Florida Senate - 2019 SB 1078
By Senator Brandes
1 A bill to be entitled
2 An act relating to chiropractic medicine; amending s.
3 460.403, F.S.; authorizing chiropractic physicians who
4 have completed specified training to administer
5 articles of natural origin; authorizing licensed
6 pharmacists to fill such chiropractors’ orders for
7 articles of natural origin; amending s. 460.408, F.S.;
8 defining the term “contact classroom”; revising
9 provisions relating to continuing chiropractic
10 education requirements to authorize specified
11 continuing education hours to be completed online;
12 providing requirements for such online chiropractic
13 education courses; repealing s. 460.4166, F.S.,
14 relating to registered chiropractic assistants;
15 providing an effective date.
17 Be It Enacted by the Legislature of the State of Florida:
19 Section 1. Paragraph (c) of subsection (9) of section
20 460.403, Florida Statutes, is amended to read:
21 460.403 Definitions.—As used in this chapter, the term:
22 (9)(c)1. Chiropractic physicians may adjust, manipulate, or
23 treat the human body by manual, mechanical, electrical, or
24 natural methods; by the use of physical means or physiotherapy,
25 including light, heat, water, or exercise; by the use of
26 acupuncture; or by the administration of foods, food
27 concentrates, food extracts, and items for which a prescription
28 is not required and may apply first aid and hygiene, but
29 chiropractic physicians are expressly prohibited from
30 prescribing or administering to any person any legend drug
31 except as authorized under subparagraphs 2. and 3.
32 2., from performing any surgery except as stated herein, or from
33 practicing obstetrics.
34 2. Notwithstanding the prohibition against prescribing and
35 administering legend drugs under subparagraph 1. or s.
36 499.83(2)(c), pursuant to board rule chiropractic physicians may
37 order, store, and administer, for emergency purposes only at the
38 chiropractic physician’s office or place of business,
39 prescription medical oxygen and may also order, store, and
40 administer the following topical anesthetics in aerosol form:
41 a. Any solution consisting of 25 percent ethylchloride and
42 75 percent dichlorodifluoromethane.
43 b. Any solution consisting of 15 percent
44 dichlorodifluoromethane and 85 percent
46 3. Notwithstanding the prohibition against prescribing and
47 administering legend drugs under subparagraph 1., chiropractic
48 physicians who have completed a minimum 36-hour training course
49 may order, store, possess, prescribe, and administer articles of
50 natural origin, including vitamins, minerals, amino acids, fatty
51 acids, hyaluronic acid, enzymes, saline, anti-oxidants,
52 dextrose, glandulars, cellular components, extracts, water,
53 botanicals, phytonutrients, and homeopathics, and may administer
54 medical oxygen. Pharmacists licensed under chapter 465 may fill
55 the orders of chiropractic physicians authorized to prescribe
56 and administer articles of natural origin necessary for the
57 practice of chiropractic medicine.
59 However, this paragraph does not authorize a chiropractic
60 physician to prescribe medical oxygen as defined in chapter 499.
61 Section 2. Subsection (1) of section 460.408, Florida
62 Statutes, is amended to read:
63 460.408 Continuing chiropractic education.—
64 (1) The board shall require licensees to periodically
65 demonstrate their professional competence as a condition of
66 renewal of a license by completing up to 40 contact classroom
67 hours of continuing education.
68 (a) Continuing education courses sponsored by chiropractic
69 colleges whose graduates are eligible for examination under any
70 provision of this chapter may be approved upon review by the
71 board if all other requirements of board rules setting forth
72 criteria for course approval are met.
73 (b) The board shall approve those courses that build upon
74 the basic courses required for the practice of chiropractic
75 medicine, and the board may also approve courses in adjunctive
76 modalities. Courses that consist of instruction in the use,
77 application, prescription, recommendation, or administration of
78 a specific company’s brand of products or services are not
79 eligible for approval.
80 (c) For purposes of this subsection, the term “contact
81 classroom” means a presentation in which the persons presenting
82 and the persons attending the course are present on site. Up to
83 10 general credit continuing education hours may be completed
84 online in place of contact classroom hours, as determined by
85 board rule. Online continuing education courses must be
86 competency-based and must incorporate the Shareable Content
87 Object Reference Model standards for web-based e-learning or
88 more stringent standards, as determined by the board.
89 Section 3. Section 460.4166, Florida Statutes, is repealed.
90 Section 4. This act shall take effect July 1, 2019.