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CS/HB 547: Scope of Practice of Advanced Practice Registered Nurses & Physician Assistants

GENERAL BILL by Health Innovation Subcommittee ; Pigman ; (CO-INTRODUCERS) Campbell ; Rehwinkel Vasilinda

Scope of Practice of Advanced Practice Registered Nurses & Physician Assistants; Redesignates ARNPs as advanced registered practice nurses (APRNs); provides for independent APRNs (IAPRNs) to practice advanced or specialized nursing; exempts IAPRNs & physician assistants (PAs) from requirement that certain medical acts be supervised by physician; revises APRN certification requirements; authorizes APRNs & PAs to administer, dispense, & prescribe medicinal drugs pursuant to protocol; provides for registration of IAPRNs who meet certain requirements; specifies acts that IAPRNs & physician assistants are authorized to perform without physician supervision or protocol; provides for eligibility of IAPRNs for clinical privileges; requires IAPRNs to maintain medical malpractice insurance or provide proof of financial responsibility.

Effective Date: 7/1/2015
 Last Action: 4/28/2015 House - Died on Calendar, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/2/2015 House • Filed
    2/11/2015 House • Referred to Health Innovation Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee -HJ 47
    3/3/2015 House • Introduced -HJ 45
    3/16/2015 House • On Committee agenda-- Health Innovation Subcommittee, 03/18/15, 9:00 am, 306 HOB --Temporarily postponed
    3/23/2015 House • On Committee agenda-- Health Innovation Subcommittee, 03/25/15, 9:00 am, 306 HOB
    3/25/2015 House • CS by Health Innovation Subcommittee; YEAS 9 NAYS 4 -HJ 330
    3/26/2015 House • Pending review of CS under Rule 7.19(c)
    • CS by Health Innovation Subcommittee read 1st time -HJ 320
    3/27/2015 House • Original reference(s) removed: Health Care Appropriations Subcommittee
    • CS referred to Health and Human Services Committee -HJ 343
    • Now in Health and Human Services Committee -HJ 343
    4/7/2015 House • On Committee agenda-- Health and Human Services Committee, 04/09/15, 9:00 am, Morris Hall
    4/9/2015 House • Favorable by- Health and Human Services Committee; YEAS 13 NAYS 4 -HJ 505
    • Placed on Calendar -HJ 505
    4/28/2015 House • Died on Calendar, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111)

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  • CS/HB 547, Committee Substitute 1 (Current Bill Version) Posted 3/26/2015 at 12:09 PM

    Bill Text:   PDF
    Analyses:   Health and Human Services Committee (Post-Meeting) 4/9/2015 (pdf)

    Related Bills (6)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 281 (c2) Drug Prescription by Advanced Registered Nurse Practitioners & Physician Assistants Pigman Compare Last Action: 4/28/2015 H Died on Calendar
    Location: On 2nd Reading Calendar     		Track This Bill
    H 335 (er) Psychiatric Nurses Plasencia Compare Last Action: 6/11/2015 Chapter No. 2015-111
    Location: Became Law     		Track This Bill
    S 476 (c1) Mental Health Grimsley Compare Last Action: 4/23/2015 S Laid on Table, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111) -SJ 591
    Location: Laid on Table     		Track This Bill
    S 614 (c3) Health Care Grimsley Compare Last Action: 5/1/2015 S Died on Calendar
    Location: On 2nd Reading Calendar     		Track This Bill
    S 7068 (e2) Mental Health and Substance Abuse Appropriations Compare Last Action: 4/29/2015 H Died in returning Messages, companion bill(s) passed, see CS/HB 79 (Ch. 2015-102), CS/CS/HB 335 (Ch. 2015-111), CS/CS/HB 1069 (Ch. 2015-178), CS/SB 954 (Ch. 2015-67)
    Location: In returning messages from Senate     		Track This Bill
    S 7070 (c2) Mental Health and Substance Abuse Appropriations Compare Last Action: 5/1/2015 S Died on Calendar, companion bill(s) passed, see CS/HB 79 (Ch. 2015-102), CS/CS/HB 335 (Ch. 2015-111), CS/SB 954 (Ch. 2015-67)
    Location: On 2nd Reading Calendar     		Track This Bill

    Citations - Statutes (105)

    Citation Catchline Location in Bill Location In Bill Help
    39.303 Child protection teams; services; eligible cases. Page 33 (pdf)
    39.304 Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. Page 35 (pdf)
    90.503 Psychotherapist-patient privilege. Page 36 (pdf)
    110.12315 Prescription drug program. Page 37 (pdf)
    112.0455 Drug-Free Workplace Act. Page 38 (pdf)
    121.0515 Special Risk Class. Page 39 (pdf)
    252.515 Postdisaster Relief Assistance Act; immunity from civil liability. Page 40 (pdf)
    310.071 Deputy pilot certification. Page 41 (pdf)
    310.073 State pilot licensing. Page 42 (pdf)
    310.081 Department to examine and license state pilots and certificate deputy pilots; vacancies. Page 44 (pdf)
    320.0848 Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. Page 45 (pdf)
    381.00315 Public health advisories; public health emergencies; quarantines. Page 47 (pdf)
    381.00593 Public school volunteer health care practitioner program. Page 50 (pdf)
    381.026 Florida Patient’s Bill of Rights and Responsibilities. Page 51 (pdf)
    382.008 Death and fetal death registration. Page 51 (pdf)
    383.14 Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. Page 54 (pdf)
    383.141 Prenatally diagnosed conditions; patient to be provided information; definitions; information clearinghouse; advisory council. Page 56 (pdf)
    390.0111 Termination of pregnancies. Page 56 (pdf)
    390.012 Powers of agency; rules; disposal of fetal remains. Page 59 (pdf)
    394.455 Definitions. Page 63 (pdf)
    394.463 Involuntary examination. Page 64 (pdf)
    395.0191 Staff membership and clinical privileges. Page 66 (pdf)
    395.602 Rural hospitals. Page 68 (pdf)
    395.605 Emergency care hospitals. Page 70 (pdf)
    397.311 Definitions. Page 70 (pdf)
    397.405 Exemptions from licensure. Page 71 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 73 (pdf)
    397.501 Rights of individuals. Page 76 (pdf)
    400.021 Definitions. Page 77 (pdf)
    400.0255 Resident transfer or discharge; requirements and procedures; hearings. Page 77 (pdf)
    400.172 Respite care provided in nursing home facilities. Page 78 (pdf)
    400.462 Definitions. Page 79 (pdf)
    400.487 Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. Page 79 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 80 (pdf)
    400.9905 Definitions. Page 81 (pdf)
    401.445 Emergency examination and treatment of incapacitated persons. Page 83 (pdf)
    409.905 Mandatory Medicaid services. Page 84 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 86 (pdf)
    409.9081 Copayments. Page 88 (pdf)
    409.973 Benefits. Page 88 (pdf)
    429.26 Appropriateness of placements; examinations of residents. Page 89 (pdf)
    429.918 Licensure designation as a specialized Alzheimer’s services adult day care center. Page 90 (pdf)
    440.102 Drug-free workplace program requirements. Page 92 (pdf)
    456.0391 Advanced registered nurse practitioners; information required for certification. Page 90 (pdf)
    456.0392 Prescription labeling. Page 94 (pdf)
    456.041 Practitioner profile; creation. Page 94 (pdf)
    456.048 Financial responsibility requirements for certain health care practitioners. Page 95 (pdf)
    456.053 Financial arrangements between referring health care providers and providers of health care services. Page 97 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 101 (pdf)
    456.44 Controlled substance prescribing. Page 101 (pdf)
    458.3265 Pain-management clinics. Page 107 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 108 (pdf)
    458.347 Physician assistants. Page 108 (pdf)
    458.348 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 110 (pdf)
    459.0137 Pain-management clinics. Page 115 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 115 (pdf)
    459.025 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 116 (pdf)
    464.003 Definitions. Page 14 (pdf)
    464.004 Board of Nursing; membership; appointment; terms. Page 121 (pdf)
    464.012 Certification of advanced registered nurse practitioners; fees. Page 18 (pdf)
    464.0125 Page 23 (pdf)
    464.015 Titles and abbreviations; restrictions; penalty. Page 25 (pdf)
    464.0155 Page 26 (pdf)
    464.016 Violations and penalties. Page 27 (pdf)
    464.018 Disciplinary actions. Page 28 (pdf)
    464.0205 Retired volunteer nurse certificate. Page 121 (pdf)
    467.003 Definitions. Page 122 (pdf)
    480.0475 Massage establishments; prohibited practices. Page 122 (pdf)
    483.041 Definitions. Page 123 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 123 (pdf)
    483.801 Exemptions. Page 124 (pdf)
    486.021 Definitions. Page 124 (pdf)
    490.012 Violations; penalties; injunction. Page 126 (pdf)
    491.0057 Dual licensure as a marriage and family therapist. Page 126 (pdf)
    491.012 Violations; penalty; injunction. Page 127 (pdf)
    493.6108 Investigation of applicants by Department of Agriculture and Consumer Services. Page 128 (pdf)
    626.9707 Disability insurance; discrimination on basis of sickle-cell trait prohibited. Page 129 (pdf)
    627.357 Medical malpractice self-insurance. Page 130 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 131 (pdf)
    627.6472 Exclusive provider organizations. Page 131 (pdf)
    627.736 Required personal injury protection benefits; exclusions; priority; claims. Page 133 (pdf)
    633.412 Firefighters; qualifications for certification. Page 137 (pdf)
    641.3923 Discrimination against providers prohibited. Page 138 (pdf)
    641.495 Requirements for issuance and maintenance of certificate. Page 139 (pdf)
    744.331 Procedures to determine incapacity. Page 139 (pdf)
    744.703 Office of public guardian; appointment, notification. Page 141 (pdf)
    766.102 Medical negligence; standards of recovery; expert witness. Page 142 (pdf)
    766.103 Florida Medical Consent Law. Page 142 (pdf)
    766.1115 Health care providers; creation of agency relationship with governmental contractors. Page 144 (pdf)
    766.1116 Health care practitioner; waiver of license renewal fees and continuing education requirements. Page 146 (pdf)
    766.118 Determination of noneconomic damages. Page 147 (pdf)
    768.135 Volunteer team physicians; immunity. Page 147 (pdf)
    782.071 Vehicular homicide. Page 148 (pdf)
    794.08 Female genital mutilation. Page 148 (pdf)
    893.02 Definitions. Page 149 (pdf)
    943.13 Officers’ minimum qualifications for employment or appointment. Page 150 (pdf)
    945.603 Powers and duties of authority. Page 151 (pdf)
    960.28 Payment for victims’ initial forensic physical examinations. Page 152 (pdf)
    1002.20 K-12 student and parent rights. Page 153 (pdf)
    1002.42 Private schools. Page 155 (pdf)
    1006.062 Administration of medication and provision of medical services by district school board personnel. Page 156 (pdf)
    1006.20 Athletics in public K-12 schools. Page 157 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 159 (pdf)
    1009.66 Nursing Student Loan Forgiveness Program. Page 160 (pdf)
    1009.67 Nursing scholarship program. Page 160 (pdf)

    Top of SectionTop of Page

  • HB 547, Original Filed Version Posted 2/2/2015 at 9:39 AM

    Bill Text:   PDF
    Analyses:   Health Innovation Subcommittee (Post-Meeting) 3/26/2015 (pdf)

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 335 (c2) Psychiatric Nurses Plasencia Compare Last Action: 6/11/2015 Chapter No. 2015-111
    Location: Became Law     		Track This Bill
    S 476 (c1) Mental Health Grimsley Compare Last Action: 4/23/2015 S Laid on Table, companion bill(s) passed, see CS/CS/HB 335 (Ch. 2015-111) -SJ 591
    Location: Laid on Table     		Track This Bill
    S 614 (c1) Drug Prescription by Advanced Registered Nurse Practitioners and Physician Assistants Grimsley Compare Last Action: 5/1/2015 S Died on Calendar
    Location: On 2nd Reading Calendar     		Track This Bill

    Committee Amendments (2)

    Amendment Sponsor Filed Last Committee Action Format
    706771 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Pigman 3/17/2015
    5:45 PM     		Adopted
    3/18/2015     		PDF
    hierarchy 343487 - Substitute Amendment (706771)
    Remove everything after the enacting clause and insert:     		Renuart 3/17/2015
    5:52 PM     		Failed to Adopt
    3/18/2015     		PDF

    Citations - Statutes (104)

    Citation Catchline Location in Bill Location In Bill Help
    39.303 Child protection teams; services; eligible cases. Page 32 (pdf)
    39.304 Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. Page 34 (pdf)
    90.503 Psychotherapist-patient privilege. Page 35 (pdf)
    110.12315 Prescription drug program. Page 36 (pdf)
    112.0455 Drug-Free Workplace Act. Page 37 (pdf)
    121.0515 Special Risk Class. Page 38 (pdf)
    252.515 Postdisaster Relief Assistance Act; immunity from civil liability. Page 39 (pdf)
    310.071 Deputy pilot certification. Page 40 (pdf)
    310.073 State pilot licensing. Page 41 (pdf)
    310.081 Department to examine and license state pilots and certificate deputy pilots; vacancies. Page 42 (pdf)
    320.0848 Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. Page 44 (pdf)
    381.00315 Public health advisories; public health emergencies; quarantines. Page 45 (pdf)
    381.00593 Public school volunteer health care practitioner program. Page 49 (pdf)
    381.026 Florida Patient’s Bill of Rights and Responsibilities. Page 49 (pdf)
    382.008 Death and fetal death registration. Page 50 (pdf)
    383.14 Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. Page 53 (pdf)
    383.141 Prenatally diagnosed conditions; patient to be provided information; definitions; information clearinghouse; advisory council. Page 54 (pdf)
    390.0111 Termination of pregnancies. Page 55 (pdf)
    390.012 Powers of agency; rules; disposal of fetal remains. Page 58 (pdf)
    394.455 Definitions. Page 62 (pdf)
    394.463 Involuntary examination. Page 62 (pdf)
    395.0191 Staff membership and clinical privileges. Page 65 (pdf)
    395.602 Rural hospitals. Page 66 (pdf)
    395.605 Emergency care hospitals. Page 68 (pdf)
    397.311 Definitions. Page 69 (pdf)
    397.405 Exemptions from licensure. Page 69 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 72 (pdf)
    397.501 Rights of individuals. Page 74 (pdf)
    400.021 Definitions. Page 75 (pdf)
    400.0255 Resident transfer or discharge; requirements and procedures; hearings. Page 76 (pdf)
    400.172 Respite care provided in nursing home facilities. Page 76 (pdf)
    400.462 Definitions. Page 77 (pdf)
    400.487 Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. Page 77 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 78 (pdf)
    400.9905 Definitions. Page 80 (pdf)
    401.445 Emergency examination and treatment of incapacitated persons. Page 81 (pdf)
    409.905 Mandatory Medicaid services. Page 83 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 84 (pdf)
    409.9081 Copayments. Page 86 (pdf)
    409.973 Benefits. Page 87 (pdf)
    429.26 Appropriateness of placements; examinations of residents. Page 87 (pdf)
    429.918 Licensure designation as a specialized Alzheimer’s services adult day care center. Page 88 (pdf)
    440.102 Drug-free workplace program requirements. Page 90 (pdf)
    456.0391 Advanced registered nurse practitioners; information required for certification. Page 90 (pdf)
    456.0392 Prescription labeling. Page 92 (pdf)
    456.041 Practitioner profile; creation. Page 92 (pdf)
    456.048 Financial responsibility requirements for certain health care practitioners. Page 93 (pdf)
    456.053 Financial arrangements between referring health care providers and providers of health care services. Page 95 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 99 (pdf)
    456.44 Controlled substance prescribing. Page 99 (pdf)
    458.3265 Pain-management clinics. Page 105 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 106 (pdf)
    458.348 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 106 (pdf)
    459.0137 Pain-management clinics. Page 112 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 112 (pdf)
    459.025 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 113 (pdf)
    464.003 Definitions. Page 14 (pdf)
    464.004 Board of Nursing; membership; appointment; terms. Page 117 (pdf)
    464.012 Certification of advanced registered nurse practitioners; fees. Page 17 (pdf)
    464.0125 Page 22 (pdf)
    464.015 Titles and abbreviations; restrictions; penalty. Page 24 (pdf)
    464.0155 Page 25 (pdf)
    464.016 Violations and penalties. Page 26 (pdf)
    464.018 Disciplinary actions. Page 27 (pdf)
    464.0205 Retired volunteer nurse certificate. Page 118 (pdf)
    467.003 Definitions. Page 119 (pdf)
    480.0475 Massage establishments; prohibited practices. Page 119 (pdf)
    483.041 Definitions. Page 119 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 120 (pdf)
    483.801 Exemptions. Page 121 (pdf)
    486.021 Definitions. Page 121 (pdf)
    490.012 Violations; penalties; injunction. Page 122 (pdf)
    491.0057 Dual licensure as a marriage and family therapist. Page 123 (pdf)
    491.012 Violations; penalty; injunction. Page 123 (pdf)
    493.6108 Investigation of applicants by Department of Agriculture and Consumer Services. Page 125 (pdf)
    626.9707 Disability insurance; discrimination on basis of sickle-cell trait prohibited. Page 125 (pdf)
    627.357 Medical malpractice self-insurance. Page 126 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 127 (pdf)
    627.6472 Exclusive provider organizations. Page 128 (pdf)
    627.736 Required personal injury protection benefits; exclusions; priority; claims. Page 129 (pdf)
    633.412 Firefighters; qualifications for certification. Page 134 (pdf)
    641.3923 Discrimination against providers prohibited. Page 135 (pdf)
    641.495 Requirements for issuance and maintenance of certificate. Page 135 (pdf)
    744.331 Procedures to determine incapacity. Page 136 (pdf)
    744.703 Office of public guardian; appointment, notification. Page 137 (pdf)
    766.102 Medical negligence; standards of recovery; expert witness. Page 138 (pdf)
    766.103 Florida Medical Consent Law. Page 139 (pdf)
    766.1115 Health care providers; creation of agency relationship with governmental contractors. Page 140 (pdf)
    766.1116 Health care practitioner; waiver of license renewal fees and continuing education requirements. Page 142 (pdf)
    766.118 Determination of noneconomic damages. Page 143 (pdf)
    768.135 Volunteer team physicians; immunity. Page 144 (pdf)
    782.071 Vehicular homicide. Page 144 (pdf)
    794.08 Female genital mutilation. Page 145 (pdf)
    893.02 Definitions. Page 145 (pdf)
    943.13 Officers’ minimum qualifications for employment or appointment. Page 146 (pdf)
    945.603 Powers and duties of authority. Page 147 (pdf)
    960.28 Payment for victims’ initial forensic physical examinations. Page 156 (pdf)
    1002.20 K-12 student and parent rights. Page 148 (pdf)
    1002.42 Private schools. Page 150 (pdf)
    1006.062 Administration of medication and provision of medical services by district school board personnel. Page 151 (pdf)
    1006.20 Athletics in public K-12 schools. Page 152 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 154 (pdf)
    1009.66 Nursing Student Loan Forgiveness Program. Page 155 (pdf)
    1009.67 Nursing scholarship program. Page 155 (pdf)

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