Senate Bill sb0640c1

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    Florida Senate - 2002                            CS for SB 640

    By the Committee on Health, Aging and Long-Term Care; and
    Senator Burt




    317-1766A-02

  1                      A bill to be entitled

  2         An act relating to criminal offenses involving

  3         health care practitioners; creating s. 456.075,

  4         F.S.; authorizing a representative of the

  5         Department of Health to appear in a criminal

  6         proceeding against a health care professional

  7         to furnish information, make recommendations,

  8         or provide other assistance; providing that the

  9         court may order the representative to appear in

10         a criminal proceeding that relates to the

11         qualifications, functions, or duties of a

12         health care professional; amending s. 893.13,

13         F.S.; increasing the penalty imposed for

14         withholding information from a practitioner

15         concerning a controlled substance; prohibiting

16         a practitioner from knowingly assisting a

17         person in obtaining a controlled substance

18         through fraud or scheme, knowingly prescribing

19         a controlled substance for a fictitious person,

20         or prescribing a controlled substance for

21         purposes of monetary benefit; providing for a

22         permissive inference that a prescribing

23         practitioner knowingly assisted a person to

24         obtain a controlled substance through fraud;

25         providing penalties; amending s. 921.0022,

26         F.S., relating to the offense severity ranking

27         chart of the Criminal Punishment Code;

28         conforming provisions to changes made by the

29         act; amending s. 921.187, F.S.; conforming

30         cross-references; providing an effective date.

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    Florida Senate - 2002                            CS for SB 640
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  1  Be It Enacted by the Legislature of the State of Florida:

  2

  3         Section 1.  Section 456.075, Florida Statutes, is

  4  created to read:

  5         456.075  In any criminal proceeding against a person

  6  licensed by the department to practice a health care

  7  profession in this state, a representative of the department

  8  may voluntarily appear and furnish pertinent information, make

  9  recommendations regarding specific conditions of probation, or

10  provide any other assistance necessary to promote justice or

11  protect the public. The court may order a representative of

12  the department to appear in any criminal proceeding if the

13  crime charged is substantially related to the qualifications,

14  functions, or duties of a health care professional licensed by

15  the department.

16         Section 2.  Subsection (7) of section 893.13, Florida

17  Statutes, is amended, and present subsections (8), (9), and

18  (10) of that section are amended and redesignated as

19  subsections (9), (10), and (11), respectively, and a new

20  subsection (8) is added to that section, to read:

21         893.13  Prohibited acts; penalties.--

22         (7)(a)  It is unlawful for any person:

23         1.  To distribute or dispense a controlled substance in

24  violation of this chapter.

25         2.  To refuse or fail to make, keep, or furnish any

26  record, notification, order form, statement, invoice, or

27  information required under this chapter.

28         3.  To refuse an entry into any premises for any

29  inspection or to refuse to allow any inspection authorized by

30  this chapter.

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    Florida Senate - 2002                            CS for SB 640
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  1         4.  To distribute a controlled substance named or

  2  described in s. 893.03(1) or (2) except pursuant to an order

  3  form as required by s. 893.06.

  4         5.  To keep or maintain any store, shop, warehouse,

  5  dwelling, building, vehicle, boat, aircraft, or other

  6  structure or place which is resorted to by persons using

  7  controlled substances in violation of this chapter for the

  8  purpose of using these substances, or which is used for

  9  keeping or selling them in violation of this chapter.

10         6.  To use to his or her own personal advantage, or to

11  reveal, any information obtained in enforcement of this

12  chapter except in a prosecution or administrative hearing for

13  a violation of this chapter.

14         7.  To withhold information from a practitioner from

15  whom the person seeks to obtain a controlled substance or a

16  prescription for a controlled substance that the person has

17  received a controlled substance or a prescription for a

18  controlled substance of like therapeutic use from another

19  practitioner within the last 30 days.

20         7.8.  To possess a prescription form which has not been

21  completed and signed by the practitioner whose name appears

22  printed thereon, unless the person is that practitioner, is an

23  agent or employee of that practitioner, is a pharmacist, or is

24  a supplier of prescription forms who is authorized by that

25  practitioner to possess those forms.

26         8.  To withhold information from a practitioner from

27  whom the person seeks to obtain a controlled substance or a

28  prescription for a controlled substance that the person making

29  the request has received a controlled substance or a

30  prescription for a controlled substance of like therapeutic

31  use from another practitioner within the previous 30 days.

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    Florida Senate - 2002                            CS for SB 640
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  1         9.  To acquire or obtain, or attempt to acquire or

  2  obtain, possession of a controlled substance by

  3  misrepresentation, fraud, forgery, deception, or subterfuge.

  4         10.  To affix any false or forged label to a package or

  5  receptacle containing a controlled substance.

  6         11.  To furnish false or fraudulent material

  7  information in, or omit any material information from, any

  8  report or other document required to be kept or filed under

  9  this chapter or any record required to be kept by this

10  chapter.

11         (b)  Any person who violates the provisions of

12  subparagraphs (a)1.-7. (a)1.-8. commits a misdemeanor of the

13  first degree, punishable as provided in s. 775.082 or s.

14  775.083; except that, upon a second or subsequent violation,

15  the person commits a felony of the third degree, punishable as

16  provided in s. 775.082, s. 775.083, or s. 775.084.

17         (c)  Any person who violates the provisions of

18  subparagraphs (a)8.-11. (a)9.-11. commits a felony of the

19  third degree, punishable as provided in s. 775.082, s.

20  775.083, or s. 775.084.

21         (8)(a)  Notwithstanding subsection (9), a prescribing

22  practitioner may not:

23         1.  Knowingly assist a patient, other person, or the

24  owner of an animal in obtaining a controlled substance through

25  deceptive, untrue, or fraudulent representations in or related

26  to the practice of the prescribing practitioner's professional

27  practice;

28         2.  Employ a trick or scheme in the practice of the

29  prescribing practitioner's professional practice to assist a

30  patient, other person, or the owner of an animal in obtaining

31  a controlled substance;

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    Florida Senate - 2002                            CS for SB 640
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  1         3.  Knowingly write a prescription for a controlled

  2  substance for a fictitious person; or

  3         4.  Write a prescription for a controlled substance for

  4  a patient, other person, or an animal if the sole purpose of

  5  writing such prescription is to provide a monetary benefit to,

  6  or obtain a monetary benefit for, the prescribing

  7  practitioner.

  8         (b)  A permissive inference is created that a

  9  prescribing practitioner knowingly assisted a patient, other

10  person, or the owner of an animal to obtain a controlled

11  substance in violation of subparagraph (a)1., if the

12  prescribing practitioner wrote a prescription or multiple

13  prescriptions for a controlled substance for the patient,

14  other person, or animal for which there was no medical

15  necessity, or that was in excess of what was medically

16  necessary to treat the patient, other person, or animal.

17         (c)  A person who violates paragraph (a) commits a

18  felony of the third degree, punishable as provided in s.

19  775.082, s. 775.083, or s. 775.084.

20         (d)  Notwithstanding paragraph (c), if a prescribing

21  practitioner has violated paragraph (a) and received $1,000 or

22  more in payment for writing one or more prescriptions or, in

23  the case of a prescription written for a controlled substance

24  described in s. 893.135, has written one or more prescriptions

25  for a quantity of a controlled substance which, individually

26  or in the aggregate, meets the threshold for the offense of

27  trafficking in a controlled substance under s. 893.15, the

28  violation is reclassified as a felony of the second degree and

29  ranked in level 4 of the Criminal Punishment Code.

30         (9)(8)  The provisions of subsections (1)-(8) (1)-(7)

31  are not applicable to the delivery to, or actual or

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    Florida Senate - 2002                            CS for SB 640
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  1  constructive possession for medical or scientific use or

  2  purpose only of controlled substances by, persons included in

  3  any of the following classes, or the agents or employees of

  4  such persons, for use in the usual course of their business or

  5  profession or in the performance of their official duties:

  6         (a)  Pharmacists.

  7         (b)  Practitioners.

  8         (c)  Persons who procure controlled substances in good

  9  faith and in the course of professional practice only, by or

10  under the supervision of pharmacists or practitioners employed

11  by them, or for the purpose of lawful research, teaching, or

12  testing, and not for resale.

13         (d)  Hospitals that procure controlled substances for

14  lawful administration by practitioners, but only for use by or

15  in the particular hospital.

16         (e)  Officers or employees of state, federal, or local

17  governments acting in their official capacity only, or

18  informers acting under their jurisdiction.

19         (f)  Common carriers.

20         (g)  Manufacturers, wholesalers, and distributors.

21         (h)  Law enforcement officers for bona fide law

22  enforcement purposes in the course of an active criminal

23  investigation.

24         (10)(9)  Notwithstanding any provision of the

25  sentencing guidelines or the Criminal Punishment Code to the

26  contrary, on or after October 1, 1993, any defendant who:

27         (a)  Violates subparagraph (1)(a)1., subparagraph

28  (1)(c)2., subparagraph (1)(d)2., subparagraph (2)(a)1., or

29  paragraph (5)(a); and

30         (b)  Has not previously been convicted, regardless of

31  whether adjudication was withheld, of any felony, other than a

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    Florida Senate - 2002                            CS for SB 640
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  1  violation of subparagraph (1)(a)1., subparagraph (1)(c)2.,

  2  subparagraph (1)(d)2., subparagraph (2)(a)1., or paragraph

  3  (5)(a),

  4

  5  may be required by the court to successfully complete a term

  6  of probation pursuant to the terms and conditions set forth in

  7  s. 948.034(1), in lieu of serving a term of imprisonment.

  8         (11)(10)  Notwithstanding any provision of the

  9  sentencing guidelines or the Criminal Punishment Code to the

10  contrary, on or after January 1, 1994, any defendant who:

11         (a)  Violates subparagraph (1)(a)2., subparagraph

12  (2)(a)2., paragraph (5)(b), or paragraph (6)(a); and

13         (b)  Has not previously been convicted, regardless of

14  whether adjudication was withheld, of any felony, other than a

15  violation of subparagraph (1)(a)2., subparagraph (2)(a)2.,

16  paragraph (5)(b), or paragraph (6)(a),

17

18  may be required by the court to successfully complete a term

19  of probation pursuant to the terms and conditions set forth in

20  s. 948.034(2), in lieu of serving a term of imprisonment.

21         Section 3.  Paragraphs (a) and (c) of subsection (3) of

22  section 921.0022, Florida Statutes, as amended by section 2 of

23  chapter 2001-358, Laws of Florida, are amended to read:

24         921.0022  Criminal Punishment Code; offense severity

25  ranking chart.--

26         (3)  OFFENSE SEVERITY RANKING CHART

27

28  Florida           Felony

29  Statute           Degree             Description

30

31                              (a)  LEVEL 1

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    Florida Senate - 2002                            CS for SB 640
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  1  24.118(3)(a)       3rd      Counterfeit or altered state

  2                              lottery ticket.

  3  212.054(2)(b)      3rd      Discretionary sales surtax;

  4                              limitations, administration, and

  5                              collection.

  6  212.15(2)(b)       3rd      Failure to remit sales taxes,

  7                              amount greater than $300 but less

  8                              than $20,000.

  9  319.30(5)          3rd      Sell, exchange, give away

10                              certificate of title or

11                              identification number plate.

12  319.35(1)(a)       3rd      Tamper, adjust, change, etc., an

13                              odometer.

14  320.26(1)(a)       3rd      Counterfeit, manufacture, or sell

15                              registration license plates or

16                              validation stickers.

17  322.212(1)         3rd      Possession of forged, stolen,

18                              counterfeit, or unlawfully issued

19                              driver's license; possession of

20                              simulated identification.

21  322.212(4)         3rd      Supply or aid in supplying

22                              unauthorized driver's license or

23                              identification card.

24  322.212(5)(a)      3rd      False application for driver's

25                              license or identification card.

26  370.13(3)(a)       3rd      Molest any stone crab trap, line,

27                              or buoy which is property of

28                              licenseholder.

29  370.135(1)         3rd      Molest any blue crab trap, line,

30                              or buoy which is property of

31                              licenseholder.

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  1  372.663(1)         3rd      Poach any alligator or

  2                              crocodilia.

  3  414.39(2)          3rd      Unauthorized use, possession,

  4                              forgery, or alteration of food

  5                              stamps, Medicaid ID, value

  6                              greater than $200.

  7  414.39(3)(a)       3rd      Fraudulent misappropriation of

  8                              public assistance funds by

  9                              employee/official, value more

10                              than $200.

11  443.071(1)         3rd      False statement or representation

12                              to obtain or increase

13                              unemployment compensation

14                              benefits.

15  509.151(1)         3rd      Defraud an innkeeper, food or

16                              lodging value greater than $300.

17  517.302(1)         3rd      Violation of the Florida

18                              Securities and Investor

19                              Protection Act.

20  562.27(1)          3rd      Possess still or still apparatus.

21  713.69             3rd      Tenant removes property upon

22                              which lien has accrued, value

23                              more than $50.

24  812.014(3)(c)      3rd      Petit theft (3rd conviction);

25                              theft of any property not

26                              specified in subsection (2).

27  812.081(2)         3rd      Unlawfully makes or causes to be

28                              made a reproduction of a trade

29                              secret.

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  1  815.04(4)(a)       3rd      Offense against intellectual

  2                              property (i.e., computer

  3                              programs, data).

  4  817.52(2)          3rd      Hiring with intent to defraud,

  5                              motor vehicle services.

  6  826.01             3rd      Bigamy.

  7  828.122(3)         3rd      Fighting or baiting animals.

  8  831.04(1)          3rd      Any erasure, alteration, etc., of

  9                              any replacement deed, map, plat,

10                              or other document listed in s.

11                              92.28.

12  831.31(1)(a)       3rd      Sell, deliver, or possess

13                              counterfeit controlled

14                              substances, all but s. 893.03(5)

15                              drugs.

16  832.041(1)         3rd      Stopping payment with intent to

17                              defraud $150 or more.

18  832.05

19   (2)(b)&(4)(c)     3rd      Knowing, making, issuing

20                              worthless checks $150 or more or

21                              obtaining property in return for

22                              worthless check $150 or more.

23  838.015(3)         3rd      Bribery.

24  838.016(1)         3rd      Public servant receiving unlawful

25                              compensation.

26  838.15(2)          3rd      Commercial bribe receiving.

27  838.16             3rd      Commercial bribery.

28  843.18             3rd      Fleeing by boat to elude a law

29                              enforcement officer.

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  1  847.011(1)(a)      3rd      Sell, distribute, etc., obscene,

  2                              lewd, etc., material (2nd

  3                              conviction).

  4  849.01             3rd      Keeping gambling house.

  5  849.09(1)(a)-(d)   3rd      Lottery; set up, promote, etc.,

  6                              or assist therein, conduct or

  7                              advertise drawing for prizes, or

  8                              dispose of property or money by

  9                              means of lottery.

10  849.23             3rd      Gambling-related machines;

11                              "common offender" as to property

12                              rights.

13  849.25(2)          3rd      Engaging in bookmaking.

14  860.08             3rd      Interfere with a railroad signal.

15  860.13(1)(a)       3rd      Operate aircraft while under the

16                              influence.

17  893.13(2)(a)2.     3rd      Purchase of cannabis.

18  893.13(6)(a)       3rd      Possession of cannabis (more than

19                              20 grams).

20  893.13(7)(a)10.    3rd      Affix false or forged label to

21                              package of controlled substance.

22  934.03(1)(a)       3rd      Intercepts, or procures any other

23                              person to intercept, any wire or

24                              oral communication.

25                              (c)  LEVEL 3

26  316.1935(2)        3rd      Fleeing or attempting to elude

27                              law enforcement officer in marked

28                              patrol vehicle with siren and

29                              lights activated.

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    Florida Senate - 2002                            CS for SB 640
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  1  319.30(4)          3rd      Possession by junkyard of motor

  2                              vehicle with identification

  3                              number plate removed.

  4  319.33(1)(a)       3rd      Alter or forge any certificate of

  5                              title to a motor vehicle or

  6                              mobile home.

  7  319.33(1)(c)       3rd      Procure or pass title on stolen

  8                              vehicle.

  9  319.33(4)          3rd      With intent to defraud, possess,

10                              sell, etc., a blank, forged, or

11                              unlawfully obtained title or

12                              registration.

13  328.05(2)          3rd      Possess, sell, or counterfeit

14                              fictitious, stolen, or fraudulent

15                              titles or bills of sale of

16                              vessels.

17  328.07(4)          3rd      Manufacture, exchange, or possess

18                              vessel with counterfeit or wrong

19                              ID number.

20  376.302(5)         3rd      Fraud related to reimbursement

21                              for cleanup expenses under the

22                              Inland Protection Trust Fund.

23  501.001(2)(b)      2nd      Tampers with a consumer product

24                              or the container using materially

25                              false/misleading information.

26  697.08             3rd      Equity skimming.

27  790.15(3)          3rd      Person directs another to

28                              discharge firearm from a vehicle.

29  796.05(1)          3rd      Live on earnings of a prostitute.

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  1  806.10(1)          3rd      Maliciously injure, destroy, or

  2                              interfere with vehicles or

  3                              equipment used in firefighting.

  4  806.10(2)          3rd      Interferes with or assaults

  5                              firefighter in performance of

  6                              duty.

  7  810.09(2)(c)       3rd      Trespass on property other than

  8                              structure or conveyance armed

  9                              with firearm or dangerous weapon.

10  812.014(2)(c)2.    3rd      Grand theft; $5,000 or more but

11                              less than $10,000.

12  815.04(4)(b)       2nd      Computer offense devised to

13                              defraud or obtain property.

14  817.034(4)(a)3.    3rd      Engages in scheme to defraud

15                              (Florida Communications Fraud

16                              Act), property valued at less

17                              than $20,000.

18  817.233            3rd      Burning to defraud insurer.

19  817.234(8)&(9)     3rd      Unlawful solicitation of persons

20                              involved in motor vehicle

21                              accidents.

22  817.234(11)(a)     3rd      Insurance fraud; property value

23                              less than $20,000.

24  817.505(4)         3rd      Patient brokering.

25  828.12(2)          3rd      Tortures any animal with intent

26                              to inflict intense pain, serious

27                              physical injury, or death.

28  831.28(2)(a)       3rd      Counterfeiting a payment

29                              instrument with intent to defraud

30                              or possessing a counterfeit

31                              payment instrument.

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  1  831.29             2nd      Possession of instruments for

  2                              counterfeiting drivers' licenses

  3                              or identification cards.

  4  838.021(3)(b)      3rd      Threatens unlawful harm to public

  5                              servant.

  6  843.19             3rd      Injure, disable, or kill police

  7                              dog or horse.

  8  870.01(2)          3rd      Riot; inciting or encouraging.

  9  893.13(1)(a)2.     3rd      Sell, manufacture, or deliver

10                              cannabis (or other s.

11                              893.03(1)(c), (2)(c)1., (2)(c)2.,

12                              (2)(c)3., (2)(c)5., (2)(c)6.,

13                              (2)(c)7., (2)(c)8., (2)(c)9.,

14                              (3), or (4) drugs).

15  893.13(1)(d)2.     2nd      Sell, manufacture, or deliver s.

16                              893.03(1)(c), (2)(c)1., (2)(c)2.,

17                              (2)(c)3., (2)(c)5., (2)(c)6.,

18                              (2)(c)7., (2)(c)8., (2)(c)9.,

19                              (3), or (4) drugs within 200 feet

20                              of university or public park.

21  893.13(1)(f)2.     2nd      Sell, manufacture, or deliver s.

22                              893.03(1)(c), (2)(c)1., (2)(c)2.,

23                              (2)(c)3., (2)(c)5., (2)(c)6.,

24                              (2)(c)7., (2)(c)8., (2)(c)9.,

25                              (3), or (4) drugs within 200 feet

26                              of public housing facility.

27  893.13(6)(a)       3rd      Possession of any controlled

28                              substance other than felony

29                              possession of cannabis.

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  1  893.13(7)(a)8.     3rd      Withhold information from

  2                              practitioner regarding previous

  3                              receipt of or prescription for a

  4                              controlled substance.

  5  893.13(7)(a)9.     3rd      Obtain or attempt to obtain

  6                              controlled substance by fraud,

  7                              forgery, misrepresentation, etc.

  8  893.13(7)(a)10.    3rd      Affix false or forged label to

  9                              package of controlled substance.

10  893.13(7)(a)11.    3rd      Furnish false or fraudulent

11                              material information on any

12                              document or record required by

13                              chapter 893.

14  893.13(8)(a)1.     3rd      Knowingly assist a patient, other

15                              person, or owner of an animal in

16                              obtaining a controlled substance

17                              through deceptive, untrue, or

18                              fraudulent representations in or

19                              related to the practitioner's

20                              practice.

21  893.13(8)(a)2.     3rd      Employ a trick or scheme in the

22                              practitioner's practice to assist

23                              a patient, other person, or owner

24                              of an animal in obtaining a

25                              controlled substance.

26  893.13(8)(a)3.     3rd      Knowingly write a prescription

27                              for a controlled substance for a

28                              fictitious person.

29

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  1  893.13(8)(a)4.     3rd      Write a prescription for a

  2                              controlled substance for a

  3                              patient, other person, or an

  4                              animal if the sole purpose of

  5                              writing the prescription is a

  6                              monetary benefit for the

  7                              practitioner.

  8  918.13(1)(a)       3rd      Alter, destroy, or conceal

  9                              investigation evidence.

10  944.47

11   (1)(a)1.-2.       3rd      Introduce contraband to

12                              correctional facility.

13  944.47(1)(c)       2nd      Possess contraband while upon the

14                              grounds of a correctional

15                              institution.

16  985.3141           3rd      Escapes from a juvenile facility

17                              (secure detention or residential

18                              commitment facility).

19         Section 4.  Paragraph (b) of subsection (1) of section

20  921.187, Florida Statutes, is amended to read:

21         921.187  Disposition and sentencing; alternatives;

22  restitution.--

23         (1)  The alternatives provided in this section for the

24  disposition of criminal cases shall be used in a manner that

25  will best serve the needs of society, punish criminal

26  offenders, and provide the opportunity for rehabilitation.

27         (b)1.  Notwithstanding any provision of former s.

28  921.001 or s. 921.002 to the contrary, on or after October 1,

29  1993, the court may require any defendant who violates s.

30  893.13(1)(a)1., (1)(c)2., (1)(d)2., (2)(a)1., or (5)(a), and

31  meets the criteria described in s. 893.13(10) s. 893.13(9), to

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






    Florida Senate - 2002                            CS for SB 640
    317-1766A-02




  1  successfully complete a term of probation pursuant to the

  2  terms and conditions set forth in s. 948.034(1), in lieu of

  3  serving a term of imprisonment.

  4         2.  Notwithstanding any provision of former s. 921.001

  5  or s. 921.002 to the contrary, on or after October 1, 1993,

  6  the court may require any defendant who violates s.

  7  893.13(1)(a)2., (2)(a)2., (5)(b), or (6)(a), and meets the

  8  criteria described in s. 893.13(11) s. 893.13(10), to

  9  successfully complete a term of probation pursuant to the

10  terms and conditions set forth in s. 948.034(2), in lieu of

11  serving a term of imprisonment.

12         Section 5.  This act shall take effect July 1, 2002.

13

14          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
15                         Senate Bill 640

16

17  The Committee Substitute for SB 640 deletes a third degree
    felony offense for a health care practitioner to prescribe a
18  controlled substance that is excessive or inappropriate and
    the offense severity ranking for that offense. The bill
19  creates a permissive inference which applies to the offense of
    knowingly assisting a patient, other person, or the owner of
20  an animal in obtaining a controlled substance through
    deceptive, untrue, or fraudulent representations in or related
21  to the practice of the prescribing practitioner's professional
    practice to allow the trier of fact to infer that the
22  prescribing practitioner knowingly assisted a patient, other
    person, or the owner of an animal to obtain a controlled
23  substance if the practitioner wrote a prescription or multiple
    prescriptions for the patient, other person, or animal for
24  which there was no medical necessity, or that was in excess of
    what was medically necessary to treat the patient, other
25  person, or animal.

26

27

28

29

30

31

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