ENROLLED CS/HB 647 2025 Legislature CODING: Words stricken are deletions; words underlined are additions. hb647 -01-er Page 1 of 4 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 1 An act relating to advanced practice registered nurse 2 services; amending s. 382.008, F.S.; revising who may 3 file a certificate of death or fetal death; revising 4 the definition of "primary or attending practitioner"; 5 revising who may note corrected information on a 6 permanent certificate of death or fetal death; 7 providing an effective date. 8 9 Be It Enacted by the Legislature of the State of Florida: 10 11 Section 1. Paragraph (a) of subsection (2) and subsections 12 (3) and (5) of section 382.008, Florida Statutes, are amended to 13 read: 14 382.008 Death, fetal death, and nonviable birth 15 registration.— 16 (2)(a) The funeral director who first assumes custody of a 17 dead body or fetus shall electronically file the certificate of 18 death or fetal death. In the absence of the funeral director, 19 the physician, physician assistant, advanced practice registered 20 nurse registered under s. 464.0123, advanced practice registered 21 nurse providing hospice care pursuant to a written protocol with 22 a licensed physician, or other person in attendance at or after 23 the death or the district medical examiner of the county in 24 which the death occurred or the body was found shall 25 ENROLLED CS/HB 647 2025 Legislature CODING: Words stricken are deletions; words underlined are additions. hb647 -01-er Page 2 of 4 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 electronically file th e certificate of death or fetal death. The 26 person who files the certificate shall obtain personal data from 27 a legally authorized person as described in s. 497.005 or the 28 best qualified person or source available. The medical 29 certification of cause of death must be furnished to the funeral 30 director, either in person or via certified mail or electronic 31 transfer, by the physician, physician assistant, advanced 32 practice registered nurse registered under s. 464.0123, advanced 33 practice registered nurse providing hospice care pursuant to a 34 written protocol with a licensed physician, or medical examiner 35 responsible for furnishing such information. For fetal deaths, 36 the physician, physician assistant, advanced practice registered 37 nurse registered under s. 464.0123, advanced practice registered 38 nurse providing hospice care pursuant to a written protocol with 39 a licensed physician, midwife, or hospital administrator shall 40 provide any medical or health information to the funeral 41 director within 72 hours after expulsion or extraction. 42 (3) Within 72 hours after receipt of a death or fetal 43 death certificate from the funeral director, the medical 44 certification of cause of death shall be completed and made 45 available to the funeral director by the decedent's primary or 46 attending practitioner or, if s. 382.011 applies, the district 47 medical examiner of the county in which the death occurred or 48 the body was found. The primary or attending practitioner or the 49 medical examiner shall certify over his or her signature the 50 ENROLLED CS/HB 647 2025 Legislature CODING: Words stricken are deletions; words underlined are additions. hb647 -01-er Page 3 of 4 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 cause of death to the best of his or her knowledge and belief. 51 As used in this section, the term "primary or attending 52 practitioner" means a physician, physician assistant, or 53 advanced practice registered nurse registered under s. 464.0123 , 54 or an advanced practice reg istered nurse providing hospice care 55 pursuant to a written protocol with a licensed physician, who 56 treated the decedent through examination, medical advice, or 57 medication during the 12 months preceding the date of death. 58 (a) The department may grant the funeral director an 59 extension of time upon a good and sufficient showing of any of 60 the following conditions: 61 1. An autopsy is pending. 62 2. Toxicology, laboratory, or other diagnostic reports 63 have not been completed. 64 3. The identity of the decedent is unknown and further 65 investigation or identification is required. 66 (b) If the decedent's primary or attending practitioner or 67 the district medical examiner of the county in which the death 68 occurred or the body was found indicates that he or she will 69 sign and complete the medical certification of cause of death 70 but will not be available until after the 5 -day registration 71 deadline, the local registrar may grant an extension of 5 days. 72 If a further extension is required, the funeral director must 73 provide written justification to the registrar. 74 (5) A permanent certificate of death or fetal death, 75 ENROLLED CS/HB 647 2025 Legislature CODING: Words stricken are deletions; words underlined are additions. hb647 -01-er Page 4 of 4 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 containing the cause of death and any other information that was 76 previously unavailable, shall be registered as a replacement for 77 the temporary certificate. The perma nent certificate may also 78 include corrected information if the items being corrected are 79 noted on the back of the certificate and dated and signed by the 80 funeral director, physician, physician assistant, advanced 81 practice registered nurse registered under s. 464.0123, an 82 advanced practice registered nurse providing hospice care 83 pursuant to a written protocol with a licensed physician , or 84 district medical examiner of the county in which the death 85 occurred or the body was found, as appropriate. 86 Section 2. This act shall take effect July 1, 2025. 87