THE BILL ITSELF
CS/HB 223
Naturopathic Medicine
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A bill to be entitled
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An act relating to naturopathic medicine; renaming ch.
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462, F.S., as "Naturopathic Medicine"; creating s.
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462.001, F.S.; providing legislative findings and
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purpose; creating s. 462.002, F.S.; providing
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applicability and construction; renumbering and
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amending s. 462.01, F.S.; revising and providing
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definitions; creating s. 462.004, F.S.; creating the
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Board of Naturopathic Medicine within the Department
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of Health; providing for membership of the board;
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renumbering and amending s. 462.023, F.S.; authorizing
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the board to adopt rules; deleting obsolete language;
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creating s. 462.006, F.S.; prohibiting an unlicensed
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person from practicing naturopathic medicine or using
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specified titles or abbreviations; providing
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construction; providing penalties; creating s.
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462.007, F.S.; providing for licensure by examination
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of naturopathic doctors; requiring the department and
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the board to use an investigative process that meets
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certain criteria; authorizing the State Surgeon
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General or her or his designee to issue a 90-day
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licensure delay under certain circumstances; providing
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construction; prohibiting the board from certifying
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for licensure certain applicants until a certain
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investigation is completed; providing applicability;
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authorizing the board to enter an order imposing
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certain sanctions against or conditions on an
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applicant under certain circumstances; creating s.
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462.008, F.S.; providing for licensure by endorsement
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of naturopathic doctors; renumbering and amending s.
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462.08, F.S.; revising requirements for licensure
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renewal for naturopathic doctors; requiring the
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department to adopt rules; renumbering and amending s.
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462.18, F.S.; revising continuing education
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requirements for naturopathic doctors; requiring
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naturopathic doctors to use the department's
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electronic continuing education tracking system to
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demonstrate compliance with continuing education
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requirements; renumbering and amending s. 462.19,
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F.S.; revising provisions related to reactivation of
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inactive naturopathic doctor licenses; requiring the
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board to adopt certain rules; renumbering and amending
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s. 462.14, F.S.; revising grounds for disciplinary
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action; repealing s. 462.17, F.S.; relating to penalty
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for offenses relating to naturopathy; amending ss.
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20.43, 381.0031, 468.301, 476.044, 477.0135, 485.003,
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486.161, 627.351, 893.02, and 921.0022, F.S.;
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conforming provisions to changes made by the act;
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providing an effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Chapter 462, Florida Statutes, entitled
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"Naturopathy," is redesignated as "Naturopathic Medicine." Section 2. Section 462.001, Florida Statutes, is created
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to read:
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462.001 Legislative findings; purpose.—The Legislature
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finds that the interest of public health requires modernization
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of regulation related to naturopathy in this state. Since 1927,
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when Florida first regulated naturopathy, the profession and its
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role within the healthcare industry have evolved including the
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distinction that exists today between naturopathy and
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naturopathic medicine, and this chapter reflects that evolution.
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It is the intent of the Legislature to free naturopathy in this
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state by removing the near total ban on the profession that has
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been in place since 1959 by ensuring:
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(1) Naturopathy is offered by naturopaths in this state.
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(2) Naturopathic medicine is practiced in this state by
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issuing licenses to naturopathic doctors who meet clear
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standards of education and training, and who are held
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accountable for safe practice.
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Section 3. Section 462.002, Florida Statutes, is created
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to read:
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462.002 Exceptions.—
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(1) This chapter does not apply to:
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(a) Other duly licensed health care practitioners acting
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within their respective scopes of practice, as authorized by
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general law.
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(b) Students practicing under the direct supervision of a
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licensed naturopathic doctor as part of a preceptorship program
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while enrolled in a college or university program that is
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accredited by, or has candidacy status with, the Council on
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Naturopathic Medical Education or an equivalent accrediting body
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for the naturopathic medical profession which is recognized by
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the United States Department of Education and the board.
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(c) Naturopathic residents practicing under the direct
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supervision of a licensed naturopathic doctor at a residency
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site recognized by the Council on Naturopathic Medical Education
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or by an equivalent accrediting body for the naturopathic
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medical profession which is recognized by the United States
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Department of Education or the board.
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(d) A naturopathic doctor who holds an active license in
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another jurisdiction of the United States or Canada and is
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performing naturopathic procedures or demonstrating equipment or
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supplies for educational purposes at a board-approved continuing
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education program.
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(e) The practice of the religious tenets of any church in
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this state.
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(f) The domestic administration of recognized family
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remedies.
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(2) This chapter does not prohibit:
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(a) A person who sells a dietary supplement from providing
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information about the dietary supplement.
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(b) Any person:
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1. Not licensed as a naturopathic doctor from employing in
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his or her occupation Ayurveda, herbalism, homeopathy,
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naturopathy as defined in s. 462.003, nutrition, traditional
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Chinese medicine, or other natural therapy included as part of
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the practice of naturopathic medicine, as defined in s. 462.003;
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or
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2. From using terms, including, but not limited to,
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"certified naturopath," "naturopath," "naturopathy,"
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"traditional naturopath," or "traditional naturopath," provided
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that the person does not:
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a. Use a title protected under s. 462.006; or
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b. Represent or assume the character or appearance of a
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person described in s. 462.006.
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Section 4. Section 462.01, Florida Statutes, is renumbered
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as section 462.003, Florida Statutes, and amended to read:
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462.003 462.01 Definitions.—As used in this chapter, the
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term:
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(1) "Board" means the Board of Naturopathic Medicine.
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(2) "Department" means the Department of Health.
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(3)(a) "Naturopathic medicine" and "practice of
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naturopathic medicine" mean the diagnosis, prevention, and
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treatment by a naturopathic doctor of any deformity, disease,
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injury, pain, or other physical or mental condition using
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botanical or fungal extracts, clinical nutrition, counseling
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techniques, dietary supplements, environmental medicine,
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homeopathic remedies, imaging studies, laboratory testing,
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lifestyle medicine, natural substances, physical exam, or
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physical medicine in a manner consistent with the education
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offered by naturopathic doctoral degree programs accredited by,
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or having candidacy status with, the Council on Naturopathic
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Medical Education or another accrediting agency recognized by
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the United States Department of Education or the board, and
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applied in a manner consistent with the principles of
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naturopathic medicine and the naturopathic therapeutic order
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defined herein.
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(b) The term does not include any of the following:
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1. Prescribing, dispensing, or administering any legend
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drug or prescription drug outside of natural, non-pharmacologic
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substances such as but not to limited vitamin B12.
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2. Performing any surgical procedure.
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3. Practicing or claiming to practice as a medical doctor
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or physician, an osteopathic physician, a dentist, a podiatric
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physician, an optometrist, a psychologist, a nurse practitioner,
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a physician assistant, a chiropractic physician, a physical
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therapist, an acupuncturist, a midwife, a licensed dietician, or
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a health care practitioner as defined in s. 456.001.
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4. Using general or spinal anesthetics.
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5. Administering ionizing radioactive substances.
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6. Performing chiropractic or osteopathic adjustments or
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manipulations that include high–velocity thrusts at or beyond
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the end range of normal joint motion, unless the naturopathic
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doctor is also licensed as a chiropractic physician or an
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osteopathic physician.
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7. Performing acupuncture, unless the naturopathic doctor
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is also licensed as an acupuncturist.
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8. Managing labor and delivery, unless the naturopathic
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doctor is also a licensed midwife.
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(4) "Naturopathic doctor" means a person who is licensed
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to practice naturopathic medicine under this chapter.
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(5) "Naturopathic therapeutic order" means a principle
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defined by the American Association of Naturopathic Physicians
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to guide naturopathic doctors in resolving a patient's symptoms
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and addressing the root cause of a patient's disease while using
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the least therapeutic force necessary.
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(6)(1) "Natureopathy" and "Naturopathy" is shall be
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construed as synonymous with "traditional naturopathy" and is
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understood to be distinct from naturopathic medicine, means the
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traditional, non-invasive health practice offered by naturopaths
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and traditional naturopaths focusing on education about natural
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practices and substances that can be used to promote general
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health and well-being terms and mean the use and practice of
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psychological, mechanical, and material health sciences to aid
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in purifying, cleansing, and normalizing human tissues for the
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preservation or restoration of health, according to the
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fundamental principles of anatomy, physiology, and applied
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psychology, as may be required. Naturopathic practice employs,
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among other agencies, phytotherapy, dietetics, psychotherapy,
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suggestotherapy, hydrotherapy, zone therapy, biochemistry,
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external applications, electrotherapy, mechanotherapy,
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mechanical and electrical appliances, hygiene, first aid,
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sanitation, and heliotherapy; provided, however, that nothing in
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this chapter shall be held or construed to authorize any
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naturopathic physician licensed hereunder to practice materia
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medica or surgery or chiropractic medicine, nor shall the
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provisions of this law in any manner apply to or affect the
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practice of osteopathic medicine, chiropractic medicine,
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Christian Science, or any other treatment authorized and
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provided for by law for the cure or prevention of disease and
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ailments.
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(7) "Principles of naturopathic medicine" means the
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foundations of naturopathic medical education and practice as
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set forth by the American Association of Naturopathic Physicians
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or the board and embodied in the education offered by
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naturopathic doctoral degree programs accredited by, or having
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candidacy status with, the Council on Naturopathic Medical
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Education or another accrediting agency recognized by the United
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States Department of Education or the board, and including all
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of the following principles:
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(a) The healing power of nature.
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(b) Identify and treat the causes.
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(c) First do no harm.
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(d) Doctor as teacher.
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(e) Treat the whole person.
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(f) Prevention.
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Section 5. Section 462.004, Florida Statutes, is created
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to read:
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462.004 Board of Naturopathic Medicine.—
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(1) There is created within the department the Board of
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Naturopathic Medicine, composed of seven members appointed by
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the Governor and confirmed by the Senate.
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(2)(a) Four members of the board must be licensed
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naturopathic doctors who are residents of this state.
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(b) Two members of the board must be physicians licensed
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under chapter 458 or chapter 459 who are residents of this
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state.
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(c) One member must be a resident of this state who is
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not, and has never been, licensed as a naturopathic doctor, an
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osteopathic physician, a physician, or any other closely related
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profession.
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(d) At least one member must be 60 years of age or older.
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(3) As the terms of the members expire, the Governor shall
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appoint successors for terms of 4 years, and such members shall
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serve until their successors are appointed.
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(4) All provisions of chapter 456 relating to the board
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shall apply. Section 6. Section 462.023, Florida Statutes, is
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renumbered as section 462.005, Florida Statutes, and amended to
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read:
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462.005 462.023 Rulemaking authority; powers and duties of
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the board department.—The board department may adopt such rules
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pursuant to ss. 120.536(1) and 120.54 to implement the
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provisions of this chapter conferring duties upon it as are
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necessary to carry out the purposes of this chapter, initiate
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disciplinary action as provided by this chapter, and shall
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establish fees based on its estimates of the revenue required to
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administer this chapter but shall not exceed the fee amounts
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provided in this chapter. The department shall not adopt any
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rules which would cause any person who was not licensed in
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accordance with this chapter on July 1, 1959, and had not been a
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resident of the state for 2 years prior to such date, to become
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licensed.
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Section 7. Section 462.006, Florida Statutes, is created
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to read:
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462.006 License required.—
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(1) Unless licensed under this chapter, a person may not
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practice naturopathic medicine in this state and may not
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promote, identify, or describe herself or himself as a "doctor
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of naturopathic medicine," or a "naturopathic doctor" or use the
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post-nominals "N.D." or "N.M.D."
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(2) A person who violates this section commits a
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misdemeanor of the second degree, punishable as provided in s.
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775.082 or s. 775.083.
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Section 8. Section 462.007, Florida Statutes, is created
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to read:
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462.007 Licensure by examination.—
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(1) Any person desiring to be licensed as a naturopathic
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doctor must apply to the department on forms furnished by the
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department. The department shall license each applicant who
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completes the application form and who the board certifies has
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met all of the following criteria:
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(a) Is at least 21 years of age.
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(b) Has received a bachelor's degree from one of the
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following:
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1. A college or university accredited by an accrediting
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agency recognized by the United States Department of Education
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or the Council for Higher Education Accreditation or its
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successor entity recognized by the board;
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2. A college or university in Canada which is a member of
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Universities Canada or a successor entity recognized by the
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board; or
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3. A college or university in a foreign country, other
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than Canada, when such applicant has provided evidence that her
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or his educational credentials are deemed equivalent to those
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provided in this country or Canada. To have educational
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credentials deemed equivalent, the applicant must provide her or
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his foreign educational credentials, including transcripts,
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course descriptions or syllabi, and diplomas, to a nationally
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recognized educational credential evaluating agency approved by
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the board for the evaluation and determination of equivalency of
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the foreign educational credentials.
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(c) Has received a naturopathic doctoral degree from a
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college or program accredited by, or having candidacy status
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with, the Council on Naturopathic Medical Education or another
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accrediting agency recognized by the United States Department of
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Education or the board.
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(d) Is physically and mentally fit to practice as a
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naturopathic doctor.
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(e) Is of good moral character.
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(f) Submits to background screening in accordance with s.
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456.0135.
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(g) Has obtained a passing score on Part I - Biomedical
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Science Examination and Part II - Core Clinical Science
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Examination of the competency-based national Naturopathic
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Physician Licensing Examination administered by the North
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American Board of Naturopathic Examiners, or an equivalent
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examination offered by an equivalent or successor entity, as
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approved by the board.
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(2) The department and the board shall ensure that
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applicants for licensure satisfy the applicable criteria in this
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section through an investigative process. If the investigative
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process is not completed within the timeframe established in s.
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120.60(1) and the department or board has reason to believe that
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the applicant does not meet such criteria, the State Surgeon
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General or her or his designee may issue a 90-day licensure
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delay, which must be in writing and sufficient to notify the
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applicant of the reason for the delay. This subsection prevails
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over any conflicting provision of s. 120.60(1).
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(3) The board may not certify to the department for
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licensure any applicant who is under investigation in another
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jurisdiction for an offense that would constitute a violation of
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this chapter or chapter 456 until the investigation has been
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completed.
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(4) If the board determines that an applicant for
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licensure has failed to meet, to the board's satisfaction, any
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of the requirements of this section, the board may take one of
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the following actions:
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(a) Refusal to certify to the department an application
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for licensure.
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(b) Certification to the department of an application for
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licensure with restrictions on the scope of practice of the
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naturopathic doctor.
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(c) Certification to the department of an application for
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licensure with a probationary period for the applicant, subject
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to such conditions as the board specifies, including, but not
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limited to, requiring the naturopathic doctor to submit to
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treatment, attend continuing education courses, submit to
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reexamination, or work under the supervision of another
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naturopathic doctor.
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Section 9. Section 462.008, Florida Statutes, is created
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to read:
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462.008 Licensure by endorsement.—The department shall
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issue a license to practice naturopathic medicine by endorsement
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to an applicant who, upon applying to the department on forms
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furnished by the department, the board certifies has met the
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requirements for licensure by endorsement under s. 456.0145. Section 10. Section 462.08, Florida Statutes, is
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renumbered as section 462.009, Florida Statutes, and amended to
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read:
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462.009 462.08 Renewal of license to practice naturopathic
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medicine naturopathy.—
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(1) In order to continue practicing naturopathic medicine
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in this state, each licensed naturopathic doctor must
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licenseholder shall biennially renew her or his license to
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practice naturopathic medicine naturopathy. The applicant for
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license renewal must furnish to the board department such
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evidence as it requires of the applicant's compliance with s.
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462.011 s. 462.18, relating to continuing education educational
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requirements. The nonrefundable biennial renewal fee, the amount
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of which shall be determined by the department but which may not
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exceed $1,000, must be paid at the time the application for
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renewal of the license is filed.
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(2) The department shall adopt rules establishing
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procedures for the biennial renewal of licenses under this
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chapter.
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Section 11. Section 462.18, Florida Statutes, is
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renumbered as section 462.011, Florida Statutes, and amended to
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read:
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462.011 462.18 Continuing education Educational
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requirements.—
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(1) At the time each licensee renews shall renew her or
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his license as otherwise provided in s. 462.009 this chapter,
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each licensee must, in addition to the payment of the regular
367
renewal fee, shall furnish to the department satisfactory
368
evidence that, in the preceding biennial period, the licensee
369
has completed the continuing education requirements of this
370
section.
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(2) The board shall require each licensee to complete at
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least 60 hours of continuing education during each biennial
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renewal period.
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(a) The board shall approve organizations that accredit
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naturopathic continuing education providers, including, but not
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limited to, the American Association of Naturopathic Physicians,
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and the North American Naturopathic Continuing Education
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Accreditation Council.
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(b) The determination of whether substitute continuing
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education programs are permissible is solely within the
381
discretion of the board.
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(3) The licensee must use the electronic continuing
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education tracking system developed by the department under s.
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456.0361 to demonstrate compliance with the continuing education
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requirements of this section year preceding each such
386
application for renewal, the licensee has attended the 2-day
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educational program as promulgated and conducted by the Florida
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Naturopathic Physicians Association, Inc., or, as a substitute
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therefor, the equivalent of that program as approved by the
390
department. The department shall send a written notice to this
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effect to every person holding a valid license to practice
392
naturopathy within this state at least 30 days prior to May 1 in
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each even-numbered year, directed to the last known address of
394
such licensee, and shall enclose with the notice proper blank
395
forms for application for annual license renewal. All of the
396
details and requirements of the aforesaid educational program
397
shall be adopted and prescribed by the department. In the event
398
of national emergencies, or for sufficient reason, the
399
department shall have the power to excuse the naturopathic
400
physicians as a group or as individuals from taking this
401
postgraduate course.
402
(2) The determination of whether a substitute annual
403
educational program is necessary shall be solely within the
404
discretion of the department. Section 12. Section 462.19, Florida Statutes, is
406
renumbered as section 462.012, Florida Statutes, and amended to
407
read:
408
462.012 462.19 Renewal of license; inactive status;
409
reactivation of license.—
410
(1) A licensee may reactivate an inactive license by
411
applying to the department.
412
(2) The board shall adopt rules relating to the
413
reactivation of licenses that have become inactive and the
414
renewal of inactive licenses. The rules must include continuing
415
education requirements as a condition for reactivating a
416
license. The continuing education requirements for reactivating
417
a license may not be fewer than 20 classroom hours for each year
418
the license was inactive.
419
(1) The department shall renew a license upon receipt of
420
the renewal application and fee.
421
(2) A licensee may request that her or his license be
422
placed in an inactive status by making application to the
423
department and paying a fee in an amount set by the department
424
not to exceed $50.
425
Section 13. Section 462.14, Florida Statutes, is
426
renumbered as section 462.017, Florida Statutes, and amended to
427
read:
428
462.017 462.14 Grounds for disciplinary action; action by
429
the department.—
430
(1) The following acts constitute grounds for denial of a
431
license or disciplinary action, as specified in s. 456.072(2):
432
(1)(a) Attempting to obtain, obtaining, or renewing a
433
license to practice naturopathic medicine by bribery, by
434
fraudulent misrepresentation, or through an error of the
435
department.
436
(2)(b) Having a license to practice naturopathic medicine
437
revoked, suspended, or otherwise acted against, including the
438
denial of licensure, by the licensing authority of another
439
state, territory, or country.
440
(3)(c) Being convicted or found guilty, regardless of
441
adjudication, of a crime in any jurisdiction which directly
442
relates to the practice of naturopathic medicine or to the
443
ability to practice naturopathic medicine. Any plea of nolo
444
contendere shall be considered a conviction for purposes of this
445
chapter.
446
(4)(d) False, deceptive, or misleading advertising related
447
to the practice of naturopathic medicine.
448
(5)(e) Advertising, practicing, or attempting to practice
449
under a name other than one's own.
450
(6)(f) Failing to report to the department any person who
451
the licensee knows is in violation of this chapter or of the
452
rules of the department. However, a person who the licensee
453
knows is unable to practice naturopathic medicine with
454
reasonable skill and safety to patients by reason of illness or
455
use of alcohol, drugs, narcotics, chemicals, or any other type
456
of material, or as a result of a mental or physical condition,
457
may be reported to a consultant operating an impaired
458
practitioner program as described in s. 456.076 rather than to
459
the department.
460
(7)(g) Aiding, assisting, procuring, employing, or
461
advising any unlicensed person to practice naturopathic medicine
462
contrary to this chapter or to a rule of the department.
463
(8)(h) Failing to perform any statutory or legal
464
obligation placed upon a licensed naturopathic doctor physician.
465
(9)(i) Making or filing a report which the licensee knows
466
to be false, intentionally or negligently failing to file a
467
report or record required by state or federal law, willfully
468
impeding or obstructing such filing or inducing another person
469
to do so. Such reports or records shall include only those which
470
are signed in the capacity as a licensed naturopathic doctor
471
physician.
472
(j) Paying or receiving any commission, bonus, kickback,
473
or rebate, or engaging in any split-fee arrangement in any form
474
whatsoever with a physician, organization, agency, or person,
475
either directly or indirectly, for patients referred to
476
providers of health care goods and services, including, but not
477
limited to, hospitals, nursing homes, clinical laboratories,
478
ambulatory surgical centers, or pharmacies. The provisions of
479
This paragraph shall not be construed to prevent a naturopathic
480
physician from receiving a fee for professional consultation
481
services.
482
(10)(k) Exercising influence within a patient-physician
483
relationship for purposes of engaging a patient in sexual
484
activity. A patient is shall be presumed to be incapable of
485
giving free, full, and informed consent to sexual activity with
486
her or his naturopathic doctor physician.
487
(l) Making deceptive, untrue, or fraudulent
488
representations in the practice of naturopathic medicine or
489
employing a trick or scheme in the practice of naturopathic
490
medicine when such scheme or trick fails to conform to the
491
generally prevailing standards of treatment in the medical
492
community.
493
(m) Soliciting patients, either personally or through an
494
agent, through the use of fraud, intimidation, undue influence,
495
or a form of overreaching or vexatious conduct. A "solicitation"
496
is any communication which directly or implicitly requests an
497
immediate oral response from the recipient.
498
(11)(n) Failing to keep written medical records justifying
499
the course of treatment of the patient, including, but not
500
limited to, patient histories, examination results, test
501
results, X rays, and records of the prescribing, dispensing and
502
administering of drugs.
503
(12)(o) Exercising influence on the patient or client in
504
such a manner as to exploit the patient or client for the
505
financial gain of the licensee or of a third party, which shall
506
include, but not be limited to, the promoting or selling of
507
services, goods, appliances, or drugs and the promoting or
508
advertising on any prescription form of a community pharmacy
509
unless the form also states "This prescription may be filled at
510
any pharmacy of your choice."
511
(p) Performing professional services which have not been
512
duly authorized by the patient or client, or her or his legal
513
representative, except as provided in s. 743.064, s. 766.103, or
514
s. 768.13.
515
(q) Prescribing, dispensing, administering, mixing, or
516
otherwise preparing a legend drug, including any controlled
517
substance, other than in the course of the naturopathic
518
physician's professional practice. For the purposes of this
519
paragraph, it shall be legally presumed that prescribing,
520
dispensing, administering, mixing, or otherwise preparing legend
521
drugs, including all controlled substances, inappropriately or
522
in excessive or inappropriate quantities is not in the best
523
interest of the patient and is not in the course of the
524
naturopathic physician's professional practice, without regard
525
to her or his intent.
526
(r) Prescribing, dispensing, or administering any
527
medicinal drug appearing on any schedule set forth in chapter
528
893 by the naturopathic physician to herself or himself, except
529
one prescribed, dispensed, or administered to the naturopathic
530
physician by another practitioner authorized to prescribe,
531
dispense, or administer medicinal drugs.
532
(13)(s) Being unable to practice naturopathic medicine
533
with reasonable skill and safety to patients by reason of
534
illness or use of alcohol, drugs, narcotics, chemicals, or any
535
other type of material or as a result of any mental or physical
536
condition. In enforcing this paragraph, the department shall
537
have, upon a finding of the State Surgeon General or the State
538
Surgeon General's designee that probable cause exists to believe
539
that the licensee is unable to serve as a naturopathic doctor
540
due to the reasons stated in this paragraph, the department
541
shall have the authority to issue an order to compel the
542
licensee, authority to compel a naturopathic physician to submit
543
to a mental or physical examination by a physician physicians
544
designated by the department. If the licensee does not comply
545
with such order, the department's order directing failure of a
546
naturopathic physician to submit to such an examination may be
547
enforced by filing a petition for enforcement in the circuit
548
court for the county in which the naturopathic doctor resides or
549
does business. The naturopathic doctor against whom the petition
550
is filed may not be named or identified by initials in any
551
public court record or document, and the proceedings must be
552
closed to the public. The department is entitled to the summary
553
procedure provided in s. 51.011 when so directed shall
554
constitute an admission of the allegations against her or him
555
upon which a default and final order may be entered without the
556
taking of testimony or presentation of evidence, unless the
557
failure was due to circumstances beyond the naturopathic
558
physician's control. A naturopathic doctor subject to an order
559
issued physician affected under this paragraph must, shall at
560
reasonable intervals, be afforded an opportunity to demonstrate
561
that she or he can resume the competent practice of naturopathic
562
medicine with reasonable skill and safety to patients. In any
563
proceeding under this paragraph, neither the record of
564
proceedings nor the orders entered by the department may be used
565
against a naturopathic doctor physician in any other proceeding.
566
(14)(t) Gross or repeated malpractice or the failure to
567
practice naturopathic medicine with that level of care, skill,
568
and treatment which is recognized by a reasonably prudent
569
similar physician as being acceptable under similar conditions
570
and circumstances. The department shall give great weight to the
571
provisions of s. 766.102 when enforcing this paragraph.
572
(u) Performing any procedure or prescribing any therapy
573
which, by the prevailing standards of medical practice in the
574
community, constitutes experimentation on a human subject,
575
without first obtaining full, informed, and written consent.
576
(15)(v) Practicing or offering to practice beyond the
577
scope permitted by law or accepting and performing professional
578
responsibilities which the licensee knows or has reason to know
579
that she or he is not competent to perform.
580
(16)(w) Delegating professional responsibilities to a
581
person when the licensee delegating such responsibilities knows
582
or has reason to know that such person is not qualified by
583
training, experience, or licensure to perform them.
584
(17)(x) Violating a lawful order of the board or the
585
department previously entered in a disciplinary hearing or
586
failing to comply with a lawfully issued subpoena of the board
587
or department.
588
(18)(y) Conspiring with another licensee or with any other
589
person to commit an act, or committing an act, which would tend
590
to coerce, intimidate, or preclude another licensee from
591
lawfully advertising her or his services.
592
(19) Fraud or deceit or gross negligence, incompetence, or
593
misconduct in the operation of a course of study.
594
(z) Procuring, or aiding or abetting in the procuring of,
595
an unlawful termination of pregnancy.
596
(aa) Presigning blank prescription forms.
597
(bb) Prescribing by the naturopathic physician for office
598
use any medicinal drug appearing on Schedule II in chapter 893.
599
(cc) Prescribing, ordering, dispensing, administering,
600
supplying, selling, or giving any drug which is an amphetamine
601
or sympathomimetic amine drug, or a compound designated pursuant
602
to chapter 893 as a Schedule II controlled substance to or for
603
any person except for:
604
1. The treatment of narcolepsy; hyperkinesis; behavioral
605
syndrome in children characterized by the developmentally
606
inappropriate symptoms of moderate to severe distractability,
607
short attention span, hyperactivity, emotional lability, and
608
impulsivity; or drug-induced brain dysfunction.
609
2. The differential diagnostic psychiatric evaluation of
610
depression or the treatment of depression shown to be refractory
611
to other therapeutic modalities.
612
3. The clinical investigation of the effects of such drugs
613
or compounds when an investigative protocol therefor is
614
submitted to, reviewed, and approved by the department before
615
such investigation is begun.
616
(dd) Prescribing, ordering, dispensing, administering,
617
supplying, selling, or giving growth hormones, testosterone or
618
its analogs, human chorionic gonadotropin (HCG), or other
619
hormones for the purpose of muscle building or to enhance
620
athletic performance. For the purposes of this subsection, the
621
term "muscle building" does not include the treatment of injured
622
muscle. A prescription written for the drug products listed
623
above may be dispensed by the pharmacist with the presumption
624
that the prescription is for legitimate medical use.
625
(20) Failing to comply with state, county, or municipal
626
regulations or reporting requirements relating to public health
627
and the control of contagious and infectious diseases.
628
(21)(ee) Violating any provision of this chapter or
629
chapter 456, or any rule rules adopted pursuant thereto.
630
(2) The department may enter an order denying licensure or
631
imposing any of the penalties in s. 456.072(2) against any
632
applicant for licensure or licensee who is found guilty of
633
violating any provision of subsection (1) of this section or who
634
is found guilty of violating any provision of s. 456.072(1).
635
(3) The department shall not reinstate the license of a
636
naturopathic physician until such time as the department is
637
satisfied that such person has complied with all the terms and
638
conditions set forth in the final order and that such person is
639
capable of safely engaging in the practice of naturopathic
640
medicine.
641
(4) The department shall by rule establish guidelines for
642
the disposition of disciplinary cases involving specific types
643
of violations. Such guidelines may include minimum and maximum
644
fines, periods of supervision or probation, or conditions of
645
probation or reissuance of a license.
646
Section 14. Section 462.17, Florida Statutes, is repealed.
647
Section 15. Paragraph (g) of subsection (3) of section
648
20.43, Florida Statutes, is amended to read:
649
20.43 Department of Health.—There is created a Department
650
of Health.
651
(3) The following divisions of the Department of Health
652
are established:
653
(g) Division of Medical Quality Assurance, which is
654
responsible for the following boards and professions established
655
within the division:
656
1. The Board of Acupuncture, created under chapter 457.
657
2. The Board of Medicine, created under chapter 458.
658
3. The Board of Osteopathic Medicine, created under
659
chapter 459.
660
4. The Board of Chiropractic Medicine, created under
661
chapter 460.
662
5. The Board of Podiatric Medicine, created under chapter
663
461.
664
6. Naturopathic Medicine Naturopathy, as provided under
665
chapter 462.
666
7. The Board of Optometry, created under chapter 463.
667
8. The Board of Nursing, created under part I of chapter
668
464.
669
9. Nursing assistants, as provided under part II of
670
chapter 464.
671
10. The Board of Pharmacy, created under chapter 465.
672
11. The Board of Dentistry, created under chapter 466.
673
12. Midwifery, as provided under chapter 467.
674
13. The Board of Speech-Language Pathology and Audiology,
675
created under part I of chapter 468.
676
14. The Board of Nursing Home Administrators, created
677
under part II of chapter 468.
678
15. The Board of Occupational Therapy, created under part
679
III of chapter 468.
680
16. Respiratory therapy, as provided under part V of
681
chapter 468.
682
17. Dietetics and nutrition practice, as provided under
683
part X of chapter 468.
684
18. The Board of Athletic Training, created under part
685
XIII of chapter 468.
686
19. The Board of Orthotists and Prosthetists, created
687
under part XIV of chapter 468.
688
20. Electrolysis, as provided under chapter 478.
689
21. The Board of Massage Therapy, created under chapter
690
480.
691
22. The Board of Clinical Laboratory Personnel, created
692
under part I of chapter 483.
693
23. Medical physicists, as provided under part II of
694
chapter 483.
695
24. The Board of Opticianry, created under part I of
696
chapter 484.
697
25. The Board of Hearing Aid Specialists, created under
698
part II of chapter 484.
699
26. The Board of Physical Therapy Practice, created under
700
chapter 486.
701
27. The Board of Psychology, created under chapter 490.
702
28. School psychologists, as provided under chapter 490.
703
29. The Board of Clinical Social Work, Marriage and Family
704
Therapy, and Mental Health Counseling, created under chapter
705
491.
706
30. Emergency medical technicians and paramedics, as
707
provided under part III of chapter 401.
708
Section 16. Subsection (2) of section 381.0031, Florida
709
Statutes, is amended to read:
710
381.0031 Epidemiological research; report of diseases of
711
public health significance to department.—
712
(2) Any practitioner licensed in this state to practice
713
medicine, osteopathic medicine, chiropractic medicine,
714
naturopathic medicine naturopathy, or veterinary medicine; any
715
licensed pharmacist authorized under a protocol with a
716
supervising physician under s. 465.1895, or a collaborative
717
pharmacy practice agreement, as defined in s. 465.1865, to
718
perform or order and evaluate laboratory and clinical tests; any
719
hospital licensed under part I of chapter 395; or any laboratory
720
appropriately certified by the Centers for Medicare and Medicaid
721
Services under the federal Clinical Laboratory Improvement
722
Amendments and the federal rules adopted thereunder which
723
diagnoses or suspects the existence of a disease of public
724
health significance shall immediately report the fact to the
725
Department of Health.
726
Section 17. Subsection (11) of section 468.301, Florida
727
Statutes, is amended to read:
728
468.301 Definitions.—As used in this part, the term:
729
(11) "Licensed practitioner" means a person who is
730
licensed or otherwise authorized by law to practice medicine,
731
podiatric medicine, chiropody, osteopathic medicine,
732
naturopathic medicine naturopathy, or chiropractic medicine in
733
this state.
734
Section 18. Subsection (1) of section 476.044, Florida
735
Statutes, is amended to read:
736
476.044 Exemptions.—This chapter does not apply to the
737
following persons when practicing pursuant to their professional
738
responsibilities and duties:
739
(1) Persons authorized under the laws of this state to
740
practice medicine, surgery, osteopathic medicine, chiropractic
741
medicine, naturopathic medicine naturopathy, or podiatric
742
medicine;
743
Section 19. Paragraph (a) of subsection (1) of section
744
477.0135, Florida Statutes, is amended to read:
745
477.0135 Exemptions.—
746
(1) This chapter does not apply to the following persons
747
when practicing pursuant to their professional or occupational
748
responsibilities and duties:
749
(a) Persons authorized under the laws of this state to
750
practice medicine, surgery, osteopathic medicine, chiropractic
751
medicine, massage therapy, naturopathic medicine naturopathy, or
752
podiatric medicine.
753
Section 20. Subsections (2) and (3) of section 485.003,
754
Florida Statutes, are amended to read:
755
485.003 Definitions.—In construing this chapter, the
756
words, phrases, or terms, unless the context otherwise
757
indicates, shall have the following meanings:
758
(2) "Healing arts" shall mean the practice of medicine,
759
surgery, psychiatry, dentistry, osteopathic medicine,
760
chiropractic medicine, naturopathic medicine naturopathy,
761
podiatric medicine, chiropody, psychology, clinical social work,
762
marriage and family therapy, mental health counseling, and
763
optometry.
764
(3) "Practitioner of the healing arts" shall mean a person
765
licensed under the laws of the state to practice medicine,
766
surgery, psychiatry, dentistry, osteopathic medicine,
767
chiropractic medicine, naturopathic medicine naturopathy,
768
podiatric medicine, chiropody, psychology, clinical social work,
769
marriage and family therapy, mental health counseling, or
770
optometry within the scope of his or her professional training
771
and competence and within the purview of the statutes applicable
772
to his or her respective profession, and who may refer a patient
773
for treatment by a qualified person, who shall employ hypnotic
774
techniques under the supervision, direction, prescription, and
775
responsibility of such referring practitioner.
776
Section 21. Subsection (1) of section 486.161, Florida
777
Statutes, is amended to read:
778
486.161 Exemptions.—
779
(1) No provision of This chapter does not shall be
780
construed to prohibit any person licensed in this state from
781
using any physical agent as a part of, or incidental to, the
782
lawful practice of her or his profession under the statutes
783
applicable to the profession of chiropractic physician,
784
podiatric physician, doctor of medicine, massage therapist,
785
nurse, osteopathic physician or surgeon, occupational therapist,
786
or naturopathic doctor naturopath.
787
Section 22. Paragraph (h) of subsection (4) of section
788
627.351, Florida Statutes, is amended to read:
789
627.351 Insurance risk apportionment plans.—
790
(4) MEDICAL MALPRACTICE RISK APPORTIONMENT; ASSOCIATION
791
CONTRACTS AND PURCHASES.—
792
(h) As used in this subsection:
793
1. "Health care provider" means hospitals licensed under
794
chapter 395; physicians licensed under chapter 458; osteopathic
795
physicians licensed under chapter 459; podiatric physicians
796
licensed under chapter 461; dentists licensed under chapter 466;
797
chiropractic physicians licensed under chapter 460; naturopathic
798
doctors naturopaths licensed under chapter 462; nurses licensed
799
under part I of chapter 464; midwives licensed under chapter
800
467; physician assistants licensed under chapter 458 or chapter
801
459; physical therapists and physical therapist assistants
802
licensed under chapter 486; health maintenance organizations
803
certificated under part I of chapter 641; ambulatory surgical
804
centers licensed under chapter 395; other medical facilities as
805
defined in subparagraph 2.; blood banks, plasma centers,
806
industrial clinics, and renal dialysis facilities; or
807
professional associations, partnerships, corporations, joint
808
ventures, or other associations for professional activity by
809
health care providers.
810
2. "Other medical facility" means a facility the primary
811
purpose of which is to provide human medical diagnostic services
812
or a facility providing nonsurgical human medical treatment, to
813
which facility the patient is admitted and from which facility
814
the patient is discharged within the same working day, and which
815
facility is not part of a hospital. However, a facility existing
816
for the primary purpose of performing terminations of pregnancy
817
or an office maintained by a physician or dentist for the
818
practice of medicine may not be construed to be an "other
819
medical facility."
820
3. "Health care facility" means any hospital licensed
821
under chapter 395, health maintenance organization certificated
822
under part I of chapter 641, ambulatory surgical center licensed
823
under chapter 395, or other medical facility as defined in
824
subparagraph 2.
825
Section 23. Subsection (23) of section 893.02, Florida
826
Statutes, is amended to read:
827
893.02 Definitions.—The following words and phrases as
828
used in this chapter shall have the following meanings, unless
829
the context otherwise requires:
830
(23) "Practitioner" means a physician licensed under
831
chapter 458, a dentist licensed under chapter 466, a
832
veterinarian licensed under chapter 474, an osteopathic
833
physician licensed under chapter 459, an advanced practice
834
registered nurse licensed under chapter 464, a naturopathic
835
doctor naturopath licensed under chapter 462, a certified
836
optometrist licensed under chapter 463, a psychiatric nurse as
837
defined in s. 394.455, a podiatric physician licensed under
838
chapter 461, or a physician assistant licensed under chapter 458
839
or chapter 459, provided such practitioner holds a valid federal
840
controlled substance registry number.
841
Section 24. Paragraph (g) of subsection (3) of section
842
921.0022, Florida Statutes, is amended to read:
843
921.0022 Criminal Punishment Code; offense severity
844
ranking chart.—
845
(3) OFFENSE SEVERITY RANKING CHART
846
(g) LEVEL 7 Florida Felony Statute Degree Description 316.027(2)(c) 1st Accident involving death, failure to stop; leaving scene. 316.193(3)(c)2. 3rd DUI resulting in serious bodily injury. 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. 327.35(3)(a)3.b. 3rd Vessel BUI resulting in serious bodily injury. 402.319(2) 2nd Misrepresentation and negligence or intentional act resulting in great bodily harm, permanent disfiguration, permanent disability, or death. 409.920 3rd Medicaid provider fraud; (2)(b)1.a. $10,000 or less. 409.920 2nd Medicaid provider fraud; more (2)(b)1.b. than $10,000, but less than $50,000. 456.065(2) 3rd Practicing a health care profession without a license. 456.065(2) 2nd Practicing a health care profession without a license which results in serious bodily injury. 458.327(1) 3rd Practicing medicine without a license. 459.013(1) 3rd Practicing osteopathic medicine without a license. 460.411(1) 3rd Practicing chiropractic medicine without a license. 461.012(1) 3rd Practicing podiatric medicine without a license. 462.17 3rd Practicing naturopathy without a license. 463.015(1) 3rd Practicing optometry without a license. 464.016(1) 3rd Practicing nursing without a license. 465.015(2) 3rd Practicing pharmacy without a license. 466.026(1) 3rd Practicing dentistry or dental hygiene without a license. 467.201 3rd Practicing midwifery without a license. 468.366 3rd Delivering respiratory care services without a license. 483.828(1) 3rd Practicing as clinical laboratory personnel without a license. 483.901(7) 3rd Practicing medical physics without a license. 484.013(1)(c) 3rd Preparing or dispensing optical devices without a prescription. 484.053 3rd Dispensing hearing aids without a license. 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. 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. 560.125(5)(a) 3rd Money services business by unauthorized person, currency or payment instruments exceeding $300 but less than $20,000. 655.50(10)(b)1. 3rd Failure to report financial transactions exceeding $300 but less than $20,000 by financial institution. 775.21(10)(a) 3rd Sexual predator; failure to register; failure to renew driver license or identification card; other registration violations. 775.21(10)(b) 3rd Sexual predator working where children regularly congregate. 775.21(10)(g) 3rd Failure to report or providing false information about a sexual predator; harbor or conceal a sexual predator. 782.051(3) 2nd Attempted felony murder of a person by a person other than the perpetrator or the perpetrator of an attempted felony. 782.07(1) 2nd Killing of a human being by the act, procurement, or culpable negligence of another (manslaughter). 782.071 2nd Killing of a human being or unborn child by the operation of a motor vehicle in a reckless manner (vehicular homicide). 782.072 2nd Killing of a human being by the operation of a vessel in a reckless manner (vessel homicide). 784.045(1)(a)1. 2nd Aggravated battery; intentionally causing great bodily harm or disfigurement. 784.045(1)(a)2. 2nd Aggravated battery; using deadly weapon. 784.045(1)(b) 2nd Aggravated battery; perpetrator aware victim pregnant. 784.048(4) 3rd Aggravated stalking; violation of injunction or court order. 784.048(7) 3rd Aggravated stalking; violation of court order. 784.07(2)(d) 1st Aggravated battery on law enforcement officer. 784.074(1)(a) 1st Aggravated battery on sexually violent predators facility staff. 784.08(2)(a) 1st Aggravated battery on a person 65 years of age or older. 784.081(1) 1st Aggravated battery on specified official or employee. 784.082(1) 1st Aggravated battery by detained person on visitor or other detainee. 784.083(1) 1st Aggravated battery on code inspector. 787.025(2)(b) 2nd Luring or enticing a child; second or subsequent offense. 787.025(2)(c) 2nd Luring or enticing a child with a specified prior conviction. 787.06(3)(a)2. 1st Human trafficking using coercion for labor and services of an adult. 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. 790.07(4) 1st Specified weapons violation subsequent to previous conviction of s. 790.07(1) or (2). 790.16(1) 1st Discharge of a machine gun under specified circumstances. 790.165(2) 2nd Manufacture, sell, possess, or deliver hoax bomb. 790.165(3) 2nd Possessing, displaying, or threatening to use any hoax bomb while committing or attempting to commit a felony. 790.166(3) 2nd Possessing, selling, using, or attempting to use a hoax weapon of mass destruction. 790.166(4) 2nd Possessing, displaying, or threatening to use a hoax weapon of mass destruction while committing or attempting to commit a felony. 790.23 1st,PBL Possession of a firearm by a person who qualifies for the penalty enhancements provided for in s. 874.04. 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. 796.05(1) 1st Live on earnings of a prostitute; 2nd offense. 796.05(1) 1st Live on earnings of a prostitute; 3rd and subsequent offense. 800.04(5)(c)1. 2nd Lewd or lascivious molestation; victim younger than 12 years of age; offender younger than 18 years of age. 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. 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. 806.01(2) 2nd Maliciously damage structure by fire or explosive. 810.02(3)(a) 2nd Burglary of occupied dwelling; unarmed; no assault or battery. 810.02(3)(b) 2nd Burglary of unoccupied dwelling; unarmed; no assault or battery. 810.02(3)(d) 2nd Burglary of occupied conveyance; unarmed; no assault or battery. 810.02(3)(e) 2nd Burglary of authorized emergency vehicle. 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. 812.014(2)(b)2. 2nd Property stolen, cargo valued at less than $50,000, grand theft in 2nd degree. 812.014(2)(b)3. 2nd Property stolen, emergency medical equipment; 2nd degree grand theft. 812.014(2)(b)4. 2nd Property stolen, law enforcement equipment from authorized emergency vehicle. 812.014(2)(g) 2nd Grand theft; second degree; firearm with previous conviction of s. 812.014(2)(c)5. 812.0145(2)(a) 1st Theft from person 65 years of age or older; $50,000 or more. 812.019(2) 1st Stolen property; initiates, organizes, plans, etc., the theft of property and traffics in stolen property. 812.131(2)(a) 2nd Robbery by sudden snatching. 812.133(2)(b) 1st Carjacking; no firearm, deadly weapon, or other weapon. 817.034(4)(a)1. 1st Communications fraud, value greater than $50,000. 817.234(8)(a) 2nd Solicitation of motor vehicle accident victims with intent to defraud. 817.234(9) 2nd Organizing, planning, or participating in an intentional motor vehicle collision. 817.234(11)(c) 1st Insurance fraud; property value $100,000 or more. 817.2341 1st Making false entries of (2)(b) & material fact or false (3)(b) statements regarding property values relating to the solvency of an insuring entity which are a significant cause of the insolvency of that entity. 817.418(2)(a) 3rd Offering for sale or advertising personal protective equipment with intent to defraud. 817.504(1)(a) 3rd Offering or advertising a vaccine with intent to defraud. 817.535(2)(a) 3rd Filing false lien or other unauthorized document. 817.611(2)(b) 2nd Traffic in or possess 15 to 49 counterfeit credit cards or related documents. 825.102(3)(b) 2nd Neglecting an elderly person or disabled adult causing great bodily harm, disability, or disfigurement. 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. 827.03(2)(b) 2nd Neglect of a child causing great bodily harm, disability, or disfigurement. 827.04(3) 3rd Impregnation of a child under 16 years of age by person 21 years of age or older. 827.071(2) & (3) 2nd Use or induce a child in a sexual performance, or promote or direct such performance. 827.071(4) 2nd Possess with intent to promote any photographic material, motion picture, etc., which includes child pornography. 837.05(2) 3rd Giving false information about alleged capital felony to a law enforcement officer. 838.015 2nd Bribery. 838.016 2nd Unlawful compensation or reward for official behavior. 838.021(3)(a) 2nd Unlawful harm to a public servant. 838.22 2nd Bid tampering. 843.0855(2) 3rd Impersonation of a public officer or employee. 843.0855(3) 3rd Unlawful simulation of legal process. 843.0855(4) 3rd Intimidation of a public officer or employee. 847.0135(3) 3rd Solicitation of a child, via a computer service, to commit an unlawful sex act. 847.0135(4) 2nd Traveling to meet a minor to commit an unlawful sex act. 872.06 2nd Abuse of a dead human body. 874.05(2)(b) 1st Encouraging or recruiting person under 13 to join a criminal gang; second or subsequent offense. 874.10 1st,PBL Knowingly initiates, organizes, plans, finances, directs, manages, or supervises criminal gang-related activity. 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. 893.13(1)(e)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 property used for religious services or a specified business site. 893.13(4)(a) 1st Use or hire of minor; deliver to minor other controlled substance. 893.135(1)(a)1. 1st Trafficking in cannabis, more than 25 lbs., less than 2,000 lbs. 893.135 1st Trafficking in cocaine, more (1)(b)1.a. than 28 grams, less than 200 grams. 893.135 1st Trafficking in illegal drugs, (1)(c)1.a. more than 4 grams, less than 14 grams. 893.135 1st Trafficking in hydrocodone, 28 (1)(c)2.a. grams or more, less than 50 grams. 893.135 1st Trafficking in hydrocodone, 50 (1)(c)2.b. grams or more, less than 100 grams. 893.135 1st Trafficking in oxycodone, 7 (1)(c)3.a. grams or more, less than 14 grams. 893.135 1st Trafficking in oxycodone, 14 (1)(c)3.b. grams or more, less than 25 grams. 893.135 1st Trafficking in fentanyl, 4 (1)(c)4.b.(I) grams or more, less than 14 grams. 893.135 1st Trafficking in phencyclidine, (1)(d)1.a. 28 grams or more, less than 200 grams. 893.135(1)(e)1. 1st Trafficking in methaqualone, 200 grams or more, less than 5 kilograms. 893.135(1)(f)1. 1st Trafficking in amphetamine, 14 grams or more, less than 28 grams. 893.135 1st Trafficking in flunitrazepam, 4 (1)(g)1.a. grams or more, less than 14 grams. 893.135 1st Trafficking in gamma- (1)(h)1.a. hydroxybutyric acid (GHB), 1 kilogram or more, less than 5 kilograms. 893.135 1st Trafficking in 1,4-Butanediol, (1)(j)1.a. 1 kilogram or more, less than 5 kilograms. 893.135 1st Trafficking in Phenethylamines, (1)(k)2.a. 10 grams or more, less than 200 grams. 893.135 1st Trafficking in synthetic (1)(m)2.a. cannabinoids, 280 grams or more, less than 500 grams. 893.135 1st Trafficking in synthetic (1)(m)2.b. cannabinoids, 500 grams or more, less than 1,000 grams. 893.135 1st Trafficking in n-benzyl (1)(n)2.a. phenethylamines, 14 grams or more, less than 100 grams. 893.1351(2) 2nd Possession of place for trafficking in or manufacturing of controlled substance. 896.101(5)(a) 3rd Money laundering, financial transactions exceeding $300 but less than $20,000. 896.104(4)(a)1. 3rd Structuring transactions to evade reporting or registration requirements, financial transactions exceeding $300 but less than $20,000. 943.0435(4)(c) 2nd Sexual offender vacating permanent residence; failure to comply with reporting requirements. 943.0435(8) 2nd Sexual offender; remains in state after indicating intent to leave; failure to comply with reporting requirements. 943.0435(9)(a) 3rd Sexual offender; failure to comply with reporting requirements. 943.0435(13) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 943.0435(14) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information. 944.607(9) 3rd Sexual offender; failure to comply with reporting requirements. 944.607(10)(a) 3rd Sexual offender; failure to submit to the taking of a digitized photograph. 944.607(12) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 944.607(13) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information. 985.4815(10) 3rd Sexual offender; failure to submit to the taking of a digitized photograph. 985.4815(12) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 985.4815(13) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information.
990
Section 25. This act shall take effect December 31, 2026.