Florida Senate - 2026                                    SB 1524
       
       
        
       By Senator Simon
       
       
       
       
       
       3-00907A-26                                           20261524__
    1                        A bill to be entitled                      
    2         An act relating to the practice of chiropractic
    3         medicine; amending s. 460.403, F.S.; revising the
    4         definition of the term “practice of chiropractic
    5         medicine”; authorizing chiropractic physicians to
    6         possess, prescribe, and administer vitamins, nutrient
    7         preparations, homeopathic remedies, dietary
    8         supplements, and prescription epinephrine, by
    9         specified means; requiring chiropractic physicians to
   10         be certified by the Board of Chiropractic Medicine to
   11         administer by injection vitamins, nutrient
   12         preparations, homeopathic remedies, dietary
   13         supplements, and epinephrine; authorizing licensed
   14         pharmacists to fill, compound, or dispense certain
   15         prescriptions for licensed chiropractic physicians
   16         under certain circumstances; providing requirements
   17         for the certification program; providing an effective
   18         date.
   19          
   20  Be It Enacted by the Legislature of the State of Florida:
   21  
   22         Section 1. Paragraph (c) of subsection (9) of section
   23  460.403, Florida Statutes, is amended to read:
   24         460.403 Definitions.—As used in this chapter, the term:
   25         (9)
   26         (c)1. Chiropractic physicians may adjust, manipulate, or
   27  treat the human body by manual, mechanical, electrical, or
   28  natural methods; by the use of physical means or physiotherapy,
   29  including light, heat, water, or exercise; by the use of
   30  acupuncture; by the use of monofilament intramuscular
   31  stimulation treatment, also known as dry needling, for trigger
   32  points or myofascial pain; or by the administration of foods,
   33  food concentrates, food extracts, and items for which a
   34  prescription is not required and may apply first aid and
   35  hygiene, but chiropractic physicians are expressly prohibited
   36  from prescribing or administering to any person any legend drug
   37  except as authorized under subparagraph 2., from performing any
   38  surgery except as stated herein, or from practicing obstetrics.
   39         2. Notwithstanding the prohibition against prescribing and
   40  administering legend drugs under subparagraph 1. or s.
   41  499.83(2)(c), pursuant to board rule chiropractic physicians may
   42  order, store, possess, prescribe, and administer vitamins,
   43  nutrient preparations, homeopathic remedies, and dietary
   44  supplements in the form of sterile substances by means of
   45  injection but not by means of intravenous therapy;, for
   46  emergency purposes only at the chiropractic physician’s office
   47  or place of business, prescription medical oxygen and
   48  prescription epinephrine using an autoinjector delivery system;
   49  and may also order, store, and administer the following topical
   50  anesthetics in aerosol form:
   51         a. Any solution consisting of 25 percent ethyl chloride
   52  ethylchloride and 75 percent dichlorodifluoromethane.
   53         b. Any solution consisting of 15 percent
   54  dichlorodifluoromethane and 85 percent
   55  trichloromonofluoromethane.
   56         3. A chiropractic physician may only administer by
   57  injection vitamins, nutrient preparations, homeopathic remedies,
   58  dietary supplements, or epinephrine after being certified by the
   59  board. Certification shall be granted to a chiropractic
   60  physician who has satisfactorily completed at least 36 hours of
   61  education and training as established by board rule and
   62  successfully passed an examination administered by the
   63  department in collaboration with the board. The certification
   64  program shall consist of didactic lectures and laboratory
   65  training on the safe and effective administration of vitamins,
   66  nutrient preparations, homeopathic remedies, dietary
   67  supplements, and epinephrine, including, but not limited to,
   68  protocols, indications, contraindications, and emergency
   69  procedures.
   70         4. Licensed pharmacists may fill, compound, or dispense
   71  prescriptions of vitamins, nutrient preparations, homeopathic
   72  remedies, and dietary supplements prescribed by certified
   73  licensed chiropractic physicians.
   74  
   75  However, this paragraph does not authorize a chiropractic
   76  physician to prescribe medical oxygen as defined in s.
   77  499.82(10).
   78         Section 2. This act shall take effect July 1, 2026.