CS/CS/HB 7053: Direct Care
GENERAL BILL by Health and Human Services Committee ; Health Care Appropriations Subcommittee ; Health Market Reform Subcommittee ; Tomkow ; Pigman ; (CO-INTRODUCERS) Daniels ; Roth
Direct Care; Authorizes certified nursing assistants & home health aides to perform tasks delegated by registered nurses under certain conditions; requires entities that authorize such delegation to ensure certain requirements are met; authorizes autonomous practice for specified health care practitioners; requires Board of Health or DOH to register physician assistant or advanced practice registered nurse if applicant meets criteria; authorizes such autonomous health care practitioners to perform specified acts without physician supervision or supervisory protocol; provides appropriations & authorizes positions. APPROPRIATION: $789,297
Effective Date: 7/1/2020
Last Action: 3/14/2020 Senate - Died in Appropriations, companion bill(s) passed, see CS/CS/HB 607 (Ch. 2020-9), CS/CS/CS/HB 713 (Ch. 2020-133), CS/SB 344 (Ch. 2020-73)
Bill Text: PDF
Last Action: 3/14/2020 Senate - Died in Appropriations, companion bill(s) passed, see CS/CS/HB 607 (Ch. 2020-9), CS/CS/CS/HB 713 (Ch. 2020-133), CS/SB 344 (Ch. 2020-73)
Bill Text: PDF
Senate Committee References:
- Appropriations (AP)
Bill History
| Date | Chamber | Action |
|---|---|---|
| 1/29/2020 | House |
• Filed • Introduced -HJ 459 |
| 1/30/2020 | House |
• Referred to Health Care Appropriations Subcommittee; Health and Human Services Committee -HJ 470 |
| 2/7/2020 | House |
• On Committee agenda-- Health Care Appropriations Subcommittee, 02/11/20, 1:30 pm, Reed Hall |
| 2/11/2020 | House |
• CS by Health Care Appropriations Subcommittee; YEAS 10 NAYS 0 -HJ 570 |
| 2/13/2020 | House |
• Pending review of CS under Rule 7.18(c) • CS by Health Care Appropriations Subcommittee read 1st time -HJ 567 |
| 2/14/2020 | House |
• Now in Health and Human Services Committee -HJ 575 • On Committee agenda-- Health and Human Services Committee, 02/18/20, 3:00 pm, Morris Hall --Temporarily Postponed |
| 2/24/2020 | House |
• PCS on Committee agenda-- Health and Human Services Committee, 02/26/20, 9:00 am, Morris Hall |
| 2/26/2020 | House |
• CS/CS by- Health and Human Services Committee; YEAS 16 NAYS 0 -HJ 678 |
| 2/27/2020 | House |
• Pending review of CS -under Rule 7.18(c) • CS/CS by Health and Human Services Committee read 1st time -HJ 675 |
| 2/28/2020 | House |
• Placed on Calendar -HJ 681 |
| 3/2/2020 | House |
• Placed on Special Order Calendar, 03/05/20 |
| 3/5/2020 | House |
• Read 2nd time -HJ 752 • Amendment(s) adopted (295767, 670923) -HJ 752 • Placed on 3rd reading |
| 3/6/2020 | House |
• Read 3rd time -HJ 819 • Amendment(s) adopted (147067, 232561) -HJ 820 • CS passed as amended; YEAS 96 NAYS 10 -HJ 820 |
| 3/6/2020 | Senate |
• In Messages • Referred to Appropriations -SJ 526 • Received -SJ 523 |
| 3/14/2020 | Senate |
• Indefinitely postponed and withdrawn from consideration • Died in Appropriations, companion bill(s) passed, see CS/CS/HB 607 (Ch. 2020-9), CS/CS/CS/HB 713 (Ch. 2020-133), CS/SB 344 (Ch. 2020-73) |
Related Bills
| Bill Number | Subject | Filed By | Relationship | Last Action and Location | Track Bills |
|---|---|---|---|---|---|
| H 211 (c1) | Courts | Civil Justice Subcommittee | Compare | Last Action: 3/10/2020 H Laid on Table, companion bill(s) passed, see CS/SB 344 (Ch. 2020-73) -HJ 1070 |
|
| H 471 | Council on Physician Assistants | Plasencia | Compare | Last Action: 3/14/2020 S Died in Health Policy, companion bill(s) passed, see CS/CS/CS/HB 713 (Ch. 2020-133) |
|
| H 607 (er) | Direct Care Workers | Health Quality Subcommittee | Compare | Last Action: 3/12/2020 Chapter No. 2020-9 |
|
| H 713 (er) | Health Regulation | Health Quality Subcommittee | Compare | Last Action: 6/30/2020 Chapter No. 2020-133, companion bill(s) passed, see CS/CS/CS/HB 115 (Ch. 2020-125), CS/CS/HB 731 (Ch. 2020-156), CS/HB 1193 (Ch. 2020-160), CS/HB 1461 (Ch. 2020-47), CS/SB 218 (Ch. 2020-50), CS/SB 226 (Ch. 2020-29) |
|
| S 344 (er) | Courts | Bradley | Compare | Last Action: 6/24/2020 Chapter No. 2020-73 |
|
| S 584 (c1) | Council on Physician Assistants | Harrell | Compare | Last Action: 3/14/2020 S Died in Appropriations Subcommittee on Health and Human Services, companion bill(s) passed, see CS/CS/CS/HB 713 (Ch. 2020-133) |
|
| S 1676 (c2) | Direct Care Workers | Albritton | Compare | Last Action: 3/10/2020 S Laid on Table, companion bill(s) passed, see CS/CS/HB 607 (Ch. 2020-9) -SJ 601 |
|
Bill Text
| Version | Posted | Format |
|---|---|---|
| H 7053 Filed | 1/29/2020 10:33 AM | |
| H 7053 c1 | 2/13/2020 9:19 AM | |
| H 7053 c2 | 2/27/2020 12:46 PM | |
| H 7053 e1 | 3/5/2020 2:16 PM | |
| H 7053 e2 | 3/6/2020 11:36 AM |
Committee Amendments
| Amendment | Sponsor | Filed | Last Committee Action | Format |
|---|---|---|---|---|
|
269415 - Amendment Between lines 490 and 491, insert: |
Tomkow |
2/10/2020 5:05 PM |
Adopted without Objection
2/11/2020 |
| Amendment | Sponsor | Filed | Last Committee Action | Format |
|---|---|---|---|---|
|
300073 - Strike All Amendment Remove everything after the enacting clause and insert: |
Tomkow |
2/17/2020 8:08 PM |
Floor Amendments
| Amendments | Sponsor | Filed | Last Floor Action | Format |
|---|---|---|---|---|
|
670923 - Amendment Remove lines 623-692 and insert: |
Tomkow |
3/3/2020 3:46 PM |
House:
Adopted
3/5/2020 |
|
|
295767 - Amendment Between lines 883 and 884, insert: |
Pigman |
3/3/2020 12:31 PM |
House:
Adopted
3/5/2020 |
| Amendments | Sponsor | Filed | Last Floor Action | Format |
|---|---|---|---|---|
|
232561 - Amendment Remove lines 560-618 and insert: |
Tomkow |
3/5/2020 4:13 PM |
House:
Adopted
3/6/2020 |
|
|
147067 - Amendment Remove lines 4238-4244 and insert: |
Tomkow |
3/5/2020 5:24 PM |
House:
Adopted
3/6/2020 |
Bill Analyses
| Type | Analysis | Author | Posted | Format |
|---|---|---|---|---|
| Bill Analysis | H 7053 | Health Care Appropriations Subcommittee (Post-Meeting) | 2/13/2020 9:04 AM | |
| Bill Analysis | H 7053 | Health and Human Services Committee (Post-Meeting) | 2/27/2020 12:41 PM |
Vote History - Committee
No Committee Vote History AvailableVote History - Floor
| Vote | Date | Chamber | Result |
|---|---|---|---|
| H 7053 e1 | 3/6/2020 9:15 AM | House | 96 Yeas - 10 Nays |
Citations - Statutes (97)
| Citation | Catchline | Location in Bill Location In Bill Help |
|---|---|---|
| 39.01 | Definitions. | Page 75 (pdf) |
| 39.303 | Child Protection Teams and sexual abuse treatment programs; services; eligible cases. | Page 76 (pdf) |
| 39.304 | Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. | Page 77 (pdf) |
| 110.12315 | Prescription drug program. | Page 78 (pdf) |
| 252.515 | Postdisaster Relief Assistance Act; immunity from civil liability. | Page 79 (pdf) |
| 310.071 | Deputy pilot certification. | Page 80 (pdf) |
| 310.073 | State pilot licensing. | Page 81 (pdf) |
| 310.081 | Department to examine and license state pilots and certificate deputy pilots; vacancies. | Page 82 (pdf) |
| 320.0848 | Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. | Page 84 (pdf) |
| 381.00315 | Public health advisories; public health emergencies; isolation and quarantines. | Page 86 (pdf) |
| 381.00593 | Public school volunteer health care practitioner program. | Page 89 (pdf) |
| 381.026 | Florida Patient’s Bill of Rights and Responsibilities. | Page 90 (pdf) |
| 382.008 | Death, fetal death, and nonviable birth registration. | Page 90 (pdf) |
| 382.011 | Medical examiner determination of cause of death. | Page 93 (pdf) |
| 383.14 | Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. | Page 94 (pdf) |
| 390.0111 | Termination of pregnancies. | Page 95 (pdf) |
| 390.012 | Powers of agency; rules; disposal of fetal remains. | Page 99 (pdf) |
| 394.463 | Involuntary examination. | Page 103 (pdf) |
| 395.0191 | Staff membership and clinical privileges. | Page 106 (pdf) |
| 395.602 | Rural hospitals. | Page 107 (pdf) |
| 397.501 | Rights of individuals. | Page 109 (pdf) |
| 397.679 | Emergency admission; circumstances justifying. | Page 109 (pdf) |
| 397.6793 | Professional’s certificate for emergency admission. | Page 110 (pdf) |
| 400.021 | Definitions. | Page 112 (pdf) |
| 400.141 | Administration and management of nursing home facilities. | Page 17 (pdf) |
| 400.172 | Respite care provided in nursing home facilities. | Page 112 (pdf) |
| 400.23 | Rules; evaluation and deficiencies; licensure status. | Page 18 (pdf) |
| 400.462 | Definitions. | Page 18 (pdf) |
| 400.464 | Home health agencies to be licensed; expiration of license; exemptions; unlawful acts; penalties. | Page 19 (pdf) |
| 400.487 | Home health service agreements; physician’s, physician assistant’s, and advanced practice registered nurse’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. | Page 113 (pdf) |
| 400.488 | Assistance with self-administration of medication. | Page 20 (pdf) |
| 400.489 | Page 22 (pdf) | |
| 400.490 | Page 23 (pdf) | |
| 400.506 | Licensure of nurse registries; requirements; penalties. | Page 114 (pdf) |
| 400.52 | Page 23 (pdf) | |
| 400.53 | ||
| 400.9973 | Client admission, transfer, and discharge. | Page 115 (pdf) |
| 400.9974 | Client comprehensive treatment plans; client services. | Page 115 (pdf) |
| 400.9976 | Administration of medication. | Page 116 (pdf) |
| 400.9979 | Restraint and seclusion; client safety. | Page 117 (pdf) |
| 401.445 | Emergency examination and treatment of incapacitated persons. | Page 119 (pdf) |
| 408.064 | Page 25 (pdf) | |
| 408.822 | Page 26 (pdf) | |
| 409.905 | Mandatory Medicaid services. | Page 34 (pdf) |
| 409.906 | Optional Medicaid services. | Page 121 (pdf) |
| 409.908 | Reimbursement of Medicaid providers. | Page 122 (pdf) |
| 409.973 | Benefits. | Page 124 (pdf) |
| 429.26 | Appropriateness of placements; examinations of residents. | Page 124 (pdf) |
| 429.918 | Licensure designation as a specialized Alzheimer’s services adult day care center. | Page 125 (pdf) |
| 440.102 | Drug-free workplace program requirements. | Page 127 (pdf) |
| 456.0391 | Advanced practice registered nurses; information required for licensure. | Page 35 (pdf) |
| 456.041 | Practitioner profile; creation. | Page 40 (pdf) |
| 456.053 | Financial arrangements between referring health care providers and providers of health care services. | Page 128 (pdf) |
| 456.072 | Grounds for discipline; penalties; enforcement. | Page 132 (pdf) |
| 456.44 | Controlled substance prescribing. | Page 132 (pdf) |
| 458.3265 | Pain-management clinics. | Page 133 (pdf) |
| 458.331 | Grounds for disciplinary action; action by the board and department. | Page 134 (pdf) |
| 458.347 | Physician assistants. | Page 40 (pdf) |
| 459.0137 | Pain-management clinics. | Page 135 (pdf) |
| 459.015 | Grounds for disciplinary action; action by the board and department. | Page 136 (pdf) |
| 459.022 | Physician assistants. | Page 54 (pdf) |
| 464.003 | Definitions. | Page 137 (pdf) |
| 464.012 | Licensure of advanced practice registered nurses; fees; controlled substance prescribing. | Page 66 (pdf) |
| 464.0123 | Page 69 (pdf) | |
| 464.0155 | Page 74 (pdf) | |
| 464.0156 | Page 28 (pdf) | |
| 464.018 | Disciplinary actions. | Page 30 (pdf) |
| 464.0205 | Retired volunteer nurse certificate. | Page 138 (pdf) |
| 464.2035 | Page 32 (pdf) | |
| 480.0475 | Massage establishments; prohibited practices. | Page 138 (pdf) |
| 493.6108 | Investigation of applicants by Department of Agriculture and Consumer Services. | Page 139 (pdf) |
| 626.9707 | Disability insurance; discrimination on basis of sickle-cell trait prohibited. | Page 139 (pdf) |
| 627.357 | Medical malpractice self-insurance. | Page 140 (pdf) |
| 627.736 | Required personal injury protection benefits; exclusions; priority; claims. | Page 141 (pdf) |
| 633.412 | Firefighters; qualifications for certification. | Page 146 (pdf) |
| 641.495 | Requirements for issuance and maintenance of certificate. | Page 147 (pdf) |
| 744.2006 | Office of Public and Professional Guardians; appointment, notification. | Page 147 (pdf) |
| 744.331 | Procedures to determine incapacity. | Page 148 (pdf) |
| 744.3675 | Annual guardianship plan. | Page 150 (pdf) |
| 766.103 | Florida Medical Consent Law. | Page 151 (pdf) |
| 766.105 | Florida Patient’s Compensation Fund. | Page 152 (pdf) |
| 766.1115 | Health care providers; creation of agency relationship with governmental contractors. | Page 154 (pdf) |
| 766.1116 | Health care practitioner; waiver of license renewal fees and continuing education requirements. | Page 156 (pdf) |
| 766.118 | Determination of noneconomic damages. | Page 157 (pdf) |
| 768.135 | Volunteer team physicians; immunity. | Page 157 (pdf) |
| 794.08 | Female genital mutilation. | Page 158 (pdf) |
| 893.02 | Definitions. | Page 158 (pdf) |
| 943.13 | Officers’ minimum qualifications for employment or appointment. | Page 159 (pdf) |
| 945.603 | Powers and duties of authority. | Page 160 (pdf) |
| 948.03 | Terms and conditions of probation. | Page 161 (pdf) |
| 984.03 | Definitions. | Page 162 (pdf) |
| 985.03 | Definitions. | Page 162 (pdf) |
| 1002.20 | K-12 student and parent rights. | Page 162 (pdf) |
| 1002.42 | Private schools. | Page 165 (pdf) |
| 1006.062 | Administration of medication and provision of medical services by district school board personnel. | Page 166 (pdf) |
| 1006.20 | Athletics in public K-12 schools. | Page 167 (pdf) |
| 1009.65 | Medical Education Reimbursement and Loan Repayment Program. | Page 169 (pdf) |
Citations - Constitution (0)
No Constitutional citations.
Citations - Chapter Law (0)
No Chapter Law citations.
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