Florida 2023 2023 Regular Session

Florida House Bill H0583 Introduced / Bill

Filed 02/01/2023

                       
 
HB 583  	2023 
 
 
 
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A bill to be entitled 1 
An act relating to health care practitioner titles and 2 
abbreviations; creating s. 456.0393, F.S.; defining 3 
the terms "advertisement" and "deceptive or misleading 4 
terms or false representation"; specifying which 5 
titles and abbreviations health care practitioners may 6 
use in their advertisements, communications, and 7 
personal identification; requiring health care 8 
practitioners to disclose specified information and 9 
use only authorized titles and abbreviations in their 10 
advertisements; prohibiting health care practitioners 11 
from using deceptive or misleading terms or false 12 
representations in their advertisements; author izing 13 
health care practitioners who treat patients in person 14 
to wear a badge or clothing that clearly discloses 15 
specified information; requiring certain health care 16 
practitioners to prominently display a copy of their 17 
license in a conspicuous area of their practices; 18 
requiring that the copy of the license be a specified 19 
size; providing for denial of licensure and 20 
disciplinary action; requiring certain boards, and the 21 
Department of Health when there is no board, to adopt 22 
rules; providing an effective date. 23 
 24 
Be It Enacted by the Legislature of the State of Florida: 25     
 
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 26 
 Section 1.  Section 456.0393, Florida Statutes, is created 27 
to read: 28 
 456.0393  Health care practitioner titles and 29 
abbreviations; advertisements, communications, and personal 30 
identification.— 31 
 (1)  As used in this section, the term: 32 
 (a)  "Advertisement" means any communication, printed, 33 
electronic, or oral, that names a health care practitioner and 34 
the practice, profession, or institution in which the 35 
practitioner is employed, volunteers, or otherwise provides 36 
health care services. The term includes business cards, 37 
identification badges, letterhead, patient brochures, e -mails, 38 
Internet websites or platforms, audio and video communications, 39 
text messages, and any other form of communication. 40 
 (b)  "Deceptive or misleading terms or false 41 
representation" means the use of titles, terms, or other words 42 
that misstate, falsely describe, falsely hold out, or falsely 43 
detail the health care practitioner's professional skills, 44 
training, expertise, educat ion, board certification, or 45 
licensure, and includes the misappropriation of medical titles 46 
and medical specialty titles by nonphysicians. 47 
 (2)  Health care practitioners may use titles and 48 
abbreviations in their advertisements, communications, and 49 
personal identification, only as follows: 50     
 
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 (a)  Physicians licensed under chapter 458 or chapter 459 51 
may use any of the following titles and abbreviations only as 52 
applicable to their license, specialties, and certifications: 53 
"M.D.," "D.O.," "doctor," "doctor of m edicine," "medical 54 
doctor," "doctor of osteopathic medicine," "physician," 55 
"surgeon," "general surgeon," "neurosurgeon," "orthopedic 56 
surgeon," "medical resident," "medical intern," 57 
"anesthesiologist," "cardiologist," "dermatologist," 58 
"endocrinologist," "ga stroenterologist," "general practitioner," 59 
"gynecologist," "hematologist," "hospitalist," "intensivist," 60 
"internist," "interventional pain medicine physician," 61 
"laryngologist," "nephrologist," "neurologist," "obstetrician," 62 
"oncologist," "ophthalmologist," "orthopedic surgeon," 63 
"orthopedist," "osteopath," "otologist," "otolaryngologist," 64 
"otorhinolaryngologist," "pathologist," "pediatrician," "primary 65 
care physician," "proctologist," "psychiatrist," "radiologist," 66 
"rheumatologist," "rhinologist," and "urolo gist," or any other 67 
title, word, abbreviation, description of services or 68 
designation, alone or in combination with any other title, to 69 
indicate or induce others to believe that he or she is licensed 70 
to practice medicine. 71 
 1.  Chiropractic physicians licen sed under chapter 460 may 72 
use the titles "chiropractic physician" and "doctor of 73 
chiropractic medicine" and may use the abbreviation "D.C." A 74 
chiropractic physician who has attained diplomate status in a 75     
 
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chiropractic specialty area recognized by the Americ an 76 
Chiropractic Association, the International Chiropractic 77 
Association, or the International Academy of Clinical Neurology 78 
before July 1, 2025, may use the applicable titles in this 79 
paragraph in conjunction with his or her name and title to 80 
reflect such specialty area. 81 
 2.  Podiatric physicians licensed under chapter 461 may use 82 
any of the following titles and abbreviations only as applicable 83 
to their license, specialties, and certifications: "podiatric 84 
physician," "doctor of podiatric medicine," "D.P.M.," 85 
"podiatrist," "podiatric surgeon," "Fellow in the American 86 
College of Foot and Ankle Surgeons," and "F.A.C.F.A.S." 87 
 3.  Dentists licensed under chapter 466 may use any of the 88 
following titles and abbreviations only as applicable to their 89 
license, specialties, and certifications: "doctor of medicine in 90 
dentistry," "doctor of dental medicine," "D.M.D.," "doctor of 91 
dental surgery," "D.D.S.," "oral and maxillofacial surgeon," 92 
"O.M.S.," "periodontist," "prosthodontist," "endodontist," 93 
"pediatric dentist," "orth odontist," "oral pathologist," and 94 
"oral radiologist." A dentist who has completed a dental 95 
anesthesiology residency recognized by the American Dental Board 96 
of Anesthesiology before July 1, 2025, may use the applicable 97 
titles in this paragraph in conjuncti on with his or her name and 98 
title to reflect such residency training. 99 
 (b)  Registered nurses licensed under part I of chapter 464 100     
 
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may use only the title "registered nurse" and the abbreviation 101 
"R.N." 102 
 (c)  Licensed practical nurses licensed under part I o f 103 
chapter 464 may use only the title "licensed practical nurse" 104 
and the abbreviation "L.P.N." 105 
 (d)  Advanced practice registered nurses licensed under 106 
part I of chapter 464 may use only the title "advanced practice 107 
registered nurse" or abbreviation "A.P.R. N." and the following 108 
role titles and abbreviations, as applicable: 109 
 1.  "Certified registered nurse anesthetist," "nurse 110 
anesthetist," and "C.R.N.A." 111 
 2.  "Clinical nurse specialist" and "C.N.S." 112 
 3.  "Certified nurse practitioner" and "C.N.P." 113 
 4.  "Certified nurse midwife" and "C.N.M." 114 
 5.  "Certified psychiatric nurse," "psychiatric mental 115 
health advanced practice nurse," and "C.P.N." 116 
 6.  "Autonomous advanced practice registered nurse" and 117 
"A.-A.P.R.N." 118 
 (e)  Physician assistants licensed under ch apter 458 or 119 
chapter 459 may use only the title "physician assistant" and the 120 
abbreviations "P.A." or "P.A. -C." 121 
 (f)  Anesthesiologist assistants licensed under chapter 458 122 
or chapter 459 may use only the title "anesthesiologist 123 
assistant" or "anesthetist" or the abbreviation "A.A." 124 
 (g)  All other health care practitioners may use only the 125     
 
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titles and abbreviations authorized by their respective practice 126 
acts and this paragraph. Any nonphysician health care 127 
practitioner who has obtained a doctoral degree un der the 128 
profession governed by the applicable practice act may use the 129 
letter "D." in front of the abbreviations authorized by the 130 
health care practitioner's respective practice act. However, a 131 
nonphysician health care practitioner may not use the title 132 
"doctor" in any form of advertisement, telehealth interaction, 133 
text message, or verbal communication without clearly 134 
identifying himself or herself as a "doctor" of a specific 135 
profession, citing the applicable chapter under which the health 136 
care practitioner is licensed. 137 
 (3)(a)  Any advertisement by a health care practitioner 138 
must disclose the type of license under which the health care 139 
practitioner is authorized to provide services and must use only 140 
those titles and abbreviations authorized under subsection (2). 141 
Only physicians may include titles and abbreviations or medical 142 
specialties in their advertisements, as specified in paragraph 143 
(2)(a). 144 
 (b)  Health care practitioners may not use deceptive or 145 
misleading terms or false representation in their 146 
advertisements. 147 
 (4)  Health care practitioners who treat patients in person 148 
may wear a name badge or other form of identification on their 149 
clothing that clearly discloses the practitioner's name, the 150     
 
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practitioner's staff position, if applicable, and the type of 151 
license, registration, or certification held by the 152 
practitioner. Any title or abbreviation used in such 153 
identification must be consistent with the requirements of this 154 
section. 155 
 (5)  If a health care practitioner treats patients in a 156 
setting other than a h ealth care facility licensed under chapter 157 
395 or chapter 400, the health care practitioner must 158 
prominently display a copy of his or her license in a 159 
conspicuous area of the practice so that it is easily visible to 160 
patients. The copy of the license must b e no smaller than the 161 
original license. 162 
 (6)  Any violation of this section constitutes grounds for 163 
denial of a license or disciplinary action as specified in the 164 
health care practitioner's respective practice act and as 165 
specified in s. 456.072(2). 166 
 (7)  Each board, or the department where there is no board, 167 
shall adopt rules pursuant to ss. 120.536(1) and 120.54 to 168 
implement this section. 169 
 Section 2.  This act shall take effect July 1, 2023. 170