Florida Senate - 2014 COMMITTEE AMENDMENT
Bill No. SB 1230
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LEGISLATIVE ACTION
Senate . House
Comm: WD .
04/01/2014 .
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following:
1 Senate Amendment (with title amendment)
2
3 Between lines 106 and 107
4 insert:
5 Section 2. Paragraph (c) of subsection (4) of section
6 458.348, Florida Statutes, is amended to read:
7 458.348 Formal supervisory relationships, standing orders,
8 and established protocols; notice; standards.—
9 (4) SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE SETTINGS.—A
10 physician who supervises an advanced registered nurse
11 practitioner or physician assistant at a medical office other
12 than the physician’s primary practice location, where the
13 advanced registered nurse practitioner or physician assistant is
14 not under the onsite supervision of a supervising physician,
15 must comply with the standards set forth in this subsection. For
16 the purpose of this subsection, a physician’s “primary practice
17 location” means the address reflected on the physician’s profile
18 published pursuant to s. 456.041.
19 (c) A physician who supervises an advanced registered nurse
20 practitioner or physician assistant at a medical office other
21 than the physician’s primary practice location, where the
22 advanced registered nurse practitioner or physician assistant is
23 not under the onsite supervision of a supervising physician and
24 the services offered at the office are primarily dermatologic or
25 skin care services, which include aesthetic skin care services
26 other than plastic surgery, must comply with the standards
27 listed in subparagraphs 1.-4. Notwithstanding s.
28 458.347(4)(e)6., a physician supervising a physician assistant
29 pursuant to this paragraph may not be required to review and
30 cosign charts or medical records prepared by such physician
31 assistant.
32 1. The physician shall submit to the board the addresses of
33 all offices where he or she is supervising an advanced
34 registered nurse practitioner or a physician’s assistant which
35 are not the physician’s primary practice location.
36 2. The physician must be board certified or board eligible
37 in dermatology or plastic surgery as recognized by the board
38 pursuant to s. 458.3312.
39 3. All such offices that are not the physician’s primary
40 place of practice must be within 25 miles of the physician’s
41 primary place of practice or in a county that is contiguous to
42 the county of the physician’s primary place of practice.
43 However, the distance between any of the offices may not exceed
44 75 miles.
45 4. The physician may supervise only one office other than
46 the physician’s primary place of practice except that until July
47 1, 2011, the physician may supervise up to two medical offices
48 other than the physician’s primary place of practice if the
49 addresses of the offices are submitted to the board before July
50 1, 2006. Effective July 1, 2011, the physician may supervise
51 only one office other than the physician’s primary place of
52 practice, regardless of when the addresses of the offices were
53 submitted to the board.
54 5.a. Subparagraphs 2. and 4. do not apply to an office
55 where nonablative aesthetic skin care services are being
56 performed by a physician assistant under the supervision of a
57 physician if the physician assistant has successfully completed
58 at least:
59 (I) Eighty hours of education and clinical training on
60 physiology of the skin, skin conditions, skin disorders, skin
61 diseases, pre- and post- skin procedure care, and infection
62 control;
63 (II) Ten hours of education and clinical training on laser
64 and light technologies and skin applications; and
65 (III) Thirty-two hours of education and clinical training
66 on injectables and fillers.
67 b. As used in this paragraph, the term “nonablative
68 aesthetic services” includes, but is not limited to, services
69 provided using intense pulsed light, lasers, radio frequency,
70 ultrasound, injectables, and fillers. The supervising physician
71 shall submit to the board documentation evidencing successful
72 completion of the education and training required by this
73 paragraph for the physician assistants that he or she is
74 supervising. A physician may not supervise more than two offices
75 in addition to the physician’s primary practice location.
76
77 ================= T I T L E A M E N D M E N T ================
78 And the title is amended as follows:
79 Delete lines 2 - 3
80 and insert:
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82