Florida Senate - 2026                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1092
       
       
       
       
       
       
                                Ì933280ÈÎ933280                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/18/2026           .                                
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       The Appropriations Committee on Health and Human Services
       (Massullo) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 43 - 188
    4  and insert:
    5         461.011 Cellular and tissue-based products.—
    6         (1) The Legislature recognizes the significant potential of
    7  cellular and tissue-based products in advancing medical
    8  treatments and improving patient outcomes and further recognizes
    9  the need to ensure that such treatments are provided using
   10  cellular or tissue-based products obtained in an ethical manner
   11  that does not involve cells derived from aborted fetuses. It is
   12  the intent of the Legislature to foster medical innovation while
   13  upholding ethical standards that respect the sanctity of life.
   14  By encouraging the use of cellular or tissue-based products, the
   15  state will advance regenerative medicine in a manner consistent
   16  with the values of the state.
   17         (2) As used in this section, the term:
   18         (a) “Cellular or tissue-based products” means products
   19  containing or consisting of human cells or tissues which are
   20  intended for implantation, transplantation, infusion, or
   21  transfer into a human recipient. The term does not include:
   22         1. Vascularized human organs for transplantation;
   23         2. Whole blood or blood components or blood derivative
   24  products;
   25         3. Secreted or extracted human products, such as milk,
   26  collagen, and cell factors, other than semen;
   27         4. Minimally manipulated bone marrow for homologous use and
   28  not combined with another article other than water,
   29  crystalloids, or a sterilizing, preserving, or storage agent, if
   30  the addition of the agent does not raise new clinical safety
   31  concerns with respect to the bone marrow;
   32         5. Ancillary products used in the manufacture of human
   33  cells, tissues, or cellular or tissue-based products;
   34         6. Cells, tissues, and organs derived from animals;
   35         7. In vitro diagnostic products;
   36         8. Blood vessels recovered with an organ which are intended
   37  for use in organ transplantation and labeled “For use in organ
   38  transplantation only”; or
   39         9.Harvesting and reimplantation of autologous tissue.
   40         (b) “Minimally manipulated” means:
   41         1. For structural tissue, processing that does not alter
   42  the original relevant characteristics of the tissue relating to
   43  the tissue’s utility for reconstruction, repair, or replacement.
   44         2. For cells or nonstructural tissues, processing that does
   45  not alter the relevant biological characteristics of cells or
   46  tissues.
   47         (c)Procedure using cellular or tissue-based products
   48  means a treatment involving the use of human cells, tissues, or
   49  cellular or tissue-based products which complies with the
   50  regulatory requirements provided in this section. The term does
   51  not include treatment or research using human cells or tissues
   52  derived from a fetus or an embryo after an abortion.
   53         (3)(a)A podiatric physician may perform a procedure using
   54  cellular or tissue-based products that are not approved by the
   55  United States Food and Drug Administration if such products are
   56  used for treatment or procedures within the scope of practice
   57  for such podiatric physician and the treatment or procedures are
   58  related to connective tissue, ligament, and tendon repair; wound
   59  care; or pain management.
   60         (b)To ensure that the retrieval, manufacture, storage, and
   61  use of any cellular or tissue-based products pursuant to this
   62  section meet the highest standards, any cellular or tissue-based
   63  products used by a podiatric physician for a procedure provided
   64  under this section must meet all of the following conditions:
   65         1.Be retrieved, manufactured, and stored in a facility
   66  that is registered and regulated by the United States Food and
   67  Drug Administration.
   68         2.Be retrieved, manufactured, and stored in a facility
   69  that is certified or accredited by one of the following
   70  entities:
   71         a.The National Marrow Donor Program.
   72         b.The World Marrow Donor Association.
   73         c.The Association for the Advancement of Blood and
   74  Biotherapies.
   75         d.The American Association of Tissue Banks.
   76         3.Contain viable or live cells upon post-thaw analysis and
   77  be included in a post-thaw viability analysis report for the
   78  product lot, which must be sent to the podiatric physician
   79  before use with the podiatric physician’s patient.
   80         (4)(a)A podiatric physician who performs a procedure using
   81  cellular or tissue-based products pursuant to this section shall
   82  include the following in any form of advertisement:
   83  
   84         THIS NOTICE MUST BE PROVIDED TO YOU UNDER FLORIDA LAW.
   85         This podiatric physician performs procedures using
   86         cellular or tissue-based products that have not yet
   87         been approved by the United States Food and Drug
   88         Administration. You are encouraged to consult with
   89         your primary care provider before undergoing any
   90         procedure using these products.
   91  
   92         (b)The notice required under paragraph (a) must be clearly
   93  legible and in a type size no smaller than the largest type size
   94  used in the advertisement.
   95         (5)(a)A podiatric physician who performs a procedure using
   96  cellular or tissue-based products pursuant to this section shall
   97  obtain a signed consent form from the patient before performing
   98  the procedure.
   99         (b)The consent form must be signed by the patient or, if
  100  the patient is not legally competent, the patient’s
  101  representative, and must state all of the following in language
  102  the patient or his or her representative may reasonably be
  103  expected to understand:
  104         1.The nature and character of the proposed treatment.
  105         2.That the proposed procedure uses cellular or tissue
  106  based products that have not yet been approved by the United
  107  States Food and Drug Administration.
  108         3.The anticipated results of the proposed treatment.
  109         4.The recognized serious possible risks, complications,
  110  and anticipated benefits involved in the treatment and in the
  111  recognized possible alternative forms of treatment, including
  112  nontreatment.
  113         5.That the patient is encouraged to consult with his or
  114  her primary care provider before undergoing the procedure.
  115         (6)This section does not apply to the following:
  116         (a)A podiatric physician who has obtained approval for an
  117  investigational new drug or device from the United States Food
  118  and Drug Administration for the use of human cells, tissues, or
  119  cellular or tissue-based products; or
  120         (b)A podiatric physician who performs procedures using
  121  cellular or tissue-based products
  122  
  123  ================= T I T L E  A M E N D M E N T ================
  124  And the title is amended as follows:
  125         Delete lines 8 - 21
  126  and insert:
  127         perform procedures using cellular or tissue-based
  128         products not approved by the United States Food and
  129         Drug Administration under certain circumstances;
  130         specifying requirements for the cellular or tissue
  131         based products that may be used by such podiatric
  132         physicians; requiring such podiatric physicians to
  133         include a specified notice in any form of
  134         advertisement; specifying requirements for such
  135         notice; requiring podiatric physicians to obtain a
  136         signed consent form from the patient or his or her
  137         representative before performing procedures using
  138         cellular or tissue-based products; specifying
  139         requirements for the consent form;