate as determined by rule of the
  784  department, and shall require periodic inspection of all dental
  785  laboratories operating in this state at least once each biennial
  786  registration period. Such inspections shall include, but not be
  787  limited to, inspection of sanitary conditions, equipment,
  788  supplies, and facilities on the premises. The department shall
  789  specify dental equipment and supplies that are not permitted in
  790  a registered dental laboratory.
  791         Section 26. Subsection (1) of section 468.701, Florida
  792  Statutes, is amended to read:
  793         468.701 Definitions.—As used in this part, the term:
  794         (1) “Athletic trainer” means a person licensed under this
  795  part who has met the requirements under this part, including
  796  education requirements as set forth by the Commission on
  797  Accreditation of Athletic Training Education or its successor
  798  and necessary credentials from the Board of Certification. An
  799  athletic trainer must work within his or her scope of practice
  800  as established in the rules adopted by the board under s.
  801  468.705. An individual who is licensed as an athletic trainer
  802  may not otherwise provide, offer to provide, or represent that
  803  he or she is qualified to provide any care or services beyond
  804  his or her scope of practice, or that he or she lacks the
  805  education, training, or experience to provide, or that he or she
  806  is otherwise prohibited by law from providing.
  807         Section 27. Section 468.707, Florida Statutes, is amended
  808  to read:
  809         468.707 Licensure requirements.—Any person desiring to be
  810  licensed as an athletic trainer shall apply to the department on
  811  a form approved by the department. An applicant shall also
  812  provide records or other evidence, as determined by the board,
  813  to prove he or she has met the requirements of this section. The
  814  department shall license each applicant who:
  815         (1) Has completed the application form and remitted the
  816  required fees.
  817         (2) For a person who applies on or after July 1, 2016, Has
  818  submitted to background screening pursuant to s. 456.0135. The
  819  board may require a background screening for an applicant whose
  820  license has expired or who is undergoing disciplinary action.
  821         (3)(a) Has obtained a baccalaureate or higher degree from a
  822  college or university professional athletic training degree
  823  program accredited by the Commission on Accreditation of
  824  Athletic Training Education or its successor recognized and
  825  approved by the United States Department of Education or the
  826  Commission on Recognition of Postsecondary Accreditation,
  827  approved by the board, or recognized by the Board of
  828  Certification, and has passed the national examination to be
  829  certified by the Board of Certification; or.
  830         (b)(4)Has obtained, at a minimum, a bachelor’s degree and
  831  has completed the Board of Certification internship requirements
  832  and If graduated before 2004, has a current certification from
  833  the Board of Certification.
  834         (4)(5) Has current certification in both cardiopulmonary
  835  resuscitation and the use of an automated external defibrillator
  836  set forth in the continuing education requirements as determined
  837  by the board pursuant to s. 468.711.
  838         (5)(6) Has completed any other requirements as determined
  839  by the department and approved by the board.
  840         Section 28. Subsection (3) of section 468.711, Florida
  841  Statutes, is amended to read:
  842         468.711 Renewal of license; continuing education.—
  843         (3) If initially licensed after January 1, 1998, the
  844  licensee must be currently certified by the Board of
  845  Certification or its successor agency and maintain that
  846  certification in good standing without lapse.
  847         Section 29. Subsection (2) of section 468.723, Florida
  848  Statutes, is amended to read:
  849         468.723 Exemptions.—This part does not prevent or restrict:
  850         (2) An athletic training student acting under the direct
  851  supervision of a licensed athletic trainer. For purposes of this
  852  subsection, “direct supervision” means the physical presence of
  853  an athletic trainer so that the athletic trainer is immediately
  854  available to the athletic training student and able to intervene
  855  on behalf of the athletic training student. The supervision must
  856  be in accordance with rules adopted by the board the standards
  857  set forth by the Commission on Accreditation of Athletic
  858  Training Education or its successor.
  859         Section 30. Subsections (1), (3), and (4) of section
  860  468.803, Florida Statutes, are amended to read:
  861         468.803 License, registration, and examination
  862  requirements.—
  863         (1) The department shall issue a license to practice
  864  orthotics, prosthetics, or pedorthics, or a registration for a
  865  resident to practice orthotics or prosthetics, to qualified
  866  applicants. Licenses shall be granted independently in
  867  orthotics, prosthetics, or pedorthics, but a person may be
  868  licensed in more than one such discipline, and a prosthetist
  869  orthotist license may be granted to persons meeting the
  870  requirements for both a prosthetist and an orthotist license.
  871  Registrations shall be granted independently in orthotics or
  872  prosthetics, and a person may be registered in both fields at
  873  the same time or jointly in orthotics and prosthetics as a dual
  874  registration.
  875         (3) A person seeking to attain the required orthotics or
  876  prosthetics experience in this state must be approved by the
  877  board and registered as a resident by the department. Although a
  878  registration may be held in both practice fields, for
  879  independent registrations, the board shall not approve a second
  880  registration until at least 1 year after the issuance of the
  881  first registration. Notwithstanding subsection (2), an applicant
  882  for independent registrations who has been approved by the board
  883  and registered by the department in one practice field may apply
  884  for registration in the second practice field without an
  885  additional state or national criminal history check during the
  886  period in which the first registration is valid. Each
  887  independent registration or dual registration is valid for 2
  888  years from the date of issuance unless otherwise revoked by the
  889  department upon recommendation of the board. The board shall set
  890  a registration fee not to exceed $500 to be paid by the
  891  applicant. A registration may be renewed once by the department
  892  upon recommendation of the board for a period no longer than 1
  893  year, as such renewal is defined by the board by rule. The
  894  registration renewal fee shall not exceed one-half the current
  895  registration fee. To be considered by the board for approval of
  896  registration as a resident, the applicant must have:
  897         (a) A Bachelor of Science or higher-level postgraduate
  898  degree in Orthotics and Prosthetics from a regionally accredited
  899  college or university recognized by the Commission on
  900  Accreditation of Allied Health Education Programs or, at a
  901  minimum, a bachelor’s degree from a regionally accredited
  902  college or university and a certificate in orthotics from a
  903  program recognized by the Commission on Accreditation of Allied
  904  Health Education Programs, or its equivalent, as determined by
  905  the board; or
  906         (b) A Bachelor of Science or higher-level postgraduate
  907  degree in Orthotics and Prosthetics from a regionally accredited
  908  college or university recognized by the Commission on
  909  Accreditation of Allied Health Education Programs or, at a
  910  minimum, a bachelor’s degree from a regionally accredited
  911  college or university and a certificate in prosthetics from a
  912  program recognized by the Commission on Accreditation of Allied
  913  Health Education Programs, or its equivalent, as determined by
  914  the board; or
  915         (c)A Bachelor of Science or higher-level postgraduate
  916  degree in Orthotics and Prosthetics from a regionally accredited
  917  college or university recognized by the Commission on
  918  Accreditation of Allied Health Education Programs or, at a
  919  minimum, a bachelor’s degree from a regionally accredited
  920  college or university and a dual certificate in both orthotics
  921  and prosthetics from a program recognized by the Commission on
  922  Accreditation of Allied Health Education Programs, or its
  923  equivalent, as determined by the board.
  924         (4) The department may develop and administer a state
  925  examination for an orthotist or a prosthetist license, or the
  926  board may approve the existing examination of a national
  927  standards organization. The examination must be predicated on a
  928  minimum of a baccalaureate-level education and formalized
  929  specialized training in the appropriate field. Each examination
  930  must demonstrate a minimum level of competence in basic
  931  scientific knowledge, written problem solving, and practical
  932  clinical patient management. The board shall require an
  933  examination fee not to exceed the actual cost to the board in
  934  developing, administering, and approving the examination, which
  935  fee must be paid by the applicant. To be considered by the board
  936  for examination, the applicant must have:
  937         (a) For an examination in orthotics:
  938         1. A Bachelor of Science or higher-level postgraduate
  939  degree in Orthotics and Prosthetics from a regionally accredited
  940  college or university recognized by the Commission on
  941  Accreditation of Allied Health Education Programs or, at a
  942  minimum, a bachelor’s degree from a regionally accredited
  943  college or university and a certificate in orthotics from a
  944  program recognized by the Commission on Accreditation of Allied
  945  Health Education Programs, or its equivalent, as determined by
  946  the board; and
  947         2. An approved orthotics internship of 1 year of qualified
  948  experience, as determined by the board, or an orthotic residency
  949  program or a dual residency program recognized by the board.
  950         (b) For an examination in prosthetics:
  951         1. A Bachelor of Science or higher-level postgraduate
  952  degree in Orthotics and Prosthetics from a regionally accredited
  953  college or university recognized by the Commission on
  954  Accreditation of Allied Health Education Programs or, at a
  955  minimum, a bachelor’s degree from a regionally accredited
  956  college or university and a certificate in prosthetics from a
  957  program recognized by the Commission on Accreditation of Allied
  958  Health Education Programs, or its equivalent, as determined by
  959  the board; and
  960         2. An approved prosthetics internship of 1 year of
  961  qualified experience, as determined by the board, or a
  962  prosthetic residency program or dual residency program
  963  recognized by the board.
  964         Section 31. Subsection (5) of section 480.033, Florida
  965  Statutes, is amended to read:
  966         480.033 Definitions.—As used in this act:
  967         (5) “Apprentice” means a person approved by the board to
  968  study colonic irrigation massage under the instruction of a
  969  licensed massage therapist practicing colonic irrigation.
  970         Section 32. Subsections (1) and (2) of section 480.041,
  971  Florida Statutes, are amended, and subsection (8) is added to
  972  that section, to read:
  973         480.041 Massage therapists; qualifications; licensure;
  974  endorsement.—
  975         (1) Any person is qualified for licensure as a massage
  976  therapist under this act who:
  977         (a) Is at least 18 years of age or has received a high
  978  school diploma or high school equivalency diploma;
  979         (b) Has completed a course of study at a board-approved
  980  massage school or has completed an apprenticeship program that
  981  meets standards adopted by the board; and
  982         (c) Has received a passing grade on a national an
  983  examination designated administered by the board department.
  984         (2) Every person desiring to be examined for licensure as a
  985  massage therapist shall apply to the department in writing upon
  986  forms prepared and furnished by the department. Such applicants
  987  shall be subject to the provisions of s. 480.046(1). Applicants
  988  may take an examination administered by the department only upon
  989  meeting the requirements of this section as determined by the
  990  board.
  991         (8)A person issued a license as a massage apprentice
  992  before July 1, 2018, may continue that apprenticeship and
  993  perform massage therapy as authorized under that license until
  994  its expiration. Upon completion of the apprenticeship, before
  995  July 1, 2021, a massage apprentice may apply to the board for
  996  full licensure and be granted a license if all other applicable
  997  licensure requirements are met.
  998         Section 33. Section 480.042, Florida Statutes, is repealed.
  999         Section 34. Subsection (3) of section 480.046, Florida
 1000  Statutes, is amended, and subsection (5) is added to that
 1001  section, to read:
 1002         480.046 Grounds for disciplinary action by the board.—
 1003         (3) The board may shall have the power to revoke or suspend
 1004  the license of a massage establishment licensed under this act,
 1005  or to deny subsequent licensure of such an establishment, if the
 1006  establishment is owned by an individual or entity who has had a
 1007  prior establishment license revoked, in any either of the
 1008  following cases:
 1009         (a) Upon proof that a license has been obtained by fraud or
 1010  misrepresentation.
 1011         (b) Upon proof that the holder of a license is guilty of
 1012  fraud or deceit or of gross negligence, incompetency, or
 1013  misconduct in the operation of the establishment so licensed.
 1014         (c)Upon proof that the owner of the massage establishment
 1015  or any individual or individuals providing massage therapy
 1016  services within the establishment, in the aggregate or
 1017  individually, have had three convictions of, or pleas of guilty
 1018  or nolo contendere to, or dismissals of a criminal action after
 1019  a successful completion of a pretrial intervention, diversion,
 1020  or substance abuse program for any misdemeanor or felony,
 1021  regardless of adjudication, a crime in any jurisdiction related
 1022  to prostitution and related acts as defined in s. 796.07, which
 1023  occurred at or within the establishment.
 1024         (5)An establishment may not apply for relicensure if
 1025  disciplined under this section unless there is a change in
 1026  ownership.
 1027         Section 35. Subsection (3) of section 490.003, Florida
 1028  Statutes, is amended to read:
 1029         490.003 Definitions.—As used in this chapter:
 1030         (3)(a)Prior to July 1, 1999, “doctoral-level psychological
 1031  education” and “doctoral degree in psychology” mean a Psy.D., an
 1032  Ed.D. in psychology, or a Ph.D. in psychology from:
 1033         1.An educational institution which, at the time the
 1034  applicant was enrolled and graduated, had institutional
 1035  accreditation from an agency recognized and approved by the
 1036  United States Department of Education or was recognized as a
 1037  member in good standing with the Association of Universities and
 1038  Colleges of Canada; and
 1039         2.A psychology program within that educational institution
 1040  which, at the time the applicant was enrolled and graduated, had
 1041  programmatic accreditation from an accrediting agency recognized
 1042  and approved by the United States Department of Education or was
 1043  comparable to such programs.
 1044         (b) Effective July 1, 1999, “doctoral-level psychological
 1045  education” and “doctoral degree in psychology” mean a Psy.D., an
 1046  Ed.D. in psychology, or a Ph.D. in psychology from:
 1047         (a)1. An educational institution that which, at the time
 1048  the applicant was enrolled and graduated, had institutional
 1049  accreditation from an agency recognized and approved by the
 1050  United States Department of Education or was recognized as a
 1051  member in good standing with the Association of Universities and
 1052  Colleges of Canada; and
 1053         (b)2. A psychology program within that educational
 1054  institution which, at the time the applicant was enrolled and
 1055  graduated, had programmatic accreditation from the American
 1056  Psychological Association an agency recognized and approved by
 1057  the United States Department of Education.
 1058         Section 36. Paragraph (b) of subsection (1) and paragraph
 1059  (b) of subsection (2) of section 490.005, Florida Statutes, are
 1060  amended to read:
 1061         490.005 Licensure by examination.—
 1062         (1) Any person desiring to be licensed as a psychologist
 1063  shall apply to the department to take the licensure examination.
 1064  The department shall license each applicant who the board
 1065  certifies has:
 1066         (b) Submitted proof satisfactory to the board that the
 1067  applicant has:
 1068         1. Received doctoral-level psychological education, as
 1069  defined in s. 490.003(3); or
 1070         2. Received the equivalent of a doctoral-level
 1071  psychological education, as defined in s. 490.003(3), from a
 1072  program at a school or university located outside the United
 1073  States of America and Canada, which was officially recognized by
 1074  the government of the country in which it is located as an
 1075  institution or program to train students to practice
 1076  professional psychology. The burden of establishing that the
 1077  requirements of this provision have been met shall be upon the
 1078  applicant;
 1079         3.Received and submitted to the board, prior to July 1,
 1080  1999, certification of an augmented doctoral-level psychological
 1081  education from the program director of a doctoral-level
 1082  psychology program accredited by a programmatic agency
 1083  recognized and approved by the United States Department of
 1084  Education; or
 1085         4.Received and submitted to the board, prior to August 31,
 1086  2001, certification of a doctoral-level program that at the time
 1087  the applicant was enrolled and graduated maintained a standard
 1088  of education and training comparable to the standard of training
 1089  of programs accredited by a programmatic agency recognized and
 1090  approved by the United States Department of Education. Such
 1091  certification of comparability shall be provided by the program
 1092  director of a doctoral-level psychology program accredited by a
 1093  programmatic agency recognized and approved by the United States
 1094  Department of Education.
 1095         (2) Any person desiring to be licensed as a school
 1096  psychologist shall apply to the department to take the licensure
 1097  examination. The department shall license each applicant who the
 1098  department certifies has:
 1099         (b) Submitted satisfactory proof to the department that the
 1100  applicant:
 1101         1. Has received a doctorate, specialist, or equivalent
 1102  degree from a program primarily psychological in nature and has
 1103  completed 60 semester hours or 90 quarter hours of graduate
 1104  study, in areas related to school psychology as defined by rule
 1105  of the department, from a college or university which at the
 1106  time the applicant was enrolled and graduated was accredited by
 1107  an accrediting agency recognized and approved by the Council for
 1108  Higher Education Accreditation, its successor, Commission on
 1109  Recognition of Postsecondary Accreditation or an institution
 1110  which is publicly recognized as a member in good standing with
 1111  the Association of Universities and Colleges of Canada.
 1112         2. Has had a minimum of 3 years of experience in school
 1113  psychology, 2 years of which must be supervised by an individual
 1114  who is a licensed school psychologist or who has otherwise
 1115  qualified as a school psychologist supervisor, by education and
 1116  experience, as set forth by rule of the department. A doctoral
 1117  internship may be applied toward the supervision requirement.
 1118         3. Has passed an examination provided by the department.
 1119         Section 37. Subsection (1) of section 490.006, Florida
 1120  Statutes, is amended to read:
 1121         490.006 Licensure by endorsement.—
 1122         (1) The department shall license a person as a psychologist
 1123  or school psychologist who, upon applying to the department and
 1124  remitting the appropriate fee, demonstrates to the department
 1125  or, in the case of psychologists, to the board that the
 1126  applicant:
 1127         (a)Holds a valid license or certificate in another state
 1128  to practice psychology or school psychology, as applicable,
 1129  provided that, when the applicant secured such license or
 1130  certificate, the requirements were substantially equivalent to
 1131  or more stringent than those set forth in this chapter at that
 1132  time; and, if no Florida law existed at that time, then the
 1133  requirements in the other state must have been substantially
 1134  equivalent to or more stringent than those set forth in this
 1135  chapter at the present time;
 1136         (a)(b) Is a diplomate in good standing with the American
 1137  Board of Professional Psychology, Inc.; or
 1138         (b)(c) Possesses a doctoral degree in psychology as
 1139  described in s. 490.003 and has at least 10 20 years of
 1140  experience as a licensed psychologist in any jurisdiction or
 1141  territory of the United States within 25 years preceding the
 1142  date of application.
 1143         Section 38. Subsection (6) of section 491.0045, Florida
 1144  Statutes, as amended by chapter 2016-80 and chapter 2016-241,
 1145  Laws of Florida, is amended to read:
 1146         491.0045 Intern registration; requirements.—
 1147         (6) A registration issued on or before March 31, 2017,
 1148  expires March 31, 2022, and may not be renewed or reissued. Any
 1149  registration issued after March 31, 2017, expires 60 months
 1150  after the date it is issued. The board may make a one-time
 1151  exception from the requirements of this section in emergency or
 1152  hardship cases, as defined by board rule, if A subsequent intern
 1153  registration may not be issued unless the candidate has passed
 1154  the theory and practice examination described in s.
 1155  491.005(1)(d), (3)(d), and (4)(d).
 1156         Section 39. Subsections (3) and (4) of section 491.005,
 1157  Florida Statutes, are amended to read:
 1158         491.005 Licensure by examination.—
 1159         (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of
 1160  documentation and payment of a fee not to exceed $200, as set by
 1161  board rule, plus the actual cost to the department for the
 1162  purchase of the examination from the Association of Marital and
 1163  Family Therapy Regulatory Board, or similar national
 1164  organization, the department shall issue a license as a marriage
 1165  and family therapist to an applicant who the board certifies:
 1166         (a) Has submitted an application and paid the appropriate
 1167  fee.
 1168         (b)1. Has a minimum of a master’s degree with major
 1169  emphasis in marriage and family therapy from a program
 1170  accredited by the Commission on Accreditation for Marriage and
 1171  Family Therapy Education or from a Florida university program
 1172  accredited by the Council for Accreditation of Counseling and
 1173  Related Educational Programs, or a closely related field, and
 1174  has completed graduate courses approved by the Board of Clinical
 1175  Social Work, Marriage and Family Therapy, and Mental Health
 1176  Counseling. has completed all of the following requirements:
 1177         a.Thirty-six semester hours or 48 quarter hours of
 1178  graduate coursework, which must include a minimum of 3 semester
 1179  hours or 4 quarter hours of graduate-level course credits in
 1180  each of the following nine areas: dynamics of marriage and
 1181  family systems; marriage therapy and counseling theory and
 1182  techniques; family therapy and counseling theory and techniques;
 1183  individual human development theories throughout the life cycle;
 1184  personality theory or general counseling theory and techniques;
 1185  psychopathology; human sexuality theory and counseling
 1186  techniques; psychosocial theory; and substance abuse theory and
 1187  counseling techniques. Courses in research, evaluation,
 1188  appraisal, assessment, or testing theories and procedures;
 1189  thesis or dissertation work; or practicums, internships, or
 1190  fieldwork may not be applied toward this requirement.
 1191         b.A minimum of one graduate-level course of 3 semester
 1192  hours or 4 quarter hours in legal, ethical, and professional
 1193  standards issues in the practice of marriage and family therapy
 1194  or a course determined by the board to be equivalent.
 1195         c.A minimum of one graduate-level course of 3 semester
 1196  hours or 4 quarter hours in diagnosis, appraisal, assessment,
 1197  and testing for individual or interpersonal disorder or
 1198  dysfunction; and a minimum of one 3-semester-hour or 4-quarter
 1199  hour graduate-level course in behavioral research which focuses
 1200  on the interpretation and application of research data as it
 1201  applies to clinical practice. Credit for thesis or dissertation
 1202  work, practicums, internships, or fieldwork may not be applied
 1203  toward this requirement.
 1204         d.A minimum of one supervised clinical practicum,
 1205  internship, or field experience in a marriage and family
 1206  counseling setting, during which the student provided 180 direct
 1207  client contact hours of marriage and family therapy services
 1208  under the supervision of an individual who met the requirements
 1209  for supervision under paragraph (c). This requirement may be met
 1210  by a supervised practice experience which took place outside the
 1211  academic arena, but which is certified as equivalent to a
 1212  graduate-level practicum or internship program which required a
 1213  minimum of 180 direct client contact hours of marriage and
 1214  family therapy services currently offered within an academic
 1215  program of a college or university accredited by an accrediting
 1216  agency approved by the United States Department of Education, or
 1217  an institution which is publicly recognized as a member in good
 1218  standing with the Association of Universities and Colleges of
 1219  Canada or a training institution accredited by the Commission on
 1220  Accreditation for Marriage and Family Therapy Education
 1221  recognized by the United States Department of Education.
 1222  Certification shall be required from an official of such
 1223  college, university, or training institution.
 1224         2. If the course title which appears on the applicant’s
 1225  transcript does not clearly identify the content of the
 1226  coursework, the applicant shall be required to provide
 1227  additional documentation, including, but not limited to, a
 1228  syllabus or catalog description published for the course.
 1229  
 1230  The required master’s degree must have been received in an
 1231  institution of higher education which at the time the applicant
 1232  graduated was: fully accredited by a regional accrediting body
 1233  recognized by the Commission on Recognition of Postsecondary
 1234  Accreditation; publicly recognized as a member in good standing
 1235  with the Association of Universities and Colleges of Canada; or
 1236  an institution of higher education located outside the United
 1237  States and Canada, which at the time the applicant was enrolled
 1238  and at the time the applicant graduated maintained a standard of
 1239  training substantially equivalent to the standards of training
 1240  of those institutions in the United States which are accredited
 1241  by a regional accrediting body recognized by the Commission on
 1242  Recognition of Postsecondary Accreditation. Such foreign
 1243  education and training must have been received in an institution
 1244  or program of higher education officially recognized by the
 1245  government of the country in which it is located as an
 1246  institution or program to train students to practice as
 1247  professional marriage and family therapists or psychotherapists.
 1248  The burden of establishing that the requirements of this
 1249  provision have been met shall be upon the applicant, and the
 1250  board shall require documentation, such as, but not limited to,
 1251  an evaluation by a foreign equivalency determination service, as
 1252  evidence that the applicant’s graduate degree program and
 1253  education were equivalent to an accredited program in this
 1254  country. An applicant with a master’s degree from a program
 1255  which did not emphasize marriage and family therapy may complete
 1256  the coursework requirement in a training institution fully
 1257  accredited by the Commission on Accreditation for Marriage and
 1258  Family Therapy Education recognized by the United States
 1259  Department of Education.
 1260         (c) Has had at least 2 years of clinical experience during
 1261  which 50 percent of the applicant’s clients were receiving
 1262  marriage and family therapy services, which must be at the post
 1263  master’s level under the supervision of a licensed marriage and
 1264  family therapist with at least 5 years of experience, or the
 1265  equivalent, who is a qualified supervisor as determined by the
 1266  board. An individual who intends to practice in Florida to
 1267  satisfy the clinical experience requirements must register
 1268  pursuant to s. 491.0045 before commencing practice. If a
 1269  graduate has a master’s degree with a major emphasis in marriage
 1270  and family therapy or a closely related field that did not
 1271  include all the coursework required under subparagraph (b)1.
 1272  sub-subparagraphs (b)1.a.-c., credit for the post-master’s level
 1273  clinical experience shall not commence until the applicant has
 1274  completed a minimum of 10 of the courses required under
 1275  subparagraph (b)1. sub-subparagraphs (b)1.a.-c., as determined
 1276  by the board, and at least 6 semester hours or 9 quarter hours
 1277  of the course credits must have been completed in the area of
 1278  marriage and family systems, theories, or techniques. Within the
 1279  2 3 years of required experience, the applicant shall provide
 1280  direct individual, group, or family therapy and counseling, to
 1281  include the following categories of cases: unmarried dyads,
 1282  married couples, separating and divorcing couples, and family
 1283  groups including children. A doctoral internship may be applied
 1284  toward the clinical experience requirement. A licensed mental
 1285  health professional must be on the premises when clinical
 1286  services are provided by a registered intern in a private
 1287  practice setting.
 1288         (d) Has passed a theory and practice examination provided
 1289  by the department for this purpose.
 1290         (e) Has demonstrated, in a manner designated by rule of the
 1291  board, knowledge of the laws and rules governing the practice of
 1292  clinical social work, marriage and family therapy, and mental
 1293  health counseling.
 1294         (f) For the purposes of dual licensure, the department
 1295  shall license as a marriage and family therapist any person who
 1296  meets the requirements of s. 491.0057. Fees for dual licensure
 1297  shall not exceed those stated in this subsection.
 1298         (4) MENTAL HEALTH COUNSELING.—Upon verification of
 1299  documentation and payment of a fee not to exceed $200, as set by
 1300  board rule, plus the actual per applicant cost to the department
 1301  for purchase of the examination from the National Board for
 1302  Certified Counselors or its successor Professional Examination
 1303  Service for the National Academy of Certified Clinical Mental
 1304  Health Counselors or a similar national organization, the
 1305  department shall issue a license as a mental health counselor to
 1306  an applicant who the board certifies:
 1307         (a) Has submitted an application and paid the appropriate
 1308  fee.
 1309         (b)1. Has a minimum of an earned master’s degree from a
 1310  mental health counseling program accredited by the Council for
 1311  the Accreditation of Counseling and Related Educational Programs
 1312  that consists of at least 60 semester hours or 80 quarter hours
 1313  of clinical and didactic instruction, including a course in
 1314  human sexuality and a course in substance abuse. If the master’s
 1315  degree is earned from a program related to the practice of
 1316  mental health counseling that is not accredited by the Council
 1317  for the Accreditation of Counseling and Related Educational
 1318  Programs, then the coursework and practicum, internship, or
 1319  fieldwork must consist of at least 60 semester hours or 80
 1320  quarter hours and meet the following requirements:
 1321         a. Thirty-three semester hours or 44 quarter hours of
 1322  graduate coursework, which must include a minimum of 3 semester
 1323  hours or 4 quarter hours of graduate-level coursework in each of
 1324  the following 11 content areas: counseling theories and
 1325  practice; human growth and development; diagnosis and treatment
 1326  of psychopathology; human sexuality; group theories and
 1327  practice; individual evaluation and assessment; career and
 1328  lifestyle assessment; research and program evaluation; social
 1329  and cultural foundations; counseling in community settings; and
 1330  substance abuse; and legal, ethical, and professional standards
 1331  issues in the practice of mental health counseling. Courses in
 1332  research, thesis or dissertation work, practicums, internships,
 1333  or fieldwork may not be applied toward this requirement.
 1334         b. A minimum of 3 semester hours or 4 quarter hours of
 1335  graduate-level coursework addressing diagnostic processes,
 1336  including differential diagnosis and the use of the current
 1337  diagnostic tools, such as the current edition of the American
 1338  Psychiatric Association’s Diagnostic and Statistical Manual of
 1339  Mental Disorders. The graduate program must have emphasized the
 1340  common core curricular experience in legal, ethical, and
 1341  professional standards issues in the practice of mental health
 1342  counseling, which includes goals, objectives, and practices of
 1343  professional counseling organizations, codes of ethics, legal
 1344  considerations, standards of preparation, certifications and
 1345  licensing, and the role identity and professional obligations of
 1346  mental health counselors. Courses in research, thesis or
 1347  dissertation work, practicums, internships, or fieldwork may not
 1348  be applied toward this requirement.
 1349         c. The equivalent, as determined by the board, of at least
 1350  700 1,000 hours of university-sponsored supervised clinical
 1351  practicum, internship, or field experience that includes at
 1352  least 280 hours of direct client services, as required in the
 1353  accrediting standards of the Council for Accreditation of
 1354  Counseling and Related Educational Programs for mental health
 1355  counseling programs. This experience may not be used to satisfy
 1356  the post-master’s clinical experience requirement.
 1357         2. If the course title which appears on the applicant’s
 1358  transcript does not clearly identify the content of the
 1359  coursework, the applicant shall be required to provide
 1360  additional documentation, including, but not limited to, a
 1361  syllabus or catalog description published for the course.
 1362  
 1363  Education and training in mental health counseling must have
 1364  been received in an institution of higher education which at the
 1365  time the applicant graduated was: fully accredited by a regional
 1366  accrediting body recognized by the Council for Higher Education
 1367  or its successor Commission on Recognition of Postsecondary
 1368  Accreditation; publicly recognized as a member in good standing
 1369  with the Association of Universities and Colleges of Canada; or
 1370  an institution of higher education located outside the United
 1371  States and Canada, which at the time the applicant was enrolled
 1372  and at the time the applicant graduated maintained a standard of
 1373  training substantially equivalent to the standards of training
 1374  of those institutions in the United States which are accredited
 1375  by a regional accrediting body recognized by the Council for
 1376  Higher Education or its successor Commission on Recognition of
 1377  Postsecondary Accreditation. Such foreign education and training
 1378  must have been received in an institution or program of higher
 1379  education officially recognized by the government of the country
 1380  in which it is located as an institution or program to train
 1381  students to practice as mental health counselors. The burden of
 1382  establishing that the requirements of this provision have been
 1383  met shall be upon the applicant, and the board shall require
 1384  documentation, such as, but not limited to, an evaluation by a
 1385  foreign equivalency determination service, as evidence that the
 1386  applicant’s graduate degree program and education were
 1387  equivalent to an accredited program in this country. Beginning
 1388  July 1, 2024, an applicant must have a master’s degree that is
 1389  accredited by the Council for Accreditation of Counseling and
 1390  Related Educational Programs which consists of at least 60
 1391  semester hours or 80 quarter hours to apply for licensure under
 1392  this paragraph.
 1393         (c) Has had at least 2 years of clinical experience in
 1394  mental health counseling, which must be at the post-master’s
 1395  level under the supervision of a licensed mental health
 1396  counselor or the equivalent who is a qualified supervisor as
 1397  determined by the board. An individual who intends to practice
 1398  in Florida to satisfy the clinical experience requirements must
 1399  register pursuant to s. 491.0045 before commencing practice. If
 1400  a graduate has a master’s degree with a major related to the
 1401  practice of mental health counseling that did not include all
 1402  the coursework required under sub-subparagraphs (b)1.a.-b.,
 1403  credit for the post-master’s level clinical experience shall not
 1404  commence until the applicant has completed a minimum of seven of
 1405  the courses required under sub-subparagraphs (b)1.a.-b., as
 1406  determined by the board, one of which must be a course in
 1407  psychopathology or abnormal psychology. A doctoral internship
 1408  may be applied toward the clinical experience requirement. A
 1409  licensed mental health professional must be on the premises when
 1410  clinical services are provided by a registered intern in a
 1411  private practice setting.
 1412         (d) Has passed a theory and practice examination provided
 1413  by the department for this purpose.
 1414         (e) Has demonstrated, in a manner designated by rule of the
 1415  board, knowledge of the laws and rules governing the practice of
 1416  clinical social work, marriage and family therapy, and mental
 1417  health counseling.
 1418         Section 40. Paragraph (b) of subsection (1) of section
 1419  491.006, Florida Statutes, is amended to read:
 1420         491.006 Licensure or certification by endorsement.—
 1421         (1) The department shall license or grant a certificate to
 1422  a person in a profession regulated by this chapter who, upon
 1423  applying to the department and remitting the appropriate fee,
 1424  demonstrates to the board that he or she:
 1425         (b)1. Holds an active valid license to practice and has
 1426  actively practiced the profession for which licensure is applied
 1427  in another state for 3 of the last 5 years immediately preceding
 1428  licensure.
 1429         2.Meets the education requirements of this chapter for the
 1430  profession for which licensure is applied.
 1431         2.3. Has passed a substantially equivalent licensing
 1432  examination in another state or has passed the licensure
 1433  examination in this state in the profession for which the
 1434  applicant seeks licensure.
 1435         3.4. Holds a license in good standing, is not under
 1436  investigation for an act that would constitute a violation of
 1437  this chapter, and has not been found to have committed any act
 1438  that would constitute a violation of this chapter. The fees paid
 1439  by any applicant for certification as a master social worker
 1440  under this section are nonrefundable.
 1441         Section 41. Subsection (3) of section 491.007, Florida
 1442  Statutes, is amended to read:
 1443         491.007 Renewal of license, registration, or certificate.—
 1444         (3)The board or department shall prescribe by rule a
 1445  method for the biennial renewal of an intern registration at a
 1446  fee set by rule, not to exceed $100.
 1447         Section 42. Subsection (2) of section 491.009, Florida
 1448  Statutes, is amended to read:
 1449         491.009 Discipline.—
 1450         (2) The board department, or, in the case of certified
 1451  master social workers psychologists, the department board, may
 1452  enter an order denying licensure or imposing any of the
 1453  penalties in s. 456.072(2) against any applicant for licensure
 1454  or licensee who is found guilty of violating any provision of
 1455  subsection (1) of this section or who is found guilty of
 1456  violating any provision of s. 456.072(1).
 1457         Section 43. Subsection (3) of section 463.0057, Florida
 1458  Statutes, is amended to read:
 1459         463.0057 Optometric faculty certificate.—
 1460         (3) The holder of a faculty certificate may engage in the
 1461  practice of optometry as permitted by this section but may not
 1462  administer or prescribe topical ocular pharmaceutical agents
 1463  unless the certificateholder has satisfied the requirements of
 1464  s. 463.006(1)(b)3. and 4. s. 463.006(1)(b)4. and 5. If a
 1465  certificateholder wishes to administer or prescribe oral ocular
 1466  pharmaceutical agents, the certificateholder must also satisfy
 1467  the requirements of s. 463.0055(1)(b).
 1468         Section 44. Paragraph (c) of subsection (2) of section
 1469  491.0046, Florida Statutes, is amended to read:
 1470         491.0046 Provisional license; requirements.—
 1471         (2) The department shall issue a provisional clinical
 1472  social worker license, provisional marriage and family therapist
 1473  license, or provisional mental health counselor license to each
 1474  applicant who the board certifies has:
 1475         (c) Has met the following minimum coursework requirements:
 1476         1. For clinical social work, a minimum of 15 semester hours
 1477  or 22 quarter hours of the coursework required by s.
 1478  491.005(1)(b)2.b.
 1479         2. For marriage and family therapy, 10 of the courses
 1480  required by s. 491.005(3)(b)1. s. 491.005(3)(b)1.a.-c., as
 1481  determined by the board, and at least 6 semester hours or 9
 1482  quarter hours of the course credits must have been completed in
 1483  the area of marriage and family systems, theories, or
 1484  techniques.
 1485         3. For mental health counseling, a minimum of seven of the
 1486  courses required under s. 491.005(4)(b)1.a.-c.
 1487         Section 45. Subsection (11) of section 945.42, Florida
 1488  Statutes, is amended to read:
 1489         945.42 Definitions; ss. 945.40-945.49.—As used in ss.
 1490  945.40-945.49, the following terms shall have the meanings
 1491  ascribed to them, unless the context shall clearly indicate
 1492  otherwise:
 1493         (11) “Psychological professional” means a behavioral
 1494  practitioner who has an approved doctoral degree in psychology
 1495  as defined in s. 490.003(3) s. 490.003(3)(b) and is employed by
 1496  the department or who is licensed as a psychologist pursuant to
 1497  chapter 490.
 1498         Section 46. This act shall take effect July 1, 2018.
 1499  
 1500  ================= T I T L E  A M E N D M E N T ================
 1501  And the title is amended as follows:
 1502         Delete everything before the enacting clause
 1503  and insert:
 1504                        A bill to be entitled                      
 1505         An act relating to the Department of Health; amending
 1506         s. 381.4018, F.S.; requiring the department to adopt
 1507         any rules necessary to implement a specified federal
 1508         program to further encourage qualified physicians to
 1509         relocate to and practice in underserved areas;
 1510         amending s. 456.013, F.S.; revising health care
 1511         practitioner licensure application requirements;
 1512         amending s. 456.024, F.S.; revising health care
 1513         practitioner licensure eligibility for certain members
 1514         of the armed forces and their spouses to include
 1515         licensed dentists; removing a provision requiring a
 1516         certain applicant issued a temporary professional
 1517         license to practice as a dentist to practice under
 1518         supervision; amending s. 458.309, F.S.; deleting a
 1519         provision requiring certain physicians to register an
 1520         office with the department; removing departmental
 1521         responsibilities; amending s. 458.3312, F.S.; removing
 1522         a provision prohibiting a physician from holding
 1523         himself or herself out as a board-certified specialist
 1524         in dermatology unless the recognizing agency is
 1525         reviewed and reauthorized on a specified basis by the
 1526         Board of Medicine; amending ss. 458.347 and 459.022,
 1527         F.S.; revising provisions requiring employed physician
 1528         assistants to provide and report certain information
 1529         to the department; revising requirements relating to
 1530         designated supervising physicians; amending s.
 1531         460.408, F.S.; defining the term “contact classroom
 1532         hour”; revising provisions relating to continuing
 1533         chiropractic education requirements; repealing s.
 1534         460.4166, F.S., relating to registered chiropractic
 1535         assistants; amending s. 463.006, F.S.; revising
 1536         examination requirements for the licensure and
 1537         certification of optometrists; creating s. 463.0061,
 1538         F.S.; authorizing licensure of optometrists by
 1539         endorsement and providing requirements therefor;
 1540         defining the term “active licensed practice of
 1541         optometry”; amending s. 464.006, F.S.; authorizing the
 1542         Board of Nursing to establish certain standards of
 1543         care; amending s. 464.202, F.S.; requiring the board
 1544         to adopt by rule discipline and standards of care for
 1545         certified nursing assistants; amending s. 464.203,
 1546         F.S.; revising certification requirements for nursing
 1547         assistants; amending s. 464.204, F.S.; revising
 1548         grounds for board-imposed disciplinary sanctions;
 1549         amending s. 465.019, F.S.; requiring an institutional
 1550         pharmacy to pass an onsite inspection by the
 1551         department within a specified time before the issuance
 1552         of an initial permit or a permit for change of
 1553         location; amending s. 465.0193, F.S.; requiring a
 1554         nuclear pharmacy to pass an onsite inspection by the
 1555         department within a specified time before issuance of
 1556         an initial permit or a permit for change of location;
 1557         creating s. 465.0195, F.S.; requiring certain
 1558         pharmacies and outsourcing facilities located in this
 1559         state to obtain a permit in order to create, ship,
 1560         mail, deliver, or dispense compounded sterile
 1561         products; providing application requirements;
 1562         providing inspection requirements; providing permit
 1563         requirements; authorizing the Board of Pharmacy to
 1564         adopt certain rules; providing applicability; amending
 1565         s. 465.0196, F.S.; requiring a special pharmacy to
 1566         pass an onsite inspection by the department within a
 1567         specified time before the issuance of an initial
 1568         permit or a permit for change of location; amending s.
 1569         465.0197, F.S.; requiring an Internet pharmacy to pass
 1570         an onsite inspection by the department within a
 1571         specified time before the issuance of an initial
 1572         permit or a permit for change of location; amending s.
 1573         466.006, F.S.; revising certain requirements for
 1574         examinations to be completed by applicants seeking
 1575         dental licensure; amending s. 466.007, F.S.; revising
 1576         requirements for examinations of dental hygienists;
 1577         amending s. 466.017, F.S.; providing adverse incident
 1578         reporting requirements; defining the term “adverse
 1579         incident”; providing for disciplinary action by the
 1580         Board of Dentistry; authorizing the board to adopt
 1581         rules; amending s. 466.031, F.S.; expanding the
 1582         definition of the term “dental laboratory” to include
 1583         any person who performs an onsite consultation during
 1584         dental procedures; amending s. 466.036, F.S.;
 1585         requiring the periodic inspection of dental
 1586         laboratories at least once during a specified period;
 1587         amending s. 468.701, F.S.; revising a definition;
 1588         amending s. 468.707, F.S.; revising athletic trainer
 1589         licensure requirements; amending s. 468.711, F.S.;
 1590         revising requirements for the renewal of a license
 1591         relating to continuing education; amending s. 468.723,
 1592         F.S.; revising a definition; amending s. 468.803,
 1593         F.S.; revising orthotic, prosthetic, and pedorthic
 1594         licensure, registration, and examination requirements;
 1595         amending s. 480.033, F.S.; revising a definition;
 1596         amending s. 480.041, F.S.; revising qualifications for
 1597         licensure as a massage therapist; specifying that a
 1598         massage apprentice who was licensed before a specified
 1599         date may continue to perform massage therapy as
 1600         authorized under his or her license; authorizing a
 1601         massage apprentice to apply for full licensure upon
 1602         completion of the apprenticeship under certain
 1603         conditions; repealing s. 480.042, F.S., relating to
 1604         examinations; amending s. 480.046, F.S.; revising
 1605         instances under which disciplinary action may be taken
 1606         against massage establishments; prohibiting a certain
 1607         disciplined massage establishment from applying for
 1608         relicensure; providing an exception; amending s.
 1609         490.003, F.S.; revising definitions; amending s.
 1610         490.005, F.S.; revising examination requirements for
 1611         licensure of a psychologist; amending s. 490.006,
 1612         F.S.; revising requirements for licensure by
 1613         endorsement of certain psychologists; amending s.
 1614         491.0045, F.S.; providing an exemption for intern
 1615         registration requirements under certain circumstances;
 1616         amending s. 491.005, F.S.; revising education
 1617         requirements for the licensure of marriage and family
 1618         therapists; revising examination requirements for the
 1619         licensure of mental health counselors; amending s.
 1620         491.006, F.S.; revising requirements for licensure or
 1621         certification by endorsement for certain professions;
 1622         amending s. 491.007, F.S.; removing a biennial intern
 1623         registration fee; amending s. 491.009, F.S.;
 1624         authorizing the Board of Clinical Social Work,
 1625         Marriage and Family Therapy, and Mental Health
 1626         Counseling, or the department under certain
 1627         circumstances, to enter an order denying licensure or
 1628         imposing penalties against an applicant for licensure
 1629         under certain circumstances; providing penalties;
 1630         amending ss. 463.0057, 491.0046, and 945.42, F.S.;
 1631         conforming provisions to changes made by the act;
 1632         providing an effective date.