HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 1 of 7 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 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 2 of 7 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 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 3 of 7 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) 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 4 of 7 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 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 5 of 7 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 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 6 of 7 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 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 HB 583 2023 CODING: Words stricken are deletions; words underlined are additions. hb0583-00 Page 7 of 7 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 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