FL
Florida House Bill H1101

Florida 2022 Regular Session

Florida House Bill H1101 Compare Versions

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1010 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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1414 A bill to be entitled 1
1515 An act relating to anesthesiologist assistants; 2
1616 amending ss. 458.3475 and 459.023, F.S.; revising the 3
1717 definitions of the terms "anesthesiologist" and 4
1818 "direct supervision"; revising requirements for the 5
1919 written protocol between an anesthesiologist assistant 6
2020 and a supervising anesthesiologist; revising 7
21-provisions relating to duties and functions 8
22-anesthesiologist assistants may perform; revising 9
23-licensure requirements for anesthesiologist 10
24-assistants; providing an effective date. 11
25- 12
26-Be It Enacted by the Legislature of the State of Florida: 13
27- 14
28- Section 1. Paragraphs (a) and (g) of subsection (1), 15
29-paragraph (a) subsection (3), and paragraphs (a) and (b) of 16
30-subsection (6) of section 458.3475, Florida Statutes, are 17
31-amended to read: 18
32- 458.3475 Anesthesiologist assistants. — 19
33- (1) DEFINITIONS.—As used in this section, the term: 20
34- (a) "Anesthesiologist" means an allopathic or osteopathic 21
35-physician who holds an act ive, unrestricted license; who has 22
36-successfully completed an anesthesiology training program 23
37-approved by the Accreditation Council on Graduate Medical 24
38-Education or its equivalent; and who is certified by the 25
21+provisions related to duties and functions 8
22+anesthesiologist assistants may perform; providing 9
23+that a certain applicant for clinical hospital 10
24+privileges may not be denied such privileges if the 11
25+applicant's supervising anesthesiologist is a staff 12
26+member in good standing at that hospital, with an 13
27+exception; revising licensure requirements for 14
28+anesthesiologist assistants; providing an effective 15
29+date. 16
30+ 17
31+Be It Enacted by the Legislature of the State of Florida: 18
32+ 19
33+ Section 1. Paragraphs (a) and (g) of subsection (1), 20
34+paragraph (b) of subsection (2), subsection (3), and paragraphs 21
35+(a) and (b) of subsection (6) o f section 458.3475, Florida 22
36+Statutes, are amended to read: 23
37+ 458.3475 Anesthesiologist assistants. — 24
38+ (1) DEFINITIONS.—As used in this section, the term: 25
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4747 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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51-American Board of Anesthesiology, is eligible to take that 26
52-board's examination, or is certified by the Board of 27
53-Certification in Anesthesiology affiliated with the American 28
54-Association of Physician Specialists. 29
55- (g) "Direct supervision" means the physical presence of a 30
56-supervising anesthesiologist on t he premises such that the 31
57-supervising anesthesiologist is immediately available as needed 32
58-onsite, personal supervision by an anesthesiologist who is 33
59-present in the office when the procedure is being performed in 34
60-that office, or is present in the surgical o r obstetrical suite 35
61-when the procedure is being performed in that surgical or 36
62-obstetrical suite and who is in all instances immediately 37
63-available to provide assistance and direction to the 38
64-anesthesiologist assistant while anesthesia services are being 39
65-performed. 40
66- (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 41
67- (a) An anesthesiologist assistant may assist an 42
68-anesthesiologist in developing and implementing an anesthesia 43
69-care plan for a patient , may personally administer the 44
70-prescribed anesthetic under the direct supervision of an 45
71-anesthesiologist, and may perform tasks and services as 46
72-specified in a written protocol approved by the supervising 47
73-anesthesiologist which may include any of the following 48
74-functions. In providing assistance to an anesthesiologist, an 49
75-anesthesiologist assistant may perform duties established by 50
51+ (a) "Anesthesiologist" means an allopathic or osteopathic 26
52+physician who holds an active, unrestricte d license; who has 27
53+successfully completed an anesthesiology training program 28
54+approved by the Accreditation Council on Graduate Medical 29
55+Education or its equivalent; and who is certified by the 30
56+American Board of Anesthesiology, is eligible to take that 31
57+board's examination, or is certified by the Board of 32
58+Certification in Anesthesiology affiliated with the American 33
59+Association of Physician Specialists. 34
60+ (g) "Direct supervision" means the physical presence of a 35
61+supervising anesthesiologist on the premises such that the 36
62+supervising anesthesiologist is reasonably available as needed 37
63+onsite, personal supervision by an anesthesiologist who is 38
64+present in the office when the procedure is being performed in 39
65+that office, or is present in the surgical or obstetrical sui te 40
66+when the procedure is being performed in that surgical or 41
67+obstetrical suite and who is in all instances immediately 42
68+available to provide assistance and direction to the 43
69+anesthesiologist assistant while anesthesia services are being 44
70+performed. 45
71+ (2) PERFORMANCE OF SUPERVISING ANESTHESIOLOGIST. — 46
72+ (b) An anesthesiologist or group of anesthesiologists 47
73+must, upon establishing a supervisory relationship with an 48
74+anesthesiologist assistant, file with the board a written 49
75+protocol that includes, at a minimum: 50
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8484 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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88-rule by the board in any of the following functions that are 51
89-included in the anesthesiologist assistant's protocol while 52
90-under the direct supervision of an anesthesiologist : 53
91- 1. Obtain a comprehensive patient history and present the 54
92-history to the supervising anesthesiologist. 55
93- 2. Pretest and calibrate anesthesia delivery systems and 56
94-monitor, obtain, and interpret information from the systems and 57
95-monitors. 58
96- 3. Assist the supervising anesthe siologist with the 59
97-implementation of medically accepted monitoring techniques. 60
98- 4. Establish basic and advanced airway interventions, 61
99-including intubation of the trachea and performing ventilatory 62
100-support. 63
101- 5. Administer intermittent vasoactive drugs and start and 64
102-adjust vasoactive infusions. 65
103- 6. Administer anesthetic drugs, adjuvant drugs, and 66
104-accessory drugs. 67
105- 7. Assist the supervising anesthesiologist with the 68
106-performance of epidural anesthetic procedures and spinal 69
107-anesthetic procedures. 70
108- 8. Administer blood, blood products, and supportive 71
109-fluids. 72
110- 9. Support life functions during anesthesia health care, 73
111-including induction and intubation procedures, the use of 74
112-appropriate mechanical supportive devices, and the management of 75
88+ 1. The name, address, and license number of the 51
89+anesthesiologist assistant. 52
90+ 2. The name, address, license number, and federal Drug 53
91+Enforcement Administration number of each physician who will be 54
92+supervising the anesthesiologist assistant. 55
93+ 3. The address of the anesthesiologist assistant's primary 56
94+practice location and the address of any other locations where 57
95+the anesthesiologist assistant may practice. 58
96+ 4. The date the protocol was developed and the dates of 59
97+all revisions. 60
98+ 5. The signatures of the ane sthesiologist assistant and 61
99+either the single supervising anesthesiologist or a supervising 62
100+anesthesiologist designated by the group, as applicable all 63
101+supervising physicians . 64
102+ 6. The duties and functions of the anesthesiologist 65
103+assistant. 66
104+ 7. The conditions or procedures that require the personal 67
105+provision of care by an anesthesiologist. 68
106+ 8. The procedures to be followed in the event of an 69
107+anesthetic emergency. 70
108+ 71
109+The protocol must be on file with the board before the 72
110+anesthesiologist assist ant may practice with the 73
111+anesthesiologist or group. An anesthesiologist assistant may not 74
112+practice unless a written protocol has been filed for that 75
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121121 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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125-fluid, electrolyte, and blood component balances. 76
126- 10. Recognize and take appropriate corrective action for 77
127-abnormal patient responses to anesthesia, adjunctive medication, 78
128-or other forms of therapy. 79
129- 11. Participate in management of the patient while in the 80
130-postanesthesia recovery area, including the administration of 81
131-any supporting fluids or drugs. 82
132- 12. Place special peripheral and central venous and 83
133-arterial lines for blood sampling and monitoring as appropriate. 84
134- (6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 85
135- (a) Any person desiring to be licensed as an 86
136-anesthesiologist assistant must apply to the department. The 87
137-department shall issue a license to any person certified by the 88
138-board to: 89
139- 1. Be at least 18 years of age. 90
140- 2. Have satisfactorily passed a proficiency examination 91
141-with a score established by the National Commission on 92
142-Certification of Anesthesiologist Assistants. 93
143- 3. Be certified in advanced cardiac life support. 94
144- 4. Have completed the application form and remitted an 95
145-application fee, not to exceed $1, 000, as set by the boards. An 96
146-application must include: 97
147- a. A certificate of completion of an approved graduate 98
148-level program. 99
149- b. An acknowledgment A sworn statement of any prior felony 100
125+anesthesiologist assistant in accordance with this paragraph, 76
126+and the anesthesiologist assistant may only practice under the 77
127+direct supervision of an anesthesiologist who is identified in 78
128+the has signed the protocol. The protocol must be updated 79
129+biennially. 80
130+ (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 81
131+ (a) An anesthesiologist assistant may assist an 82
132+anesthesiologist in developing and implementing an anesthesia 83
133+care plan for a patient , may personally administer the 84
134+prescribed anesthetic under the direct supervision of an 85
135+anesthesiologist, and may perform tasks and services as 86
136+specified in a written protoc ol approved by the supervising 87
137+anesthesiologist, including, but not limited to, any of the 88
138+following. In providing assistance to an anesthesiologist, an 89
139+anesthesiologist assistant may perform duties established by 90
140+rule by the board in any of the following functions that are 91
141+included in the anesthesiologist assistant's protocol while 92
142+under the direct supervision of an anesthesiologist : 93
143+ 1. Obtain a comprehensive patient history and present the 94
144+history to the supervising anesthesiologist. 95
145+ 2. Pretest and calibrate anesthesia delivery systems and 96
146+monitor, obtain, and interpret information from the systems and 97
147+monitors. 98
148+ 3. Assist the supervising anesthesiologist with the 99
149+implementation of medically accepted monitoring techniques. 100
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158158 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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162-convictions. 101
163- c. An acknowledgment A sworn statement of any prior 102
164-discipline or denial of licensure or certification in any state. 103
165- d. Two letters of recommendation from anesthesiologists. 104
166- (b) A license must be renewed biennially. Each renewal 105
167-must include: 106
168- 1. A renewal fee, not to exceed $1,000, as set by the 107
169-boards. 108
170- 2. An acknowledgment A sworn statement of no felony 109
171-convictions in the immediately preceding 2 years. 110
172- Section 2. Paragraphs (a) and (g) of subsection (1), 111
173-paragraph (a) of subsection (3), and paragraphs (a) and (b) of 112
174-subsection (6) of section 459 .023, Florida Statutes, are amended 113
175-to read: 114
176- 459.023 Anesthesiologist assistants. — 115
177- (1) DEFINITIONS.—As used in this section, the term: 116
178- (a) "Anesthesiologist" means an osteopathic or allopathic 117
179-physician who holds an active, unrestricted license; who has 118
180-successfully completed an anesthesiology training program 119
181-approved by the Accreditation Council on Graduate Medical 120
182-Education, or its equivalent, or the American Osteopathic 121
183-Association; and who is certified by the American Osteopathic 122
184-Board of Anesthesiology or is eligible to take that board's 123
185-examination, is certified by the American Board of 124
186-Anesthesiology or is eligible to take that board's examination, 125
162+ 4. Establish basic and adv anced airway interventions, 101
163+including intubation of the trachea and performing ventilatory 102
164+support. 103
165+ 5. Administer intermittent vasoactive drugs and start and 104
166+adjust vasoactive infusions. 105
167+ 6. Administer anesthetic drugs, adjuvant drugs, and 106
168+accessory drugs. 107
169+ 7. Assist the supervising anesthesiologist with the 108
170+performance of epidural anesthetic procedures and spinal 109
171+anesthetic procedures. 110
172+ 8. Administer blood, blood products, and supportive 111
173+fluids. 112
174+ 9. Support life functions during anesthesia health car e, 113
175+including induction and intubation procedures, the use of 114
176+appropriate mechanical supportive devices, and the management of 115
177+fluid, electrolyte, and blood component balances. 116
178+ 10. Recognize and take appropriate corrective action for 117
179+abnormal patient resp onses to anesthesia, adjunctive medication, 118
180+or other forms of therapy. 119
181+ 11. Participate in management of the patient while in the 120
182+postanesthesia recovery area, including the administration of 121
183+any supporting fluids or drugs. 122
184+ 12. Place special peripheral and central venous and 123
185+arterial lines for blood sampling and monitoring as appropriate. 124
186+ (b) Nothing in this section or chapter prevents third -125
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195195 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
196196
197197
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199-or is certified by the Board of Certification in Anesthesiology 126
200-affiliated with the American Asso ciation of Physician 127
201-Specialists. 128
202- (g) "Direct supervision" means the physical presence of a 129
203-supervising anesthesiologist on the premises such that the 130
204-supervising anesthesiologist is immediately available as needed 131
205-onsite, personal supervision by an anes thesiologist who is 132
206-present in the office when the procedure is being performed in 133
207-that office, or is present in the surgical or obstetrical suite 134
208-when the procedure is being performed in that surgical or 135
209-obstetrical suite and who is in all instances immed iately 136
210-available to provide assistance and direction to the 137
211-anesthesiologist assistant while anesthesia services are being 138
212-performed. 139
213- (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 140
214- (a) An anesthesiologist assistant may assist an 141
215-anesthesiologist in d eveloping and implementing an anesthesia 142
216-care plan for a patient , may personally administer the 143
217-prescribed anesthetic under the direct supervision of an 144
218-anesthesiologist, and may perform tasks and services as 145
219-specified in a written protocol approved by the supervising 146
220-anesthesiologist which may include any of the following 147
221-functions. In providing assistance to an anesthesiologist, an 148
222-anesthesiologist assistant may perform duties established by 149
223-rule by the board in any of the following functions that are 150
199+party payors from reimbursing employers of anesthesiologist 126
200+assistants for covered services rendered by such 127
201+anesthesiologist assistants. 128
202+ (c) After 90 days following the submission of a completed 129
203+application for clinical privileges at a hospital, an 130
204+anesthesiologist assistant may not be denied clinical hospital 131
205+privileges, except for cause, if the supervising 132
206+anesthesiologist is a staff member in good standing at that 133
207+hospital. 134
208+ (d) An anesthesiologist assistant must clearly convey to 135
209+the patient that he or she is an anesthesiologist assistant. 136
210+ (e)(d) An anesthesiologist assistant may perform 137
211+anesthesia tasks and services within the framework of a written 138
212+practice protocol developed between the supervising 139
213+anesthesiologist and the anesthesiologist assistant. 140
214+ (f)(e) An anesthesiologist assistant may not prescribe, 141
215+order, or compound any controlled substance, leg end drug, or 142
216+medical device, nor may an anesthesiologist assistant dispense 143
217+sample drugs to patients. Nothing in this paragraph prohibits an 144
218+anesthesiologist assistant from administering legend drugs or 145
219+controlled substances; intravenous drugs, fluids, or blood 146
220+products; or inhalation or other anesthetic agents to patients 147
221+which are ordered by the supervising anesthesiologist and 148
222+administered while under the direct supervision of the 149
223+supervising anesthesiologist. 150
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232232 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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234234
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236-included in the anesthesiologist assistant's protocol while 151
237-under the direct supervision of an anesthesiologist : 152
238- 1. Obtain a comprehensive patient history and present the 153
239-history to the supervising anesthesiologist. 154
240- 2. Pretest and calibrate anesthesia del ivery systems and 155
241-monitor, obtain, and interpret information from the systems and 156
242-monitors. 157
243- 3. Assist the supervising anesthesiologist with the 158
244-implementation of medically accepted monitoring techniques. 159
245- 4. Establish basic and advanced airway interventions, 160
246-including intubation of the trachea and performing ventilatory 161
247-support. 162
248- 5. Administer intermittent vasoactive drugs and start and 163
249-adjust vasoactive infusions. 164
250- 6. Administer anesthetic drugs, adjuva nt drugs, and 165
251-accessory drugs. 166
252- 7. Assist the supervising anesthesiologist with the 167
253-performance of epidural anesthetic procedures and spinal 168
254-anesthetic procedures. 169
255- 8. Administer blood, blood products, and supportive 170
256-fluids. 171
257- 9. Support life functions d uring anesthesia health care, 172
258-including induction and intubation procedures, the use of 173
259-appropriate mechanical supportive devices, and the management of 174
260-fluid, electrolyte, and blood component balances. 175
236+ (6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 151
237+ (a) Any person desiring to be licensed as an 152
238+anesthesiologist assistant must apply to the department. The 153
239+department shall issue a license to any person certified by the 154
240+board to: 155
241+ 1. Be at least 18 years of age. 156
242+ 2. Have satisfactorily passed a profi ciency examination 157
243+with a score established by the National Commission on 158
244+Certification of Anesthesiologist Assistants. 159
245+ 3. Be certified in advanced cardiac life support. 160
246+ 4. Have completed the application form and remitted an 161
247+application fee, not to exceed $1,000, as set by the boards. An 162
248+application must include: 163
249+ a. A certificate of completion of an approved graduate 164
250+level program. 165
251+ b. An acknowledgment A sworn statement of any prior felony 166
252+convictions. 167
253+ c. An acknowledgment A sworn statement of any prior 168
254+discipline or denial of licensure or certification in any state. 169
255+ d. Two letters of recommendation from anesthesiologists. 170
256+ (b) A license must be renewed biennially. Each renewal 171
257+must include: 172
258+ 1. A renewal fee, not to exceed $1,000, as set by the 173
259+boards. 174
260+ 2. An acknowledgment A sworn statement of no felony 175
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269269 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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273- 10. Recognize and take appropriate corrective actio n for 176
274-abnormal patient responses to anesthesia, adjunctive medication, 177
275-or other forms of therapy. 178
276- 11. Participate in management of the patient while in the 179
277-postanesthesia recovery area, including the administration of 180
278-any supporting fluids or drugs. 181
279- 12. Place special peripheral and central venous and 182
280-arterial lines for blood sampling and monitoring as appropriate. 183
281- (6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 184
282- (a) Any person desiring to be licensed as an 185
283-anesthesiologist assistant must apply to the depa rtment. The 186
284-department shall issue a license to any person certified by the 187
285-board to: 188
286- 1. Be at least 18 years of age. 189
287- 2. Have satisfactorily passed a proficiency examination 190
288-with a score established by the National Commission on 191
289-Certification of Anesth esiologist Assistants. 192
290- 3. Be certified in advanced cardiac life support. 193
291- 4. Have completed the application form and remitted an 194
292-application fee, not to exceed $1,000, as set by the boards. An 195
293-application must include: 196
294- a. A certificate of completion o f an approved graduate 197
295-level program. 198
296- b. An acknowledgment A sworn statement of any prior felony 199
297-convictions. 200
273+convictions in the immediately preceding 2 years. 176
274+ Section 2. Paragraphs (a) and (g) of subsection (1), 177
275+paragraph (b) of subsection (2), subsection (3), and parag raphs 178
276+(a) and (b) of subsection (6) of section 459.023, Florida 179
277+Statutes, are amended to read: 180
278+ 459.023 Anesthesiologist assistants. — 181
279+ (1) DEFINITIONS.—As used in this section, the term: 182
280+ (a) "Anesthesiologist" means an osteopathic or allopathic 183
281+physician who holds an active, unrestricted license; who has 184
282+successfully completed an anesthesiology training program 185
283+approved by the Accreditation Council on Graduate Medical 186
284+Education, or its equivalent, or the American Osteopathic 187
285+Association; and who is cert ified by the American Osteopathic 188
286+Board of Anesthesiology or is eligible to take that board's 189
287+examination, is certified by the American Board of 190
288+Anesthesiology or is eligible to take that board's examination, 191
289+or is certified by the Board of Certification i n Anesthesiology 192
290+affiliated with the American Association of Physician 193
291+Specialists. 194
292+ (g) "Direct supervision" means the physical presence of a 195
293+supervising anesthesiologist on the premises such that the 196
294+supervising anesthesiologist is reasonably available as needed 197
295+onsite, personal supervision by an anesthesiologist who is 198
296+present in the office when the procedure is being performed in 199
297+that office, or is present in the surgical or obstetrical suite 200
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306306 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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310- c. An acknowledgment A sworn statement of any prior 201
311-discipline or denial of licensure or certification in any state. 202
312- d. Two letters of recom mendation from anesthesiologists. 203
313- (b) A license must be renewed biennially. Each renewal 204
314-must include: 205
315- 1. A renewal fee, not to exceed $1,000, as set by the 206
316-boards. 207
317- 2. An acknowledgment A sworn statement of no felony 208
318-convictions in the immediately pr eceding 2 years. 209
319- Section 3. This act shall take effect July 1, 2022. 210
310+when the procedure is being performed in that surgical or 201
311+obstetrical suite and who is in all instances immediately 202
312+available to provide assistance and direction to the 203
313+anesthesiologist assistant while anesthesia services are being 204
314+performed. 205
315+ (2) PERFORMANCE OF SUPERVISING ANESTHESIOLOGIST. — 206
316+ (b) An anesthesiolo gist or group of anesthesiologists 207
317+must, upon establishing a supervisory relationship with an 208
318+anesthesiologist assistant, file with the board a written 209
319+protocol that includes, at a minimum: 210
320+ 1. The name, address, and license number of the 211
321+anesthesiologist assistant. 212
322+ 2. The name, address, license number, and federal Drug 213
323+Enforcement Administration number of each physician who will be 214
324+supervising the anesthesiologist assistant. 215
325+ 3. The address of the anesthesiologist assistant's primary 216
326+practice location and the address of any other locations where 217
327+the anesthesiologist assistant may practice. 218
328+ 4. The date the protocol was developed and the dates of 219
329+all revisions. 220
330+ 5. The signatures of the anesthesiologist assistant and 221
331+either the single supervising anest hesiologist or a supervising 222
332+anesthesiologist designated by the group, as applicable all 223
333+supervising physicians . 224
334+ 6. The duties and functions of the anesthesiologist 225
335+
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343+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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347+assistant. 226
348+ 7. The conditions or procedures that require the personal 227
349+provision of care by an anesthesiologist. 228
350+ 8. The procedures to be followed in the event of an 229
351+anesthetic emergency. 230
352+ 231
353+The protocol must be on file with the board before the 232
354+anesthesiologist assistant may practice with the 233
355+anesthesiologist or group. An anesthesiologist assi stant may not 234
356+practice unless a written protocol has been filed for that 235
357+anesthesiologist assistant in accordance with this paragraph, 236
358+and the anesthesiologist assistant may only practice under the 237
359+direct supervision of an anesthesiologist who is identified in 238
360+the has signed the protocol. The protocol must be updated 239
361+biennially. 240
362+ (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 241
363+ (a) An anesthesiologist assistant may assist an 242
364+anesthesiologist in developing and implementing an anesthesia 243
365+care plan for a patient, may personally administer the 244
366+prescribed anesthetic under the direct supervision of an 245
367+anesthesiologist, and may perform tasks and services as 246
368+specified in a written protocol approved by the supervising 247
369+anesthesiologist, including, but not limited t o, any of the 248
370+following. In providing assistance to an anesthesiologist, an 249
371+anesthesiologist assistant may perform duties established by 250
372+
373+HB 1101 2022
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375+
376+
377+CODING: Words stricken are deletions; words underlined are additions.
378+hb1101-00
379+Page 11 of 14
380+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
381+
382+
383+
384+rule by the board in any of the following functions that are 251
385+included in the anesthesiologist assistant's protocol whil e 252
386+under the direct supervision of an anesthesiologist : 253
387+ 1. Obtain a comprehensive patient history and present the 254
388+history to the supervising anesthesiologist. 255
389+ 2. Pretest and calibrate anesthesia delivery systems and 256
390+monitor, obtain, and interpret inform ation from the systems and 257
391+monitors. 258
392+ 3. Assist the supervising anesthesiologist with the 259
393+implementation of medically accepted monitoring techniques. 260
394+ 4. Establish basic and advanced airway interventions, 261
395+including intubation of the trachea and performing ventilatory 262
396+support. 263
397+ 5. Administer intermittent vasoactive drugs and start and 264
398+adjust vasoactive infusions. 265
399+ 6. Administer anesthetic drugs, adjuvant drugs, and 266
400+accessory drugs. 267
401+ 7. Assist the supervis ing anesthesiologist with the 268
402+performance of epidural anesthetic procedures and spinal 269
403+anesthetic procedures. 270
404+ 8. Administer blood, blood products, and supportive 271
405+fluids. 272
406+ 9. Support life functions during anesthesia health care, 273
407+including induction and i ntubation procedures, the use of 274
408+appropriate mechanical supportive devices, and the management of 275
409+
410+HB 1101 2022
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413+
414+CODING: Words stricken are deletions; words underlined are additions.
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417+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
418+
419+
420+
421+fluid, electrolyte, and blood component balances. 276
422+ 10. Recognize and take appropriate corrective action for 277
423+abnormal patient responses to anesthesia, adjunct ive medication, 278
424+or other forms of therapy. 279
425+ 11. Participate in management of the patient while in the 280
426+postanesthesia recovery area, including the administration of 281
427+any supporting fluids or drugs. 282
428+ 12. Place special peripheral and central venous and 283
429+arterial lines for blood sampling and monitoring as appropriate. 284
430+ (b) Nothing in this section or chapter prevents third -285
431+party payors from reimbursing employers of anesthesiologist 286
432+assistants for covered services rendered by such 287
433+anesthesiologist assistants. 288
434+ (c) After 90 days following the submission of a completed 289
435+application for clinical privileges at a hospital, an 290
436+anesthesiologist assistant may not be denied clinical hospital 291
437+privileges, except for cause, if the supervising 292
438+anesthesiologist is a staff memb er in good standing at that 293
439+hospital. 294
440+ (d) An anesthesiologist assistant must clearly convey to 295
441+the patient that she or he is an anesthesiologist assistant. 296
442+ (e)(d) An anesthesiologist assistant may perform 297
443+anesthesia tasks and services within the framew ork of a written 298
444+practice protocol developed between the supervising 299
445+anesthesiologist and the anesthesiologist assistant. 300
446+
447+HB 1101 2022
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450+
451+CODING: Words stricken are deletions; words underlined are additions.
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454+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
455+
456+
457+
458+ (f)(e) An anesthesiologist assistant may not prescribe, 301
459+order, or compound any controlled substance, legend drug, or 302
460+medical device, nor may an anesthesiologist assistant dispense 303
461+sample drugs to patients. Nothing in this paragraph prohibits an 304
462+anesthesiologist assistant from administering legend drugs or 305
463+controlled substances; intravenous drugs, fluids, or blood 306
464+products; or inhalatio n or other anesthetic agents to patients 307
465+which are ordered by the supervising anesthesiologist and 308
466+administered while under the direct supervision of the 309
467+supervising anesthesiologist. 310
468+ (6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 311
469+ (a) Any person desiring t o be licensed as an 312
470+anesthesiologist assistant must apply to the department. The 313
471+department shall issue a license to any person certified by the 314
472+board to: 315
473+ 1. Be at least 18 years of age. 316
474+ 2. Have satisfactorily passed a proficiency examination 317
475+with a score established by the National Commission on 318
476+Certification of Anesthesiologist Assistants. 319
477+ 3. Be certified in advanced cardiac life support. 320
478+ 4. Have completed the application form and remitted an 321
479+application fee, not to exceed $1,000, as set by the bo ards. An 322
480+application must include: 323
481+ a. A certificate of completion of an approved graduate 324
482+level program. 325
483+
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491+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
492+
493+
494+
495+ b. An acknowledgment A sworn statement of any prior felony 326
496+convictions. 327
497+ c. An acknowledgment A sworn statement of any prior 328
498+discipline or denial of licensure or certification in any state. 329
499+ d. Two letters of recommendation from anesthesiologists. 330
500+ (b) A license must be renewed biennially. Each renewal 331
501+must include: 332
502+ 1. A renewal fee, not to exceed $1,000, as set by the 333
503+boards. 334
504+ 2. An acknowledgment A sworn statement of no felony 335
505+convictions in the immediately preceding 2 years. 336
506+ Section 3. This act shall take effect July 1, 2022. 337