Florida 2023 Regular Session

Florida House Bill H1485 Compare Versions

Only one version of the bill is available at this time.

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3	3	HB 1485 2023
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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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14	14	A bill to be entitled 1
15	15	An act relating to anesthesiologist assistants; 2
16	16	amending ss. 458.3475 and 459.023, F.S.; revising the 3
17	17	definitions of the terms "anesthesiologist" and 4
18	18	"direct supervision"; revising requirements for the 5
19	19	written protocol between an anesthesiologist assistant 6
20	20	and a supervising anesthesiologist; revising 7
21	21	provisions relating to duties and functions 8
22	22	anesthesiologist assistants may perform; revising 9
23	23	licensure requirements for anesthesiologist 10
24	24	assistants; providing an effective date. 11
25	25	12
26	26	Be It Enacted by the Legislature of the State of Florida: 13
27	27	14
28	28	Section 1. Paragraphs (a) and (g) of subsection (1), 15
29	29	paragraph (a) subsection (3), and paragraphs (a) and (b) of 16
30	30	subsection (6) of section 458.3475, Florida Statutes, are 17
31	31	amended to read: 18
32	32	458.3475 Anesthesiologist assistants. — 19
33	33	(1) DEFINITIONS.—As used in this section, the term: 20
34	34	(a) "Anesthesiologist" means an allopathic or osteopathic 21
35	35	physician who holds an active, unr estricted license; who has 22
36	36	successfully completed an anesthesiology training program 23
37	37	approved by the Accreditation Council on Graduate Medical 24
38	38	Education or its equivalent; and who is certified by the 25
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40	40	HB 1485 2023
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44	44	CODING: Words stricken are deletions; words underlined are additions.
45	45	hb1485-00
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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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49	49
50	50
51	51	American Board of Anesthesiology, is eligible to take th at 26
52	52	board's examination, or is certified by the Board of 27
53	53	Certification in Anesthesiology affiliated with the American 28
54	54	Association of Physician Specialists. 29
55	55	(g) "Direct supervision" means the physical presence of a 30
56	56	supervising anesthesiologist on the premi ses such that the 31
57	57	supervising anesthesiologist is immediately available as needed 32
58	58	onsite, personal supervision by an anesthesiologist who is 33
59	59	present in the office when the procedure is being performed in 34
60	60	that office, or is present in the surgical or obstet rical suite 35
61	61	when the procedure is being performed in that surgical or 36
62	62	obstetrical suite and who is in all instances immediately 37
63	63	available to provide assistance and direction to the 38
64	64	anesthesiologist assistant while anesthesia services are being 39
65	65	performed. 40
66	66	(3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 41
67	67	(a) An anesthesiologist assistant may assist an 42
68	68	anesthesiologist in developing and implementing an anesthesia 43
69	69	care plan for a patient , may personally administer the 44
70	70	prescribed anesthetic under the direct supervision of an 45
71	71	anesthesiologist, and may perform tasks and services as 46
72	72	specified in a written protocol approved by the supervising 47
73	73	anesthesiologist which may include any of the following 48
74	74	functions. In providing assistance to an anesthesiologist, an 49
75	75	anesthesiologist assistant may perform duties established by 50
76	76
77	77	HB 1485 2023
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81	81	CODING: Words stricken are deletions; words underlined are additions.
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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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88	88	rule by the board in any of the following functions that are 51
89	89	included in the anesthesiologist assistant's protocol while 52
90	90	under the direct supervision of an anesthesiologist : 53
91	91	1. Obtain a comprehensi ve patient history and present the 54
92	92	history to the supervising anesthesiologist. 55
93	93	2. Pretest and calibrate anesthesia delivery systems and 56
94	94	monitor, obtain, and interpret information from the systems and 57
95	95	monitors. 58
96	96	3. Assist the supervising anesthesiologis t with the 59
97	97	implementation of medically accepted monitoring techniques. 60
98	98	4. Establish basic and advanced airway interventions, 61
99	99	including intubation of the trachea and performing ventilatory 62
100	100	support. 63
101	101	5. Administer intermittent vasoactive drugs and start a nd 64
102	102	adjust vasoactive infusions. 65
103	103	6. Administer anesthetic drugs, adjuvant drugs, and 66
104	104	accessory drugs. 67
105	105	7. Assist the supervising anesthesiologist with the 68
106	106	performance of epidural anesthetic procedures and spinal 69
107	107	anesthetic procedures. 70
108	108	8. Administer blood, blood products, and supportive 71
109	109	fluids. 72
110	110	9. Support life functions during anesthesia health care, 73
111	111	including induction and intubation procedures, the use of 74
112	112	appropriate mechanical supportive devices, and the management of 75
113	113
114	114	HB 1485 2023
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118	118	CODING: Words stricken are deletions; words underlined are additions.
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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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123	123
124	124
125	125	fluid, electrolyte, and bloo d component balances. 76
126	126	10. Recognize and take appropriate corrective action for 77
127	127	abnormal patient responses to anesthesia, adjunctive medication, 78
128	128	or other forms of therapy. 79
129	129	11. Participate in management of the patient while in the 80
130	130	postanesthesia recovery area, including the administration of 81
131	131	any supporting fluids or drugs. 82
132	132	12. Place special peripheral and central venous and 83
133	133	arterial lines for blood sampling and monitoring as appropriate. 84
134	134	(6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 85
135	135	(a) Any person desi ring to be licensed as an 86
136	136	anesthesiologist assistant must apply to the department. The 87
137	137	department shall issue a license to any person certified by the 88
138	138	board to: 89
139	139	1. Be at least 18 years of age. 90
140	140	2. Have satisfactorily passed a proficiency examination 91
141	141	with a score established by the National Commission on 92
142	142	Certification of Anesthesiologist Assistants. 93
143	143	3. Be certified in advanced cardiac life support. 94
144	144	4. Have completed the application form and remitted an 95
145	145	application fee, not to exceed $1,000, as set by the boards. An 96
146	146	application must include: 97
147	147	a. A certificate of completion of an approved graduate 98
148	148	level program. 99
149	149	b. An acknowledgment A sworn statement of any prior felony 100
150	150
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154	154
155	155	CODING: Words stricken are deletions; words underlined are additions.
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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
159	159
160	160
161	161
162	162	convictions. 101
163	163	c. An acknowledgment A sworn statement of any prior 102
164	164	discipline or denial of licensure or certification in any state. 103
165	165	d. Two letters of recommendation from anesthesiologists. 104
166	166	(b) A license must be renewed biennially. Each renewal 105
167	167	must include: 106
168	168	1. A renewal fee, not to exceed $1,000, as set by the 107
169	169	boards. 108
170	170	2. An acknowledgment A sworn statement of no felony 109
171	171	convictions in the immediately preceding 2 years. 110
172	172	Section 2. Paragraphs (a) and (g) of subsection (1), 111
173	173	paragraph (a) of subsection (3), and paragraphs (a) and (b) of 112
174	174	subsection (6) of section 459.023, Florida S tatutes, are amended 113
175	175	to read: 114
176	176	459.023 Anesthesiologist assistants. — 115
177	177	(1) DEFINITIONS.—As used in this section, the term: 116
178	178	(a) "Anesthesiologist" means an osteopathic or allopathic 117
179	179	physician who holds an active, unrestricted license; who has 118
180	180	successfully completed an anesthesiology training program 119
181	181	approved by the Accreditation Council on Graduate Medical 120
182	182	Education, or its equivalent, or the American Osteopathic 121
183	183	Association; and who is certified by the American Osteopathic 122
184	184	Board of Anesthesiology or is e ligible to take that board's 123
185	185	examination, is certified by the American Board of 124
186	186	Anesthesiology or is eligible to take that board's examination, 125
187	187
188	188	HB 1485 2023
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190	190
191	191
192	192	CODING: Words stricken are deletions; words underlined are additions.
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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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197	197
198	198
199	199	or is certified by the Board of Certification in Anesthesiology 126
200	200	affiliated with the American Association of Phys ician 127
201	201	Specialists. 128
202	202	(g) "Direct supervision" means the physical presence of a 129
203	203	supervising anesthesiologist on the premises such that the 130
204	204	supervising anesthesiologist is immediately available as needed 131
205	205	onsite, personal supervision by an anesthesiologist wh o is 132
206	206	present in the office when the procedure is being performed in 133
207	207	that office, or is present in the surgical or obstetrical suite 134
208	208	when the procedure is being performed in that surgical or 135
209	209	obstetrical suite and who is in all instances immediately 136
210	210	available to provide assistance and direction to the 137
211	211	anesthesiologist assistant while anesthesia services are being 138
212	212	performed. 139
213	213	(3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS. — 140
214	214	(a) An anesthesiologist assistant may assist an 141
215	215	anesthesiologist in developing and i mplementing an anesthesia 142
216	216	care plan for a patient , may personally administer the 143
217	217	prescribed anesthetic under the direct supervision of an 144
218	218	anesthesiologist, and may perform tasks and services as 145
219	219	specified in a written protocol approved by the supervising 146
220	220	anesthesiologist which may include any of the following 147
221	221	functions. In providing assistance to an anesthesiologist, an 148
222	222	anesthesiologist assistant may perform duties established by 149
223	223	rule by the board in any of the following functions that are 150
224	224
225	225	HB 1485 2023
226	226
227	227
228	228
229	229	CODING: Words stricken are deletions; words underlined are additions.
230	230	hb1485-00
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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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234	234
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236	236	included in the anesthesiologist assistant's protocol while 151
237	237	under the direct supervision of an anesthesiologist : 152
238	238	1. Obtain a comprehensive patient history and present the 153
239	239	history to the supervising anesthesiologist. 154
240	240	2. Pretest and calibrate anesthesia delivery systems a nd 155
241	241	monitor, obtain, and interpret information from the systems and 156
242	242	monitors. 157
243	243	3. Assist the supervising anesthesiologist with the 158
244	244	implementation of medically accepted monitoring techniques. 159
245	245	4. Establish basic and advanced airway interventions, 160
246	246	including intubation of the trachea and performing ventilatory 161
247	247	support. 162
248	248	5. Administer intermittent vasoactive drugs and start and 163
249	249	adjust vasoactive infusions. 164
250	250	6. Administer anesthetic drugs, adjuvant drugs, and 165
251	251	accessory drugs. 166
252	252	7. Assist the supervising anest hesiologist with the 167
253	253	performance of epidural anesthetic procedures and spinal 168
254	254	anesthetic procedures. 169
255	255	8. Administer blood, blood products, and supportive 170
256	256	fluids. 171
257	257	9. Support life functions during anesthesia health care, 172
258	258	including induction and intubation procedures, the use of 173
259	259	appropriate mechanical supportive devices, and the management of 174
260	260	fluid, electrolyte, and blood component balances. 175
261	261
262	262	HB 1485 2023
263	263
264	264
265	265
266	266	CODING: Words stricken are deletions; words underlined are additions.
267	267	hb1485-00
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269	269	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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271	271
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273	273	10. Recognize and take appropriate corrective action for 176
274	274	abnormal patient responses to anesthesia, adjunctive medic ation, 177
275	275	or other forms of therapy. 178
276	276	11. Participate in management of the patient while in the 179
277	277	postanesthesia recovery area, including the administration of 180
278	278	any supporting fluids or drugs. 181
279	279	12. Place special peripheral and central venous and 182
280	280	arterial lines for blood sampling and monitoring as appropriate. 183
281	281	(6) ANESTHESIOLOGIST ASSISTANT LICENSURE. — 184
282	282	(a) Any person desiring to be licensed as an 185
283	283	anesthesiologist assistant must apply to the department. The 186
284	284	department shall issue a license to any person certi fied by the 187
285	285	board to: 188
286	286	1. Be at least 18 years of age. 189
287	287	2. Have satisfactorily passed a proficiency examination 190
288	288	with a score established by the National Commission on 191
289	289	Certification of Anesthesiologist Assistants. 192
290	290	3. Be certified in advanced cardiac lif e support. 193
291	291	4. Have completed the application form and remitted an 194
292	292	application fee, not to exceed $1,000, as set by the boards. An 195
293	293	application must include: 196
294	294	a. A certificate of completion of an approved graduate 197
295	295	level program. 198
296	296	b. An acknowledgment A sworn statement of any prior felony 199
297	297	convictions. 200
298	298
299	299	HB 1485 2023
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301	301
302	302
303	303	CODING: Words stricken are deletions; words underlined are additions.
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306	306	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	310	c. An acknowledgment A sworn statement of any prior 201
311	311	discipline or denial of licensure or certification in any state. 202
312	312	d. Two letters of recommendation from anesthesiologists. 203
313	313	(b) A license must be renewe d biennially. Each renewal 204
314	314	must include: 205
315	315	1. A renewal fee, not to exceed $1,000, as set by the 206
316	316	boards. 207
317	317	2. An acknowledgment A sworn statement of no felony 208
318	318	convictions in the immediately preceding 2 years. 209
319	319	Section 3. This act shall take effect July 1, 2023. 210