House Bill 1447e2

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                                         HB 1447, Second Engrossed



  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         eliminating obsolete provisions; amending s.

  9         474.211, F.S.; requiring criteria for providers

10         of continuing education to be approved by the

11         board; amending s. 474.2125, F.S.; exempting

12         veterinarians licensed in another state from

13         certain requirements for temporary licensure in

14         this state; correcting a cross reference;

15         amending s. 474.214, F.S.; increasing the

16         administrative fine; amending s. 474.215, F.S.;

17         requiring limited service permittees to

18         register each location and providing a

19         registration fee; providing requirements for

20         certain temporary rabies vaccination efforts;

21         providing permit and other requirements for

22         persons who are not licensed veterinarians but

23         who desire to own and operate a veterinary

24         medical establishment; providing disciplinary

25         actions applicable to holders of premises

26         permits; amending s. 474.2165, F.S., expanding

27         controls on veterinary records; reenacting s.

28         474.217(2), F.S., relating to licensure by

29         endorsement, to incorporate the amendment to s.

30         474.214, F.S., in a reference thereto;

31         providing for participation of veterinarians in


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                                         HB 1447, Second Engrossed



  1         impaired practitioner treatment programs;

  2         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)  Any faculty member practicing only in conjunction

10  with teaching duties at a school or college of veterinary

11  medicine. Such school or college shall be located in this

12  state and be accredited by the American Veterinary Medical

13  Association Council on Education. This exemption shall only

14  apply to a faculty member who does not hold a valid license

15  issued under this chapter, but who is a  graduate of a school

16  or college of veterinary medicine accredited by the American

17  Veterinary Medical Association Council on Education or a

18  school or college recognized by the American Veterinary

19  Medical Association Commission for Foreign Veterinary

20  Graduates. The faculty member exemption shall automatically

21  expire when such school or college terminates the faculty

22  member from such teaching duties. On December 31 of each year,

23  such school or college shall provide the board with a written

24  list of all faculty who are exempt from this chapter. Such

25  school or college shall also notify the board in writing of

26  any additions or deletions to such list.

27         (2)  A person practicing as an intern or resident

28  veterinarian, who does not hold a valid license issued under

29  this chapter and who is a graduate in training at a school or

30  college of veterinary medicine located in this state and

31  accredited by the American Veterinary Medical Association


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                                         HB 1447, Second Engrossed



  1  Council on Education or a school or college recognized by the

  2  American Veterinary Medical Association Commission for Foreign

  3  Veterinary Graduates. Such intern or resident must be a

  4  graduate of a school or college of veterinary medicine

  5  accredited by the American Veterinary Medical Association

  6  Council on Education.  This exemption shall expire when such

  7  intern or resident completes or is terminated from such

  8  training.  Each school or college at which such intern or

  9  resident is in training shall, on July 1 of each year, provide

10  the board with a written list of all such interns or residents

11  designated for this exemption, and the school or college shall

12  also notify the board of any additions or deletions to the

13  list.

14         (3)(2)  A student in a school or college of veterinary

15  medicine while in the performance of duties assigned by her or

16  his instructor or when working as a preceptor under the

17  immediate supervision of a licensee, provided that such

18  preceptorship is required for graduation from an accredited

19  school or college of veterinary medicine. The licensed

20  veterinarian shall be responsible for all acts performed by a

21  preceptor under her or his supervision.

22         (4)(3)  Any doctor of veterinary medicine in the employ

23  of a state agency or the United States Government while

24  actually engaged in the performance of her or his official

25  duties; however, this exemption shall not apply to such person

26  when the person is not engaged in carrying out her or his

27  official duties or is not working at the installations for

28  which her or his services were engaged.

29         (5)(4)  Any person, or the person's regular employee,

30  administering to the ills or injuries of her or his own

31  animals, including, but not limited to, castration, spaying,


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                                         HB 1447, Second Engrossed



  1  and dehorning of herd animals, unless title has been

  2  transferred or employment provided for the purpose of

  3  circumventing this law. This exemption shall not apply to

  4  out-of-state veterinarians practicing temporarily in the

  5  state. However, only a veterinarian may immunize or treat an

  6  animal for diseases which are communicable to humans and which

  7  are of public health significance.

  8         (6)(5)  State agencies, accredited schools,

  9  institutions, foundations, business corporations or

10  associations, physicians licensed to practice medicine and

11  surgery in all its branches, graduate doctors of veterinary

12  medicine, or persons under the direct supervision thereof,

13  which or who conduct experiments and scientific research on

14  animals in the development of pharmaceuticals, biologicals,

15  serums, or methods of treatment, or techniques for the

16  diagnosis or treatment of human ailments, or when engaged in

17  the study and development of methods and techniques directly

18  or indirectly applicable to the problems of the practice of

19  veterinary medicine.

20         (7)(6)  Any veterinary aide, nurse, laboratory

21  technician, preceptor, or other employee of a licensed

22  veterinarian who administers medication or who renders

23  auxiliary or supporting assistance under the responsible

24  supervision of a such licensed veterinarian practitioner,

25  including those tasks identified by rule of the board

26  requiring immediate supervision. However, the licensed

27  veterinarian shall be responsible for all such acts performed

28  under this subsection by persons under her or his supervision.

29         (8)  A veterinarian, licensed by and actively

30  practicing veterinary medicine in another state, who is

31  board-certified in a specialty recognized by the board and who


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                                         HB 1447, Second Engrossed



  1  responds to a request of a veterinarian licensed in this state

  2  to assist with the treatment on a specific case of a specific

  3  animal or with the treatment on a specific case of the animals

  4  of a single owner, as long as the veterinarian licensed in

  5  this state requests the other veterinarian's presence. A

  6  veterinarian who practices under this subsection is not

  7  eligible to apply for a premises permit under s. 474.215.

  8         (9)  For the purposes of chapters 465 and 893, persons

  9  exempt under subsection (1), subsection (2), or subsection (4)

10  shall be deemed to be duly licensed practitioners authorized

11  by the laws of this state to prescribe drugs or medicinal

12  supplies.

13         Section 2.  Section 474.207, Florida Statutes, is

14  amended to read:

15         474.207  Licensure by examination.--

16         (1)  Any person desiring to be licensed as a

17  veterinarian shall apply to the department to take a licensure

18  examination. The board may by rule adopt use of a national

19  examination in lieu of part or all of the examination required

20  by this section, with a reasonable passing score to be set by

21  rule of the board.

22         (2)  The department shall license each applicant who

23  the board certifies has:

24         (a)  Completed the application form and remitted an

25  examination fee set by the board.

26         (b)1.  Graduated from a college of veterinary medicine

27  accredited by the American Veterinary Medical Association

28  Council on Education; or

29         2.  Graduated from a college of veterinary medicine

30  listed in the American Veterinary Medical Association Roster

31  of Veterinary Colleges of the World and obtained a certificate


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                                         HB 1447, Second Engrossed



  1  from the Education Commission for Foreign Veterinary

  2  Graduates.

  3         (c)  Successfully completed the examination provided by

  4  the department for this purpose, or an examination determined

  5  by the board to be equivalent.

  6         (d)  Demonstrated knowledge of the laws and rules

  7  governing the practice of veterinary medicine in Florida in a

  8  manner designated by rules of the board.

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10  The department shall not issue a license to any applicant who

11  is under investigation in any state or territory of the United

12  States or in the District of Columbia for an act which would

13  constitute a violation of this chapter until the investigation

14  is complete and disciplinary proceedings have been terminated,

15  at which time the provisions of s. 474.214 shall apply.

16         (3)  Notwithstanding the provisions of paragraph

17  (2)(b), an applicant shall be deemed to have met the education

18  requirements for licensure upon submission of evidence that

19  the applicant meets one of the following:

20         (a)  The applicant was certified for examination by the

21  board prior to October 1, 1989; or

22         (b)  The applicant immigrated to the United States

23  after leaving her or his home country because of political

24  reasons, provided such country is located in the Western

25  Hemisphere and lacks diplomatic relations with the United

26  States,; and:

27         (a)1.  Was a Florida resident immediately preceding her

28  or his application for licensure;

29         (b)2.  Demonstrates to the board, through submission of

30  documentation verified by the applicant's respective

31  professional association in exile, that she or he received a


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                                         HB 1447, Second Engrossed



  1  professional degree in veterinary medicine from a college or

  2  university located in the country from which she or he

  3  emigrated. However, the board may not require receipt

  4  transcripts from the Republic of Cuba as a condition of

  5  eligibility under this section; and

  6         (c)3.  Lawfully practiced her or his profession for at

  7  least 3 years.

  8         (4)  Applicants certified for examination or

  9  reexamination under subsection (3) who fail or have failed the

10  examination three times subsequent to October 1, 1989, shall

11  be required to demonstrate to the board that they meet the

12  requirements of paragraph (2)(b) prior to any further

13  reexamination or certification for licensure.

14         (5)  An unlicensed doctor of veterinary medicine who

15  has graduated from an approved college or school of veterinary

16  medicine and has completed all parts of the examination for

17  licensure is permitted, while awaiting the results of such

18  examination for licensure or while awaiting issuance of the

19  license, to practice under the immediate supervision of a

20  licensed veterinarian. A person who fails any part of the

21  examination may not continue to practice, except in the same

22  capacity as other nonlicensed veterinary employees, until she

23  or he passes the examination and is eligible for licensure.

24         Section 3.  Subsection (3) of section 474.211, Florida

25  Statutes, is amended to read:

26         474.211  Renewal of license.--

27         (3)  The board may by rule prescribe continuing

28  education, not to exceed 30 hours biennially, as a condition

29  for renewal of a license or certificate. The criteria for such

30  programs, providers, or courses shall be approved by the

31  board.


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                                         HB 1447, Second Engrossed



  1         Section 4.  Subsection (1) of section 474.2125, Florida

  2  Statutes, is amended to read:

  3         474.2125  Temporary license.--

  4         (1)  The board shall adopt rules providing for the

  5  issuance of a temporary license to a licensed veterinarian of

  6  another state for the purpose of enabling her or him to

  7  provide veterinary medical services in this state for the

  8  animals of a specific owner or, as may be needed in an

  9  emergency as defined in s. 252.34(3)(2), for the animals of

10  multiple owners, provided the applicant would qualify for

11  licensure by endorsement under s. 474.217, except that the

12  applicant is not required to have demonstrated compliance with

13  the requirements of s. 474.217(1)(a) prior to issuance of the

14  license.  No temporary license shall be valid for more than 30

15  days after its issuance, and no license shall cover more than

16  the treatment of the animals of one owner except in an

17  emergency as defined in s. 252.34(3)(2).  After the expiration

18  of 30 days, a new license is required.

19         Section 5.  Paragraph (c) of subsection (2) of section

20  474.214, Florida Statutes, is amended to read:

21         474.214  Disciplinary proceedings.--

22         (2)  When the board finds any applicant or veterinarian

23  guilty of any of the grounds set forth in subsection (1),

24  regardless of whether the violation occurred prior to

25  licensure, it may enter an order imposing one or more of the

26  following penalties:

27         (c)  Imposition of an administrative fine not to exceed

28  $5,000 $1,000 for each count or separate offense.

29

30  In determining appropriate action, the board must first

31  consider those sanctions necessary to protect the public.


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                                         HB 1447, Second Engrossed



  1  Only after those sanctions have been imposed may the

  2  disciplining authority consider and include in its order

  3  requirements designed to rehabilitate the veterinarian.  All

  4  costs associated with compliance with any order issued under

  5  this subsection are the obligation of the veterinarian.

  6         Section 6.  Subsection (7) of section 474.215, Florida

  7  Statutes, is amended, and subsections (8) and (9) are added to

  8  said section, to read:

  9         474.215  Premises permits; disciplinary actions.--

10         (7)  The board by rule shall establish minimum

11  standards for the operation of limited service veterinary

12  medical practices. Such rules shall not restrict limited

13  service veterinary medical practices and shall be consistent

14  with the type of limited veterinary medical service provided.

15         (a)  Any person that offers or provides limited service

16  veterinary medical practice shall obtain a biennial permit

17  from the board the cost of which shall not exceed $250. The

18  limited service permittee shall register each location where

19  limited service clinics are held and shall pay a fee set by

20  rule not to exceed $25 to register each such location.

21         (b)  All permits issued under this subsection are

22  subject to the provisions of ss. 474.213 and 474.214.

23         (c)  Notwithstanding any provision of this subsection

24  to the contrary, any temporary rabies vaccination effort

25  operated by a county health department in response to a public

26  health threat, as declared by the State Health Officer in

27  consultation with the State Veterinarian, shall not be subject

28  to any preregistration, time limitation, or fee requirements,

29  but shall adhere to all other requirements for limited service

30  veterinary medical practice as prescribed by rule. The fee

31  charged to the public for a rabies vaccination administered


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                                         HB 1447, Second Engrossed



  1  during such temporary rabies vaccination effort shall not

  2  exceed the actual cost of administering the rabies vaccine.

  3  Such rabies vaccination efforts may not be used for any

  4  purpose other than to address the public health consequences

  5  of the rabies outbreak. The board shall be immediately

  6  notified in writing of any temporary rabies vaccination effort

  7  operated under this paragraph.

  8         (8)  Any person who is not a veterinarian licensed

  9  under this chapter but who desires to own and operate a

10  veterinary medical establishment shall apply to the board for

11  a premises permit. If the board certifies that the applicant

12  complies with the applicable laws and rules of the board, the

13  department shall issue a premises permit. No permit shall be

14  issued unless a licensed veterinarian is designated to

15  undertake the professional supervision of the veterinary

16  medical practice and the minimum standards set by rule of the

17  board for premises where veterinary medicine is practiced.

18  Upon application, the department shall submit for a statewide

19  criminal records correspondence check through the Department

20  of Law Enforcement. The permittee shall notify the board

21  within 10 days after any change of the licensed veterinarian

22  responsible for such duties. Any permittee under this

23  subsection is subject to the provisions of s. 474.214 and this

24  section.

25         (9)(a)  The department or the board may deny, revoke,

26  or suspend the permit of any permittee under this section and

27  may fine, place on probation, or otherwise discipline any

28  permittee who has:

29         1.  Obtained a permit by misrepresentation or fraud or

30  through an error of the department or board;

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                                         HB 1447, Second Engrossed



  1         2.  Attempted to procure, or has procured, a permit for

  2  any other person by making, or causing to be made, any false

  3  representation;

  4         3.  Violated any of the requirements of this chapter or

  5  any rule of the board; or

  6         4.  Been convicted or found guilty of, or entered a

  7  plea of nolo contendere to, a felony in any court of this

  8  state, of any other state, or of the United States.

  9         (b)  If the permit is revoked or suspended, the owner,

10  manager, or proprietor shall cease to operate the premises as

11  a veterinary medical practice as of the effective date of the

12  suspension or revocation. In the event of such revocation or

13  suspension, the owner, manager, or proprietor shall remove

14  from the premises all signs and symbols identifying the

15  premises as a veterinary medical practice. The period of any

16  such suspension shall be prescribed by rule of the board, but

17  in no case shall it exceed 1 year. In the event the permit is

18  revoked, the person owning or operating the establishment

19  shall not be entitled to make application for a permit to

20  operate a premises for a period of 1 year from the date of

21  such revocation. Upon the effective date of such revocation,

22  the permittee shall advise the board of the disposition of any

23  and all medicinal drugs and shall make the provision for

24  assuring the security, confidentiality, and availability to

25  clients of all patient medical records.

26         Section 7.  Section 474.2165, Florida Statutes, is

27  amended to read:

28         474.2165  Veterinary medical records.--Each person who

29  provides veterinary medical services shall maintain medical

30  records, as established by rule, and shall adhere to the

31  requirements of section 455.667.


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                                         HB 1447, Second Engrossed



  1         Section 8.  For the purpose of incorporating the

  2  amendment to section 474.214, Florida Statutes, in a reference

  3  thereto, subsection (2) of section 474.217, Florida Statutes,

  4  is reenacted to read:

  5         474.217  Licensure by endorsement.--

  6         (2)  The department shall not issue a license by

  7  endorsement to any applicant who is under investigation in any

  8  state, territory, or the District of Columbia for an act which

  9  would constitute a violation of this chapter until the

10  investigation is complete and disciplinary proceedings have

11  been terminated, at which time the provisions of s. 474.214

12  shall apply.

13         Section 9.  Notwithstanding the transfer of the

14  Division of Medical Quality Assurance to the Department of

15  Health or any any other provision of law to the contrary,

16  veterinarians licensed under chapter 474, Florida Statutes,

17  shall be governed by the treatment of impaired practitioners

18  provisions of section 455.707, Florida Statutes, as if they

19  were under the jurisdiction of the Division of Medical Quality

20  Assurance, except that for veterinarians the Department of

21  Business and Professional Regulation shall, at its option,

22  exercise any of the powers granted to the Department of Health

23  by that provision, and "board" shall mean board as defined in

24  chapter 474, Florida Statutes.

25         Section 10.  This act shall take effect July 1, 1998.

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