FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 1 A bill to be entitled 2 An act relating to health care practitioners; amending 3 s. 456.0391, F.S.; requiring an autonomous physician 4 assistant to submit certain information to the 5 Department of Health; requiring the department to send 6 a notice to autonomous physician assistants regarding 7 the required information; requiring autonomous 8 physician assistants who have submitted required 9 information to update such information in writing; 10 providing penalties; amending s. 456.041, F.S.; 11 requiring the department to provide a practitioner 12 profile for an autonomous physician assistant; 13 amending ss. 458.347 and 459.022, F.S.; defining the 14 term "autonomous physician assistant"; authorizing 15 third-party payors to reimburse employers for services 16 provided by autonomous physician assistants; deleting 17 a requirement that a physician assistant must inform a 18 patient of a right to see a physician before 19 prescribing or dispensing a prescription; revising the 20 requirements for physician assistant education and 21 training programs; authorizing the Board of Medicine 22 to impose certain penalties upon an autonomous 23 physician assistant; requiring the board to register a 24 physician assistant as an autonomous physician 25 assistant if the applicant meets certain criteria; Page 1 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 26 providing requirements; providing exceptions; 27 requiring the department to distinguish such 28 autonomous physician assistants' licenses; authorizing 29 such autonomous physician assistants to perform 30 specified acts without physician supervision or 31 supervisory protocol; requiring biennial registration 32 renewal; requiring the Council on Physician Assistants 33 to establish rules; revising the membership and duties 34 of the council; prohibiting a person who is not 35 registered as an autonomous physician assistant from 36 using the title; providing for the denial, suspension, 37 or revocation of the registration of an autonomous 38 physician assistant; requiring the board to adopt 39 rules; requiring autonomous physician assistants to 40 report adverse incidents to the department; amending 41 s. 464.012, F.S.; requiring applicants for 42 registration as an advanced practice registered nurse 43 to apply to the Board of Nursing; authorizing an 44 advanced practice registered nurse to sign, certify, 45 stamp, verify, or endorse a document that requires the 46 signature, certification, stamp, verification, 47 affidavit, or endorsement of a physician within the 48 framework of an established protocol; providing an 49 exception; creating s. 464.0123, F.S.; defining the 50 term "autonomous practice"; providing for the Page 2 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 51 registration of an advanced practice registered nurse 52 to engage in autonomous practice; providing 53 registration requirements; requiring the department to 54 distinguish such advanced practice registered nurses' 55 licenses and include the registration in their 56 practitioner profiles; authorizing such advanced 57 practice registered nurses to perform specified acts 58 without physician supervision or supervisory protocol; 59 requiring biennial registration renewal and continuing 60 education; authorizing the Board of Nursing to 61 establish an advisory committee to determine the 62 medical acts that may be performed by such advanced 63 practice registered nurses; providing for appointment 64 and terms of committee members; requiring the board to 65 adopt rules; creating s. 464.0155, F.S.; requiring 66 advanced practice registered nurses registered to 67 engage in autonomous practice to report adverse 68 incidents to the Department of Health; providing 69 requirements; defining the term "adverse incident"; 70 providing for department review of such reports; 71 authorizing the department to take disciplinary 72 action; amending s. 464.018, F.S.; providing 73 additional grounds for denial of a license or 74 disciplinary action for advanced practice registered 75 nurses registered to engage in autonomous practice; Page 3 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 76 amending s. 39.01, F.S.; revising the definition of 77 the term "licensed health care professional" to 78 include an autonomous physician assistant; amending s. 79 39.303, F.S.; authorizing a specified autonomous 80 physician assistant to review certain cases of abuse 81 or neglect and standards for face-to-face medical 82 evaluations by a Child Protection Team; amending s. 83 39.304, F.S.; authorizing an autonomous physician 84 assistant to perform or order an examination and 85 diagnose a child without parental consent under 86 certain circumstances; amending s. 110.12315, F.S.; 87 revising requirements for reimbursement of pharmacies 88 for specified prescription drugs and supplies under 89 the state employees' prescription drug program; 90 amending s. 252.515, F.S.; providing immunity from 91 civil liability for an autonomous physician assistant 92 under the Postdisaster Relief Assistance Act; amending 93 ss. 310.071, 310.073, and 310.081, F.S.; authorizing 94 an autonomous physician assistant and a physician 95 assistant to administer the physical examination 96 required for deputy pilot certification and state 97 pilot licensure; authorizing an applicant for a deputy 98 pilot certificate or a state pilot license to use 99 controlled substances prescribed by an autonomous 100 physician assistant; amending s. 320.0848, F.S.; Page 4 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 101 authorizing an autonomous physician assistant to 102 certify that a person is disabled to satisfy 103 requirements for certain permits; amending s. 104 381.00315, F.S.; providing for the temporary 105 reactivation of the registration of an autonomous 106 physician assistant in a public health emergency; 107 amending s. 381.00593, F.S.; revising the definition 108 of the term "health care practitioner" to include an 109 autonomous physician assistant for purposes of the 110 Public School Volunteer Health Care Practitioner Act; 111 amending s. 381.026, F.S.; revising the definition of 112 the term "health care provider" to include an advanced 113 practice registered nurse and an autonomous physician 114 assistant for purposes of the Florida Patient's Bill 115 of Rights and Responsibilities; amending s. 382.008, 116 F.S.; authorizing an autonomous physician assistant, a 117 physician assistant, and an advanced practice 118 registered nurse to file a certificate of death or 119 fetal death under certain circumstances; authorizing a 120 certified nurse midwife to provide certain information 121 to the funeral director within a specified time 122 period; replacing the term "primary or attending 123 physician" with "primary or attending practitioner"; 124 defining the term "primary or attending practitioner"; 125 amending s. 382.011, F.S.; conforming a provision to Page 5 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 126 changes made by the act; amending s. 383.14, F.S.; 127 authorizing the release of certain newborn tests and 128 screening results to an autonomous physician 129 assistant; revising the definition of the term "health 130 care practitioner" to include an autonomous physician 131 assistant for purposes of screening for certain 132 disorders and risk factors; amending s. 390.0111, 133 F.S.; authorizing a certain action by an autonomous 134 physician assistant before an abortion procedure; 135 amending s. 390.012, F.S.; authorizing certain actions 136 by an autonomous physician assistant during and after 137 an abortion procedure; amending s. 394.463, F.S.; 138 authorizing an autonomous physician assistant, a 139 physician assistant, and an advanced practice 140 registered nurse to initiate an involuntary 141 examination for mental illness under certain 142 circumstances; authorizing a physician assistant to 143 examine a patient; amending s. 395.0191, F.S.; 144 providing an exception to certain onsite medical 145 direction requirements for a specified advanced 146 practice registered nurse; amending 395.602, F.S.; 147 authorizing the Department of Health to use certain 148 funds to increase the number of autonomous physician 149 assistants in rural areas; amending s. 397.501, F.S.; 150 prohibiting the denial of certain services to an Page 6 of 152 CODING: Words stricken are deletions; words underlined are additions. hb0607-01-c1 FLORIDA HOUSE OF REP RESENTATIVE S CS/HB 607 2020 151 individual who takes medication prescribed by an 152 autonomous physician assistant, a physician assistant, 153 or an advanced practice registered nurse; amending ss. 154 397.679 and 397.6793, F.S.; authorizing an autonomous 155 physician assistant to execute a certificate for 156 emergency admission of a person who is substance abuse 157 impaired; amending s. 400.021, F.S.; revising the 158 definition of the term "geriatric outpatient clinic" 159 to include a site staffed by an autonomous physician 160 assistant; amending s. 400.172, F.S.; authorizing an 161 autonomous