Action Packet — Professions & Public Health Subcommittee (February 2, 2022)
Summary
Action packet for the Professions & Public Health Subcommittee meeting of Wednesday, February 2, 2022, at 11:30 AM in Webster Hall, part of the House of Representatives. The meeting notice lists HB 593 (Telecommunicator Cardiopulmonary Resuscitation), HB 1073 (Newborn Screenings), HB 1101 (Anesthesiologist Assistants), HB 1209 (Administration of Vaccines), HB 1521 (Professional Counselors Licensure Compact), HB 1523 and PCS for HB 937 (Nonemergent Patient Care). The meeting report marks HB 593 Favorable on 17 yeas and 0 nays and HB 1523 Favorable on 18 yeas and 0 nays. It marks PCS for HB 937 Favorable on 17 yeas and 1 nay, and HB 1209 Favorable With Committee Substitute on 17 yeas and 1 nay, with Amendment 913487 adopted without objection.
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Professions and Public Health
Subcommittee
Wednesday, February 2, 2022
11:30 AM – 2:00 PM
Webster Hall (212 Knott)
Action Packet
Chris Sprowls Will Robinson
Speaker Chair
Committee Meeting Notice
HOUSE OF REPRESENTATIVES
Professions & Public Health Subcommittee
Start Date and Time: Wednesday, February 02, 2022 11:30 am
End Date and Time: Wednesday, February 02, 2022 02:00 pm
Location: Webster Hall (212 Knott)
Duration: 2.50 hrs
Consideration of the following bill(s):
HB 593 Telecommunicator Cardiopulmonary Resuscitation by Trabulsy, McClure
HB 1073 Newborn Screenings by Aloupis
HB 1101 Anesthesiologist Assistants by Altman
HB 1209 Administration of Vaccines by Tuck
HB 1521 Professional Counselors Licensure Compact by Koster
HB 1523 Pub. Rec. and Meetings/Professional Counselors Licensure Compact by Koster
Consideration of the following proposed committee substitute(s):
PCS for HB 937 -- Nonemergent Patient Care
For information about attending or testifying at a committee meeting, please see the “Visiting the House”
tab at www.myfloridahouse.gov.
NOTICE FINALIZED on 01/31/2022 4:04PM by Osborne.Erin
01/31/2022 04:04:23PM Leagis ® Page 1 of 1
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
Summary:
Professions & Public Health Subcommittee
Wednesday February 02, 2022 11:30 am
HB 593 Favorable Yeas: 17 Nays: 0
PCS for HB 937 Favorable Yeas: 17 Nays: 1
HB 1073 Favorable With Committee Substitute Yeas: 17 Nays: 0
Amendment 714447 Adopted Without Objection
HB 1101 Favorable With Committee Substitute Yeas: 18 Nays: 0
Amendment 833519 Adopted Without Objection
HB 1209 Favorable With Committee Substitute Yeas: 17 Nays: 1
Amendment 913487 Adopted Without Objection
HB 1521 Favorable With Committee Substitute Yeas: 18 Nays: 0
Amendment 368103 Adopted Without Objection
Amendment 567287 Adopted Without Objection
HB 1523 Favorable Yeas: 18 Nays: 0
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 1 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
Attendance:
Present Absent Excused
William Robinson (Chair) X
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
Totals: 18 0 0
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 2 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 593 : Telecommunicator Cardiopulmonary Resuscitation
X Favorable
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 17 Total Nays: 0
Appearances:
George, Marnie (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Florida Chapter American College of Cardiology
Sr. Advisor - Buchanan Ingersoll & Rooney
215 S Monroe Street Suite 301
Tallahassee FL
Phone: (850) 681-0411
Richard Pinsky (Lobbyist) - Waive In Support
9-1-1 Emergency Dispatchers
201 E Park Ave
Tallahassee FL
Large, Toni (Lobbyist) - Waive In Support
Florida College of Emergency Physicians
1100 Brookwood Dr
Tallahassee FL 32308
Phone: (850) 556-1461
Large, Toni (Lobbyist) - Waive In Support
Florida Society of Respiratory Care
1100 Brookwood Dr
Tallahassee FL 32308
Phone: (850) 556-1461
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 3 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 593 : Telecommunicator Cardiopulmonary Resuscitation (continued)
Appearances: (continued)
McCaskill Henderson, Tiffany (Lobbyist) - Proponent
American Heart Association
Government Relations Director
2851 Remington Green Circle, Suite A
Tallahassee FL 32308
Phone: (850)933-5928
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 4 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
PCS for HB 937 : Nonemergent Patient Care
X Favorable
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 17 Total Nays: 1
Appearances:
Gorrie, Jan (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Tampa General Hospital
1726 East 7th Avenue Suites 13 - 15
Tampa FL
Phone: (813) 374-6007
Mica, David (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Florida Hospital Association
Executive Vice President of Public Affairs
306 E. College Ave.
Tallahassee F
Phone: (850) 222-9800
Michael Maniaci, MD - Proponent
Mayo Clinic
4500 San Puebla Rd
Jacksonville FL 32224
Phone: 904-956-0081
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 5 of 14
From: Drews, Cheyenne
To: McElroy, Chris; Dewees, Cheryl; Osborne, Erin
Subject: Rep Eskamani: Changing Vote Inquiry
Date: Wednesday, February 2, 2022 1:59:04 PM
Hi all,
Representative Eskamani requested I email about attempting to change her vote on today's
Profession's meeting, specifically changing to a yes vote: PCS for HB 937 – Nonemergent
Patient Care
I understand that it may only be able to be changed in the packet and appreciate your insight.
Best,
Cheyenne Drews
Legislative Aide
Pronouns: She/her
Representative Anna V. Eskamani
Florida State House District 47
Cheyenne.Drews@myfloridahouse.gov
407-228-1451 (Office)
District Office
1507 East Concord Street
Orlando, FL 32803
Phone: 407-228-1451
Fax: 407-228-1453
Capitol Office
1402 The Capitol
402 South Monroe Street
Tallahassee, FL 32399-1300
Phone: 850-717-5047
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1073 : Newborn Screenings
X Favorable With Committee Substitute
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 17 Total Nays: 0
HB 1073 Amendments
Amendment 714447
X Adopted Without Objection
Appearances:
Isaacs, Samantha (General Public) - Proponent
83 Rose Street
Sopchoppy FL 32358
Phone: 4235021341
Jogerst, Brian (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Florida Association of Healthy Start Coalitions
Po Box 11094
Tallahassee FL
Phone: (850) 222-0191
Mica, David (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Florida Hospital Association
Executive Vice President of Public Affairs
306 E. College Ave.
Tallahassee F
Phone: (850) 222-9800
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 6 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1073 : Newborn Screenings (continued)
Appearances: (continued)
Pritchett , Cedric (General Public) - Proponent
Nemours Children’s Health
Nemours Children’s Health Physician, Division of Otolaryngology, Department of Surgery
Nemours Children’s Hospital 6535 Nemours Parkway
Orlando Florida 32827
Phone: 8507585209
Amendment 714447
Libia Elena Nahas - Proponent
Families of Kids Who are Deaf
465 Ocean Dr, 1002
Miami Beach FL 33139
Libia Elena Nahas - Proponent
Families of Kids Who are Deaf
465 Ocean Dr, 1002
Miami Beach FL 33139
Theresa Bulger (Lobbyist) - Waive In Support
Florida Academy of Audiologists
253 Hayden Rd.
Tallahassee FL
Phone: 904-880-9063
Bell, Doug (Lobbyist) - Waive In Support
Florida Chapter American Academy of Pediatrics
119 S Monroe St
Tallahassee Fl
Phone: (850)205-9000
Amendment 714447
Bell, Doug (Lobbyist) - Waive In Support
Florida Chapter American Academy of Pediatrics
119 S Monroe St
Tallahassee Fl
Phone: (850)205-9000
George Nahas (General Public) - Proponent
465 Ocean Dr.
Miami Beach FL 33139
Ignacio Nahas - Proponent
465 Ocean Dr.
Miami Beach FL 33139
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 7 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1073 : Newborn Screenings (continued)
Appearances: (continued)
Amendment 714447
Edeline Joseph-Theophile - Waive In Support
Florida PTA
Legislation Committee Member
1747 Orlando Central Pkwy
Orlando FL 32809
Phone: 727-855-7604
Edeline Joseph-Theophile - Waive In Support
Florida PTA
Legislation Committee Member
1747 Orlando Central Pkwy
Orlando FL 32809
Phone: 727-855-7604
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 8 of 14
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1073 (2022)
Amendment No. 1
COMMITTEE/SUBCOMMITTEE ACTION
ADOPTED (Y/N)
ADOPTED AS AMENDED (Y/N)
ADOPTED W/O OBJECTION Y (Y/N)
FAILED TO ADOPT (Y/N)
WITHDRAWN (Y/N)
OTHER
1 Committee/Subcommittee hearing bill: Professions & Public
2 Health Subcommittee
3 Representative Aloupis offered the following:
4
5 Amendment (with title amendment)
6 Remove lines 96-128 and insert:
7 audiologist, a physician licensed under chapter 458 or chapter
8 459, or a hospital, or another other newborn hearing screening
9 provider, for screening for the detection of hearing loss, to
10 prevent the consequences of unidentified disorders. The referral
11 for appointment must shall be made within 7 30 days after
12 discharge. Written documentation of the referral must be placed
13 in the newborn's medical chart.
14 (c) If the parent or legal guardian of the newborn objects
15 to the screening, the screening must not be completed. In such
16 case, the physician, midwife, or other person who is attending
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Page 1 of 3
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1073 (2022)
Amendment No. 1
17 the newborn shall maintain a record that the screening has not
18 been performed and attach a written objection that must be
19 signed by the parent or guardian.
20 (d) For home births, the health care provider in
21 attendance is responsible for coordination and referral to an a
22 licensed audiologist, a hospital, or another other newborn
23 hearing screening provider. The health care provider in
24 attendance must make the referral for appointment shall be made
25 within 7 30 days after the birth. In cases in which the home
26 birth is not attended by a primary health care provider, the
27 newborn’s primary health care provider is responsible for
28 coordinating the a referral to a licensed audiologist, physician
29 licensed pursuant to chapter 458 or chapter 459, hospital, or
30 other newborn hearing screening provider must be made by the
31 health care provider within the first 3 months after the child's
32 birth.
33 (e) For home births and births in a licensed birth center,
34 if a newborn is referred to a newborn hearing screening provider
35 and the newborn fails the screening for the detection of hearing
36 loss, the newborn’s primary health care provider must refer the
37 newborn for administration of a test approved by the United
38 States Food and Drug Administration or another diagnostically
39 equivalent test on the newborn to screen for congenital
40 cytomegalovirus.
41
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Page 2 of 3
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1073 (2022)
Amendment No. 1
42 -----------------------------------------------------
43 T I T L E A M E N D M E N T
44 Remove lines 9-15 and insert:
45 referrals; providing that a newborn’s primary health care
46 provider is responsible for coordinating such referrals under
47 certain circumstances; requiring a newborn’s primary health care
48 provider to refer the newborn for testing for congenital
49 cytomegalovirus under certain circumstances; revising the
50 timeframe within which
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Page 3 of 3
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1101 : Anesthesiologist Assistants
X Favorable With Committee Substitute
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 18 Total Nays: 0
HB 1101 Amendments
Amendment 833519
X Adopted Without Objection
Appearances:
Suderman, Phillip (Lobbyist) - Waive In Support
Americans for Prosperity
200 W College Ave # 113 113
Tallahassee FL 32301-7710
Phone: (850) 866-0710
Thomas, Mary (Lobbyist) - Waive In Support
Florida Medical Association
Ass. General Counsel
1430 Piedmont Dr E
Tallahassee FL 32308
Phone: (850) 224-6496
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 9 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1101 : Anesthesiologist Assistants (continued)
Appearances: (continued)
Jermaine Leclerc MHSc, MHSA, CAA - Proponent
Florida Academy of Anesthesiologist Assistants
Immediate Past President
275 SW Lost River Rd.
Stuart FL 34997
Phone: 305-988-5280
Heuchan, Brecht (Lobbyist) - Waive In Support
Florida Academy of Anesthesiologist Assistants (FAAA)
Po Box 10549
Tallahassee FL 32302-2549
Phone: (850) 702-0143
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 10 of 14
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
COMMITTEE/SUBCOMMITTEE ACTION
ADOPTED (Y/N)
ADOPTED AS AMENDED (Y/N)
ADOPTED W/O OBJECTION Y (Y/N)
FAILED TO ADOPT (Y/N)
WITHDRAWN (Y/N)
OTHER
1 Committee/Subcommittee hearing bill: Professions & Public
2 Health Subcommittee
3 Representative Altman offered the following:
4
5 Amendment (with title amendment)
6 Remove everything after the enacting clause and insert:
7 Section 1. Paragraphs (a) and (g) of subsection (1),
8 paragraph (a) of subsection (3), and paragraphs (a) and (b) of
9 subsection (6) of section 458.3475, Florida Statutes, are
10 amended to read:
11 458.3475 Anesthesiologist assistants.—
12 (1) DEFINITIONS.—As used in this section, the term:
13 (a) "Anesthesiologist" means an allopathic or osteopathic
14 physician who holds an active, unrestricted license; who has
15 successfully completed an anesthesiology training program
16 approved by the Accreditation Council on Graduate Medical
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
17 Education or its equivalent; and who is certified by the
18 American Board of Anesthesiology, is eligible to take that
19 board's examination, or is certified by the Board of
20 Certification in Anesthesiology affiliated with the American
21 Association of Physician Specialists.
22 (g) "Direct supervision" means the physical presence of a
23 supervising anesthesiologist on the premises such that the
24 supervising anesthesiologist is immediately available as needed
25 onsite, personal supervision by an anesthesiologist who is
26 present in the office when the procedure is being performed in
27 that office, or is present in the surgical or obstetrical suite
28 when the procedure is being performed in that surgical or
29 obstetrical suite and who is in all instances immediately
30 available to provide assistance and direction to the
31 anesthesiologist assistant while anesthesia services are being
32 performed.
33 (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS.—
34 (a) An anesthesiologist assistant may assist an
35 anesthesiologist in developing and implementing an anesthesia
36 care plan for a patient, may personally administer the
37 prescribed anesthetic under the direct supervision of an
38 anesthesiologist, and may perform tasks and services as
39 specified in a written protocol approved by the supervising
40 anesthesiologist which may include any of the following
41 functions. In providing assistance to an anesthesiologist, an
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
42 anesthesiologist assistant may perform duties established by
43 rule by the board in any of the following functions that are
44 included in the anesthesiologist assistant's protocol while
45 under the direct supervision of an anesthesiologist:
46 1. Obtain a comprehensive patient history and present the
47 history to the supervising anesthesiologist.
48 2. Pretest and calibrate anesthesia delivery systems and
49 monitor, obtain, and interpret information from the systems and
50 monitors.
51 3. Assist the supervising anesthesiologist with the
52 implementation of medically accepted monitoring techniques.
53 4. Establish basic and advanced airway interventions,
54 including intubation of the trachea and performing ventilatory
55 support.
56 5. Administer intermittent vasoactive drugs and start and
57 adjust vasoactive infusions.
58 6. Administer anesthetic drugs, adjuvant drugs, and
59 accessory drugs.
60 7. Assist the supervising anesthesiologist with the
61 performance of epidural anesthetic procedures and spinal
62 anesthetic procedures.
63 8. Administer blood, blood products, and supportive
64 fluids.
65 9. Support life functions during anesthesia health care,
66 including induction and intubation procedures, the use of
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
67 appropriate mechanical supportive devices, and the management of
68 fluid, electrolyte, and blood component balances.
69 10. Recognize and take appropriate corrective action for
70 abnormal patient responses to anesthesia, adjunctive medication,
71 or other forms of therapy.
72 11. Participate in management of the patient while in the
73 postanesthesia recovery area, including the administration of
74 any supporting fluids or drugs.
75 12. Place special peripheral and central venous and
76 arterial lines for blood sampling and monitoring as appropriate.
77 (6) ANESTHESIOLOGIST ASSISTANT LICENSURE.—
78 (a) Any person desiring to be licensed as an
79 anesthesiologist assistant must apply to the department. The
80 department shall issue a license to any person certified by the
81 board to:
82 1. Be at least 18 years of age.
83 2. Have satisfactorily passed a proficiency examination
84 with a score established by the National Commission on
85 Certification of Anesthesiologist Assistants.
86 3. Be certified in advanced cardiac life support.
87 4. Have completed the application form and remitted an
88 application fee, not to exceed $1,000, as set by the boards. An
89 application must include:
90 a. A certificate of completion of an approved graduate
91 level program.
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
92 b. An acknowledgment A sworn statement of any prior felony
93 convictions.
94 c. An acknowledgment A sworn statement of any prior
95 discipline or denial of licensure or certification in any state.
96 d. Two letters of recommendation from anesthesiologists.
97 (b) A license must be renewed biennially. Each renewal
98 must include:
99 1. A renewal fee, not to exceed $1,000, as set by the
100 boards.
101 2. An acknowledgment A sworn statement of no felony
102 convictions in the immediately preceding 2 years.
103 Section 2. Paragraphs (a) and (g) of subsection (1),
104 paragraph (a) of subsection (3), and paragraphs (a) and (b) of
105 subsection (6) of section 459.023, Florida Statutes, are amended
106 to read:
107 459.023 Anesthesiologist assistants.—
108 (1) DEFINITIONS.—As used in this section, the term:
109 (a) "Anesthesiologist" means an osteopathic or allopathic
110 physician who holds an active, unrestricted license; who has
111 successfully completed an anesthesiology training program
112 approved by the Accreditation Council on Graduate Medical
113 Education, or its equivalent, or the American Osteopathic
114 Association; and who is certified by the American Osteopathic
115 Board of Anesthesiology or is eligible to take that board's
116 examination, is certified by the American Board of
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
117 Anesthesiology or is eligible to take that board's examination,
118 or is certified by the Board of Certification in Anesthesiology
119 affiliated with the American Association of Physician
120 Specialists.
121 (g) "Direct supervision" means the physical presence of a
122 supervising anesthesiologist on the premises such that the
123 supervising anesthesiologist is immediately available as needed
124 onsite, personal supervision by an anesthesiologist who is
125 present in the office when the procedure is being performed in
126 that office, or is present in the surgical or obstetrical suite
127 when the procedure is being performed in that surgical or
128 obstetrical suite and who is in all instances immediately
129 available to provide assistance and direction to the
130 anesthesiologist assistant while anesthesia services are being
131 performed.
132 (3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS.—
133 (a) An anesthesiologist assistant may assist an
134 anesthesiologist in developing and implementing an anesthesia
135 care plan for a patient, may personally administer the
136 prescribed anesthetic under the direct supervision of an
137 anesthesiologist, and may perform tasks and services as
138 specified in a written protocol approved by the supervising
139 anesthesiologist which may include any of the following
140 functions. In providing assistance to an anesthesiologist, an
141 anesthesiologist assistant may perform duties established by
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
142 rule by the board in any of the following functions that are
143 included in the anesthesiologist assistant's protocol while
144 under the direct supervision of an anesthesiologist:
145 1. Obtain a comprehensive patient history and present the
146 history to the supervising anesthesiologist.
147 2. Pretest and calibrate anesthesia delivery systems and
148 monitor, obtain, and interpret information from the systems and
149 monitors.
150 3. Assist the supervising anesthesiologist with the
151 implementation of medically accepted monitoring techniques.
152 4. Establish basic and advanced airway interventions,
153 including intubation of the trachea and performing ventilatory
154 support.
155 5. Administer intermittent vasoactive drugs and start and
156 adjust vasoactive infusions.
157 6. Administer anesthetic drugs, adjuvant drugs, and
158 accessory drugs.
159 7. Assist the supervising anesthesiologist with the
160 performance of epidural anesthetic procedures and spinal
161 anesthetic procedures.
162 8. Administer blood, blood products, and supportive
163 fluids.
164 9. Support life functions during anesthesia health care,
165 including induction and intubation procedures, the use of
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Page 7 of 9
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
166 appropriate mechanical supportive devices, and the management of
167 fluid, electrolyte, and blood component balances.
168 10. Recognize and take appropriate corrective action for
169 abnormal patient responses to anesthesia, adjunctive medication,
170 or other forms of therapy.
171 11. Participate in management of the patient while in the
172 postanesthesia recovery area, including the administration of
173 any supporting fluids or drugs.
174 12. Place special peripheral and central venous and
175 arterial lines for blood sampling and monitoring as appropriate.
176 (6) ANESTHESIOLOGIST ASSISTANT LICENSURE.—
177 (a) Any person desiring to be licensed as an
178 anesthesiologist assistant must apply to the department. The
179 department shall issue a license to any person certified by the
180 board to:
181 1. Be at least 18 years of age.
182 2. Have satisfactorily passed a proficiency examination
183 with a score established by the National Commission on
184 Certification of Anesthesiologist Assistants.
185 3. Be certified in advanced cardiac life support.
186 4. Have completed the application form and remitted an
187 application fee, not to exceed $1,000, as set by the boards. An
188 application must include:
189 a. A certificate of completion of an approved graduate
190 level program.
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1101 (2022)
Amendment No.1
191 b. An acknowledgment A sworn statement of any prior felony
192 convictions.
193 c. An acknowledgment A sworn statement of any prior
194 discipline or denial of licensure or certification in any state.
195 d. Two letters of recommendation from anesthesiologists.
196 (b) A license must be renewed biennially. Each renewal
197 must include:
198 1. A renewal fee, not to exceed $1,000, as set by the
199 boards.
200 2. An acknowledgment A sworn statement of no felony
201 convictions in the immediately preceding 2 years.
202 Section 3. This act shall take effect July 1, 2022.
203
204 -----------------------------------------------------
205 T I T L E A M E N D M E N T
206 Remove everything before the enacting clause and insert:
207 An act relating to anesthesiologist assistants; amending ss.
208 458.3475 and 459.023, F.S.; revising the definitions of the
209 terms "anesthesiologist" and "direct supervision"; revising
210 requirements for the written protocol between an
211 anesthesiologist assistant and a supervising anesthesiologist;
212 revising provisions relating to duties and functions
213 anesthesiologist assistants may perform; revising licensure
214 requirements for anesthesiologist assistants; providing an
215 effective date.
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COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1209 : Administration of Vaccines
X Favorable With Committee Substitute
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 17 Total Nays: 1
HB 1209 Amendments
Amendment 913487
X Adopted Without Objection
Appearances:
Black, Gregory (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
National Association of Chain Drug Stores
PO Box 838
Tallahassee FL
Phone: (850) 509-8022
Blair, Robert (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
Wal-Mart Stores, Inc
19401 Shumard Oak Drive
Land O' Lakes FL
Phone: (813) 527-0172
Fay, Megan (Lobbyist) (Lobbyist Appearance Form Submitted) - Waive In Support
CVS Health and All Affiliates
124 W. Jefferson St.
Tallahassee F
Phone: (850) 222-9075
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 11 of 14
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1209 : Administration of Vaccines (continued)
Appearances: (continued)
Davant, Claudia (Lobbyist) - Proponent
Florida Pharmacy Association
205 S Adams St
Tallahassee FL 32301
Phone: (850) 567-0979
Jackson, Michael (Lobbyist) - Proponent
Florida Pharmacy Association
610 N. Adams St.
Tallahassee FL 32309
Phone: (850) 222-2400
Lovett, Grace (Lobbyist) - Proponent
Florida Retail Federation
227 South Adams Street
Tallahassee FL 32301
Phone: (850) 222-4082
Farmer, Jake (Lobbyist) - Waive In Support
Walgreen Company
227 S Adams St
Tallahassee FL 32301
Phone: (352) 359-6835
Suderman, Phillip (Lobbyist) - Waive In Support
Americans for Prosperity
200 W College Ave # 113 113
Tallahassee FL 32301-7710
Phone: (850) 866-0710
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 12 of 14
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1209 (2022)
Amendment No. 1
COMMITTEE/SUBCOMMITTEE ACTION
ADOPTED (Y/N)
ADOPTED AS AMENDED (Y/N)
ADOPTED W/O OBJECTION Y (Y/N)
FAILED TO ADOPT (Y/N)
WITHDRAWN (Y/N)
OTHER
1 Committee/Subcommittee hearing bill: Professions & Public
2 Health Subcommittee
3 Representative Tuck offered the following:
4
5 Amendment (with title amendment)
6 Remove everything after the enacting clause and insert:
7 Section 1. Subsections (7) and (8) of section 465.014,
8 Florida Statutes, are renumbered as subsections (8) and (9),
9 respectively, and a new subsection (7) is added to that section,
10 to read:
11 465.014 Pharmacy technician.—
12 (7) A registered pharmacy technician seeking to administer
13 vaccines under s. 465.189 must be certified to administer such
14 vaccines pursuant to a certification program approved by the
15 Board of Pharmacy in consultation with the Board of Medicine and
16 the Board of Osteopathic Medicine. The certification program
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1209 (2022)
Amendment No. 1
17 must have at least 6 hours of immunization-related training
18 approved by the board that shall, at a minimum, have curriculum
19 of instruction concerning the safe and effective administration
20 of such vaccines, including, but not limited to, potential
21 allergic reactions to such vaccines. As a condition of
22 registration renewal, a registered pharmacy technician seeking
23 to administer vaccines under s. 465.189 must have at least 2
24 hours of continuing education approved by the board in addition
25 to the biennial continuing education required in subsection (6).
26 Section 2. Subsections (1), (4), (5), and (7) of section
27 465.189, Florida Statutes, are amended to read:
28 465.189 Administration of vaccines and epinephrine
29 autoinjection.—
30 (1) In accordance with guidelines of the Centers for
31 Disease Control and Prevention for each recommended immunization
32 or vaccine, a pharmacist who is certified under subsection (7),
33 or a registered intern or pharmacy technician under the
34 supervision of such a pharmacist, who is certified under
35 subsection (7) may administer the following immunizations or
36 vaccines to an adult within the framework of an established
37 protocol under a supervising physician licensed under chapter
38 458 or chapter 459:
39 (a) Immunizations or vaccines listed in the Adult
40 Immunization Schedule as of March 31, 2022 April 30, 2021, by
41 the United States Centers for Disease Control and Prevention.
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1209 (2022)
Amendment No. 1
42 The board may authorize by rule additional immunizations or
43 vaccines as they are added to the Adult Immunization Schedule.
44 (b) Immunizations or vaccines recommended by the United
45 States Centers for Disease Control and Prevention for
46 international travel as of March 31, 2022 April 30, 2021. The
47 board may authorize by rule additional immunizations or vaccines
48 as they are recommended by the United States Centers for Disease
49 Control and Prevention for international travel.
50 (c) Immunizations or vaccines licensed for use in the
51 United States, or which have been authorized for emergency use,
52 by the United States Food and Drug Administration as of March
53 31, 2022 April 30, 2021. The board may authorize by rule
54 additional immunizations or vaccines as they are so licensed or
55 authorized.
56 (d) Immunizations or vaccines approved by the board in
57 response to a state of emergency declared by the Governor
58 pursuant to s. 252.36.
59
60 A registered intern who administers an immunization or vaccine
61 under this subsection must be supervised by a certified
62 pharmacist at a ratio of one pharmacist to one registered
63 intern.
64 (4) A pharmacist may not enter into a protocol under a
65 supervising physician licensed under chapter 458 or chapter 459
66 or administer an immunization or vaccine under this section
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1209 (2022)
Amendment No. 1
67 unless he or she maintains at least $200,000 of professional
68 liability insurance and has completed training in administering
69 vaccines authorized under this section.
70 (5) A pharmacist administering immunizations or vaccines
71 under this section shall maintain and make available patient
72 records using the same standards for confidentiality and
73 maintenance of such records as those that are imposed on health
74 care practitioners under s. 456.057. These records shall be
75 maintained for a minimum of 5 years.
76 (7) Any pharmacist, or registered intern, or registered
77 pharmacy technician seeking to administer vaccines under this
78 section must be certified to administer such vaccines pursuant
79 to a certification program approved by the board of Pharmacy in
80 consultation with the Board of Medicine and the Board of
81 Osteopathic Medicine. The certification program shall, at a
82 minimum, require that the pharmacist attend at least 20 hours of
83 continuing education classes approved by the board and the
84 registered intern complete at least 20 hours of coursework
85 approved by the board. The registered pharmacy technician shall
86 have immunization-related training and continuing education as
87 provided in s. 465.014. The certification programs program
88 shall, at a minimum, have a curriculum of instruction concerning
89 the safe and effective administration of such vaccines,
90 including, but not limited to, potential allergic reactions to
91 such vaccines.
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COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1209 (2022)
Amendment No. 1
92 Section 3. This act shall take effect July 1, 2022.
93
94 -----------------------------------------------------
95 T I T L E A M E N D M E N T
96 Remove everything before the enacting clause and insert:
97 An act relating to administration of vaccines; amending s.
98 456.014, F.S.; authorizing registered pharmacy technicians to
99 administer specified vaccines under certain circumstances;
100 providing requirements for registration renewal; amending s.
101 465.189, F.S.; authorizing certified pharmacists to administer
102 specified vaccines under certain circumstances; revising the
103 immunizations or vaccines that certified pharmacists, registered
104 interns, and registered pharmacy technicians may administer;
105 revising and providing continuing education requirements for
106 registered pharmacy technicians; providing an effective date.
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Page 5 of 5
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1521 : Professional Counselors Licensure Compact
X Favorable With Committee Substitute
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 18 Total Nays: 0
HB 1521 Amendments
Amendment 368103
X Adopted Without Objection
Amendment 567287
X Adopted Without Objection
Appearances:
Mixon, Corinne (Lobbyist) - Waive In Support
Florida Mental Health Counselors Association
511 N. Adams St. Ste.
Tallahassee FL 32301
Phone: 850-766-5795
Suderman, Phillip (Lobbyist) - Waive In Support
Americans for Prosperity
200 W College Ave # 113 113
Tallahassee FL 32301-7710
Phone: (850) 866-0710
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 13 of 14
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1521 (2022)
Amendment No. 1
COMMITTEE/SUBCOMMITTEE ACTION
ADOPTED (Y/N)
ADOPTED AS AMENDED (Y/N)
ADOPTED W/O OBJECTION Y (Y/N)
FAILED TO ADOPT (Y/N)
WITHDRAWN (Y/N)
OTHER
1 Committee/Subcommittee hearing bill: Professions & Public
2 Health Subcommittee
3 Representative Koster offered the following:
4
5 Amendment (with title amendment)
6 Between lines 124 and 125, insert:
7 Section 1. Subsections (5) through (17) of section
8 491.003, Florida Statutes, are renumbered as subsections (6)
9 though (18), respectively, and subsection (5) is added to that
10 section, to read:
11 491.003 Definitions.—As used in this chapter:
12 (5) "Licensed professional counselor" means a clinical
13 social worker, marriage and family therapist, or mental health
14 counselor authorized to provide services under the Professional
15 Counselors Licensure Compact.
16
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Page 1 of 2
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1521 (2022)
Amendment No. 1
17
18 -----------------------------------------------------
19 T I T L E A M E N D M E N T
20 Remove line 3 and insert:
21 Compact; amending s. 491.003, F.S.; defining "licensed
22 professional counselor"; creating s. 491.017, F.S.; creating
23 the
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Page 2 of 2
COMMITTEE/SUBCOMMITTEE AMENDMENT
Bill No. HB 1521 (2022)
Amendment No. 2
COMMITTEE/SUBCOMMITTEE ACTION
ADOPTED (Y/N)
ADOPTED AS AMENDED (Y/N)
ADOPTED W/O OBJECTION Y (Y/N)
FAILED TO ADOPT (Y/N)
WITHDRAWN (Y/N)
OTHER
1 Committee/Subcommittee hearing bill: Professions & Public
2 Health Subcommittee
3 Representative Koster offered the following:
4
5 Amendment
6 Remove lines 233-235 and insert:
7 (15) "Licensed professional counselor" means a counselor
8 licensed by a member state, regardless of the title used by that
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Page 1 of 1
COMMITTEE MEETING REPORT
Professions & Public Health Subcommittee
2/2/2022 11:30AM
Location: Webster Hall (212 Knott)
HB 1523 : Pub. Rec. and Meetings/Professional Counselors Licensure Compact
X Favorable
Yea Nay No Vote Absentee Absentee
Yea Nay
Robert Andrade X
Kristen Arrington X
David Borrero X
Anna Eskamani X
Juan Fernandez-Barquin X
Sam Garrison X
Michael Gottlieb X
Randall Maggard X
Stan McClain X
Michele Rayner X
Alex Rizo X
Bob Rommel X
Tyler Sirois X
Kelly Skidmore X
Carlos Smith X
John Snyder X
Kaylee Tuck X
William Robinson (Chair) X
Total Yeas: 18 Total Nays: 0
Appearances:
Suderman, Phillip (Lobbyist) - Waive In Support
Americans for Prosperity
200 W College Ave # 113 113
Tallahassee FL 32301-7710
Phone: (850) 866-0710
Committee meeting was reported out: Wednesday, February 02, 2022 3:14PM
Print Date: 02/02/2022 03:14 pm Leagis ® Page 14 of 14
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