Florida Senate - 2025                          SENATOR AMENDMENT
       Bill No. CS for CS for HB 1299
       
       
       
       
       
       
                                Ì8696149Î869614                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                Floor: 1/RS/2R         .                                
             04/30/2025 05:39 PM       .                                
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       Senator Trumbull moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Effective upon becoming a law, or, if this act
    6  fails to become a law until after June 1, 2025, operating
    7  retroactively to June 1, 2025, section 9 of chapter 2023-43,
    8  Laws of Florida, is amended to read:
    9         Section 9. Sections 381.00316(2)(g) and 381.00319(1)(e),
   10  Florida Statutes, as created by this act, are repealed June 1,
   11  2027 2025.
   12         Section 2. Effective upon becoming a law, or, if this act
   13  fails to become a law until after June 1, 2025, operating
   14  retroactively to June 1, 2025, paragraph (g) of subsection (2)
   15  of section 381.00316, Florida Statutes, is reenacted to read:
   16         381.00316 Discrimination by governmental and business
   17  entities based on health care choices; prohibition.—
   18         (2) As used in this section, the term:
   19         (g) “Messenger ribonucleic acid vaccine” means any vaccine
   20  that uses laboratory-produced messenger ribonucleic acid to
   21  trigger the human body’s immune system to generate an immune
   22  response.
   23         Section 3. Effective upon becoming a law, or, if this act
   24  fails to become a law until after June 1, 2025, operating
   25  retroactively to June 1, 2025, paragraph (e) of subsection (1)
   26  of section 381.00319, Florida Statutes, is reenacted to read:
   27         381.00319 Prohibition on mask mandates and vaccination and
   28  testing mandates for educational institutions.—
   29         (1) For purposes of this section, the term:
   30         (e) “Messenger ribonucleic acid vaccine” has the same
   31  meaning as in s. 381.00316.
   32         Section 4. Paragraph (d) of subsection (4) and subsection
   33  (6) of section 381.026, Florida Statutes, are amended to read:
   34         381.026 Florida Patient’s Bill of Rights and
   35  Responsibilities.—
   36         (4) RIGHTS OF PATIENTS.—Each health care facility or
   37  provider shall observe the following standards:
   38         (d) Access to health care.—
   39         1. A patient has the right to impartial access to medical
   40  treatment or accommodations, regardless of race, national
   41  origin, religion, handicap, or source of payment.
   42         2. A patient has the right to treatment for any emergency
   43  medical condition that will deteriorate from failure to provide
   44  such treatment.
   45         3. A patient has the right to access any mode of treatment
   46  that is, in his or her own judgment and the judgment of his or
   47  her health care practitioner, in the best interests of the
   48  patient, including complementary or alternative health care
   49  treatments, in accordance with the provisions of s. 456.41.
   50         4.A patient shall not be denied admission, care, or
   51  services by a health care facility based solely on the patient’s
   52  vaccination status.
   53         (6) SUMMARY OF RIGHTS AND RESPONSIBILITIES.—Any health care
   54  provider who treats a patient in an office or any health care
   55  facility licensed under chapter 395 that provides emergency
   56  services and care or outpatient services and care to a patient,
   57  or admits and treats a patient, shall adopt and make available
   58  to the patient, in writing, a statement of the rights and
   59  responsibilities of patients, including the following:
   60  
   61                SUMMARY OF THE FLORIDA PATIENT’S BILL              
   62                   OF RIGHTS AND RESPONSIBILITIES                  
   63  
   64         Florida law requires that your health care
   65         provider or health care facility recognize your rights
   66         while you are receiving medical care and that you
   67         respect the health care provider’s or health care
   68         facility’s right to expect certain behavior on the
   69         part of patients. You may request a copy of the full
   70         text of this law from your health care provider or
   71         health care facility. A summary of your rights and
   72         responsibilities follows:
   73         A patient has the right to be treated with
   74         courtesy and respect, with appreciation of his or her
   75         individual dignity, and with protection of his or her
   76         need for privacy.
   77         A patient has the right to a prompt and
   78         reasonable response to questions and requests.
   79         A patient has the right to know who is providing
   80         medical services and who is responsible for his or her
   81         care.
   82         A patient has the right to know what patient
   83         support services are available, including whether an
   84         interpreter is available if he or she does not speak
   85         English.
   86         A patient has the right to bring any person of
   87         his or her choosing to the patient-accessible areas of
   88         the health care facility or provider’s office to
   89         accompany the patient while the patient is receiving
   90         inpatient or outpatient treatment or is consulting
   91         with his or her health care provider, unless doing so
   92         would risk the safety or health of the patient, other
   93         patients, or staff of the facility or office or cannot
   94         be reasonably accommodated by the facility or
   95         provider.
   96         A patient has the right to know what rules and
   97         regulations apply to his or her conduct.
   98         A patient has the right to be given by the health
   99         care provider information concerning diagnosis,
  100         planned course of treatment, alternatives, risks, and
  101         prognosis.
  102         A patient has the right to refuse any treatment,
  103         except as otherwise provided by law.
  104         A patient has the right to be given, upon
  105         request, full information and necessary counseling on
  106         the availability of known financial resources for his
  107         or her care.
  108         A patient who is eligible for Medicare has the
  109         right to know, upon request and in advance of
  110         treatment, whether the health care provider or health
  111         care facility accepts the Medicare assignment rate.
  112         A patient has the right to receive, upon request,
  113         prior to treatment, a reasonable estimate of charges
  114         for medical care.
  115         A patient has the right to receive a copy of a
  116         reasonably clear and understandable, itemized bill
  117         and, upon request, to have the charges explained.
  118         A patient has the right to impartial access to
  119         medical treatment or accommodations, regardless of
  120         race, national origin, religion, handicap, or source
  121         of payment.
  122         A patient has the right to treatment for any
  123         emergency medical condition that will deteriorate from
  124         failure to provide treatment.
  125         A patient shall not be denied admission, care, or
  126         services by a health care facility based solely on the
  127         patient’s vaccination status.
  128         A patient has the right to know if medical
  129         treatment is for purposes of experimental research and
  130         to give his or her consent or refusal to participate
  131         in such experimental research.
  132         A patient has the right to express grievances
  133         regarding any violation of his or her rights, as
  134         stated in Florida law, through the grievance procedure
  135         of the health care provider or health care facility
  136         which served him or her and to the appropriate state
  137         licensing agency.
  138         A patient is responsible for providing to the
  139         health care provider, to the best of his or her
  140         knowledge, accurate and complete information about
  141         present complaints, past illnesses, hospitalizations,
  142         medications, and other matters relating to his or her
  143         health.
  144         A patient is responsible for reporting unexpected
  145         changes in his or her condition to the health care
  146         provider.
  147         A patient is responsible for reporting to the
  148         health care provider whether he or she comprehends a
  149         contemplated course of action and what is expected of
  150         him or her.
  151         A patient is responsible for following the
  152         treatment plan recommended by the health care
  153         provider.
  154         A patient is responsible for keeping appointments
  155         and, when he or she is unable to do so for any reason,
  156         for notifying the health care provider or health care
  157         facility.
  158         A patient is responsible for his or her actions
  159         if he or she refuses treatment or does not follow the
  160         health care provider’s instructions.
  161         A patient is responsible for assuring that the
  162         financial obligations of his or her health care are
  163         fulfilled as promptly as possible.
  164         A patient is responsible for following health
  165         care facility rules and regulations affecting patient
  166         care and conduct.
  167  
  168         Section 5. Paragraphs (b), (e), and (f) of subsection (8)
  169  of section 381.986, Florida Statutes, are amended to read:
  170         381.986 Medical use of marijuana.—
  171         (8) MEDICAL MARIJUANA TREATMENT CENTERS.—
  172         (b) An applicant for licensure as a medical marijuana
  173  treatment center must shall apply to the department on a form
  174  prescribed by the department and adopted in rule. The department
  175  shall adopt rules pursuant to ss. 120.536(1) and 120.54
  176  establishing a procedure for the issuance and biennial renewal
  177  of licenses, including initial application and biennial renewal
  178  fees sufficient to cover the costs of implementing and
  179  administering this section, and establishing supplemental
  180  licensure fees for payment beginning May 1, 2018, sufficient to
  181  cover the costs of administering ss. 381.989 and 1004.4351. The
  182  department shall identify applicants with strong diversity plans
  183  reflecting this state’s commitment to diversity and implement
  184  training programs and other educational programs to enable
  185  minority persons and minority business enterprises, as defined
  186  in s. 288.703, and veteran business enterprises, as defined in
  187  s. 295.187, to compete for medical marijuana treatment center
  188  licensure and contracts. Subject to the requirements in
  189  subparagraphs (a)2.-4., the department shall issue a license to
  190  an applicant if the applicant meets the requirements of this
  191  section and pays the initial application fee. The department
  192  shall renew the licensure of a medical marijuana treatment
  193  center biennially if the licensee meets the requirements of this
  194  section and pays the biennial renewal fee. However, the
  195  department may not renew the license of a medical marijuana
  196  treatment center that has not begun to cultivate, process, and
  197  dispense marijuana by the date that the medical marijuana
  198  treatment center is required to renew its license. An individual
  199  may not be an applicant, owner, officer, board member, or
  200  manager on more than one application for licensure as a medical
  201  marijuana treatment center. An individual or entity may not be
  202  awarded more than one license as a medical marijuana treatment
  203  center. An applicant for licensure as a medical marijuana
  204  treatment center must demonstrate:
  205         1. That, for the 5 consecutive years before submitting the
  206  application, the applicant has been registered to do business in
  207  this the state.
  208         2. Possession of a valid certificate of registration issued
  209  by the Department of Agriculture and Consumer Services pursuant
  210  to s. 581.131.
  211         3. The technical and technological ability to cultivate and
  212  produce marijuana, including, but not limited to, low-THC
  213  cannabis.
  214         4. The ability to secure the premises, resources, and
  215  personnel necessary to operate as a medical marijuana treatment
  216  center.
  217         5. The ability to maintain accountability of all raw
  218  materials, finished products, and any byproducts to prevent
  219  diversion or unlawful access to or possession of these
  220  substances.
  221         6. An infrastructure reasonably located to dispense
  222  marijuana to registered qualified patients statewide or
  223  regionally as determined by the department.
  224         7. The financial ability to maintain operations for the
  225  duration of the 2-year approval cycle, including the provision
  226  of certified financial statements to the department.
  227         a. Upon approval, the applicant must post a $5 million
  228  performance bond issued by an authorized surety insurance
  229  company rated in one of the three highest rating categories by a
  230  nationally recognized rating service. However, a medical
  231  marijuana treatment center serving at least 1,000 qualified
  232  patients is only required to maintain a $2 million performance
  233  bond.
  234         b. In lieu of the performance bond required under sub
  235  subparagraph a., the applicant may provide an irrevocable letter
  236  of credit payable to the department or provide cash to the
  237  department. If provided with cash under this sub-subparagraph,
  238  the department must shall deposit the cash in the Grants and
  239  Donations Trust Fund within the Department of Health, subject to
  240  the same conditions as the bond regarding requirements for the
  241  applicant to forfeit ownership of the funds. If the funds
  242  deposited under this sub-subparagraph generate interest, the
  243  amount of that interest must shall be used by the department for
  244  the administration of this section.
  245         8. That all owners, officers, board members, and managers
  246  have passed a background screening pursuant to subsection (9).
  247  As used in this subparagraph, the term:
  248         a.“Manager” means any person with the authority to
  249  exercise or contribute to the operational control, direction, or
  250  management of an applicant or a medical marijuana treatment
  251  center or who has authority to supervise any employee of an
  252  applicant or a medical marijuana treatment center. The term
  253  includes an individual with the power or authority to direct or
  254  influence the direction or operation of an applicant or a
  255  medical marijuana treatment center through board membership, an
  256  agreement, or a contract.
  257         b.“Owner” means any person who owns or controls a 5
  258  percent or greater share of interests of the applicant or a
  259  medical marijuana treatment center which include beneficial or
  260  voting rights to interests. In the event that one person owns a
  261  beneficial right to interests and another person holds the
  262  voting rights with respect to such interests, then in such case,
  263  both are considered the owner of such interests.
  264         9. The employment of a medical director to supervise the
  265  activities of the medical marijuana treatment center.
  266         10. A diversity plan that promotes and ensures the
  267  involvement of minority persons and minority business
  268  enterprises, as defined in s. 288.703, or veteran business
  269  enterprises, as defined in s. 295.187, in ownership, management,
  270  and employment. An applicant for licensure renewal must show the
  271  effectiveness of the diversity plan by including the following
  272  with his or her application for renewal:
  273         a. Representation of minority persons and veterans in the
  274  medical marijuana treatment center’s workforce;
  275         b. Efforts to recruit minority persons and veterans for
  276  employment; and
  277         c. A record of contracts for services with minority
  278  business enterprises and veteran business enterprises.
  279         (e) A licensed medical marijuana treatment center shall
  280  cultivate, process, transport, and dispense marijuana for
  281  medical use. A licensed medical marijuana treatment center may
  282  not contract for services directly related to the cultivation,
  283  processing, and dispensing of marijuana or marijuana delivery
  284  devices, except that a medical marijuana treatment center
  285  licensed pursuant to subparagraph (a)1. may contract with a
  286  single entity for the cultivation, processing, transporting, and
  287  dispensing of marijuana and marijuana delivery devices. A
  288  licensed medical marijuana treatment center shall must, at all
  289  times, maintain compliance with the criteria demonstrated and
  290  representations made in the initial application and the criteria
  291  established in this subsection. Upon request, the department may
  292  grant a medical marijuana treatment center a variance from the
  293  representations made in the initial application. Consideration
  294  of such a request must shall be based upon the individual facts
  295  and circumstances surrounding the request. A variance may not be
  296  granted unless the requesting medical marijuana treatment center
  297  can demonstrate to the department that it has a proposed
  298  alternative to the specific representation made in its
  299  application which fulfills the same or a similar purpose as the
  300  specific representation in a way that the department can
  301  reasonably determine will not be a lower standard than the
  302  specific representation in the application. A variance may not
  303  be granted from the requirements in subparagraph 2. and
  304  subparagraphs (b)1. and 2.
  305         1. A licensed medical marijuana treatment center may
  306  transfer ownership to an individual or entity who meets the
  307  requirements of this section. A publicly traded corporation or
  308  publicly traded company that meets the requirements of this
  309  section is not precluded from ownership of a medical marijuana
  310  treatment center. To accommodate a change in ownership:
  311         a. The licensed medical marijuana treatment center shall
  312  notify the department in writing at least 60 days before the
  313  anticipated date of the change of ownership.
  314         b. The individual or entity applying for initial licensure
  315  due to a change of ownership must submit an application that
  316  must be received by the department at least 60 days before the
  317  date of change of ownership.
  318         c. Upon receipt of an application for a license, the
  319  department shall examine the application and, within 30 days
  320  after receipt, notify the applicant in writing of any apparent
  321  errors or omissions and request any additional information
  322  required.
  323         d. Requested information omitted from an application for
  324  licensure must be filed with the department within 21 days after
  325  the department’s request for omitted information or the
  326  application will shall be deemed incomplete and shall be
  327  withdrawn from further consideration and the fees shall be
  328  forfeited.
  329         e. Within 30 days after the receipt of a complete
  330  application, the department shall approve or deny the
  331  application.
  332         2. A medical marijuana treatment center, and any individual
  333  or entity who directly or indirectly owns, controls, or holds
  334  with power to vote 5 percent or more of the voting shares of a
  335  medical marijuana treatment center, may not acquire direct or
  336  indirect ownership or control of any voting shares or other form
  337  of ownership of any other medical marijuana treatment center.
  338         3. A medical marijuana treatment center may not enter into
  339  any form of profit-sharing arrangement with the property owner
  340  or lessor of any of its facilities where cultivation,
  341  processing, storing, or dispensing of marijuana and marijuana
  342  delivery devices occurs.
  343         4. All employees of a medical marijuana treatment center
  344  must be 21 years of age or older and have passed a background
  345  screening pursuant to subsection (9). As used in this
  346  subparagraph, the term “employee” means any person employed by a
  347  medical marijuana treatment center licensee in any capacity,
  348  including those whose duties involve any aspect of the
  349  cultivation, processing, transportation, or dispensing of
  350  marijuana. This requirement applies to all employees, regardless
  351  of the compensation received.
  352         5. Each medical marijuana treatment center must adopt and
  353  enforce policies and procedures to ensure employees and
  354  volunteers receive training on the legal requirements to
  355  dispense marijuana to qualified patients.
  356         6. When growing marijuana, a medical marijuana treatment
  357  center:
  358         a. May use pesticides determined by the department, after
  359  consultation with the Department of Agriculture and Consumer
  360  Services, to be safely applied to plants intended for human
  361  consumption, but may not use pesticides designated as
  362  restricted-use pesticides pursuant to s. 487.042.
  363         b. Must grow marijuana within an enclosed structure and in
  364  a room separate from any other plant.
  365         c. Must inspect seeds and growing plants for plant pests
  366  that endanger or threaten the horticultural and agricultural
  367  interests of the state in accordance with chapter 581 and any
  368  rules adopted thereunder.
  369         d. Must perform fumigation or treatment of plants, or
  370  remove and destroy infested or infected plants, in accordance
  371  with chapter 581 and any rules adopted thereunder.
  372         7. Each medical marijuana treatment center must produce and
  373  make available for purchase at least one low-THC cannabis
  374  product.
  375         8. A medical marijuana treatment center that produces
  376  edibles must hold a permit to operate as a food establishment
  377  pursuant to chapter 500, the Florida Food Safety Act, and must
  378  comply with all the requirements for food establishments
  379  pursuant to chapter 500 and any rules adopted thereunder.
  380  Edibles may not contain more than 200 milligrams of
  381  tetrahydrocannabinol, and a single serving portion of an edible
  382  may not exceed 10 milligrams of tetrahydrocannabinol. Edibles
  383  may not have a potency variance of no greater than 15 percent.
  384  Marijuana products, including edibles, may not be attractive to
  385  children; be manufactured in the shape of humans, cartoons, or
  386  animals; be manufactured in a form that bears any reasonable
  387  resemblance to products available for consumption as
  388  commercially available candy; or contain any color additives. To
  389  discourage consumption of edibles by children, the department
  390  shall determine by rule any shapes, forms, and ingredients
  391  allowed and prohibited for edibles. Medical marijuana treatment
  392  centers may not begin processing or dispensing edibles until
  393  after the effective date of the rule. The department shall also
  394  adopt sanitation rules providing the standards and requirements
  395  for the storage, display, or dispensing of edibles.
  396         9. Within 12 months after licensure, a medical marijuana
  397  treatment center must demonstrate to the department that all of
  398  its processing facilities have passed a Food Safety Good
  399  Manufacturing Practices, such as Global Food Safety Initiative
  400  or equivalent, inspection by a nationally accredited certifying
  401  body. A medical marijuana treatment center must immediately stop
  402  processing at any facility which fails to pass this inspection
  403  until it demonstrates to the department that such facility has
  404  met this requirement.
  405         10. A medical marijuana treatment center that produces
  406  prerolled marijuana cigarettes may not use wrapping paper made
  407  with tobacco or hemp.
  408         11. When processing marijuana, a medical marijuana
  409  treatment center must:
  410         a. Process the marijuana within an enclosed structure and
  411  in a room separate from other plants or products.
  412         b. Comply with department rules when processing marijuana
  413  with hydrocarbon solvents or other solvents or gases exhibiting
  414  potential toxicity to humans. The department shall determine by
  415  rule the requirements for medical marijuana treatment centers to
  416  use such solvents or gases exhibiting potential toxicity to
  417  humans.
  418         c. Comply with federal and state laws and regulations and
  419  department rules for solid and liquid wastes. The department
  420  shall determine by rule procedures for the storage, handling,
  421  transportation, management, and disposal of solid and liquid
  422  waste generated during marijuana production and processing. The
  423  Department of Environmental Protection shall assist the
  424  department in developing such rules.
  425         d. Test the processed marijuana using a medical marijuana
  426  testing laboratory before it is dispensed. Results must be
  427  verified and signed by two medical marijuana treatment center
  428  employees. Before dispensing, the medical marijuana treatment
  429  center must determine that the test results indicate that low
  430  THC cannabis meets the definition of low-THC cannabis, the
  431  concentration of tetrahydrocannabinol meets the potency
  432  requirements of this section, the labeling of the concentration
  433  of tetrahydrocannabinol and cannabidiol is accurate, and all
  434  marijuana is safe for human consumption and free from
  435  contaminants that are unsafe for human consumption. The
  436  department shall determine by rule which contaminants must be
  437  tested for and the maximum levels of each contaminant which are
  438  safe for human consumption. The Department of Agriculture and
  439  Consumer Services shall assist the department in developing the
  440  testing requirements for contaminants that are unsafe for human
  441  consumption in edibles. The department shall also determine by
  442  rule the procedures for the treatment of marijuana that fails to
  443  meet the testing requirements of this section, s. 381.988, or
  444  department rule. The department may select samples of marijuana
  445  from a medical marijuana treatment center facility which shall
  446  be tested by the department to determine whether the marijuana
  447  meets the potency requirements of this section, is safe for
  448  human consumption, and is accurately labeled with the
  449  tetrahydrocannabinol and cannabidiol concentration or to verify
  450  the result of marijuana testing conducted by a marijuana testing
  451  laboratory. The department may also select samples of marijuana
  452  delivery devices from a medical marijuana treatment center to
  453  determine whether the marijuana delivery device is safe for use
  454  by qualified patients. A medical marijuana treatment center may
  455  not require payment from the department for the sample. A
  456  medical marijuana treatment center must recall marijuana,
  457  including all marijuana and marijuana products made from the
  458  same batch of marijuana, that fails to meet the potency
  459  requirements of this section, that is unsafe for human
  460  consumption, or for which the labeling of the
  461  tetrahydrocannabinol and cannabidiol concentration is
  462  inaccurate. The department shall adopt rules to establish
  463  marijuana potency variations of no greater than 15 percent using
  464  negotiated rulemaking pursuant to s. 120.54(2)(d) which accounts
  465  for, but is not limited to, time lapses between testing, testing
  466  methods, testing instruments, and types of marijuana sampled for
  467  testing. The department may not issue any recalls for product
  468  potency as it relates to product labeling before issuing a rule
  469  relating to potency variation standards. A medical marijuana
  470  treatment center must also recall all marijuana delivery devices
  471  determined to be unsafe for use by qualified patients. The
  472  medical marijuana treatment center must retain records of all
  473  testing and samples of each homogeneous batch of marijuana for
  474  at least 9 months. The medical marijuana treatment center must
  475  contract with a marijuana testing laboratory to perform audits
  476  on the medical marijuana treatment center’s standard operating
  477  procedures, testing records, and samples and provide the results
  478  to the department to confirm that the marijuana or low-THC
  479  cannabis meets the requirements of this section and that the
  480  marijuana or low-THC cannabis is safe for human consumption. A
  481  medical marijuana treatment center shall reserve two processed
  482  samples from each batch and retain such samples for at least 9
  483  months for the purpose of such audits. A medical marijuana
  484  treatment center may use a laboratory that has not been
  485  certified by the department under s. 381.988 until such time as
  486  at least one laboratory holds the required certification, but in
  487  no event later than July 1, 2018.
  488         e. Package the marijuana in compliance with the United
  489  States Poison Prevention Packaging Act of 1970, 15 U.S.C. ss.
  490  1471 et seq.
  491         f. Package the marijuana in a receptacle that has a firmly
  492  affixed and legible label stating the following information:
  493         (I) The marijuana or low-THC cannabis meets the
  494  requirements of sub-subparagraph d.
  495         (II) The name of the medical marijuana treatment center
  496  from which the marijuana originates.
  497         (III) The batch number and harvest number from which the
  498  marijuana originates and the date dispensed.
  499         (IV) The name of the physician who issued the physician
  500  certification.
  501         (V) The name of the patient.
  502         (VI) The product name, if applicable, and dosage form,
  503  including concentration of tetrahydrocannabinol and cannabidiol.
  504  The product name may not contain wording commonly associated
  505  with products that are attractive to children or which promote
  506  the recreational use of marijuana.
  507         (VII) The recommended dose.
  508         (VIII) A warning that it is illegal to transfer medical
  509  marijuana to another person.
  510         (IX) A marijuana universal symbol developed by the
  511  department.
  512         12. The medical marijuana treatment center shall include in
  513  each package a patient package insert with information on the
  514  specific product dispensed related to:
  515         a. Clinical pharmacology.
  516         b. Indications and use.
  517         c. Dosage and administration.
  518         d. Dosage forms and strengths.
  519         e. Contraindications.
  520         f. Warnings and precautions.
  521         g. Adverse reactions.
  522         13. In addition to the packaging and labeling requirements
  523  specified in subparagraphs 11. and 12., marijuana in a form for
  524  smoking must be packaged in a sealed receptacle with a legible
  525  and prominent warning to keep away from children and a warning
  526  that states marijuana smoke contains carcinogens and may
  527  negatively affect health. Such receptacles for marijuana in a
  528  form for smoking must be plain, opaque, and white without
  529  depictions of the product or images other than the medical
  530  marijuana treatment center’s department-approved logo and the
  531  marijuana universal symbol.
  532         14. The department shall adopt rules to regulate the types,
  533  appearance, and labeling of marijuana delivery devices dispensed
  534  from a medical marijuana treatment center. The rules must
  535  require marijuana delivery devices to have an appearance
  536  consistent with medical use.
  537         15. Each edible must be individually sealed in plain,
  538  opaque wrapping marked only with the marijuana universal symbol.
  539  Where practical, each edible must be marked with the marijuana
  540  universal symbol. In addition to the packaging and labeling
  541  requirements in subparagraphs 11. and 12., edible receptacles
  542  must be plain, opaque, and white without depictions of the
  543  product or images other than the medical marijuana treatment
  544  center’s department-approved logo and the marijuana universal
  545  symbol. The receptacle must also include a list of all the
  546  edible’s ingredients, storage instructions, an expiration date,
  547  a legible and prominent warning to keep away from children and
  548  pets, and a warning that the edible has not been produced or
  549  inspected pursuant to federal food safety laws.
  550         16. When dispensing marijuana or a marijuana delivery
  551  device, a medical marijuana treatment center:
  552         a. May dispense any active, valid order for low-THC
  553  cannabis, medical cannabis and cannabis delivery devices issued
  554  pursuant to former s. 381.986, Florida Statutes 2016, which was
  555  entered into the medical marijuana use registry before July 1,
  556  2017.
  557         b. May not dispense more than a 70-day supply of marijuana
  558  within any 70-day period to a qualified patient or caregiver.
  559  May not dispense more than one 35-day supply of marijuana in a
  560  form for smoking within any 35-day period to a qualified patient
  561  or caregiver. A 35-day supply of marijuana in a form for smoking
  562  may not exceed 2.5 ounces unless an exception to this amount is
  563  approved by the department pursuant to paragraph (4)(f).
  564         c. Must have the medical marijuana treatment center’s
  565  employee who dispenses the marijuana or a marijuana delivery
  566  device enter into the medical marijuana use registry his or her
  567  name or unique employee identifier.
  568         d. Must verify that the qualified patient and the
  569  caregiver, if applicable, each have an active registration in
  570  the medical marijuana use registry and an active and valid
  571  medical marijuana use registry identification card, the amount
  572  and type of marijuana dispensed matches the physician
  573  certification in the medical marijuana use registry for that
  574  qualified patient, and the physician certification has not
  575  already been filled.
  576         e. May not dispense marijuana to a qualified patient who is
  577  younger than 18 years of age. If the qualified patient is
  578  younger than 18 years of age, marijuana may only be dispensed to
  579  the qualified patient’s caregiver.
  580         f. May not dispense or sell any other type of cannabis,
  581  alcohol, or illicit drug-related product, including pipes or
  582  wrapping papers made with tobacco or hemp, other than a
  583  marijuana delivery device required for the medical use of
  584  marijuana and which is specified in a physician certification.
  585         g. Must, upon dispensing the marijuana or marijuana
  586  delivery device, record in the registry the date, time,
  587  quantity, and form of marijuana dispensed; the type of marijuana
  588  delivery device dispensed; and the name and medical marijuana
  589  use registry identification number of the qualified patient or
  590  caregiver to whom the marijuana delivery device was dispensed.
  591         h. Must ensure that patient records are not visible to
  592  anyone other than the qualified patient, his or her caregiver,
  593  and authorized medical marijuana treatment center employees.
  594         (f) To ensure the safety and security of premises where the
  595  cultivation, processing, storing, or dispensing of marijuana
  596  occurs, and to maintain adequate controls against the diversion,
  597  theft, and loss of marijuana or marijuana delivery devices, a
  598  medical marijuana treatment center shall:
  599         1.a. Maintain a fully operational security alarm system
  600  that secures all entry points and perimeter windows and is
  601  equipped with motion detectors; pressure switches; and duress,
  602  panic, and hold-up alarms; and
  603         b. Maintain a video surveillance system that records
  604  continuously 24 hours a day and meets the following criteria:
  605         (I) Cameras are fixed in a place that allows for the clear
  606  identification of persons and activities in controlled areas of
  607  the premises. Controlled areas include grow rooms, processing
  608  rooms, storage rooms, disposal rooms or areas, and point-of-sale
  609  rooms.
  610         (II) Cameras are fixed in entrances and exits to the
  611  premises, which must shall record from both indoor and outdoor,
  612  or ingress and egress, vantage points.
  613         (III) Recorded images must clearly and accurately display
  614  the time and date.
  615         (IV) Retain video surveillance recordings for at least 45
  616  days or longer upon the request of a law enforcement agency.
  617         2. Ensure that the medical marijuana treatment center’s
  618  outdoor premises have sufficient lighting from dusk until dawn.
  619         3. Ensure that the indoor premises where dispensing occurs
  620  includes a waiting area with sufficient space and seating to
  621  accommodate qualified patients and caregivers and at least one
  622  private consultation area that is isolated from the waiting area
  623  and area where dispensing occurs. A medical marijuana treatment
  624  center may not display products or dispense marijuana or
  625  marijuana delivery devices in the waiting area.
  626         4. Not dispense from its premises marijuana or a marijuana
  627  delivery device between the hours of 9 p.m. and 7 a.m., but may
  628  perform all other operations and deliver marijuana to qualified
  629  patients 24 hours a day.
  630         5. Store marijuana in a secured, locked room or a vault.
  631         6. Require at least two of its employees, or two employees
  632  of a security agency with whom it contracts, to be on the
  633  premises at all times where cultivation, processing, or storing
  634  of marijuana occurs.
  635         7. Require each employee or contractor to wear a photo
  636  identification badge at all times while on the premises.
  637         8. Require each visitor to wear a visitor pass at all times
  638  while on the premises.
  639         9. Implement an alcohol and drug-free workplace policy.
  640         10. Report to local law enforcement and notify the
  641  department through e-mail within 24 hours after the medical
  642  marijuana treatment center is notified or becomes aware of any
  643  actual or attempted the theft, diversion, or loss of marijuana.
  644         Section 6. Paragraph (d) of subsection (1) of section
  645  381.988, Florida Statutes, is amended to read:
  646         381.988 Medical marijuana testing laboratories; marijuana
  647  tests conducted by a certified laboratory.—
  648         (1) A person or entity seeking to be a certified marijuana
  649  testing laboratory must:
  650         (d) Require all employees, owners, and managers to submit
  651  to and pass a level 2 background screening pursuant to chapter
  652  435. The department shall deny certification if the person or
  653  entity seeking certification has a disqualifying offense as
  654  provided in s. 435.04 or has an arrest awaiting final
  655  disposition for, has been found guilty of, or has entered a plea
  656  of guilty or nolo contendere to, regardless of adjudication, any
  657  offense listed in chapter 837, chapter 895, or chapter 896 or
  658  similar law of another jurisdiction. Exemptions from
  659  disqualification as provided under s. 435.07 do not apply to
  660  this paragraph.
  661         1. As used in this paragraph, the term:
  662         a.“Employee” means any person whose duties or activities
  663  involve any aspect of regulatory compliance testing or research
  664  and development testing of marijuana for a certified marijuana
  665  testing laboratory, regardless of whether such person is
  666  compensated for his or her work.
  667         b.“Manager” means any person with authority to exercise or
  668  contribute to the operational control, direction, or management
  669  of an applicant or certified marijuana testing laboratory or who
  670  has authority to supervise any employee of an applicant or a
  671  certified marijuana testing laboratory. The term includes an
  672  individual with the power or authority to direct or influence
  673  the direction or operation of an applicant or a certified
  674  marijuana testing laboratory through board membership, an
  675  agreement, or a contract.
  676         c.“Owner” means any person who owns or controls a 5
  677  percent or greater share of interests of the applicant or a
  678  certified marijuana testing laboratory which include beneficial
  679  or voting rights to interests. In the event that one person owns
  680  a beneficial right to interests and another person holds the
  681  voting rights with respect to such interests, then in such case,
  682  both are considered the owner of such interests.
  683         2. Such employees, owners, and managers must submit a full
  684  set of fingerprints to the department or to a vendor, entity, or
  685  agency authorized by s. 943.053(13). The department, vendor,
  686  entity, or agency shall forward the fingerprints to the
  687  Department of Law Enforcement for state processing, and the
  688  Department of Law Enforcement shall forward the fingerprints to
  689  the Federal Bureau of Investigation for national processing.
  690         3.2. Fees for state and federal fingerprint processing and
  691  retention must shall be borne by the certified marijuana testing
  692  laboratory. The state cost for fingerprint processing is shall
  693  be as provided in s. 943.053(3)(e) for records provided to
  694  persons or entities other than those specified as exceptions
  695  therein.
  696         4.3. Fingerprints submitted to the Department of Law
  697  Enforcement pursuant to this paragraph must shall be retained by
  698  the Department of Law Enforcement as provided in s. 943.05(2)(g)
  699  and (h) and, when the Department of Law Enforcement begins
  700  participation in the program, enrolled in the Federal Bureau of
  701  Investigation’s national retained print arrest notification
  702  program. Any arrest record identified must shall be reported to
  703  the department.
  704         Section 7. Paragraphs (a) and (c) of subsection (2) of
  705  section 456.0145, Florida Statutes, are amended to read:
  706         456.0145 Mobile Opportunity by Interstate Licensure
  707  Endorsement (MOBILE) Act.—
  708         (2) LICENSURE BY ENDORSEMENT.—
  709         (a) An applicable board, or the department if there is no
  710  board, shall issue a license to practice in this state to an
  711  applicant who meets all of the following criteria:
  712         1. Submits a complete application.
  713         2. Holds an active, unencumbered license issued by another
  714  state, the District of Columbia, or a territory of the United
  715  States in a profession with a similar scope of practice, as
  716  determined by the board or department, as applicable. The term
  717  “scope of practice” means the full spectrum of functions,
  718  procedures, actions, and services that a health care
  719  practitioner is deemed competent and authorized to perform under
  720  a license issued in this state.
  721         3.a. Has obtained a passing score on a national licensure
  722  examination or holds a national certification recognized by the
  723  board, or the department if there is no board, as applicable to
  724  the profession for which the applicant is seeking licensure in
  725  this state; or
  726         b. Meets the requirements of paragraph (b).
  727         4. Has actively practiced the profession for which the
  728  applicant is applying for at least 2 3 years during the 4-year
  729  period immediately preceding the date of submission of the
  730  application.
  731         5. Attests that he or she is not, at the time of submission
  732  of the application, the subject of a disciplinary proceeding in
  733  a jurisdiction in which he or she holds a license or by the
  734  United States Department of Defense for reasons related to the
  735  practice of the profession for which he or she is applying.
  736         6. Has not had disciplinary action taken against him or her
  737  in the 5 years immediately preceding the date of submission of
  738  the application.
  739         7. Meets the financial responsibility requirements of s.
  740  456.048 or the applicable practice act, if required for the
  741  profession for which the applicant is seeking licensure.
  742         8. Submits a set of fingerprints for a background screening
  743  pursuant to s. 456.0135, if required for the profession for
  744  which he or she is applying.
  745  
  746  The department shall verify information submitted by the
  747  applicant under this subsection using the National Practitioner
  748  Data Bank, as applicable.
  749         (c) A person is ineligible for a license under this section
  750  if he or she:
  751         1. Has a complaint, an allegation, or an investigation
  752  pending before a licensing entity in another state, the District
  753  of Columbia, or a possession or territory of the United States;
  754         2. Has been convicted of or pled nolo contendere to,
  755  regardless of adjudication, any felony or misdemeanor related to
  756  the practice of a health care profession;
  757         3. Has had a health care provider license revoked or
  758  suspended by another state, the District of Columbia, or a
  759  territory of the United States, or has voluntarily surrendered
  760  any such license in lieu of having disciplinary action taken
  761  against the license; or
  762         4. Has been reported to the National Practitioner Data
  763  Bank, unless the applicant has successfully appealed to have his
  764  or her name removed from the data bank. If the reported adverse
  765  action was a result of conduct that would not constitute a
  766  violation of any law or rule in this state, the board, or the
  767  department if there is no board, may:
  768         a.Approve the application;
  769         b.Approve the application with restrictions on the scope
  770  of practice of the licensee;
  771         c.Approve the application with placement of the licensee
  772  on probation for a period of time and subject to such conditions
  773  as the board, or the department if there is no board, may
  774  specify, including, but not limited to, requiring the applicant
  775  to submit to treatment, attend continuing education courses, or
  776  submit to reexamination; or
  777         d.Deny the application.
  778         Section 8. Paragraph (d) of subsection (1) and subsection
  779  (3) of section 456.44, Florida Statutes, are amended to read:
  780         456.44 Controlled substance prescribing.—
  781         (1) DEFINITIONS.—As used in this section, the term:
  782         (d) “Board-certified pain management physician” means a
  783  physician who possesses board certification in pain medicine by
  784  the American Board of Pain Medicine, board certification by the
  785  American Board of Interventional Pain Physicians, or board
  786  certification or subcertification in pain management or pain
  787  medicine by a specialty board recognized by the American Board
  788  of Physician Specialties American Association of Physician
  789  Specialists or the American Board of Medical Specialties or an
  790  osteopathic physician who holds a certificate in Pain Management
  791  by the American Osteopathic Association.
  792         (3) STANDARDS OF PRACTICE FOR TREATMENT OF CHRONIC
  793  NONMALIGNANT PAIN.—The standards of practice in this section do
  794  not supersede the level of care, skill, and treatment recognized
  795  in general law related to health care licensure.
  796         (a) A complete medical history and a physical examination
  797  must be conducted before beginning any treatment and must be
  798  documented in the medical record. The exact components of the
  799  physical examination shall be left to the judgment of the
  800  registrant who is expected to perform a physical examination
  801  proportionate to the diagnosis that justifies a treatment. The
  802  medical record must, at a minimum, document the nature and
  803  intensity of the pain, current and past treatments for pain,
  804  underlying or coexisting diseases or conditions, the effect of
  805  the pain on physical and psychological function, a review of
  806  previous medical records, previous diagnostic studies, and
  807  history of alcohol and substance abuse. The medical record shall
  808  also document the presence of one or more recognized medical
  809  indications for the use of a controlled substance. Each
  810  registrant must develop a written plan for assessing each
  811  patient’s risk of aberrant drug-related behavior, which may
  812  include patient drug testing. Registrants must assess each
  813  patient’s risk for aberrant drug-related behavior and monitor
  814  that risk on an ongoing basis in accordance with the plan.
  815         (b) Each registrant must develop a written individualized
  816  treatment plan for each patient. The treatment plan shall state
  817  objectives that will be used to determine treatment success,
  818  such as pain relief and improved physical and psychosocial
  819  function, and shall indicate if any further diagnostic
  820  evaluations or other treatments are planned. After treatment
  821  begins, the registrant shall adjust drug therapy to the
  822  individual medical needs of each patient. Other treatment
  823  modalities, including a rehabilitation program, shall be
  824  considered depending on the etiology of the pain and the extent
  825  to which the pain is associated with physical and psychosocial
  826  impairment. The interdisciplinary nature of the treatment plan
  827  shall be documented.
  828         (c) The registrant shall discuss the risks and benefits of
  829  the use of controlled substances, including the risks of abuse
  830  and addiction, as well as physical dependence and its
  831  consequences, with the patient, persons designated by the
  832  patient, or the patient’s surrogate or guardian if the patient
  833  is incompetent. The registrant shall use a written controlled
  834  substance agreement between the registrant and the patient
  835  outlining the patient’s responsibilities, including, but not
  836  limited to:
  837         1. Number and frequency of controlled substance
  838  prescriptions and refills.
  839         2. Patient compliance and reasons for which drug therapy
  840  may be discontinued, such as a violation of the agreement.
  841         3. An agreement that controlled substances for the
  842  treatment of chronic nonmalignant pain shall be prescribed by a
  843  single treating registrant unless otherwise authorized by the
  844  treating registrant and documented in the medical record.
  845         (d) The patient shall be seen by the registrant at regular
  846  intervals, not to exceed 3 months, to assess the efficacy of
  847  treatment, ensure that controlled substance therapy remains
  848  indicated, evaluate the patient’s progress toward treatment
  849  objectives, consider adverse drug effects, and review the
  850  etiology of the pain. Continuation or modification of therapy
  851  shall depend on the registrant’s evaluation of the patient’s
  852  progress. If treatment goals are not being achieved, despite
  853  medication adjustments, the registrant shall reevaluate the
  854  appropriateness of continued treatment. The registrant shall
  855  monitor patient compliance in medication usage, related
  856  treatment plans, controlled substance agreements, and
  857  indications of substance abuse or diversion at a minimum of 3
  858  month intervals.
  859         (e) The registrant shall refer the patient as necessary for
  860  additional evaluation and treatment in order to achieve
  861  treatment objectives. Special attention shall be given to those
  862  patients who are at risk for misusing their medications and
  863  those whose living arrangements pose a risk for medication
  864  misuse or diversion. The management of pain in patients with a
  865  history of substance abuse or with a comorbid psychiatric
  866  disorder requires extra care, monitoring, and documentation and
  867  requires consultation with or referral to an addiction medicine
  868  specialist or a psychiatrist.
  869         (f) A registrant must maintain accurate, current, and
  870  complete records that are accessible and readily available for
  871  review and comply with the requirements of this section, the
  872  applicable practice act, and applicable board rules. The medical
  873  records must include, but are not limited to:
  874         1. The complete medical history and a physical examination,
  875  including history of drug abuse or dependence.
  876         2. Diagnostic, therapeutic, and laboratory results.
  877         3. Evaluations and consultations.
  878         4. Treatment objectives.
  879         5. Discussion of risks and benefits.
  880         6. Treatments.
  881         7. Medications, including date, type, dosage, and quantity
  882  prescribed.
  883         8. Instructions and agreements.
  884         9. Periodic reviews.
  885         10. Results of any drug testing.
  886         11. A photocopy of the patient’s government-issued photo
  887  identification.
  888         12. If a written prescription for a controlled substance is
  889  given to the patient, a duplicate of the prescription.
  890         13. The registrant’s full name presented in a legible
  891  manner.
  892         (g) A registrant shall immediately refer patients with
  893  signs or symptoms of substance abuse to a board-certified pain
  894  management physician, an addiction medicine specialist, or a
  895  mental health addiction facility as it pertains to drug abuse or
  896  addiction unless the registrant is a physician who is board
  897  certified or board-eligible in pain management. Throughout the
  898  period of time before receiving the consultant’s report, a
  899  prescribing registrant shall clearly and completely document
  900  medical justification for continued treatment with controlled
  901  substances and those steps taken to ensure medically appropriate
  902  use of controlled substances by the patient. Upon receipt of the
  903  consultant’s written report, the prescribing registrant shall
  904  incorporate the consultant’s recommendations for continuing,
  905  modifying, or discontinuing controlled substance therapy. The
  906  resulting changes in treatment shall be specifically documented
  907  in the patient’s medical record. Evidence or behavioral
  908  indications of diversion shall be followed by discontinuation of
  909  controlled substance therapy, and the patient shall be
  910  discharged, and all results of testing and actions taken by the
  911  registrant shall be documented in the patient’s medical record.
  912  
  913  This subsection does not apply to a board-eligible or board
  914  certified anesthesiologist, physiatrist, rheumatologist, or
  915  neurologist, or to a board-certified physician who has surgical
  916  privileges at a hospital or ambulatory surgery center and
  917  primarily provides surgical services. This subsection does not
  918  apply to a board-eligible or board-certified medical specialist
  919  who has also completed a fellowship in pain medicine approved by
  920  the Accreditation Council for Graduate Medical Education or the
  921  American Osteopathic Association, or who is board eligible or
  922  board certified in pain medicine by the American Board of Pain
  923  Medicine, the American Board of Interventional Pain Physicians,
  924  the American Board of Physician Specialties American Association
  925  of Physician Specialists, or a board approved by the American
  926  Board of Medical Specialties or the American Osteopathic
  927  Association and performs interventional pain procedures of the
  928  type routinely billed using surgical codes. This subsection does
  929  not apply to a registrant who prescribes medically necessary
  930  controlled substances for a patient during an inpatient stay in
  931  a hospital licensed under chapter 395.
  932         Section 9. Paragraph (i) of subsection (1) of section
  933  458.3145, Florida Statutes, is amended to read:
  934         458.3145 Medical faculty certificate.—
  935         (1) A medical faculty certificate may be issued without
  936  examination to an individual who meets all of the following
  937  criteria:
  938         (i) Has been offered and has accepted a full-time faculty
  939  appointment to teach in a program of medicine at any of the
  940  following institutions:
  941         1. The University of Florida.
  942         2. The University of Miami.
  943         3. The University of South Florida.
  944         4. The Florida State University.
  945         5. The Florida International University.
  946         6. The University of Central Florida.
  947         7. The Mayo Clinic College of Medicine and Science in
  948  Jacksonville, Florida.
  949         8. The Florida Atlantic University.
  950         9. The Johns Hopkins All Children’s Hospital in St.
  951  Petersburg, Florida.
  952         10. Nova Southeastern University.
  953         11. Lake Erie College of Osteopathic Medicine in Bradenton,
  954  Florida.
  955         12. Burrell College of Osteopathic Medicine in Melbourne,
  956  Florida.
  957         13.The Orlando College of Osteopathic Medicine.
  958         14.Lincoln Memorial University-DeBusk College of
  959  Osteopathic Medicine in Orange Park, Florida.
  960         Section 10. Subsection (1) of section 458.315, Florida
  961  Statutes, is amended to read:
  962         458.315 Temporary certificate for practice in areas of
  963  critical need.—
  964         (1) A physician or physician assistant who is licensed to
  965  practice in any jurisdiction of the United States and whose
  966  license is currently valid may be issued a temporary certificate
  967  for practice in areas of critical need. A physician seeking such
  968  certificate must pay an application fee of $300. A physician
  969  assistant licensed to practice in any state of the United States
  970  or the District of Columbia whose license is currently valid may
  971  be issued a temporary certificate for practice in areas of
  972  critical need.
  973         Section 11. Subsection (1) of section 459.0076, Florida
  974  Statutes, is amended to read:
  975         459.0076 Temporary certificate for practice in areas of
  976  critical need.—
  977         (1) A physician or physician assistant who holds a valid
  978  license to practice in any jurisdiction of the United States may
  979  be issued a temporary certificate for practice in areas of
  980  critical need. A physician seeking such certificate must pay an
  981  application fee of $300. A physician assistant licensed to
  982  practice in any state of the United States or the District of
  983  Columbia whose license is currently valid may be issued a
  984  temporary certificate for practice in areas of critical need.
  985         Section 12. Paragraph (a) of subsection (1) of section
  986  458.3265, Florida Statutes, is amended to read:
  987         458.3265 Pain-management clinics.—
  988         (1) REGISTRATION.—
  989         (a)1. As used in this section, the term:
  990         a. “Board eligible” means successful completion of an
  991  anesthesia, physical medicine and rehabilitation, rheumatology,
  992  or neurology residency program approved by the Accreditation
  993  Council for Graduate Medical Education or the American
  994  Osteopathic Association for a period of 6 years from successful
  995  completion of such residency program.
  996         b. “Chronic nonmalignant pain” means pain unrelated to
  997  cancer which persists beyond the usual course of disease or the
  998  injury that is the cause of the pain or more than 90 days after
  999  surgery.
 1000         c. “Pain-management clinic” or “clinic” means any publicly
 1001  or privately owned facility:
 1002         (I) That advertises in any medium for any type of pain
 1003  management services; or
 1004         (II) Where in any month a majority of patients are
 1005  prescribed opioids, benzodiazepines, barbiturates, or
 1006  carisoprodol for the treatment of chronic nonmalignant pain.
 1007         2. Each pain-management clinic must register with the
 1008  department or hold a valid certificate of exemption pursuant to
 1009  subsection (2).
 1010         3. The following clinics are exempt from the registration
 1011  requirement of paragraphs (c)-(m) and must apply to the
 1012  department for a certificate of exemption:
 1013         a. A clinic licensed as a facility pursuant to chapter 395;
 1014         b. A clinic in which the majority of the physicians who
 1015  provide services in the clinic primarily provide surgical
 1016  services;
 1017         c. A clinic owned by a publicly held corporation whose
 1018  shares are traded on a national exchange or on the over-the
 1019  counter market and whose total assets at the end of the
 1020  corporation’s most recent fiscal quarter exceeded $50 million;
 1021         d. A clinic affiliated with an accredited medical school at
 1022  which training is provided for medical students, residents, or
 1023  fellows;
 1024         e. A clinic that does not prescribe controlled substances
 1025  for the treatment of pain;
 1026         f. A clinic owned by a corporate entity exempt from federal
 1027  taxation under 26 U.S.C. s. 501(c)(3);
 1028         g. A clinic wholly owned and operated by one or more board
 1029  eligible or board-certified anesthesiologists, physiatrists,
 1030  rheumatologists, or neurologists; or
 1031         h. A clinic wholly owned and operated by a physician
 1032  multispecialty practice where one or more board-eligible or
 1033  board-certified medical specialists, who have also completed
 1034  fellowships in pain medicine approved by the Accreditation
 1035  Council for Graduate Medical Education or who are also board
 1036  certified in pain medicine by the American Board of Pain
 1037  Medicine or a board approved by the American Board of Medical
 1038  Specialties, the American Board of Physician Specialties
 1039  American Association of Physician Specialists, or the American
 1040  Osteopathic Association, perform interventional pain procedures
 1041  of the type routinely billed using surgical codes.
 1042         Section 13. Paragraph (a) of subsection (1) of section
 1043  458.3475, Florida Statutes, is amended to read:
 1044         458.3475 Anesthesiologist assistants.—
 1045         (1) DEFINITIONS.—As used in this section, the term:
 1046         (a) “Anesthesiologist” means an allopathic physician who
 1047  holds an active, unrestricted license; who has successfully
 1048  completed an anesthesiology training program approved by the
 1049  Accreditation Council on Graduate Medical Education or its
 1050  equivalent; and who is certified by the American Board of
 1051  Anesthesiology, is eligible to take that board’s examination, or
 1052  is certified by the Board of Certification in Anesthesiology
 1053  affiliated with the American Board of Physician Specialties
 1054  American Association of Physician Specialists.
 1055         Section 14. Paragraph (a) of subsection (1) of section
 1056  459.0137, Florida Statutes, is amended to read:
 1057         459.0137 Pain-management clinics.—
 1058         (1) REGISTRATION.—
 1059         (a)1. As used in this section, the term:
 1060         a. “Board eligible” means successful completion of an
 1061  anesthesia, physical medicine and rehabilitation, rheumatology,
 1062  or neurology residency program approved by the Accreditation
 1063  Council for Graduate Medical Education or the American
 1064  Osteopathic Association for a period of 6 years from successful
 1065  completion of such residency program.
 1066         b. “Chronic nonmalignant pain” means pain unrelated to
 1067  cancer which persists beyond the usual course of disease or the
 1068  injury that is the cause of the pain or more than 90 days after
 1069  surgery.
 1070         c. “Pain-management clinic” or “clinic” means any publicly
 1071  or privately owned facility:
 1072         (I) That advertises in any medium for any type of pain
 1073  management services; or
 1074         (II) Where in any month a majority of patients are
 1075  prescribed opioids, benzodiazepines, barbiturates, or
 1076  carisoprodol for the treatment of chronic nonmalignant pain.
 1077         2. Each pain-management clinic must register with the
 1078  department or hold a valid certificate of exemption pursuant to
 1079  subsection (2).
 1080         3. The following clinics are exempt from the registration
 1081  requirement of paragraphs (c)-(m) and must apply to the
 1082  department for a certificate of exemption:
 1083         a. A clinic licensed as a facility pursuant to chapter 395;
 1084         b. A clinic in which the majority of the physicians who
 1085  provide services in the clinic primarily provide surgical
 1086  services;
 1087         c. A clinic owned by a publicly held corporation whose
 1088  shares are traded on a national exchange or on the over-the
 1089  counter market and whose total assets at the end of the
 1090  corporation’s most recent fiscal quarter exceeded $50 million;
 1091         d. A clinic affiliated with an accredited medical school at
 1092  which training is provided for medical students, residents, or
 1093  fellows;
 1094         e. A clinic that does not prescribe controlled substances
 1095  for the treatment of pain;
 1096         f. A clinic owned by a corporate entity exempt from federal
 1097  taxation under 26 U.S.C. s. 501(c)(3);
 1098         g. A clinic wholly owned and operated by one or more board
 1099  eligible or board-certified anesthesiologists, physiatrists,
 1100  rheumatologists, or neurologists; or
 1101         h. A clinic wholly owned and operated by a physician
 1102  multispecialty practice where one or more board-eligible or
 1103  board-certified medical specialists, who have also completed
 1104  fellowships in pain medicine approved by the Accreditation
 1105  Council for Graduate Medical Education or the American
 1106  Osteopathic Association or who are also board-certified in pain
 1107  medicine by the American Board of Pain Medicine or a board
 1108  approved by the American Board of Medical Specialties, the
 1109  American Board of Physician Specialties American Association of
 1110  Physician Specialists, or the American Osteopathic Association,
 1111  perform interventional pain procedures of the type routinely
 1112  billed using surgical codes.
 1113         Section 15. Paragraph (a) of subsection (1) of section
 1114  459.023, Florida Statutes, is amended to read:
 1115         459.023 Anesthesiologist assistants.—
 1116         (1) DEFINITIONS.—As used in this section, the term:
 1117         (a) “Anesthesiologist” means an osteopathic physician who
 1118  holds an active, unrestricted license; who has successfully
 1119  completed an anesthesiology training program approved by the
 1120  Accreditation Council on Graduate Medical Education, or its
 1121  equivalent, or the American Osteopathic Association; and who is
 1122  certified by the American Osteopathic Board of Anesthesiology or
 1123  is eligible to take that board’s examination, is certified by
 1124  the American Board of Anesthesiology or is eligible to take that
 1125  board’s examination, or is certified by the Board of
 1126  Certification in Anesthesiology affiliated with the American
 1127  Board of Physician Specialties American Association of Physician
 1128  Specialists.
 1129         Section 16. Subsection (4) of section 466.006, Florida
 1130  Statutes, is amended to read:
 1131         466.006 Examination of dentists.—
 1132         (4) Notwithstanding any other provision of law in chapter
 1133  456 pertaining to the clinical dental licensure examination or
 1134  national examinations, to be licensed as a dentist in this
 1135  state, an applicant must successfully complete all both of the
 1136  following:
 1137         (a) A written examination on the laws and rules of the
 1138  state regulating the practice of dentistry.
 1139         (b) A practical or clinical examination, which must be the
 1140  American Dental Licensing Examination produced by the American
 1141  Board of Dental Examiners, Inc., or its successor entity, if
 1142  any, which is administered in this state, provided that the
 1143  board has attained, and continues to maintain thereafter,
 1144  representation on the board of directors of the American Board
 1145  of Dental Examiners, the examination development committee of
 1146  the American Board of Dental Examiners, and such other
 1147  committees of the American Board of Dental Examiners as the
 1148  board deems appropriate by rule to assure that the standards
 1149  established herein are maintained organizationally.
 1150         1. As an alternative to such practical or clinical
 1151  examination, an applicant may submit scores from an American
 1152  Dental Licensing Examination previously administered in a
 1153  jurisdiction other than this state after October 1, 2011, and
 1154  such examination results are recognized as valid for the purpose
 1155  of licensure in this state. A passing score on the American
 1156  Dental Licensing Examination administered out of state is the
 1157  same as the passing score for the American Dental Licensing
 1158  Examination administered in this state. The applicant must have
 1159  completed the examination after October 1, 2011. This
 1160  subparagraph may not be given retroactive application.
 1161         2. If the date of an applicant’s passing American Dental
 1162  Licensing Examination scores from an examination previously
 1163  administered in a jurisdiction other than this state under
 1164  subparagraph 1. is older than 365 days, such scores are
 1165  nevertheless valid for the purpose of licensure in this state,
 1166  but only if the applicant demonstrates that all of the following
 1167  additional standards have been met:
 1168         a. The applicant completed the American Dental Licensing
 1169  Examination after October 1, 2011. This sub-subparagraph may not
 1170  be given retroactive application.
 1171         b. The applicant graduated from a dental school accredited
 1172  by the American Dental Association Commission on Dental
 1173  Accreditation or its successor entity, if any, or any other
 1174  dental accrediting organization recognized by the United States
 1175  Department of Education. Provided, however, if the applicant did
 1176  not graduate from such a dental school, the applicant may submit
 1177  proof of having successfully completed a full-time supplemental
 1178  general dentistry program accredited by the American Dental
 1179  Association Commission on Dental Accreditation of at least 2
 1180  consecutive academic years at such accredited sponsoring
 1181  institution. Such program must provide didactic and clinical
 1182  education at the level of a D.D.S. or D.M.D. program accredited
 1183  by the American Dental Association Commission on Dental
 1184  Accreditation. For purposes of this sub-subparagraph, a
 1185  supplemental general dentistry program does not include an
 1186  advanced education program in a dental specialty.
 1187         c. The applicant currently possesses a valid and active
 1188  dental license in good standing, with no restriction, which has
 1189  never been revoked, suspended, restricted, or otherwise
 1190  disciplined, from another state or territory of the United
 1191  States, the District of Columbia, or the Commonwealth of Puerto
 1192  Rico.
 1193         d. The applicant must disclose to the board during the
 1194  application process if he or she has been reported to the
 1195  National Practitioner Data Bank, the Healthcare Integrity and
 1196  Protection Data Bank, or the American Association of Dental
 1197  Boards Clearinghouse. This sub-subparagraph does not apply if
 1198  the applicant successfully appealed to have his or her name
 1199  removed from the data banks of these agencies.
 1200         e.(I)(A) The applicant submits proof of having been
 1201  consecutively engaged in the full-time practice of dentistry in
 1202  another state or territory of the United States, the District of
 1203  Columbia, or the Commonwealth of Puerto Rico in the 5 years
 1204  immediately preceding the date of application for licensure in
 1205  this state; or
 1206         (B) If the applicant has been licensed in another state or
 1207  territory of the United States, the District of Columbia, or the
 1208  Commonwealth of Puerto Rico for less than 5 years, the applicant
 1209  submits proof of having been engaged in the full-time practice
 1210  of dentistry since the date of his or her initial licensure.
 1211         (II) As used in this section, “full-time practice” is
 1212  defined as a minimum of 1,200 hours per year for each year in
 1213  the consecutive 5-year period or, when applicable, the period
 1214  since initial licensure, and must include any combination of the
 1215  following:
 1216         (A) Active clinical practice of dentistry providing direct
 1217  patient care.
 1218         (B) Full-time practice as a faculty member employed by a
 1219  dental or dental hygiene school approved by the board or
 1220  accredited by the American Dental Association Commission on
 1221  Dental Accreditation.
 1222         (C) Full-time practice as a student at a postgraduate
 1223  dental education program approved by the board or accredited by
 1224  the American Dental Association Commission on Dental
 1225  Accreditation.
 1226         (III) The board shall develop rules to determine what type
 1227  of proof of full-time practice is required and to recoup the
 1228  cost to the board of verifying full-time practice under this
 1229  section. Such proof must, at a minimum, be:
 1230         (A) Admissible as evidence in an administrative proceeding;
 1231         (B) Submitted in writing;
 1232         (C) Further documented by an applicant’s annual income tax
 1233  return filed with the Internal Revenue Service for each year in
 1234  the preceding 5-year period or, if the applicant has been
 1235  practicing for less than 5 years, the period since initial
 1236  licensure; and
 1237         (D) Specifically found by the board to be both credible and
 1238  admissible.
 1239         (IV) The board may excuse applicants from the 1,200-hour
 1240  requirement in the event of hardship, as defined by the board.
 1241         f. The applicant submits documentation that he or she has
 1242  completed, or will complete before he or she is licensed in this
 1243  state, continuing education equivalent to this state’s
 1244  requirements for the last full reporting biennium.
 1245         g. The applicant proves that he or she has never been
 1246  convicted of, or pled nolo contendere to, regardless of
 1247  adjudication, any felony or misdemeanor related to the practice
 1248  of a health care profession in any jurisdiction.
 1249         h. The applicant has successfully passed a written
 1250  examination on the laws and rules of this state regulating the
 1251  practice of dentistry and the computer-based diagnostic skills
 1252  examination.
 1253         i. The applicant submits documentation that he or she has
 1254  successfully completed the applicable examination administered
 1255  by the Joint Commission on National Dental Examinations or its
 1256  successor organization.
 1257         (c) The educational requirements provided under paragraph
 1258  (2)(b) or subsection (3).
 1259         Section 17. Section 486.112, Florida Statutes, is amended
 1260  to read:
 1261         486.112 Physical Therapy Licensure Compact.—The Physical
 1262  Therapy Licensure Compact is hereby enacted into law and entered
 1263  into by this state with all other jurisdictions legally joining
 1264  therein in the form substantially as follows:
 1265  
 1266                              ARTICLE I                            
 1267                       PURPOSE AND OBJECTIVES                      
 1268  
 1269         (1) The purpose of the compact is to facilitate interstate
 1270  practice of physical therapy with the goal of improving public
 1271  access to physical therapy services. The compact preserves the
 1272  regulatory authority of member states to protect public health
 1273  and safety through their current systems of state licensure. For
 1274  purposes of state regulation under the compact, the practice of
 1275  physical therapy is deemed to have occurred in the state where
 1276  the patient is located at the time physical therapy is provided
 1277  to the patient.
 1278         (2) The compact is designed to achieve all of the following
 1279  objectives:
 1280         (a) Increase public access to physical therapy services by
 1281  providing for the mutual recognition of other member state
 1282  licenses.
 1283         (b) Enhance the states’ ability to protect the public’s
 1284  health and safety.
 1285         (c) Encourage the cooperation of member states in
 1286  regulating multistate physical therapy practice.
 1287         (d) Support spouses of relocating military members.
 1288         (e) Enhance the exchange of licensure, investigative, and
 1289  disciplinary information between member states.
 1290         (f) Allow a remote state to hold a provider of services
 1291  with a compact privilege in that state accountable to that
 1292  state’s practice standards.
 1293  
 1294                             ARTICLE II                            
 1295                             DEFINITIONS                           
 1296  
 1297         As used in the compact, and except as otherwise provided,
 1298  the term:
 1299         (1) “Active duty military” means full-time duty status in
 1300  the active uniformed service of the United States, including
 1301  members of the National Guard and Reserve on active duty orders
 1302  pursuant to 10 U.S.C. chapter 1209 or chapter 1211.
 1303         (2) “Adverse action” means disciplinary action taken by a
 1304  physical therapy licensing board based upon misconduct,
 1305  unacceptable performance, or a combination of both.
 1306         (3) “Alternative program” means a nondisciplinary
 1307  monitoring or practice remediation process approved by a state’s
 1308  physical therapy licensing board. The term includes, but is not
 1309  limited to, programs that address substance abuse issues.
 1310         (4) “Compact privilege” means the authorization granted by
 1311  a remote state to allow a licensee from another member state to
 1312  practice as a physical therapist or physical therapist assistant
 1313  in the remote state under its laws and rules.
 1314         (5) “Continuing competence” means a requirement, as a
 1315  condition of license renewal, to provide evidence of
 1316  participation in, and completion of, educational and
 1317  professional activities relevant to the practice of physical
 1318  therapy.
 1319         (6) “Data system” means the coordinated database and
 1320  reporting system created by the Physical Therapy Compact
 1321  Commission for the exchange of information between member states
 1322  relating to licensees or applicants under the compact, including
 1323  identifying information, licensure data, investigative
 1324  information, adverse actions, nonconfidential information
 1325  related to alternative program participation, any denials of
 1326  applications for licensure, and other information as specified
 1327  by commission rule.
 1328         (7) “Encumbered license” means a license that a physical
 1329  therapy licensing board has limited in any way.
 1330         (8) “Executive board” means a group of directors elected or
 1331  appointed to act on behalf of, and within the powers granted to
 1332  them by, the commission.
 1333         (9) “Home state” means the member state that is the
 1334  licensee’s primary state of residence.
 1335         (10) “Investigative information” means information,
 1336  records, and documents received or generated by a physical
 1337  therapy licensing board pursuant to an investigation.
 1338         (11) “Jurisprudence requirement” means the assessment of an
 1339  individual’s knowledge of the laws and rules governing the
 1340  practice of physical therapy in a specific state.
 1341         (12) “Licensee” means an individual who currently holds an
 1342  authorization from a state to practice as a physical therapist
 1343  or physical therapist assistant.
 1344         (13) “Member state” means a state that has enacted the
 1345  compact.
 1346         (14) “Party state” means any member state in which a
 1347  licensee holds a current license or compact privilege or is
 1348  applying for a license or compact privilege.
 1349         (15) “Physical therapist” means an individual licensed by a
 1350  state to practice physical therapy.
 1351         (16)(15) “Physical therapist assistant” means an individual
 1352  licensed by a state to assist a physical therapist in specified
 1353  areas of physical therapy.
 1354         (17)(16) “Physical therapy” or “the practice of physical
 1355  therapy” means the care and services provided by or under the
 1356  direction and supervision of a licensed physical therapist.
 1357         (18)(17) “Physical Therapy Compact Commission” or
 1358  “commission” means the national administrative body whose
 1359  membership consists of all states that have enacted the compact.
 1360         (19)(18) “Physical therapy licensing board” means the
 1361  agency of a state which is responsible for the licensing and
 1362  regulation of physical therapists and physical therapist
 1363  assistants.
 1364         (20)(19) “Remote state” means a member state other than the
 1365  home state where a licensee is exercising or seeking to exercise
 1366  the compact privilege.
 1367         (21)(20) “Rule” means a regulation, principle, or directive
 1368  adopted by the commission which has the force of law.
 1369         (22)(21) “State” means any state, commonwealth, district,
 1370  or territory of the United States of America which regulates the
 1371  practice of physical therapy.
 1372  
 1373                             ARTICLE III                           
 1374                 STATE PARTICIPATION IN THE COMPACT                
 1375  
 1376         (1) To participate in the compact, a state must do all of
 1377  the following:
 1378         (a) Participate fully in the commission’s data system,
 1379  including using the commission’s unique identifier, as defined
 1380  by commission rule.
 1381         (b) Have a mechanism in place for receiving and
 1382  investigating complaints about licensees.
 1383         (c) Notify the commission, in accordance with the terms of
 1384  the compact and rules, of any adverse action or the availability
 1385  of investigative information regarding a licensee.
 1386         (d) Fully implement a criminal background check
 1387  requirement, within a timeframe established by commission rule,
 1388  which uses results from the Federal Bureau of Investigation
 1389  record search on criminal background checks to make licensure
 1390  decisions in accordance with subsection (2).
 1391         (e) Comply with the commission’s rules.
 1392         (f) Use a recognized national examination as a requirement
 1393  for licensure pursuant to the commission’s rules.
 1394         (g) Have continuing competence requirements as a condition
 1395  for license renewal.
 1396         (2) Upon adoption of the compact, a member state has the
 1397  authority to obtain biometric-based information from each
 1398  licensee applying for a compact privilege and submit this
 1399  information to the Federal Bureau of Investigation for a
 1400  criminal background check in accordance with 28 U.S.C. s. 534
 1401  and 34 U.S.C. s. 40316.
 1402         (3) A member state must grant the compact privilege to a
 1403  licensee holding a valid unencumbered license in another member
 1404  state in accordance with the terms of the compact and rules.
 1405  
 1406                             ARTICLE IV                            
 1407                          COMPACT PRIVILEGE                        
 1408  
 1409         (1) To exercise the compact privilege under the compact, a
 1410  licensee must satisfy all of the following conditions:
 1411         (a) Hold a license in the home state.
 1412         (b) Not have an encumbrance on any state license.
 1413         (c) Be eligible for a compact privilege in all member
 1414  states in accordance with subsections (4), (7), and (8).
 1415         (d) Not have had an adverse action against any license or
 1416  compact privilege within the preceding 2 years.
 1417         (e) Notify the commission that the licensee is seeking the
 1418  compact privilege within a remote state.
 1419         (f) Meet any jurisprudence requirements established by the
 1420  remote state in which the licensee is seeking a compact
 1421  privilege.
 1422         (g) Report to the commission adverse action taken by any
 1423  nonmember state within 30 days after the date the adverse action
 1424  is taken.
 1425         (2) The compact privilege is valid until the expiration
 1426  date of the home license. The licensee must continue to meet the
 1427  requirements of subsection (1) to maintain the compact privilege
 1428  in a remote state.
 1429         (3) A licensee providing physical therapy in a remote state
 1430  under the compact privilege must comply with the laws and rules
 1431  of the remote state.
 1432         (4) A licensee providing physical therapy in a remote state
 1433  is subject to that state’s regulatory authority. A remote state
 1434  may, in accordance with due process and that state’s laws,
 1435  remove a licensee’s compact privilege in the remote state for a
 1436  specific period of time, impose fines, and take any other
 1437  necessary actions to protect the health and safety of its
 1438  citizens. The licensee is not eligible for a compact privilege
 1439  in any member state until the specific period of time for
 1440  removal has ended and all fines are paid.
 1441         (5) If a home state license is encumbered, the licensee
 1442  loses the compact privilege in any remote state until the
 1443  following conditions are met:
 1444         (a) The home state license is no longer encumbered.
 1445         (b) Two years have elapsed from the date of the adverse
 1446  action.
 1447         (6) Once an encumbered license in the home state is
 1448  restored to good standing, the licensee must meet the
 1449  requirements of subsection (1) to obtain a compact privilege in
 1450  any remote state.
 1451         (7) If a licensee’s compact privilege in any remote state
 1452  is removed, the licensee loses the compact privilege in all
 1453  remote states until all of the following conditions are met:
 1454         (a) The specific period of time for which the compact
 1455  privilege was removed has ended.
 1456         (b) All fines have been paid.
 1457         (c) Two years have elapsed from the date of the adverse
 1458  action.
 1459         (8) Once the requirements of subsection (7) have been met,
 1460  the licensee must meet the requirements of subsection (1) to
 1461  obtain a compact privilege in a remote state.
 1462  
 1463                              ARTICLE V                            
 1464                   ACTIVE DUTY MILITARY PERSONNEL                  
 1465                          AND THEIR SPOUSES                        
 1466  
 1467         A licensee who is active duty military or is the spouse of
 1468  an individual who is active duty military may choose any of the
 1469  following locations to designate his or her home state:
 1470         (1) Home of record.
 1471         (2) Permanent change of station location.
 1472         (3) State of current residence, if it is different from the
 1473  home of record or permanent change of station location.
 1474  
 1475                             ARTICLE VI                            
 1476                           ADVERSE ACTIONS                         
 1477  
 1478         (1) A home state has exclusive power to impose adverse
 1479  action against a license issued by the home state.
 1480         (2) A home state may take adverse action based on the
 1481  investigative information of a remote state, so long as the home
 1482  state follows its own procedures for imposing adverse action.
 1483         (3) The compact does not override a member state’s decision
 1484  that participation in an alternative program may be used in lieu
 1485  of adverse action and that such participation remain nonpublic
 1486  if required by the member state’s laws. Member states must
 1487  require licensees who enter any alternative programs in lieu of
 1488  discipline to agree not to practice in any other member state
 1489  during the term of the alternative program without prior
 1490  authorization from such other member state.
 1491         (4) A member state may investigate actual or alleged
 1492  violations of the laws and rules for the practice of physical
 1493  therapy committed in any other member state by a physical
 1494  therapist or physical therapist assistant practicing under the
 1495  compact who holds a license or compact privilege in such other
 1496  member state.
 1497         (5) A remote state may do any of the following:
 1498         (a) Take adverse actions as set forth in subsection (4) of
 1499  Article IV against a licensee’s compact privilege in the state.
 1500         (b) Issue subpoenas for both hearings and investigations
 1501  which require the attendance and testimony of witnesses and the
 1502  production of evidence. Subpoenas issued by a physical therapy
 1503  licensing board in a party member state for the attendance and
 1504  testimony of witnesses or for the production of evidence from
 1505  another party member state must be enforced in the latter state
 1506  by any court of competent jurisdiction, according to the
 1507  practice and procedure of that court applicable to subpoenas
 1508  issued in proceedings pending before it. The issuing authority
 1509  shall pay any witness fees, travel expenses, mileage, and other
 1510  fees required by the service laws of the state where the
 1511  witnesses or evidence is located.
 1512         (c) If otherwise permitted by state law, recover from the
 1513  licensee the costs of investigations and disposition of cases
 1514  resulting from any adverse action taken against that licensee.
 1515         (6)(a) In addition to the authority granted to a member
 1516  state by its respective physical therapy practice act or other
 1517  applicable state law, a member state may participate with other
 1518  member states in joint investigations of licensees.
 1519         (b) Member states shall share any investigative,
 1520  litigation, or compliance materials in furtherance of any joint
 1521  or individual investigation initiated under the compact.
 1522  
 1523                             ARTICLE VII                           
 1524                        ESTABLISHMENT OF THE                       
 1525                 PHYSICAL THERAPY COMPACT COMMISSION               
 1526  
 1527         (1) COMMISSION CREATED.—The member states hereby create and
 1528  establish a joint public agency known as the Physical Therapy
 1529  Compact Commission:
 1530         (a) The commission is an instrumentality of the member
 1531  states.
 1532         (b) Venue is proper, and judicial proceedings by or against
 1533  the commission must be brought solely and exclusively, in a
 1534  court of competent jurisdiction where the principal office of
 1535  the commission is located. The commission may waive venue and
 1536  jurisdictional defenses to the extent it adopts or consents to
 1537  participate in alternative dispute resolution proceedings.
 1538         (c) The compact may not be construed to be a waiver of
 1539  sovereign immunity.
 1540         (2) MEMBERSHIP, VOTING, AND MEETINGS.—
 1541         (a) Each member state has and is limited to one delegate
 1542  selected by that member state’s physical therapy licensing board
 1543  to serve on the commission. The delegate must be a current
 1544  member of the physical therapy licensing board who is a physical
 1545  therapist, a physical therapist assistant, a public member, or
 1546  the board administrator.
 1547         (b) A delegate may be removed or suspended from office as
 1548  provided by the law of the state from which the delegate is
 1549  appointed. Any vacancy occurring on the commission must be
 1550  filled by the physical therapy licensing board of the member
 1551  state for which the vacancy exists.
 1552         (c) Each delegate is entitled to one vote with regard to
 1553  the adoption of rules and bylaws and shall otherwise have an
 1554  opportunity to participate in the business and affairs of the
 1555  commission.
 1556         (d) A delegate shall vote in person or by such other means
 1557  as provided in the bylaws. The bylaws may provide for delegates’
 1558  participation in meetings by telephone or other means of
 1559  communication.
 1560         (e) The commission shall meet at least once during each
 1561  calendar year. Additional meetings may be held as set forth in
 1562  the bylaws.
 1563         (f) All meetings must be open to the public, and public
 1564  notice of meetings must be given in the same manner as required
 1565  under the rulemaking provisions in Article IX.
 1566         (g) The commission or the executive board or other
 1567  committees of the commission may convene in a closed, nonpublic
 1568  meeting if the commission or executive board or other committees
 1569  of the commission must discuss any of the following:
 1570         1. Noncompliance of a member state with its obligations
 1571  under the compact.
 1572         2. The employment, compensation, or discipline of, or other
 1573  matters, practices, or procedures related to, specific employees
 1574  or other matters related to the commission’s internal personnel
 1575  practices and procedures.
 1576         3. Current, threatened, or reasonably anticipated
 1577  litigation against the commission, executive board, or other
 1578  committees of the commission.
 1579         4. Negotiation of contracts for the purchase, lease, or
 1580  sale of goods, services, or real estate.
 1581         5. An accusation of any person of a crime or a formal
 1582  censure of any person.
 1583         6. Information disclosing trade secrets or commercial or
 1584  financial information that is privileged or confidential.
 1585         7. Information of a personal nature where disclosure would
 1586  constitute a clearly unwarranted invasion of personal privacy.
 1587         8. Investigatory records compiled for law enforcement
 1588  purposes.
 1589         9. Information related to any investigative reports
 1590  prepared by or on behalf of or for use of the commission or
 1591  other committee charged with responsibility for investigation or
 1592  determination of compliance issues pursuant to the compact.
 1593         10. Matters specifically exempted from disclosure by
 1594  federal or member state statute.
 1595         (h) If a meeting, or portion of a meeting, is closed
 1596  pursuant to this subsection, the commission’s legal counsel or
 1597  designee must certify that the meeting may be closed and must
 1598  reference each relevant exempting provision.
 1599         (i) The commission shall keep minutes that fully and
 1600  clearly describe all matters discussed in a meeting and shall
 1601  provide a full and accurate summary of actions taken and the
 1602  reasons therefor, including a description of the views
 1603  expressed. All documents considered in connection with an action
 1604  must be identified in the minutes. All minutes and documents of
 1605  a closed meeting must remain under seal, subject to release only
 1606  by a majority vote of the commission or order of a court of
 1607  competent jurisdiction.
 1608         (3) DUTIES.—The commission shall do all of the following:
 1609         (a) Establish the fiscal year of the commission.
 1610         (b) Establish bylaws.
 1611         (c) Maintain its financial records in accordance with the
 1612  bylaws.
 1613         (d) Meet and take such actions as are consistent with the
 1614  provisions of the compact and the bylaws.
 1615         (4) POWERS.—The commission may do any of the following:
 1616         (a) Adopt uniform rules to facilitate and coordinate
 1617  implementation and administration of the compact. The rules have
 1618  the force and effect of law and are binding in all member
 1619  states.
 1620         (b) Bring and prosecute legal proceedings or actions in the
 1621  name of the commission, provided that the standing of any state
 1622  physical therapy licensing board to sue or be sued under
 1623  applicable law is not affected.
 1624         (c) Purchase and maintain insurance and bonds.
 1625         (d) Borrow, accept, or contract for services of personnel,
 1626  including, but not limited to, employees of a member state.
 1627         (e) Hire employees and elect or appoint officers; fix the
 1628  compensation of, define the duties of, and grant appropriate
 1629  authority to such individuals to carry out the purposes of the
 1630  compact; and establish the commission’s personnel policies and
 1631  programs relating to conflicts of interest, qualifications of
 1632  personnel, and other related personnel matters.
 1633         (f) Accept any appropriate donations and grants of money,
 1634  equipment, supplies, materials, and services and receive, use,
 1635  and dispose of the same, provided that at all times the
 1636  commission avoids any appearance of impropriety or conflict of
 1637  interest.
 1638         (g) Lease, purchase, accept appropriate gifts or donations
 1639  of, or otherwise own, hold, improve, or use any property, real,
 1640  personal, or mixed, provided that at all times the commission
 1641  avoids any appearance of impropriety or conflict of interest.
 1642         (h) Sell, convey, mortgage, pledge, lease, exchange,
 1643  abandon, or otherwise dispose of any property, real, personal,
 1644  or mixed.
 1645         (i) Establish a budget and make expenditures.
 1646         (j) Borrow money.
 1647         (k) Appoint committees, including standing committees
 1648  composed of members, state regulators, state legislators or
 1649  their representatives, and consumer representatives, and such
 1650  other interested persons as may be designated in the compact and
 1651  the bylaws.
 1652         (l) Provide information to, receive information from, and
 1653  cooperate with law enforcement agencies.
 1654         (m) Establish and elect an executive board.
 1655         (n) Perform such other functions as may be necessary or
 1656  appropriate to achieve the purposes of the compact consistent
 1657  with the state regulation of physical therapy licensure and
 1658  practice.
 1659         (5) THE EXECUTIVE BOARD.—
 1660         (a) The executive board may act on behalf of the commission
 1661  according to the terms of the compact.
 1662         (b) The executive board shall be composed of the following
 1663  nine members:
 1664         1. Seven voting members who are elected by the commission
 1665  from the current membership of the commission.
 1666         2. One ex officio, nonvoting member from the recognized
 1667  national physical therapy professional association.
 1668         3. One ex officio, nonvoting member from the recognized
 1669  membership organization of the physical therapy licensing
 1670  boards.
 1671         (c) The ex officio members shall be selected by their
 1672  respective organizations.
 1673         (d) The commission may remove any member of the executive
 1674  board as provided in its bylaws.
 1675         (e) The executive board shall meet at least annually.
 1676         (f) The executive board shall do all of the following:
 1677         1. Recommend to the entire commission changes to the rules
 1678  or bylaws, compact legislation, fees paid by compact member
 1679  states, such as annual dues, and any commission compact fee
 1680  charged to licensees for the compact privilege.
 1681         2. Ensure compact administration services are appropriately
 1682  provided, contractually or otherwise.
 1683         3. Prepare and recommend the budget.
 1684         4. Maintain financial records on behalf of the commission.
 1685         5. Monitor compact compliance of member states and provide
 1686  compliance reports to the commission.
 1687         6. Establish additional committees as necessary.
 1688         7. Perform other duties as provided in the rules or bylaws.
 1689         (6) FINANCING OF THE COMMISSION.—
 1690         (a) The commission shall pay, or provide for the payment
 1691  of, the reasonable expenses of its establishment, organization,
 1692  and ongoing activities.
 1693         (b) The commission may accept any appropriate revenue
 1694  sources, donations, and grants of money, equipment, supplies,
 1695  materials, and services.
 1696         (c) The commission may levy and collect an annual
 1697  assessment from each member state or impose fees on other
 1698  parties to cover the cost of the operations and activities of
 1699  the commission and its staff. Such assessments and fees must
 1700  total to an amount sufficient to cover the commission’s annual
 1701  budget as approved each year for which revenue is not provided
 1702  by other sources. The aggregate annual assessment amount must be
 1703  allocated based upon a formula to be determined by the
 1704  commission, which shall adopt a rule binding upon all member
 1705  states.
 1706         (d) The commission may not incur obligations of any kind
 1707  before securing the funds adequate to meet such obligations; nor
 1708  may the commission pledge the credit of any of the member
 1709  states, except by and with the authority of the member state.
 1710         (e) The commission shall keep accurate accounts of all
 1711  receipts and disbursements. The receipts and disbursements of
 1712  the commission are subject to the audit and accounting
 1713  procedures established under its bylaws. However, all receipts
 1714  and disbursements of funds handled by the commission must be
 1715  audited yearly by a certified or licensed public accountant, and
 1716  the report of the audit must be included in and become part of
 1717  the annual report of the commission.
 1718         (7) QUALIFIED IMMUNITY, DEFENSE, AND INDEMNIFICATION.—
 1719         (a) The members, officers, executive director, employees,
 1720  and representatives of the commission are immune from suit and
 1721  liability, whether personally or in their official capacity, for
 1722  any claim for damage to or loss of property or personal injury
 1723  or other civil liability caused by or arising out of any actual
 1724  or alleged act, error, or omission that occurred, or that the
 1725  person against whom the claim is made had a reasonable basis for
 1726  believing occurred, within the scope of commission employment,
 1727  duties, or responsibilities. However, this paragraph may not be
 1728  construed to protect any such person from suit or liability for
 1729  any damage, loss, injury, or liability caused by the
 1730  intentional, willful, or wanton misconduct of that person.
 1731         (b) The commission shall defend any member, officer,
 1732  executive director, employee, or representative of the
 1733  commission in any civil action seeking to impose liability
 1734  arising out of any actual or alleged act, error, or omission
 1735  that occurred within the scope of commission employment, duties,
 1736  or responsibilities, or that the person against whom the claim
 1737  is made had a reasonable basis for believing occurred within the
 1738  scope of commission employment, duties, or responsibilities.
 1739  However, this subsection may not be construed to prohibit any
 1740  member, officer, executive director, employee, or representative
 1741  of the commission from retaining his or her own counsel or to
 1742  require the commission to defend such person if the actual or
 1743  alleged act, error, or omission resulted from that person’s
 1744  intentional, willful, or wanton misconduct.
 1745         (c) The commission shall indemnify and hold harmless any
 1746  member, officer, executive director, employee, or representative
 1747  of the commission for the amount of any settlement or judgment
 1748  obtained against that person arising out of any actual or
 1749  alleged act, error, or omission that occurred within the scope
 1750  of commission employment, duties, or responsibilities, or that
 1751  such person had a reasonable basis for believing occurred within
 1752  the scope of commission employment, duties, or responsibilities,
 1753  provided that the actual or alleged act, error, or omission did
 1754  not result from the intentional, willful, or wanton misconduct
 1755  of that person.
 1756  
 1757                            ARTICLE VIII                           
 1758                             DATA SYSTEM                           
 1759  
 1760         (1) The commission shall provide for the development,
 1761  maintenance, and use of a coordinated database and reporting
 1762  system containing licensure, adverse action, and investigative
 1763  information on all licensees in member states.
 1764         (2) Notwithstanding any other provision of state law to the
 1765  contrary, a member state shall submit a uniform data set to the
 1766  data system on all individuals to whom the compact is applicable
 1767  as required by the rules of the commission, which data set must
 1768  include all of the following:
 1769         (a) Identifying information.
 1770         (b) Licensure data.
 1771         (c) Investigative information.
 1772         (d) Adverse actions against a license or compact privilege.
 1773         (e) Nonconfidential information related to alternative
 1774  program participation.
 1775         (f) Any denial of application for licensure, and the reason
 1776  for such denial.
 1777         (g) Other information that may facilitate the
 1778  administration of the compact, as determined by the rules of the
 1779  commission.
 1780         (3) Investigative information in the system pertaining to a
 1781  licensee in any member state must be available only to other
 1782  party member states.
 1783         (4) The commission shall promptly notify all member states
 1784  of any adverse action taken against a licensee or an individual
 1785  applying for a license in a member state. Adverse action
 1786  information pertaining to a licensee in any member state must be
 1787  available to all other member states.
 1788         (5) Member states contributing information to the data
 1789  system may designate information that may not be shared with the
 1790  public without the express permission of the contributing state.
 1791         (6) Any information submitted to the data system which is
 1792  subsequently required to be expunged by the laws of the member
 1793  state contributing the information must be removed from the data
 1794  system.
 1795  
 1796                             ARTICLE IX                            
 1797                             RULEMAKING                            
 1798  
 1799         (1) The commission shall exercise its rulemaking powers
 1800  pursuant to the criteria set forth in this article and the rules
 1801  adopted thereunder. Rules and amendments become binding as of
 1802  the date specified in each rule or amendment.
 1803         (2) If a majority of the legislatures of the member states
 1804  rejects a rule by enactment of a statute or resolution in the
 1805  same manner used to adopt the compact within 4 years after the
 1806  date of adoption of the rule, such rule does not have further
 1807  force and effect in any member state.
 1808         (3) Rules or amendments to the rules must be adopted at a
 1809  regular or special meeting of the commission.
 1810         (4) Before adoption of a final rule by the commission, and
 1811  at least 30 days before the meeting at which the rule will be
 1812  considered and voted upon, the commission must file a notice of
 1813  proposed rulemaking on all of the following:
 1814         (a) The website of the commission or another publicly
 1815  accessible platform.
 1816         (b) The website of each member state physical therapy
 1817  licensing board or another publicly accessible platform or the
 1818  publication in which each state would otherwise publish proposed
 1819  rules.
 1820         (5) The notice of proposed rulemaking must include all of
 1821  the following:
 1822         (a) The proposed date, time, and location of the meeting in
 1823  which the rule or amendment will be considered and voted upon.
 1824         (b) The text of the proposed rule or amendment and the
 1825  reason for the proposed rule.
 1826         (c) A request for comments on the proposed rule or
 1827  amendment from any interested person.
 1828         (d) The manner in which interested persons may submit
 1829  notice to the commission of their intention to attend the public
 1830  hearing and any written comments.
 1831         (6) Before adoption of a proposed rule or amendment, the
 1832  commission must allow persons to submit written data, facts,
 1833  opinions, and arguments, which must be made available to the
 1834  public.
 1835         (7) The commission must grant an opportunity for a public
 1836  hearing before it adopts a rule or an amendment if a hearing is
 1837  requested by any of the following:
 1838         (a) At least 25 persons.
 1839         (b) A state or federal governmental subdivision or agency.
 1840         (c) An association having at least 25 members.
 1841         (8) If a scheduled public hearing is held on the proposed
 1842  rule or amendment, the commission must publish the date, time,
 1843  and location of the hearing. If the hearing is held through
 1844  electronic means, the commission must publish the mechanism for
 1845  access to the electronic hearing.
 1846         (a) All persons wishing to be heard at the hearing must
 1847  notify the executive director of the commission or another
 1848  designated member in writing of their desire to appear and
 1849  testify at the hearing at least 5 business days before the
 1850  scheduled date of the hearing.
 1851         (b) Hearings must be conducted in a manner providing each
 1852  person who wishes to comment a fair and reasonable opportunity
 1853  to comment orally or in writing.
 1854         (c) All hearings must be recorded. A copy of the recording
 1855  must be made available on request.
 1856         (d) This article may not be construed to require a separate
 1857  hearing on each rule. Rules may be grouped for the convenience
 1858  of the commission at hearings required by this article.
 1859         (9) Following the scheduled hearing date, or by the close
 1860  of business on the scheduled hearing date if the hearing was not
 1861  held, the commission shall consider all written and oral
 1862  comments received.
 1863         (10) If no written notice of intent to attend the public
 1864  hearing by interested parties is received, the commission may
 1865  proceed with adoption of the proposed rule without a public
 1866  hearing.
 1867         (11) The commission shall, by majority vote of all members,
 1868  take final action on the proposed rule and shall determine the
 1869  effective date of the rule, if any, based on the rulemaking
 1870  record and the full text of the rule.
 1871         (12) Upon determination that an emergency exists, the
 1872  commission may consider and adopt an emergency rule without
 1873  prior notice, opportunity for comment, or hearing, provided that
 1874  the usual rulemaking procedures provided in the compact and in
 1875  this article are retroactively applied to the rule as soon as
 1876  reasonably possible, in no event later than 90 days after the
 1877  effective date of the rule. For the purposes of this subsection,
 1878  an emergency rule is one that must be adopted immediately in
 1879  order to do any of the following:
 1880         (a) Meet an imminent threat to public health, safety, or
 1881  welfare.
 1882         (b) Prevent a loss of commission or member state funds.
 1883         (c) Meet a deadline for the adoption of an administrative
 1884  rule established by federal law or rule.
 1885         (d) Protect public health and safety.
 1886         (13) The commission or an authorized committee of the
 1887  commission may direct revisions to a previously adopted rule or
 1888  amendment for purposes of correcting typographical errors,
 1889  errors in format, errors in consistency, or grammatical errors.
 1890  Public notice of any revisions must be posted on the website of
 1891  the commission. The revision is subject to challenge by any
 1892  person for a period of 30 days after posting. The revision may
 1893  be challenged only on grounds that the revision results in a
 1894  material change to a rule. A challenge must be made in writing
 1895  and delivered to the chair of the commission before the end of
 1896  the notice period. If a challenge is not made, the revision
 1897  takes effect without further action. If the revision is
 1898  challenged, the revision may not take effect without the
 1899  approval of the commission.
 1900  
 1901                              ARTICLE X                            
 1902                   OVERSIGHT, DISPUTE RESOLUTION,                  
 1903                           AND ENFORCEMENT                         
 1904  
 1905         (1) OVERSIGHT.—
 1906         (a) The executive, legislative, and judicial branches of
 1907  state government in each member state shall enforce the compact
 1908  and take all actions necessary and appropriate to carry out the
 1909  compact’s purposes and intent. The provisions of the compact and
 1910  the rules adopted pursuant thereto shall have standing as
 1911  statutory law.
 1912         (b) All courts shall take judicial notice of the compact
 1913  and the rules in any judicial or administrative proceeding in a
 1914  member state pertaining to the subject matter of the compact
 1915  which may affect the powers, responsibilities, or actions of the
 1916  commission.
 1917         (c) The commission is entitled to receive service of
 1918  process in any such proceeding and has standing to intervene in
 1919  such a proceeding for all purposes. Failure to provide service
 1920  of process to the commission renders a judgment or an order void
 1921  as to the commission, the compact, or the adopted rules.
 1922         (2) DEFAULT, TECHNICAL ASSISTANCE, AND TERMINATION.—
 1923         (a) If the commission determines that a member state has
 1924  defaulted in the performance of its obligations or
 1925  responsibilities under the compact or the adopted rules, the
 1926  commission must do all of the following:
 1927         1. Provide written notice to the defaulting state and other
 1928  member states of the nature of the default, the proposed means
 1929  of curing the default, and any other action to be taken by the
 1930  commission.
 1931         2. Provide remedial training and specific technical
 1932  assistance regarding the default.
 1933         (b) If a state in default fails to cure the default, the
 1934  defaulting state may be terminated from the compact upon an
 1935  affirmative vote of a majority of the member states, and all
 1936  rights, privileges, and benefits conferred by the compact may be
 1937  terminated on the effective date of termination. A cure of the
 1938  default does not relieve the offending state of obligations or
 1939  liabilities incurred during the period of default.
 1940         (c) Termination of membership in the compact may be imposed
 1941  only after all other means of securing compliance have been
 1942  exhausted. The commission shall give notice of intent to suspend
 1943  or terminate a defaulting member state to the governor and
 1944  majority and minority leaders of the defaulting state’s
 1945  legislature and to each of the member states.
 1946         (d) A state that has been terminated from the compact is
 1947  responsible for all assessments, obligations, and liabilities
 1948  incurred through the effective date of termination, including
 1949  obligations that extend beyond the effective date of
 1950  termination.
 1951         (e) The commission does not bear any costs related to a
 1952  state that is found to be in default or that has been terminated
 1953  from the compact, unless agreed upon in writing between the
 1954  commission and the defaulting state.
 1955         (f) The defaulting state may appeal the action of the
 1956  commission by petitioning the United States District Court for
 1957  the District of Columbia or the federal district where the
 1958  commission has its principal offices. The prevailing member
 1959  shall be awarded all costs of such litigation, including
 1960  reasonable attorney fees.
 1961         (3) DISPUTE RESOLUTION.—
 1962         (a) Upon request by a member state, the commission must
 1963  attempt to resolve disputes related to the compact which arise
 1964  among member states and between member and nonmember states.
 1965         (b) The commission shall adopt a rule providing for both
 1966  mediation and binding dispute resolution for disputes as
 1967  appropriate.
 1968         (4) ENFORCEMENT.—
 1969         (a) The commission, in the reasonable exercise of its
 1970  discretion, shall enforce the compact and the commission’s
 1971  rules.
 1972         (b) By majority vote, the commission may initiate legal
 1973  action in the United States District Court for the District of
 1974  Columbia or the federal district where the commission has its
 1975  principal offices against a member state in default to enforce
 1976  compliance with the provisions of the compact and its adopted
 1977  rules and bylaws. The relief sought may include both injunctive
 1978  relief and damages. In the event judicial enforcement is
 1979  necessary, the prevailing member shall be awarded all costs of
 1980  such litigation, including reasonable attorney fees.
 1981         (c) The remedies under this article are not the exclusive
 1982  remedies of the commission. The commission may pursue any other
 1983  remedies available under federal or state law.
 1984  
 1985                             ARTICLE XI                            
 1986                    DATE OF IMPLEMENTATION OF THE                  
 1987                      PHYSICAL THERAPY COMPACT                     
 1988                        AND ASSOCIATED RULES;                      
 1989                     WITHDRAWAL; AND AMENDMENTS                    
 1990  
 1991         (1) The compact becomes effective on the date that the
 1992  compact statute is enacted into law in the tenth member state.
 1993  The provisions that become effective at that time are limited to
 1994  the powers granted to the commission relating to assembly and
 1995  the adoption of rules. Thereafter, the commission shall meet and
 1996  exercise rulemaking powers necessary for the implementation and
 1997  administration of the compact.
 1998         (2) Any state that joins the compact subsequent to the
 1999  commission’s initial adoption of the rules is subject to the
 2000  rules as they exist on the date that the compact becomes law in
 2001  that state. Any rule that has been previously adopted by the
 2002  commission has the full force and effect of law on the day the
 2003  compact becomes law in that state.
 2004         (3) Any member state may withdraw from the compact by
 2005  enacting a statute repealing the same.
 2006         (a) A member state’s withdrawal does not take effect until
 2007  6 months after enactment of the repealing statute.
 2008         (b) Withdrawal does not affect the continuing requirement
 2009  of the withdrawing state’s physical therapy licensing board to
 2010  comply with the investigative and adverse action reporting
 2011  requirements of this act before the effective date of
 2012  withdrawal.
 2013         (4) The compact may not be construed to invalidate or
 2014  prevent any physical therapy licensure agreement or other
 2015  cooperative arrangement between a member state and a nonmember
 2016  state which does not conflict with the provisions of the
 2017  compact.
 2018         (5) The compact may be amended by the member states. An
 2019  amendment to the compact does not become effective and binding
 2020  upon any member state until it is enacted into the laws of all
 2021  member states.
 2022  
 2023                             ARTICLE XII                           
 2024                    CONSTRUCTION AND SEVERABILITY                  
 2025  
 2026         The compact must be liberally construed so as to carry out
 2027  the purposes thereof. The provisions of the compact are
 2028  severable, and if any phrase, clause, sentence, or provision of
 2029  the compact is declared to be contrary to the constitution of
 2030  any party member state or of the United States or the
 2031  applicability thereof to any government, agency, person, or
 2032  circumstance is held invalid, the validity of the remainder of
 2033  the compact and the applicability thereof to any government,
 2034  agency, person, or circumstance is not affected thereby. If the
 2035  compact is held contrary to the constitution of any party member
 2036  state, the compact remains in full force and effect as to the
 2037  remaining party member states and in full force and effect as to
 2038  the party member state affected as to all severable matters.
 2039         Section 18. Paragraph (d) of subsection (3) of section
 2040  766.1115, Florida Statutes, is amended to read:
 2041         766.1115 Health care providers; creation of agency
 2042  relationship with governmental contractors.—
 2043         (3) DEFINITIONS.—As used in this section, the term:
 2044         (d) “Health care provider” or “provider” means:
 2045         1. A birth center licensed under chapter 383.
 2046         2. An ambulatory surgical center licensed under chapter
 2047  395.
 2048         3. A hospital licensed under chapter 395.
 2049         4. A physician or physician assistant licensed under
 2050  chapter 458.
 2051         5. An osteopathic physician or osteopathic physician
 2052  assistant licensed under chapter 459.
 2053         6. A chiropractic physician licensed under chapter 460.
 2054         7. A podiatric physician licensed under chapter 461.
 2055         8. A registered nurse, nurse midwife, licensed practical
 2056  nurse, or advanced practice registered nurse licensed or
 2057  registered under part I of chapter 464 or any facility which
 2058  employs nurses licensed or registered under part I of chapter
 2059  464 to supply all or part of the care delivered under this
 2060  section.
 2061         9. A midwife licensed under chapter 467.
 2062         10. A health maintenance organization certificated under
 2063  part I of chapter 641.
 2064         11. A health care professional association and its
 2065  employees or a corporate medical group and its employees.
 2066         12. Any other medical facility the primary purpose of which
 2067  is to deliver human medical diagnostic services or which
 2068  delivers nonsurgical human medical treatment, and which includes
 2069  an office maintained by a provider.
 2070         13. A dentist or dental hygienist licensed under chapter
 2071  466.
 2072         14. A free clinic that delivers only medical diagnostic
 2073  services or nonsurgical medical treatment free of charge to all
 2074  low-income recipients.
 2075         15. Any other health care professional, practitioner,
 2076  provider, or facility under contract with a governmental
 2077  contractor, including a student enrolled in an accredited
 2078  program that prepares the student for licensure as any one of
 2079  the professionals listed in subparagraphs 4.-9. and 13.
 2080  
 2081  The term includes any nonprofit corporation qualified as exempt
 2082  from federal income taxation under s. 501(a) of the Internal
 2083  Revenue Code, and described in s. 501(c) of the Internal Revenue
 2084  Code, which delivers health care services provided by licensed
 2085  professionals listed in this paragraph, any federally funded
 2086  community health center, and any volunteer corporation or
 2087  volunteer health care provider that delivers health care
 2088  services.
 2089         Section 19. Except as otherwise expressly provided in this
 2090  act and except for this section, which shall take effect upon
 2091  this act becoming a law, or, if this act fails to become a law
 2092  until after June 1, 2025, it shall take effect upon becoming a
 2093  law and shall operate retroactively to June 1, 2025, this act
 2094  shall take effect July 1, 2025.
 2095  
 2096  ================= T I T L E  A M E N D M E N T ================
 2097  And the title is amended as follows:
 2098         Delete everything before the enacting clause
 2099  and insert:
 2100                        A bill to be entitled                      
 2101         An act relating to the Department of Health; amending
 2102         chapter 2023-43, Laws of Florida; revising the repeal
 2103         date of the definition of the term “messenger
 2104         ribonucleic acid vaccine”; providing for contingent
 2105         retroactive operation; reenacting ss. 381.00316(2)(g)
 2106         and 381.00319(1)(e), F.S., relating to the prohibition
 2107         on discrimination by governmental and business
 2108         entities based on health care choices and the
 2109         prohibition on mask mandates and vaccination and
 2110         testing mandates for educational institutions,
 2111         respectively, for purposes of preserving the
 2112         definition of the term “messenger ribonucleic acid
 2113         vaccine,” notwithstanding its scheduled repeal;
 2114         amending s. 381.026, F.S.; revising the rights of
 2115         patients, which each health care provider and facility
 2116         are required to observe, to include that such
 2117         facilities shall not deny admission, care, or services
 2118         based solely on a patient’s vaccination status;
 2119         amending s. 381.986, F.S.; defining terms for purposes
 2120         of background screening requirements for persons
 2121         affiliated with medical marijuana treatment centers;
 2122         requiring medical marijuana treatment centers to
 2123         notify the Department of Health through e-mail within
 2124         a specified timeframe after an actual or attempted
 2125         theft, diversion, or loss of marijuana; requiring
 2126         medical marijuana treatment centers to report
 2127         attempted thefts, in addition to actual thefts, to law
 2128         enforcement within a specified timeframe; amending s.
 2129         381.988, F.S.; defining terms for purposes of
 2130         background screening requirements for persons
 2131         affiliated with medical marijuana testing
 2132         laboratories; amending s. 456.0145, F.S.; revising
 2133         eligibility criteria for licensure by endorsement
 2134         under the MOBILE Act; amending s. 456.44, F.S.;
 2135         revising the definition of the term “board-certified
 2136         pain management physician” to replace the term
 2137         “American Association of Physician Specialists” with
 2138         “American Board of Physician Specialties”; making a
 2139         technical change; amending s. 458.3145, F.S.; revising
 2140         the list of institutions at which the department is
 2141         authorized to issue a medical faculty certificate to
 2142         an individual who has been offered and has accepted a
 2143         full-time faculty appointment; amending ss. 458.315
 2144         and 459.0076, F.S.; revising criteria authorizing
 2145         physician assistants to be issued temporary
 2146         certificates for practice in areas of critical need;
 2147         amending ss. 458.3265, 458.3475, 459.0137, and
 2148         459.023, F.S.; revising definitions to replace the
 2149         term “American Association of Physician Specialists”
 2150         with “American Board of Physician Specialties”;
 2151         amending s. 466.006, F.S.; revising the requirements
 2152         for licensure as a dentist; amending s. 486.112, F.S.;
 2153         defining the term “party state”; authorizing a remote
 2154         state to issue subpoenas to individuals to testify or
 2155         for the production of evidence from a party located in
 2156         a party state; providing that such subpoenas are
 2157         enforceable in the party state; requiring that
 2158         investigative information pertaining to certain
 2159         licensees in a certain system be available only to
 2160         other party states; revising construction and
 2161         severability of the compact to conform to changes made
 2162         by the act; amending s. 766.1115, F.S.; revising the
 2163         definition of the term “health care provider” or
 2164         “provider”; providing effective dates.