Florida Senate - 2014                        COMMITTEE AMENDMENT
       Bill No. SB 1066
       
       
       
       
       
       
                                Ì767518FÎ767518                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/25/2014           .                                
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       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 157 - 373
    4  and insert:
    5         Section 3. Subsection (2) of section 456.013, Florida
    6  Statutes, is amended to read:
    7         456.013 Department; general licensing provisions.—
    8         (2) Before the issuance of a any license, the department
    9  shall charge an initial license fee as determined by the
   10  applicable board or, if there is no board, by rule of the
   11  department. Upon receipt of the appropriate license fee, the
   12  department shall issue a license to a any person certified by
   13  the appropriate board, or its designee, as having met the
   14  licensure requirements imposed by law or rule. The license shall
   15  consist of a wallet-size identification card and a wall card
   16  measuring 6 1/2 inches by 5 inches. The licensee shall surrender
   17  the license to the department the wallet-size identification
   18  card and the wall card if the licensee’s license was is issued
   19  in error or is revoked.
   20         Section 4. Present subsections (5) through (11) of section
   21  456.025, Florida Statutes, are redesignated as subsections (4)
   22  through (10), respectively, and present subsections (4) and (6)
   23  are amended to read:
   24         456.025 Fees; receipts; disposition.—
   25         (4) Each board, or the department if there is no board, may
   26  charge a fee not to exceed $25, as determined by rule, for the
   27  issuance of a wall certificate pursuant to s. 456.013(2)
   28  requested by a licensee who was licensed prior to July 1, 1998,
   29  or for the issuance of a duplicate wall certificate requested by
   30  any licensee.
   31         (5)(6) If the cash balance of the trust fund at the end of
   32  any fiscal year exceeds the total appropriation provided for the
   33  regulation of the health care professions in the prior fiscal
   34  year, the boards, in consultation with the department, may lower
   35  the license renewal fees. When the department determines, based
   36  on long-range estimates of revenue, that a profession’s trust
   37  fund balance exceeds the amount required to cover necessary
   38  functions, each board, or the department when there is no board,
   39  may adopt rules to implement the waiver of initial application
   40  fees, initial licensure fees, unlicensed activity fees, or
   41  renewal fees for that profession. The waiver of renewal fees may
   42  not exceed 2 years.
   43         Section 5. Subsections (2) through (4) of section 458.319,
   44  Florida Statutes, are redesignated as subsections (3) through
   45  (5), respectively, and a new subsection (2) is added to that
   46  section, to read:
   47         458.319 Renewal of license.—
   48         (2) Each licensee shall demonstrate his or her professional
   49  competency by completing at least 40 hours of continuing medical
   50  education every 2 years. The board, by rule, may:
   51         (a) Provide that continuing medical education approved by
   52  the American Medical Association satisfies some or all of the
   53  continuing medical education requirements.
   54         (b) Mandate specific continuing medical education
   55  requirements.
   56         (c) Approve alternative methods for obtaining continuing
   57  medical education credits, including, but not limited to:
   58         1. Attendance at a board meeting at which another licensee
   59  is disciplined;
   60         2. Service as a volunteer expert witness for the department
   61  in a disciplinary proceeding; or
   62         3. Service as a member of a probable cause panel following
   63  expiration of a board member’s term.
   64         (d) Provide that up to 25 percent of the required
   65  continuing medical education hours may be fulfilled through pro
   66  bono services to the indigent, underserved populations, or
   67  patients in critical need areas in the state where the licensee
   68  practices.
   69         1. The board shall require that any pro bono service be
   70  approved in advance to receive credit for continuing medical
   71  education under this paragraph.
   72         2. The standard for determining indigency is that
   73  recognized by the federal poverty guidelines and must be less
   74  than 150 percent of the federal poverty level.
   75         (e) Provide that a portion of the continuing medical
   76  education hours may be fulfilled by performing research in
   77  critical need areas or by training for advanced professional
   78  certification.
   79         (f) Adopt rules to define underserved and critical need
   80  areas.
   81         Section 6. Subsection (3) of section 458.3485, Florida
   82  Statutes, is amended to read:
   83         458.3485 Medical assistant.—
   84         (3) CERTIFICATION.—Medical assistants may be certified by
   85  the American Association of Medical Assistants or as a
   86  Registered Medical Assistant by the American Medical
   87  Technologists.
   88         Section 7. Subsection (7) of section 464.203, Florida
   89  Statutes, is amended to read:
   90         464.203 Certified nursing assistants; certification
   91  requirement.—
   92         (7) A certified nursing assistant shall complete 24 12
   93  hours of inservice training during each biennium calendar year.
   94  The certified nursing assistant shall maintain be responsible
   95  for maintaining documentation demonstrating compliance with
   96  these provisions. The Council on Certified Nursing Assistants,
   97  in accordance with s. 464.2085(2)(b), shall propose rules to
   98  implement this subsection.
   99         Section 8. Section 464.2085, Florida Statutes, is repealed.
  100         Section 9. Subsection (2) of section 466.032, Florida
  101  Statutes, is amended to read:
  102         466.032 Registration.—
  103         (2) Upon the failure of any dental laboratory operator to
  104  comply with subsection (1), the department shall notify her or
  105  him by registered mail, within 1 month after the registration
  106  renewal date, return receipt requested, at her or his last known
  107  address, of such failure and inform her or him of the provisions
  108  of subsections (3) and (4).
  109         Section 10. Subsection (8) of section 467.009, Florida
  110  Statutes, is amended to read:
  111         467.009 Midwifery programs; education and training
  112  requirements.—
  113         (8) Nonpublic educational institutions that conduct
  114  approved midwifery programs shall be accredited by a member of
  115  the Council for Higher Education Commission on Recognition of
  116  Postsecondary Accreditation and shall be licensed by the
  117  Commission for Independent Education.
  118         Section 11. Subsection (2) of section 468.1665, Florida
  119  Statutes, is amended to read:
  120         468.1665 Board of Nursing Home Administrators; membership;
  121  appointment; terms.—
  122         (2) Four Three members of the board must be licensed
  123  nursing home administrators. One member Two members of the board
  124  must be a health care practitioner practitioners. The remaining
  125  two members of the board must be laypersons who are not, and
  126  have never been, nursing home administrators or members of any
  127  health care profession or occupation. At
  128  
  129  ================= T I T L E  A M E N D M E N T ================
  130  And the title is amended as follows:
  131         Delete lines 16 - 45
  132  and insert:
  133         amending s. 456.025, F.S.; deleting a fee provision
  134         for the issuance of wall certificates for various
  135         health profession licenses; authorizing the boards or
  136         the department to adopt rules waiving certain fees for
  137         a specified period in certain circumstances; amending
  138         s. 458.319, F.S.; providing continuing medical
  139         education requirements for Board of Medicine
  140         licensees; authorizing the board to adopt rules;
  141         amending s. 458.3485, F.S.; deleting language relating
  142         to the certification and registration of medical
  143         assistants; amending s. 464.203, F.S.; revising
  144         certified nursing assistant inservice training
  145         requirements; repealing s. 464.2085, F.S., relating to
  146         the creation, membership, and duties of the Council on
  147         Certified Nursing Assistants; amending s. 466.032,
  148         F.S.; deleting a requirement that the department
  149         provide certain notice to a dental laboratory operator
  150         who fails to renew her or his registration; amending
  151         s. 467.009, F.S.; updating the name of the
  152         organization that accredits certain midwifery
  153         programs; amending s. 468.1665, F.S.; increasing the
  154         number of members of the Board of Nursing Home
  155         Administrators who must be licensed nursing home
  156         administrators and decreasing the number of members
  157         who must be health care practitioners; amending