Florida Senate CS for SB 2282 By the Committee on Health Care and Senator Gutman

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By the Committee on Health Care and Senator Gutman 1 A bill to be entitled 2 An act relating to Oriental medicine; amending 3 s. 457.102, F.S.; revising definitions relating 4 to the regulation of acupuncture; defining the 5 term "Oriental medicine"; amending s. 457.103, 6 F.S.; revising membership of the Board of 7 Acupuncture; amending s. 457.105, F.S.; 8 revising qualifications for licensure to 9 practice acupuncture; conforming terminology; 10 amending s. 457.107, F.S.; revising continuing 11 education programs and approvals; amending s. 12 457.116, F.S.; revising grounds for 13 disciplinary action and prohibited acts; 14 providing penalties; providing an effective 15 date. 16 17 Be It Enacted by the Legislature of the State of Florida: 18 19 Section 1. Subsection (1) of section 457.102, Florida 20 Statutes, is amended, and subsection (6) is added to that 21 section, to read: 22 457.102 Definitions.--As used in this chapter: 23 (1) "Acupuncture" means a form of primary health care, 24 based on traditional Chinese medical concepts and modern 25 Oriental medical techniques, that employs acupuncture 26 diagnosis and treatment, as well as adjunctive therapies and 27 diagnostic techniques, for the promotion, maintenance, and 28 restoration of health and the prevention of disease. 29 Acupuncture shall include, but not be limited to, the 30 insertion of acupuncture needles and the application of 31 moxibustion to specific areas of the human body. 1

1 (6) "Oriental medicine" means the use of acupuncture, 2 electro-acupuncture, Qi Gong, oriental massage, herbal 3 therapy, dietary guidelines, and other adjunctive therapies. 4 Section 2. Subsection (1) of section 457.103, Florida 5 Statutes, is amended to read: 6 457.103 Board of Acupuncture; membership; appointment 7 and terms.-- 8 (1) The Board of Acupuncture is created within the 9 department and shall consist of seven five members, to be 10 appointed by the Governor and confirmed by the Senate. Five 11 Three members of the board must be licensed Florida 12 acupuncturists. Two members must be laypersons who are not and 13 who have never been acupuncturists or members of any closely 14 related profession. Members shall be appointed for 4-year 15 terms or for the remainder of the unexpired term of a vacancy. 16 Section 3. Subsection (2) of section 457.105, Florida 17 Statutes, is amended to read: 18 457.105 Licensure qualifications and fees.-- 19 (2) A person may become licensed to practice 20 acupuncture if the person applies to the department and: 21 (a) Is 18 years of age or older; 22 (b) Has completed 60 college credits from an 23 accredited postsecondary institution as a prerequisite to 24 enrollment in an authorized 3-year course of study in 25 acupuncture and Oriental medicine, and has completed a 3-year 26 course of study in acupuncture and Oriental medicine, and 27 effective July 31, 2001, a 4-year course of study in 28 acupuncture and Oriental medicine, which meets standards 29 established by the board by rule, which standards include, but 30 are not limited to,successful completion of academic courses 31 in western anatomy, western physiology, western pathology, and 2

1 western biomedical terminology, first aid, and cardiopulmonary 2 resuscitation (CPR). However, any person who enrolled in an 3 authorized course of study in acupuncture before August 1, 4 1997, must have completed only a 2-year course of study which 5 meets standards established by the board by rule, which 6 standards must include, but are not limited to, successful 7 completion of academic courses in western anatomy, western 8 physiology, and western pathology; 9 (c) Has successfully completed a board-approved 10 national certification process, is actively licensed in a 11 state that has examination requirements that are substantially 12 equivalent to or more stringent than those of this state, or 13 passes an examination administered by the department, which 14 examination tests the applicant's competency and knowledge of 15 the practice of acupuncture. At the request of any applicant, 16 oriental nomenclature for the points shall be used in the 17 examination. The examination shall include a practical 18 examination of the knowledge and skills required to practice 19 acupuncture, covering diagnostic and treatment techniques and 20 procedures; and 21 (d) Pays the required fees set by the board by rule 22 not to exceed the following amounts: 23 1. Examination fee: $500 plus the actual per applicant 24 cost to the department for purchase of the written and 25 practical portions of the examination from a national 26 organization approved by the board. 27 2. Application fee: $300. 28 3. Reexamination fee: $500 plus the actual per 29 applicant cost to the department for purchase of the written 30 and practical portions of the examination from a national 31 organization approved by the board. 3

1 4. Initial biennial licensure fee: $400, if licensed 2 in the first half of the biennium, and $200, if licensed in 3 the second half of the biennium. 4 Section 4. Subsection (3) of section 457.107, Florida 5 Statutes, is amended to read: 6 457.107 Renewal of licenses; continuing education.-- 7 (3) The board shall by rule prescribe continuing 8 education requirements, not to exceed 30 hours biennially, as 9 a condition for renewal of a license. The criteria for such 10 programs or courses shall be approved by the board. In order 11 to meet continuing education requirements, prior approval by 12 the board of such programs or courses is required.all 13 education programs that contribute to the advancement, 14 extension, or enhancement of professional skills and knowledge 15 related to the practice of acupuncture, whether conducted by a 16 nonprofit or profitmaking entity, are eligible for approval. 17 The continuing professional education requirements must be in 18 acupuncture or Oriental-medicine subjects, including, but not 19 limited to, anatomy, biological sciences, adjunctive 20 therapies, sanitation and sterilization, emergency protocols, 21 and diseases.the board shall have the authority to set a fee, 22 not to exceed $100, for each continuing education provider or 23 program submitted for approval. The licensee shall retain in 24 his or her records the certificates of completion of 25 continuing professional education requirements to prove 26 compliance with this subsection. The board may request such 27 documentation without cause from applicants who are selected 28 at random. All national and state acupuncture and 29 Oriental-medicine organizations and acupuncture and 30 Oriental-medicine schools are approved to provide continuing 31 professional education in accordance with this subsection. 4

1 Section 5. Section 457.116, Florida Statutes, is 2 amended to read: 3 (Substantial rewording of section. See 4 s. 457.116, F.S., for present text.) 5 (1) A person may not: 6 (a) Practice acupuncture unless the person is licensed 7 under ss. 457.101-457.118; 8 (b) Use, in connection with his or her name or place 9 of business, any title or description of services which 10 incorporates the words "acupuncture," "acupuncturist," 11 "certified acupuncturist," "licensed acupuncturist," "Oriental 12 medical practitioner"; the letters "L.Ac.," "R.Ac.," "A.P.," 13 or "D.O.M."; or any other words, letters, abbreviations, or 14 insignia indicating or implying that he or she practices 15 acupuncture unless he or she is a holder of a valid license 16 issued pursuant to ss. 457.101-457.118; 17 (c) Present as his or her own the license of another; 18 (d) Knowingly give false or forged evidence to the 19 board or a member thereof; 20 (e) Use or attempt to use a license that has been 21 suspended, revoked, or placed on inactive or delinquent 22 status; 23 (f) Employ any person who is not licensed pursuant to 24 ss. 457.101-457.118 to engage in the practice of acupuncture; 25 or 26 (g) Conceal information relating to any violation of 27 ss. 457.101-457.118. 28 (2) A person who violates this section commits a 29 misdemeanor of the second degree, punishable as provided in s. 30 775.082 or s. 775.083. 31 Section 6. This act shall take effect October 1, 1998. 5

1 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN COMMITTEE SUBSTITUTE FOR 2 Senate Bill 2282 3 4 The committee substitute provides a definition for "Oriental medicine," revises continuing education requirements for 5 acupuncturists and eliminates the Board of Acupuncture's authority to approve criteria for continuing education 6 programs and courses, specifies professional continuing education requirements for acupuncturists, and substantially 7 revises penalties under the acupuncture practice act. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 6