THE BILL ITSELF
HB 301
Advanced Practice Registered Nurse Autonomous Practice
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A bill to be entitled
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An act relating to advanced practice registered nurse
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autonomous practice; amending s. 464.0123, F.S.;
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authorizing certain advanced practice registered
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nurses to engage in autonomous practice to provide
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mental health services under certain circumstances;
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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. Paragraph (a) of subsection (3) of section
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464.0123, Florida Statutes, is amended to read:
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464.0123 Autonomous practice by an advanced practice
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registered nurse.—
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(3) PRACTICE REQUIREMENTS.—
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(a) An advanced practice registered nurse who is
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registered under this section may:
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1. Engage in autonomous practice only in primary care
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practice, including family medicine, general pediatrics, and
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general internal medicine, as defined by board rule. If an
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advanced practice registered nurse is certified as a psychiatric
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mental health advanced practice nurse, he or she may engage in
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autonomous practice to provide mental health services, as
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defined by board rule.
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2. For certified nurse midwives, engage in autonomous
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practice in the performance of the acts listed in s.
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464.012(4)(c).
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3. Perform the general functions of an advanced practice
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registered nurse under s. 464.012(3) related to primary care.
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4. For a patient who requires the services of a health
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care facility, as defined in s. 408.032(8):
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a. Admit the patient to the facility.
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b. Manage the care received by the patient in the
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facility.
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c. Discharge the patient from the facility, unless
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prohibited by federal law or rule.
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5. Provide a signature, certification, stamp,
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verification, affidavit, or endorsement that is otherwise
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required by law to be provided by a physician, except an
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advanced practice registered nurse registered under this section
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may not issue a physician certification under s. 381.986.
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Section 2. This act shall take effect July 1, 2026.