SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 169

Acupuncture
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SPONSOR
Alvarez, J.
FILED BY
Jose Alvarez — District 46, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Rules

Filed under Healthcare.

PROVIDED SUMMARY

Acupuncture; Revises licensure requirements; provides applicability; exempts certain persons from certain regulations governing practice of acupuncture.

Full bill text →

Plain English Summary

AI-GENERATED
Lets acupuncturists inject vitamins and supplements at acupuncture points.

Acupuncturists' authorized scope grows to include acupoint injection and administering sterile-form herbs, vitamins, minerals, and other nutritional supplements, while still excluding antibiotics, vaccines, controlled substances, and other prescription drugs.

New applicants must complete 60 hours studying injection therapy as part of their required 4-year course of study, and the option to qualify through a state-administered exam is eliminated.

Continuing education courses must now be approved by the Board of Acupuncture in advance, rather than automatically qualifying whenever they relate to acupuncture skills or knowledge.

Out-of-state licensed acupuncturists may demonstrate procedures and equipment at Florida continuing education programs without holding a Florida license, and "oriental" is replaced with "eastern" throughout the chapter.

KEY PROVISIONS
§ 1 Prescriptive rights expanded to cover supplement injections majors. 457.102

AIThe definition of "prescriptive rights" is expanded so licensed acupuncturists may recommend, order, or administer herbs, homeopathics, and other nutritional supplements in sterile form, in addition to the needles and devices already covered.

“the recommendation for or ordering of, or administration of herbs, homeopathics, and other nutritional supplements in sterile form” bill text, line 55 →
§ 2 Eastern medicine definition now includes acupoint injection majors. 457.102

AIThe definition of "eastern medicine" is rewritten to explicitly add acupoint injection alongside acupuncture, electroacupuncture, Qi Gong, massage, herbal therapy, and dietary guidance as part of the recognized practice.

“acupuncture, electroacupuncture, Qi Gong, eastern massage, herbal therapy, dietary guidelines, acupoint injection, and other adjunctive therapies”
§ 3 60 hours of injection-therapy coursework now required for licensure majors. 457.105

AIApplicants completing the required 4-year course of study in acupuncture and eastern medicine must now also complete 60 hours of study in injection therapy before they can be licensed.

“and 60 hours of study in injection therapy” bill text, line 86 →
§ 4 State-administered licensure exam option is eliminated majors. 457.105

AIApplicants can no longer qualify for a license by passing a department-administered competency exam; national board certification or licensure by endorsement are now the only routes into the profession.

“passes an examination administered by the department, which examination tests the applicant's competency and knowledge of the practice of acupuncture” bill text, line 95 →
§ 5 Certain drug categories excluded from acupuncturist prescriptive rights moderates. 457.102

AIThe expanded prescriptive rights explicitly exclude higher-risk categories: ophthalmic and oral inhalation drugs, corticosteroids, antibiotics, vaccinations, botulinum toxin, controlled substances, and other medicinal drugs stay outside an acupuncturist's authority.

“does not include ophthalmic or oral inhalation drugs in aqueous format, corticosteroids, antibiotics, vaccinations, botulinum toxin” bill text, line 63 →
§ 6 Continuing education now requires board pre-approval moderates. 457.107

AIContinuing education courses no longer qualify automatically just by relating to acupuncture skills; the Board of Acupuncture must now approve each program before it counts toward renewal.

“All education programs must be approved by the board and contribute to the advancement, extension, or enhancement of professional skills”
§ 7 Out-of-state acupuncturists exempted for continuing-education demonstrations moderates. 457.105

AIAn acupuncturist licensed in another state, the District of Columbia, or a U.S. territory may perform procedures or demonstrate equipment at a board-approved continuing education program without holding a Florida license.

“an acupuncturist licensed in another state, the District of Columbia, or a possession or territory of the United States” bill text, line 119 →
TIMELINE
3/13/2026
Died in Rules
3/4/2026
Received
3/4/2026
Referred to Rules
3/4/2026
In Messages
3/4/2026
Passed; YEAS 111, NAYS 0
3/4/2026
Read 3rd time
3/4/2026
Added to Third Reading Calendar
3/4/2026
Read 2nd time
2/26/2026
Bill added to Special Order Calendar (3/4/2026)
2/18/2026
Added to Second Reading Calendar
2/18/2026
Bill released to House Calendar
2/18/2026
Reported out of Health & Human Services Committee
2/18/2026
Favorable by Health & Human Services Committee
2/16/2026
Added to Health & Human Services Committee agenda
2/4/2026
Now in Health & Human Services Committee
2/4/2026
Reported out of Health Professions & Programs Subcommittee
2/3/2026
Favorable by Health Professions & Programs Subcommittee
1/30/2026
Added to Health Professions & Programs Subcommittee agenda
1/13/2026
1st Reading (Original Filed Version)
10/21/2025
Now in Health Professions & Programs Subcommittee
10/21/2025
Referred to Health & Human Services Committee
10/21/2025
Referred to Health Professions & Programs Subcommittee
10/14/2025
Filed
17 EARLIER →
STATUTES IT CHANGES
s. 457.102
+222 / −16
s. 457.105
+60 / −181
s. 457.107
+13 / −8
s. 457.1085
+0 / −8
s. 457.116
+1 / −1
STAFF ANALYSES