SESSION WATCH
Died SENATE · SESSION 2026

No. SB 374

Prescribing Authority
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SPONSOR
Trumbull
FILED BY
Jay Trumbull — District 2, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Policy

Filed under Healthcare.

PROVIDED SUMMARY

Prescribing Authority; Deleting the requirement that a supervising physician notify the Department of Health in writing of any delegation of prescribing authority to a physician assistant; deleting the requirement that a supervising physician’s name be included in the prescription issued by a physician assistant; revising requirements for the drug formulary for physician assistants; revising the drug formulary requirements for advanced practice registered nurses authorized to prescribe medications, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Allows physician assistants and nurse practitioners to practice unsupervised during emergencies.

During a declared state of emergency, physician assistants and advanced practice registered nurses with an active, unrestricted license may treat patients in the affected county without physician supervision, except those working via out-of-state telehealth registration or a temporary certificate for a critical-need area.

Physician assistants can now prescribe Schedule II psychiatric mental health drugs for up to a 30-day supply, up from a 7-day general cap and, for children, a 14-day cap that required specialist supervision.

Advanced practice registered nurses no longer need a separate 'psychiatric nurse' credential to prescribe psychiatric mental health controlled substances to patients under 18; any qualified nurse may now do so, capped at a 30-day supply.

Supervising physicians no longer must notify the Department of Health before delegating prescribing authority to a physician assistant, and a physician assistant's prescriptions no longer must list the supervising physician's name.

KEY PROVISIONS
§ 1 Autonomous practice for PAs and nurses during declared emergencies majors. 458.347

AIWhen the Governor declares a state of emergency, physician assistants and advanced practice registered nurses with an active, unrestricted license may render medical services in the affected county without any physician supervision, for as long as the declaration lasts.

“may render medical services without physician supervision in any county covered by the executive order” bill text, line 113 →
§ 2 Emergency authority excludes telehealth and critical-need-area providers majors. 458.347

AIThe emergency practice-without-supervision authority does not cover out-of-state physician assistants or nurses registered only to provide telehealth in Florida, or those practicing under a temporary certificate for an area of critical need.

“are not authorized to practice without physician supervision under this paragraph” bill text, line 119 →
§ 3 Higher supply cap for PA-prescribed psychiatric Schedule II drugs majors. 458.347

AIPhysician assistants may now prescribe Schedule II psychiatric mental health controlled substances for up to a 30-day supply, replacing the previous 7-day general cap and the separate 14-day cap that applied specifically to prescriptions for children.

“in the case of Schedule II psychiatric mental health controlled substances, a 30-day supply” bill text, line 82 →
§ 4 ARNP psychiatric prescribing for minors no longer limited to psychiatric nurses majors. 464.012

AIAny advanced practice registered nurse with prescribing authority, not only those separately credentialed as a 'psychiatric nurse,' may now prescribe psychiatric mental health controlled substances to a patient younger than 18, subject to a new 30-day supply cap.

“must restrict the prescribing of psychiatric mental health controlled substances for children younger than 18 years of age to a 30-day supply” bill text, line 206 →
§ 5 DOH delegation-notice requirement repealed for PA prescribing moderates. 458.347

AIA supervising physician no longer must notify the Department of Health, on a department-approved form, before delegating prescribing authority to a physician assistant or before changing the physician assistant's prescriptive privileges.

“must notify the department of his or her intent to delegate, on a department-approved form, before delegating such authority” bill text, line 44 →
§ 6 Prescriptions no longer must list the supervising physician's name moderates. 458.347

AIA physician assistant's prescription must still show the physician assistant's own name, address, and telephone number, but no longer needs to name each of the physician assistant's supervising physicians.

“and the name of each of his or her supervising physicians” bill text, line 69 →
TIMELINE
3/13/2026
Died in Health Policy
1/13/2026
Introduced
11/17/2025
Referred to Health Policy; Appropriations Committee on Health and...
11/4/2025
Filed
STATUTES IT CHANGES
s. 458.347
+146 / −61
s. 459.022
+122 / −47
s. 464.012
+131 / −15
s. 464.012
+0 / −0