Florida Senate - 2020                             CS for SB 1470
       
       
        
       By the Committee on Health Policy; and Senator Book
       
       
       
       
       
       588-03846A-20                                         20201470c1
    1                        A bill to be entitled                      
    2         An act relating to informed consent; creating s.
    3         456.51, F.S.; requiring health care practitioners to
    4         obtain written informed consent from the patient or
    5         the patient’s legal representative in order to perform
    6         examinations on or provide medical care or treatment
    7         to the patient, with exceptions; specifying
    8         circumstances under which an attending health care
    9         practitioner may allow certain individuals to observe
   10         or participate in the provision of medical care or
   11         treatment to a patient under anesthesia; requiring the
   12         attending health care practitioner to obtain from the
   13         patient or the patient’s legal representative separate
   14         written informed consent to do so; specifying
   15         requirements for the written informed consent form;
   16         providing that a patient may revoke or amend consent
   17         verbally or in writing within a specified timeframe;
   18         requiring the attending health care practitioner to
   19         inform the patient of specified information and to
   20         document specified information in the patient’s
   21         medical record under certain circumstances; providing
   22         for disciplinary action against attending health care
   23         practitioners or supervising medical educators who
   24         fail to comply with certain provisions; providing an
   25         effective date.
   26          
   27  Be It Enacted by the Legislature of the State of Florida:
   28  
   29         Section 1. Section 456.51, Florida Statutes, is created to
   30  read:
   31         456.51 Informed consent.—
   32         (1)A health care practitioner may not perform an
   33  examination of or provide medical care or treatment to a
   34  patient, with or without anesthesia, unless:
   35         (a)The health care practitioner first obtains written
   36  informed consent from the patient or the patient’s legal
   37  representative for all medically necessary examinations or
   38  medical care or treatment to be performed on or provided to the
   39  patient, with or without anesthesia;
   40         (b)A court orders the performance of an examination of or
   41  the provision of medical care or treatment to the patient, with
   42  or without anesthesia; or
   43         (c)The performance of an examination or the provision of
   44  medical care or treatment is medically necessary to diagnose or
   45  treat the patient in a medical emergency.
   46         (2)A patient’s attending health care practitioner may not
   47  allow a medical or nursing student, a resident physician, an
   48  intern, or a fellow in fellowship training to observe or
   49  participate in the provision of medical care or treatment to his
   50  or her patient while the patient is under anesthesia for any
   51  purpose, unless:
   52         (a)A court orders the performance of an examination of or
   53  the provision of medical care or treatment to the patient, with
   54  or without anesthesia;
   55         (b)The performance of an examination or the provision of
   56  medical care or treatment is medically necessary to diagnose or
   57  treat the patient in a medical emergency; or
   58         (c)The attending health care practitioner obtains a
   59  separate written informed consent form from the patient or the
   60  patient’s legal representative in accordance with subsection (3)
   61  authorizing medical or nursing students, resident physicians,
   62  interns, or fellows in fellowship training to:
   63         1.Be present only for the purpose of observing the
   64  provision of medical care or treatment by the attending health
   65  care practitioner to the patient while the patient is under
   66  anesthesia; or
   67         2.For the purpose of conducting research or clinical
   68  training, participate, under the direct supervision of the
   69  attending health care practitioner or the supervising medical
   70  educator, in the provision of medical care or treatment by the
   71  attending health care practitioner to the patient while the
   72  patient is under anesthesia.
   73         (3)The separate written informed consent form required
   74  under paragraph (2)(c) must include all of the following:
   75         (a)The name and title of the patient’s attending health
   76  care practitioner who is responsible for the medical care and
   77  treatment of the patient while the patient is under anesthesia,
   78  as indicated by the patient’s medical care and treatment plan.
   79         (b)The name and title of any supervising medical educator
   80  who will be present or will be providing direct supervision to
   81  any medical or nursing student, resident physician, intern, or
   82  fellow in fellowship training during the provision of medical
   83  care or treatment to the patient while the patient is under
   84  anesthesia.
   85         (c)A statement that any observation or participation by a
   86  medical or nursing student, a resident physician, an intern, or
   87  a fellow in fellowship training in the provision of medical care
   88  or treatment to the patient while the patient is under
   89  anesthesia will be:
   90         1.Directly related to the patient’s diagnosis and medical
   91  care and treatment plan established by the patient’s attending
   92  health care practitioner;
   93         2.Part of medical research being conducted by the medical
   94  or nursing student, resident physician, intern, or fellow in
   95  fellowship training; or
   96         3.Part of the clinical training being provided to the
   97  medical or nursing student, resident physician, intern, or
   98  fellow in fellowship training.
   99         (d)A series of check boxes that allow the patient or the
  100  patient’s legal representative to indicate whether he or she
  101  consents or withholds consent to:
  102         1.The presence of medical or nursing students, resident
  103  physicians, interns, or fellows in fellowship training to
  104  observe the provision of medical care and treatment to the
  105  patient while the patient is under anesthesia only for the
  106  purpose of conducting medical research or receiving clinical
  107  training; or
  108         2.The participation of medical or nursing students,
  109  resident physicians, interns, or fellows in fellowship training
  110  in the provision of medical care and treatment to the patient
  111  while the patient is under anesthesia for the purpose of
  112  conducting medical research or receiving clinical training.
  113         (e)A signature line designated for the patient or the
  114  patient’s legal representative.
  115         (f)A signature line designated for the patient’s attending
  116  health care practitioner and the supervising medical educator,
  117  if different from the patient’s attending health care
  118  practitioner.
  119         (4)A patient may amend or revoke his or her consent,
  120  verbally or in writing, at any time before the procedure begins
  121  or before the anesthesia is administered, whichever occurs
  122  earlier.
  123         (5)If a patient consents to have medical or nursing
  124  students, resident physicians, interns, or fellows in fellowship
  125  training observe or participate in the provision of medical care
  126  or treatment to the patient while under anesthesia, the
  127  patient’s attending health care practitioner must do all of the
  128  following:
  129         (a)Inform the patient of his or her right to amend or
  130  revoke his or her consent at any time before the procedure
  131  begins or before anesthesia is administered, whichever occurs
  132  earlier.
  133         (b)Document in the patient’s medical record the name of
  134  each medical or nursing student, resident physician, intern, or
  135  fellow in fellowship training who observed or participated in
  136  the provision of medical care or treatment to the patient while
  137  the patient was under anesthesia.
  138         (6)A patient’s attending health care practitioner and a
  139  supervising medical educator, if different from the attending
  140  health care practitioner, who fails to comply with this section
  141  is subject to discipline by the applicable board, or the
  142  department if there is no board.
  143         Section 2. This act shall take effect July 1, 2020.