| 1 | A bill to be entitled |
| 2 | An act relating to eye care professionals; amending s. |
| 3 | 463.003, F.S.; revising membership requirements for the |
| 4 | Board of Optometry; amending s. 463.009, F.S.; revising |
| 5 | the duties of, and restrictions on the practice of |
| 6 | optometry by, nonlicensed supportive personnel; amending |
| 7 | s. 463.014, F.S.; prohibiting the board from adopting |
| 8 | rules that prohibit certain acts in the practice of |
| 9 | optometry; providing for application; amending s. 484.002, |
| 10 | F.S.; revising definitions relating to the practice of |
| 11 | opticianry; amending s. 484.007, F.S.; revising |
| 12 | requirements for applicants seeking to take the optician |
| 13 | licensure examination; amending s. 484.013, F.S.; revising |
| 14 | grounds that constitute unlawful conduct by opticians; |
| 15 | providing an effective date. |
| 16 |
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| 17 | Be It Enacted by the Legislature of the State of Florida: |
| 18 |
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| 19 | Section 1. Subsection (2) of section 463.003, Florida |
| 20 | Statutes, is amended to read: |
| 21 | 463.003 Board of Optometry.- |
| 22 | (2) Four Five members of the board must be licensed |
| 23 | practitioners actively practicing in this state. One member must |
| 24 | be a board-certified ophthalmologist licensed under chapter 458 |
| 25 | or chapter 459. The remaining two members must be citizens of |
| 26 | the state who are not, and have never been, licensed |
| 27 | practitioners or ophthalmologists and who are in no way |
| 28 | connected with the practice of optometry or ophthalmology or |
| 29 | with any vision-oriented profession or business. At least one |
| 30 | member of the board must be 60 years of age or older. |
| 31 | Section 2. Section 463.009, Florida Statutes, is amended |
| 32 | to read: |
| 33 | 463.009 Supportive personnel.-A No person who is not other |
| 34 | than a licensed practitioner may not engage in the practice of |
| 35 | optometry as defined in s. 463.002(5). Except as provided in |
| 36 | this section, under no circumstances shall nonlicensed |
| 37 | supportive personnel may not be delegated the duties of |
| 38 | diagnosis, or treatment, or determining the refractive error of |
| 39 | the eye unless specifically licensed to provide these services |
| 40 | duties; however, such personnel may perform data gathering, |
| 41 | preliminary testing, prescribed visual therapy, dispensing of an |
| 42 | optical device to and final fitting thereof on a patient, and |
| 43 | related duties under the direct supervision of the licensed |
| 44 | practitioner. Nonlicensed personnel, who need not be employees |
| 45 | of the licensed practitioner, may perform ministerial duties, |
| 46 | tasks, and functions assigned to them by and performed under the |
| 47 | general supervision of a licensed practitioner, including |
| 48 | obtaining information from consumers for the purpose of making |
| 49 | appointments for the licensed practitioner. The licensed |
| 50 | practitioner is shall be responsible for all delegated acts |
| 51 | performed by persons under her or his direct and general |
| 52 | supervision. |
| 53 | Section 3. Subsections (1), (2), and (5) of section |
| 54 | 463.014, Florida Statutes, are amended to read: |
| 55 | 463.014 Certain acts prohibited.- |
| 56 | (1)(a) A No corporation, lay body, organization, or |
| 57 | individual other than a licensed practitioner may not shall |
| 58 | engage in the practice of optometry through the means of |
| 59 | engaging the services, upon a salary, commission, or other means |
| 60 | or inducement, of any person licensed to practice optometry in |
| 61 | this state. Nothing in This section does not shall be deemed to |
| 62 | prohibit the association of a licensed practitioner with a |
| 63 | multidisciplinary group of licensed health care professionals, |
| 64 | the primary objective of which is the diagnosis and treatment of |
| 65 | the human body. |
| 66 | (b) A No licensed practitioner may not shall engage in the |
| 67 | practice of optometry with any corporation, organization, group, |
| 68 | or lay individual. This paragraph does provision shall not |
| 69 | prohibit licensed practitioners from employing, or from forming |
| 70 | partnerships or professional associations with, licensed |
| 71 | practitioners licensed in this state or with other licensed |
| 72 | health care professionals, the primary objective of whom is the |
| 73 | diagnosis and treatment of the human body. |
| 74 | (c) No rule of The board may not adopt rules prohibiting |
| 75 | shall forbid the practice of optometry in or on the premises of |
| 76 | a commercial or mercantile establishment. |
| 77 | (d) A No licensed practitioner may not practice under |
| 78 | practice identification names, trade names, or service names, |
| 79 | unless any dissemination of information by the practitioner to |
| 80 | consumers contains the name under which the practitioner is |
| 81 | licensed or that of the professional association in which the |
| 82 | practitioner participates. Any advertisement or other |
| 83 | dissemination of information to consumers may contain factual |
| 84 | information as to the geographic location of licensed |
| 85 | practitioners or of the availability of optometric services. |
| 86 | (e) The board may not adopt rules prohibiting a No |
| 87 | licensed practitioner from using or publishing shall adopt and |
| 88 | publish or cause to be published any practice identification |
| 89 | name, trade name, or service name or from advertising which is, |
| 90 | contains, or is intended to serve as an affirmation of the |
| 91 | quality or competitive value of the practitioner's optometric |
| 92 | services provided at the identified practice. |
| 93 | (f) This section does not prohibit a licensed practitioner |
| 94 | from forming a partnership, corporation, or professional |
| 95 | association with one or more other licensed health care |
| 96 | professionals in the creation, ownership, and management of a |
| 97 | commercial or mercantile optical establishment that is an entity |
| 98 | separate from the practitioner's optometry practice. |
| 99 | (2) A corporation or labor organization may employ |
| 100 | licensed practitioners to provide optometric services to bona |
| 101 | fide employees of such corporation and members of their |
| 102 | immediate families or to bona fide members of such labor |
| 103 | organization and members of their immediate families, provided |
| 104 | the provision of such services is incidental to the legitimate |
| 105 | business of such corporation or labor organization. Nothing in |
| 106 | This section does not shall be deemed to authorize the |
| 107 | employment of licensed practitioners by corporations or |
| 108 | organizations formed primarily for such purposes. |
| 109 | (5) No rule of The board may not adopt rules prohibiting |
| 110 | shall prohibit a licensed practitioner from authorizing a board- |
| 111 | certified optician to fill, fit, adapt, or dispense a contact |
| 112 | lens prescription as authorized under chapter 484. |
| 113 | Section 4. Subsections (3) and (9) of section 484.002, |
| 114 | Florida Statutes, are amended to read: |
| 115 | 484.002 Definitions.-As used in this part: |
| 116 | (3) "Opticianry" means the preparation and dispensing of |
| 117 | lenses, spectacles, eyeglasses, contact lenses, and other |
| 118 | optical devices to the intended user or agent thereof, upon the |
| 119 | written prescription of a licensed allopathic or osteopathic |
| 120 | physician or optometrist who is duly licensed to practice or |
| 121 | upon presentation of a duplicate prescription. The selection of |
| 122 | frame designs, the actual sales transaction, and the transfer of |
| 123 | physical possession of lenses, spectacles, eyeglasses, contact |
| 124 | lenses, and other optical devices subsequent to performance of |
| 125 | all services of the optician shall not be considered the |
| 126 | practice of opticianry; however, such physical possession shall |
| 127 | not be transferred until the optician has completed the final |
| 128 | fitting of the optical device upon the customer. The practice of |
| 129 | opticianry also includes the duplication of lenses accurately as |
| 130 | to power, without prescription. A board-certified optician |
| 131 | qualified and operating under rules established by the board may |
| 132 | fill, fit, adapt, or dispense any soft contact lens |
| 133 | prescription. Such optician may fill, fit, adapt, or dispense |
| 134 | any extended wear or hard contact lens prescription to the |
| 135 | extent authorized to do so by the prescribing allopathic or |
| 136 | osteopathic physician or optometrist. |
| 137 | (9) "Optical dispensing" means interpreting but not |
| 138 | altering a prescription of a licensed physician or optometrist |
| 139 | and designing, adapting, fitting, or replacing the prescribed |
| 140 | optical aids, pursuant to such prescription, to or for the |
| 141 | intended wearer, duplicating lenses, accurately as to power |
| 142 | without a prescription, and duplicating nonprescription eyewear |
| 143 | and parts of eyewear. The term "Optical dispensing" does not |
| 144 | include selecting frames, transferring an optical aid to the |
| 145 | wearer after an optician completes the final has completed |
| 146 | fitting thereof it, or providing instruction in the general care |
| 147 | and use of an optical aid, including placement, removal, |
| 148 | hygiene, or cleaning. |
| 149 | Section 5. Subsection (1) of section 484.007, Florida |
| 150 | Statutes, is amended to read: |
| 151 | 484.007 Licensure of opticians; permitting of optical |
| 152 | establishments.- |
| 153 | (1) Any person desiring to practice opticianry must shall |
| 154 | apply to the department, upon forms prescribed by the department |
| 155 | it, to take a licensure examination. The department shall |
| 156 | examine each applicant who the board certifies: |
| 157 | (a) Has completed the application form and remitted a |
| 158 | nonrefundable application fee set by the board, in the amount of |
| 159 | $100 or less, and an examination fee set by the board, in the |
| 160 | amount of $325 plus the actual per-applicant per applicant cost |
| 161 | to the department for purchase of portions of the examination |
| 162 | from the American Board of Opticianry or a similar national |
| 163 | organization, or less, and refundable if the board finds the |
| 164 | applicant ineligible to take the examination; |
| 165 | (b) Is not less than 18 years of age; |
| 166 | (c) Is a graduate of an accredited high school or |
| 167 | possesses a certificate of equivalency of a high school |
| 168 | education; and |
| 169 | (d)1. Has received before July 1, 2013, an associate |
| 170 | degree, or its equivalent, in opticianry from an educational |
| 171 | institution the curriculum of which is accredited by an |
| 172 | accrediting agency recognized and approved by the United States |
| 173 | Department of Education or the Council on Postsecondary |
| 174 | Education or approved by the board; |
| 175 | 2. Has received on or after July 1, 2013, an associate |
| 176 | degree, or its equivalent, in opticianry from an educational |
| 177 | institution the opticianry curriculum of which is accredited by |
| 178 | the Council for Higher Education Accreditation or by a |
| 179 | nationally recognized accrediting agency approved by the board |
| 180 | or recognized by the United States Department of Education; |
| 181 | 3.2. Is an individual licensed to practice the profession |
| 182 | of opticianry pursuant to a regulatory licensing law of another |
| 183 | state, territory, or jurisdiction of the United States, who has |
| 184 | actively practiced in such other state, territory, or |
| 185 | jurisdiction for more than 3 years immediately preceding |
| 186 | application, and who meets the examination qualifications as |
| 187 | provided in this subsection; |
| 188 | 4.3. Is an individual who has actively practiced in |
| 189 | another state, territory, or jurisdiction of the United States |
| 190 | for more than 5 years immediately preceding application, and who |
| 191 | provides tax or business records, affidavits, or other |
| 192 | satisfactory documentation of such practice, and who meets the |
| 193 | examination qualifications as provided in this subsection; or |
| 194 | 5.4. Has registered before July 1, 2011, as an apprentice |
| 195 | with the department and paid a registration fee not to exceed |
| 196 | $60, as set by rule of the board. The apprentice must shall |
| 197 | complete 6,240 hours of training under the supervision of |
| 198 | optician licensed in this state for at least 1 year or of a |
| 199 | physician or optometrist licensed under the laws of this state. |
| 200 | These requirements must be met within 5 years after the date of |
| 201 | registration. However, any time spent in a recognized school may |
| 202 | be considered as part of the apprenticeship program provided in |
| 203 | this subparagraph herein. The board may establish administrative |
| 204 | processing fees sufficient to cover the cost of administering |
| 205 | apprentice rules adopted as promulgated by the board; or |
| 206 | 6. Has registered on or after July 1, 2011, as an |
| 207 | apprentice with the department and paid a registration fee not |
| 208 | to exceed $60, as set by rule of the board. The apprentice must |
| 209 | complete 6,240 hours of training under the supervision of an |
| 210 | optician licensed in this state for at least 1 year and complete |
| 211 | 12 semester hours of college credit from an educational |
| 212 | institution described in subparagraph 1. or subparagraph 2. |
| 213 | These requirements must be met within 5 years after the date of |
| 214 | registration. However, any time spent in a recognized school may |
| 215 | be considered as part of the apprenticeship program provided in |
| 216 | this subparagraph. The board may establish administrative |
| 217 | processing fees sufficient to cover the cost of administering |
| 218 | apprentice rules adopted by the board. |
| 219 | Section 6. Subsection (3) of section 484.013, Florida |
| 220 | Statutes, is amended to read: |
| 221 | 484.013 Violations and penalties.- |
| 222 | (3) It is unlawful for any optician to engage in the |
| 223 | diagnosis of the human eyes, attempt to determine the refractive |
| 224 | powers of the human eyes, or, in any manner, attempt to |
| 225 | prescribe for or treat diseases or ailments of human beings. |
| 226 | Section 7. This act shall take effect July 1, 2011. |