Florida Senate - 2026                                     SB 742
       
       
        
       By Senator Rodriguez
       
       
       
       
       
       40-00439-26                                            2026742__
    1                        A bill to be entitled                      
    2         An act relating to nursing licensure; amending s.
    3         464.019, F.S.; revising information that the Board of
    4         Nursing must publish on its website with respect to
    5         approved nursing education programs; revising graduate
    6         passage rate requirements for approved nursing
    7         education programs; creating s. 464.0125, F.S.;
    8         providing for provisional licensure of registered
    9         nurses and licensed practical nurses; specifying
   10         requirements for such provisional licensure; providing
   11         that provisional licenses are not renewable;
   12         specifying circumstances under which a provisional
   13         license becomes void; prohibiting applicants for
   14         provisional licensure from practicing until the
   15         provisional license is issued; establishing that
   16         provisional licensees may practice only under direct
   17         supervision of a registered nurse or licensed
   18         practical nurse, as applicable; specifying
   19         requirements for such supervision; requiring the Board
   20         of Nursing to, by a specified date, submit a formal
   21         request to National Council of State Boards of Nursing
   22         to offer the nursing licensing examination and its
   23         test preparation materials in Spanish by a specified
   24         date; providing an effective date.
   25          
   26  Be It Enacted by the Legislature of the State of Florida:
   27  
   28         Section 1. Subsection (4) and paragraph (a) of subsection
   29  (5) of section 464.019, Florida Statutes, are amended to read:
   30         464.019 Approval of nursing education programs.—
   31         (4) INTERNET WEBSITE.—The board shall publish the following
   32  information on its Internet website:
   33         (a) A list of each accredited program conducted in the
   34  state and the program’s graduate passage rates for the most
   35  recent 2 calendar years, which the department shall determine
   36  through the following sources:
   37         1. For a program’s accreditation status, the specialized
   38  accrediting agencies that are nationally recognized by the
   39  United States Secretary of Education to accredit nursing
   40  education programs.
   41         2. For a program’s graduate passage rates, the contract
   42  testing service of the National Council of State Boards of
   43  Nursing.
   44         (b) The following data for each approved program, which
   45  includes, to the extent applicable:
   46         1. All documentation provided by the program in its program
   47  application.
   48         2. The summary description of the program’s compliance
   49  submitted under subsection (3).
   50         3. The program’s accreditation status, including
   51  identification of the accrediting agency.
   52         4. The program’s probationary status.
   53         5. The program’s graduate passage rates for first-, second
   54  , and third-time test takers for the most recent 2 calendar
   55  years.
   56         6. Each program’s retention rates for students tracked from
   57  program entry to graduation.
   58         (c) The average passage rates for United States educated,
   59  first-, second-, and third-time first-time test takers on the
   60  National Council of State Boards of Nursing Licensing
   61  Examination for the most recent 2 calendar years, as calculated
   62  by the contract testing service of the National Council of State
   63  Boards of Nursing. The average passage rates shall be published
   64  separately for each type of comparable degree program listed in
   65  subparagraph (5)(a)1.
   66  
   67  The information required to be published under this subsection
   68  shall be made available in a manner that allows interactive
   69  searches and comparisons of individual programs selected by the
   70  website user. The board shall update the Internet website at
   71  least quarterly with the available information.
   72         (5) ACCOUNTABILITY.—
   73         (a)1. An approved program must achieve a graduate passage
   74  rate for first-, second-, and third-time first-time test takers
   75  which is not more than 10 percentage points lower than the
   76  average passage rate during the same calendar year for graduates
   77  of comparable degree programs who are United States educated,
   78  first-, second-, and third-time first-time test takers on the
   79  National Council of State Boards of Nursing Licensing
   80  Examination, as calculated by the contract testing service of
   81  the National Council of State Boards of Nursing. For purposes of
   82  this subparagraph, an approved program is comparable to all
   83  degree programs of the same program type from among the
   84  following program types:
   85         a. Professional nursing education programs that terminate
   86  in a bachelor’s degree.
   87         b. Professional nursing education programs that terminate
   88  in an associate degree.
   89         c. Professional nursing education programs that terminate
   90  in a diploma.
   91         d. Practical nursing education programs.
   92         2. If an approved program’s graduate passage rates do not
   93  equal or exceed the required passage rates for 2 consecutive
   94  calendar years, the board shall place the program on
   95  probationary status pursuant to chapter 120 and the program
   96  director shall appear before the board to present a plan for
   97  remediation, which shall include specific benchmarks to identify
   98  progress toward a graduate passage rate goal. The program must
   99  remain on probationary status until it achieves a graduate
  100  passage rate that equals or exceeds the required passage rate
  101  for any 1 calendar year. The board shall deny a program
  102  application for a new prelicensure nursing education program
  103  submitted by an educational institution if the institution has
  104  an existing program that is already on probationary status.
  105         3. Upon the program’s achievement of a graduate passage
  106  rate that equals or exceeds the required passage rate, the
  107  board, at its next regularly scheduled meeting following release
  108  of the program’s graduate passage rate by the National Council
  109  of State Boards of Nursing, shall remove the program’s
  110  probationary status. If the program, during the 2 calendar years
  111  following its placement on probationary status, does not achieve
  112  the required passage rate for any 1 calendar year, the board may
  113  extend the program’s probationary status for 1 additional year,
  114  provided the program has demonstrated adequate progress toward
  115  the graduate passage rate goal by meeting a majority of the
  116  benchmarks established in the remediation plan. If the program
  117  is not granted the 1-year extension or fails to achieve the
  118  required passage rate by the end of such extension, the board
  119  shall terminate the program pursuant to chapter 120.
  120         Section 2. Section 464.0125, Florida Statutes, is created
  121  to read:
  122         464.0125 Provisional licenses.—
  123         (1)The department shall issue a provisional license to
  124  practice as a registered nurse or licensed practical nurse to an
  125  applicant who meets all of the following criteria:
  126         (a)Has submitted a completed application for a provisional
  127  license to the department in a form prescribed by department
  128  rule.
  129         (b)Has graduated from an approved nursing education
  130  program and is eligible to take the licensure examination under
  131  s. 464.008(1).
  132         (c)Has submitted an application for licensure under s.
  133  464.008.
  134         (d)Demonstrates proof of possessing malpractice insurance.
  135         (e)Submits documentation, in accordance with rules adopted
  136  by the board, verifying that the applicant will practice under
  137  the direct supervision of a licensed registered nurse or
  138  licensed practical nurse as provided in subsection (3).
  139         (2)A provisional license is not renewable and is valid
  140  until a full license is granted by the department. However, a
  141  provisional license is void if the licensee does not pass the
  142  licensure examination approved by the board within 3 months
  143  after the date of graduation from an approved nursing education
  144  program or if the licensee fails the licensure examination three
  145  consecutive times during such 3-month period. If a provisional
  146  license is void, the provisional licensee must immediately cease
  147  practicing in a licensed nursing position.
  148         (3)An applicant for a provisional license may not work as
  149  a registered nurse or licensed practical nurse until the
  150  provisional license is issued. A registered nurse or licensed
  151  practical nurse practicing under a provisional license may only
  152  do so under the direct supervision of a licensed registered
  153  nurse or licensed practical nurse. A supervising nurse may
  154  supervise only one licensee at any given time. The supervising
  155  nurse must have been licensed for at least 6 months before the
  156  supervision period begins and must cosign all patient records
  157  produced by the registered nurse or licensed practical nurse
  158  practicing under a provisional license.
  159         Section 3. By July 1, 2026, the Board of Nursing shall
  160  submit a formal request to the National Council of State Boards
  161  of Nursing to offer the nursing licensing examination and its
  162  test preparation materials in Spanish by July 1, 2027, or as
  163  soon as possible thereafter.
  164         Section 4. This act shall take effect July 1, 2026.