Florida Senate - 2020                                     SB 622
       
       
        
       By Senator Baxley
       
       
       
       
       
       12-00899-20                                            2020622__
    1                        A bill to be entitled                      
    2         An act relating to emergency allergy treatment;
    3         amending s. 381.88, F.S.; revising the definition of
    4         the term “authorized entity” to include state
    5         universities and Florida College System institutions;
    6         requiring, rather than authorizing, the Department of
    7         Health to adopt rules and perform certain duties;
    8         providing that educational training programs relating
    9         to the administration of epinephrine auto-injectors
   10         may be offered online; requiring that state
   11         universities and Florida College System institutions
   12         pay the costs associated with such training for
   13         certain personnel; authorizing the certification of
   14         such personnel to administer epinephrine auto
   15         injectors in emergency situations; requiring state
   16         universities and Florida College system institutions
   17         to provide funding for the payment of application fees
   18         for such certification; requiring that a person issued
   19         a certificate to administer an epinephrine auto
   20         injector submit an incident report within a specified
   21         timeframe after administering an epinephrine auto
   22         injector; requiring that the department publish a
   23         summary of such incident reports annually; amending s.
   24         381.885, F.S.; requiring, rather than authorizing,
   25         pharmacists to dispense epinephrine auto-injectors in
   26         certain circumstances; requiring, rather than
   27         authorizing, certain individuals to use epinephrine
   28         auto-injectors for specified purposes; requiring,
   29         rather than authorizing, authorized entities that
   30         acquire and stock a supply of epinephrine auto
   31         injectors pursuant to a prescription issued by a
   32         health care practitioner to make auto-injectors
   33         available to certain individuals, who are required,
   34         rather than authorized, to administer an epinephrine
   35         auto-injector in certain situations and under certain
   36         circumstances; providing an effective date.
   37          
   38  Be It Enacted by the Legislature of the State of Florida:
   39  
   40         Section 1. Paragraph (b) of subsection (2) and subsections
   41  (4) through (7) of section 381.88, Florida Statutes, are
   42  amended, and subsection (9) is added to that section to read:
   43         381.88 Emergency allergy treatment.—
   44         (2) As used in this section and s. 381.885, the term:
   45         (b) “Authorized entity” means an entity or organization at
   46  or in connection with which allergens capable of causing a
   47  severe allergic reaction may be present. The term includes, but
   48  is not limited to, restaurants, recreation camps, youth sports
   49  leagues, theme parks and resorts, and sports arenas, state
   50  universities, and Florida College System institutions. However,
   51  a school as described in s. 1002.20(3)(i) or s. 1002.42(17)(b)
   52  is an authorized entity for the purposes of s. 381.885(4) and
   53  (5) only.
   54         (4) The department shall may:
   55         (a) Adopt rules necessary to administer this section.
   56         (b) Conduct educational training programs as described in
   57  subsection (5) and approve programs conducted by other persons
   58  or governmental agencies.
   59         (c) Issue and renew certificates of training to persons who
   60  have complied with this section and the rules adopted by the
   61  department.
   62         (d) Collect fees necessary to administer this section.
   63         (5) Educational training programs required by this section
   64  must be conducted by a nationally recognized organization
   65  experienced in training laypersons in emergency health treatment
   66  or an entity or individual approved by the department and may be
   67  offered online. For personnel who perform their duties in a food
   68  service establishment or a recreation and wellness facility at a
   69  state university or a Florida College System institution, the
   70  costs associated with such training programs must be paid by the
   71  state university or the Florida College System institution. The
   72  curriculum must include at a minimum:
   73         (a) Recognition of the symptoms of systemic reactions to
   74  food, insect stings, and other allergens; and
   75         (b) The proper administration of an epinephrine auto
   76  injector.
   77         (6) A certificate of training may be given to a person who:
   78         (a) Is 18 years of age or older;
   79         (b) Has, or reasonably expects to have, responsibility for
   80  or contact with at least one other person as a result of his or
   81  her occupational or volunteer status, including, but not limited
   82  to, a camp counselor, scout leader, school teacher, forest
   83  ranger, tour guide, or chaperone, or any personnel who perform
   84  their duties in a food service establishment or a recreation and
   85  wellness facility at a state university or Florida College
   86  System institution; and
   87         (c) Has successfully completed an educational training
   88  program as described in subsection (5) or holds a current state
   89  emergency medical technician certification with evidence of
   90  training in the recognition of a severe allergic reaction and
   91  the administration of an epinephrine auto-injector.
   92         (7) A person who successfully completes an educational
   93  training program may obtain a certificate upon payment of a $25
   94  an application fee of $25. For personnel who perform their
   95  duties in a food service establishment or a recreation and
   96  wellness facility at a state university or a Florida College
   97  System institution, the state university or Florida College
   98  System institution shall provide funding for the payment of such
   99  fees.
  100         (9)(a)A person issued a certificate pursuant to this
  101  section shall submit an incident report to the department within
  102  30 days after he or she administers an epinephrine auto-injector
  103  during the performance of his or her duties as an employee or
  104  agent of an authorized entity.
  105         (b)By December 1 of each year, the department shall
  106  publish a summary of the information contained within the
  107  incident reports submitted pursuant to paragraph (a).
  108         Section 2. Subsections (1) through (4) of section 381.885,
  109  Florida Statutes, are amended to read:
  110         381.885 Epinephrine auto-injectors; emergency
  111  administration.—
  112         (1) PRESCRIBING TO AN AUTHORIZED ENTITY.—An authorized
  113  health care practitioner may prescribe epinephrine auto
  114  injectors in the name of an authorized entity for use in
  115  accordance with this section, and pharmacists shall may dispense
  116  epinephrine auto-injectors pursuant to a prescription issued in
  117  the name of an authorized entity.
  118         (2) MAINTENANCE OF SUPPLY.—An authorized entity shall may
  119  acquire and stock a supply of epinephrine auto-injectors
  120  pursuant to a prescription issued in accordance with this
  121  section. Such epinephrine auto-injectors must be stored in
  122  accordance with the epinephrine auto-injector’s instructions for
  123  use and with any additional requirements that may be established
  124  by the department. An authorized entity shall designate
  125  employees or agents who hold a certificate issued pursuant to s.
  126  381.88 to be responsible for the storage, maintenance, and
  127  general oversight of epinephrine auto-injectors acquired by the
  128  authorized entity.
  129         (3) USE OF EPINEPHRINE AUTO-INJECTORS.—An individual who
  130  holds a certificate issued pursuant to s. 381.88 shall may, on
  131  the premises of or in connection with the authorized entity, use
  132  epinephrine auto-injectors prescribed pursuant to subsection (1)
  133  to:
  134         (a) Provide an epinephrine auto-injector to a person who
  135  the certified individual in good faith believes is experiencing
  136  a severe allergic reaction for that person’s immediate self
  137  administration, regardless of whether the person has a
  138  prescription for an epinephrine auto-injector or has previously
  139  been diagnosed with an allergy.
  140         (b) Administer an epinephrine auto-injector to a person who
  141  the certified individual in good faith believes is experiencing
  142  a severe allergic reaction, regardless of whether the person has
  143  a prescription for an epinephrine auto-injector or has
  144  previously been diagnosed with an allergy.
  145         (4) EXPANDED AVAILABILITY.—An authorized entity that
  146  acquires a stock supply of epinephrine auto-injectors pursuant
  147  to a prescription issued by an authorized health care
  148  practitioner in accordance with this section shall may make the
  149  auto-injectors available to individuals other than certified
  150  individuals identified in subsection (3) who shall may
  151  administer the auto-injector to a person believed in good faith
  152  to be experiencing a severe allergic reaction if the epinephrine
  153  auto-injectors are stored in a locked, secure container and are
  154  made available only upon remote authorization by an authorized
  155  health care practitioner after consultation with the authorized
  156  health care practitioner by audio, televideo, or other similar
  157  means of electronic communication. Consultation with an
  158  authorized health care practitioner for this purpose is not
  159  considered the practice of telemedicine or otherwise construed
  160  as violating any law or rule regulating the authorized health
  161  care practitioner’s professional practice.
  162         Section 3. This act shall take effect July 1, 2020.