Florida Senate - 2019                                    SB 1078
       By Senator Brandes
       24-01301-19                                           20191078__
    1                        A bill to be entitled                      
    2         An act relating to chiropractic medicine; amending s.
    3         460.403, F.S.; authorizing chiropractic physicians who
    4         have completed specified training to administer
    5         articles of natural origin; authorizing licensed
    6         pharmacists to fill such chiropractors’ orders for
    7         articles of natural origin; amending s. 460.408, F.S.;
    8         defining the term “contact classroom”; revising
    9         provisions relating to continuing chiropractic
   10         education requirements to authorize specified
   11         continuing education hours to be completed online;
   12         providing requirements for such online chiropractic
   13         education courses; repealing s. 460.4166, F.S.,
   14         relating to registered chiropractic assistants;
   15         providing an effective date.
   17  Be It Enacted by the Legislature of the State of Florida:
   19         Section 1. Paragraph (c) of subsection (9) of section
   20  460.403, Florida Statutes, is amended to read:
   21         460.403 Definitions.—As used in this chapter, the term:
   22         (9)(c)1. Chiropractic physicians may adjust, manipulate, or
   23  treat the human body by manual, mechanical, electrical, or
   24  natural methods; by the use of physical means or physiotherapy,
   25  including light, heat, water, or exercise; by the use of
   26  acupuncture; or by the administration of foods, food
   27  concentrates, food extracts, and items for which a prescription
   28  is not required and may apply first aid and hygiene, but
   29  chiropractic physicians are expressly prohibited from
   30  prescribing or administering to any person any legend drug
   31  except as authorized under subparagraphs 2. and 3. subparagraph
   32  2., from performing any surgery except as stated herein, or from
   33  practicing obstetrics.
   34         2. Notwithstanding the prohibition against prescribing and
   35  administering legend drugs under subparagraph 1. or s.
   36  499.83(2)(c), pursuant to board rule chiropractic physicians may
   37  order, store, and administer, for emergency purposes only at the
   38  chiropractic physician’s office or place of business,
   39  prescription medical oxygen and may also order, store, and
   40  administer the following topical anesthetics in aerosol form:
   41         a. Any solution consisting of 25 percent ethylchloride and
   42  75 percent dichlorodifluoromethane.
   43         b. Any solution consisting of 15 percent
   44  dichlorodifluoromethane and 85 percent
   45  trichloromonofluoromethane.
   46         3. Notwithstanding the prohibition against prescribing and
   47  administering legend drugs under subparagraph 1., chiropractic
   48  physicians who have completed a minimum 36-hour training course
   49  may order, store, possess, prescribe, and administer articles of
   50  natural origin, including vitamins, minerals, amino acids, fatty
   51  acids, hyaluronic acid, enzymes, saline, anti-oxidants,
   52  dextrose, glandulars, cellular components, extracts, water,
   53  botanicals, phytonutrients, and homeopathics, and may administer
   54  medical oxygen. Pharmacists licensed under chapter 465 may fill
   55  the orders of chiropractic physicians authorized to prescribe
   56  and administer articles of natural origin necessary for the
   57  practice of chiropractic medicine.
   59  However, this paragraph does not authorize a chiropractic
   60  physician to prescribe medical oxygen as defined in chapter 499.
   61         Section 2. Subsection (1) of section 460.408, Florida
   62  Statutes, is amended to read:
   63         460.408 Continuing chiropractic education.—
   64         (1) The board shall require licensees to periodically
   65  demonstrate their professional competence as a condition of
   66  renewal of a license by completing up to 40 contact classroom
   67  hours of continuing education.
   68         (a) Continuing education courses sponsored by chiropractic
   69  colleges whose graduates are eligible for examination under any
   70  provision of this chapter may be approved upon review by the
   71  board if all other requirements of board rules setting forth
   72  criteria for course approval are met.
   73         (b) The board shall approve those courses that build upon
   74  the basic courses required for the practice of chiropractic
   75  medicine, and the board may also approve courses in adjunctive
   76  modalities. Courses that consist of instruction in the use,
   77  application, prescription, recommendation, or administration of
   78  a specific company’s brand of products or services are not
   79  eligible for approval.
   80         (c) For purposes of this subsection, the term “contact
   81  classroom” means a presentation in which the persons presenting
   82  and the persons attending the course are present on site. Up to
   83  10 general credit continuing education hours may be completed
   84  online in place of contact classroom hours, as determined by
   85  board rule. Online continuing education courses must be
   86  competency-based and must incorporate the Shareable Content
   87  Object Reference Model standards for web-based e-learning or
   88  more stringent standards, as determined by the board.
   89         Section 3. Section 460.4166, Florida Statutes, is repealed.
   90         Section 4. This act shall take effect July 1, 2019.