10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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11 | 11 | | |
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12 | 12 | | |
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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to acute hospital care at home; 2 |
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16 | 16 | | amending s. 401.23, F.S.; defining the term "acute 3 |
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17 | 17 | | hospital care at home"; amending s. 401.272, F.S.; 4 |
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18 | 18 | | authorizing paramedics to provide certain life support 5 |
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19 | 19 | | services to patients receiving acute hospital care at 6 |
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20 | 20 | | home under certain circumstances; providing that a 7 |
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21 | 21 | | physician or medical director who supervises or 8 |
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22 | 22 | | directs the provision of such services by a paramedic 9 |
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23 | 23 | | is liable for any act or omission during the provision 10 |
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24 | 24 | | of such services; authorizing the Department of Health 11 |
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25 | 25 | | to adopt rules; amending s. 465.003, F.S.; defining 12 |
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26 | 26 | | the term "acute hospital care at home"; amending s. 13 |
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27 | 27 | | 465.019, F.S.; providing that Class III institu tional 14 |
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28 | 28 | | pharmacies may dispense, distribute, compound, and 15 |
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29 | 29 | | fill prescriptions for medicinal drugs for inpatient 16 |
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30 | 30 | | treatment and patients receiving acute hospital care 17 |
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31 | 31 | | at home; amending ss. 14.33, 125.01045, 166.0446, 18 |
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32 | 32 | | 252.515, 395.1027, 400.143, 401.245, 401.2 7, 409.9201, 19 |
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33 | 33 | | 458.331, 459.015, 465.014, 465.015, 465.0156, 465.016, 20 |
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34 | 34 | | 465.0197, 465.022, 465.023, 465.1901, 465.1902, 21 |
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35 | 35 | | 499.003, 893.02, F.S.; conforming cross -references; 22 |
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36 | 36 | | providing an effective date. 23 |
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37 | 37 | | 24 |
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38 | 38 | | Be It Enacted by the Legislature of the State of Flori da: 25 |
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39 | 39 | | |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | 26 |
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52 | 52 | | Section 1. Subsections (1) through (22) of section 401.23, 27 |
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53 | 53 | | Florida Statutes, are renumbered as subsections (2) through 28 |
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54 | 54 | | (23), respectively, present subsection (19) is amended, and a 29 |
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55 | 55 | | new subsection (1) is added to that section, to read: 30 |
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56 | 56 | | 401.23 Definitions.—As used in this part, the term: 31 |
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57 | 57 | | (1) "Acute hospital care at home" means acute and post -32 |
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58 | 58 | | acute health care services provided in a clinically qualified 33 |
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59 | 59 | | patient's permanent residence, as defined in s. 196.012, through 34 |
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60 | 60 | | a program approved by the Cent ers for Medicare and Medicaid 35 |
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61 | 61 | | Services and the Agency for Health Care Administration. 36 |
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62 | 62 | | (20)(19) "Physician" means a practitioner who is licensed 37 |
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63 | 63 | | under the provisions of chapter 458 or chapter 459. For the 38 |
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64 | 64 | | purpose of providing "medical direction" as defined in 39 |
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65 | 65 | | subsection (14) for the treatment of patients immediately before 40 |
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66 | 66 | | prior to or during transportation to a United States Department 41 |
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67 | 67 | | of Veterans Affairs medical facility, "physician" also means a 42 |
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68 | 68 | | practitioner employed by the United States Department of 43 |
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69 | 69 | | Veterans Affairs. 44 |
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70 | 70 | | Section 2. Paragraph (c) is added to subsection (2) of 45 |
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71 | 71 | | section 401.272, Florida Statutes, to read: 46 |
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72 | 72 | | 401.272 Emergency medical services community health care. — 47 |
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73 | 73 | | (2) Notwithstanding any other provision of law to the 48 |
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74 | 74 | | contrary: 49 |
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75 | 75 | | (c) Paramedics may provide basic life support services and 50 |
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76 | 76 | | |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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85 | 85 | | |
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86 | 86 | | |
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87 | 87 | | |
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88 | 88 | | advanced life support services to patients receiving acute 51 |
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89 | 89 | | hospital care at home as specified in the paramedic's 52 |
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90 | 90 | | supervisory relationship with a physician or standing orders as 53 |
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91 | 91 | | described in s. 401.265, s. 458.348, or s. 459.025. A physician 54 |
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92 | 92 | | who supervises or provides medical direction to a paramedic who 55 |
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93 | 93 | | provides basic life support services or advanced life support 56 |
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94 | 94 | | services to patients receiving acute hospital care at home 57 |
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95 | 95 | | pursuant to a formal supervisory re lationship or standing orders 58 |
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96 | 96 | | is liable for any act or omission of the paramedic acting under 59 |
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97 | 97 | | the physician's supervision or medical direction when providing 60 |
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98 | 98 | | such services. The department may adopt and enforce rules 61 |
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99 | 99 | | necessary to implement this paragraph. 62 |
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100 | 100 | | Section 3. Section 465.003, Florida Statutes, is amended 63 |
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101 | 101 | | to read: 64 |
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102 | 102 | | 465.003 Definitions. —As used in this chapter, the term: 65 |
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103 | 103 | | (1) "Acute hospital care at home" means acute and post -66 |
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104 | 104 | | acute health care services provided in a clinically qualified 67 |
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105 | 105 | | patient's permanent residence, as defined in s. 196.012, through 68 |
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106 | 106 | | a program approved by the Centers for Medicare and Medicaid 69 |
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107 | 107 | | Services and the Agency for Health Care Administration. 70 |
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108 | 108 | | (2)(1) "Administration" means the obtaining and giving of 71 |
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109 | 109 | | a single dose of medicina l drugs by a legally authorized person 72 |
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110 | 110 | | to a patient for her or his consumption. 73 |
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111 | 111 | | (3)(17) "Automated pharmacy system" means a mechanical 74 |
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112 | 112 | | system that delivers prescription drugs received from a Florida 75 |
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113 | 113 | | |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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122 | 122 | | |
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123 | 123 | | |
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124 | 124 | | |
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125 | 125 | | licensed pharmacy and maintains related transaction inf ormation. 76 |
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126 | 126 | | (4)(2) "Board" means the Board of Pharmacy. 77 |
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127 | 127 | | (5)(21) "Central distribution facility" means a facility 78 |
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128 | 128 | | under common control with a hospital holding a Class III 79 |
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129 | 129 | | institutional pharmacy permit that may dispense, distribute, 80 |
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130 | 130 | | compound, or fill presc riptions for medicinal drugs; prepare 81 |
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131 | 131 | | prepackaged drug products; and conduct other pharmaceutical 82 |
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132 | 132 | | services. 83 |
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133 | 133 | | (6)(16) "Centralized prescription filling" means the 84 |
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134 | 134 | | filling of a prescription by one pharmacy upon request by 85 |
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135 | 135 | | another pharmacy to fill or refill the prescription. The term 86 |
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136 | 136 | | includes the performance by one pharmacy for another pharmacy of 87 |
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137 | 137 | | other pharmacy duties such as drug utilization review, 88 |
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138 | 138 | | therapeutic drug utilization review, claims adjudication, and 89 |
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139 | 139 | | the obtaining of refill authorizations. 90 |
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140 | 140 | | (7)(22) "Common control" means the power to direct or 91 |
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141 | 141 | | cause the direction of the management and policies of a person 92 |
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142 | 142 | | or an organization, whether by ownership of stock, voting 93 |
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143 | 143 | | rights, contract, or otherwise. 94 |
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144 | 144 | | (8)(20) "Compounded sterile product" means a drug th at is 95 |
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145 | 145 | | intended for parenteral administration, an ophthalmic or oral 96 |
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146 | 146 | | inhalation drug in aqueous format, or a drug or product that is 97 |
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147 | 147 | | required to be sterile under federal or state law or rule, which 98 |
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148 | 148 | | is produced through compounding, but is not approved by the 99 |
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149 | 149 | | United States Food and Drug Administration. 100 |
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150 | 150 | | |
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158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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159 | 159 | | |
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160 | 160 | | |
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161 | 161 | | |
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162 | 162 | | (9)(18) "Compounding" means combining, mixing, or altering 101 |
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163 | 163 | | the ingredients of one or more drugs or products to create 102 |
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164 | 164 | | another drug or product. 103 |
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165 | 165 | | (10)(3) "Consultant pharmacist" means a pharmacist 104 |
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166 | 166 | | licensed by the department and certified as a consultant 105 |
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167 | 167 | | pharmacist pursuant to s. 465.0125. 106 |
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168 | 168 | | (11)(4) "Data communication device" means an electronic 107 |
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169 | 169 | | device that receives electronic information from one source and 108 |
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170 | 170 | | transmits or routes it to another, including, but not limited 109 |
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171 | 171 | | to, any such bridge, router, switch, or gateway. 110 |
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172 | 172 | | (12)(5) "Department" means the Department of Health. 111 |
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173 | 173 | | (13)(6) "Dispense" means the transfer of possession of one 112 |
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174 | 174 | | or more doses of a medici nal drug by a pharmacist to the 113 |
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175 | 175 | | ultimate consumer or her or his agent. As an element of 114 |
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176 | 176 | | dispensing, the pharmacist shall, prior to the actual physical 115 |
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177 | 177 | | transfer, interpret and assess the prescription order for 116 |
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178 | 178 | | potential adverse reactions, interactions, and dosage regimen 117 |
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179 | 179 | | she or he deems appropriate in the exercise of her or his 118 |
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180 | 180 | | professional judgment, and the pharmacist shall certify that the 119 |
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181 | 181 | | medicinal drug called for by the prescription is ready for 120 |
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182 | 182 | | transfer. The pharmacist shall also provide counseling on p roper 121 |
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183 | 183 | | drug usage, either orally or in writing, if in the exercise of 122 |
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184 | 184 | | her or his professional judgment counseling is necessary. The 123 |
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185 | 185 | | actual sales transaction and delivery of such drug shall not be 124 |
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186 | 186 | | considered dispensing. The administration shall not be 125 |
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187 | 187 | | |
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195 | 195 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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196 | 196 | | |
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197 | 197 | | |
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198 | 198 | | |
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199 | 199 | | considered dispensing. 126 |
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200 | 200 | | (14)(7) "Institutional formulary system" means a method 127 |
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201 | 201 | | whereby the medical staff evaluates, appraises, and selects 128 |
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202 | 202 | | those medicinal drugs or proprietary preparations which in the 129 |
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203 | 203 | | medical staff's clinical judgment are most useful in patie nt 130 |
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204 | 204 | | care, and which are available for dispensing by a practicing 131 |
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205 | 205 | | pharmacist in a Class II or Class III institutional pharmacy. 132 |
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206 | 206 | | (15)(8) "Medicinal drugs" or "drugs" means those 133 |
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207 | 207 | | substances or preparations commonly known as "prescription" or 134 |
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208 | 208 | | "legend" drugs which are required by federal or state law to be 135 |
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209 | 209 | | dispensed only on a prescription, but shall not include patents 136 |
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210 | 210 | | or proprietary preparations as hereafter defined. 137 |
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211 | 211 | | (16)(15) "Nuclear pharmacist" means a pharmacist licensed 138 |
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212 | 212 | | by the department and certified as a nuclear pharmacist pursuant 139 |
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213 | 213 | | to s. 465.0126. 140 |
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214 | 214 | | (17)(19) "Outsourcing facility" means a single physical 141 |
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215 | 215 | | location registered as an outsourcing facility under the federal 142 |
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216 | 216 | | Drug Quality and Security Act, Pub. L. No. 113 -54, at which 143 |
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217 | 217 | | sterile compounding of a d rug or product is conducted. 144 |
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218 | 218 | | (18)(9) "Patent or proprietary preparation" means a 145 |
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219 | 219 | | medicine in its unbroken, original package which is sold to the 146 |
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220 | 220 | | public by, or under the authority of, the manufacturer or 147 |
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221 | 221 | | primary distributor thereof and which is not misbra nded under 148 |
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222 | 222 | | the provisions of the Florida Drug and Cosmetic Act. 149 |
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223 | 223 | | (19)(10) "Pharmacist" means any person licensed pursuant 150 |
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224 | 224 | | |
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232 | 232 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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233 | 233 | | |
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234 | 234 | | |
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235 | 235 | | |
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236 | 236 | | to this chapter to practice the profession of pharmacy. 151 |
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237 | 237 | | (20)(11)(a) "Pharmacy" includes a community pharmacy, an 152 |
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238 | 238 | | institutional pharmacy, a nuclear pharmacy, a special pharmacy, 153 |
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239 | 239 | | and an Internet pharmacy. 154 |
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240 | 240 | | 1. The term "community pharmacy" includes every location 155 |
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241 | 241 | | where medicinal drugs are compounded, dispensed, stored, or sold 156 |
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242 | 242 | | or where prescriptions are filled or dispensed on an out patient 157 |
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243 | 243 | | basis. 158 |
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244 | 244 | | 2. The term "institutional pharmacy" includes every 159 |
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245 | 245 | | location in a hospital, clinic, nursing home, dispensary, 160 |
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246 | 246 | | sanitarium, extended care facility, or other facility, 161 |
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247 | 247 | | hereinafter referred to as "health care institutions," where 162 |
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248 | 248 | | medicinal drugs are compounded, dispensed, stored, or sold. 163 |
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249 | 249 | | 3. The term "nuclear pharmacy" includes every location 164 |
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250 | 250 | | where radioactive drugs and chemicals within the classification 165 |
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251 | 251 | | of medicinal drugs are compounded, dispensed, stored, or sold. 166 |
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252 | 252 | | The term "nuclear pharmac y" does not include hospitals licensed 167 |
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253 | 253 | | under chapter 395 or the nuclear medicine facilities of such 168 |
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254 | 254 | | hospitals. 169 |
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255 | 255 | | 4. The term "special pharmacy" includes every location 170 |
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256 | 256 | | where medicinal drugs are compounded, dispensed, stored, or sold 171 |
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257 | 257 | | if such locations are n ot otherwise defined in this subsection. 172 |
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258 | 258 | | 5. The term "Internet pharmacy" includes locations not 173 |
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259 | 259 | | otherwise licensed or issued a permit under this chapter, within 174 |
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260 | 260 | | or outside this state, which use the Internet to communicate 175 |
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261 | 261 | | |
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279 | | - | (b) The pharmacy department of any permittee shall be 182 |
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280 | | - | considered closed whenever a Florida licensed pharmacist is not 183 |
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281 | | - | present and on duty. The term "not present and on duty" shall 184 |
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282 | | - | not be construed to prevent a pharmacist from exiting the 185 |
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283 | | - | prescription department for the purposes of consulting or 186 |
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284 | | - | responding to inquiries or providing assistance to patients or 187 |
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285 | | - | customers, attending to personal hygiene needs, or performing 188 |
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286 | | - | any other function for which the pharmacist is responsible, 189 |
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287 | | - | provided that such activities are conducted in a manner 190 |
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288 | | - | consistent with the pharmacist's responsibility to provide 191 |
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289 | | - | pharmacy services. 192 |
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290 | | - | (21)(12) "Pharmacy intern" means a person who is currently 193 |
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291 | | - | registered in, and attending, a duly accredited college or 194 |
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292 | | - | school of pharmacy, or who is a graduate of such a school or 195 |
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293 | | - | college of pharmacy, and who is duly and properly registered 196 |
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294 | | - | with the department as provided for under its rules. 197 |
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295 | | - | (22)(13) "Practice of the professio n of pharmacy" includes 198 |
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296 | | - | compounding, dispensing, and consulting concerning contents, 199 |
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297 | | - | therapeutic values, and uses of any medicinal drug; consulting 200 |
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| 279 | + | (21)(12) "Pharmacy intern" means a person who is currently 182 |
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| 280 | + | registered in, and attending, a duly accredited college or 183 |
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| 281 | + | school of pharmacy, or who is a graduate of such a school or 184 |
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| 282 | + | college of pharmacy, and who is duly and properly registered 185 |
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| 283 | + | with the department as provided for under its rules. 186 |
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| 284 | + | (22)(13) "Practice of the profession of pharmacy" includes 187 |
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| 285 | + | compounding, dispensing, and consulting concerning contents, 188 |
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| 286 | + | therapeutic values, and uses of any med icinal drug; consulting 189 |
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| 287 | + | concerning therapeutic values and interactions of patent or 190 |
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| 288 | + | proprietary preparations, whether pursuant to prescriptions or 191 |
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| 289 | + | in the absence and entirely independent of such prescriptions or 192 |
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| 290 | + | orders; and conducting other pharmaceutical services. For 193 |
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| 291 | + | purposes of this subsection, the term "other pharmaceutical 194 |
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| 292 | + | services" means monitoring the patient's drug therapy and 195 |
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| 293 | + | assisting the patient in the management of his or her drug 196 |
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| 294 | + | therapy, and includes reviewing, and making recommendations 197 |
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| 295 | + | regarding, the patient's drug therapy and health care status in 198 |
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| 296 | + | communication with the patient's prescribing health care 199 |
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| 297 | + | provider as licensed under chapter 458, chapter 459, chapter 200 |
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310 | | - | concerning therapeutic values and interactions of patent or 201 |
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311 | | - | proprietary preparations, whether pursuant to pr escriptions or 202 |
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312 | | - | in the absence and entirely independent of such prescriptions or 203 |
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313 | | - | orders; and conducting other pharmaceutical services. For 204 |
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314 | | - | purposes of this subsection, the term "other pharmaceutical 205 |
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315 | | - | services" means monitoring the patient's drug therapy and 206 |
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316 | | - | assisting the patient in the management of his or her drug 207 |
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317 | | - | therapy, and includes reviewing, and making recommendations 208 |
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318 | | - | regarding, the patient's drug therapy and health care status in 209 |
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319 | | - | communication with the patient's prescribing health care 210 |
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320 | | - | provider as licensed under chapter 458, chapter 459, chapter 211 |
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321 | | - | 461, or chapter 466, or a similar statutory provision in another 212 |
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322 | | - | jurisdiction, or such provider's agent or such other persons as 213 |
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323 | | - | specifically authorized by the patient; and initiating, 214 |
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324 | | - | modifying, or discontinuin g drug therapy for a chronic health 215 |
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325 | | - | condition under a collaborative pharmacy practice agreement. 216 |
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326 | | - | This subsection may not be interpreted to permit an alteration 217 |
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327 | | - | of a prescriber's directions, the diagnosis or treatment of any 218 |
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328 | | - | disease, the initiation of any d rug therapy, the practice of 219 |
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329 | | - | medicine, or the practice of osteopathic medicine, unless 220 |
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330 | | - | otherwise permitted by law or specifically authorized by s. 221 |
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331 | | - | 465.1865 or s. 465.1895. The term "practice of the profession of 222 |
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332 | | - | pharmacy" also includes any other act, servi ce, operation, 223 |
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333 | | - | research, or transaction incidental to, or forming a part of, 224 |
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334 | | - | any of the foregoing acts, requiring, involving, or employing 225 |
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| 310 | + | 461, or chapter 466, or a similar statutory provision in another 201 |
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| 311 | + | jurisdiction, or such provider's agent or such other persons as 202 |
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| 312 | + | specifically authorized by the patient; and initiating, 203 |
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| 313 | + | modifying, or discontinuing drug therapy for a chronic health 204 |
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| 314 | + | condition under a collaborative pharmacy practice agreement. 205 |
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| 315 | + | This subsection may not be interpreted to permit an alteration 206 |
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| 316 | + | of a prescriber's directions, the diagnosis or treatment of any 207 |
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| 317 | + | disease, the initiation of any drug therapy, the practice of 208 |
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| 318 | + | medicine, or the practice of osteopathic medicine, unless 209 |
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| 319 | + | otherwise permitted by law or specifi cally authorized by s. 210 |
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| 320 | + | 465.1865 or s. 465.1895. The term "practice of the profession of 211 |
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| 321 | + | pharmacy" also includes any other act, service, operation, 212 |
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| 322 | + | research, or transaction incidental to, or forming a part of, 213 |
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| 323 | + | any of the foregoing acts, requiring, involving , or employing 214 |
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| 324 | + | the science or art of any branch of the pharmaceutical 215 |
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| 325 | + | profession, study, or training, and shall expressly permit a 216 |
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| 326 | + | pharmacist to transmit information from persons authorized to 217 |
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| 327 | + | prescribe medicinal drugs to their patients. The practice of th e 218 |
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| 328 | + | profession of pharmacy also includes the administration of 219 |
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| 329 | + | vaccines to adults pursuant to s. 465.189, the testing or 220 |
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| 330 | + | screening for and treatment of minor, nonchronic health 221 |
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| 331 | + | conditions pursuant to s. 465.1895, and the preparation of 222 |
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| 332 | + | prepackaged drug produ cts in facilities holding Class III 223 |
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| 333 | + | institutional pharmacy permits. The term also includes the 224 |
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| 334 | + | ordering and evaluating of any laboratory or clinical testing; 225 |
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347 | | - | the science or art of any branch of the pharmaceutical 226 |
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348 | | - | profession, study, or training, and shall expressly permit a 227 |
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349 | | - | pharmacist to transmit information from persons authorized to 228 |
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350 | | - | prescribe medicinal drugs to their patients. The practice of the 229 |
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351 | | - | profession of pharmacy also includes the administration of 230 |
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352 | | - | vaccines to adults pursuant to s. 465.189, the testing or 231 |
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353 | | - | screening for and treatment of minor, nonchronic health 232 |
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354 | | - | conditions pursuant to s. 465.1895, and the preparation of 233 |
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355 | | - | prepackaged drug products in facilities holding Class III 234 |
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356 | | - | institutional pharmacy permits. The term also includes the 235 |
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357 | | - | ordering and evaluating of any labora tory or clinical testing; 236 |
---|
358 | | - | conducting patient assessments; and modifying, discontinuing, or 237 |
---|
359 | | - | administering medicinal drugs pursuant to s. 465.0125 by a 238 |
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360 | | - | consultant pharmacist. 239 |
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361 | | - | (23)(14) "Prescription" includes any order for drugs or 240 |
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362 | | - | medicinal supplies writte n or transmitted by any means of 241 |
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363 | | - | communication by a duly licensed practitioner authorized by the 242 |
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364 | | - | laws of the state to prescribe such drugs or medicinal supplies 243 |
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365 | | - | and intended to be dispensed by a pharmacist. The term also 244 |
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366 | | - | includes an orally transmitted orde r by the lawfully designated 245 |
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367 | | - | agent of such practitioner. The term also includes an order 246 |
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368 | | - | written or transmitted by a practitioner licensed to practice in 247 |
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369 | | - | a jurisdiction other than this state, but only if the pharmacist 248 |
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370 | | - | called upon to dispense such order de termines, in the exercise 249 |
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371 | | - | of her or his professional judgment, that the order is valid and 250 |
---|
| 347 | + | conducting patient assessments; and modifying, discontinuing, or 226 |
---|
| 348 | + | administering medicinal drugs pur suant to s. 465.0125 by a 227 |
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| 349 | + | consultant pharmacist. 228 |
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| 350 | + | (23)(14) "Prescription" includes any order for drugs or 229 |
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| 351 | + | medicinal supplies written or transmitted by any means of 230 |
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| 352 | + | communication by a duly licensed practitioner authorized by the 231 |
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| 353 | + | laws of the state to prescr ibe such drugs or medicinal supplies 232 |
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| 354 | + | and intended to be dispensed by a pharmacist. The term also 233 |
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| 355 | + | includes an orally transmitted order by the lawfully designated 234 |
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| 356 | + | agent of such practitioner. The term also includes an order 235 |
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| 357 | + | written or transmitted by a practit ioner licensed to practice in 236 |
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| 358 | + | a jurisdiction other than this state, but only if the pharmacist 237 |
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| 359 | + | called upon to dispense such order determines, in the exercise 238 |
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| 360 | + | of her or his professional judgment, that the order is valid and 239 |
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| 361 | + | necessary for the treatment of a chronic or recurrent illness. 240 |
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| 362 | + | The term "prescription" also includes a pharmacist's order for a 241 |
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| 363 | + | product selected from the formulary created pursuant to s. 242 |
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| 364 | + | 465.186. Prescriptions may be retained in written form or the 243 |
---|
| 365 | + | pharmacist may cause them to be recorded in a data processing 244 |
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| 366 | + | system, provided that such order can be produced in printed form 245 |
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| 367 | + | upon lawful request. 246 |
---|
| 368 | + | Section 4. Paragraph (d) of subsection (2) and paragraph 247 |
---|
| 369 | + | (a) of subsection (4) of section 465.019, Florida Statutes, are 248 |
---|
| 370 | + | amended to read: 249 |
---|
| 371 | + | 465.019 Institutional pharmacies; permits. — 250 |
---|
384 | | - | necessary for the treatment of a chronic or recurrent illness. 251 |
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385 | | - | The term "prescription" also includes a pharmacist's order for a 252 |
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386 | | - | product selected from the formulary c reated pursuant to s. 253 |
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387 | | - | 465.186. Prescriptions may be retained in written form or the 254 |
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388 | | - | pharmacist may cause them to be recorded in a data processing 255 |
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389 | | - | system, provided that such order can be produced in printed form 256 |
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390 | | - | upon lawful request. 257 |
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391 | | - | Section 4. Paragraph (d) of subsection (2) and paragraph 258 |
---|
392 | | - | (a) of subsection (4) of section 465.019, Florida Statutes, are 259 |
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393 | | - | amended to read: 260 |
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394 | | - | 465.019 Institutional pharmacies; permits. — 261 |
---|
395 | | - | (2) The following classes of institutional pharmacies are 262 |
---|
396 | | - | established: 263 |
---|
397 | | - | (d)1. "Class III institutional pharmacies" are those 264 |
---|
398 | | - | institutional pharmacies, including central distribution 265 |
---|
399 | | - | facilities, affiliated with a hospital which that provide the 266 |
---|
400 | | - | same services that are authorized by a Class II institutional 267 |
---|
401 | | - | pharmacy permit. Class III institutiona l pharmacies may also: 268 |
---|
402 | | - | a. Dispense, distribute, compound, and fill prescriptions 269 |
---|
403 | | - | for medicinal drugs for inpatient treatment or for patients 270 |
---|
404 | | - | receiving acute hospital care at home . 271 |
---|
405 | | - | b. Prepare prepackaged drug products. 272 |
---|
406 | | - | c. Conduct other pharmaceutical services for the 273 |
---|
407 | | - | affiliated hospital and for entities under common control that 274 |
---|
408 | | - | are each permitted under this chapter to possess medicinal 275 |
---|
| 384 | + | (2) The following classes of institutional pharmacies are 251 |
---|
| 385 | + | established: 252 |
---|
| 386 | + | (d)1. "Class III institutional pharmacies" are those 253 |
---|
| 387 | + | institutional pharmacies, including central distribution 254 |
---|
| 388 | + | facilities, affiliated wit h a hospital which that provide the 255 |
---|
| 389 | + | same services that are authorized by a Class II institutional 256 |
---|
| 390 | + | pharmacy permit. Class III institutional pharmacies may also: 257 |
---|
| 391 | + | a. Dispense, distribute, compound, and fill prescriptions 258 |
---|
| 392 | + | for medicinal drugs for inpatient treatment or for patients 259 |
---|
| 393 | + | receiving acute hospital care at home . 260 |
---|
| 394 | + | b. Prepare prepackaged drug products. 261 |
---|
| 395 | + | c. Conduct other pharmaceutical services for the 262 |
---|
| 396 | + | affiliated hospital and for entities under common control that 263 |
---|
| 397 | + | are each permitted under this chapter t o possess medicinal 264 |
---|
| 398 | + | drugs. 265 |
---|
| 399 | + | d. Provide the services in sub -subparagraphs a.-c. to an 266 |
---|
| 400 | + | entity under common control which holds an active health care 267 |
---|
| 401 | + | clinic establishment permit as required under s. 499.01(2)(r). 268 |
---|
| 402 | + | 2. A Class III institutional pharmacy shall maintain 269 |
---|
| 403 | + | policies and procedures addressing: 270 |
---|
| 404 | + | a. The consultant pharmacist responsible for 271 |
---|
| 405 | + | pharmaceutical services. 272 |
---|
| 406 | + | b. Safe practices for the preparation, dispensing, 273 |
---|
| 407 | + | prepackaging, distribution, and transportation of medicinal 274 |
---|
| 408 | + | drugs and prepackaged dru g products. 275 |
---|
421 | | - | drugs. 276 |
---|
422 | | - | d. Provide the services in sub -subparagraphs a.-c. to an 277 |
---|
423 | | - | entity under common control which holds an active h ealth care 278 |
---|
424 | | - | clinic establishment permit as required under s. 499.01(2)(r). 279 |
---|
425 | | - | 2. A Class III institutional pharmacy shall maintain 280 |
---|
426 | | - | policies and procedures addressing: 281 |
---|
427 | | - | a. The consultant pharmacist responsible for 282 |
---|
428 | | - | pharmaceutical services. 283 |
---|
429 | | - | b. Safe practices for the preparation, dispensing, 284 |
---|
430 | | - | prepackaging, distribution, and transportation of medicinal 285 |
---|
431 | | - | drugs and prepackaged drug products. 286 |
---|
432 | | - | c. Recordkeeping to monitor the movement, distribution, 287 |
---|
433 | | - | and transportation of medicinal drugs and prepackaged drug 288 |
---|
434 | | - | products. 289 |
---|
435 | | - | d. Recordkeeping of pharmacy staff responsible for each 290 |
---|
436 | | - | step in the preparation, dispensing, prepackaging, 291 |
---|
437 | | - | transportation, and distribution of medicinal drugs and 292 |
---|
438 | | - | prepackaged drug products. 293 |
---|
439 | | - | e. Medicinal drugs and prepackaged drug products that may 294 |
---|
440 | | - | not be safely distributed among Class III institutional 295 |
---|
441 | | - | pharmacies. 296 |
---|
442 | | - | (4)(a) Medicinal drugs shall be dispensed by in an 297 |
---|
443 | | - | institutional pharmacy to outpatients only when that institution 298 |
---|
444 | | - | has secured a community pharmacy permit from the department. 299 |
---|
445 | | - | However, medicinal drugs may be dispensed by a hospital that 300 |
---|
| 421 | + | c. Recordkeeping to monitor the movement, distribution, 276 |
---|
| 422 | + | and transportation of medicinal drugs and prepackaged drug 277 |
---|
| 423 | + | products. 278 |
---|
| 424 | + | d. Recordkeeping of pharmacy staff responsible for each 279 |
---|
| 425 | + | step in the preparation, dispensing, prepackaging, 280 |
---|
| 426 | + | transportation, and distribution of medicinal drugs and 281 |
---|
| 427 | + | prepackaged drug products. 282 |
---|
| 428 | + | e. Medicinal drugs and prepackaged drug products that may 283 |
---|
| 429 | + | not be safely distributed among Class III institutional 284 |
---|
| 430 | + | pharmacies. 285 |
---|
| 431 | + | (4)(a) Medicinal drugs shall be dispensed by in an 286 |
---|
| 432 | + | institutional pharmacy to outpatients only when that institution 287 |
---|
| 433 | + | has secured a community pharmacy permit from the department. 288 |
---|
| 434 | + | However, medicinal drugs may be dispensed by a hospital that 289 |
---|
| 435 | + | operates a Class II or Class III institutional pharmacy to a 290 |
---|
| 436 | + | patient of the hospital's emergency department or a hospital 291 |
---|
| 437 | + | inpatient upon discharge if a prescriber, as defined in s. 292 |
---|
| 438 | + | 465.025(1), treating the patient in such hospital determines 293 |
---|
| 439 | + | that the medicinal drug is warranted and that community pharmacy 294 |
---|
| 440 | + | services are not readily accessible, geographically or 295 |
---|
| 441 | + | otherwise, to the patient. Such prescribing and dispensing must 296 |
---|
| 442 | + | be for a supply of the drug that will last for the greater of 297 |
---|
| 443 | + | the following: 298 |
---|
| 444 | + | 1. Up to 48 hours; or 299 |
---|
| 445 | + | 2. Through the end of the next business day. 300 |
---|
458 | | - | operates a Class II or Class III institutional pharmacy to a 301 |
---|
459 | | - | patient of the hospital's emergency department or a hospital 302 |
---|
460 | | - | inpatient upon discharge if a prescriber, as defined in s. 303 |
---|
461 | | - | 465.025(1), treating the patient in such hospital determines 304 |
---|
462 | | - | that the medicinal drug is warranted and that community pharmacy 305 |
---|
463 | | - | services are not readily accessible, geographically or 306 |
---|
464 | | - | otherwise, to the patient. Such prescribing and dispensing must 307 |
---|
465 | | - | be for a supply of the drug that wil l last for the greater of 308 |
---|
466 | | - | the following: 309 |
---|
467 | | - | 1. Up to 48 hours; or 310 |
---|
468 | | - | 2. Through the end of the next business day. 311 |
---|
469 | | - | Section 5. Subsection (1) of section 14.33, Florida 312 |
---|
470 | | - | Statutes, is amended to read: 313 |
---|
471 | | - | 14.33 Medal of Heroism. — 314 |
---|
472 | | - | (1) The Governor may award a Medal of Heroism of 315 |
---|
473 | | - | appropriate design, with ribbons and appurtenances, to a law 316 |
---|
474 | | - | enforcement, correctional, or correctional probation officer , as 317 |
---|
475 | | - | defined in s. 943.10(14); a firefighter, as defined in s. 318 |
---|
476 | | - | 112.191(1)(b); an emergency medical technician, as d efined in s. 319 |
---|
477 | | - | 401.23 s. 401.23(11); or a paramedic, as defined in s. 401.23 s. 320 |
---|
478 | | - | 401.23(17). A recipient must have distinguished himself or 321 |
---|
479 | | - | herself conspicuously by gallantry and intrepidity, must have 322 |
---|
480 | | - | risked his or her life deliberately above and beyond the call of 323 |
---|
481 | | - | duty while performing duty in his or her respective position, 324 |
---|
482 | | - | and must have engaged in hazardous or perilous activities to 325 |
---|
| 458 | + | Section 5. Subsection (1) of section 14.33, Florida 301 |
---|
| 459 | + | Statutes, is amended to read: 302 |
---|
| 460 | + | 14.33 Medal of Heroism. — 303 |
---|
| 461 | + | (1) The Governor may award a Medal of Heroism of 304 |
---|
| 462 | + | appropriate design, with ribbons and appurtenances, to a law 305 |
---|
| 463 | + | enforcement, correctional, or correcti onal probation officer , as 306 |
---|
| 464 | + | defined in s. 943.10(14); a firefighter, as defined in s. 307 |
---|
| 465 | + | 112.191(1)(b); an emergency medical technician, as defined in s. 308 |
---|
| 466 | + | 401.23 s. 401.23(11); or a paramedic, as defined in s. 401.23 s. 309 |
---|
| 467 | + | 401.23(17). A recipient must have distinguished himself or 310 |
---|
| 468 | + | herself conspicuously by gallantry and intrepidity, must have 311 |
---|
| 469 | + | risked his or her life deliberately above and beyond the call of 312 |
---|
| 470 | + | duty while performing duty in his or her respective position, 313 |
---|
| 471 | + | and must have engaged in hazardous or peri lous activities to 314 |
---|
| 472 | + | preserve lives with the knowledge that such activities might 315 |
---|
| 473 | + | result in great personal harm. 316 |
---|
| 474 | + | Section 6. Subsection (1) of section 125.01045, Florida 317 |
---|
| 475 | + | Statutes, is amended to read: 318 |
---|
| 476 | + | 125.01045 Prohibition of fees for first responder 319 |
---|
| 477 | + | services.— 320 |
---|
| 478 | + | (1) A county may not impose a fee or seek reimbursement 321 |
---|
| 479 | + | for any costs or expenses that may be incurred for services 322 |
---|
| 480 | + | provided by a first responder, including costs or expenses 323 |
---|
| 481 | + | related to personnel, supplies, motor vehicles, or equipment in 324 |
---|
| 482 | + | response to a motor vehicle accident, except for costs to 325 |
---|
495 | | - | preserve lives with the knowledge that such activities might 326 |
---|
496 | | - | result in great personal harm. 327 |
---|
497 | | - | Section 6. Subsection (1) of section 125.01045, Florida 328 |
---|
498 | | - | Statutes, is amended to read: 329 |
---|
499 | | - | 125.01045 Prohibition of fees for first responder 330 |
---|
500 | | - | services.— 331 |
---|
501 | | - | (1) A county may not impose a fee or seek reimbursement 332 |
---|
502 | | - | for any costs or expenses that may be incurred for services 333 |
---|
503 | | - | provided by a first responder, including costs or expenses 334 |
---|
504 | | - | related to personnel, supplies, motor vehicles, or equipment in 335 |
---|
505 | | - | response to a motor vehicle accident, except for costs to 336 |
---|
506 | | - | contain or clean up hazardous materials in quantities reportable 337 |
---|
507 | | - | to the Florida State Warning Point at the Division of Emergency 338 |
---|
508 | | - | Management, and costs for transportation and treatme nt provided 339 |
---|
509 | | - | by ambulance services licensed pursuant to s. 401.23 s. 340 |
---|
510 | | - | 401.23(4) and (5). 341 |
---|
511 | | - | Section 7. Subsection (1) of section 166.0446, Florida 342 |
---|
512 | | - | Statutes, is amended to read: 343 |
---|
513 | | - | 166.0446 Prohibition of fees for first responder 344 |
---|
514 | | - | services.— 345 |
---|
515 | | - | (1) A municipality may not impose a fee or seek 346 |
---|
516 | | - | reimbursement for any costs or expenses that may be incurred for 347 |
---|
517 | | - | services provided by a first responder, including costs or 348 |
---|
518 | | - | expenses related to personnel, supplies, motor vehicles, or 349 |
---|
519 | | - | equipment in response to a motor vehicle accident, except for 350 |
---|
| 495 | + | contain or clean up hazardous materials in quantities reportable 326 |
---|
| 496 | + | to the Florida State Warning Point at the Division of Emergency 327 |
---|
| 497 | + | Management, and costs for transportation and treatment provided 328 |
---|
| 498 | + | by ambulance services licensed pursuant to s. 401.23 s. 329 |
---|
| 499 | + | 401.23(4) and (5). 330 |
---|
| 500 | + | Section 7. Subsection (1) of section 166.0446, Florida 331 |
---|
| 501 | + | Statutes, is amended to read: 332 |
---|
| 502 | + | 166.0446 Prohibition of fees for first responder 333 |
---|
| 503 | + | services.— 334 |
---|
| 504 | + | (1) A municipality may not impose a fee or seek 335 |
---|
| 505 | + | reimbursement for any costs or expenses that may be incurred for 336 |
---|
| 506 | + | services provided by a first responder, including costs or 337 |
---|
| 507 | + | expenses related to personnel, supplies, motor vehicles, or 338 |
---|
| 508 | + | equipment in response to a motor vehicle accident, except for 339 |
---|
| 509 | + | costs to contain or clean up hazardous materials in quantities 340 |
---|
| 510 | + | reportable to the Florida State Warning Point at the Division of 341 |
---|
| 511 | + | Emergency Management, and costs for transportation and treatment 342 |
---|
| 512 | + | provided by ambulance services licensed pursuant to s. 401.23 s. 343 |
---|
| 513 | + | 401.23(4) and (5). 344 |
---|
| 514 | + | Section 8. Paragraph (a) of subsection (3) of section 345 |
---|
| 515 | + | 252.515, Florida Statutes, is amended to read: 346 |
---|
| 516 | + | 252.515 Postdisaster Relief Assistance Act; immunity from 347 |
---|
| 517 | + | civil liability.— 348 |
---|
| 518 | + | (3) As used in this section, the term: 349 |
---|
| 519 | + | (a) "Emergency first responder" means: 350 |
---|
532 | | - | costs to contain or clean up hazardous materials in quantities 351 |
---|
533 | | - | reportable to the Florida State Warning Point at the Division of 352 |
---|
534 | | - | Emergency Management, and costs for transportation and treatment 353 |
---|
535 | | - | provided by ambulance services licensed p ursuant to s. 401.23 s. 354 |
---|
536 | | - | 401.23(4) and (5). 355 |
---|
537 | | - | Section 8. Paragraph (a) of subsection (3) of section 356 |
---|
538 | | - | 252.515, Florida Statutes, is amended to read: 357 |
---|
539 | | - | 252.515 Postdisaster Relief Assistance Act; immunity from 358 |
---|
540 | | - | civil liability.— 359 |
---|
541 | | - | (3) As used in this section, the term: 360 |
---|
542 | | - | (a) "Emergency first responder" means: 361 |
---|
543 | | - | 1. A physician licensed under chapter 458. 362 |
---|
544 | | - | 2. An osteopathic physician licensed under chapter 459. 363 |
---|
545 | | - | 3. A chiropractic physician licensed under chapter 460. 364 |
---|
546 | | - | 4. A podiatric physician licensed under c hapter 461. 365 |
---|
547 | | - | 5. A dentist licensed under chapter 466. 366 |
---|
548 | | - | 6. An advanced practice registered nurse licensed under s. 367 |
---|
549 | | - | 464.012. 368 |
---|
550 | | - | 7. A physician assistant licensed under s. 458.347 or s. 369 |
---|
551 | | - | 459.022. 370 |
---|
552 | | - | 8. A worker employed by a public or private hospital in 371 |
---|
553 | | - | the state. 372 |
---|
554 | | - | 9. A paramedic as defined in s. 401.23 s. 401.23(17). 373 |
---|
555 | | - | 10. An emergency medical technician as defined in s. 374 |
---|
556 | | - | 401.23 s. 401.23(11). 375 |
---|
| 532 | + | 1. A physician licensed under chapter 458. 351 |
---|
| 533 | + | 2. An osteopathic physician licensed under chapter 459. 352 |
---|
| 534 | + | 3. A chiropractic physician licensed under chapter 460. 353 |
---|
| 535 | + | 4. A podiatric physician licensed under chapter 461. 354 |
---|
| 536 | + | 5. A dentist licensed under chapter 466. 355 |
---|
| 537 | + | 6. An advanced practice registered nurse licensed under s. 356 |
---|
| 538 | + | 464.012. 357 |
---|
| 539 | + | 7. A physician assistant licensed under s. 458.347 or s. 358 |
---|
| 540 | + | 459.022. 359 |
---|
| 541 | + | 8. A worker employed by a public or private hospital in 360 |
---|
| 542 | + | the state. 361 |
---|
| 543 | + | 9. A paramedic as defined in s. 401.23 s. 401.23(17). 362 |
---|
| 544 | + | 10. An emergency medical technician as defined in s. 363 |
---|
| 545 | + | 401.23 s. 401.23(11). 364 |
---|
| 546 | + | 11. A firefighter as defined in s. 633.102. 365 |
---|
| 547 | + | 12. A law enforcement officer as defined in s. 943.10. 366 |
---|
| 548 | + | 13. A member of the Florida N ational Guard. 367 |
---|
| 549 | + | 14. Any other personnel designated as emergency personnel 368 |
---|
| 550 | + | by the Governor pursuant to a declared emergency. 369 |
---|
| 551 | + | Section 9. Subsection (5) of section 395.1027, Florida 370 |
---|
| 552 | + | Statutes, is amended to read: 371 |
---|
| 553 | + | 395.1027 Regional poison control centers .— 372 |
---|
| 554 | + | (5) By October 1, 1999, each regional poison control 373 |
---|
| 555 | + | center shall develop a prehospital emergency dispatch protocol 374 |
---|
| 556 | + | with each licensee as defined in s. 401.23 by s. 401.23(13) in 375 |
---|
569 | | - | 11. A firefighter as defined in s. 633.102. 376 |
---|
570 | | - | 12. A law enforcement officer as defined in s. 943.10. 377 |
---|
571 | | - | 13. A member of the Florida National Guard. 378 |
---|
572 | | - | 14. Any other personnel designated as emergency personnel 379 |
---|
573 | | - | by the Governor pursuant to a declared emergency. 380 |
---|
574 | | - | Section 9. Subsection (5) of section 395.1027, Florida 381 |
---|
575 | | - | Statutes, is amended to read: 382 |
---|
576 | | - | 395.1027 Regional poiso n control centers.— 383 |
---|
577 | | - | (5) By October 1, 1999, each regional poison control 384 |
---|
578 | | - | center shall develop a prehospital emergency dispatch protocol 385 |
---|
579 | | - | with each licensee as defined in s. 401.23 by s. 401.23(13) in 386 |
---|
580 | | - | the geographic area covered by the regional poison cont rol 387 |
---|
581 | | - | center. The prehospital emergency dispatch protocol shall be 388 |
---|
582 | | - | developed by each licensee's medical director in conjunction 389 |
---|
583 | | - | with the designated regional poison control center responsible 390 |
---|
584 | | - | for the geographic area in which the licensee operates. The 391 |
---|
585 | | - | protocol shall define toxic substances and describe the 392 |
---|
586 | | - | procedure by which the designated regional poison control center 393 |
---|
587 | | - | may be consulted by the licensee. If a call is transferred to 394 |
---|
588 | | - | the designated regional poison control center in accordance with 395 |
---|
589 | | - | the protocol established under this section and s. 401.268, the 396 |
---|
590 | | - | designated regional poison control center shall assume 397 |
---|
591 | | - | responsibility and liability for the call. 398 |
---|
592 | | - | Section 10. Paragraph (b) of subsection (1) of section 399 |
---|
593 | | - | 400.143, Florida Statutes, is amended to read: 400 |
---|
| 569 | + | the geographic area covered by the regional poison control 376 |
---|
| 570 | + | center. The prehospital emergency dispatch protocol shall be 377 |
---|
| 571 | + | developed by each licensee's medical director in conjunction 378 |
---|
| 572 | + | with the designated regional poison control center responsible 379 |
---|
| 573 | + | for the geographic area in which the licensee operates. The 380 |
---|
| 574 | + | protocol shall define to xic substances and describe the 381 |
---|
| 575 | + | procedure by which the designated regional poison control center 382 |
---|
| 576 | + | may be consulted by the licensee. If a call is transferred to 383 |
---|
| 577 | + | the designated regional poison control center in accordance with 384 |
---|
| 578 | + | the protocol established under t his section and s. 401.268, the 385 |
---|
| 579 | + | designated regional poison control center shall assume 386 |
---|
| 580 | + | responsibility and liability for the call. 387 |
---|
| 581 | + | Section 10. Paragraph (b) of subsection (1) of section 388 |
---|
| 582 | + | 400.143, Florida Statutes, is amended to read: 389 |
---|
| 583 | + | 400.143 Institutional formularies established by nursing 390 |
---|
| 584 | + | home facilities.— 391 |
---|
| 585 | + | (1) For purposes of this section, the term: 392 |
---|
| 586 | + | (b) "Medicinal drug" has the same meaning as provided in 393 |
---|
| 587 | + | s. 465.003 s. 465.003(8). 394 |
---|
| 588 | + | Section 11. Paragraph (b) of subsection (2) of section 395 |
---|
| 589 | + | 401.245, Florida Statutes, is amended to read: 396 |
---|
| 590 | + | 401.245 Emergency Medical Services Advisory Council. — 397 |
---|
| 591 | + | (2) 398 |
---|
| 592 | + | (b) Representation on the Emergency Medical Services 399 |
---|
| 593 | + | Advisory Council shall include : two licensed physicians who are 400 |
---|
606 | | - | 400.143 Institutional formularies established by nursing 401 |
---|
607 | | - | home facilities.— 402 |
---|
608 | | - | (1) For purposes of this section, the term: 403 |
---|
609 | | - | (b) "Medicinal drug" has the same meaning as provided in 404 |
---|
610 | | - | s. 465.003 s. 465.003(8). 405 |
---|
611 | | - | Section 11. Paragraph (b) of subsection (2) of section 406 |
---|
612 | | - | 401.245, Florida Statutes, is amended to read: 407 |
---|
613 | | - | 401.245 Emergency Medical Services Advisory Council. — 408 |
---|
614 | | - | (2) 409 |
---|
615 | | - | (b) Representation on the Emergency Medical Services 410 |
---|
616 | | - | Advisory Council shall include : two licensed physicians who are 411 |
---|
617 | | - | medical directors "medical directors" as defined in s. 401.23 s. 412 |
---|
618 | | - | 401.23(15) or whose medical practice is closely related to 413 |
---|
619 | | - | emergency medical services; two emergency medical service 414 |
---|
620 | | - | administrators, one of whom is employed by a fire service; two 415 |
---|
621 | | - | certified paramedics, one of who m is employed by a fire service; 416 |
---|
622 | | - | two certified emergency medical technicians, one of whom is 417 |
---|
623 | | - | employed by a fire service; one emergency medical services 418 |
---|
624 | | - | educator; one emergency nurse; one hospital administrator; one 419 |
---|
625 | | - | representative of air ambulance services; one representative of 420 |
---|
626 | | - | a commercial ambulance operator; and two laypersons who are in 421 |
---|
627 | | - | no way connected with emergency medical services, one of whom is 422 |
---|
628 | | - | a representative of the elderly. Ex officio members of the 423 |
---|
629 | | - | advisory council from state agencies shall inc lude, but are 424 |
---|
630 | | - | shall not be limited to, representatives from the Department of 425 |
---|
| 606 | + | medical directors "medical directors" as defined in s. 401.23 s. 401 |
---|
| 607 | + | 401.23(15) or whose medical practice is closely related to 402 |
---|
| 608 | + | emergency medical services; two emergency medical service 403 |
---|
| 609 | + | administrators, one of whom is employed by a fire service; two 404 |
---|
| 610 | + | certified paramedics, one of whom is em ployed by a fire service; 405 |
---|
| 611 | + | two certified emergency medical technicians, one of whom is 406 |
---|
| 612 | + | employed by a fire service; one emergency medical services 407 |
---|
| 613 | + | educator; one emergency nurse; one hospital administrator; one 408 |
---|
| 614 | + | representative of air ambulance services; one re presentative of 409 |
---|
| 615 | + | a commercial ambulance operator; and two laypersons who are in 410 |
---|
| 616 | + | no way connected with emergency medical services, one of whom is 411 |
---|
| 617 | + | a representative of the elderly. Ex officio members of the 412 |
---|
| 618 | + | advisory council from state agencies shall include, b ut are 413 |
---|
| 619 | + | shall not be limited to, representatives from the Department of 414 |
---|
| 620 | + | Education, the Department of Management Services, the State Fire 415 |
---|
| 621 | + | Marshal, the Department of Highway Safety and Motor Vehicles, 416 |
---|
| 622 | + | the Department of Transportation, and the Division of Emer gency 417 |
---|
| 623 | + | Management. 418 |
---|
| 624 | + | Section 12. Subsection (2) of section 401.27, Florida 419 |
---|
| 625 | + | Statutes, is amended to read: 420 |
---|
| 626 | + | 401.27 Personnel; standards and certification. — 421 |
---|
| 627 | + | (2) The department shall establish by rule educational and 422 |
---|
| 628 | + | training criteria and examinations for the certification and 423 |
---|
| 629 | + | recertification of emergency medical technicians and paramedics. 424 |
---|
| 630 | + | Such rules must require, but need not be limited to: 425 |
---|
643 | | - | Education, the Department of Management Services, the State Fire 426 |
---|
644 | | - | Marshal, the Department of Highway Safety and Motor Vehicles, 427 |
---|
645 | | - | the Department of Transportation, and the Division of Emergency 428 |
---|
646 | | - | Management. 429 |
---|
647 | | - | Section 12. Subsection (2) of section 401.27, Florida 430 |
---|
648 | | - | Statutes, is amended to read: 431 |
---|
649 | | - | 401.27 Personnel; standards and certification. — 432 |
---|
650 | | - | (2) The department shall establish by rule educational and 433 |
---|
651 | | - | training criteria and examinations for the certification and 434 |
---|
652 | | - | recertification of emergency medical technicians and paramedics. 435 |
---|
653 | | - | Such rules must require, but need not be limited to: 436 |
---|
654 | | - | (a) For emergency medical technicians, proficiency in 437 |
---|
655 | | - | techniques identified in s. 401.23 s. 401.23(7) and in rules of 438 |
---|
656 | | - | the department. 439 |
---|
657 | | - | (b) For paramedics, proficiency in techniques identified 440 |
---|
658 | | - | in s. 401.23 s. 401.23(1) and in rules of the department. 441 |
---|
659 | | - | Section 13. Paragraph (a) of subsection (1) of section 442 |
---|
660 | | - | 409.9201, Florida Statutes, is amended to r ead: 443 |
---|
661 | | - | 409.9201 Medicaid fraud. — 444 |
---|
662 | | - | (1) As used in this section, the term: 445 |
---|
663 | | - | (a) "Prescription drug" means any drug, including, but not 446 |
---|
664 | | - | limited to, finished dosage forms or active ingredients that are 447 |
---|
665 | | - | subject to, defined in, or described in s. 503(b) of the Federal 448 |
---|
666 | | - | Food, Drug, and Cosmetic Act or in s. 465.003 s. 465.003(8), s. 449 |
---|
667 | | - | 499.003(17), s. 499.007(13), or s. 499.82(10). 450 |
---|
| 643 | + | (a) For emergency medical technicians, proficiency in 426 |
---|
| 644 | + | techniques identified in s. 401.23 s. 401.23(7) and in rules of 427 |
---|
| 645 | + | the department. 428 |
---|
| 646 | + | (b) For paramedics, proficiency in techniques identified 429 |
---|
| 647 | + | in s. 401.23 s. 401.23(1) and in rules of the department. 430 |
---|
| 648 | + | Section 13. Paragraph (a) of subsection (1) of section 431 |
---|
| 649 | + | 409.9201, Florida Statutes, is amended to read: 432 |
---|
| 650 | + | 409.9201 Medicaid fraud.— 433 |
---|
| 651 | + | (1) As used in this section, the term: 434 |
---|
| 652 | + | (a) "Prescription drug" means any drug, including, but not 435 |
---|
| 653 | + | limited to, finished dosage forms or active ingredients that are 436 |
---|
| 654 | + | subject to, defined in, or described in s. 503(b) of the Federal 437 |
---|
| 655 | + | Food, Drug, and Cosmetic Act or in s. 465.003 s. 465.003(8), s. 438 |
---|
| 656 | + | 499.003(17), s. 499.007(13), or s. 499.82(10). 439 |
---|
| 657 | + | 440 |
---|
| 658 | + | The value of individual items of the legend drugs or goods or 441 |
---|
| 659 | + | services involved in distinct transactions committed during a 442 |
---|
| 660 | + | single scheme or course of c onduct, whether involving a single 443 |
---|
| 661 | + | person or several persons, may be aggregated when determining 444 |
---|
| 662 | + | the punishment for the offense. 445 |
---|
| 663 | + | Section 14. Paragraph (pp) of subsection (1) of section 446 |
---|
| 664 | + | 458.331, Florida Statutes, is amended to read: 447 |
---|
| 665 | + | 458.331 Grounds for disciplinary action; action by the 448 |
---|
| 666 | + | board and department. — 449 |
---|
| 667 | + | (1) The following acts constitute grounds for denial of a 450 |
---|
680 | | - | 451 |
---|
681 | | - | The value of individual items of the legend drugs or goods or 452 |
---|
682 | | - | services involved in distinct transactions committed during a 453 |
---|
683 | | - | single scheme or course of conduct, whether involving a single 454 |
---|
684 | | - | person or several persons, may be aggregated when determining 455 |
---|
685 | | - | the punishment for the offense. 456 |
---|
686 | | - | Section 14. Paragraph (pp) of subsection (1) of section 457 |
---|
687 | | - | 458.331, Florida Statutes, is amended to read: 458 |
---|
688 | | - | 458.331 Grounds for disciplinary action; action by the 459 |
---|
689 | | - | board and department. — 460 |
---|
690 | | - | (1) The following acts constitute grounds for denial of a 461 |
---|
691 | | - | license or disciplinary action, as specified in s. 456.072(2): 462 |
---|
692 | | - | (pp) Applicable to a licensee who serves as the design ated 463 |
---|
693 | | - | physician of a pain-management clinic as defined in s. 458.3265 464 |
---|
694 | | - | or s. 459.0137: 465 |
---|
695 | | - | 1. Registering a pain -management clinic through 466 |
---|
696 | | - | misrepresentation or fraud; 467 |
---|
697 | | - | 2. Procuring, or attempting to procure, the registration 468 |
---|
698 | | - | of a pain-management clinic for an y other person by making or 469 |
---|
699 | | - | causing to be made, any false representation; 470 |
---|
700 | | - | 3. Failing to comply with any requirement of chapter 499, 471 |
---|
701 | | - | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301 -392, the 472 |
---|
702 | | - | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et s eq., 473 |
---|
703 | | - | the Drug Abuse Prevention and Control Act; or chapter 893, the 474 |
---|
704 | | - | Florida Comprehensive Drug Abuse Prevention and Control Act; 475 |
---|
| 680 | + | license or disciplinary action, as specified in s. 456.072(2): 451 |
---|
| 681 | + | (pp) Applicable to a licensee who serves as the designated 452 |
---|
| 682 | + | physician of a pain-management clinic as defined in s. 458.3265 453 |
---|
| 683 | + | or s. 459.0137: 454 |
---|
| 684 | + | 1. Registering a pain -management clinic through 455 |
---|
| 685 | + | misrepresentation or fraud; 456 |
---|
| 686 | + | 2. Procuring, or attempting to procure, the registration 457 |
---|
| 687 | + | of a pain-management clinic for any other person by making or 458 |
---|
| 688 | + | causing to be made, any false representation; 459 |
---|
| 689 | + | 3. Failing to comply with any requirement of chapter 499, 460 |
---|
| 690 | + | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301 -392, the 461 |
---|
| 691 | + | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et seq., 462 |
---|
| 692 | + | the Drug Abuse Prevention and Control Act; or chapter 893, the 463 |
---|
| 693 | + | Florida Comprehensive Drug Abuse Prevention and Control Act; 464 |
---|
| 694 | + | 4. Being convicted or found guilty of, regardless of 465 |
---|
| 695 | + | adjudication to, a felony or any other crime involving moral 466 |
---|
| 696 | + | turpitude, fraud, dishonesty , or deceit in any jurisdiction of 467 |
---|
| 697 | + | the courts of this state, of any other state, or of the United 468 |
---|
| 698 | + | States; 469 |
---|
| 699 | + | 5. Being convicted of, or disciplined by a regulatory 470 |
---|
| 700 | + | agency of the Federal Government or a regulatory agency of 471 |
---|
| 701 | + | another state for, any offense that would constitute a violation 472 |
---|
| 702 | + | of this chapter; 473 |
---|
| 703 | + | 6. Being convicted of, or entering a plea of guilty or 474 |
---|
| 704 | + | nolo contendere to, regardless of adjudication, a crime in any 475 |
---|
717 | | - | 4. Being convicted or found guilty of, regardless of 476 |
---|
718 | | - | adjudication to, a felony or any other crime involving moral 477 |
---|
719 | | - | turpitude, fraud, dishonesty, or deceit in any jurisdiction of 478 |
---|
720 | | - | the courts of this state, of any other state, or of the United 479 |
---|
721 | | - | States; 480 |
---|
722 | | - | 5. Being convicted of, or disciplined by a regulatory 481 |
---|
723 | | - | agency of the Federal Government or a regulatory agency of 482 |
---|
724 | | - | another state for, any offense that would constitute a violation 483 |
---|
725 | | - | of this chapter; 484 |
---|
726 | | - | 6. Being convicted of, or entering a plea of guilty or 485 |
---|
727 | | - | nolo contendere to, regardless of adjudication, a crime in any 486 |
---|
728 | | - | jurisdiction of the courts of this state, of any other state, or 487 |
---|
729 | | - | of the United States which relates to the practice of, or the 488 |
---|
730 | | - | ability to practice, a licensed health care profession; 489 |
---|
731 | | - | 7. Being convicted of, or entering a plea of guilty or 490 |
---|
732 | | - | nolo contendere to, regardless of adjudication, a crime in any 491 |
---|
733 | | - | jurisdiction of the court s of this state, of any other state, or 492 |
---|
734 | | - | of the United States which relates to health care fraud; 493 |
---|
735 | | - | 8. Dispensing any medicinal drug based upon a 494 |
---|
736 | | - | communication that purports to be a prescription as defined in 495 |
---|
737 | | - | s. 465.003 s. 465.003(14) or s. 893.02 if the di spensing 496 |
---|
738 | | - | practitioner knows or has reason to believe that the purported 497 |
---|
739 | | - | prescription is not based upon a valid practitioner -patient 498 |
---|
740 | | - | relationship; or 499 |
---|
741 | | - | 9. Failing to timely notify the board of the date of his 500 |
---|
| 717 | + | jurisdiction of the courts of this state, of any other state, or 476 |
---|
| 718 | + | of the United States whi ch relates to the practice of, or the 477 |
---|
| 719 | + | ability to practice, a licensed health care profession; 478 |
---|
| 720 | + | 7. Being convicted of, or entering a plea of guilty or 479 |
---|
| 721 | + | nolo contendere to, regardless of adjudication, a crime in any 480 |
---|
| 722 | + | jurisdiction of the courts of this state, of any other state, or 481 |
---|
| 723 | + | of the United States which relates to health care fraud; 482 |
---|
| 724 | + | 8. Dispensing any medicinal drug based upon a 483 |
---|
| 725 | + | communication that purports to be a prescription as defined in 484 |
---|
| 726 | + | s. 465.003 s. 465.003(14) or s. 893.02 if the dispensing 485 |
---|
| 727 | + | practitioner knows or has reason to believe that the purported 486 |
---|
| 728 | + | prescription is not based upon a valid practitioner -patient 487 |
---|
| 729 | + | relationship; or 488 |
---|
| 730 | + | 9. Failing to timely notify the board of the date of his 489 |
---|
| 731 | + | or her termination from a pain -management clinic as required by 490 |
---|
| 732 | + | s. 458.3265(3). 491 |
---|
| 733 | + | Section 15. Paragraph (rr) of subsection (1) of section 492 |
---|
| 734 | + | 459.015, Florida Statutes, is amended to read: 493 |
---|
| 735 | + | 459.015 Grounds for disciplinary action; action by the 494 |
---|
| 736 | + | board and department. — 495 |
---|
| 737 | + | (1) The following acts constitute grounds for denial of a 496 |
---|
| 738 | + | license or disciplinary action, as specified in s. 456.072(2): 497 |
---|
| 739 | + | (rr) Applicable to a licensee who serves as the designated 498 |
---|
| 740 | + | physician of a pain-management clinic as defined in s. 458.3265 499 |
---|
| 741 | + | or s. 459.0137: 500 |
---|
754 | | - | or her termination from a pain -management clinic as required by 501 |
---|
755 | | - | s. 458.3265(3). 502 |
---|
756 | | - | Section 15. Paragraph (rr) of subsection (1) of section 503 |
---|
757 | | - | 459.015, Florida Statutes, is amended to read: 504 |
---|
758 | | - | 459.015 Grounds for disciplinary action; action by the 505 |
---|
759 | | - | board and department. — 506 |
---|
760 | | - | (1) The following acts constitute g rounds for denial of a 507 |
---|
761 | | - | license or disciplinary action, as specified in s. 456.072(2): 508 |
---|
762 | | - | (rr) Applicable to a licensee who serves as the designated 509 |
---|
763 | | - | physician of a pain-management clinic as defined in s. 458.3265 510 |
---|
764 | | - | or s. 459.0137: 511 |
---|
765 | | - | 1. Registering a pain -management clinic through 512 |
---|
766 | | - | misrepresentation or fraud; 513 |
---|
767 | | - | 2. Procuring, or attempting to procure, the registration 514 |
---|
768 | | - | of a pain-management clinic for any other person by making or 515 |
---|
769 | | - | causing to be made, any false representation; 516 |
---|
770 | | - | 3. Failing to comply with any requirement of chapter 499, 517 |
---|
771 | | - | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301 -392, the 518 |
---|
772 | | - | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et seq., 519 |
---|
773 | | - | the Drug Abuse Prevention and Control Act; or chapter 893, the 520 |
---|
774 | | - | Florida Comprehensive Drug Abuse Preve ntion and Control Act; 521 |
---|
775 | | - | 4. Being convicted or found guilty of, regardless of 522 |
---|
776 | | - | adjudication to, a felony or any other crime involving moral 523 |
---|
777 | | - | turpitude, fraud, dishonesty, or deceit in any jurisdiction of 524 |
---|
778 | | - | the courts of this state, of any other state, or of th e United 525 |
---|
| 754 | + | 1. Registering a pain -management clinic thro ugh 501 |
---|
| 755 | + | misrepresentation or fraud; 502 |
---|
| 756 | + | 2. Procuring, or attempting to procure, the registration 503 |
---|
| 757 | + | of a pain-management clinic for any other person by making or 504 |
---|
| 758 | + | causing to be made, any false representation; 505 |
---|
| 759 | + | 3. Failing to comply with any requirement of chapter 499, 506 |
---|
| 760 | + | the Florida Drug and Cosmetic Act; 21 U.S.C. ss. 301 -392, the 507 |
---|
| 761 | + | Federal Food, Drug, and Cosmetic Act; 21 U.S.C. ss. 821 et seq., 508 |
---|
| 762 | + | the Drug Abuse Prevention and Control Act; or chapter 893, the 509 |
---|
| 763 | + | Florida Comprehensive Drug Abuse Prevention and Control Act; 510 |
---|
| 764 | + | 4. Being convicted or found guilty of, regardless of 511 |
---|
| 765 | + | adjudication to, a felony or any other crime involving moral 512 |
---|
| 766 | + | turpitude, fraud, dishonesty, or deceit in any jurisdiction of 513 |
---|
| 767 | + | the courts of this state, of any other state, or of the United 514 |
---|
| 768 | + | States; 515 |
---|
| 769 | + | 5. Being convicted of, or disciplined by a regulatory 516 |
---|
| 770 | + | agency of the Federal Government or a regulatory agency of 517 |
---|
| 771 | + | another state for, any offense that would constitute a violation 518 |
---|
| 772 | + | of this chapter; 519 |
---|
| 773 | + | 6. Being convicted of, or entering a plea of guilty or 520 |
---|
| 774 | + | nolo contendere to, regardless of adjudication, a crime in any 521 |
---|
| 775 | + | jurisdiction of the courts of this state, of any other state, or 522 |
---|
| 776 | + | of the United States which relates to the practice of, or the 523 |
---|
| 777 | + | ability to practice, a licensed health care profession; 524 |
---|
| 778 | + | 7. Being convicted of, or entering a plea of guilty or 525 |
---|
791 | | - | States; 526 |
---|
792 | | - | 5. Being convicted of, or disciplined by a regulatory 527 |
---|
793 | | - | agency of the Federal Government or a regulatory agency of 528 |
---|
794 | | - | another state for, any offense that would constitute a violation 529 |
---|
795 | | - | of this chapter; 530 |
---|
796 | | - | 6. Being convicted of, or entering a ple a of guilty or 531 |
---|
797 | | - | nolo contendere to, regardless of adjudication, a crime in any 532 |
---|
798 | | - | jurisdiction of the courts of this state, of any other state, or 533 |
---|
799 | | - | of the United States which relates to the practice of, or the 534 |
---|
800 | | - | ability to practice, a licensed health care profess ion; 535 |
---|
801 | | - | 7. Being convicted of, or entering a plea of guilty or 536 |
---|
802 | | - | nolo contendere to, regardless of adjudication, a crime in any 537 |
---|
803 | | - | jurisdiction of the courts of this state, of any other state, or 538 |
---|
804 | | - | of the United States which relates to health care fraud; 539 |
---|
805 | | - | 8. Dispensing any medicinal drug based upon a 540 |
---|
806 | | - | communication that purports to be a prescription as defined in 541 |
---|
807 | | - | s. 465.003 s. 465.003(14) or s. 893.02 if the dispensing 542 |
---|
808 | | - | practitioner knows or has reason to believe that the purported 543 |
---|
809 | | - | prescription is not based upon a v alid practitioner-patient 544 |
---|
810 | | - | relationship; or 545 |
---|
811 | | - | 9. Failing to timely notify the board of the date of his 546 |
---|
812 | | - | or her termination from a pain -management clinic as required by 547 |
---|
813 | | - | s. 459.0137(3). 548 |
---|
814 | | - | Section 16. Subsection (1) of section 465.014, Florida 549 |
---|
815 | | - | Statutes, is amended to read: 550 |
---|
| 791 | + | nolo contendere to, regardless of adjudication, a crime in any 526 |
---|
| 792 | + | jurisdiction of the courts of this state, of any other state, or 527 |
---|
| 793 | + | of the United States which relates to health care fraud; 528 |
---|
| 794 | + | 8. Dispensing any medicinal dr ug based upon a 529 |
---|
| 795 | + | communication that purports to be a prescription as defined in 530 |
---|
| 796 | + | s. 465.003 s. 465.003(14) or s. 893.02 if the dispensing 531 |
---|
| 797 | + | practitioner knows or has reason to believe that the purported 532 |
---|
| 798 | + | prescription is not based upon a valid practitioner -patient 533 |
---|
| 799 | + | relationship; or 534 |
---|
| 800 | + | 9. Failing to timely notify the board of the date of his 535 |
---|
| 801 | + | or her termination from a pain -management clinic as required by 536 |
---|
| 802 | + | s. 459.0137(3). 537 |
---|
| 803 | + | Section 16. Subsection (1) of section 465.014, Florida 538 |
---|
| 804 | + | Statutes, is amended to read: 539 |
---|
| 805 | + | 465.014 Pharmacy technician. — 540 |
---|
| 806 | + | (1) A person other than a licensed pharmacist or pharmacy 541 |
---|
| 807 | + | intern may not engage in the practice of the profession of 542 |
---|
| 808 | + | pharmacy, except that a licensed pharmacist may delegate to 543 |
---|
| 809 | + | pharmacy technicians who are registered pursuant to t his section 544 |
---|
| 810 | + | those duties, tasks, and functions that do not fall within the 545 |
---|
| 811 | + | purview of s. 465.003 s. 465.003(13). All such delegated acts 546 |
---|
| 812 | + | must be performed under the direct supervision of a licensed 547 |
---|
| 813 | + | pharmacist who is responsible for all such acts performed by 548 |
---|
| 814 | + | persons under his or her supervision. A registered pharmacy 549 |
---|
| 815 | + | technician, under the supervision of a pharmacist, may initiate 550 |
---|
828 | | - | 465.014 Pharmacy technician. — 551 |
---|
829 | | - | (1) A person other than a licensed pharmacist or pharmacy 552 |
---|
830 | | - | intern may not engage in the practice of the profession of 553 |
---|
831 | | - | pharmacy, except that a licensed pharmacist may delegate to 554 |
---|
832 | | - | pharmacy technicians who are r egistered pursuant to this section 555 |
---|
833 | | - | those duties, tasks, and functions that do not fall within the 556 |
---|
834 | | - | purview of s. 465.003 s. 465.003(13). All such delegated acts 557 |
---|
835 | | - | must be performed under the direct supervision of a licensed 558 |
---|
836 | | - | pharmacist who is responsible for a ll such acts performed by 559 |
---|
837 | | - | persons under his or her supervision. A registered pharmacy 560 |
---|
838 | | - | technician, under the supervision of a pharmacist, may initiate 561 |
---|
839 | | - | or receive communications with a practitioner or his or her 562 |
---|
840 | | - | agent, on behalf of a patient, regarding refil l authorization 563 |
---|
841 | | - | requests. A licensed pharmacist may not supervise more than one 564 |
---|
842 | | - | registered pharmacy technician unless otherwise permitted by the 565 |
---|
843 | | - | guidelines adopted by the board. The board shall establish 566 |
---|
844 | | - | guidelines to be followed by licensees or permittees in 567 |
---|
845 | | - | determining the circumstances under which a licensed pharmacist 568 |
---|
846 | | - | may supervise more than one pharmacy technician. 569 |
---|
847 | | - | Section 17. Paragraph (c) of subsection (2) of section 570 |
---|
848 | | - | 465.015, Florida Statutes, is amended to read: 571 |
---|
849 | | - | 465.015 Violations and penaltie s.— 572 |
---|
850 | | - | (2) It is unlawful for any person: 573 |
---|
851 | | - | (c) To sell or dispense drugs as defined in s. 465.003 s. 574 |
---|
852 | | - | 465.003(8) without first being furnished with a prescription. 575 |
---|
| 828 | + | or receive communications with a practitioner or his or her 551 |
---|
| 829 | + | agent, on behalf of a patient, regarding refill authorization 552 |
---|
| 830 | + | requests. A licensed pharmacist may not supervise more than one 553 |
---|
| 831 | + | registered pharmacy technician unless otherwise permitted by the 554 |
---|
| 832 | + | guidelines adopted by the board. The board shall establish 555 |
---|
| 833 | + | guidelines to be followed by licensees or permittees in 556 |
---|
| 834 | + | determining the circumstances under which a licensed pharmacist 557 |
---|
| 835 | + | may supervise more than one pharmacy technician. 558 |
---|
| 836 | + | Section 17. Paragraph (c) of subsection (2) of section 559 |
---|
| 837 | + | 465.015, Florida Statutes, is amended to read: 560 |
---|
| 838 | + | 465.015 Violations and penalties. — 561 |
---|
| 839 | + | (2) It is unlawful for any person: 562 |
---|
| 840 | + | (c) To sell or dispense drugs as defined in s. 465.003 s. 563 |
---|
| 841 | + | 465.003(8) without first being furnished with a prescription. 564 |
---|
| 842 | + | Section 18. Subsection (9) of section 465.0156, Florida 565 |
---|
| 843 | + | Statutes, is amended to read: 566 |
---|
| 844 | + | 465.0156 Registration of nonresident pharmacies. — 567 |
---|
| 845 | + | (9) Notwithstanding s. 465.003 s. 465.003(10), for 568 |
---|
| 846 | + | purposes of this section, the registered pharmacy and the 569 |
---|
| 847 | + | pharmacist designated by the registered pharmacy as the 570 |
---|
| 848 | + | prescription department manager or the equivalent must be 571 |
---|
| 849 | + | licensed in the state of location in order to dispense into this 572 |
---|
| 850 | + | state. 573 |
---|
| 851 | + | Section 19. Paragraph (s) of subsection (1) of section 574 |
---|
| 852 | + | 465.016, Florida Statutes, is amended to read: 575 |
---|
865 | | - | Section 18. Subsection (9) of section 465.0156, Florida 576 |
---|
866 | | - | Statutes, is amended to read: 577 |
---|
867 | | - | 465.0156 Registration of nonresident pharmacies. — 578 |
---|
868 | | - | (9) Notwithstanding s. 465.003 s. 465.003(10), for 579 |
---|
869 | | - | purposes of this section, the registered pharmacy and the 580 |
---|
870 | | - | pharmacist designated by the registered pharmacy as the 581 |
---|
871 | | - | prescription department manager or the e quivalent must be 582 |
---|
872 | | - | licensed in the state of location in order to dispense into this 583 |
---|
873 | | - | state. 584 |
---|
874 | | - | Section 19. Paragraph (s) of subsection (1) of section 585 |
---|
875 | | - | 465.016, Florida Statutes, is amended to read: 586 |
---|
876 | | - | 465.016 Disciplinary actions. — 587 |
---|
877 | | - | (1) The following acts co nstitute grounds for denial of a 588 |
---|
878 | | - | license or disciplinary action, as specified in s. 456.072(2): 589 |
---|
879 | | - | (s) Dispensing any medicinal drug based upon a 590 |
---|
880 | | - | communication that purports to be a prescription as defined in 591 |
---|
881 | | - | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 592 |
---|
882 | | - | knows or has reason to believe that the purported prescription 593 |
---|
883 | | - | is not based upon a valid practitioner -patient relationship. 594 |
---|
884 | | - | Section 20. Subsection (4) of section 465.0197, Florida 595 |
---|
885 | | - | Statutes, is amended to read: 596 |
---|
886 | | - | 465.0197 Internet pharmacy permits. — 597 |
---|
887 | | - | (4) Notwithstanding s. 465.003 s. 465.003(10), for 598 |
---|
888 | | - | purposes of this section, the Internet pharmacy and the 599 |
---|
889 | | - | pharmacist designated by the Internet pharmacy as the 600 |
---|
| 865 | + | 465.016 Disciplinary actions. — 576 |
---|
| 866 | + | (1) The following acts constitute grounds for de nial of a 577 |
---|
| 867 | + | license or disciplinary action, as specified in s. 456.072(2): 578 |
---|
| 868 | + | (s) Dispensing any medicinal drug based upon a 579 |
---|
| 869 | + | communication that purports to be a prescription as defined in 580 |
---|
| 870 | + | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 581 |
---|
| 871 | + | knows or has reason to believe that the purported prescription 582 |
---|
| 872 | + | is not based upon a valid practitioner -patient relationship. 583 |
---|
| 873 | + | Section 20. Subsection (4) of section 465.0197, Florida 584 |
---|
| 874 | + | Statutes, is amended to read: 585 |
---|
| 875 | + | 465.0197 Internet pharmacy permits. — 586 |
---|
| 876 | + | (4) Notwithstanding s. 465.003 s. 465.003(10), for 587 |
---|
| 877 | + | purposes of this section, the Internet pharmacy and the 588 |
---|
| 878 | + | pharmacist designated by the Internet pharmacy as the 589 |
---|
| 879 | + | prescription department manager or the equivalent must be 590 |
---|
| 880 | + | licensed in the state of location in order to dispense into this 591 |
---|
| 881 | + | state. 592 |
---|
| 882 | + | Section 21. Paragraph (j) of subsection (5) of section 593 |
---|
| 883 | + | 465.022, Florida Statutes, is amended to read: 594 |
---|
| 884 | + | 465.022 Pharmacies; general requirements; fees. — 595 |
---|
| 885 | + | (5) The department or board s hall deny an application for 596 |
---|
| 886 | + | a pharmacy permit if the applicant or an affiliated person, 597 |
---|
| 887 | + | partner, officer, director, or prescription department manager 598 |
---|
| 888 | + | or consultant pharmacist of record of the applicant: 599 |
---|
| 889 | + | (j) Has dispensed any medicinal drug based upon a 600 |
---|
902 | | - | prescription department manager or the equivalent must be 601 |
---|
903 | | - | licensed in the state of location in order to dispense into this 602 |
---|
904 | | - | state. 603 |
---|
905 | | - | Section 21. Paragraph (j) of subsection (5) of section 604 |
---|
906 | | - | 465.022, Florida Statutes, is amended to read: 605 |
---|
907 | | - | 465.022 Pharmacies; general requirements; fees. — 606 |
---|
908 | | - | (5) The department or board s hall deny an application for 607 |
---|
909 | | - | a pharmacy permit if the applicant or an affiliated person, 608 |
---|
910 | | - | partner, officer, director, or prescription department manager 609 |
---|
911 | | - | or consultant pharmacist of record of the applicant: 610 |
---|
912 | | - | (j) Has dispensed any medicinal drug based upon a 611 |
---|
913 | | - | communication that purports to be a prescription as defined in 612 |
---|
914 | | - | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 613 |
---|
915 | | - | knows or has reason to believe that the purported prescription 614 |
---|
916 | | - | is not based upon a valid practitioner -patient relationship that 615 |
---|
917 | | - | includes a documented patient evaluation, including history and 616 |
---|
918 | | - | a physical examination adequate to establish the diagnosis for 617 |
---|
919 | | - | which any drug is prescribed and any other requirement 618 |
---|
920 | | - | established by board rule under chapter 458, chapter 459, 619 |
---|
921 | | - | chapter 461, chapter 463, chapter 464, or chapter 466. 620 |
---|
922 | | - | 621 |
---|
923 | | - | For felonies in which the defendant entered a plea of guilty or 622 |
---|
924 | | - | nolo contendere in an agreement with the court to enter a 623 |
---|
925 | | - | pretrial intervention or drug diversion program, the department 624 |
---|
926 | | - | shall deny the application if upon final resolution of the case 625 |
---|
| 902 | + | communication that purports to be a prescription as defined in 601 |
---|
| 903 | + | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 602 |
---|
| 904 | + | knows or has reason to b elieve that the purported prescription 603 |
---|
| 905 | + | is not based upon a valid practitioner -patient relationship that 604 |
---|
| 906 | + | includes a documented patient evaluation, including history and 605 |
---|
| 907 | + | a physical examination adequate to establish the diagnosis for 606 |
---|
| 908 | + | which any drug is prescri bed and any other requirement 607 |
---|
| 909 | + | established by board rule under chapter 458, chapter 459, 608 |
---|
| 910 | + | chapter 461, chapter 463, chapter 464, or chapter 466. 609 |
---|
| 911 | + | 610 |
---|
| 912 | + | For felonies in which the defendant entered a plea of guilty or 611 |
---|
| 913 | + | nolo contendere in an agreement with the court to enter a 612 |
---|
| 914 | + | pretrial intervention or drug diversion program, the department 613 |
---|
| 915 | + | shall deny the application if upon final resolution of the case 614 |
---|
| 916 | + | the licensee has failed to successfully complete the program. 615 |
---|
| 917 | + | Section 22. Paragraph (h) of subsection (1) of sect ion 616 |
---|
| 918 | + | 465.023, Florida Statutes, is amended to read: 617 |
---|
| 919 | + | 465.023 Pharmacy permittee; disciplinary action. — 618 |
---|
| 920 | + | (1) The department or the board may revoke or suspend the 619 |
---|
| 921 | + | permit of any pharmacy permittee, and may fine, place on 620 |
---|
| 922 | + | probation, or otherwise discipline a ny pharmacy permittee if the 621 |
---|
| 923 | + | permittee, or any affiliated person, partner, officer, director, 622 |
---|
| 924 | + | or agent of the permittee, including a person fingerprinted 623 |
---|
| 925 | + | under s. 465.022(3), has: 624 |
---|
| 926 | + | (h) Dispensed any medicinal drug based upon a 625 |
---|
939 | | - | the licensee has failed to successfully complete the program. 626 |
---|
940 | | - | Section 22. Paragraph (h) of subsection (1) of section 627 |
---|
941 | | - | 465.023, Florida Statutes, is amended to read: 628 |
---|
942 | | - | 465.023 Pharmacy permittee; disciplinary action. — 629 |
---|
943 | | - | (1) The department or the board may revo ke or suspend the 630 |
---|
944 | | - | permit of any pharmacy permittee, and may fine, place on 631 |
---|
945 | | - | probation, or otherwise discipline any pharmacy permittee if the 632 |
---|
946 | | - | permittee, or any affiliated person, partner, officer, director, 633 |
---|
947 | | - | or agent of the permittee, including a person finge rprinted 634 |
---|
948 | | - | under s. 465.022(3), has: 635 |
---|
949 | | - | (h) Dispensed any medicinal drug based upon a 636 |
---|
950 | | - | communication that purports to be a prescription as defined in 637 |
---|
951 | | - | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 638 |
---|
952 | | - | knows or has reason to believe that the purporte d prescription 639 |
---|
953 | | - | is not based upon a valid practitioner -patient relationship that 640 |
---|
954 | | - | includes a documented patient evaluation, including history and 641 |
---|
955 | | - | a physical examination adequate to establish the diagnosis for 642 |
---|
956 | | - | which any drug is prescribed and any other requir ement 643 |
---|
957 | | - | established by board rule under chapter 458, chapter 459, 644 |
---|
958 | | - | chapter 461, chapter 463, chapter 464, or chapter 466. 645 |
---|
959 | | - | Section 23. Section 465.1901, Florida Statutes, is amended 646 |
---|
960 | | - | to read: 647 |
---|
961 | | - | 465.1901 Practice of orthotics and pedorthics. —The 648 |
---|
962 | | - | provisions of chapter 468 relating to orthotics or pedorthics do 649 |
---|
963 | | - | not apply to any licensed pharmacist or to any person acting 650 |
---|
| 939 | + | communication that purports to be a prescription as defined in 626 |
---|
| 940 | + | s. 465.003 by s. 465.003(14) or s. 893.02 when the pharmacist 627 |
---|
| 941 | + | knows or has reason to believe that the purported prescription 628 |
---|
| 942 | + | is not based upon a valid practitioner -patient relationship that 629 |
---|
| 943 | + | includes a documented patient e valuation, including history and 630 |
---|
| 944 | + | a physical examination adequate to establish the diagnosis for 631 |
---|
| 945 | + | which any drug is prescribed and any other requirement 632 |
---|
| 946 | + | established by board rule under chapter 458, chapter 459, 633 |
---|
| 947 | + | chapter 461, chapter 463, chapter 464, or chapt er 466. 634 |
---|
| 948 | + | Section 23. Section 465.1901, Florida Statutes, is amended 635 |
---|
| 949 | + | to read: 636 |
---|
| 950 | + | 465.1901 Practice of orthotics and pedorthics. —The 637 |
---|
| 951 | + | provisions of chapter 468 relating to orthotics or pedorthics do 638 |
---|
| 952 | + | not apply to any licensed pharmacist or to any person acti ng 639 |
---|
| 953 | + | under the supervision of a licensed pharmacist. The practice of 640 |
---|
| 954 | + | orthotics or pedorthics by a pharmacist or any of the 641 |
---|
| 955 | + | pharmacist's employees acting under the supervision of a 642 |
---|
| 956 | + | pharmacist shall be construed to be within the meaning of the 643 |
---|
| 957 | + | term "practice of the profession of pharmacy" as defined set 644 |
---|
| 958 | + | forth in s. 465.003 s. 465.003(13), and shall be subject to 645 |
---|
| 959 | + | regulation in the same manner as any other pharmacy practice. 646 |
---|
| 960 | + | The Board of Pharmacy shall develop rules regarding the practice 647 |
---|
| 961 | + | of orthotics and pedorth ics by a pharmacist. Any pharmacist or 648 |
---|
| 962 | + | person under the supervision of a pharmacist engaged in the 649 |
---|
| 963 | + | practice of orthotics or pedorthics is not precluded from 650 |
---|
976 | | - | under the supervision of a licensed pharmacist. The practice of 651 |
---|
977 | | - | orthotics or pedorthics by a pharmacist or any of the 652 |
---|
978 | | - | pharmacist's employees a cting under the supervision of a 653 |
---|
979 | | - | pharmacist shall be construed to be within the meaning of the 654 |
---|
980 | | - | term "practice of the profession of pharmacy" as defined set 655 |
---|
981 | | - | forth in s. 465.003 s. 465.003(13), and shall be subject to 656 |
---|
982 | | - | regulation in the same manner as any oth er pharmacy practice. 657 |
---|
983 | | - | The Board of Pharmacy shall develop rules regarding the practice 658 |
---|
984 | | - | of orthotics and pedorthics by a pharmacist. Any pharmacist or 659 |
---|
985 | | - | person under the supervision of a pharmacist engaged in the 660 |
---|
986 | | - | practice of orthotics or pedorthics is not pre cluded from 661 |
---|
987 | | - | continuing that practice pending adoption of these rules. 662 |
---|
988 | | - | Section 24. Paragraph (j) of subsection (2) of section 663 |
---|
989 | | - | 465.1902, Florida Statutes, is amended to read: 664 |
---|
990 | | - | 465.1902 Prescription Drug Donation Repository Program. — 665 |
---|
991 | | - | (2) DEFINITIONS.—As used in this section, the term: 666 |
---|
992 | | - | (j) "Prescription drug" has the same meaning as the term 667 |
---|
993 | | - | "medicinal drugs" or "drugs," as those terms are defined in s. 668 |
---|
994 | | - | 465.003 s. 465.003(8), but does not include controlled 669 |
---|
995 | | - | substances, cancer drugs donated under s. 499 .029, or drugs with 670 |
---|
996 | | - | an approved United States Food and Drug Administration risk 671 |
---|
997 | | - | evaluation and mitigation strategy that includes elements to 672 |
---|
998 | | - | assure safe use. 673 |
---|
999 | | - | Section 25. Subsection (40) of section 499.003, Florida 674 |
---|
1000 | | - | Statutes, is amended to read: 675 |
---|
| 976 | + | continuing that practice pending adoption of these rules. 651 |
---|
| 977 | + | Section 24. Paragraph (j) of subsecti on (2) of section 652 |
---|
| 978 | + | 465.1902, Florida Statutes, is amended to read: 653 |
---|
| 979 | + | 465.1902 Prescription Drug Donation Repository Program. — 654 |
---|
| 980 | + | (2) DEFINITIONS.—As used in this section, the term: 655 |
---|
| 981 | + | (j) "Prescription drug" has the same meaning as the term 656 |
---|
| 982 | + | "medicinal drugs" or "drugs," as those terms are defined in s. 657 |
---|
| 983 | + | 465.003 s. 465.003(8), but does not include controlled 658 |
---|
| 984 | + | substances, cancer drugs donated under s. 499.029, or drugs with 659 |
---|
| 985 | + | an approved United States Food and Drug Administration risk 660 |
---|
| 986 | + | evaluation and mitigation strat egy that includes elements to 661 |
---|
| 987 | + | assure safe use. 662 |
---|
| 988 | + | Section 25. Subsection (40) of section 499.003, Florida 663 |
---|
| 989 | + | Statutes, is amended to read: 664 |
---|
| 990 | + | 499.003 Definitions of terms used in this part. —As used in 665 |
---|
| 991 | + | this part, the term: 666 |
---|
| 992 | + | (40) "Prescription drug" means a pr escription, medicinal, 667 |
---|
| 993 | + | or legend drug, including, but not limited to, finished dosage 668 |
---|
| 994 | + | forms or active pharmaceutical ingredients subject to, defined 669 |
---|
| 995 | + | by, or described by s. 503(b) of the federal act or s. 465.003 670 |
---|
| 996 | + | s. 465.003(8), s. 499.007(13), subsection (3 1), or subsection 671 |
---|
| 997 | + | (47), except that an active pharmaceutical ingredient is a 672 |
---|
| 998 | + | prescription drug only if substantially all finished dosage 673 |
---|
| 999 | + | forms in which it may be lawfully dispensed or administered in 674 |
---|
| 1000 | + | this state are also prescription drugs. 675 |
---|
1013 | | - | 499.003 Definitions of terms used in this part. —As used in 676 |
---|
1014 | | - | this part, the term: 677 |
---|
1015 | | - | (40) "Prescription drug" means a prescription, medicinal, 678 |
---|
1016 | | - | or legend drug, including, but not limited to, finished dosage 679 |
---|
1017 | | - | forms or active pharmaceutical ingredients subject to, defi ned 680 |
---|
1018 | | - | by, or described by s. 503(b) of the federal act or s. 465.003 681 |
---|
1019 | | - | s. 465.003(8), s. 499.007(13), subsection (31), or subsection 682 |
---|
1020 | | - | (47), except that an active pharmaceutical ingredient is a 683 |
---|
1021 | | - | prescription drug only if substantially all finished dosage 684 |
---|
1022 | | - | forms in which it may be lawfully dispensed or administered in 685 |
---|
1023 | | - | this state are also prescription drugs. 686 |
---|
1024 | | - | Section 26. Paragraph (c) of subsection (24) of section 687 |
---|
1025 | | - | 893.02, Florida Statutes, is amended to read: 688 |
---|
1026 | | - | 893.02 Definitions. —The following words and phrases a s 689 |
---|
1027 | | - | used in this chapter shall have the following meanings, unless 690 |
---|
1028 | | - | the context otherwise requires: 691 |
---|
1029 | | - | (24) "Prescription" includes any order for drugs or 692 |
---|
1030 | | - | medicinal supplies which is written or transmitted by any means 693 |
---|
1031 | | - | of communication by a licensed practition er authorized by the 694 |
---|
1032 | | - | laws of this state to prescribe such drugs or medicinal 695 |
---|
1033 | | - | supplies, is issued in good faith and in the course of 696 |
---|
1034 | | - | professional practice, is intended to be dispensed by a person 697 |
---|
1035 | | - | authorized by the laws of this state to do so, and meets the 698 |
---|
1036 | | - | requirements of s. 893.04. 699 |
---|
1037 | | - | (c) A prescription for a controlled substance may not be 700 |
---|
1038 | | - | |
---|
1039 | | - | CS/CS/HB 937 2022 |
---|
1040 | | - | |
---|
1041 | | - | |
---|
1042 | | - | |
---|
1043 | | - | CODING: Words stricken are deletions; words underlined are additions. |
---|
1044 | | - | hb0937-02-c2 |
---|
1045 | | - | Page 29 of 29 |
---|
1046 | | - | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
1047 | | - | |
---|
1048 | | - | |
---|
1049 | | - | |
---|
1050 | | - | issued on the same prescription blank with another prescription 701 |
---|
1051 | | - | for a controlled substance that is named or described in a 702 |
---|
1052 | | - | different schedule or with another prescription for a medicinal 703 |
---|
1053 | | - | drug, as defined in s. 465.003 s. 465.003(8), that is not a 704 |
---|
1054 | | - | controlled substance. 705 |
---|
1055 | | - | Section 27. This act shall take effect July 1, 2022. 706 |
---|
| 1013 | + | Section 26. Paragraph (c) of subsection (24) of section 676 |
---|
| 1014 | + | 893.02, Florida Statutes, is amended to read: 677 |
---|
| 1015 | + | 893.02 Definitions. —The following words and phrases as 678 |
---|
| 1016 | + | used in this chapter shall have the following meanings, unless 679 |
---|
| 1017 | + | the context otherwise requires: 680 |
---|
| 1018 | + | (24) "Prescription" includes any order for drugs or 681 |
---|
| 1019 | + | medicinal supplies which is written or transmitted by any means 682 |
---|
| 1020 | + | of communication by a licensed practitioner authorized by the 683 |
---|
| 1021 | + | laws of this state to prescribe such drugs or medicinal 684 |
---|
| 1022 | + | supplies, is issued in good faith and in the course of 685 |
---|
| 1023 | + | professional practice, is intended to be dispensed by a person 686 |
---|
| 1024 | + | authorized by the laws of this state to do so, and meets the 687 |
---|
| 1025 | + | requirements of s. 893.04. 688 |
---|
| 1026 | + | (c) A prescription for a controlled substance may not be 689 |
---|
| 1027 | + | issued on the same prescr iption blank with another prescription 690 |
---|
| 1028 | + | for a controlled substance that is named or described in a 691 |
---|
| 1029 | + | different schedule or with another prescription for a medicinal 692 |
---|
| 1030 | + | drug, as defined in s. 465.003 s. 465.003(8), that is not a 693 |
---|
| 1031 | + | controlled substance. 694 |
---|
| 1032 | + | Section 27. This act shall take effect July 1, 2022. 695 |
---|