HOUSE AMENDMENT Bill No. HB 1713
1	CHAMBER ACTION
2	Senate House
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12	Representative Galvano offered the following:
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14	Amendment (with title amendment)
15	Remove line(s) 1381-1389, and insert:
16	Section 42. Effective July 1, 2006, subsections (4) and
17	(5) of section 458.320, Florida Statutes, are amended to read:
18	458.320 Financial responsibility.--
19	(4)(a) Each insurer, self-insurer, risk retention group,
20	or Joint Underwriting Association shall promptly notify the
21	department of cancellation or nonrenewal of insurance required
22	by this section. Unless the physician demonstrates that he or
23	she is otherwise in compliance with the requirements of this
24	section, the department shall suspend the license of the
25	physician pursuant to ss. 120.569 and 120.57 and notify all
26	health care facilities licensed under chapter 395 of such
27	action. Any suspension under this subsection shall remain in
28	effect until the physician demonstrates compliance with the
29	requirements of this section, except that a license suspended
30	under paragraph (5)(g) shall not be reinstated until the
31	physician demonstrates compliance with the requirements of that
32	provision.
33	(b) If financial responsibility requirements are met by
34	maintaining an escrow account or letter of credit as provided in
35	this section, upon the entry of an adverse final judgment
36	arising from a medical malpractice arbitration award, from a
37	claim of medical malpractice either in contract or tort, or from
38	noncompliance with the terms of a settlement agreement arising
39	from a claim of medical malpractice either in contract or tort,
40	the licensee shall pay the entire amount of the judgment
41	together with all accrued interest, or the amount maintained in
42	the escrow account or provided in the letter of credit as
43	required by this section, whichever is less, within 60 days
44	after the date such judgment became final and subject to
45	execution, unless otherwise mutually agreed to in writing by the
46	parties. If timely payment is not made by the physician, the
47	department shall suspend the license of the physician pursuant
48	to procedures set forth in subparagraphs (5)(g)3., 4., and 5.
49	Nothing in this paragraph shall abrogate a judgment debtor's
50	obligation to satisfy the entire amount of any judgment.
51	(5) The requirements of subsections (1), (2), and (3)
52	shall not apply to:
53	(a) Any person licensed under this chapter who practices
54	medicine exclusively as an officer, employee, or agent of the
55	Federal Government or of the state or its agencies or its
56	subdivisions. For the purposes of this subsection, an agent of
57	the state, its agencies, or its subdivisions is a person who is
58	eligible for coverage under any self-insurance or insurance
59	program authorized by the provisions of s. 768.28(15).
60	(b) Any person whose license has become inactive under
61	this chapter and who is not practicing medicine in this state.
62	Any person applying for reactivation of a license must show
63	either that such licensee maintained tail insurance coverage
64	which provided liability coverage for incidents that occurred on
65	or after January 1, 1987, or the initial date of licensure in
66	this state, whichever is later, and incidents that occurred
67	before the date on which the license became inactive; or such
68	licensee must submit an affidavit stating that such licensee has
69	no unsatisfied medical malpractice judgments or settlements at
70	the time of application for reactivation.
71	(c) Any person holding a limited license pursuant to s.
72	458.317 and practicing under the scope of such limited license.
73	(d) Any person licensed or certified under this chapter
74	who practices only in conjunction with his or her teaching
75	duties at an accredited medical school or in its main teaching
76	hospitals. Such person may engage in the practice of medicine to
77	the extent that such practice is incidental to and a necessary
78	part of duties in connection with the teaching position in the
79	medical school.
80	(e) Any person holding an active license under this
81	chapter who is not practicing medicine in this state. If such
82	person initiates or resumes any practice of medicine in this
83	state, he or she must notify the department of such activity.
84	(f) Any person holding an active license under this
85	chapter who meets all of the following criteria:
86	1. The licensee has held an active license to practice in
87	this state or another state or some combination thereof for more
88	than 15 years.
89	2. The licensee has either retired from the practice of
90	medicine or maintains a part-time practice of no more than 1,000
91	patient contact hours per year.
92	3. The licensee has had no more than two claims for
93	medical malpractice resulting in an indemnity exceeding $25,000
94	within the previous 5-year period.
95	4. The licensee has not been convicted of, or pled guilty
96	or nolo contendere to, any criminal violation specified in this
97	chapter or the medical practice act of any other state.
98	5. The licensee has not been subject within the last 10
99	years of practice to license revocation or suspension for any
100	period of time; probation for a period of 3 years or longer; or
101	a fine of $500 or more for a violation of this chapter or the
102	medical practice act of another jurisdiction. The regulatory
103	agency's acceptance of a physician's relinquishment of a
104	license, stipulation, consent order, or other settlement,
105	offered in response to or in anticipation of the filing of
106	administrative charges against the physician's license, shall be
107	construed as action against the physician's license for the
108	purposes of this paragraph.
109	6. The licensee has submitted a form supplying necessary
110	information as required by the department and an affidavit
111	affirming compliance with the provisions of this paragraph.
112	7. The licensee shall submit biennially to the department
113	certification stating compliance with the provisions of this
114	paragraph. The licensee shall, upon request, demonstrate to the
115	department information verifying compliance with this paragraph.
116
117	A licensee who meets the requirements of this paragraph shall be
118	required either to post notice in the form of a sign prominently
119	displayed in the reception area and clearly noticeable by all
120	patients or provide a written statement to any person to whom
121	medical services are being provided. Such sign or statement
122	shall state that: Under Florida law, physicians are generally
123	required to carry medical malpractice insurance or otherwise
124	demonstrate financial responsibility to cover potential claims
125	for medical malpractice. However, certain part-time physicians
126	who meet state requirements are exempt from the financial
127	responsibility law. YOUR DOCTOR MEETS THESE REQUIREMENTS AND HAS
128	DECIDED NOT TO CARRY MEDICAL MALPRACTICE INSURANCE. This notice
129	is provided pursuant to Florida law.
130	(g) Any person holding an active license under this
131	chapter who agrees to meet all of the following criteria:
132	1. Upon the entry of an adverse final judgment arising
133	from a medical malpractice arbitration award, from a claim of
134	medical malpractice either in contract or tort, or from
135	noncompliance with the terms of a settlement agreement arising
136	from a claim of medical malpractice either in contract or tort,
137	the licensee shall pay the judgment creditor the lesser of the
138	entire amount of the judgment with all accrued interest or
139	either $100,000, if the physician is licensed pursuant to this
140	chapter but does not maintain hospital staff privileges, or
141	$250,000, if the physician is licensed pursuant to this chapter
142	and maintains hospital staff privileges, within 60 days after
143	the date such judgment became final and subject to execution,
144	unless otherwise mutually agreed to in writing by the parties.
145	Such adverse final judgment shall include any cross-claim,
146	counterclaim, or claim for indemnity or contribution arising
147	from the claim of medical malpractice. Upon notification of the
148	existence of an unsatisfied judgment or payment pursuant to this
149	subparagraph, the department shall notify the licensee by
150	certified mail that he or she shall be subject to disciplinary
151	action unless, within 30 days from the date of mailing, he or
152	she either:
153	a. Shows proof that the unsatisfied judgment has been paid
154	in the amount specified in this subparagraph; or
155	b. Furnishes the department with a copy of a timely filed
156	notice of appeal and either:
157	(I) A copy of a supersedeas bond properly posted in the
158	amount required by law; or
159	(II) An order from a court of competent jurisdiction
160	staying execution on the final judgment pending disposition of
161	the appeal.
162	2. The Department of Health shall issue an emergency order
163	suspending the license of any licensee who, after 30 days
164	following receipt of a notice from the Department of Health, has
165	failed to: satisfy a medical malpractice claim against him or
166	her; furnish the Department of Health a copy of a timely filed
167	notice of appeal; furnish the Department of Health a copy of a
168	supersedeas bond properly posted in the amount required by law;
169	or furnish the Department of Health an order from a court of
170	competent jurisdiction staying execution on the final judgment
171	pending disposition of the appeal.
172	3. Upon the next meeting of the probable cause panel of
173	the board following 30 days after the date of mailing the notice
174	of disciplinary action to the licensee, the panel shall make a
175	determination of whether probable cause exists to take
176	disciplinary action against the licensee pursuant to
177	subparagraph 1.
178	4. If the board determines that the factual requirements
179	of subparagraph 1. are met, it shall take disciplinary action as
180	it deems appropriate against the licensee. Such disciplinary
181	action shall include, at a minimum, probation of the license
182	with the restriction that the licensee must make payments to the
183	judgment creditor on a schedule determined by the board to be
184	reasonable and within the financial capability of the physician.
185	Notwithstanding any other disciplinary penalty imposed, the
186	disciplinary penalty may include suspension of the license for a
187	period not to exceed 5 years. In the event that an agreement to
188	satisfy a judgment has been met, the board shall remove any
189	restriction on the license.
190	5. The licensee has completed a form supplying necessary
191	information as required by the department.
192
193	A licensee who meets the requirements of this paragraph shall be
194	required either to post notice in the form of a sign prominently
195	displayed in the reception area and clearly noticeable by all
196	patients or to provide a written statement to any person to whom
197	medical services are being provided. Such sign or statement
198	shall state: "Under Florida law, physicians are generally
199	required to carry medical malpractice insurance or otherwise
200	demonstrate financial responsibility to cover potential claims
201	for medical malpractice. YOUR DOCTOR HAS DECIDED NOT TO CARRY
202	MEDICAL MALPRACTICE INSURANCE. This is permitted under Florida
203	law subject to certain conditions. Florida law imposes penalties
204	against noninsured physicians who fail to satisfy adverse
205	judgments arising from claims of medical malpractice. This
206	notice is provided pursuant to Florida law."
207	Section 43. Paragraph (b) of subsection (1) and paragraph
208	(b) of subsection (2) of section 458.320, Florida Statutes,
209	read, and subsections (9) and (10) are added to said section to
210	read:
211	458.320 Financial responsibility.--
212	(1) As a condition of licensing and prior to the issuance
213	or renewal of an active license or reactivation of an inactive
214	license for the practice of medicine, an applicant shall by one
215	of the following methods demonstrate to the satisfaction of the
216	board and the department financial responsibility to pay claims
217	and costs ancillary thereto arising out of the rendering of, or
218	the failure to render, medical care or services:
219	(b) Obtaining and maintaining professional liability
220	coverage in an amount not less than $100,000 per claim, with a
221	minimum annual aggregate of not less than $300,000, from an
222	authorized insurer as defined under s. 624.09, from a surplus
223	lines insurer as defined under s. 626.914(2), from a risk
224	retention group as defined under s. 627.942, from the Joint
225	Underwriting Association established under s. 627.351(4), or
226	through a plan of self-insurance as provided in s. 627.357.
227	(2) As a continuing condition of hospital staff
228	privileges, physicians with staff privileges shall also be
229	required to establish financial responsibility by one of the
230	following methods:
231	(b) Obtaining and maintaining professional liability
232	coverage in an amount not less than $250,000 per claim, with a
233	minimum annual aggregate of not less than $750,000 from an
234	authorized insurer as defined under s. 624.09, from a surplus
235	lines insurer as defined under s. 626.914(2), from a risk
236	retention group as defined under s. 627.942, from the Joint
237	Underwriting Association established under s. 627.351(4),
238	through a plan of self-insurance as provided in s. 627.357, or
239	through a plan of self-insurance which meets the conditions
240	specified for satisfying financial responsibility in s. 766.110.
241
242	This subsection shall be inclusive of the coverage in subsection
243	(1).
244	(9) After July 1, 2006, if an applicant elects to purchase
245	professional liability coverage under paragraph (1)(b) or
246	paragraph (2)(b) and an insurance product is available from a
247	private insurance provider at or below the rate charged for an
248	identical product on or before December 31, 2001, the applicant
249	must purchase that product. If no product is commercially
250	available or no product is available as described in this
251	subsection, and if an applicant elects to purchase professional
252	liability coverage under paragraph (1)(b) or paragraph (2)(b),
253	the applicant must purchase insurance from the Health Care
254	Professional Liability Insurance Facility as provided in s.
255	627.3575.
256	(10) Failure to comply with the provisions of this section
257	by January 1, 2007, shall result in the automatic suspension of
258	an active license or the automatic denial of an application for
259	a new license or renewal of an existing license until the
260	applicant complies with the requirements of subsections (1),
261	(2), and (3) or subsection (9).
262	Section 44. Effective July 1, 2006, subsections (4) and
263	(5) of section 459.0085, Florida Statutes, are amended to read:
264	459.0085 Financial responsibility.--
265	(4)(a) Each insurer, self-insurer, risk retention group,
266	or joint underwriting association shall promptly notify the
267	department of cancellation or nonrenewal of insurance required
268	by this section. Unless the osteopathic physician demonstrates
269	that he or she is otherwise in compliance with the requirements
270	of this section, the department shall suspend the license of the
271	osteopathic physician pursuant to ss. 120.569 and 120.57 and
272	notify all health care facilities licensed under chapter 395,
273	part IV of chapter 394, or part I of chapter 641 of such action.
274	Any suspension under this subsection shall remain in effect
275	until the osteopathic physician demonstrates compliance with the
276	requirements of this section except that a license suspended
277	under paragraph (5)(g) shall not be reinstated until the
278	osteopathic physician demonstrates compliance with the
279	requirements of that provision.
280	(b) If financial responsibility requirements are met by
281	maintaining an escrow account or letter of credit as provided in
282	this section, upon the entry of an adverse final judgment
283	arising from a medical malpractice arbitration award, from a
284	claim of medical malpractice either in contract or tort, or from
285	noncompliance with the terms of a settlement agreement arising
286	from a claim of medical malpractice either in contract or tort,
287	the licensee shall pay the entire amount of the judgment
288	together with all accrued interest or the amount maintained in
289	the escrow account or provided in the letter of credit as
290	required by this section, whichever is less, within 60 days
291	after the date such judgment became final and subject to
292	execution, unless otherwise mutually agreed to in writing by the
293	parties. If timely payment is not made by the osteopathic
294	physician, the department shall suspend the license of the
295	osteopathic physician pursuant to procedures set forth in
296	subparagraphs (5)(g)3., 4., and 5. Nothing in this paragraph
297	shall abrogate a judgment debtor's obligation to satisfy the
298	entire amount of any judgment.
299	(5) The requirements of subsections (1), (2), and (3)
300	shall not apply to:
301	(a) Any person licensed under this chapter who practices
302	medicine exclusively as an officer, employee, or agent of the
303	Federal Government or of the state or its agencies or its
304	subdivisions. For the purposes of this subsection, an agent of
305	the state, its agencies, or its subdivisions is a person who is
306	eligible for coverage under any self-insurance or insurance
307	program authorized by the provisions of s. 768.28(15).
308	(b) Any person whose license has become inactive under
309	this chapter and who is not practicing medicine in this state.
310	Any person applying for reactivation of a license must show
311	either that such licensee maintained tail insurance coverage
312	which provided liability coverage for incidents that occurred on
313	or after January 1, 1987, or the initial date of licensure in
314	this state, whichever is later, and incidents that occurred
315	before the date on which the license became inactive; or such
316	licensee must submit an affidavit stating that such licensee has
317	no unsatisfied medical malpractice judgments or settlements at
318	the time of application for reactivation.
319	(c) Any person holding a limited license pursuant to s.
320	459.0075 and practicing under the scope of such limited license.
321	(d) Any person licensed or certified under this chapter
322	who practices only in conjunction with his or her teaching
323	duties at a college of osteopathic medicine. Such person may
324	engage in the practice of osteopathic medicine to the extent
325	that such practice is incidental to and a necessary part of
326	duties in connection with the teaching position in the college
327	of osteopathic medicine.
328	(e) Any person holding an active license under this
329	chapter who is not practicing osteopathic medicine in this
330	state. If such person initiates or resumes any practice of
331	osteopathic medicine in this state, he or she must notify the
332	department of such activity.
333	(f) Any person holding an active license under this
334	chapter who meets all of the following criteria:
335	1. The licensee has held an active license to practice in
336	this state or another state or some combination thereof for more
337	than 15 years.
338	2. The licensee has either retired from the practice of
339	osteopathic medicine or maintains a part-time practice of
340	osteopathic medicine of no more than 1,000 patient contact hours
341	per year.
342	3. The licensee has had no more than two claims for
343	medical malpractice resulting in an indemnity exceeding $25,000
344	within the previous 5-year period.
345	4. The licensee has not been convicted of, or pled guilty
346	or nolo contendere to, any criminal violation specified in this
347	chapter or the practice act of any other state.
348	5. The licensee has not been subject within the last 10
349	years of practice to license revocation or suspension for any
350	period of time, probation for a period of 3 years or longer, or
351	a fine of $500 or more for a violation of this chapter or the
352	medical practice act of another jurisdiction. The regulatory
353	agency's acceptance of an osteopathic physician's relinquishment
354	of a license, stipulation, consent order, or other settlement,
355	offered in response to or in anticipation of the filing of
356	administrative charges against the osteopathic physician's
357	license, shall be construed as action against the physician's
358	license for the purposes of this paragraph.
359	6. The licensee has submitted a form supplying necessary
360	information as required by the department and an affidavit
361	affirming compliance with the provisions of this paragraph.
362	7. The licensee shall submit biennially to the department
363	a certification stating compliance with the provisions of this
364	paragraph. The licensee shall, upon request, demonstrate to the
365	department information verifying compliance with this paragraph.
366
367	A licensee who meets the requirements of this paragraph shall be
368	required either to post notice in the form of a sign prominently
369	displayed in the reception area and clearly noticeable by all
370	patients or to provide a written statement to any person to whom
371	medical services are being provided. Such sign or statement
372	shall state that: Under Florida law, osteopathic physicians are
373	generally required to carry medical malpractice insurance or
374	otherwise demonstrate financial responsibility to cover
375	potential claims for medical malpractice. However, certain part-
376	time osteopathic physicians who meet state requirements are
377	exempt from the financial responsibility law. YOUR OSTEOPATHIC
378	PHYSICIAN MEETS THESE REQUIREMENTS AND HAS DECIDED NOT TO CARRY
379	MEDICAL MALPRACTICE INSURANCE. This notice is provided pursuant
380	to Florida law.
381	(g) Any person holding an active license under this
382	chapter who agrees to meet all of the following criteria:
383	1. Upon the entry of an adverse final judgment arising
384	from a medical malpractice arbitration award, from a claim of
385	medical malpractice either in contract or tort, or from
386	noncompliance with the terms of a settlement agreement arising
387	from a claim of medical malpractice either in contract or tort,
388	the licensee shall pay the judgment creditor the lesser of the
389	entire amount of the judgment with all accrued interest or
390	either $100,000, if the osteopathic physician is licensed
391	pursuant to this chapter but does not maintain hospital staff
392	privileges, or $250,000, if the osteopathic physician is
393	licensed pursuant to this chapter and maintains hospital staff
394	privileges, within 60 days after the date such judgment became
395	final and subject to execution, unless otherwise mutually agreed
396	to in writing by the parties. Such adverse final judgment shall
397	include any cross-claim, counterclaim, or claim for indemnity or
398	contribution arising from the claim of medical malpractice. Upon
399	notification of the existence of an unsatisfied judgment or
400	payment pursuant to this subparagraph, the department shall
401	notify the licensee by certified mail that he or she shall be
402	subject to disciplinary action unless, within 30 days from the
403	date of mailing, the licensee either:
404	a. Shows proof that the unsatisfied judgment has been paid
405	in the amount specified in this subparagraph; or
406	b. Furnishes the department with a copy of a timely filed
407	notice of appeal and either:
408	(I) A copy of a supersedeas bond properly posted in the
409	amount required by law; or
410	(II) An order from a court of competent jurisdiction
411	staying execution on the final judgment, pending disposition of
412	the appeal.
413	2. The Department of Health shall issue an emergency order
414	suspending the license of any licensee who, after 30 days
415	following receipt of a notice from the Department of Health, has
416	failed to: satisfy a medical malpractice claim against him or
417	her; furnish the Department of Health a copy of a timely filed
418	notice of appeal; furnish the Department of Health a copy of a
419	supersedeas bond properly posted in the amount required by law;
420	or furnish the Department of Health an order from a court of
421	competent jurisdiction staying execution on the final judgment
422	pending disposition of the appeal.
423	3. Upon the next meeting of the probable cause panel of
424	the board following 30 days after the date of mailing the notice
425	of disciplinary action to the licensee, the panel shall make a
426	determination of whether probable cause exists to take
427	disciplinary action against the licensee pursuant to
428	subparagraph 1.
429	4. If the board determines that the factual requirements
430	of subparagraph 1. are met, it shall take disciplinary action as
431	it deems appropriate against the licensee. Such disciplinary
432	action shall include, at a minimum, probation of the license
433	with the restriction that the licensee must make payments to the
434	judgment creditor on a schedule determined by the board to be
435	reasonable and within the financial capability of the
436	osteopathic physician. Notwithstanding any other disciplinary
437	penalty imposed, the disciplinary penalty may include suspension
438	of the license for a period not to exceed 5 years. In the event
439	that an agreement to satisfy a judgment has been met, the board
440	shall remove any restriction on the license.
441	5. The licensee has completed a form supplying necessary
442	information as required by the department.
443
444	A licensee who meets the requirements of this paragraph shall be
445	required either to post notice in the form of a sign prominently
446	displayed in the reception area and clearly noticeable by all
447	patients or to provide a written statement to any person to whom
448	medical services are being provided. Such sign or statement
449	shall state: "Under Florida law, osteopathic physicians are
450	generally required to carry medical malpractice insurance or
451	otherwise demonstrate financial responsibility to cover
452	potential claims for medical malpractice. YOUR OSTEOPATHIC
453	PHYSICIAN HAS DECIDED NOT TO CARRY MEDICAL MALPRACTICE
454	INSURANCE. This is permitted under Florida law subject to
455	certain conditions. Florida law imposes strict penalties against
456	noninsured osteopathic physicians who fail to satisfy adverse
457	judgments arising from claims of medical malpractice. This
458	notice is provided pursuant to Florida law."
459	Section 45. Paragraph (b) of subsection (1) and paragraph
460	(b) of subsection (2) of section 459.0085, Florida Statutes,
461	read, and subsections (10) and (11) are added to said section to
462	read:
463	459.0085 Financial responsibility.--
464	(1) As a condition of licensing and prior to the issuance
465	or renewal of an active license or reactivation of an inactive
466	license for the practice of osteopathic medicine, an applicant
467	shall by one of the following methods demonstrate to the
468	satisfaction of the board and the department financial
469	responsibility to pay claims and costs ancillary thereto arising
470	out of the rendering of, or the failure to render, medical care
471	or services:
472	(b) Obtaining and maintaining professional liability
473	coverage in an amount not less than $100,000 per claim, with a
474	minimum annual aggregate of not less than $300,000, from an
475	authorized insurer as defined under s. 624.09, from a surplus
476	lines insurer as defined under s. 626.914(2), from a risk
477	retention group as defined under s. 627.942, from the Joint
478	Underwriting Association established under s. 627.351(4), or
479	through a plan of self-insurance as provided in s. 627.357.
480	(2) As a continuing condition of hospital staff
481	privileges, osteopathic physicians with staff privileges shall
482	also be required to establish financial responsibility by one of
483	the following methods:
484	(b) Obtaining and maintaining professional liability
485	coverage in an amount not less than $250,000 per claim, with a
486	minimum annual aggregate of not less than $750,000 from an
487	authorized insurer as defined under s. 624.09, from a surplus
488	lines insurer as defined under s. 626.914(2), from a risk
489	retention group as defined under s. 627.942, from the Joint
490	Underwriting Association established under s. 627.351(4),
491	through a plan of self-insurance as provided in s. 627.357, or
492	through a plan of self-insurance which meets the conditions
493	specified for satisfying financial responsibility in s. 766.110.
494
495	This subsection shall be inclusive of the coverage in subsection
496	(1).
497	(10) After July 1, 2006, if an applicant elects to
498	purchase professional liability coverage under paragraph (1)(b)
499	or paragraph (2)(b) and an insurance product is available from a
500	private insurance provider at or below the rate charged for an
501	identical product on or before December 31, 2001, the applicant
502	must purchase that product. If no product is commercially
503	available or no product is available as described in this
504	subsection, and if an applicant elects to purchase professional
505	liability coverage under paragraph (1)(b) or paragraph (2)(b),
506	the applicant must purchase insurance from the Health Care
507	Professional Liability Insurance Facility as provided in s.
508	627.3575.
509	(11) Failure to comply with the provisions of this section
510	by January 1, 2007, shall result in the automatic suspension of
511	an active license or the automatic denial of an application for
512	a new license or renewal of an existing license until the
513	applicant complies with the requirements of subsections (1),
514	(2), and (3) or subsection (10).
515	Section 46. If any provision of this act or the
516	application thereof to any person or circumstance is held
517	invalid, the invalidity does not affect other provisions or
518	applications of the act which can be given effect without the
519	invalid provision or application, and to this end the provisions
520	of this act are declared severable.
521	Section 47. This act shall apply to all actions filed
522	after the act becomes a law.
523	Section 48. Except at otherwise provided herein, this act
524	shall take effect upon becoming a law.
525
526	================= T I T L E A M E N D M E N T =================
527	Remove line(s) 103-104, and insert:
528	400.4295, F.S.; correcting cross references; amending ss.
529	458.320 and 459.0085, F.S.; deleting provisions exempting
530	certain physicians and osteopathic physicians from
531	carrying medical malpractice insurance; providing
532	requirements for purchasing professional liability
533	insurance; providing severability; providing
534	applicability; providing effective dates.