Florida Senate - 2019 COMMITTEE AMENDMENT
Bill No. SB 1242
Ì768906HÎ768906
LEGISLATIVE ACTION
Senate . House
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The Committee on Health Policy (Rouson) recommended the
following:
1 Senate Amendment to Amendment (886046)
2
3 Delete lines 10 - 247
4 and insert:
5 school, college, or program accredited by a programmatic
6 accrediting agency recognized by the United States Department of
7 Education or the Council for Higher Education Accreditation the
8 Council on Chiropractic Education and participating in either:
9 (a) A community-based internship under the direct
10 supervision of a doctor of chiropractic medicine who is
11 credentialed as an adjunct faculty member of a chiropractic
12 college in which the student is enrolled; or
13 (b) A chiropractic college clinical internship under the
14 direct supervision of a doctor of chiropractic medicine who is a
15 full-time, part-time, or adjunct faculty member of a
16 chiropractic college located in this state and accredited by a
17 programmatic accrediting agency recognized by the United States
18 Department of Education or the Council for Higher Education
19 Accreditation the Council on Chiropractic Education and who
20 holds a current, active Florida chiropractor’s license.
21 Section 2. Subsection (4) and paragraph (a) of subsection
22 (9) of section 460.403, Florida Statutes, are amended to read:
23 460.403 Definitions.—As used in this chapter, the term:
24 (4)(a) “Community-based internship” means a program in
25 which a student enrolled in the last year of a chiropractic
26 college accredited by a programmatic accrediting agency
27 recognized by the United States Department of Education or the
28 Council for Higher Education Accreditation the Council on
29 Chiropractic Education is approved to obtain required
30 pregraduation clinical experience in a chiropractic clinic or
31 practice under the direct supervision of a doctor of
32 chiropractic medicine approved as an adjunct faculty member of
33 the chiropractic college in which the student is enrolled,
34 according to the teaching protocols for the clinical practice
35 requirements of the college.
36 (b) “Chiropractic college clinical internship” means a
37 program in which a student enrolled in a chiropractic college
38 located in this state and accredited by a programmatic
39 accrediting agency recognized by the United States Department of
40 Education or the Council for Higher Education Accreditation the
41 Council on Chiropractic Education obtains clinical experience
42 pursuant to the chiropractic college’s curriculum in a classroom
43 or chiropractic clinic operated by the chiropractic college,
44 according to the teaching protocols for the clinical practice
45 requirements of the college.
46 (9)(a) “Practice of chiropractic medicine” means a
47 noncombative principle and practice consisting of the science,
48 philosophy, and art of the adjustment, manipulation, and
49 treatment of the human body in which vertebral subluxations and
50 other malpositioned articulations and structures that are
51 interfering with the normal generation, transmission, and
52 expression of nerve impulse between the brain, organs, and
53 tissue cells of the body, thereby causing disease, are adjusted,
54 manipulated, or treated, thus restoring the normal flow of nerve
55 impulse which produces normal function and consequent health by
56 chiropractic physicians using specific chiropractic adjustment
57 or manipulation techniques taught in chiropractic colleges
58 accredited by a programmatic accrediting agency recognized by
59 the United States Department of Education or the Council for
60 Higher Education Accreditation the Council on Chiropractic
61 Education. No person other than a licensed chiropractic
62 physician may render chiropractic services, chiropractic
63 adjustments, or chiropractic manipulations.
64 Section 3. Subsections (1) and (5) of section 460.406,
65 Florida Statutes, are amended to read:
66 460.406 Licensure by examination.—
67 (1) Any person desiring to be licensed as a chiropractic
68 physician must apply to the department to take the licensure
69 examination. There shall be an application fee set by the board
70 not to exceed $100 which shall be nonrefundable. There shall
71 also be an examination fee not to exceed $500 plus the actual
72 per applicant cost to the department for purchase of portions of
73 the examination from the National Board of Chiropractic
74 Examiners or a similar national organization, which may be
75 refundable if the applicant is found ineligible to take the
76 examination. The department shall examine each applicant who the
77 board certifies has:
78 (a) Completed the application form and remitted the
79 appropriate fee.
80 (b) Submitted proof satisfactory to the department that he
81 or she is not less than 18 years of age.
82 (c) Submitted proof satisfactory to the department that he
83 or she is a graduate of a chiropractic college which is
84 accredited by a programmatic accrediting agency recognized by
85 the United States Department of Education or the Council for
86 Higher Education Accreditation or has status with the Council on
87 Chiropractic Education or its predecessor agency. However, any
88 applicant who is a graduate of a chiropractic college that was
89 initially accredited by the Council on Chiropractic Education in
90 1995, who graduated from such college within the 4 years
91 immediately preceding such accreditation, and who is otherwise
92 qualified shall be eligible to take the examination. No
93 application for a license to practice chiropractic medicine
94 shall be denied solely because the applicant is a graduate of a
95 chiropractic college that subscribes to one philosophy of
96 chiropractic medicine as distinguished from another.
97 (d)1. For an applicant who has matriculated in a
98 chiropractic college before prior to July 2, 1990, completed at
99 least 2 years of residence college work, consisting of a minimum
100 of one-half the work acceptable for a bachelor’s degree granted
101 on the basis of a 4-year period of study, in a college or
102 university accredited by a programmatic an accrediting agency
103 recognized and approved by the United States Department of
104 Education. However, before prior to being certified by the board
105 to sit for the examination, each applicant who has matriculated
106 in a chiropractic college after July 1, 1990, shall have been
107 granted a bachelor’s degree, based upon 4 academic years of
108 study, by a college or university accredited by a regional
109 accrediting agency which is a member of the Commission on
110 Recognition of Postsecondary Accreditation.
111 2. Effective July 1, 2000, completed, before prior to
112 matriculation in a chiropractic college, at least 3 years of
113 residence college work, consisting of a minimum of 90 semester
114 hours leading to a bachelor’s degree in a liberal arts college
115 or university accredited by a programmatic an accrediting agency
116 recognized and approved by the United States Department of
117 Education. However, before prior to being certified by the board
118 to sit for the examination, each applicant who has matriculated
119 in a chiropractic college after July 1, 2000, shall have been
120 granted a bachelor’s degree from an institution holding
121 accreditation for that degree from a regional accrediting agency
122 which is recognized by the United States Department of
123 Education. The applicant’s chiropractic degree must consist of
124 credits earned in the chiropractic program and may not include
125 academic credit for courses from the bachelor’s degree.
126 (e) Successfully completed the National Board of
127 Chiropractic Examiners certification examination in parts I, II,
128 III, and IV, and the physiotherapy examination of the National
129 Board of Chiropractic Examiners, with a score approved by the
130 board.
131 (f) Submitted to the department a set of fingerprints on a
132 form and under procedures specified by the department, along
133 with payment in an amount equal to the costs incurred by the
134 Department of Health for the criminal background check of the
135 applicant.
136
137 The board may require an applicant who graduated from an
138 institution accredited by the Council on Chiropractic Education
139 more than 10 years before the date of application to the board
140 to take the National Board of Chiropractic Examiners Special
141 Purposes Examination for Chiropractic, or its equivalent, as
142 determined by the board. The board shall establish by rule a
143 passing score.
144 (5) A student in a school or college of chiropractic
145 accredited by a programmatic accrediting agency recognized by
146 the United States Department of Education or the Council for
147 Higher Education Accreditation the Council on Chiropractic
148 Education or its successor in the final year of the program may
149 file an application pursuant to subsection (1), take all
150 examinations required for licensure, and submit a set of
151 fingerprints, and pay all fees required for licensure. A
152 chiropractic student who successfully completes the licensure
153 examinations and who otherwise meets all requirements for
154 licensure as a chiropractic physician during the student’s final
155 year must have graduated before being certified for licensure
156 pursuant to this section.
157 Section 4. Subsection (1) of section 460.4062, Florida
158 Statutes, are amended to read:
159 460.4062 Chiropractic medicine faculty certificate.—
160 (1) The department may issue a chiropractic medicine
161 faculty certificate without examination to an individual who
162 remits a nonrefundable application fee, not to exceed $100 as
163 determined by rule of the board, and who demonstrates to the
164 board that he or she meets the following requirements:
165 (a) Is a graduate of a an accredited school or college of
166 chiropractic accredited by a programmatic accrediting agency
167 recognized by the United States Department of Education or the
168 Council for Higher Education Accreditation the Council on
169 Chiropractic Education.
170 (b) Holds a valid current license to practice chiropractic
171 medicine in another jurisdiction in the United States.
172 (c) Is at least 21 years of age and of good moral
173 character.
174 (d) Has not committed any act or offense in any
175 jurisdiction which would constitute the basis for discipline
176 under this chapter or chapter 456.
177 (e)1. Performs research or has been offered and has
178 accepted a full-time or part-time faculty appointment to teach
179 in a program of chiropractic medicine at a publicly funded state
180 university or college or at a college of chiropractic located in
181 the state and accredited by a programmatic accrediting agency
182 recognized by the United States Secretary of Education or the
183 Council for Higher Education Accreditation the Council on
184 Chiropractic Education; and
185 2. Provides a certification from the dean of the appointing
186 college acknowledging the appointment.
187 Section 5. Paragraph (a) of subsection (1) of section
188 460.4061, Florida Statutes, is amended to read:
189 460.4061 Restricted license.—
190 (1) An applicant for licensure as a chiropractic physician
191 may apply to the department for a restricted license without
192 undergoing a state or national written or clinical competency
193 examination for licensure if the applicant initially applies not
194 later than October 31, 1994, for the restricted license and:
195 (a) Holds a degree from a college of chiropractic
196 accredited by a programmatic accrediting agency recognized by
197 the United States Secretary of Education or the Council for
198 Higher Education Accreditation the Council on Chiropractic
199 Education or its predecessor agency and holds a bachelor’s
200 degree.
201 Section 6. Paragraph (b) of subsection (13) of section
202 460.4165, Florida Statutes, is amended to read:
203 460.4165 Certified chiropractic physician’s assistants.—
204 (13) CERTIFIED CHIROPRACTIC ASSISTANT CERTIFICATION
205 RENEWAL.—The certification must be renewed biennially.
206 (b) Each certified chiropractic physician’s assistant shall
207 biennially complete 24 hours of continuing education courses
208 approved by the board and sponsored by a programmatic
209 accrediting agency recognized by the United States Department of
210 Education or the Council for Higher Education Accreditation
211 chiropractic colleges accredited by the Council on Chiropractic
212 Education and approved by the board. The board shall approve
213 those courses that build upon the basic courses required for the
214 practice of chiropractic medicine, and the board may also
215 approve courses in adjunctive modalities. The board may make
216 exception from the requirements of this section in emergency or
217 hardship cases. The board may adopt rules within the
218 requirements of this section which are necessary for its
219 implementation.
220 Section 7. Paragraph (d) of subsection (1) of section
221 460.4167, Florida Statutes, is amended to read:
222 460.4167 Proprietorship by persons other than licensed
223 chiropractic physicians.—
224 (1) A person may not employ a chiropractic physician
225 licensed under this chapter or engage a chiropractic physician
226 licensed under this chapter as an independent contractor to
227 provide services that chiropractic physicians are authorized to
228 offer under this chapter, unless the person is any of the
229 following:
230 (d) A clinical facility that is affiliated with a college
231 of chiropractic accredited by a programmatic accrediting agency
232 recognized by the United States Department of Education or the
233 Council for Higher Education Accreditation the Council on
234 Chiropractic Education at which training is provided for
235 chiropractic students.
236 Section 8. Paragraph (j) of subsection (4) of section
237 400.9905, Florida Statutes, is amended to read:
238 400.9905 Definitions.—
239 (4) “Clinic” means an entity where health care services are
240 provided to individuals and which tenders charges for
241 reimbursement for such services, including a mobile clinic and a
242 portable equipment provider. As used in this part, the term does
243 not include and the licensure requirements of this part do not
244 apply to:
245 (j) Clinical facilities affiliated with a college of
246 chiropractic accredited by a programmatic accrediting agency
247 recognized by