HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 1 of 9 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 veterinary practices; creating s. 2 474.2021, F.S.; providing a short title; authorizing 3 licensed veterinarians to practice veterinary 4 telehealth in accordance with specified criteria; 5 specifying the powers of the Board of Veterinary 6 Medicine related to the practice of telehealth; 7 specifying the conditions under which a veterinarian 8 may practice veterinary telehealth; specifying the 9 drugs a veterinarian practicing telehealth may not 10 provide under specified circumstances; providing 11 specific authorizations for cases where a patient is a 12 food-producing species; amending s. 474.2165, F.S.; 13 conforming provisions to changes made by the act; 14 amending s. 828.30, F.S.; authorizing certain persons 15 to administer rabies vaccinations to certain animals 16 under indirect supervision of a veterinarian; 17 providing supervising veterinarian assumes 18 responsibility for specified people who provide 19 vaccinations; defining the term "indirect 20 supervision"; amending ss. 474.203, 767.16, and 21 828.29, F.S.; conforming provisions to changes made by 22 the act; providing an effective date. 23 24 Be It Enacted by the Legislature of the State of Florida: 25 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 2 of 9 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 47 4.2021, Florida Statutes, is created 27 to read: 28 474.2021 Veterinary telehealth. — 29 (1) This section may be cited as the "Providing Equity in 30 Telehealth Services Act." 31 (2) A veterinarian who holds a current license to practice 32 veterinary medicine in this state may practice veterinary 33 telehealth. For purposes of this section, the term "telehealth" 34 has the same meaning as in s. 456.47(1). 35 (3) The board has jurisdiction over a veterinarian 36 practicing veterinary telehealth, regardless of where the 37 veterinarian's physical office is located. The practice of 38 veterinary medicine is deemed to occur at the premises where the 39 patient is located at the time the veterinarian practices 40 veterinary telehealth. 41 (4) A veterinarian practicing veterinary telehealth: 42 (a) May not engage in the practice of veterinary 43 telehealth unless it is within the context of a 44 veterinarian/client/patient relationship; 45 (b) Must practice in a manner consistent with his or her 46 scope of practice and the prevailing professional standard o f 47 practice for a veterinarian who provides in -person veterinary 48 services to patients in this state; 49 (c) May use telehealth to perform a patient evaluation. If 50 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 3 of 9 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 veterinarian practicing telehealth conducts a patient 51 evaluation sufficient to diagnose and t reat the patient, the 52 veterinarian is not required to research a patient's medical 53 history or conduct a physical examination of the patient before 54 using veterinary telehealth to provide a veterinary health care 55 service to the patient; and 56 (d) Must prescribe all drugs and medications in accordance 57 with all federal and state laws. A veterinarian practicing 58 veterinary telehealth may order, prescribe, or make available 59 medicinal drugs or drugs as defined in s. 465.003. A 60 veterinarian may not use telehealth to prescribe a controlled 61 substance listed in Schedule II of s. 893.03. 62 (5) A veterinarian personally acquainted with the caring 63 and keeping of an animal or group of animals on food -producing 64 animal operations on land classified as agricultural pursuant to 65 s. 193.461 who has recently seen the animal or group of animals 66 or has made medically appropriate and timely visits to the 67 premises where the animal or group of animals is kept may 68 practice veterinary telehealth for animals on such operations. 69 Section 2. Subsection (1) of section 474.2165, Florida 70 Statutes, is amended to read: 71 474.2165 Ownership and control of veterinary medical 72 patient records; report or copies of records to be furnished. — 73 (1) As used in this section, the term "records owner" 74 means any veterinarian who generates a medical record after 75 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 4 of 9 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 making an a physical examination of, or administering treatment 76 or dispensing legend drugs to, any patient; any veterinarian to 77 whom records are transferred by a previous records owner; or any 78 veterinarian's employer, provided the employment contract or 79 agreement between the employer and the veterinarian designates 80 the employer as the records owner. 81 Section 3. Subsections (1) and (3) of section 828.30, 82 Florida Statutes, are amended to read: 83 828.30 Rabies vaccination of dogs, cats, and ferrets. — 84 (1)(a) All dogs, cats, and ferrets 4 months of age or 85 older must be vaccinated by a licensed veterinarian or a person 86 authorized under paragraph (b) against rabies with a vaccine 87 that is licensed by t he United States Department of Agriculture 88 for use in those species. 89 (b) Acting under the indirect supervision of a 90 veterinarian, an employee, an agent, or a contractor of a county 91 or municipal animal control authority or sheriff may vaccinate 92 against rabies dogs, cats, and ferrets in the custody of an 93 animal control authority or a sheriff that will be transferred, 94 rescued, fostered, adopted, or reclaimed by the owner. The 95 supervising veterinarian assumes responsibility for any person 96 vaccinating animals at his or her direction or under his or her 97 direct or indirect supervision. As used in this paragraph, the 98 term "indirect supervision" means that the supervising 99 veterinarian is required to be available for consultation 100 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 5 of 9 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 through telecommunications but is no t required to be physically 101 present during such consultation. 102 (c) The owner of every dog, cat, and ferret shall have the 103 animal revaccinated 12 months after the initial vaccination. 104 Thereafter, the interval between vaccinations shall conform to 105 the vaccine manufacturer's directions. The cost of vaccination 106 must be borne by the animal's owner. Evidence of circulating 107 rabies virus neutralizing antibodies may shall not be used as a 108 substitute for current vaccination in managing rabies exposure 109 or determining the need for booster vaccinations. 110 (3) Upon vaccination against rabies, the licensed 111 veterinarian shall provide the animal's owner and the animal 112 control authority with a rabies vaccination certificate. Each 113 animal control authority and veterinarian sha ll use the "Rabies 114 Vaccination Certificate" of the National Association of State 115 Public Health Veterinarians (NASPHV) or an equivalent form 116 approved by the local government that contains all the 117 information required by the NASPHV Rabies Vaccination 118 Certificate. The veterinarian who administers the rabies 119 vaccination or who supervises the administration of the rabies 120 vaccination as provided in paragraph (1)(b) vaccine to an animal 121 as authorized required under this section may affix his or her 122 signature stamp in lieu of an actual signature. 123 Section 4. Paragraph (a) of subsection (5) of section 124 474.203, Florida Statutes, is amended to read: 125 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 6 of 9 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 474.203 Exemptions. —This chapter does not apply to: 126 (5)(a) Any person, or the person's regular employee, 127 administering to the ills or injuries of her or his own animals, 128 including, but not limited to, castration, spaying, and 129 dehorning of herd animals, unless title is transferred or 130 employment provided for the purpose of circumventing this law. 131 This exemption does not apply to any person licensed as a 132 veterinarian in another state or foreign jurisdiction and 133 practicing temporarily in this state. However, except as 134 provided in s. 828.30, only a veterinarian may immunize or treat 135 an animal for diseases that are communica ble to humans and that 136 are of public health significance. 137 138 For the purposes of chapters 465 and 893, persons exempt 139 pursuant to subsection (1), subsection (2), or subsection (4) 140 are deemed to be duly licensed practitioners authorized by the 141 laws of this state to prescribe drugs or medicinal supplies. 142 Section 5. Subsection (2) of section 767.16, Florida 143 Statutes, is amended to read: 144 767.16 Police canine or service dog; exemption. — 145 (2) Any dog used as a service dog for blind, hearing 146 impaired, or disabled persons that bites another animal or a 147 human is exempt from any quarantine requirement following such 148 bite if the dog has a current rabies vaccination that was 149 administered as provided in s. 828.30 by a licensed 150 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 7 of 9 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 veterinarian. 151 Section 6. Paragraph (b) of subsection (1) and paragraph 152 (b) of subsection (2) of section 828.29, Florida Statutes, are 153 amended to read: 154 828.29 Dogs and cats transported or offered for sale; 155 health requirements; consumer guarantee. — 156 (1) 157 (b) For each dog offered for sale w ithin the state, the 158 tests, vaccines, and anthelmintics required by this section must 159 be administered by or under the direction of a veterinarian, 160 licensed by the state and accredited by the United States 161 Department of Agriculture, who issues the official certificate 162 of veterinary inspection. The tests, vaccines, and anthelmintics 163 must be administered before the dog is offered for sale in the 164 state, unless the licensed, accredited veterinarian certifies on 165 the official certificate of veterinary inspection t hat to 166 inoculate or deworm the dog is not in the best medical interest 167 of the dog, in which case the vaccine or anthelmintic may not be 168 administered to that particular dog. Each dog must receive 169 vaccines and anthelmintics against the following diseases and 170 internal parasites: 171 1. Canine distemper. 172 2. Leptospirosis. 173 3. Bordetella (by intranasal inoculation or by an 174 alternative method of administration if deemed necessary by the 175 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 8 of 9 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 attending veterinarian and noted on the health certificate, 176 which must be administered in this state once before sale). 177 4. Parainfluenza. 178 5. Hepatitis. 179 6. Canine parvo. 180 7. Rabies, provided the dog is over 3 months of age and 181 the inoculation is administered as provided in s. 828.30 by a 182 licensed veterinarian . 183 8. Roundworms. 184 9. Hookworms. 185 186 If the dog is under 4 months of age, the tests, vaccines, and 187 anthelmintics required by this section must be administered no 188 more than 21 days before sale within the state. If the dog is 4 189 months of age or older, the tests, vaccines, and anthelmintics 190 required by this section must be administered at or after 3 191 months of age, but no more than 1 year before sale within the 192 state. 193 (2) 194 (b) For each cat offered for sale within the state, the 195 tests, vaccines, and anthelmintics required by this section must 196 be administered by or under the direction of a veterinarian, 197 licensed by the state and accredited by the United States 198 Department of Agriculture, who issues the official certificate 199 of veterinary inspection. The tests, vaccines, and anthelmintics 200 HB 849 2024 CODING: Words stricken are deletions; words underlined are additions. hb0849-00 Page 9 of 9 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 must be administered before the cat is offered for sale in the 201 state, unless the licensed, accredited veterinarian certifies on 202 the official certificate of veterinary inspection that to 203 inoculate or deworm the cat is not in the best medical interest 204 of the cat, in which case the vaccine or anthelmintic may not be 205 administered to that particular cat. Each cat must receive 206 vaccines and anthelmintics against the following diseases and 207 internal parasites: 208 1. Panleukopenia. 209 2. Feline viral rhinotracheitis. 210 3. Calici virus. 211 4. Rabies, if the cat is over 3 months of age and the 212 inoculation is administered as provided in s. 828.30 by a 213 licensed veterinarian . 214 5. Hookworms. 215 6. Roundworms. 216 217 If the cat is under 4 months of age, the tests, vaccines, and 218 anthelmintics required by this section must be administered no 219 more than 21 days before sale within the state. If the cat is 4 220 months of age or older, the tests, vaccines, and anthelmintics 221 required by this section must be administered at or after 3 222 months of age, but no more than 1 year before sale within the 223 state. 224 Section 7. This act shall take effect July 1, 2024. 225