Florida Senate - 2021 SB 1460
By Senator Brandes
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:
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.
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
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
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
90 465.036 Dispensing 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.