SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
                            CHAMBER ACTION
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11  Senator Jones moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         On page 2, line 8,
15  
16  insert:  
17         Section 1.  James and Esther King Center for Universal
18  Research to Eradicate Disease.--
19         (1)  The Legislature finds that an estimated 128
20  million Americans suffer from acute, chronic, and degenerative
21  diseases and that biomedical research is the key to finding
22  cures for these diseases that negatively affect all
23  Floridians. The Legislature further finds that, while there is
24  much research being conducted throughout this state and
25  throughout the world, there is a lack of coordination of
26  efforts among researchers. The Legislature, therefore, finds
27  that there is a significant need for a coordinated effort if
28  the goal of curing disease is to be achieved. Moreover, the
29  Legislature finds that the biomedical technology sector meets
30  the criteria of a high-impact sector, pursuant to section
31  288.108, Florida Statutes, having a high importance to this
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  state's economy with a significant potential for growth and
 2  contribution to our universities and quality of life.
 3         (2)  It is the intent of the Legislature that Florida
 4  strive to become the nation's leader in biomedical research
 5  and commit itself to being the state to find cures for the
 6  most deadly and widespread diseases. It is further the intent
 7  of the Legislature that there be a coordinated effort among
 8  the state's public and private universities and the biomedical
 9  industry to discover such cures. Moreover, it is the intent of
10  the Legislature to expand the state economy by attracting
11  biomedical researchers and research companies to this state.
12         (3)  There is established the James and Esther King
13  Center for Universal Research to Eradicate Disease, which
14  shall be known as the "CURED."
15         (a)  The purpose of the center is to coordinate,
16  improve, expand, and monitor all biomedical research programs
17  within the state, facilitate funding opportunities, and foster
18  improved technology transfer of research findings into
19  clinical trials and widespread public use.
20         (b)  The goal of the center is to find cures for
21  diseases such as cancer, heart disease, lung disease,
22  diabetes, and neurological disorders, including Alzheimer's
23  disease, epilepsy, and Parkinson's disease.
24         (c)  The center shall hold an annual biomedical
25  technology summit in Florida to which biomedical researchers,
26  biomedical technology companies, business incubators,
27  pharmaceutical manufacturers, and others around the nation and
28  world are invited to share biomedical research findings in
29  order to expedite the discovery of cures.  Summit attendees
30  will be required to cover the costs of such attendance or
31  obtain sponsorship for such attendance.
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    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1         (d)  The center shall encourage clinical trials in this
 2  state on research that holds promise of curing a disease or
 3  condition. The center shall facilitate partnerships between
 4  researchers, treating physicians, and community hospitals for
 5  the purpose of sharing new techniques and new research
 6  findings, as well as coordinating voluntary donations to
 7  ensure an adequate supply of adult stem cells or cord blood.
 8         (e)  The center shall also encourage the discovery and
 9  production in Florida of vaccines that prevent disease.
10         (f)  The center shall monitor the supply and demand
11  needs of researchers relating to stem cell research and other
12  types of human tissue research. If the center determines that
13  there is a need for increased donation of human tissue, it
14  shall notify hospitals licensed pursuant to chapter 395,
15  Florida Statutes, that have entered into partnership
16  agreements with research institutes conducting stem cell
17  research located in the same geographic region as the
18  researchers demanding the stem cells or other tissues. Such
19  hospitals shall then implement programs that encourage
20  voluntary donations of cord blood or other needed adult
21  tissue.
22         (g)  The center shall be funded through private, state,
23  and federal sources.
24         (h)  The center shall serve as a registry of all known
25  biomedical grant opportunities and may assist any public or
26  private biomedical research program in this state in preparing
27  grant requests.
28         (i)  The center shall maintain a website with links to
29  peer-reviewed biomedical research. The website shall also
30  contain a list of all known biomedical research being
31  conducted in Florida and shall facilitate communication among
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  researchers and other interested parties.
 2         (j)  The center shall submit an annual report to the
 3  Governor, the President of the Senate, and the Speaker of the
 4  House of Representatives no later than January 15 which
 5  contains recommendations for legislative change necessary to
 6  foster a positive climate for biomedical research in this
 7  state.
 8         (k)  The duties of the center may be outsourced by the
 9  Department of Health to a private entity or state university.
10         (4)  There is established within the center an advisory
11  council which shall meet at least annually.
12         (a)  The council shall consist of the members of the
13  board of directors of the Florida Research Consortium and at
14  least one representative from:
15         1.  The Emerging Technology Commission.
16         2.  Enterprise Florida, Inc.
17         3.  BioFlorida.
18         4.  The Florida Biomedical Research Advisory Council.
19         5.  The Florida Medical Foundation.
20         6.  Pharmaceutical Research and Manufacturers of
21  America.
22         (b)  Members of the council shall serve without
23  compensation and each organization represented shall cover all
24  expenses of its representative.
25         Section 2.  Paragraphs (a) and (b) of subsection (1),
26  subsection (2), and paragraph (f) of subsection (10) of
27  section 215.5602, Florida Statutes, are amended to read:
28         215.5602  Florida Biomedical Research Program.--
29         (1)  There is established within the Department of
30  Health the Florida Biomedical Research Program funded by the
31  proceeds of the Lawton Chiles Endowment Fund pursuant to s.
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  215.5601. The purpose of the Florida Biomedical Research
 2  Program is to provide an annual and perpetual source of
 3  funding in order to support research initiatives that address
 4  the health care problems of Floridians in the areas of
 5  tobacco-related cancer, cardiovascular disease, stroke, and
 6  pulmonary disease. The long-term goals of the program are to:
 7         (a)  Improve the health of Floridians by researching
 8  better prevention, diagnoses, and treatments, and cures for
 9  cancer, cardiovascular disease, stroke, and pulmonary disease.
10         (b)  Expand the foundation of biomedical knowledge
11  relating to the prevention, diagnosis, and treatment, and cure
12  of diseases related to tobacco use, including cancer,
13  cardiovascular disease, stroke, and pulmonary disease.
14         (2)  Funds appropriated for the Florida Biomedical
15  Research Program shall be used exclusively for the award of
16  grants and fellowships as established in this section; for
17  research relating to the prevention, diagnosis, and treatment,
18  and cure of diseases related to tobacco use, including cancer,
19  cardiovascular disease, stroke, and pulmonary disease; and for
20  expenses incurred in the administration of this section.
21  Priority shall be granted to research designed to prevent or
22  cure disease.
23         (10)  The council shall submit an annual progress
24  report on the state of biomedical research in this state to
25  the Governor, the Secretary of Health, the President of the
26  Senate, and the Speaker of the House of Representatives by
27  February 1. The report must include:
28         (f)  Progress in the prevention, diagnosis, and
29  treatment, and cure of diseases related to tobacco use,
30  including cancer, cardiovascular disease, stroke, and
31  pulmonary disease.
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1         Section 3.  Florida Cancer Research Cooperative.--
 2         (1)  Effective July 1, 2003, the Florida Cancer
 3  Research Cooperative is established for the purpose of making
 4  the State of Florida a world class center for cancer research.
 5         (2)(a)  A not-for-profit corporation, acting as an
 6  instrumentality of the Florida Dialogue on Cancer, shall be
 7  organized for the purpose of governing the affairs of the
 8  cooperative.
 9         (b)  The Florida Cancer Research Cooperative, Inc., may
10  create not-for-profit corporate subsidiaries to fulfill its
11  mission. The not-for-profit corporation and its subsidiaries
12  are authorized to receive, hold, invest, and administer
13  property and any moneys acquired from private, local, state,
14  and federal sources, as well as technical and professional
15  income generated or derived from the mission-related
16  activities of the cooperative.
17         (c)  The affairs of the not-for-profit corporation
18  shall be managed by a board of directors which shall consist
19  of:
20         1.  The Secretary of the Department of Health or his or
21  her designee;
22         2.  The Chief Executive Officer of the H. Lee Moffitt
23  Cancer Center or his or her designee;
24         3.  The President of the University of Florida Shands
25  Cancer Center or his or her designee;
26         4.  The Chief Executive Officer of the University of
27  Miami Sylvester Comprehensive Cancer Center or his or her
28  designee;
29         5.  The Chief Executive Officer of the Mayo Clinic,
30  Jacksonville or his or her designee;
31         6.  The Chief Executive Officer of the American Cancer
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  Society, Florida Division or his or her designee;
 2         7.  The President of the American Cancer Society,
 3  Florida Division Board of Directors or his or her designee;
 4         8.  The President of the Florida Society of Clinical
 5  Oncology or his or her designee;
 6         9.  The Chief Executive Officer of Enterprise Florida,
 7  Inc., or his or her designee;
 8         10.  Three representatives from large Florida hospitals
 9  or institutions, not delineated in subparagraphs 1. through
10  6., that treat a large volume of cancer patients. One shall be
11  appointed by the Governor, one shall be appointed by the
12  Speaker of the House of Representatives, and one shall be
13  appointed by the President of the Senate;
14         11.  Three representatives from community-based,
15  statewide organizations serving populations that experience
16  cancer disparities, one of whom shall be appointed by the
17  Governor, one of whom shall be appointed by the Speaker of the
18  House of Representatives, and one of whom shall be appointed
19  by the President of the Senate;
20         12.  One member of the Florida House of
21  Representatives, to be appointed by the Speaker of the House
22  of Representatives;
23         13.  One member of the Florida Senate, to be appointed
24  by the President of the Senate;
25         14.  Three university presidents, one of whom shall be
26  appointed by the Governor, one of whom shall be appointed by
27  the Speaker of the House of Representatives, and one of whom
28  shall be appointed by the President of the Senate; and
29         15.  Five representatives from other statewide public
30  health organizations whose missions include public education
31  and the eradication of cancer, three of whom shall be
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  appointed by the Governor, one of whom shall be appointed by
 2  the Speaker of the House of Representatives, and one of whom
 3  shall be appointed by the President of the Senate.
 4         (d)  Appointments made by the Speaker of the House of
 5  Representatives and the President of the Senate pursuant to
 6  paragraph (c) shall be for 2-year terms, concurrent with the
 7  bienniums in which they serve as presiding officers.
 8         (e)  Appointments made by the Governor pursuant to
 9  paragraph (c) shall be for 2-year terms, although the Governor
10  may reappoint directors.
11         (f)  Members of the board of directors of the
12  not-for-profit corporation or any subsidiaries shall serve
13  without compensation.
14         (3)  The cooperative shall issue an annual report to
15  the Governor, the Speaker of the House of Representatives, and
16  the President of the Senate, by December 15 of each year, with
17  policy and funding recommendations regarding cancer research
18  capacity in Florida and related issues.
19         Section 4.  Florida Cancer Research Cooperative;
20  mission and duties.--
21         (1)  The cooperative shall develop and centralize the
22  processes and shared services for expanding cancer research in
23  Florida through:
24         (a)  Support through bioinformatics, in order to create
25  a cancer informatics infrastructure that enhances information
26  and resource exchange and integration through researchers
27  working in diverse disciplines to facilitate the full spectrum
28  of cancer investigations;
29         (b)  Technical coordination, business development, and
30  support of intellectual property;
31         (c)  Development of a statewide cancer clinical trials
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1  network as contemplated in section 1; and
 2         (d)  Other multidisciplinary research support
 3  activities.
 4         (2)  The cooperative shall work in concert with the
 5  Center for Universal Research to Eradicate Disease created in
 6  section 1 to ensure that the goals of the center are advanced.
 7         Section 5.  Section 484.0512, Florida Statutes, is
 8  amended to read:
 9         484.0512  Thirty-day trial period; purchaser's right to
10  cancel; notice; refund; cancellation fee; criminal penalty
11  procedures.--
12         (1)  A person selling a hearing aid in this state must
13  provide the buyer with written notice of a 30-day trial period
14  and money-back guarantee. The guarantee must permit the
15  purchaser to cancel the purchase for a valid reason as defined
16  by rule of the board within 30 days after receiving the
17  hearing aid, by returning the hearing aid or mailing written
18  notice of cancellation to the seller. If the hearing aid must
19  be repaired, remade, or adjusted during the 30-day trial
20  period, the running of the 30-day trial period is suspended 1
21  day for each 24-hour period that the hearing aid is not in the
22  purchaser's possession. A repaired, remade, or adjusted
23  hearing aid must be claimed by the purchaser within 3 working
24  days after notification of availability. The running of the
25  30-day trial period resumes on the day the purchaser reclaims
26  the repaired, remade, or adjusted hearing aid or on the fourth
27  day after notification of availability.
28         (2)  The board, in consultation with the Board of
29  Speech-Language Pathology and Audiology, shall prescribe by
30  rule the terms and conditions to be contained in the
31  money-back guarantee and any exceptions thereto. Such rule
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1  shall provide, at a minimum, that the charges for earmolds and
 2  service provided to fit the hearing aid may be retained by the
 3  licensee. The rules shall also set forth any reasonable
 4  charges to be held by the licensee as a cancellation fee. Such
 5  rule shall be effective on or before December 1, 1994. Should
 6  the board fail to adopt such rule, a licensee may not charge a
 7  cancellation fee which exceeds 5 percent of the total charge
 8  for a hearing aid alone. The terms and conditions of the
 9  guarantee, including the total amount available for refund,
10  shall be provided in writing to the purchaser prior to the
11  signing of the contract.
12         (3)  Within 30 days after the return or attempted
13  return of the hearing aid, the seller shall refund all moneys
14  that must be refunded to a purchaser pursuant to this section.
15  A violation of this subsection is a misdemeanor of the first
16  degree, punishable as provided in s. 775.082 or s. 775.083.
17         (4)  For purposes of this section, the term "seller" or
18  "person selling a hearing aid" includes:
19         (a)  Any natural person licensed under this part or any
20  other natural person who signs a sales receipt required by s.
21  484.051(2) or s. 468.1245(2) or who otherwise fits, delivers,
22  or dispenses a hearing aid.
23         (b)  Any business organization, whether a sole
24  proprietorship, partnership, corporation, professional
25  association, joint venture, business trust, or other legal
26  entity, which dispenses a hearing aid or enters into an
27  agreement to dispense a hearing aid.
28         (c)  Any person who controls, manages, or operates an
29  establishment or business that dispenses a hearing aid or
30  enters into an agreement to dispense a hearing aid.
31         Section 6.  Effective upon this act becoming a law,
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1  subsection (1) of section 456.073, Florida Statutes, is
 2  amended to read:
 3         456.073  Disciplinary proceedings.--Disciplinary
 4  proceedings for each board shall be within the jurisdiction of
 5  the department.
 6         (1)  The department, for the boards under its
 7  jurisdiction, shall cause to be investigated any complaint
 8  that is filed before it if the complaint is in writing, signed
 9  by the complainant, and legally sufficient. A complaint filed
10  by a state prisoner against a health care practitioner
11  employed by or otherwise providing health care services within
12  a facility of the Department of Corrections is not legally
13  sufficient unless there is a showing that the prisoner
14  complainant has exhausted all available administrative
15  remedies within the state correctional system before filing
16  the complaint. However, if the department determines after a
17  preliminary inquiry of a state prisoner's complaint, that the
18  practitioner may present a serious threat to the health and
19  safety of any individual who is not a state prisoner, the
20  department may determine legal sufficiency and proceed with
21  discipline. The Department of Health shall be notified within
22  15 days whenever the Department of Corrections disciplines or
23  allows a health care practitioner to resign for an offense
24  related to the practice of his or her profession. A complaint
25  is legally sufficient if it contains ultimate facts that show
26  that a violation of this chapter, of any of the practice acts
27  relating to the professions regulated by the department, or of
28  any rule adopted by the department or a regulatory board in
29  the department has occurred. In order to determine legal
30  sufficiency, the department may require supporting information
31  or documentation. The department may investigate, and the
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    Amendment No. ___   Barcode 391522
 1  department or the appropriate board may take appropriate final
 2  action on, a complaint even though the original complainant
 3  withdraws it or otherwise indicates a desire not to cause the
 4  complaint to be investigated or prosecuted to completion. The
 5  department may investigate an anonymous complaint if the
 6  complaint is in writing and is legally sufficient, if the
 7  alleged violation of law or rules is substantial, and if the
 8  department has reason to believe, after preliminary inquiry,
 9  that the violations alleged in the complaint are true. The
10  department may investigate a complaint made by a confidential
11  informant if the complaint is legally sufficient, if the
12  alleged violation of law or rule is substantial, and if the
13  department has reason to believe, after preliminary inquiry,
14  that the allegations of the complainant are true. The
15  department may initiate an investigation if it has reasonable
16  cause to believe that a licensee or a group of licensees has
17  violated a Florida statute, a rule of the department, or a
18  rule of a board. Except as provided in ss. 458.331(9),
19  459.015(9), 460.413(5), and 461.013(6), when an investigation
20  of any subject is undertaken, the department shall promptly
21  furnish to the subject or the subject's attorney a copy of the
22  complaint or document that resulted in the initiation of the
23  investigation. The subject may submit a written response to
24  the information contained in such complaint or document within
25  20 days after service to the subject of the complaint or
26  document. The subject's written response shall be considered
27  by the probable cause panel. The right to respond does not
28  prohibit the issuance of a summary emergency order if
29  necessary to protect the public. However, if the secretary, or
30  the secretary's designee, and the chair of the respective
31  board or the chair of its probable cause panel agree in
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    Amendment No. ___   Barcode 391522
 1  writing that such notification would be detrimental to the
 2  investigation, the department may withhold notification. The
 3  department may conduct an investigation without notification
 4  to any subject if the act under investigation is a criminal
 5  offense.
 6         Section 7.  (1)  The Division of Medical Quality
 7  Assurance of the Department of Health shall conduct a study of
 8  clinical and academic training requirements of certified
 9  optometric practitioners, licensed pursuant to chapter 463,
10  Florida Statutes, to determine the extent to which prescribing
11  authority may be expanded. The study group shall be composed
12  of the following members:
13         (a)  One pharmacologist representing the University of
14  Florida;
15         (b)  One pharmacologist representing Nova Southeastern
16  University;
17         (c)  One pharmacologist representing Florida
18  Agricultural and Mechanical University;
19         (d)  One ophthalmologist representing Mayo Clinic
20  Jacksonville;
21         (e)  One ophthalmologist representing Bascom Palmer Eye
22  Institute;
23         (f)  One board-certified internist appointed by the
24  University of South Florida;
25         (g)  One optometrist representing the Florida Board of
26  Optometry;
27         (h)  One certified optometric practitioner representing
28  the Florida Optometric Association; and
29         (i)  One certified optometric practitioner appointed by
30  the Nova Southeastern University College of Optometry.
31         (2)  The study group shall be chaired by the Secretary
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    Amendment No. ___   Barcode 391522
 1  of Health or his or her designee. The study shall be completed
 2  and a final report presented to the Governor, the President of
 3  the Senate, and the Speaker of the House of Representatives by
 4  January 15, 2004. If applicable, a minority report shall be
 5  completed and presented to the Governor, the President of the
 6  Senate, and the Speaker of the House of Representatives by
 7  January 31, 2004.
 8         (3)  This section shall take effect upon becoming a
 9  law.
10         Section 8.  Present subsection (4) of section 465.0265,
11  Florida Statutes, is redesignated as subsection (5), and a new
12  subsection (4) is added to that section, to read:
13         465.0265  Centralized prescription filling.--
14         (4)  Pharmacies accessing the same prescription records
15  in a centralized database or pharmacy computers linked in any
16  other manner may refill or dispense prescriptions at the
17  request of another pharmacy so linked if the pharmacies have
18  the same owner or have a written contract specifying the
19  services to be provided by each pharmacy, the responsibilities
20  of each pharmacy, and the manner in which the pharmacies will
21  comply with federal and state laws and rules. Prescriptions
22  refilled or dispensed using such a system shall not be
23  considered prescription transfers or copies if the computer
24  system registers a complete and full audit trail of all
25  activities and includes the identification of the pharmacies
26  and pharmacists accessing the centralized database and if the
27  system restricts access to the computerized prescription
28  records to pharmacies or other authorized personnel.
29         Section 9.  Subsection (2) of section 466.006, Florida
30  Statutes, is amended to read:
31         466.006  Examination of dentists.--
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    Amendment No. ___   Barcode 391522
 1         (2)  An applicant shall be entitled to take the
 2  examinations required in this section to practice dentistry in
 3  this state if the applicant:
 4         (a)  Is 18 years of age or older.
 5         (b)1.  Is a graduate of a dental school accredited by
 6  the Commission on Accreditation of the American Dental
 7  Association or its successor agency, if any, or any other
 8  nationally recognized accrediting agency; or.
 9         2.  Is a dental student in the final year of a program
10  at such an accredited school who has completed all the
11  coursework necessary to prepare the student to perform the
12  clinical and diagnostic procedures required to pass the
13  examinations. With respect to a dental student in the final
14  year of a program at a dental school, a passing score on the
15  examinations is valid for 180 days after the date the
16  examinations were completed. A dental school student who takes
17  the licensure examinations during the student's final year of
18  an approved dental school must have graduated before being
19  certified for licensure pursuant to s. 466.011.
20         (c)  Has successfully completed the National Board of
21  Dental Examiners dental examination within 10 years of the
22  date of application.
23         Section 10.  Section 466.0065, Florida Statutes, is
24  created to read:
25         466.0065  Regional licensure examinations.--
26         (1)  It is the intent of the Legislature that schools
27  of dentistry be allowed to offer regional licensure
28  examinations to dental students who are in the final year of a
29  program at an approved dental school for the sole purpose of
30  facilitating the student's licensing in other jurisdictions.
31  This section does not allow a person to be licensed as a
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    Amendment No. ___   Barcode 391522
 1  dentist in this state without taking the examinations as set
 2  forth in s. 466.006, nor does this section mean that regional
 3  examinations administered under this section may be
 4  substituted for complying with testing requirements under s.
 5  466.006.
 6         (2)  Each school of dentistry in this state which is
 7  accredited by the Commission on Accreditation of the American
 8  Dental Association or its successor agency may, upon written
 9  approval by the Board of Dentistry, offer regional licensure
10  examinations only to dental students in the final year of a
11  program at an approved dental school, if the board has
12  approved the hosting school's written plan to comply with the
13  following conditions:
14         (a)  The examining body must be a member of the
15  American Association of Dental Examiners.
16         (b)  The student must have successfully completed parts
17  I and II of the National Board of Dental Examiners examination
18  within 2 years before taking the regional examination.
19         (c)  The student must possess medical malpractice
20  insurance in amounts that the board determines to be
21  sufficient to cover any reasonably forseeable incident of harm
22  to a patient during the clinical portion of the regional
23  examination.
24         (d)  At least one of the examination monitors must be a
25  dentist licensed in this state who has completed all necessary
26  standardization exercises required by the regional examination
27  body.
28         (e)  Adequate arrangements must be made, when
29  necessary, for patients who require followup care as a result
30  of procedures performed during the clinical portion of the
31  regional examination.
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1         (f)  The board chair or the chair's designee must be
 2  allowed to observe testing while it is in progress.
 3         (g)  Each student, upon applying to take the regional
 4  examination, must receive written disclosure in at least
 5  12-point boldface type which states: "This examination does
 6  not meet the licensure requirements of chapter 466, Florida
 7  Statutes, for licensure in the State of Florida. Persons
 8  wishing to practice dentistry in Florida must pass the Florida
 9  licensure examinations. For more information on Florida's
10  licensure examination procedures, please contact the Florida
11  Board of Dentistry."
12         (h)  The student must be enrolled as a dental student
13  in the student's final year of a program at an approved dental
14  school that is accredited by the Commission on Accreditation
15  of the American Dental Association or its successor agency.
16         (i)  The student must have completed all the coursework
17  necessary to prepare the student to perform all clinical and
18  diagnostic procedures required to pass the regional
19  examination.
20         (j)  The student's academic record must not include any
21  evidence suggesting that the student poses an unreasonable
22  risk to any live patients who are required for the clinical
23  portion of the regional examination. In order to protect the
24  health and safety of the public, the board may request
25  additional information and documents pertaining to the
26  candidate's mental and physical health in order to fully
27  assess the candidate's fitness to engage in exercises
28  involving a live patient.
29         (3)  A student who takes the examination pursuant to
30  this section, a dental school that submits a plan pursuant to
31  this section, or a regional examination body that a dental
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1  school proposes to host under this section does not have
 2  standing to assert that a state agency has taken action for
 3  which a hearing may be sought under ss. 120.569 and 120.57.
 4         Section 11.  This act may be cited as the "Nick Oelrich
 5  Gift of Life Act."
 6         Section 12.  Subsections (1), (2), and (6) of section
 7  765.512, Florida Statutes, are amended to read:
 8         765.512  Persons who may make an anatomical gift.--
 9         (1)  Any person who may make a will may give all or
10  part of his or her body for any purpose specified in s.
11  765.510, the gift to take effect upon death.  An anatomical
12  gift made by an adult donor and not revoked by the donor as
13  provided in s. 765.516 is irrevocable and does not require the
14  consent or concurrence of any person after the donor's death.
15  A family member, guardian, representative ad litem, or health
16  care surrogate of an adult donor who has made an anatomical
17  gift pursuant to subsection (2) may not modify, deny or
18  prevent a donor's wish or intent to make an anatomical gift
19  from being made after the donor's death.
20         (2)  If the decedent has executed an agreement
21  concerning an anatomical gift, by including signing an organ
22  and tissue donor card, by expressing his or her wish to donate
23  in a living will or advance directive, or by signifying his or
24  her intent to donate on his or her driver's license or in some
25  other written form has indicated his or her wish to make an
26  anatomical gift, and in the absence of actual notice of
27  contrary indications by the decedent, the document is evidence
28  of legally sufficient informed consent to donate an anatomical
29  gift and is legally binding. Any surrogate designated by the
30  decedent pursuant to part II of this chapter may give all or
31  any part of the decedent's body for any purpose specified in
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1  s. 765.510.
 2         (6)  A gift of all or part of a body authorizes:
 3         (a)  Any examination necessary to assure medical
 4  acceptability of the gift for the purposes intended.
 5         (b)  The decedent's medical provider, family, or a
 6  third party to furnish medical records requested concerning
 7  the decedent's medical and social history.
 8         Section 13.  Section 765.516, Florida Statutes, is
 9  amended to read:
10         765.516  Amendment of the terms of or the revocation of
11  the gift.--
12         (1)  A donor may amend the terms of or revoke an
13  anatomical gift by:
14         (a)  The execution and delivery to the donee of a
15  signed statement.
16         (b)  An oral statement that is:
17         1.  Made to the donor's spouse; or
18         2. made in the presence of two persons, one of whom
19  must not be a family member, and communicated to the donor's
20  family or attorney or to the donee.
21         (c)  A statement during a terminal illness or injury
22  addressed to an attending physician, who must communicate the
23  revocation of the gift to the procurement organization that is
24  certified by the state.
25         (d)  A signed document found on or about the donor's
26  person or in the donor's effects.
27         (2)  Any gift made by a will may also be amended or
28  revoked in the manner provided for amendment or revocation of
29  wills or as provided in subsection (1).
30         Section 14.  Subsection (1) of section 765.401, Florida
31  Statutes, is amended to read:
                                  19
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1         765.401  The proxy.--
 2         (1)  If an incapacitated or developmentally disabled
 3  patient has not executed an advance directive, or designated a
 4  surrogate to execute an advance directive, or the designated
 5  or alternate surrogate is no longer available to make health
 6  care decisions, health care decisions may be made for the
 7  patient by any of the following individuals, in the following
 8  order of priority, if no individual in a prior class is
 9  reasonably available, willing, or competent to act:
10         (a)  The judicially appointed guardian of the patient
11  or the guardian advocate of the person having a developmental
12  disability as defined in s. 393.063, who has been authorized
13  to consent to medical treatment, if such guardian has
14  previously been appointed; however, this paragraph shall not
15  be construed to require such appointment before a treatment
16  decision can be made under this subsection;
17         (b)  The patient's spouse;
18         (c)  An adult child of the patient, or if the patient
19  has more than one adult child, a majority of the adult
20  children who are reasonably available for consultation;
21         (d)  A parent of the patient;
22         (e)  The adult sibling of the patient or, if the
23  patient has more than one sibling, a majority of the adult
24  siblings who are reasonably available for consultation;
25         (f)  An adult relative of the patient who has exhibited
26  special care and concern for the patient and who has
27  maintained regular contact with the patient and who is
28  familiar with the patient's activities, health, and religious
29  or moral beliefs; or
30         (g)  A close friend of the patient; or.
31         (h)  A clinical social worker licensed pursuant to
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1  chapter 491, or a graduate of a court-approved guardianship
 2  program. Such a proxy must be selected by the provider's
 3  bioethics committee and must not be employed by the provider.
 4  If the provider does not have a bioethics committee, then such
 5  a proxy may be chosen through an arrangement with the
 6  bioethics committee of another provider. The proxy must be
 7  notified that upon request the provider shall make available a
 8  second physician, not involved in the patient's care, to
 9  assist the proxy in evaluating treatment. Decisions to
10  withhold or withdraw life-prolonging procedures must be
11  reviewed by the facility's bioethics committee. Documentation
12  of efforts to locate proxies from prior classes must be
13  recorded in the patient record.
14         Section 15.  Subsection (22) is added to section
15  641.19, Florida Statutes, to read:
16         641.19  Definitions.--As used in this part, the term:
17         (22)  "Specialty" does not include services performed
18  by a chiropractic physician licensed under chapter 460.
19  
20  (Redesignate subsequent sections.)
21  
22  
23  ================ T I T L E   A M E N D M E N T ===============
24  And the title is amended as follows:
25         On page 1, line 2, delete that line
26  
27  and insert:
28         An act relating to health care; creating the
29         James and Esther King Center for Universal
30         Research to Eradicate Disease; providing intent
31         and duties; creating an advisory council;
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                                                  SENATE AMENDMENT
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    Amendment No. ___   Barcode 391522
 1         amending s. 215.5602, F.S.; expanding the
 2         long-term goals and funding of the Florida
 3         Biomedical Research Program to include the cure
 4         of specified diseases; creating the Florida
 5         Cancer Research Cooperative; providing for a
 6         board of directors; providing the cooperative's
 7         mission and duties; amending s. 484.0512, F.S.;
 8         providing a criminal penalty for failure of a
 9         seller to refund within a specified time moneys
10         required to be refunded to a purchaser for the
11         return or attempted return of a hearing aid;
12         providing a definition; amending s. 456.073,
13         F.S.; providing that a state prisoner must
14         exhaust all available administrative remedies
15         before filing a complaint with the Department
16         of Health against a health care practitioner
17         who is providing health care services within
18         the Department of Corrections, unless the
19         practitioner poses a serious threat to the
20         health or safety of a person who is not a state
21         prisoner; requiring the Department of Health to
22         be notified if a health care practitioner is
23         disciplined or allowed to resign for a
24         practice-related offense; requiring the
25         Division of Medical Quality Assurance of the
26         Department of Health to conduct a study of
27         clinical and academic training requirements of
28         certified optometric practitioners; providing
29         for appointment of members; requiring a report
30         to be submitted to the Governor and
31         Legislature; amending s. 465.0265, F.S.;
                                  22
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1         providing requirements for the filing of
 2         prescriptions by pharmacies that are under
 3         common ownership or that have a contractual
 4         relationship with one another; specifying
 5         requirements for exceptions to prescription
 6         transfers between certain pharmacies; amending
 7         s. 466.006, F.S.; allowing certain dental
 8         students to take the examinations required to
 9         practice dentistry in this state under
10         specified conditions; providing a prerequisite
11         to licensure of such students; creating s.
12         466.0065, F.S.; allowing certain dental
13         students to take regional licensure
14         examinations under specified conditions;
15         restricting the applicability of examination
16         results to licensing in other jurisdictions;
17         requiring approval by the Board of Dentistry
18         and providing prerequisites to such approval;
19         creating the "Nick Oelrich Gift of Life Act";
20         amending s. 765.512, F.S., relating to
21         anatomical gifts; prohibiting modification of a
22         donor's intent; providing that a donor document
23         is legally binding; authorizing specified
24         persons to furnish a donor's medical records
25         upon request; amending s. 765.516, F.S.;
26         revising procedures by which the terms of an
27         anatomical gift may be amended or the gift may
28         be revoked; amending s. 765.401, F.S.;
29         providing additional persons who may be given a
30         proxy for the making of health care decisions;
31         requiring review by the facility's bioethics
                                  23
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                                                  SENATE AMENDMENT
    Bill No. CS for CS for SB 2390
    Amendment No. ___   Barcode 391522
 1         committee of decisions to withhold or withdraw
 2         life-prolonging procedures; requiring
 3         documentation of efforts to locate certain
 4         proxies; amending s. 641.19, F.S.; providing
 5         that the term "speciality" does not include the
 6         services of a licensed chiropractic physician
 7         for purposes of the regulation of managed care;
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