Florida Senate - 2021                                    SB 1460
       By Senator Brandes
       24-01383A-21                                          20211460__
    1                        A bill to be entitled                      
    2         An act relating to chiropractic medicine; amending s.
    3         460.403, F.S.; revising the definition of the term
    4         “practice of chiropractic medicine” to authorize
    5         chiropractic physicians to prescribe, order, store,
    6         and administer medical oxygen and articles of natural
    7         origin if they complete specified training; amending
    8         s. 460.408, F.S.; deleting a requirement that
    9         continuing chiropractic education be completed in a
   10         classroom setting; authorizing licensees to complete
   11         all required continuing education in an online format;
   12         providing requirements for online continuing education
   13         courses; creating s. 465.036, F.S.; authorizing
   14         pharmacists to dispense articles of natural origin
   15         pursuant to an order from a licensed chiropractic
   16         physician; defining the term “articles of natural
   17         origin”; providing an effective date.
   19  Be It Enacted by the Legislature of the State of Florida:
   21         Section 1. Paragraph (c) of subsection (9) of section
   22  460.403, Florida Statutes, is amended to read:
   23         460.403 Definitions.—As used in this chapter, the term:
   24         (9)
   25         (c)1. Chiropractic physicians may adjust, manipulate, or
   26  treat the human body by manual, mechanical, electrical, or
   27  natural methods; by the use of physical means or physiotherapy,
   28  including light, heat, water, or exercise; by the use of
   29  acupuncture; or by the administration of foods, food
   30  concentrates, food extracts, and items for which a prescription
   31  is not required and may apply first aid and hygiene, but
   32  chiropractic physicians are expressly prohibited from
   33  prescribing or administering to any person any legend drug
   34  except as authorized under subparagraphs 2. and 3. subparagraph
   35  2., from performing any surgery except as stated herein, or from
   36  practicing obstetrics.
   37         2. Notwithstanding the prohibition against prescribing and
   38  administering legend drugs under subparagraph 1. or s.
   39  499.83(2)(c), pursuant to board rule, chiropractic physicians
   40  who have completed a board-approved, 36-hour training course on
   41  articles of natural origin and administration of medical oxygen
   42  may prescribe, order, store, and administer, for emergency
   43  purposes only at the chiropractic physician’s office or place of
   44  business, prescription medical oxygen and articles of natural
   45  origin, including vitamins, minerals, amino acids, fatty acids,
   46  hyaluronic acid, enzymes, saline, antioxidants, dextrose,
   47  glandular-based products, cellular components, extracts, water,
   48  botanicals, phytonutrients, and homeopathic products.
   49         3.Notwithstanding the prohibition against prescribing and
   50  administering legend drugs under subparagraph 1. or s.
   51  499.83(2)(c), chiropractic physicians and may also order, store,
   52  and administer the following topical anesthetics in aerosol
   53  form:
   54         a. Any solution consisting of 25 percent ethylchloride and
   55  75 percent dichlorodifluoromethane.
   56         b. Any solution consisting of 15 percent
   57  dichlorodifluoromethane and 85 percent
   58  trichloromonofluoromethane.
   60  However, this paragraph does not authorize a chiropractic
   61  physician to prescribe medical oxygen as defined in chapter 499.
   62         Section 2. Subsection (1) of section 460.408, Florida
   63  Statutes, is amended to read:
   64         460.408 Continuing chiropractic education.—
   65         (1) The board shall require licensees to periodically
   66  demonstrate their professional competence as a condition of
   67  renewal of a license by completing up to 40 contact classroom
   68  hours of continuing education.
   69         (a) Continuing education courses sponsored by chiropractic
   70  colleges whose graduates are eligible for examination under any
   71  provision of this chapter may be approved upon review by the
   72  board if all other requirements of board rules setting forth
   73  criteria for course approval are met.
   74         (b) The board shall approve those courses that build upon
   75  the basic courses required for the practice of chiropractic
   76  medicine, and the board may also approve courses in adjunctive
   77  modalities. Courses that consist of instruction in the use,
   78  application, prescription, recommendation, or administration of
   79  a specific company’s brand of products or services are not
   80  eligible for approval.
   81         (c)All 40 hours of continuing education may be completed
   82  in an online format. Continuing education courses offered online
   83  must be competency-based and incorporate the Shareable Content
   84  Object Reference Model standards for web-based electronic
   85  educational learning established by the federal Advanced
   86  Distributed Learning Initiative or more stringent standards as
   87  determined by the board.
   88         Section 3. Section 465.036, Florida Statutes, is created to
   89  read:
   90         465.036Dispensing orders for articles of natural origin.
   91  Notwithstanding any other law, a pharmacist may dispense
   92  articles of natural origin pursuant to an order from a
   93  chiropractic physician licensed under chapter 460. For purposes
   94  of this section, the term “articles of natural origin” includes
   95  vitamins, minerals, amino acids, fatty acids, hyaluronic acid,
   96  enzymes, saline, antioxidants, dextrose, glandular-based
   97  products, cellular components, extracts, water, botanicals,
   98  phytonutrients, and homeopathic products.
   99         Section 4. This act shall take effect upon becoming a law.