Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. CS for SB 496
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/03/2017           .                                

       The Committee on Education (Brandes) recommended the following:
    1         Senate Amendment (with title amendment)
    3         Delete lines 86 - 203
    4  and insert:
    5  Education or the American Osteopathic Association or which is
    6  part of a teaching hospital as defined in s. 408.07; or
    7         (b)A teaching hospital as defined in s. 408.07; or
    8         (c)(b) An educational symposium cosponsored by the American
    9  Society of Plastic Surgeons, the Plastic Surgery Educational
   10  Foundation, the American Society for Aesthetic Plastic Surgery,
   11  or any other medical or surgical society in conjunction with a
   12  medical school or teaching hospital as defined in s. 408.07, may
   13  be issued a temporary certificate for limited privileges solely
   14  for purposes of providing educational training in plastic
   15  surgery or other medical or surgical procedures, as appropriate,
   16  in accordance with the restrictions set forth in this section.
   17         Section 3. Section 458.3145, Florida Statutes, is amended
   18  to read:
   19         458.3145 Medical faculty certificate.—
   20         (1) A medical faculty certificate may be issued without
   21  examination to an individual who:
   22         (a) Is a graduate of an accredited medical school or its
   23  equivalent, or is a graduate of a foreign medical school listed
   24  with the World Health Organization;
   25         (b) Holds a valid, current license to practice medicine in
   26  another jurisdiction;
   27         (c) Has completed the application form and remitted a
   28  nonrefundable application fee not to exceed $500;
   29         (d) Has completed an approved residency or fellowship of at
   30  least 1 year or has received training which has been determined
   31  by the board to be equivalent to the 1-year residency
   32  requirement;
   33         (e) Is at least 21 years of age;
   34         (f) Is of good moral character;
   35         (g) Has not committed any act in this or any other
   36  jurisdiction which would constitute the basis for disciplining a
   37  physician under s. 458.331;
   38         (h) For any applicant who has graduated from medical school
   39  after October 1, 1992, has completed, before entering medical
   40  school, the equivalent of 2 academic years of preprofessional,
   41  postsecondary education, as determined by rule of the board,
   42  which must include, at a minimum, courses in such fields as
   43  anatomy, biology, and chemistry; and
   44         (i) Has been offered and has accepted a full-time faculty
   45  appointment to teach in a program of medicine at:
   46         1. The University of Florida;
   47         2. The University of Miami;
   48         3. The University of South Florida;
   49         4. The Florida State University;
   50         5. The Florida International University;
   51         6. The University of Central Florida;
   52         7. The Mayo Clinic College of Medicine and Science in
   53  Jacksonville, Florida; or
   54         8. The Florida Atlantic University; or
   55         9.The Johns Hopkins All Children’s Hospital in St.
   56  Petersburg, Florida.
   57         (2) The certificate authorizes the holder to practice only
   58  in conjunction with his or her faculty position at an accredited
   59  medical school and its affiliated clinical facilities or
   60  teaching hospitals that are registered with the Board of
   61  Medicine as sites at which holders of medical faculty
   62  certificates will be practicing, or a specialty-licensed
   63  children’s hospital licensed under chapter 395 that is
   64  affiliated with an accredited medical school and its affiliated
   65  clinics. Such certificate automatically expires when the
   66  holder’s relationship with the medical school is terminated or
   67  after a period of 24 months, whichever occurs sooner, and is
   68  renewable every 2 years by a holder who applies to the board on
   69  a form prescribed by the board and provides certification by the
   70  dean of the medical school that the holder is a distinguished
   71  medical scholar and an outstanding practicing physician.
   72         (3) The holder of a medical faculty certificate issued
   73  under this section has all rights and responsibilities
   74  prescribed by law for the holder of a license issued under s.
   75  458.311, except as specifically provided otherwise by law. Such
   76  responsibilities include compliance with continuing medical
   77  education requirements as set forth by rule of the board. A
   78  hospital or ambulatory surgical center licensed under chapter
   79  395, health maintenance organization certified under chapter
   80  641, insurer as defined in s. 624.03, multiple-employer welfare
   81  arrangement as defined in s. 624.437, or any other entity in
   82  this state, in considering and acting upon an application for
   83  staff membership, clinical privileges, or other credentials as a
   84  health care provider, may not deny the application of an
   85  otherwise qualified physician for such staff membership,
   86  clinical privileges, or other credentials solely because the
   87  applicant is a holder of a medical faculty certificate under
   88  this section.
   89         (4) In any year, the maximum number of extended medical
   90  faculty certificateholders as provided in subsection (2) may not
   91  exceed 30 persons at each institution named in subparagraphs
   92  (1)(i)1.-6., and 8., and 9. and at the facility named in s.
   93  1004.43 and may not exceed 10 persons at the institution named
   94  in subparagraph (1)(i)7.
   95         (5) Annual review of all such certificate recipients will
   96  be made by the deans of the accredited 4-year medical schools
   97  provided in paragraph (1)(i) within this state and reported to
   98  the Board of Medicine.
   99         (6) Notwithstanding subsection (1), any physician, when
  100  providing medical care or treatment in connection with the
  101  education of students, residents, or faculty at the request of
  102  the dean of an accredited medical school within this state or at
  103  the request of the medical director of a statutory teaching
  104  hospital as defined in s. 408.07 or a specialty-licensed
  105  children’s hospital licensed under chapter 395 that is
  106  affiliated with an accredited medical school and its affiliated
  107  clinics, may do so upon registration with the board and
  108  demonstration of financial responsibility pursuant to s.
  109  458.320(1) or (2) unless such physician is exempt under s.
  110  458.320(5)(a). The performance of such medical care or treatment
  111  must be limited to a single period of time, which may not exceed
  112  180 consecutive days, and must be rendered within a facility
  113  registered under subsection (2) or within a statutory teaching
  114  hospital as defined in s. 408.07. A registration fee not to
  115  exceed $300, as set by the board, is required of each physician
  116  registered under this subsection. However, no more than three
  117  physicians per year per institution may be registered under this
  118  subsection, and an exemption under this subsection may not be
  119  granted to a physician more than once in any given 5-year
  120  period.
  121         Section 4. Subsection (3) is added to section 458.3485,
  122  Florida Statutes, to read:
  123         458.3485 Medical assistant.—
  124         (3)CERTIFICATION.—In order to earn a credential as a
  125  certified medical assistant, a medical assistant shall obtain
  126  certification from a certification program accredited by the
  127  National Commission for Certifying Agencies.
  128         Section 5. Paragraph (b) of subsection (7) of section
  129  483.291, Florida Statutes, is amended to read:
  130         483.291 Powers and duties of the agency; rules.—The agency
  131  shall adopt rules to implement this part and part II of chapter
  132  408, which rules must include the following:
  133         (7) PERSONNEL.—The agency shall prescribe minimum
  134  qualifications for center personnel. A center may employ as a
  135  medical assistant a person who has at least one of the following
  136  qualifications:
  137         (b) Certification and registration from a certification
  138  program accredited by the National Commission for Certifying
  139  Agencies and approved by the agency by the American Medical
  140  Technologists Association or other similar professional
  141  association approved by the agency.
  142         Section 6. This act shall take effect July 1, 2017.
  144  ================= T I T L E  A M E N D M E N T ================
  145  And the title is amended as follows:
  146         Delete lines 2 - 19
  147  and insert:
  148         An act relating to medical faculty and medical
  149         assistant certification; amending s. 456.013, F.S.;
  150         requiring the Department of Health to process certain
  151         applications for a temporary certificate using a
  152         personal identification number in lieu of a social
  153         security number under specified circumstances;
  154         amending s. 458.3137, F.S.; revising the circumstances
  155         under which a visiting physician may be issued a
  156         temporary certificate to obtain limited medical
  157         privileges for instructional purposes; amending s.
  158         458.3145, F.S.; revising the list of institutions at
  159         which certain faculty members are eligible to receive
  160         a medical faculty certificate; authorizing a
  161         certificateholder to practice at certain specialty
  162         licensed children’s hospitals; revising provisions to
  163         authorize the medical director of certain specialty
  164         licensed children’s hospitals to request the provision
  165         of medical care and treatment in connection with
  166         education; amending s. 458.3485, F.S.; providing a
  167         requirement to earn a certified medical assistant
  168         credential; amending s. 483.291, F.S.; revising
  169         qualifications for employment as a medical assistant
  170         in a multiphasic health testing center;