Florida Senate - 2014                        COMMITTEE AMENDMENT
       Bill No. SB 1646
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/01/2014           .                                

       (Garcia) recommended the following:
    1         Senate Amendment to Amendment (507782) (with title
    2  amendment)
    4         Delete line 28
    5  and insert:
    6  treatment, and care of the patient located within this state; or
    7         (c) If not licensed in this state:
    8         1. Hold an unrestricted active license to practice
    9  allopathic or osteopathic medicine in the state of the distant
   10  site and that state’s licensure requirements must meet or exceed
   11  those of this state under chapter 458 or chapter 459, as
   12  determined by the appropriate board;
   13         2. Maintain professional liability coverage that includes
   14  coverage for telemedicine services, in an amount and manner
   15  consistent with s. 458.320 and appropriate to the physician’s
   16  scope of practice and location;
   17         3. Have one of the following:
   18         a. Privileges at or be on the medical staff of an out-of
   19  state hospital affiliated with a Florida hospital licensed under
   20  chapter 395; or
   21         b. Affiliation with an out-of-state health insurer or
   22  health plan that is also authorized to conduct business in this
   23  state pursuant to chapter 627 or chapter 641; and
   24         4. Practice in a state that authorizes Florida-licensed
   25  physicians to provide telemedicine services to patients located
   26  in that state without having to be licensed to practice medicine
   27  in that state.
   28         (2) An out-of-state physician authorized under paragraph
   29  (1)(b) to provide telemedicine services to patients in this
   30  state is subject to appropriate disciplinary action by the Board
   31  of Medicine, the Board of Osteopathic Medicine, or a regulatory
   32  entity in this state which has regulatory jurisdiction over the
   33  hospital, insurer, or health plan affiliated with the physician
   34  as described in subparagraph (1)(b)3.
   35         (3) A telemedicine provider and a hospital, insurer, or
   36  health plan operating in this state which is affiliated with an
   37  out-of-state provider as described in subparagraph (1)(b)3.
   38  shall make any pertinent records available upon request of the
   39  board, the department, or other regulatory authority as
   40  applicable. Failure to comply with such request may result in
   41  the revocation of the provider’s license or imposition of a fine
   42  by the applicable board; or, in the case of an affiliated
   43  hospital, insurer, or health plan, a fine, license restriction,
   44  or revocation of an affiliated entity’s authorization to conduct
   45  business in this state
   47  ================= T I T L E  A M E N D M E N T ================
   48  And the title is amended as follows:
   49         Delete line 132
   50  and insert:
   51         providing continuing education requirements; requiring
   52         non-Florida licensed physicians to meet alternative
   53         requirements;