Florida Senate - 2020                        COMMITTEE AMENDMENT
       Bill No. CS for SB 1676
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       Appropriations Subcommittee on Health and Human Services
       (Harrell) recommended the following:
    1         Senate Amendment to Amendment (899862) (with title
    2  amendment)
    4         Delete lines 185 - 192
    5  and insert:
    7         (a) The department, in conjunction with one or more third
    8  party credentialing entities, shall develop a primary care
    9  certification examination for advanced practice registered
   10  nurses seeking registration with the Board of Medicine as APRN
   11  IPs. For purposes of this subsection, “third-party credentialing
   12  entity” means a department-approved independent organization
   13  that has met nationally recognized standards for developing and
   14  administering professional certification examinations and
   15  psychometric services.
   16         (b) The department shall approve at least one third-party
   17  credentialing entity for the purpose of developing and
   18  administering a primary care competency-based certification
   19  examination. A third-party credentialing entity shall request
   20  approval in writing from the department on forms developed by
   21  the department. Within 90 days after the deadline that is
   22  established for receiving documentation from third-party
   23  credentialing entities seeking approval, the department must
   24  approve a third-party credentialing entity that demonstrates, to
   25  the department’s satisfaction, that it is capable of complying
   26  with the requirements of this subsection. An approved third
   27  party credentialing entity must:
   28         1. Maintain an advisory committee of at least six members,
   29  including three representatives from the Board of Medicine and
   30  three representatives from the Board of Osteopathic Medicine,
   31  who shall each be appointed by the respective board chairs. The
   32  third-party credentialing entity may appoint additional members
   33  to the advisory committee with approval of the department.
   34         2. Use the core competencies approved by the Board of
   35  Medicine and the Board of Osteopathic Medicine to establish
   36  certification standards, testing instruments, and
   37  recertification standards according to national psychometric
   38  standards.
   39         3. Establish a process to administer the certification
   40  application, testing, award, and maintenance processes according
   41  to national psychometric standards.
   42         4.Demonstrate the ability to administer biennial
   43  continuing education and certification renewal requirements for
   44  APRN-IPs.
   45         5.Demonstrate the ability to administer an education
   46  provider program to approve qualified training entities and to
   47  provide precertification training to advanced practice
   48  registered nurses and continuing education opportunities to
   49  APRN-IPs.
   50         (c)The Board of Medicine and the Board of Osteopathic
   51  Medicine shall approve the core competencies and related
   52  preservice curricula that ensure that each advanced practice
   53  registered nurse registered as an APRN-IP who will be providing
   54  primary medical care, treatment, and services to persons in
   55  primary care health professional shortage areas has obtained the
   56  knowledge, skills, and abilities to competently carry out
   57  primary medical care, treatment, and services. The department
   58  may contract for the delivery of preservice or any additional
   59  education or training for APRN-IPs to provide primary medical
   60  care, treatment, and services to persons in primary care health
   61  professional shortage areas if the curriculum satisfies the
   62  boards’ approved core competencies.
   63         (d)The department may adopt rules necessary to implement
   64  this subsection.
   65         (5) REGISTRATION.—To be registered as an APRN-IP, an
   66  advanced practice registered nurse must apply to the department
   67  on forms developed by the department. The council shall review
   68  the application and recommend to the department the registration
   69  of the advanced practice registered nurse with the Board of
   70  Medicine as an APRN-IP if the applicant submits proof that he or
   71  she holds an unrestricted license issued under s. 464.012 and
   72  provides all of the following information:
   73         (a)Documentation of a passing score on the primary care
   74  certification examination described in subsection (4).
   76  ================= T I T L E  A M E N D M E N T ================
   77  And the title is amended as follows:
   78         Between lines 1203 and 1204
   79  insert:
   80         requiring the department, in conjunction with third
   81         party credentialing entities, to develop a primary
   82         care certification examination for advanced practice
   83         registered nurses seeking registration as APRN-IPs;
   84         defining the term “third-party credentialing entity”;
   85         requiring the department to approve one or more third
   86         party credentialing entities to develop and administer
   87         the examination; requiring the department to act on
   88         requests for approvals from third-party credentialing
   89         entities within a specified timeframe; specifying
   90         requirements for approved third-party credentialing
   91         entities; requiring the Board of Medicine and the
   92         Board of Osteopathic Medicine to approve certain core
   93         competencies and related preservice curricula for a
   94         specified purpose; authorizing the department to
   95         contract for the delivery of specified education or
   96         training under certain circumstances; authorizing the
   97         department to adopt rules;