Florida Senate - 2020 SB 1138
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 order, store,
5 possess, prescribe, and administer articles of natural
6 origin; authorizing chiropractic physicians to
7 administer medical oxygen for nonemergency purposes;
8 authorizing licensed pharmacists to fill such
9 chiropractors’ orders for articles of natural origin;
10 amending s. 460.408, F.S.; providing a definition for
11 the term “contact classroom”; authorizing a specified
12 number of certain chiropractic continuing education
13 hours to be completed online; providing requirements
14 for such online chiropractic continuing education
15 courses; amending s. 460.413, F.S.; conforming a
16 provision to changes made by the act; repealing s.
17 460.4166, F.S., relating to registered chiropractic
18 assistants; providing an effective date.
20 Be It Enacted by the Legislature of the State of Florida:
22 Section 1. Paragraph (c) of subsection (9) of section
23 460.403, Florida Statutes, is amended to read:
24 460.403 Definitions.—As used in this chapter, the term:
25 (9)(c)1. Chiropractic physicians may adjust, manipulate, or
26 treat the human body by manual, mechanical, electrical, or
27 natural methods; by the use of physical means or physiotherapy,
28 including light, heat, water, or exercise; by the use of
29 acupuncture; or by the administration of foods, food
30 concentrates, food extracts, and items for which a prescription
31 is not required and may apply first aid and hygiene, but
32 chiropractic physicians are expressly prohibited from
33 prescribing or administering to any person any legend drug
34 except as authorized under subparagraphs 2. and 3.
35 2., from performing any surgery except as stated herein, or from
36 practicing obstetrics.
37 2. Notwithstanding the prohibition against prescribing and
38 administering legend drugs under subparagraph 1. or s.
39 499.83(2)(c), pursuant to board rule, chiropractic physicians
40 may order, store, and administer, for emergency purposes only at
41 the chiropractic physician’s office or place of business,
42 prescription medical oxygen and may also order, store, and
43 administer the following topical anesthetics in aerosol form:
44 a. Any solution consisting of 25 percent ethylchloride and
45 75 percent dichlorodifluoromethane.
46 b. Any solution consisting of 15 percent
47 dichlorodifluoromethane and 85 percent
49 3. Notwithstanding the prohibition against prescribing and
50 administering legend drugs under subparagraph 1. or s.
51 499.83(2)(c), pursuant to board rule, chiropractic physicians
52 who have completed a minimum 36-hour training course may order,
53 store, possess, prescribe, and administer articles of natural
54 origin, including vitamins, minerals, amino acids, fatty acids,
55 hyaluronic acid, enzymes, saline, antioxidants, dextrose,
56 glandulars, cellular components, extracts, water, botanicals,
57 phytonutrients, and homeopathics, and may administer medical
58 oxygen. Pharmacists licensed under chapter 465 may fill the
59 orders of chiropractic physicians authorized to prescribe and
60 administer articles of natural origin necessary for the practice
61 of chiropractic medicine.
63 However, this paragraph does not authorize a chiropractic
64 physician to prescribe medical oxygen as defined in chapter 499.
65 Section 2. Subsection (1) of section 460.408, Florida
66 Statutes, is amended to read:
67 460.408 Continuing chiropractic education.—
68 (1) The board shall require licensees to periodically
69 demonstrate their professional competence as a condition of
70 renewal of a license by completing up to 40 contact classroom
71 hours of continuing education.
72 (a) Continuing education courses sponsored by chiropractic
73 colleges whose graduates are eligible for examination under any
74 provision of this chapter may be approved upon review by the
75 board if all other requirements of board rules setting forth
76 criteria for course approval are met.
77 (b) The board shall approve those courses that build upon
78 the basic courses required for the practice of chiropractic
79 medicine, and the board may also approve courses in adjunctive
80 modalities. Courses that consist of instruction in the use,
81 application, prescription, recommendation, or administration of
82 a specific company’s brand of products or services are not
83 eligible for approval.
84 (c) For purposes of this subsection, the term “contact
85 classroom” means a presentation in which the persons presenting
86 and the persons attending the course are present on site. Up to
87 20 general credit continuing education hours may be completed
88 online in place of contact classroom hours, as determined by
89 board rule. Online continuing education courses must be
90 competency based and must incorporate the Shareable Content
91 Object Reference Model standards for web-based e-learning or
92 more stringent standards, as determined by the board.
93 Section 3. Paragraph (p) of subsection (1) of section
94 460.413, Florida Statutes, is amended to read:
95 460.413 Grounds for disciplinary action; action by board or
97 (1) The following acts constitute grounds for denial of a
98 license or disciplinary action, as specified in s. 456.072(2):
99 (p) Prescribing, dispensing, or administering any medicinal
100 drug except as authorized by s. 460.403(9)(c)2. or 3. s.
101 460.403(9)(c)2., performing any surgery, or practicing
103 Section 4. Section 460.4166, Florida Statutes, is repealed.
104 Section 5. This act shall take effect July 1, 2020.