Florida Senate - 2020 COMMITTEE AMENDMENT Bill No. CS for SB 1676 Ì745926EÎ745926 LEGISLATIVE ACTION Senate . House Comm: RCS . 02/19/2020 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— Appropriations Subcommittee on Health and Human Services (Harrell) recommended the following: 1 Senate Amendment to Amendment (899862) (with title 2 amendment) 3 4 Delete lines 185 - 192 5 and insert: 6 (4) PRIMARY CARE CERTIFICATION EXAMINATION.— 7 (a) The department, in conjunction with one or more third 8 party credentialing entities, shall develop a primary care 9 certification examination for advanced practice registered 10 nurses seeking registration with the Board of Medicine as APRN 11 IPs. For purposes of this subsection, “third-party credentialing 12 entity” means a department-approved independent organization 13 that has met nationally recognized standards for developing and 14 administering professional certification examinations and 15 psychometric services. 16 (b) The department shall approve at least one third-party 17 credentialing entity for the purpose of developing and 18 administering a primary care competency-based certification 19 examination. A third-party credentialing entity shall request 20 approval in writing from the department on forms developed by 21 the department. Within 90 days after the deadline that is 22 established for receiving documentation from third-party 23 credentialing entities seeking approval, the department must 24 approve a third-party credentialing entity that demonstrates, to 25 the department’s satisfaction, that it is capable of complying 26 with the requirements of this subsection. An approved third 27 party credentialing entity must: 28 1. Maintain an advisory committee of at least six members, 29 including three representatives from the Board of Medicine and 30 three representatives from the Board of Osteopathic Medicine, 31 who shall each be appointed by the respective board chairs. The 32 third-party credentialing entity may appoint additional members 33 to the advisory committee with approval of the department. 34 2. Use the core competencies approved by the Board of 35 Medicine and the Board of Osteopathic Medicine to establish 36 certification standards, testing instruments, and 37 recertification standards according to national psychometric 38 standards. 39 3. Establish a process to administer the certification 40 application, testing, award, and maintenance processes according 41 to national psychometric standards. 42 4. Demonstrate the ability to administer biennial 43 continuing education and certification renewal requirements for 44 APRN-IPs. 45 5. Demonstrate the ability to administer an education 46 provider program to approve qualified training entities and to 47 provide precertification training to advanced practice 48 registered nurses and continuing education opportunities to 49 APRN-IPs. 50 (c) The Board of Medicine and the Board of Osteopathic 51 Medicine shall approve the core competencies and related 52 preservice curricula that ensure that each advanced practice 53 registered nurse registered as an APRN-IP who will be providing 54 primary medical care, treatment, and services to persons in 55 primary care health professional shortage areas has obtained the 56 knowledge, skills, and abilities to competently carry out 57 primary medical care, treatment, and services. The department 58 may contract for the delivery of preservice or any additional 59 education or training for APRN-IPs to provide primary medical 60 care, treatment, and services to persons in primary care health 61 professional shortage areas if the curriculum satisfies the 62 boards’ approved core competencies. 63 (d) The department may adopt rules necessary to implement 64 this subsection. 65 (5) REGISTRATION.—To be registered as an APRN-IP, an 66 advanced practice registered nurse must apply to the department 67 on forms developed by the department. The council shall review 68 the application and recommend to the department the registration 69 of the advanced practice registered nurse with the Board of 70 Medicine as an APRN-IP if the applicant submits proof that he or 71 she holds an unrestricted license issued under s. 464.012 and 72 provides all of the following information: 73 (a) Documentation of a passing score on the primary care 74 certification examination described in subsection (4). 75 76 ================= T I T L E A M E N D M E N T ================ 77 And the title is amended as follows: 78 Between lines 1203 and 1204 79 insert: 80 requiring the department, in conjunction with third 81 party credentialing entities, to develop a primary 82 care certification examination for advanced practice 83 registered nurses seeking registration as APRN-IPs; 84 defining the term “third-party credentialing entity”; 85 requiring the department to approve one or more third 86 party credentialing entities to develop and administer 87 the examination; requiring the department to act on 88 requests for approvals from third-party credentialing 89 entities within a specified timeframe; specifying 90 requirements for approved third-party credentialing 91 entities; requiring the Board of Medicine and the 92 Board of Osteopathic Medicine to approve certain core 93 competencies and related preservice curricula for a 94 specified purpose; authorizing the department to 95 contract for the delivery of specified education or 96 training under certain circumstances; authorizing the 97 department to adopt rules;