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| 3 | 3 | | HB 955 2024 |
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| 9 | 9 | | Page 1 of 9 |
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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 |
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| 15 | 15 | | An act relating to prescriptive authority for 2 |
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| 16 | 16 | | psychologists; creating s. 490.0065, F.S.; defining 3 |
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| 17 | 17 | | terms; requiring the Board of Psychology to certify 4 |
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| 18 | 18 | | psychologists to exercise prescriptive authority if 5 |
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| 19 | 19 | | they meet specified criteria; requiring the board to 6 |
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| 20 | 20 | | develop procedures and adopt rules relating to 7 |
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| 21 | 21 | | prescriptive authority certification; authorizing the 8 |
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| 22 | 22 | | board to require that a prescribing psychologist 9 |
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| 23 | 23 | | correct certain deficiencies under certain 10 |
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| 24 | 24 | | circumstances; specifying certification application 11 |
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| 25 | 25 | | requirements; requiring the board to adopt rules 12 |
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| 26 | 26 | | providing for certification renewal; specifying 13 |
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| 27 | 27 | | continuing education requirements for certificate 14 |
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| 28 | 28 | | renewal; specifying requirements for the prescribing 15 |
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| 29 | 29 | | of drugs and controlled substances by a prescribing 16 |
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| 30 | 30 | | psychologist; prohibiting specified prescribing 17 |
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| 31 | 31 | | actions; requiring a prescribing psychologist who is 18 |
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| 32 | 32 | | authorized to prescribe controlled substances to file 19 |
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| 33 | 33 | | his or her federal Drug Enforcement Administration 20 |
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| 34 | 34 | | registration number with the board within a specified 21 |
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| 35 | 35 | | timeframe; requiring the board to maintain a current 22 |
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| 36 | 36 | | record of every prescribing psychologist authorized to 23 |
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| 37 | 37 | | prescribe controlled substances; requiring a 24 |
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| 38 | 38 | | prescribing psychologist to maintain professional 25 |
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| 40 | 40 | | HB 955 2024 |
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| 46 | 46 | | Page 2 of 9 |
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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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| 48 | 48 | | |
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| 50 | 50 | | |
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| 51 | 51 | | liability insurance; exempting specified licensees 26 |
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| 52 | 52 | | from certain certification requirements; requiring the 27 |
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| 53 | 53 | | Board of Psychology to establish an interim panel for 28 |
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| 54 | 54 | | a specified purpose by a specified date; providing 29 |
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| 55 | 55 | | panel membership; requiring the panel to submit 30 |
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| 56 | 56 | | recommendations for rules to the board by a specified 31 |
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| 57 | 57 | | date; requiring the panel to develop a formulary for 32 |
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| 58 | 58 | | prescribing psychologists; providing requirements for 33 |
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| 59 | 59 | | the formulary; providing for the dissolution of the 34 |
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| 60 | 60 | | panel; amending s. 627.6131, F.S.; revising provisions 35 |
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| 61 | 61 | | related to health care insurance claims to provide for 36 |
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| 62 | 62 | | prescribing psychologists; providing applicability; 37 |
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| 63 | 63 | | providing an effective date. 38 |
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| 64 | 64 | | 39 |
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| 65 | 65 | | Be It Enacted by the Legislature of the State of Florida: 40 |
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| 66 | 66 | | 41 |
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| 67 | 67 | | Section 1. Section 490.0065, Florida Statutes, is created 42 |
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| 68 | 68 | | to read: 43 |
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| 69 | 69 | | 490.0065 Certification for pres criptive authority.— 44 |
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| 70 | 70 | | (1) DEFINITIONS.—As used in this section, the term: 45 |
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| 71 | 71 | | (a) "Clinical experience" means a period of supervised 46 |
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| 72 | 72 | | training and practice during which an individual learns and 47 |
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| 73 | 73 | | conducts diagnoses and interventions under the supervision of a 48 |
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| 74 | 74 | | physician. 49 |
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| 75 | 75 | | (b) "Controlled substance" has the same meaning as in s. 50 |
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| 83 | 83 | | Page 3 of 9 |
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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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| 87 | 87 | | |
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| 88 | 88 | | 893.02. 51 |
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| 89 | 89 | | (c) "Drug" has the same meaning as in s. 499.003. 52 |
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| 90 | 90 | | (d) "Prescribing psychologist" means a psychologist who 53 |
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| 91 | 91 | | has received from the board a certificate for prescriptive 54 |
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| 92 | 92 | | authority which has not been revoked or suspended. 55 |
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| 93 | 93 | | (e) "Prescription" has the same meaning as in s. 465.003. 56 |
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| 94 | 94 | | (f) "Prescriptive authority" means having the authority to 57 |
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| 95 | 95 | | prescribe, administer, discontinue, or distribute drugs or 58 |
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| 96 | 96 | | controlled substances recognized o r customarily used in the 59 |
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| 97 | 97 | | diagnosis, treatment, or management of an individual who has a 60 |
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| 98 | 98 | | psychiatric, mental, cognitive, nervous, emotional, 61 |
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| 99 | 99 | | developmental, or behavioral disorder within the scope of the 62 |
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| 100 | 100 | | practice of psychology. 63 |
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| 101 | 101 | | (2) DUTIES OF THE BOARD. —The board shall do all of the 64 |
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| 102 | 102 | | following: 65 |
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| 103 | 103 | | (a) Certify psychologists who meet the requirements listed 66 |
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| 104 | 104 | | in subsection (3) to exercise prescriptive authority. 67 |
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| 105 | 105 | | (b) Develop and implement procedures to review education 68 |
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| 106 | 106 | | and training requirements for certification . 69 |
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| 107 | 107 | | (c) Adopt rules to deny, modify, suspend, or revoke a 70 |
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| 108 | 108 | | psychologist's prescriptive authority certification. The board 71 |
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| 109 | 109 | | may require remediation by a prescribing psychologist to correct 72 |
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| 110 | 110 | | deficiencies in his or her training or practice upon the board's 73 |
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| 111 | 111 | | determination that such deficiencies could reasonably be 74 |
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| 112 | 112 | | expected to jeopardize the health, safety, or welfare of the 75 |
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| 120 | 120 | | Page 4 of 9 |
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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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| 124 | 124 | | |
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| 125 | 125 | | public. 76 |
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| 126 | 126 | | (3) CERTIFICATION REQUIREMENTS. — 77 |
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| 127 | 127 | | (a) A psychologist who applies for prescriptive authority 78 |
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| 128 | 128 | | certification must demonstrate all of the f ollowing by an 79 |
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| 129 | 129 | | official transcript or other official evidence deemed 80 |
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| 130 | 130 | | satisfactory by the board: 81 |
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| 131 | 131 | | 1. A current license as a psychologist. 82 |
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| 132 | 132 | | 2. Graduation from a doctoral program in psychology. 83 |
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| 133 | 133 | | 3. A passing score on an examination developed by a 84 |
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| 134 | 134 | | nationally recognized body, such as the Psychopharmacology 85 |
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| 135 | 135 | | Examination for Psychologists offered by the Association of 86 |
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| 136 | 136 | | State and Provincial Psychology Boards, and approved by the 87 |
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| 137 | 137 | | board to establish competency in prescriptive authority. 88 |
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| 138 | 138 | | 4.a. Consistent with the Am erican Psychological 89 |
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| 139 | 139 | | Association's established policies for education of 90 |
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| 140 | 140 | | psychologists in preparation for prescriptive authority, 91 |
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| 141 | 141 | | successful completion of an organized sequence of study in a 92 |
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| 142 | 142 | | program offering intensive didactic education which includes 93 |
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| 143 | 143 | | core areas of instruction in basic sciences, neurosciences, 94 |
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| 144 | 144 | | physical examination, interpretation of laboratory tests, 95 |
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| 145 | 145 | | pathological bases of disease, clinical medicine, clinical 96 |
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| 146 | 146 | | neurotherapeutics, systems of care, pharmacology, clinical 97 |
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| 147 | 147 | | pharmacology, psychophar macology, psychopharmacology research, 98 |
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| 148 | 148 | | and professional, ethical, and legal issues. The program must 99 |
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| 149 | 149 | | consist of an appropriate number of hours of didactic 100 |
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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 |
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| 161 | 161 | | |
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| 162 | 162 | | instruction, as determined by the board, to ensure that the 101 |
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| 163 | 163 | | applicant has the knowledge and skills re quired to prescribe 102 |
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| 164 | 164 | | drugs in a safe and effective manner. 103 |
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| 165 | 165 | | b. Consistent with the American Psychological 104 |
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| 166 | 166 | | Association's established policies for the training of 105 |
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| 167 | 167 | | psychologists in preparation for prescriptive authority, 106 |
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| 168 | 168 | | relevant clinical experience sufficien t for the applicant to 107 |
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| 169 | 169 | | attain competency in the psychopharmacological treatment of a 108 |
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| 170 | 170 | | diverse patient population or at least 2 years practicing under 109 |
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| 171 | 171 | | the supervision of a licensed physician whose practice involves 110 |
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| 172 | 172 | | the pharmacological treatment of mental, ne rvous, emotional, 111 |
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| 173 | 173 | | behavioral, substance abuse, or cognitive diseases. 112 |
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| 174 | 174 | | 113 |
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| 175 | 175 | | The educational and training requirements under this 114 |
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| 176 | 176 | | subparagraph may be met as part of a doctoral program, 115 |
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| 177 | 177 | | postdoctoral training, or a fellowship in psychology. 116 |
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| 178 | 178 | | (b) A psychologist is exempt from the educational 117 |
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| 179 | 179 | | requirements established under paragraph (a) if he or she has 118 |
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| 180 | 180 | | completed the United States Department of Defense 119 |
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| 181 | 181 | | Psychopharmacology Demonstration Project. 120 |
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| 182 | 182 | | (4) CERTIFICATION RENEWAL. — 121 |
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| 183 | 183 | | (a) The board shall establish by rule a m ethod for the 122 |
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| 184 | 184 | | renewal of prescriptive authority certification, to occur in 123 |
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| 185 | 185 | | conjunction with licensure renewal pursuant to s. 490.007. 124 |
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| 186 | 186 | | (b) Each applicant for renewal must present satisfactory 125 |
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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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| 199 | 199 | | evidence to the board demonstrating completion of 20 hours of 126 |
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| 200 | 200 | | continuing education relevant to prescriptive authority during 127 |
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| 201 | 201 | | the previous 2-year licensure period. 128 |
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| 202 | 202 | | (5) PRESCRIPTION PRACTICES. — 129 |
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| 203 | 203 | | (a) A prescribing psychologist may use his or her 130 |
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| 204 | 204 | | prescriptive authority certification in accordance with rules 131 |
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| 205 | 205 | | adopted by the board. 132 |
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| 206 | 206 | | (b) A prescribing psychologist shall: 133 |
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| 207 | 207 | | 1. Maintain a record of all of a patient's prescriptions. 134 |
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| 208 | 208 | | 2. Consult and collaborate with a patient's primary care 135 |
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| 209 | 209 | | physician and concur with that physician before prescribing a 136 |
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| 210 | 210 | | drug, altering a drug tr eatment plan, or discontinuing a drug. 137 |
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| 211 | 211 | | (c) A prescribing psychologist may not: 138 |
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| 212 | 212 | | 1. Issue a prescription unless the psychologist holds a 139 |
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| 213 | 213 | | valid and current prescriptive authority certification that has 140 |
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| 214 | 214 | | not been revoked or suspended. 141 |
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| 215 | 215 | | 2. Delegate the auth ority to prescribe drugs to another 142 |
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| 216 | 216 | | person. 143 |
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| 217 | 217 | | 3. Issue a prescription to a patient who does not have a 144 |
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| 218 | 218 | | primary care physician. 145 |
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| 219 | 219 | | (d) A prescription issued by a prescribing psychologist 146 |
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| 220 | 220 | | must do all of the following: 147 |
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| 221 | 221 | | 1. Be written in a manner as determined by the board. 148 |
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| 222 | 222 | | 2. Comply with all applicable state and federal laws. 149 |
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| 223 | 223 | | (6) CONTROLLED SUBSTANCE PRESCRIPTION AUTHORITY. — 150 |
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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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| 236 | 236 | | (a) Upon the board authorizing a psychologist to prescribe 151 |
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| 237 | 237 | | controlled substances, the prescribing psychologist must file 152 |
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| 238 | 238 | | with the board, within 10 days after the authorization, his or 153 |
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| 239 | 239 | | her federal Drug Enforcement Administration registration number. 154 |
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| 240 | 240 | | (b) The board shall maintain a current record of every 155 |
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| 241 | 241 | | prescribing psychologist authorized to prescribe controlled 156 |
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| 242 | 242 | | substances. 157 |
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| 243 | 243 | | (7) FINANCIAL RESPONSIBILITY. —A prescribing psychologist 158 |
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| 244 | 244 | | must maintain at least $250,000 of professional liability 159 |
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| 245 | 245 | | insurance coverage. 160 |
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| 246 | 246 | | (8) EXEMPTION.—A person holding an active license as a 161 |
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| 247 | 247 | | physician or physician assistant under chapter 458 or chapter 162 |
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| 248 | 248 | | 459 or an advanced practice registered nurse holding an active 163 |
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| 249 | 249 | | license under chapter 464 is exempt from the certification 164 |
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| 250 | 250 | | requirements of this section. 165 |
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| 251 | 251 | | (9) INTERIM PANEL.—By October 1, 2024, the board shall 166 |
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| 252 | 252 | | establish an interim panel to provide recommendations for 167 |
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| 253 | 253 | | proposed rules governing prescriptive authority for 168 |
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| 254 | 254 | | psychologists. The interim panel shall consist of a psychiatrist 169 |
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| 255 | 255 | | licensed under chapter 45 8 or chapter 459 and a pediatrician, 170 |
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| 256 | 256 | | both selected by the Board of Medicine; a pharmacist who holds a 171 |
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| 257 | 257 | | doctoral degree, selected by the Board of Pharmacy; and two 172 |
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| 258 | 258 | | psychologists who hold postdoctoral master's degrees in clinical 173 |
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| 259 | 259 | | psychopharmacology, selected by the Board of Psychology. The 174 |
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| 260 | 260 | | panel shall submit its recommendations for proposed rules to the 175 |
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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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| 273 | 273 | | board by February 1, 2025. 176 |
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| 274 | 274 | | (a) The interim panel shall establish a formulary that: 177 |
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| 275 | 275 | | 1. Authorizes the prescribing of drugs recognized and 178 |
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| 276 | 276 | | customarily used for the management of mental, nervous, 179 |
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| 277 | 277 | | emotional, behavioral, substance abuse, and cognitive diseases. 180 |
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| 278 | 278 | | 2. Establishes guidelines for the pharmacological 181 |
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| 279 | 279 | | treatment of patients younger than 18 years of age. 182 |
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| 280 | 280 | | 3. Limits the prescribing of Schedule II control led 183 |
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| 281 | 281 | | substances to those drugs recognized and customarily used for 184 |
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| 282 | 282 | | the management of mental, nervous, emotional, behavioral, 185 |
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| 283 | 283 | | substance abuse, and cognitive diseases. 186 |
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| 284 | 284 | | 4. Prohibits the prescribing of drugs primarily used to 187 |
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| 285 | 285 | | pharmacologically treat patients for other primary conditions, 188 |
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| 286 | 286 | | unless specifically defined and authorized in the formulary. 189 |
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| 287 | 287 | | (b) This subsection expires May 1, 2025. 190 |
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| 288 | 288 | | Section 2. Subsection (18) of section 627.6131, Florida 191 |
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| 289 | 289 | | Statutes, is amended to read: 192 |
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| 290 | 290 | | 627.6131 Payment of claims. — 193 |
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| 291 | 291 | | (18) Notwithstanding the 30 -month period provided in 194 |
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| 292 | 292 | | subsection (6), all claims for overpayment submitted to a 195 |
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| 293 | 293 | | provider licensed under chapter 458, chapter 459, chapter 460, 196 |
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| 294 | 294 | | chapter 461, or chapter 466, or chapter 490 must be submitted to 197 |
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| 295 | 295 | | the provider within 12 months after the health insurer's payment 198 |
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| 296 | 296 | | of the claim. A claim for overpayment may not be permitted 199 |
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| 297 | 297 | | beyond 12 months after the health insurer's payment of a claim, 200 |
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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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| 307 | 307 | | |
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| 308 | 308 | | |
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| 309 | 309 | | |
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| 310 | 310 | | except that claims for overpayment may be sought beyond that 201 |
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| 311 | 311 | | time from providers con victed of fraud pursuant to s. 817.234. 202 |
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| 312 | 312 | | Section 3. The amendments made to s. 627.6131(18), Florida 203 |
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| 313 | 313 | | Statutes, by this act apply to claims for services provided on 204 |
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| 314 | 314 | | or after October 1, 2024. 205 |
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| 315 | 315 | | Section 4. This act shall take effect upon becoming a law. 206 |
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