Senate Bill 0446

CODING: Words stricken are deletions; words underlined are additions.


    Florida Senate - 1998                                   SB 446

    By Senator Diaz-Balart





    37-572-98                                               See HB

  1                      A bill to be entitled

  2         An act relating to opticianry; amending s.

  3         484.002, F.S.; updating the definition of

  4         "department"; defining the term "refracting

  5         optician" and revising the definition of

  6         "opticianry," to conform; authorizing

  7         refracting opticians to prescribe corrective

  8         lenses under certain circumstances; reenacting

  9         s. 484.011, F.S., relating to supportive

10         personnel, to incorporate the amendment to s.

11         484.002, F.S., in a reference thereto; amending

12         s. 484.005, F.S.; granting the Board of

13         Opticianry authority to adopt rules relating to

14         a standard of practice for refracting opticians

15         and the minimum equipment required to perform

16         their work; amending s. 484.012, F.S.;

17         requiring prescriptions by refracting opticians

18         to be kept on file for a specified period;

19         reenacting s. 484.013(1)(c), F.S., relating to

20         prohibitions, to incorporate the amendment to

21         s. 484.012, F.S., in a reference thereto;

22         amending s. 484.013, F.S.; prohibiting

23         opticians from engaging in the diagnosis of the

24         medical condition of the human eyes or

25         attempting to prescribe for or treat diseases

26         or ailments of human beings, except for the

27         prescribing of corrective lenses; providing a

28         penalty; amending s. 484.014, F.S.; conforming

29         a cross-reference; providing an effective date.

30

31  Be It Enacted by the Legislature of the State of Florida:

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1         Section 1.  Subsections (1) and (3) of section 484.002,

  2  Florida Statutes, are amended, and subsection (8) is added to

  3  said section, to read:

  4         484.002  Definitions.--As used in this part:

  5         (1)  "Department" means the Department of Health

  6  Business and Professional Regulation.

  7         (3)  "Opticianry" means the preparation and dispensing

  8  of lenses, spectacles, eyeglasses, contact lenses, and other

  9  optical devices to the intended user or agent thereof, upon

10  the written prescription of a medical doctor or optometrist

11  who is duly licensed to practice or upon presentation of a

12  duplicate prescription. The selection of frame designs, the

13  actual sales transaction, and the transfer of physical

14  possession of lenses, spectacles, eyeglasses, contact lenses,

15  and other optical devices subsequent to performance of all

16  services of the optician shall not be considered the practice

17  of opticianry; however, such physical possession shall not be

18  transferred until the optician has completed the fitting of

19  the optical device upon the customer. The practice of

20  opticianry also includes the duplication of lenses accurately

21  as to power, without prescription. A board-certified optician

22  qualified and operating under rules established by the board

23  may fill, fit, adapt, or dispense any soft contact lens

24  prescription. Such optician may fill, fit, adapt, or dispense

25  any extended wear or hard contact lens prescription to the

26  extent authorized to do so by the prescribing medical doctor

27  or optometrist. A refracting optician, certified to perform

28  visual assessment/refraction and operating under rules

29  established by the board, may test a person's vision by the

30  use and under the general supervision of a duly licensed

31  medical doctor or optometrist, including rotation, of a series

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1  of lenses and prisms, to determine the degree of correction

  2  needed to compensate for hyperopia, myopia, presbyopia,

  3  astigmatism, phoria, tropia, or any combination of these. If a

  4  refracting optician is unable to select lenses that will

  5  provide visual acuity of at least 20/40 in each eye, the

  6  refracting optician must refer the person for further

  7  evaluation to a duly licensed medical doctor or optometrist.

  8  If a refracting optician is able to select lenses that will

  9  provide such visual acuity in each eye, the refracting

10  optician may prescribe such lenses.

11         (8)  "Refracting optician" means an optician licensed

12  in this state who:

13         (a)  Has completed a 90-hour course in refraction

14  approved by the board or conducted by an institution

15  accredited by an accrediting agency recognized by the United

16  States Department of Education or the Council on Postsecondary

17  Education, or has received an associate degree in opticianry

18  with appropriate courses in refraction from an educational

19  institution accredited by an accrediting agency recognized by

20  the United States Department of Education or the Council on

21  Postsecondary Education.

22         (b)  Has met any other requirements established by the

23  board by rule to ensure competence in refraction.

24         (c)  Has completed an application form and remitted a

25  nonrefundable fee set by the board not to exceed $100.

26         (d)  Has been issued a certificate by the department.

27         Section 2.  For the purpose of incorporating the

28  amendment to section 484.002, Florida Statutes, in a reference

29  thereto, section 484.011, Florida Statutes, is reenacted to

30  read:

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1         484.011  Supportive personnel.--No person other than a

  2  licensed optician may engage in the practice of opticianry,

  3  except that a licensed optician may delegate to nonlicensed

  4  supportive personnel those duties, tasks, and functions which

  5  fall within the purview of s. 484.002(3). All such delegated

  6  acts shall be performed under the direct supervision of a

  7  licensed optician, who shall be responsible for all such acts

  8  performed by persons under her or his supervision.

  9         Section 3.  Subsections (5) and (6) are added to

10  section 484.005, Florida Statutes, to read:

11         484.005  Authority to make rules.--The board is

12  authorized to make such rules not inconsistent with law as may

13  be necessary to carry out the duties and authority conferred

14  upon it by this part and as may be necessary to protect the

15  health, safety, and welfare of the public. Such rules shall

16  include, but not be limited to, rules relating to:

17         (5)  A standard of practice for refracting opticians

18  certified to perform visual assessment/refraction and

19  prescribe corrective lenses under the rules established by the

20  board.

21         (6)  Minimum equipment that must be used to perform

22  visual assessment/refraction.

23         Section 4.  Subsection (1) of section 484.012, Florida

24  Statutes, is amended to read:

25         484.012  Prescriptions; filing; duplication of

26  prescriptions; duplication of lenses.--

27         (1)  Any prescription written by a duly licensed

28  medical doctor, or optometrist, or refracting optician for any

29  lenses, spectacles, eyeglasses, contact lenses, or other

30  optical devices shall be kept on file for a period of 2 years

31  with the optical establishment that fills such prescription.

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1  However, the licensed optician may maintain a copy of the

  2  prescription.

  3         Section 5.  For the purpose of incorporating the

  4  amendment to section 484.012, Florida Statutes, in a reference

  5  thereto, paragraph (c) of subsection (1) of section 484.013,

  6  Florida Statutes, is reenacted to read:

  7         484.013  Violations and penalties.--

  8         (1)  It is unlawful for any person:

  9         (c)  To prepare or dispense lenses, spectacles,

10  eyeglasses, contact lenses, or other optical devices without

11  first being furnished with a prescription as provided for in

12  s. 484.012.

13         Section 6.  Subsection (3) of section 484.013, Florida

14  Statutes, is amended to read:

15         484.013  Violations and penalties.--

16         (3)  It is unlawful for any optician to engage in the

17  diagnosis of the medical condition of the human eyes, attempt

18  to determine the refractive powers of the human eyes, or, in

19  any manner, attempt to prescribe for or treat diseases or

20  ailments of human beings, with the exception of prescribing

21  for corrective lenses.

22         (5)  Any person who violates a provision of this

23  section commits a misdemeanor of the second degree, punishable

24  as provided in s. 775.082 or s. 775.083.

25         Section 7.  Subsection (1) of section 484.014, Florida

26  Statutes, is amended to read:

27         484.014  Disciplinary actions.--

28         (1)  The following acts relating to the practice of

29  opticianry shall be grounds for both disciplinary action

30  against an optician as set forth in this section and cease and

31  desist or other related action by the department as set forth

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1  in s. 455.637 455.228 against any person operating an optical

  2  establishment who engages in, aids, or abets any such

  3  violation:

  4         (a)  Procuring or attempting to procure a license by

  5  misrepresentation, bribery, or fraud or through an error of

  6  the department or the board.

  7         (b)  Procuring or attempting to procure a license for

  8  any other person by making or causing to be made any false

  9  representation.

10         (c)  Making or filing a report or record which the

11  licensee knows to be false, intentionally or negligently

12  failing to file a report or record required by federal or

13  state law, willfully impeding or obstructing such filing, or

14  inducing another person to do so. Such reports or records

15  shall include only those which the person is required to make

16  or file as an optician.

17         (d)  Failing to make fee or price information readily

18  available by providing such information upon request or upon

19  the presentation of a prescription.

20         (e)  Advertising goods or services in a manner which is

21  fraudulent, false, deceptive, or misleading in form or

22  content.

23         (f)  Fraud or deceit, or negligence, incompetency, or

24  misconduct, in the authorized practice of opticianry.

25         (g)  Violation or repeated violation of this part or of

26  chapter 455 or any rules promulgated pursuant thereto.

27         (h)  Practicing with a revoked, suspended, inactive, or

28  delinquent license.

29         (i)  Violation of a lawful order of the board or

30  department previously entered in a disciplinary hearing or

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1  failing to comply with a lawfully issued subpoena of the

  2  department.

  3         (j)  Violation of any provision of s. 484.012.

  4         (k)  Conspiring with another licensee or with any

  5  person to commit an act, or committing an act, which would

  6  coerce, intimidate, or preclude another licensee from lawfully

  7  advertising her or his services.

  8         (l)  Willfully submitting to any third-party payor a

  9  claim for services which were not provided to a patient.

10         (m)  Failing to keep written prescription files.

11         (n)  Willfully failing to report any person who the

12  licensee knows is in violation of this part or of rules of the

13  department or the board.

14         (o)  Exercising influence on a client in such a manner

15  as to exploit the client for financial gain of the licensee or

16  of a third party.

17         (p)  Gross or repeated malpractice.

18         (q)  Permitting any person not licensed as an optician

19  in this state to fit or dispense any lenses, spectacles,

20  eyeglasses, or other optical devices which are part of the

21  practice of opticianry.

22         (r)  Being convicted or found guilty of, or entering a

23  plea of nolo contendere to, regardless of adjudication, in a

24  court of this state or other jurisdiction, a crime which

25  relates to the ability to practice opticianry or to the

26  practice of opticianry.

27         (s)  Having been disciplined by a regulatory agency in

28  another state for any offense that would constitute a

29  violation of Florida law or rules regulating opticianry.

30         (t)  Being unable to practice opticianry with

31  reasonable skill and safety by reason of illness or use of

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    Florida Senate - 1998                                   SB 446
    37-572-98                                               See HB




  1  drugs, narcotics, chemicals, or any other type of material or

  2  as a result of any mental or physical condition. An optician

  3  affected under this paragraph shall at reasonable intervals be

  4  afforded an opportunity to demonstrate that she or he can

  5  resume the competent practice of opticianry with reasonable

  6  skill and safety to her or his customers.

  7         Section 8.  This act shall take effect October 1 of the

  8  year in which enacted.

  9

10            *****************************************

11                       LEGISLATIVE SUMMARY

12
      Revises provisions relating to regulation of opticianry.
13    Updates the definition of "department" to mean the
      Department of Health. Defines the term "refracting
14    optician" and revises the definition of "opticianry," to
      conform. Authorizes refracting opticians to prescribe
15    corrective lenses under certain circumstances. Grants the
      Board of Opticianry authority to adopt rules relating to
16    a standard of practice for refracting opticians and the
      minimum equipment required to perform their work.
17    Requires prescriptions by refracting opticians to be kept
      on file for a specified period. Prohibits opticians from
18    engaging in the diagnosis of the medical condition of the
      human eyes or attempting to prescribe for or treat
19    diseases or ailments of human beings, except for the
      prescribing of corrective lenses.
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