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House Bill 1447

Florida House of Representatives - 1997 HB 1447 By Representative Sindler 1 A bill to be entitled 2 An act relating to veterinary medical practice; 3 amending s. 474.203, F.S.; revising and 4 providing exemptions from regulation under 5 chapter 474, F.S., relating to veterinary 6 medical practice; amending s. 474.207, F.S., 7 relating to licensure by examination; 8 authorizing the Board of Veterinary Medicine to 9 require a personal appearance of any applicant; 10 requiring certain notice to the applicant; 11 eliminating obsolete provisions; amending s. 12 474.211, F.S.; requiring criteria for providers 13 of continuing education to be approved by the 14 board; amending s. 474.214, F.S.; increasing 15 the administrative fine; providing 16 circumstances for expunction of citations from 17 the veterinarian's record; amending s. 474.215, 18 F.S.; requiring limited service permittees to 19 register each location and providing a 20 registration fee; providing requirements for 21 certain temporary rabies vaccination efforts; 22 providing permit and other requirements for 23 persons who are not licensed veterinarians but 24 who desire to own and operate a veterinary 25 medical establishment; providing disciplinary 26 actions applicable to holders of premises 27 permits; creating s. 474.2175, F.S.; providing 28 for investigation of unlicensed activity; 29 providing for hearings; providing penalties; 30 reenacting s. 474.217(2), F.S., relating to 31 licensure by endorsement, to incorporate the 1 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 amendment to s. 474.214, F.S., in a reference 2 thereto; providing an effective date. 3 4 Be It Enacted by the Legislature of the State of Florida: 5 6 Section 1. Section 474.203, Florida Statutes, is 7 amended to read: 8 474.203 Exemptions.--This chapter shall not apply to: 9 (1) The holder of a veterinary faculty certificate. 10 The board may issue, without examination, a veterinary faculty 11 certificate to an individual who does not hold a valid, active 12 license issued under this chapter but who demonstrates that he 13 or she is a graduate of a school or college of veterinary 14 medicine accredited by the American Veterinary Medical 15 Association Council on Education or a school or college 16 recognized by the American Veterinary Medical Association 17 Commission for Foreign Veterinary Graduates. The certificate 18 shall authorize the holder to practice Any faculty member 19 practicing only in conjunction with teaching duties at a 20 school or college of veterinary medicine. Such school or 21 college shall be located in this state and be accredited by 22 the American Veterinary Medical Association Council on 23 Education. Such certificate The faculty member exemption shall 24 automatically expire when such school or college terminates 25 the faculty member from such teaching duties. On December 31 26 of each year, such school or college shall provide the board 27 with a written list of all faculty who are exempt from this 28 chapter. Such school or college shall also notify the board in 29 writing of any additions or deletions to such list. 30 (2) A registered intern or resident. The board may 31 register, without examination, any individual desiring to 2 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 practice as an intern or resident veterinarian in training 2 which leads to subspecialty board certification who does not 3 hold a valid, active license issued under this chapter but who 4 demonstrates that he or she is a graduate of a school or 5 college of veterinary medicine accredited by the American 6 Veterinary Medical Association Council on Education. Such 7 registration shall authorize the registrant to practice only 8 in conjunction with the training program of a school or 9 college of veterinary medicine located in this state and 10 accredited by the American Veterinary Medical Association 11 Council on Education or a school or college recognized by the 12 American Veterinary Medical Association Commission for Foreign 13 Veterinary Graduates. Such registration shall expire when such 14 intern or resident completes or is terminated from such 15 training. Each school, college, or hospital employing or 16 utilizing the services of a registered intern or resident 17 veterinarian shall, on July 1 of each year, provide the board 18 with a written list of such registered interns or residents. 19 (3)(2) A student in a school or college of veterinary 20 medicine while in the performance of duties assigned by his 21 instructor or when working as a preceptor under the immediate 22 supervision of a licensee, provided that such preceptorship is 23 required for graduation from an accredited school or college 24 of veterinary medicine. The licensed veterinarian shall be 25 responsible for all acts performed by a preceptor under his 26 supervision. 27 (4)(3) Any doctor of veterinary medicine in the employ 28 of a state agency or the United States Government while 29 actually engaged in the performance of his official duties; 30 however, this exemption shall not apply to such person when he 31 is not engaged in carrying out his official duties or is not 3 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 working at the installations for which his services were 2 engaged. 3 (5)(4) Any person, or his regular employee, 4 administering to the ills or injuries of his own animals, or 5 animals on loan for a term of 1 year or more to a corporation 6 for which he or she is a regular employee, including, but not 7 limited to, castration, spaying, and dehorning of herd 8 animals, unless title has been transferred or employment 9 provided for the purpose of circumventing this law. For 10 purposes of this subsection, a regular employee of one 11 corporation shall be deemed to be a regular employee of each 12 of its sister corporations, provided each corporation is a 13 subsidiary of the same parent. This exemption shall not apply 14 to out-of-state veterinarians practicing temporarily in the 15 state. However, only a veterinarian may immunize or treat an 16 animal for diseases which are communicable to humans and which 17 are of public health significance. 18 (6)(5) State agencies, accredited schools, 19 institutions, foundations, business corporations or 20 associations, physicians licensed to practice medicine and 21 surgery in all its branches, graduate doctors of veterinary 22 medicine, or persons under the direct supervision thereof, 23 which or who conduct experiments and scientific research on 24 animals in the development of pharmaceuticals, biologicals, 25 serums, or methods of treatment, or techniques for the 26 diagnosis or treatment of human ailments, or when engaged in 27 the study and development of methods and techniques directly 28 or indirectly applicable to the problems of the practice of 29 veterinary medicine. 30 (7)(6) Any veterinary aide, nurse, laboratory 31 technician, preceptor, or other employee of a licensed 4 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 veterinarian who administers medication or who renders 2 auxiliary or supporting assistance under the responsible 3 supervision of a such licensed veterinarian practitioner, 4 including those tasks identified by rule of the board 5 requiring immediate supervision. However, the licensed 6 veterinarian shall be responsible for all such acts performed 7 under this subsection by persons under his supervision. 8 (8) A veterinarian, licensed by and actively 9 practicing veterinary medicine in another state, who is 10 board-certified in a specialty recognized by the board and who 11 responds to a request of a veterinarian licensed in this state 12 to assist with the treatment of a specific animal or with the 13 treatment of the animals of a single owner, as long as the 14 veterinarian licensed in this state requests the other 15 veterinarian's presence. A veterinarian who practices under 16 this subsection is not eligible to apply for a premises permit 17 under s. 474.215. 18 Section 2. Section 474.207, Florida Statutes, is 19 amended to read: 20 474.207 Licensure by examination.-- 21 (1) Any person desiring to be licensed as a 22 veterinarian shall apply to the department to take a licensure 23 examination. The board may by rule adopt use of a national 24 examination in lieu of part or all of the examination required 25 by this section, with a reasonable passing score to be set by 26 rule of the board. 27 (2) The department shall license each applicant who 28 the board certifies has: 29 (a) Completed the application form and remitted an 30 examination fee set by the board. 31 5 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 (b)1. Graduated from a college of veterinary medicine 2 accredited by the American Veterinary Medical Association 3 Council on Education; or 4 2. Graduated from a college of veterinary medicine 5 listed in the American Veterinary Medical Association Roster 6 of Veterinary Colleges of the World and obtained a certificate 7 from the Education Commission for Foreign Veterinary 8 Graduates. 9 (c) Successfully completed the examination provided by 10 the department for this purpose, or an examination determined 11 by the board to be equivalent. 12 (d) Demonstrated knowledge of the laws and rules 13 governing the practice of veterinary medicine in Florida in a 14 manner designated by rules of the board. 15 16 The department shall not issue a license to any applicant who 17 is under investigation in any state or territory of the United 18 States or in the District of Columbia for an act which would 19 constitute a violation of this chapter until the investigation 20 is complete and disciplinary proceedings have been terminated, 21 at which time the provisions of s. 474.214 shall apply. 22 (3) Notwithstanding the provisions of paragraph 23 (2)(b), an applicant shall be deemed to have met the education 24 requirements for licensure upon submission of evidence that 25 the applicant meets one of the following: 26 (a) The applicant was certified for examination by the 27 board prior to October 1, 1989; or 28 (b) The applicant immigrated to the United States 29 after leaving his home country because of political reasons, 30 provided such country is located in the Western Hemisphere and 31 lacks diplomatic relations with the United States,; and: 6 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 (a)1. Was a Florida resident immediately preceding his 2 application for licensure; 3 (b)2. Demonstrates to the board, through submission of 4 documentation verified by his respective professional 5 association in exile, that he received a professional degree 6 in veterinary medicine from a college or university located in 7 the country from which he emigrated. However, the board may 8 not require receipt transcripts from the Republic of Cuba as a 9 condition of eligibility under this section; and 10 (c)3. Lawfully practiced his profession for at least 3 11 years. 12 (4) Applicants certified for examination or 13 reexamination under subsection (3) who fail or have failed the 14 examination three times subsequent to October 1, 1989, shall 15 be required to demonstrate to the board that they meet the 16 requirements of paragraph (2)(b) prior to any further 17 reexamination or certification for licensure. 18 (5) The board may require a personal appearance by any 19 applicant for licensure under this chapter. Each applicant of 20 whom a personal appearance is required must be given adequate 21 notice of the time and place of the appearance and provided 22 with a statement of the purpose of and reasons for the 23 appearance. 24 (6)(5) An unlicensed doctor of veterinary medicine who 25 has graduated from an approved college or school of veterinary 26 medicine and has completed all parts of the examination for 27 licensure is permitted, while awaiting the results of such 28 examination for licensure or while awaiting issuance of the 29 license, to practice under the immediate supervision of a 30 licensed veterinarian. A person who fails any part of the 31 examination may not continue to practice, except in the same 7 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 capacity as other nonlicensed veterinary employees, until he 2 passes the examination and is eligible for licensure. 3 Section 3. Subsection (3) of section 474.211, Florida 4 Statutes, is amended to read: 5 474.211 Renewal of license.-- 6 (3) The board may by rule prescribe continuing 7 education, not to exceed 30 hours biennially, as a condition 8 for renewal of a license or certificate. The criteria for such 9 programs, providers, or courses shall be approved by the 10 board. 11 Section 4. Paragraph (c) of subsection (2) of section 12 474.214, Florida Statutes, is amended, and subsection (4) is 13 added to said section, to read: 14 474.214 Disciplinary proceedings.-- 15 (2) When the board finds any applicant or veterinarian 16 guilty of any of the grounds set forth in subsection (1), 17 regardless of whether the violation occurred prior to 18 licensure, it may enter an order imposing one or more of the 19 following penalties: 20 (c) Imposition of an administrative fine not to exceed 21 $5,000 $1,000 for each count or separate offense. 22 23 In determining appropriate action, the board must first 24 consider those sanctions necessary to protect the public. Only 25 after those sanctions have been imposed may the disciplining 26 authority consider and include in its order requirements 27 designed to rehabilitate the veterinarian. All costs 28 associated with compliance with any order issued under this 29 subsection are the obligation of the veterinarian. 30 (4) A citation issued to a licensed veterinarian 31 pursuant to s. 455.224 shall be expunged from the 8 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 veterinarian's record after 3 years, provided the veterinarian 2 has not received any additional disciplinary action against 3 his or her license during the 3-year period. 4 Section 5. Subsection (7) of section 474.215, Florida 5 Statutes, is amended, and subsections (8) and (9) are added to 6 said section, to read: 7 474.215 Premises permits; disciplinary actions.-- 8 (7) The board by rule shall establish minimum 9 standards for the operation of limited service veterinary 10 medical practices. Such rules shall not restrict limited 11 service veterinary medical practices and shall be consistent 12 with the type of limited veterinary medical service provided. 13 (a) Any person that offers or provides limited service 14 veterinary medical practice shall obtain a biennial permit 15 from the board the cost of which shall not exceed $250. The 16 limited service permittee shall register each location where 17 limited service clinics are held and shall pay a fee set by 18 rule not to exceed $25 to register each such location. 19 (b) All permits issued under this subsection are 20 subject to the provisions of ss. 474.213 and 474.214. 21 (c) Notwithstanding any provision of this subsection 22 to the contrary, any temporary rabies vaccination effort 23 operated by a county health department in response to a public 24 health threat, as declared by the State Health Officer in 25 consultation with the State Veterinarian, shall not be subject 26 to any registration, time limitation, or fee requirements, but 27 shall adhere to all other requirements for limited service 28 veterinary medical practice as prescribed by rule. The fee 29 charged to the public for a rabies vaccination administered 30 during such temporary rabies vaccination effort shall not 31 exceed the actual cost of administering the rabies vaccine. 9 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 Such rabies vaccination efforts may not be used for any 2 purpose other than to address the public health consequences 3 of the rabies outbreak. The board shall be immediately 4 notified in writing of any temporary rabies vaccination effort 5 operated under this paragraph. 6 (8) Any person who is not a veterinarian licensed 7 under this chapter but who desires to own and operate a 8 veterinary medical establishment shall apply to the board for 9 a premises permit. If the board certifies that the applicant 10 complies with the applicable laws and rules of the board, the 11 department shall issue a premises permit. No permit shall be 12 issued unless a licensed veterinarian is designated to 13 undertake the professional supervision of the veterinary 14 medical practice and the minimum standards set by rule of the 15 board for premises where veterinary medicine is practiced. 16 Upon application, the department shall submit for a statewide 17 criminal records correspondence check through the Department 18 of Law Enforcement. The permittee shall notify the board 19 within 10 days after any change of the licensed veterinarian 20 responsible for such duties. Any permittee under this 21 subsection is subject to the provisions of subsection (9) and 22 s. 474.214. 23 (9)(a) The department or the board may deny, revoke, 24 or suspend the permit of any permittee under this section and 25 may fine, place on probation, or otherwise discipline any 26 permittee under this section who has: 27 1. Obtained a permit by misrepresentation or fraud or 28 through an error of the department or board; 29 2. Attempted to procure, or has procured, a permit for 30 any other person by making, or causing to be made, any false 31 representation; 10 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 3. Violated any of the requirements of this chapter or 2 any rule of the board; or 3 4. Been convicted or found guilty of, or entered a 4 plea of nolo contendere to, regardless of adjudication, a 5 felony or any other crime involving moral turpitude in any 6 court of this state, of any other state, or of the United 7 States. 8 (b) If the permit is revoked or suspended, the owner, 9 manager, or proprietor shall cease to operate the premises as 10 a veterinary medical practice as of the effective date of the 11 suspension or revocation. In the event of such revocation or 12 suspension, the owner, manager, or proprietor shall remove 13 from the premises all signs and symbols identifying the 14 premises as a veterinary medical practice. The period of any 15 such suspension shall be prescribed by rule of the board, but 16 in no case shall it exceed 1 year. If the permit is revoked, 17 the person owning or operating the establishment shall not be 18 entitled to make application for a permit to operate a 19 premises for a period of 1 year from the date of such 20 revocation. Upon the effective date of such revocation, the 21 permittee shall advise the board of the disposition of any and 22 all medicinal drugs and shall make the provision for ensuring 23 the security, confidentiality, and availability to clients of 24 all patient medical records. 25 Section 6. Section 474.2175, Florida Statutes, is 26 created to read: 27 474.2175 Unlicensed activity; investigation; hearing; 28 penalties.-- 29 (1) The department shall investigate any incident 30 where it appears that a person has practiced veterinary 31 medicine without a license. After the investigation, if the 11 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 department finds that there is probable cause to believe that 2 unlicensed activity has occurred pursuant to this chapter, the 3 department shall prepare and file an administrative complaint, 4 on behalf of the board, which shall be served on the 5 unlicensed person. The department, on behalf of the board, 6 shall prosecute the complaint pursuant to chapter 120. 7 (2) Upon finding of a violation of this section, the 8 board is authorized to impose a fine of not more than $5,000 9 and assess reasonable investigative and legal costs for the 10 prosecution of the violation against the violator. Any such 11 fine and assessment shall be paid within 30 days after the 12 filing of the final order of the board with the department. In 13 the event of an appeal, the time for payment of any fine and 14 assessments shall be stayed until a final order is rendered 15 upholding the department decision. 16 (3) If any fine and assessments imposed by the board 17 are not paid within the time provided for payment, the board 18 may bring action in the appropriate circuit court of the state 19 for enforcement of the final order, and the circuit court 20 shall not rehear the merit of the matters included in the 21 final order of the board. 22 Section 7. For the purpose of incorporating the 23 amendment to section 474.214, Florida Statutes, in a reference 24 thereto, subsection (2) of section 474.217, Florida Statutes, 25 is reenacted to read: 26 474.217 Licensure by endorsement.-- 27 (2) The department shall not issue a license by 28 endorsement to any applicant who is under investigation in any 29 state, territory, or the District of Columbia for an act which 30 would constitute a violation of this chapter until the 31 investigation is complete and disciplinary proceedings have 12 CODING: Words stricken are deletions; words underlined are additions. Florida House of Representatives - 1997 HB 1447 107-202-97 1 been terminated, at which time the provisions of s. 474.214 2 shall apply. 3 Section 8. This act shall take effect October 1, 1997. 4 5 ***************************************** 6 HOUSE SUMMARY 7 With respect to regulation under chapter 474, F.S., 8 relating to veterinary medical practice, revises exemptions from such regulation which relate to faculty 9 members, persons and their employees administering to the ills or injuries of their own animals, and persons 10 working under supervision of a licensed veterinarian and provides exemptions relating to interns or resident 11 veterinarians in training and to out-of-state licensees practicing under certain circumstances at the request of 12 a Florida-licensed veterinarian. Requires certification of such faculty and registration of such interns and 13 residents. Exempts employees of corporations tending to animals on loan to such corporation for a period 14 exceeding 1 year. 15 Authorizes the Board of Veterinary Medicine to require a 16 personal appearance of any applicant for licensure by examination and requires the applicant to be given prior 17 notice of the time and place of such appearance and a statement of the purpose of and reasons for the 18 appearance. Requires criteria for providers of continuing education to be approved by the board. Increases the 19 administrative fine applicable to violations of veterinary medical practice law. Provides circumstances 20 for expunction of citations from a veterinarian's record. Requires limited service permittees to register each 21 location and provides a registration fee. Provides requirements for temporary rabies vaccination efforts 22 operated by a county health department in response to a public health threat. Provides permit and other 23 requirements for persons who are not licensed veterinarians but who desire to own and operate a 24 veterinary medical establishment. Provides disciplinary actions applicable to holders of premises permits. 25 Provides for investigation of unlicensed activity and for hearings upon a finding of probable cause. See bill for 26 details. 27 28 29 30 31 13