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A bill to be entitled 1
An act relating to dental therapy; amending s. 2
409.906, F.S.; authorizing Medicaid to reimburse for 3
dental services provided in a mobile dental unit that 4
is owned by, operated by, or contracted with a health 5
access setting or another similar setting or pro gram; 6
amending s. 466.001, F.S.; revising legislative 7
purpose and intent; amending s. 466.002, F.S.; 8
providing applicability; amending s. 466.003, F.S.; 9
defining the terms "dental therapist" and "dental 10
therapy"; amending s. 466.004, F.S.; requiring the 11
chair of the Board of Dentistry to appoint a Council 12
on Dental Therapy, effective after a specified 13
timeframe; providing for membership, meetings, and the 14
purpose of the council; amending s. 466.006, F.S.; 15
revising the definitions of the terms "full -time 16
practice" and "full-time practice of dentistry within 17
the geographic boundaries of this state within 1 year" 18
to include full-time faculty members of certain dental 19
therapy schools; amending s. 466.009, F.S.; requiring 20
the Department of Health to allow any per son who fails 21
the dental therapy examination to retake the 22
examination; providing that a person who fails a 23
practical or clinical examination to practice dental 24
therapy and who has failed one part or procedure of 25
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the examination may be required to retake o nly that 26
part or procedure to pass the examination; amending s. 27
466.011, F.S.; requiring the board to certify an 28
applicant for licensure as a dental therapist; 29
creating s. 466.0136, F.S.; requiring the board to 30
require each licensed dental therapist to com plete a 31
specified number of hours of continuing education; 32
requiring the board to adopt rules and guidelines; 33
authorizing the board to excuse licensees from 34
continuing education requirements in certain 35
circumstances; amending s. 466.016, F.S.; requiring a 36
practitioner of dental therapy to post and display her 37
or his license in each office where she or he 38
practices; amending s. 466.017, F.S.; requiring the 39
board to adopt certain rules relating to dental 40
therapists; authorizing a dental therapist under the 41
direct supervision of a dentist to perform certain 42
duties if specified requirements are met; authorizing 43
a dental therapist providing services in a mobile 44
dental unit under the general supervision of a dentist 45
to perform certain duties if specified requireme nts 46
are met; amending s. 466.018, F.S.; providing that a 47
dentist of record remains primarily responsible for 48
the dental treatment of a patient regardless of 49
whether the treatment is provided by a dental 50
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therapist; requiring that the initials of a dental 51
therapist who renders treatment to a patient be placed 52
in the record of the patient; creating s. 466.0225, 53
F.S.; providing application requirements and 54
examination and licensure qualifications for dental 55
therapists; creating s. 466.0227, F.S.; authorizing a 56
dental therapist to perform specified services under 57
the general supervision of a dentist under certain 58
conditions; specifying state -specific dental therapy 59
services; requiring that a collaborative management 60
agreement be signed by a supervising dentist an d a 61
dental therapist and to include certain information; 62
requiring the supervising dentist to determine the 63
number of hours of practice that a dental therapist 64
must complete before performing certain authorized 65
services; authorizing a supervising dentist t o 66
restrict or limit the dental therapist's practice in a 67
collaborative management agreement; providing that a 68
supervising dentist may authorize a dental therapist 69
to provide dental therapy services to a patient before 70
the dentist examines or diagnoses the patient under 71
certain conditions; requiring a supervising dentist to 72
be licensed and practicing in this state; specifying 73
that the supervising dentist is responsible for 74
certain services; amending s. 466.026, F.S.; providing 75
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criminal penalties; amending s. 466.028, F.S.; 76
revising grounds for denial of a license or 77
disciplinary action to include the practice of dental 78
therapy; amending s. 466.0285, F.S.; prohibiting 79
persons other than licensed dentists from employing a 80
dental therapist in the operation of a dental office 81
and from controlling the use of any dental equipment 82
or material in certain circumstances; amending s. 83
921.0022, F.S.; conforming a provision to changes made 84
by the act; requiring the department, in consultation 85
with the board and the Agency for Health Care 86
Administration, to provide reports to the Legislature 87
by specified dates; requiring that certain information 88
and recommendations be included in the reports; 89
providing an effective date. 90
91
Be It Enacted by the Legislature of the State of Florida: 92
93
Section 1. Paragraph (c) of subsection (1) of section 94
409.906, Florida Statutes, is amended, and paragraph (e) is 95
added to subsection (6) of that section, to read: 96
409.906 Optional Medicaid services. —Subject to specific 97
appropriations, the agency may make payments for services which 98
are optional to the state under Title XIX of the Social Security 99
Act and are furnished by Medicaid providers to recipients who 100
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are determined to be eligible on the dates on which the services 101
were provided. Any o ptional service that is provided shall be 102
provided only when medically necessary and in accordance with 103
state and federal law. Optional services rendered by providers 104
in mobile units to Medicaid recipients may be restricted or 105
prohibited by the agency. Not hing in this section shall be 106
construed to prevent or limit the agency from adjusting fees, 107
reimbursement rates, lengths of stay, number of visits, or 108
number of services, or making any other adjustments necessary to 109
comply with the availability of moneys a nd any limitations or 110
directions provided for in the General Appropriations Act or 111
chapter 216. If necessary to safeguard the state's systems of 112
providing services to elderly and disabled persons and subject 113
to the notice and review provisions of s. 216.17 7, the Governor 114
may direct the Agency for Health Care Administration to amend 115
the Medicaid state plan to delete the optional Medicaid service 116
known as "Intermediate Care Facilities for the Developmentally 117
Disabled." Optional services may include: 118
(1) ADULT DENTAL SERVICES.— 119
(c) However, Medicaid will not provide reimbursement for 120
dental services provided in a mobile dental unit, except for a 121
mobile dental unit: 122
1. Owned by, operated by, or having a contractual 123
agreement with the Department of Health a nd complying with 124
Medicaid's county health department clinic services program 125
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specifications as a county health department clinic services 126
provider. 127
2. Owned by, operated by, or having a contractual 128
arrangement with a federally qualified health center an d 129
complying with Medicaid's federally qualified health center 130
specifications as a federally qualified health center provider. 131
3. Rendering dental services to Medicaid recipients, 21 132
years of age and older, at nursing facilities. 133
4. Owned by, operated b y, or having a contractual 134
agreement with a state -approved dental educational institution. 135
5. Owned by, operated by, or having a contractual 136
agreement with a health access setting as defined in s. 466.003 137
or a similar setting or program. 138
(6) CHILDREN'S DENTAL SERVICES.—The agency may pay for 139
diagnostic, preventive, or corrective procedures, including 140
orthodontia in severe cases, provided to a recipient under age 141
21, by or under the supervision of a licensed dentist. The 142
agency may also reimburse a healt h access setting as defined in 143
s. 466.003 for the remediable tasks that a licensed dental 144
hygienist is authorized to perform under s. 466.024(2). Services 145
provided under this program include treatment of the teeth and 146
associated structures of the oral cavi ty, as well as treatment 147
of disease, injury, or impairment that may affect the oral or 148
general health of the individual. However, Medicaid will not 149
provide reimbursement for dental services provided in a mobile 150
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dental unit, except for a mobile dental unit: 151
(e) Owned by, operated by, or having a contractual 152
agreement with a health access setting as defined in s. 466.003 153
or a similar setting or program. 154
Section 2. Section 466.001, Florida Statutes, is amended 155
to read: 156
466.001 Legislative purpose and i ntent.—The legislative 157
purpose for enacting this chapter is to ensure that every 158
dentist, dental therapist, or dental hygienist practicing in 159
this state meets minimum requirements for safe practice without 160
undue clinical interference by persons not license d under this 161
chapter. It is the legislative intent that dental services be 162
provided only in accordance with the provisions of this chapter 163
and not be delegated to unauthorized individuals. It is the 164
further legislative intent that dentists , dental therapists, and 165
dental hygienists who fall below minimum competency or who 166
otherwise present a danger to the public shall be prohibited 167
from practicing in this state. All provisions of this chapter 168
relating to the practice of dentistry , dental therapy, and 169
dental hygiene shall be liberally construed to carry out such 170
purpose and intent. 171
Section 3. Subsections (5) and (6) of section 466.002, 172
Florida Statutes, are amended to read: 173
466.002 Persons exempt from operation of chapter. —Nothing 174
in This chapter does not shall apply to the following practices, 175
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acts, and operations: 176
(5) Students in Florida schools of dentistry , dental 177
therapy, and dental hygiene or dental assistant educational 178
programs, while performing regularly assigned work under the 179
curriculum of such schools or programs. 180
(6) Instructors in Florida schools of dentistry, 181
instructors in dental programs that prepare persons holding 182
D.D.S. or D.M.D. degrees for certification by a specialty board 183
and that are accredited in the United States by January 1, 2005, 184
in the same manner as the board recognizes accreditation for 185
Florida schools of dentistry that are not otherwise affiliated 186
with a Florida school of dentistry, or instructors in Florida 187
schools of dental hygiene , dental therapy, or dental assistant 188
educational programs, while performing regularly assigned 189
instructional duties under the curriculum of such schools or 190
programs. A full-time dental instructor at a dental school or 191
dental program approved by the board may be allowed to practice 192
dentistry at the teaching facilities of such school or program, 193
upon receiving a teaching permit issued by the board, in strict 194
compliance with such rules as are adopted by the board 195
pertaining to the teaching permit and with the established rules 196
and procedures of the dental school or program as recognized in 197
this section. 198
Section 4. Section 466.003, Florida Statutes, is reordered 199
and amended to read: 200
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466.003 Definitions. —As used in this chapter , the term: 201
(1) "Board" means the Board of Dentistry. 202
(2)(6) "Dental assistant" means a person, other than a 203
dental hygienist, who, under the supervision and authorization 204
of a dentist, provides dental care services directly to a 205
patient. This term does shall not include a certified registered 206
nurse anesthetist lic ensed under part I of chapter 464. 207
(3)(4) "Dental hygiene" means the rendering of 208
educational, preventive, and therapeutic dental services 209
pursuant to ss. 466.023 and 466.024 and any related extra -oral 210
procedure required in the performance of such servic es. 211
(4)(5) "Dental hygienist" means a person licensed to 212
practice dental hygiene pursuant to this chapter. 213
(5) "Dental therapist" means a person licensed to practice 214
dental therapy pursuant to s. 466.0225. 215
(6) "Dental therapy" means the rendering of services 216
pursuant to s. 466.0227 and any related extraoral services or 217
procedures required in the performance of such services. 218
(7)(2) "Dentist" means a person licensed to practice 219
dentistry pursuant to this chapter. 220
(8)(3) "Dentistry" means the healin g art which is 221
concerned with the examination, diagnosis, treatment planning, 222
and care of conditions within the human oral cavity and its 223
adjacent tissues and structures. It includes the performance or 224
attempted performance of any dental operation, or oral or oral-225
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maxillofacial surgery and any procedures adjunct thereto, 226
including physical evaluation directly related to such operation 227
or surgery pursuant to hospital rules and regulations. It also 228
includes dental service of any kind gratuitously or for any 229
remuneration paid, or to be paid, directly or indirectly, to any 230
person or agency. The term "dentistry" shall also includes 231
include the following: 232
(a) The Taking of an impression of the human tooth, teeth, 233
or jaws directly or indirectly and by any means or method. 234
(b) Supplying artificial substitutes for the natural teeth 235
or furnishing, supplying, constructing, reproducing, or 236
repairing any prosthetic denture, brid ge, appliance, or any 237
other structure designed to be worn in the human mouth except on 238
the written work order of a duly licensed dentist. 239
(c) The Placing of an appliance or structure in the human 240
mouth or the adjusting or attempting to adjust the same. 241
(d) Delivering the same to any person other than the 242
dentist upon whose work order the work was performed. 243
(e) Professing to the public by any method to furnish, 244
supply, construct, reproduce, or repair any prosthetic denture, 245
bridge, appliance, or other structure designed to be worn in the 246
human mouth. 247
(f) Diagnosing, prescribing, or treating or professing to 248
diagnose, prescribe, or treat disease, pain, deformity, 249
deficiency, injury, or physical condition of the human teeth or 250
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jaws or oral-maxillofacial region. 251
(g) Extracting or attempting to extract human teeth. 252
(h) Correcting or attempting to correct malformations of 253
teeth or of jaws. 254
(i) Repairing or attempting to repair cavities in the 255
human teeth. 256
(9)(7) "Department" means the Department of Health. 257
(10)(8) "Digital scanning" means the use of digital 258
technology that creates a computer -generated replica of the hard 259
and soft tissue of the oral cavity using enhanced digital 260
photography, lasers, or other optical scanning devices. 261
(11)(9) "Direct supervision" means supervision whereby a 262
dentist diagnoses the condition to be treated, a dentist 263
authorizes the procedure to be performed, a dentist remains on 264
the premises while the procedures are performed, and a dentist 265
approves the work performed before dismissal of the patient. 266
(12)(11) "General supervision" means supervision whereby a 267
dentist authorizes the procedures which are being carried out 268
but need not be present when the authorized procedures are being 269
performed. The authorized procedure s may also be performed at a 270
place other than the dentist's usual place of practice. The 271
issuance of a written work authorization to a commercial dental 272
laboratory by a dentist does not constitute general supervision. 273
(13)(15) "Health access setting" mea ns a program or an 274
institution of the Department of Children and Families, the 275
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Department of Health, the Department of Juvenile Justice, a 276
nonprofit community health center, a Head Start center, a 277
federally qualified health center or look -alike as defined by 278
federal law, a school -based prevention program, a clinic 279
operated by an accredited college of dentistry, or an accredited 280
dental hygiene program in this state if such community service 281
program or institution immediately reports to the Board of 282
Dentistry all violations of s. 466.027, s. 466.028, or other 283
practice act or standard of care violations related to the 284
actions or inactions of a dentist, dental hygienist, or dental 285
assistant engaged in the delivery of dental care in such 286
setting. 287
(14)(10) "Indirect supervision" means supervision whereby 288
a dentist authorizes the procedure and a dentist is on the 289
premises while the procedures are performed. 290
(15)(12) "Irremediable tasks" are those intraoral 291
treatment tasks which, when performed, are irreversible and 292
create unalterable changes within the oral cavity or the 293
contiguous structures or which cause an increased risk to the 294
patient. The administration of ane sthetics other than topical 295
anesthesia is considered to be an "irremediable task" for 296
purposes of this chapter. 297
(16)(14) "Oral and maxillofacial surgery" means the 298
specialty of dentistry involving diagnosis, surgery, and 299
adjunctive treatment of diseases, injuries, and defects 300
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involving the functional and esthetic aspects of the hard and 301
soft tissues of the oral and maxillofacial regions. This term 302
may not be construed to apply to any individual exempt under s. 303
466.002(1). 304
(17)(13) "Remediable tasks" are those intraoral treatment 305
tasks which are reversible and do not create unalterable changes 306
within the oral cavity or the contiguous structures and which do 307
not cause an increased risk to the patient. 308
(18)(16) "School-based prevention program" means 309
preventive oral health services offered at a school by one of 310
the entities described defined in subsection (13) (15) or by a 311
nonprofit organization that is exempt from federal income 312
taxation under s. 501(a) of the Internal Revenue Code, and 313
described in s. 501(c)(3) of the Internal Revenue Code. 314
Section 5. Subsection (2) of section 466.004, Florida 315
Statutes, is amended to read: 316
466.004 Board of Dentistry. — 317
(2) To advise the board, it is the intent of the 318
Legislature that councils be appointed as specif ied in 319
paragraphs (a)-(d) (a), (b), and (c). The department shall 320
provide administrative support to the councils and shall provide 321
public notice of meetings and agendas agenda of the councils. 322
Councils must shall include at least one board member , who shall 323
serve as chair, the council and must shall include nonboard 324
members. All council members shall be appointed by the board 325
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chair. Council members shall be appointed for 4 -year terms, and 326
all members are shall be eligible for reimbursement of expenses 327
in the manner of board members. 328
(a) A Council on Dental Hygiene shall be appointed by the 329
board chair and shall include one dental hygienist member of the 330
board, who shall chair the council, one dental member of the 331
board, and three dental hygienists who are actively engaged in 332
the practice of dental hygiene in this state. In making the 333
appointments, the chair shall consider recommendations from the 334
Florida Dental Hygiene Association. The council shall meet at 335
the request of the board chair, a majority of the members of the 336
board, or the council chair; however, the council must meet at 337
least three times a year. The council is charged with the 338
responsibility of and shall meet for the purpose of developing 339
rules and policies for recommendation to the board, which the 340
board shall consider, on matters pertaining to that part of 341
dentistry consisting of educational, preventive, or therapeutic 342
dental hygiene services; dental hygiene licensure, discipline, 343
or regulation; and dental hygiene education. Rule and policy 344
recommendations of the council must shall be considered by the 345
board at its next regularly scheduled meeting in the same manner 346
in which it considers rule and policy recommendations from 347
designated subcommittees of the board. Any rule or policy 348
proposed by the board pertaining to the specified part of 349
dentistry identified defined by this subsection must shall be 350
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referred to the council for a recommendation before final action 351
by the board. The board may take final action on rules 352
pertaining to the specified part of dentistry identified defined 353
by this subsection without a council recommendation if the 354
council fails to submit a recommendation in a timely fashion as 355
prescribed by the board. 356
(b) A Council on Dental Assisting shall be appointed by 357
the board chair and shall include one board member who shall 358
chair the council and three dental assistants who are active ly 359
engaged in dental assisting in this state. The council shall 360
meet at the request of the board chair or a majority of the 361
members of the board. The council shall meet for the purpose of 362
developing recommendations to the board on matters pertaining to 363
that part of dentistry related to dental assisting. 364
(c) Effective 28 months after the first dental therapy 365
license is granted by the board, the board chair shall appoint a 366
Council on Dental Therapy, which must include one board member 367
who shall chair the co uncil and three dental therapists who are 368
actively engaged in the practice of dental therapy in this 369
state. The council shall meet at the request of the board chair, 370
a majority of the members of the board, or the council chair; 371
however, the council shall m eet at least three times per year. 372
The council is charged with the responsibility of, and shall 373
meet for the purpose of, developing rules and policies for 374
recommendation to the board on matters pertaining to that part 375
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of dentistry consisting of educational , preventive, or 376
therapeutic dental therapy services; dental therapy licensure, 377
discipline, or regulation; and dental therapy education. Rule 378
and policy recommendations of the council must be considered by 379
the board at its next regularly scheduled meeting in the same 380
manner in which it considers rule and policy recommendations 381
from designated subcommittees of the board. Any rule or policy 382
proposed by the board pertaining to the specified part of 383
dentistry identified by this subsection must be referred to th e 384
council for a recommendation before final action by the board. 385
The board may take final action on rules pertaining to the 386
specified part of dentistry identified by this subsection 387
without a council recommendation if the council fails to submit 388
a recommendation in a timely fashion as prescribed by the board. 389
(d)(c) With the concurrence of the State Surgeon General, 390
the board chair may create and abolish other advisory councils 391
relating to dental subjects, including, but not limited to: 392
examinations, access to dental care, indigent care, nursing home 393
and institutional care, public health, disciplinary guidelines, 394
and other subjects as appropriate. Such councils shall be 395
appointed by the board chair and shall include at least one 396
board member who shall serv e as chair. 397
Section 6. Paragraph (b) of subsection (4) of section 398
466.006, Florida Statutes, is amended to read: 399
466.006 Examination of dentists. — 400
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(4) Notwithstanding any other provision of law in chapter 401
456 pertaining to the clinical dental licen sure examination or 402
national examinations, to be licensed as a dentist in this 403
state, an applicant must successfully complete both of the 404
following: 405
(b) A practical or clinical examination, which must be the 406
American Dental Licensing Examination produced by the American 407
Board of Dental Examiners, Inc., or its successor entity, if 408
any, which is administered in this state, provided that the 409
board has attained, and continues to maintain thereafter, 410
representation on the board of directors of the American Boa rd 411
of Dental Examiners, the examination development committee of 412
the American Board of Dental Examiners, and such other 413
committees of the American Board of Dental Examiners as the 414
board deems appropriate by rule to assure that the standards 415
established herein are maintained organizationally. 416
1. As an alternative to such practical or clinical 417
examination, an applicant may submit scores from an American 418
Dental Licensing Examination previously administered in a 419
jurisdiction other than this state after Octobe r 1, 2011, and 420
such examination results are recognized as valid for the purpose 421
of licensure in this state. A passing score on the American 422
Dental Licensing Examination administered out of state is the 423
same as the passing score for the American Dental Lice nsing 424
Examination administered in this state. The applicant must have 425
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completed the examination after October 1, 2011. This 426
subparagraph may not be given retroactive application. 427
2. If the date of an applicant's passing American Dental 428
Licensing Examination scores from an examination previously 429
administered in a jurisdiction other than this state under 430
subparagraph 1. is older than 365 days, such scores are 431
nevertheless valid for the purpose of licensure in this state, 432
but only if the applicant demonstrat es that all of the following 433
additional standards have been met: 434
a. The applicant completed the American Dental Licensing 435
Examination after October 1, 2011. This sub -subparagraph may not 436
be given retroactive application. 437
b. The applicant graduated from a dental school accredited 438
by the American Dental Association Commission on Dental 439
Accreditation or its successor entity, if any, or any other 440
dental accrediting organization recognized by the United States 441
Department of Education. Provided, however, if t he applicant did 442
not graduate from such a dental school, the applicant may submit 443
proof of having successfully completed a full -time supplemental 444
general dentistry program accredited by the American Dental 445
Association Commission on Dental Accreditation of at least 2 446
consecutive academic years at such accredited sponsoring 447
institution. Such program must provide didactic and clinical 448
education at the level of a D.D.S. or D.M.D. program accredited 449
by the American Dental Association Commission on Dental 450
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Accreditation. For purposes of this sub -subparagraph, a 451
supplemental general dentistry program does not include an 452
advanced education program in a dental specialty. 453
c. The applicant currently possesses a valid and active 454
dental license in good standing, with no restriction, which has 455
never been revoked, suspended, restricted, or otherwise 456
disciplined, from another state or territory of the United 457
States, the District of Columbia, or the Commonwealth of Puerto 458
Rico. 459
d. The applicant must disclose to the board d uring the 460
application process if he or she has been reported to the 461
National Practitioner Data Bank, the Healthcare Integrity and 462
Protection Data Bank, or the American Association of Dental 463
Boards Clearinghouse. This sub -subparagraph does not apply if 464
the applicant successfully appealed to have his or her name 465
removed from the data banks of these agencies. 466
e.(I)(A) The applicant submits proof of having been 467
consecutively engaged in the full -time practice of dentistry in 468
another state or territory of the U nited States, the District of 469
Columbia, or the Commonwealth of Puerto Rico in the 5 years 470
immediately preceding the date of application for licensure in 471
this state; or 472
(B) If the applicant has been licensed in another state or 473
territory of the United Sta tes, the District of Columbia, or the 474
Commonwealth of Puerto Rico for less than 5 years, the applicant 475
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submits proof of having been engaged in the full -time practice 476
of dentistry since the date of his or her initial licensure. 477
(II) As used in this sectio n, "full-time practice" is 478
defined as a minimum of 1,200 hours per year for each year in 479
the consecutive 5-year period or, when applicable, the period 480
since initial licensure, and must include any combination of the 481
following: 482
(A) Active clinical practic e of dentistry providing direct 483
patient care. 484
(B) Full-time practice as a faculty member employed by a 485
dental, dental therapy, or dental hygiene school approved by the 486
board or accredited by the American Dental Association 487
Commission on Dental Accreditat ion. 488
(C) Full-time practice as a student at a postgraduate 489
dental education program approved by the board or accredited by 490
the American Dental Association Commission on Dental 491
Accreditation. 492
(III) The board shall develop rules to determine what type 493
of proof of full-time practice is required and to recoup the 494
cost to the board of verifying full -time practice under this 495
section. Such proof must, at a minimum, be: 496
(A) Admissible as evidence in an administrative 497
proceeding; 498
(B) Submitted in writing; 499
(C) Further documented by an applicant's annual income tax 500
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return filed with the Internal Revenue Service for each year in 501
the preceding 5-year period or, if the applicant has been 502
practicing for less than 5 years, the period since initial 503
licensure; and 504
(D) Specifically found by the board to be both credible 505
and admissible. 506
(IV) The board may excuse applicants from the 1,200 -hour 507
requirement in the event of hardship, as defined by the board. 508
f. The applicant submits documentation that he or she has 509
completed, or will complete before he or she is licensed in this 510
state, continuing education equivalent to this state's 511
requirements for the last full reporting biennium. 512
g. The applicant proves that he or she has never been 513
convicted of, or pled nolo co ntendere to, regardless of 514
adjudication, any felony or misdemeanor related to the practice 515
of a health care profession in any jurisdiction. 516
h. The applicant has successfully passed a written 517
examination on the laws and rules of this state regulating the 518
practice of dentistry and the computer -based diagnostic skills 519
examination. 520
i. The applicant submits documentation that he or she has 521
successfully completed the applicable examination administered 522
by the Joint Commission on National Dental Examinations o r its 523
successor organization. 524
Section 7. Subsection (1) of section 466.009, Florida 525
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Statutes, is amended, and subsection (4) is added to that 526
section, to read: 527
466.009 Reexamination. — 528
(1) Any person who fails an examination that is required 529
under s. 466.006, or s. 466.007, or s. 466.0225 may retake the 530
examination. 531
(4) If an applicant for a license to practice dental 532
therapy fails the practical or clinical examination and she or 533
he has failed only one part or procedure of such examination, 534
she or he may be required to retake only that part or procedure 535
to pass such examination. However, if any such applicant fails 536
more than one part or procedure of any such examination, she or 537
he must be required to retake the entire examination. 538
Section 8. Section 466.011, Florida Statutes, is amended 539
to read: 540
466.011 Licensure.—The board shall certify for licensure 541
by the department any applicant who satisfies the requirements 542
of s. 466.006, s. 466.0067, or s. 466.007, or s. 466.0225. The 543
board may refuse to certify an applicant who has violated any of 544
the provisions of s. 466.026 or s. 466.028. 545
Section 9. Section 466.0136, Florida Statutes, is created 546
to read: 547
466.0136 Continuing education; dental therapists. —In 548
addition to any other requirements for r elicensure for dental 549
therapists specified in this chapter, the board shall require 550
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each licensed dental therapist to complete at least 24 hours, 551
but not more than 36 hours, biennially of continuing education 552
in dental subjects in programs approved by the board or in 553
equivalent programs of continuing education. Programs of 554
continuing education approved by the board must be programs of 555
learning which, in the opinion of the board, contribute directly 556
to the dental education of the dental therapist. An individ ual 557
who is licensed as both a dental therapist and a dental 558
hygienist may use 2 hours of continuing education that is 559
approved for both dental therapy and dental hygiene education to 560
satisfy both dental therapy and dental hygiene continuing 561
education requirements. The board shall adopt rules and 562
guidelines to administer and enforce this section. The dental 563
therapist shall retain in her or his records any receipts, 564
vouchers, or certificates necessary to document completion of 565
the continuing education. Compli ance with the continuing 566
education requirements is mandatory for issuance of the renewal 567
certificate. The board may excuse licensees, as a group or as 568
individuals, from all or part of the continuing education 569
requirements if an unusual circumstance, emerge ncy, or hardship 570
prevents compliance with this section. 571
Section 10. Subsection (1) of section 466.016, Florida 572
Statutes, is amended to read: 573
466.016 License to be displayed. — 574
(1) Every practitioner of dentistry , dental therapy, or 575
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dental hygiene within the meaning of this chapter shall post and 576
keep conspicuously displayed her or his license in the office 577
where wherein she or he practices, in plain sight of the 578
practitioner's patients. Any dentist , dental therapist, or 579
dental hygienist who practices at more than one location must 580
display a copy of her or his license in each office where she or 581
he practices. 582
Section 11. Subsections (7) through (15) of section 583
466.017, Florida Statutes, are renumbered as subsections (8) 584
through (16), respectively, paragraphs (d) and (e) of subsection 585
(3), subsection (4), and present subsections (7), (8), and (14) 586
of that section are amended, and a new subsection (7) is added 587
to that section, to read: 588
466.017 Prescription of drugs; anesthesia. — 589
(3) The board shall adopt rules which: 590
(d) Establish further requirements relating to the use of 591
general anesthesia or sedation, including, but not limited to, 592
office equipment and the training of dental assistants , dental 593
therapists, or dental hygienists who work with de ntists using 594
general anesthesia or sedation. 595
(e) Establish an administrative mechanism enabling the 596
board to verify compliance with training, education, experience, 597
equipment, or certification requirements of dentists, dental 598
therapists, dental hygienists, and dental assistants adopted 599
pursuant to this subsection. The board may charge a fee to 600
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defray the cost of verifying compliance with requirements 601
adopted pursuant to this paragraph. 602
(4) A dentist, dental therapist, or dental hygienist who 603
administers or employs the use of any form of anesthesia must 604
possess a certification in either basic cardiopulmonary 605
resuscitation for health professionals or advanced cardiac life 606
support approved by the American Heart Association or the 607
American Red Cross or an eq uivalent agency-sponsored course with 608
recertification every 2 years. Each dental office that which 609
uses any form of anesthesia must have immediately available and 610
in good working order such resuscitative equipment, oxygen, and 611
other resuscitative drugs as are specified by rule of the board 612
in order to manage possible adverse reactions. 613
(7) A dental therapist, under the direct supervision of a 614
dentist, may administer local anesthesia, including intraoral 615
block anesthesia or soft tissue infiltration anesthe sia if she 616
or he has completed the course described in subsection (5) and 617
presents evidence of current certification in basic or advanced 618
cardiac life support. 619
(8) A dental therapist providing services in a mobile 620
dental unit, under the general supervisi on of a dentist, may 621
administer local anesthesia, including intraoral block 622
anesthesia or soft tissue infiltration anesthesia, if she or he 623
has completed the course described in subsection (5) and 624
presents evidence of current certification in basic or adva nced 625
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life support. 626
(9)(7) A licensed dentist, or a dental therapist who is 627
authorized by her or his supervising dentist, may operate 628
utilize an X-ray machine, expose dental X -ray films, and 629
interpret or read such films. Notwithstanding The provisions of 630
part IV of chapter 468 to the contrary notwithstanding , a 631
licensed dentist, or a dental therapist who is authorized by her 632
or his supervising dentist, may authorize or direct a dental 633
assistant to operate such equipment and expose such films under 634
her or his direction and supervision, pursuant to rules adopted 635
by the board in accordance with s. 466.024 which ensure that the 636
said assistant is competent by reason of training and experience 637
to operate the X-ray said equipment in a safe and efficient 638
manner. The board may charge a fee not to exceed $35 to defray 639
the cost of verifying compliance with requirements adopted 640
pursuant to this section. 641
(10)(8) Notwithstanding The provisions of s. 465.0276 642
notwithstanding, a dentist need not register with the board o r 643
comply with the continuing education requirements of that 644
section if the dentist confines her or his dispensing activity 645
to the dispensing of fluorides and chlorhexidine chlorohexidine 646
rinse solutions; provided that the dentist complies with and is 647
subject to all laws and rules applicable to pharmacists and 648
pharmacies, including, but not limited to, chapters 465, 499, 649
and 893, and all applicable federal laws and regulations, when 650
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dispensing such products. 651
(16)(14) As used in subsections (11)-(15) (9)-(13), the 652
term "adverse incident" means any mortality that occurs during 653
or as the result of a dental procedure, or an incident that 654
results in a temporary or permanent physical or mental injury 655
that requires hospitalization or emergency room treatment of a 656
dental patient which occurs during or as a direct result of the 657
use of general anesthesia, deep sedation, moderate sedation, 658
pediatric moderate sedation, oral sedation, minimal sedation 659
(anxiolysis), nitrous oxide, or local anesthesia. 660
Section 12. Subsection (1) of section 466.018, Florida 661
Statutes, is amended to read: 662
466.018 Dentist of record; patient records. — 663
(1) Each patient must shall have a dentist of record. The 664
dentist of record shall remain primarily responsible for all 665
dental treatment on such patient regardless of whether the 666
treatment is rendered by that the dentist or by another dentist, 667
a dental therapist, a dental hygienist, or a dental assistant 668
rendering such treatment in conjunction with, at the direction 669
or request of, or un der the supervision of such dentist of 670
record. The dentist of record must shall be identified in the 671
record of the patient. If treatment is rendered by a dentist 672
other than the dentist of record or by a dental hygienist , 673
dental therapist, or dental assistant, the name or initials of 674
such person must shall be placed in the record of the patient. 675
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In any disciplinary proceeding brought pursuant to this chapter 676
or chapter 456, it must shall be presumed as a matter of law 677
that treatment was rendered by the denti st of record unless 678
otherwise noted on the patient record pursuant to this section. 679
The dentist of record and any other treating dentist are subject 680
to discipline pursuant to this chapter or chapter 456 for 681
treatment rendered to the patient and performed i n violation of 682
such chapter. One of the purposes of this section is to ensure 683
that the responsibility for each patient is assigned to one 684
dentist in a multidentist practice of any nature and to assign 685
primary responsibility to the dentist for treatment ren dered by 686
a dental hygienist, dental therapist, or dental assistant under 687
her or his supervision. This section may shall not be construed 688
to assign any responsibility to a dentist of record for 689
treatment rendered pursuant to a proper referral to another 690
dentist who does not in practice with the dentist of record or 691
to prohibit a patient from voluntarily selecting a new dentist 692
without permission of the dentist of record. 693
Section 13. Section 466.0225, Florida Statutes, is created 694
to read: 695
466.0225 Examination of dental therapists; licensing. — 696
(1) Any person desiring to be licensed as a dental 697
therapist must apply to the department to take the licensure 698
examinations and shall verify the information required on the 699
application by oath. The application must include two recent 700
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photographs of the a pplicant. 701
(2) An applicant is entitled to take the examinations 702
required under this section and receive licensure to practice 703
dental therapy in this state if the applicant meets all of the 704
following criteria: 705
(a) Is 18 years of age or older. 706
(b) Is a graduate of a dental therapy college or school 707
accredited by the American Dental Association Commission on 708
Dental Accreditation or its successor entity, if any, or any 709
other dental therapy accrediting entity recognized by the United 710
States Department of E ducation. For applicants applying for a 711
dental therapy license before January 1, 2030, the board must 712
approve the applicant's dental therapy education program if the 713
program was administered by a college or school that operates an 714
accredited dental or dent al hygiene program and the college or 715
school certifies to the board that the applicant's education 716
substantially conformed to the education standards established 717
by the American Dental Association Commission on Dental 718
Accreditation or its successor entity. 719
(c) Has successfully completed a dental therapy practical 720
or clinical examination produced by the American Board of Dental 721
Examiners, Inc., (ADEX) or its successor entity, if any, if the 722
board finds that the successor entity's examination meets or 723
exceeds the requirements of this section. If an applicant fails 724
to pass such an examination after three attempts, the applicant 725
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is not eligible to retake the examination unless the applicant 726
completes additional education requirements as specified by the 727
board. If a dental therapy examination has not been established 728
by ADEX, the board must administer or approve an alternative 729
examination. 730
(d) Has not been disciplined by a board, except for 731
citation offenses or minor violations. 732
(e) Has not been convicted of or pled nolo contendere to, 733
regardless of adjudication, any felony or misdemeanor related to 734
the practice of a health care profession. 735
(f) Has successfully completed a written examination on 736
the laws and rules of this state regulating the practice of 737
dental therapy. 738
(3) An applicant who meets the requirements of this 739
section and who has successfully completed an examination 740
identified in paragraph (2)(c) in a jurisdiction other than this 741
state, or who has successfully completed a comparable 742
examination administered or approved by the licensing authority 743
in a jurisdiction other than this state, must be licensed to 744
practice dental therapy in this state if the board determines 745
that the other jurisdiction's examination is substantially 746
similar to those iden tified in paragraph (2)(c). 747
Section 14. Section 466.0227, Florida Statutes, is created 748
to read: 749
466.0227 Dental therapists; scope and area of practice. — 750
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(1) Except as otherwise provided in this chapter, a dental 751
therapist may perform the dental the rapy services specified in 752
subsection (2) under the general supervision of a dentist if 753
providing services in a mobile dental unit and under direct 754
supervision of a dentist in all other service scenarios to the 755
extent authorized by the supervising dentist and provided within 756
the terms of a written collaborative management agreement signed 757
by the dental therapist and the supervising dentist which meets 758
the requirements of subsection (3). 759
(2) Dental therapy services include all of the following: 760
(a) All services, treatments, and competencies identified 761
by the American Dental Association Commission on Dental 762
Accreditation in the commission's Accreditation Standards for 763
Dental Therapy Education Programs. 764
(b) The following state -specific services, if the de ntal 765
therapist's education included curriculum content satisfying the 766
American Dental Association Commission on Dental Accreditation 767
criteria for state-specific dental therapy services: 768
1. Evaluating radiographs. 769
2. Placement of space maintainers. 770
3. Pulpotomies on primary teeth. 771
4. Dispensing and administering nonopioid analgesics, 772
including nitrous oxide, anti -inflammatories, and antibiotics, 773
as authorized by the supervising dentist and within the 774
parameters of the collaborative management agreeme nt. 775
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5. Oral evaluation and assessment of dental disease and 776
formulation of an individualized treatment plan if authorized by 777
the supervising dentist and subject to any conditions, 778
limitations, and protocols specified by the supervising dentist 779
in the collaborative management agreement. 780
(3) Before performing any of the services authorized in 781
subsection (2), a dental therapist must enter into a written 782
collaborative management agreement with a supervising dentist. 783
The agreement must be signed by the denta l therapist and the 784
supervising dentist and must include all of the following 785
information: 786
(a) Practice settings where services may be provided by 787
the dental therapist and the populations to be served by the 788
dental therapist. 789
(b) Any limitations on the services that may be provided 790
by the dental therapist, including the level of supervision 791
required by the supervising dentist. This may include 792
telehealth. 793
(c) Age-specific and procedure -specific practice protocols 794
for the dental therapist, including case selection criteria, 795
assessment guidelines, and imaging frequency. 796
(d) A procedure for creating and maintaining dental 797
records for the patients who are treated by the dental 798
therapist. 799
(e) A plan to manage medical emergencies in each practice 800
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setting where the dental therapist provides care. 801
(f) A quality assurance plan for monitoring care provided 802
by the dental therapist, including patient care review, referral 803
follow-up, and a quality assurance chart review. 804
(g) Protocols for the dental therap ist to administer and 805
dispense medications, including the specific conditions and 806
circumstances under which the medications are to be dispensed 807
and administered. 808
(h) Criteria relating to the provision of care by the 809
dental therapist to patients with spec ific medical conditions or 810
complex medication histories, including requirements for 811
consultation before the initiation of care. 812
(i) Supervision criteria of dental therapists. 813
(j) A plan for the provision of clinical resources and 814
referrals in situation s that are beyond the capabilities of the 815
dental therapist. 816
(4) A supervising dentist shall determine the number of 817
hours of practice that a dental therapist must complete under 818
direct or indirect supervision of the supervising dentist before 819
the dental therapist may perform any of the services authorized 820
in subsection (2) under general or direct supervision. 821
(5) A supervising dentist may restrict or limit the dental 822
therapist's practice in the written collaborative management 823
agreement to be less than the full scope of practice for dental 824
therapists which is authorized in subsection (2). 825
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(6) A supervising dentist may authorize a dental therapist 826
to provide dental therapy services to a patient before the 827
supervising dentist examines or diagnoses the pa tient if the 828
authority, conditions, and protocols are established in a 829
written collaborative management agreement and if the patient is 830
subsequently referred to a dentist for any needed additional 831
services that exceed the dental therapist's scope of practi ce or 832
authorization under the collaborative management agreement. 833
(7) A supervising dentist must be licensed and practicing 834
in this state. The supervising dentist is responsible for all 835
services authorized and performed by the dental therapist 836
pursuant to the collaborative management agreement and for 837
providing or arranging followup services to be provided by a 838
dentist for any additional services that exceed the dental 839
therapist's scope of practice or authorization under the 840
collaborative management agree ment. 841
Section 15. Section 466.026, Florida Statutes, is amended 842
to read: 843
466.026 Prohibitions; penalties. — 844
(1) Each of the following acts constitutes a felony of the 845
third degree, punishable as provided in s. 775.082, s. 775.083, 846
or s. 775.084: 847
(a) Practicing dentistry , dental therapy, or dental 848
hygiene unless the person has an appropriate, active license 849
issued by the department pursuant to this chapter. 850
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(b) Using or attempting to use a license issued pursuant 851
to this chapter which license has been suspended or revoked. 852
(c) Knowingly employing any person to perform duties 853
outside the scope allowed such person under this chapter or the 854
rules of the board. 855
(d) Giving false or forged evidence to the department or 856
board for the purpose of obtain ing a license. 857
(e) Selling or offering to sell a diploma conferring a 858
degree from a dental college , or dental hygiene school or 859
college, or dental therapy school or college, or a license 860
issued pursuant to this chapter, or procuring such diploma or 861
license with intent that it will shall be used as evidence of 862
that which the document stands for, by a person other than the 863
one upon whom it was conferred or to whom it was granted. 864
(2) Each of the following acts constitutes a misdemeanor 865
of the first degree, punishable as provided in s. 775.082 or s. 866
775.083: 867
(a) Using the name or title "dentist," the letters 868
"D.D.S." or "D.M.D.", or any other words, letters, title, or 869
descriptive matter which in any way represents a person as being 870
able to diagnose, treat, prescribe, or operate for any disease, 871
pain, deformity, deficiency, injury, or physical condition of 872
the teeth or jaws or oral -maxillofacial region unless the person 873
has an active dentist's license issued by the department 874
pursuant to this chapter. 875
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(b) Using the name "dental hygienist" or the initials 876
"R.D.H." or otherwise holding herself or himself out as an 877
actively licensed dental hygienist or implying to any patient or 878
consumer that she or he is an actively licensed dental hygienist 879
unless that person has an active dental hygienist's license 880
issued by the department pursuant to this chapter. 881
(c) Using the name "dental therapist" or the initials 882
"D.T." or otherwise holding herself or himself out as an 883
actively licensed dental therapist or impl ying to any patient or 884
consumer that she or he is an actively licensed dental therapist 885
unless that person has an active dental therapist's license 886
issued by the department pursuant to this chapter. 887
(d)(c) Presenting as her or his own the license of 888
another. 889
(e)(d) Knowingly concealing information relative to 890
violations of this chapter. 891
(f)(e) Performing any services as a dental assistant as 892
defined herein, except in the office of a licensed dentist, 893
unless authorized by this chapter or by rule of the board. 894
Section 16. Paragraphs (b), (c), (g), (s), and (t) of 895
subsection (1) of section 466.028, Florida Statutes, are amended 896
to read: 897
466.028 Grounds for disciplinary action; action by the 898
board.— 899
(1) The following acts constitute grounds for denial of a 900
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license or disciplinary action, as specified in s. 456.072(2): 901
(b) Having a license to practice dentistry , dental 902
therapy, or dental hygiene revoked, suspended, or otherwise 903
acted against, includ ing the denial of licensure, by the 904
licensing authority of another state, territory, or country. 905
(c) Being convicted or found guilty of or entering a plea 906
of nolo contendere to, regardless of adjudication, a crime in 907
any jurisdiction which relates to the practice of dentistry , 908
dental therapy, or dental hygiene. A plea of nolo contendere 909
creates shall create a rebuttable presumption of guilt to the 910
underlying criminal charges. 911
(g) Aiding, assisting, procuring, or advising any 912
unlicensed person to practic e dentistry, dental therapy, or 913
dental hygiene contrary to this chapter or to a rule of the 914
department or the board. 915
(s) Being unable to practice her or his profession with 916
reasonable skill and safety to patients by reason of illness or 917
use of alcohol, drugs, narcotics, chemicals, or any other type 918
of material or as a result of any mental or physical condition. 919
In enforcing this paragraph, the department shall have, upon a 920
finding of the State Surgeon General or her or his designee that 921
probable cause exists to believe that the licensee is unable to 922
practice dentistry, dental therapy, or dental hygiene because of 923
the reasons stated in this paragraph, has the authority to issue 924
an order to compel a licensee to submit to a mental or physical 925
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examination by physicians designated by the department. If the 926
licensee refuses to comply with such order, the department's 927
order directing such examination may be enforced by filing a 928
petition for enforcement in the circuit court where the licensee 929
resides or does busine ss. The licensee against whom the petition 930
is filed may shall not be named or identified by initials in any 931
public court records or documents, and the proceedings must 932
shall be closed to the public. The department is shall be 933
entitled to the summary proced ure provided in s. 51.011. A 934
licensee affected under this paragraph must shall at reasonable 935
intervals be afforded an opportunity to demonstrate that she or 936
he can resume the competent practice of her or his profession 937
with reasonable skill and safety to p atients. 938
(t) Fraud, deceit, or misconduct in the practice of 939
dentistry, dental therapy, or dental hygiene. 940
Section 17. Paragraphs (a) and (b) of subsection (1) of 941
section 466.0285, Florida Statutes, are amended to read: 942
466.0285 Proprietorship by n ondentists.— 943
(1) No person other than a dentist licensed pursuant to 944
this chapter, nor any entity other than a professional 945
corporation or limited liability company composed of dentists, 946
may: 947
(a) Employ a dentist , a dental therapist, or a dental 948
hygienist in the operation of a dental office. 949
(b) Control the use of any dental equipment or material 950
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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
while such equipment or material is being used for the provision 951
of dental services, whether those services are provided by a 952
dentist, a dental therapist, a dental hygienist, or a dental 953
assistant. 954
955
Any lease agreement, rental agreement, or other arrangement 956
between a nondentist and a dentist whereby the nondentist 957
provides the dentist with dental equipment or dental materials 958
shall contain a provision whereby the dentist expressly 959
maintains complete care, custody, and control of the equipment 960
or practice. 961
Section 18. Paragraph (g) of subsection (3) of section 962
921.0022, Florida Statutes, is amended to read: 963
921.0022 Criminal Punishment Code; offense sever ity 964
ranking chart.— 965
(3) OFFENSE SEVERITY RANKING CHART 966
(g) LEVEL 7 967
968
Florida
Statute
Felony
Degree Description
969
316.027(2)(c) 1st Accident involving death,
failure to stop; leaving scene.
970
316.193(3)(c)2. 3rd DUI resulting in serious bodily
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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
injury.
971
316.1935(3)(b) 1st Causing serious bodily injury
or death to another person;
driving at high speed or with
wanton disregard for safety
while fleeing or attempting to
elude law enforcement officer
who is in a patrol vehicle with
siren and lights activated.
972
327.35(3)(c)2. 3rd Vessel BUI resulting in serious
bodily injury.
973
402.319(2) 2nd Misrepresentation and
negligence or intentional act
resulting in great bodily harm,
permanent disfiguration,
permanent disability, or death.
974
409.920
(2)(b)1.a.
3rd Medicaid provider fraud;
$10,000 or less.
975
409.920
(2)(b)1.b.
2nd Medicaid provider fraud; more
than $10,000, but less than
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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
$50,000.
976
456.065(2) 3rd Practicing a health care
profession without a license.
977
456.065(2) 2nd Practicing a health care
profession without a license
which results in serious bodily
injury.
978
458.327(1) 3rd Practicing medicine without a
license.
979
459.013(1) 3rd Practicing osteopathic medicine
without a license.
980
460.411(1) 3rd Practicing chiropractic
medicine without a license.
981
461.012(1) 3rd Practicing podiatric medicine
without a license.
982
462.17 3rd Practicing naturopathy without
a license.
983
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463.015(1) 3rd Practicing optometry without a
license.
984
464.016(1) 3rd Practicing nursing without a
license.
985
465.015(2) 3rd Practicing pharmacy without a
license.
986
466.026(1) 3rd Practicing dentistry , dental
therapy, or dental hygiene
without a license.
987
467.201 3rd Practicing midwifery without a
license.
988
468.366 3rd Delivering respiratory care
services without a license.
989
483.828(1) 3rd Practicing as clinical
laboratory personnel without a
license.
990
483.901(7) 3rd Practicing medical physics
without a license.
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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
991
484.013(1)(c) 3rd Preparing or dispensing optical
devices without a prescription.
992
484.053 3rd Dispensing hearing aids without
a license.
993
494.0018(2) 1st Conviction of any violation of
chapter 494 in which the total
money and property unlawfully
obtained exceeded $50,000 and
there were five or more
victims.
994
560.123(8)(b)1. 3rd Failure to report currency or
payment instruments exceeding
$300 but less than $20,000 by a
money services business.
995
560.125(5)(a) 3rd Money services business by
unauthorized person, currency
or payment instruments
exceeding $300 but less than
$20,000.
996
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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
655.50(10)(b)1. 3rd Failure to report financial
transactions exceeding $300 but
less than $20,000 by financial
institution.
997
775.21(10)(a) 3rd Sexual predator; failure to
register; failure to renew
driver license or
identification card; other
registration violations.
998
775.21(10)(b) 3rd Sexual predator working where
children regularly congregate.
999
775.21(10)(g) 3rd Failure to report or providing
false information about a
sexual predator; harbor or
conceal a sexual predator.
1000
782.051(3) 2nd Attempted felony murder of a
person by a person other than
the perpetrator or the
perpetrator of an attempted
felony.
1001
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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
782.07(1) 2nd Killing of a human being by the
act, procurement, or culpable
negligence of another
(manslaughter).
1002
782.071 2nd Killing of a human being or
unborn child by the operation
of a motor vehicle in a
reckless manner (vehicular
homicide).
1003
782.072 2nd Killing of a human being by the
operation of a vessel in a
reckless manner (vessel
homicide).
1004
784.045(1)(a)1. 2nd Aggravated battery;
intentionally causing great
bodily harm or disfigurement.
1005
784.045(1)(a)2. 2nd Aggravated battery; using
deadly weapon.
1006
784.045(1)(b) 2nd Aggravated battery; perpetrator
aware victim pregnant.
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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
1007
784.048(4) 3rd Aggravated stalking; violation
of injunction or court order.
1008
784.048(7) 3rd Aggravated stalking; violation
of court order.
1009
784.07(2)(d) 1st Aggravated battery on law
enforcement officer.
1010
784.074(1)(a) 1st Aggravated battery on sexually
violent predators facility
staff.
1011
784.08(2)(a) 1st Aggravated battery on a person
65 years of age or older.
1012
784.081(1) 1st Aggravated battery on specified
official or employee.
1013
784.082(1) 1st Aggravated battery by detained
person on visitor or other
detainee.
1014
784.083(1) 1st Aggravated battery on code
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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
inspector.
1015
787.06(3)(a)2. 1st Human trafficking using
coercion for labor and services
of an adult.
1016
787.06(3)(e)2. 1st Human trafficking using
coercion for labor and services
by the transfer or transport of
an adult from outside Florida
to within the state.
1017
790.07(4) 1st Specified weapons violation
subsequent to previous
conviction of s. 790.07(1) or
(2).
1018
790.16(1) 1st Discharge of a machine gun
under specified circumstances.
1019
790.165(2) 2nd Manufacture, sell, possess, or
deliver hoax bomb.
1020
790.165(3) 2nd Possessing, displaying, or
threatening to use any hoax
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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
bomb while committing or
attempting to commit a felony.
1021
790.166(3) 2nd Possessing, selling, using, or
attempting to use a hoax weapon
of mass destruction.
1022
790.166(4) 2nd Possessing, displaying, or
threatening to use a hoax
weapon of mass destruction
while committing or attempting
to commit a felony.
1023
790.23 1st,PBL Possession of a firearm by a
person who qualifies for the
penalty enhancements provided
for in s. 874.04.
1024
794.08(4) 3rd Female genital mutilation;
consent by a parent, guardian,
or a person in custodial
authority to a victim younger
than 18 years of age.
1025
796.05(1) 1st Live on earnings of a
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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
prostitute; 2nd offense.
1026
796.05(1) 1st Live on earnings of a
prostitute; 3rd and subsequ ent
offense.
1027
800.04(5)(c)1. 2nd Lewd or lascivious molestation;
victim younger than 12 years of
age; offender younger than 18
years of age.
1028
800.04(5)(c)2. 2nd Lewd or lascivious molestation;
victim 12 years of age or older
but younger than 16 years of
age; offender 18 years of age
or older.
1029
800.04(5)(e) 1st Lewd or lascivious molestation;
victim 12 years of age or older
but younger than 16 years;
offender 18 years or older;
prior conviction for specified
sex offense.
1030
806.01(2) 2nd Maliciously damage structure by
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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
fire or explosive.
1031
810.02(3)(a) 2nd Burglary of occupied dwelling;
unarmed; no assault or battery.
1032
810.02(3)(b) 2nd Burglary of unoccupied
dwelling; unarmed; no assault
or battery.
1033
810.02(3)(d) 2nd Burglary of occupied
conveyance; unarmed; no assault
or battery.
1034
810.02(3)(e) 2nd Burglary of authorized
emergency vehicle.
1035
812.014(2)(a)1. 1st Property stolen, valued at
$100,000 or more or a
semitrailer deployed by a law
enforcement officer; property
stolen while causing other
property damage; 1st degree
grand theft.
1036
812.014(2)(b)2. 2nd Property stolen, cargo valued
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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
at less than $50,000, grand
theft in 2nd degree.
1037
812.014(2)(b)3. 2nd Property stolen, emergency
medical equipment; 2nd degree
grand theft.
1038
812.014(2)(b)4. 2nd Property stolen, law
enforcement equipment from
authorized emergency vehicle.
1039
812.014(2)(g) 2nd Grand theft; second degree;
firearm with previous
conviction of s.
812.014(2)(c)5.
1040
812.0145(2)(a) 1st Theft from person 65 years of
age or older; $50,000 or more.
1041
812.019(2) 1st Stolen property; initiates,
organizes, plans, etc., the
theft of property and traffics
in stolen property.
1042
812.131(2)(a) 2nd Robbery by sudden snatching.
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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
1043
812.133(2)(b) 1st Carjacking; no firearm, deadly
weapon, or other weapon.
1044
817.034(4)(a)1. 1st Communications fraud, value
greater than $50,000.
1045
817.234(8)(a) 2nd Solicitation of motor vehicle
accident victims with intent to
defraud.
1046
817.234(9) 2nd Organizing, planning, or
participating in an intentional
motor vehicle collision.
1047
817.234(11)(c) 1st Insurance fraud; property value
$100,000 or more.
1048
817.2341
(2)(b) &
(3)(b)
1st Making false entries of
material fact or false
statements regarding property
values relating to the solvency
of an insuring entity which are
a significant cause of the
insolvency of that entity.
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1049
817.418(2)(a) 3rd Offering for sale or
advertising personal protective
equipment with intent to
defraud.
1050
817.504(1)(a) 3rd Offering or advertising a
vaccine with intent to defraud.
1051
817.535(2)(a) 3rd Filing false lien or other
unauthorized document.
1052
817.611(2)(b) 2nd Traffic in or possess 15 to 49
counterfeit credit cards or
related documents.
1053
825.102(3)(b) 2nd Neglecting an elderly person or
disabled adult causing great
bodily harm, disability, or
disfigurement.
1054
825.103(3)(b) 2nd Exploiting an elderly person or
disabled adult and property is
valued at $10,000 or more, but
less than $50,000.
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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
1055
827.03(2)(b) 2nd Neglect of a child causing
great bodily harm, disability,
or disfigurement.
1056
827.04(3) 3rd Impregnation of a child under
16 years of age by person 21
years of age or older.
1057
827.071(2) & (3) 2nd Use or induce a child in a
sexual performance, or promote
or direct such performance.
1058
827.071(4) 2nd Possess with intent to promote
any photographic material,
motion picture, etc., which
includes child pornography.
1059
837.05(2) 3rd Giving false information about
alleged capital felony to a law
enforcement officer.
1060
838.015 2nd Bribery.
1061
838.016 2nd Unlawful compensation or reward
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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
for official behavior.
1062
838.021(3)(a) 2nd Unlawful harm to a public
servant.
1063
838.22 2nd Bid tampering.
1064
843.0855(2) 3rd Impersonation of a public
officer or employee.
1065
843.0855(3) 3rd Unlawful simulation of legal
process.
1066
843.0855(4) 3rd Intimidation of a public
officer or employee.
1067
847.0135(3) 3rd Solicitation of a child, via a
computer service, to commit an
unlawful sex act.
1068
847.0135(4) 2nd Traveling to meet a minor to
commit an unlawful sex act.
1069
872.06 2nd Abuse of a dead human body.
1070
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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
874.05(2)(b) 1st Encouraging or recruiting
person under 13 to join a
criminal gang; second or
subsequent offense.
1071
874.10 1st,PBL Knowingly initiates, organizes,
plans, finances, directs,
manages, or supervises criminal
gang-related activity.
1072
893.13(1)(c)1. 1st Sell, manufacture, or deliver
cocaine (or other drug
prohibited under s.
893.03(1)(a), (1)(b), (1)(d),
(2)(a), (2)(b), or (2)(c)5.)
within 1,000 feet of a child
care facility, school, or
state, county, or municipal
park or publicly owned
recreational facility or
community center.
1073
893.13(1)(e)1. 1st Sell, manufacture, or deliver
cocaine or other drug
prohibited under s.
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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
893.03(1)(a), (1)(b), (1)(d),
(2)(a), (2)(b), or (2)(c)5.,
within 1,000 feet of property
used for religious services or
a specified business site.
1074
893.13(4)(a) 1st Use or hire of minor; deliver
to minor other controlled
substance.
1075
893.135(1)(a)1. 1st Trafficking in cannabis, more
than 25 lbs., less than 2,000
lbs.
1076
893.135
(1)(b)1.a.
1st Trafficking in cocaine, more
than 28 grams, less than 200
grams.
1077
893.135
(1)(c)1.a.
1st Trafficking in illegal drugs,
more than 4 grams, less than 14
grams.
1078
893.135
(1)(c)2.a.
1st Trafficking in hydrocodone, 28
grams or more, less than 50
grams.
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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
1079
893.135
(1)(c)2.b.
1st Trafficking in hydrocodone, 50
grams or more, less than 100
grams.
1080
893.135
(1)(c)3.a.
1st Trafficking in oxycodone, 7
grams or more, less than 14
grams.
1081
893.135
(1)(c)3.b.
1st Trafficking in oxycodone, 14
grams or more, less than 25
grams.
1082
893.135
(1)(c)4.b.(I)
1st Trafficking in fentanyl, 4
grams or more, less than 14
grams.
1083
893.135
(1)(d)1.a.
1st Trafficking in phencyclidine,
28 grams or more, less than 200
grams.
1084
893.135(1)(e)1. 1st Trafficking in methaqualone,
200 grams or more, less than 5
kilograms.
1085
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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
893.135(1)(f)1. 1st Trafficking in amphetamine, 14
grams or more, less than 28
grams.
1086
893.135
(1)(g)1.a.
1st Trafficking in flunitrazepam, 4
grams or more, less than 14
grams.
1087
893.135
(1)(h)1.a.
1st Trafficking in gamma-
hydroxybutyric acid (GHB), 1
kilogram or more, less than 5
kilograms.
1088
893.135
(1)(j)1.a.
1st Trafficking in 1,4-Butanediol,
1 kilogram or more, less than 5
kilograms.
1089
893.135
(1)(k)2.a.
1st Trafficking in Phenethylamines,
10 grams or more, le ss than 200
grams.
1090
893.135
(1)(m)2.a.
1st Trafficking in synthetic
cannabinoids, 280 grams or
more, less than 500 grams.
1091
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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
893.135
(1)(m)2.b.
1st Trafficking in synthetic
cannabinoids, 500 grams or
more, less than 1,000 grams.
1092
893.135
(1)(n)2.a.
1st Trafficking in n-benzyl
phenethylamines, 14 grams or
more, less than 100 grams.
1093
893.1351(2) 2nd Possession of place for
trafficking in or manufacturing
of controlled substance.
1094
896.101(5)(a) 3rd Money laundering, financial
transactions exceeding $3 00 but
less than $20,000.
1095
896.104(4)(a)1. 3rd Structuring transactions to
evade reporting or registration
requirements, financial
transactions exceeding $300 but
less than $20,000.
1096
943.0435(4)(c) 2nd Sexual offender vacating
permanent residence; failure to
comply with reporting
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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
requirements.
1097
943.0435(8) 2nd Sexual offender; remains in
state after indicating intent
to leave; failure to comply
with reporting requirements.
1098
943.0435(9)(a) 3rd Sexual offender; failure to
comply with reporting
requirements.
1099
943.0435(13) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1100
943.0435(14) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1101
944.607(9) 3rd Sexual offender; failure to
comply with reporting
requirements.
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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
1102
944.607(10)(a) 3rd Sexual offender; failure to
submit to the taking of a
digitized photograph.
1103
944.607(12) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1104
944.607(13) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1105
985.4815(10) 3rd Sexual offender; failure to
submit to the taking of a
digitized photograph.
1106
985.4815(12) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1107
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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
985.4815(13) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1108
Section 19. The Department of Health, in consultation with 1109
the Board of Dentistry and the Agency for Health Care 1110
Administration, shall submit a progress report to the President 1111
of the Senate and the Speaker of the House of Representatives by 1112
July 1, 2028, and a final report 4 years after the first dental 1113
therapy license is issued. The reports must include all of the 1114
following information and recommendations: 1115
(1) The progress that has been made in this state to 1116
implement dental therapy training programs, licensing, and 1117
Medicaid reimbursement. 1118
(2) Data demonstrating the effects of den tal therapy in 1119
this state on all of the following: 1120
(a) Patient access to dental services. 1121
(b) Costs to dental providers, patients, dental insurance 1122
carriers, and the state. 1123
(c) The quality and safety of dental services. 1124
(3) Specific recommendations for any necessary 1125
legislative, administrative, or regulatory reform relating to 1126
the practice of dental therapy. 1127
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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
(4) Any other information the department deems 1128
appropriate. 1129
Section 20. This act shall take effect July 1, 2025. 1130