CS/HB 1101 2022
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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
A bill to be entitled 1
An act relating to anesthesiologist assistants; 2
amending ss. 458.3475 and 459.023, F.S.; revising the 3
definitions of the terms "anesthesiologist" and 4
"direct supervision"; revising requirements for the 5
written protocol between an anesthesiologist assistant 6
and a supervising anesthesiologist; revising 7
provisions relating to duties and functions 8
anesthesiologist assistants may perform; revising 9
licensure requirements for anesthesiologist 10
assistants; providing an effective date. 11
12
Be It Enacted by the Legislature of the State of Florida: 13
14
Section 1. Paragraphs (a) and (g) of subsection (1), 15
paragraph (a) subsection (3), and paragraphs (a) and (b) of 16
subsection (6) of section 458.3475, Florida Statutes, are 17
amended to read: 18
458.3475 Anesthesiologist assistants. — 19
(1) DEFINITIONS.—As used in this section, the term: 20
(a) "Anesthesiologist" means an allopathic or osteopathic 21
physician who holds an act ive, unrestricted license; who has 22
successfully completed an anesthesiology training program 23
approved by the Accreditation Council on Graduate Medical 24
Education or its equivalent; and who is certified by the 25
CS/HB 1101 2022
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American Board of Anesthesiology, is eligible to take that 26
board's examination, or is certified by the Board of 27
Certification in Anesthesiology affiliated with the American 28
Association of Physician Specialists. 29
(g) "Direct supervision" means the physical presence of a 30
supervising anesthesiologist on t he premises such that the 31
supervising anesthesiologist is immediately available as needed 32
onsite, personal supervision by an anesthesiologist who is 33
present in the office when the procedure is being performed in 34
that office, or is present in the surgical o r obstetrical suite 35
when the procedure is being performed in that surgical or 36
obstetrical suite and who is in all instances immediately 37
available to provide assistance and direction to the 38
anesthesiologist assistant while anesthesia services are being 39
performed. 40
(3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 41
(a) An anesthesiologist assistant may assist an 42
anesthesiologist in developing and implementing an anesthesia 43
care plan for a patient , may personally administer the 44
prescribed anesthetic under the direct supervision of an 45
anesthesiologist, and may perform tasks and services as 46
specified in a written protocol approved by the supervising 47
anesthesiologist which may include any of the following 48
functions. In providing assistance to an anesthesiologist, an 49
anesthesiologist assistant may perform duties established by 50
CS/HB 1101 2022
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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
rule by the board in any of the following functions that are 51
included in the anesthesiologist assistant's protocol while 52
under the direct supervision of an anesthesiologist : 53
1. Obtain a comprehensive patient history and present the 54
history to the supervising anesthesiologist. 55
2. Pretest and calibrate anesthesia delivery systems and 56
monitor, obtain, and interpret information from the systems and 57
monitors. 58
3. Assist the supervising anesthe siologist with the 59
implementation of medically accepted monitoring techniques. 60
4. Establish basic and advanced airway interventions, 61
including intubation of the trachea and performing ventilatory 62
support. 63
5. Administer intermittent vasoactive drugs and start and 64
adjust vasoactive infusions. 65
6. Administer anesthetic drugs, adjuvant drugs, and 66
accessory drugs. 67
7. Assist the supervising anesthesiologist with the 68
performance of epidural anesthetic procedures and spinal 69
anesthetic procedures. 70
8. Administer blood, blood products, and supportive 71
fluids. 72
9. Support life functions during anesthesia health care, 73
including induction and intubation procedures, the use of 74
appropriate mechanical supportive devices, and the management of 75
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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
fluid, electrolyte, and blood component balances. 76
10. Recognize and take appropriate corrective action for 77
abnormal patient responses to anesthesia, adjunctive medication, 78
or other forms of therapy. 79
11. Participate in management of the patient while in the 80
postanesthesia recovery area, including the administration of 81
any supporting fluids or drugs. 82
12. Place special peripheral and central venous and 83
arterial lines for blood sampling and monitoring as appropriate. 84
(6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 85
(a) Any person desiring to be licensed as an 86
anesthesiologist assistant must apply to the department. The 87
department shall issue a license to any person certified by the 88
board to: 89
1. Be at least 18 years of age. 90
2. Have satisfactorily passed a proficiency examination 91
with a score established by the National Commission on 92
Certification of Anesthesiologist Assistants. 93
3. Be certified in advanced cardiac life support. 94
4. Have completed the application form and remitted an 95
application fee, not to exceed $1, 000, as set by the boards. An 96
application must include: 97
a. A certificate of completion of an approved graduate 98
level program. 99
b. An acknowledgment A sworn statement of any prior felony 100
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convictions. 101
c. An acknowledgment A sworn statement of any prior 102
discipline or denial of licensure or certification in any state. 103
d. Two letters of recommendation from anesthesiologists. 104
(b) A license must be renewed biennially. Each renewal 105
must include: 106
1. A renewal fee, not to exceed $1,000, as set by the 107
boards. 108
2. An acknowledgment A sworn statement of no felony 109
convictions in the immediately preceding 2 years. 110
Section 2. Paragraphs (a) and (g) of subsection (1), 111
paragraph (a) of subsection (3), and paragraphs (a) and (b) of 112
subsection (6) of section 459 .023, Florida Statutes, are amended 113
to read: 114
459.023 Anesthesiologist assistants. — 115
(1) DEFINITIONS.—As used in this section, the term: 116
(a) "Anesthesiologist" means an osteopathic or allopathic 117
physician who holds an active, unrestricted license; who has 118
successfully completed an anesthesiology training program 119
approved by the Accreditation Council on Graduate Medical 120
Education, or its equivalent, or the American Osteopathic 121
Association; and who is certified by the American Osteopathic 122
Board of Anesthesiology or is eligible to take that board's 123
examination, is certified by the American Board of 124
Anesthesiology or is eligible to take that board's examination, 125
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or is certified by the Board of Certification in Anesthesiology 126
affiliated with the American Asso ciation of Physician 127
Specialists. 128
(g) "Direct supervision" means the physical presence of a 129
supervising anesthesiologist on the premises such that the 130
supervising anesthesiologist is immediately available as needed 131
onsite, personal supervision by an anes thesiologist who is 132
present in the office when the procedure is being performed in 133
that office, or is present in the surgical or obstetrical suite 134
when the procedure is being performed in that surgical or 135
obstetrical suite and who is in all instances immed iately 136
available to provide assistance and direction to the 137
anesthesiologist assistant while anesthesia services are being 138
performed. 139
(3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 140
(a) An anesthesiologist assistant may assist an 141
anesthesiologist in d eveloping and implementing an anesthesia 142
care plan for a patient , may personally administer the 143
prescribed anesthetic under the direct supervision of an 144
anesthesiologist, and may perform tasks and services as 145
specified in a written protocol approved by the supervising 146
anesthesiologist which may include any of the following 147
functions. In providing assistance to an anesthesiologist, an 148
anesthesiologist assistant may perform duties established by 149
rule by the board in any of the following functions that are 150
CS/HB 1101 2022
CODING: Words stricken are deletions; words underlined are additions.
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included in the anesthesiologist assistant's protocol while 151
under the direct supervision of an anesthesiologist : 152
1. Obtain a comprehensive patient history and present the 153
history to the supervising anesthesiologist. 154
2. Pretest and calibrate anesthesia del ivery systems and 155
monitor, obtain, and interpret information from the systems and 156
monitors. 157
3. Assist the supervising anesthesiologist with the 158
implementation of medically accepted monitoring techniques. 159
4. Establish basic and advanced airway interventions, 160
including intubation of the trachea and performing ventilatory 161
support. 162
5. Administer intermittent vasoactive drugs and start and 163
adjust vasoactive infusions. 164
6. Administer anesthetic drugs, adjuva nt drugs, and 165
accessory drugs. 166
7. Assist the supervising anesthesiologist with the 167
performance of epidural anesthetic procedures and spinal 168
anesthetic procedures. 169
8. Administer blood, blood products, and supportive 170
fluids. 171
9. Support life functions d uring anesthesia health care, 172
including induction and intubation procedures, the use of 173
appropriate mechanical supportive devices, and the management of 174
fluid, electrolyte, and blood component balances. 175
CS/HB 1101 2022
CODING: Words stricken are deletions; words underlined are additions.
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10. Recognize and take appropriate corrective actio n for 176
abnormal patient responses to anesthesia, adjunctive medication, 177
or other forms of therapy. 178
11. Participate in management of the patient while in the 179
postanesthesia recovery area, including the administration of 180
any supporting fluids or drugs. 181
12. Place special peripheral and central venous and 182
arterial lines for blood sampling and monitoring as appropriate. 183
(6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 184
(a) Any person desiring to be licensed as an 185
anesthesiologist assistant must apply to the depa rtment. The 186
department shall issue a license to any person certified by the 187
board to: 188
1. Be at least 18 years of age. 189
2. Have satisfactorily passed a proficiency examination 190
with a score established by the National Commission on 191
Certification of Anesth esiologist Assistants. 192
3. Be certified in advanced cardiac life support. 193
4. Have completed the application form and remitted an 194
application fee, not to exceed $1,000, as set by the boards. An 195
application must include: 196
a. A certificate of completion o f an approved graduate 197
level program. 198
b. An acknowledgment A sworn statement of any prior felony 199
convictions. 200
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c. An acknowledgment A sworn statement of any prior 201
discipline or denial of licensure or certification in any state. 202
d. Two letters of recom mendation from anesthesiologists. 203
(b) A license must be renewed biennially. Each renewal 204
must include: 205
1. A renewal fee, not to exceed $1,000, as set by the 206
boards. 207
2. An acknowledgment A sworn statement of no felony 208
convictions in the immediately pr eceding 2 years. 209
Section 3. This act shall take effect July 1, 2022. 210