CS/HB 223: Naturopathic Medicine
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HB 223 — CS/HB 223: Naturopathic Medicine
Last action — Laid on Table
No card. One bill, free forever — alerts when it moves.
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1Introduced
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2In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill has been introduced in the House. Introduced October 17, 2025. It must pass committee before a floor vote.
Next likely step: a committee referral and hearing.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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Introduced
Current position in the legislative process.
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3 sponsors
1 primary, 2 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (2 R).
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Cleared a recorded vote
Passed 3 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Naturopathic Medicine ; Creates Board of Naturopathic Medicine within DOH; provides for licensure by examination of naturopathic doctors; provides financial responsibility requirements as condition of licensure for naturopathic doctors; provides that patients are responsible for advising treating health care practitioners about any legend drug, nutrient, or natural medicinal substance that naturopathic doctor has prescribed or recommended to patient; provides for licensure by endorsement of naturopathic doctors.
Bill Text
What changed in the latest version
1068 added · 1131 removed1068 line(s) added, 1131 removed.
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 A bill to be entitled An act relating to naturopathic medicine;
requiring the board, in conjunction with the department, to establish a disciplinary training program for board members;
providing requirements for the program;
providing that board members must complete a training program to participate in probable cause panels or disciplinary decisions;
requiring board members appointed to probable cause panels to attempt to complete their work on every case presented;
authorizing board members to reconvene a probable cause panel under certain circumstances;
providing applicability;
prohibiting an unlicensed person from practicing naturopathic medicine or using specified titles or Pageabbreviations; 1 of 60 CODING:
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words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 abbreviations;
authorizingPage the1 boardof to58 enterCODING: an order imposing certain sanctions against or conditions on an applicant under certain circumstances;
Words stricken are deletions;
words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 authorizing the board to enter an order imposing certain sanctions against or conditions on an applicant under certain circumstances;
revising provisions related to Pagereactivation 2 of 60inactive CODING:naturopathic doctor licenses;
Words stricken are deletions;
words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 reactivation of inactive naturopathic doctor licenses;
prohibiting the department from reactivating a license until certain conditions have been met;
creating s.
462.015, F.S.;
providing financial responsibility requirements as a condition of licensure for naturopathic doctors;
providing exemptions from such requirements;
requiring certain insuring entities to notify the department promptly of a naturopathic doctor's cancellation or nonrenewal of insurance;
requiring the department to suspend the license of a naturopathic doctor under certain circumstances until the licensee demonstrates compliance with specified requirements;
providing applicability;
requiring a certain naturopathic doctor to provide a specified notice to his or her patients;
providing requirements for the notice;
providing for disciplinary action and for permanent disqualification from any exemption from the financial responsibility requirements for specified conduct;
requiring certain naturopathic doctors to notify the department in writing of any change in circumstance and demonstrate compliance with certain requirements;
requiring the department to suspend the license of a naturopathic doctor under certain circumstances until certain requirements are Page 3 of 60 CODING:
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words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 met;
providing applicability;
requiring the board to adopt rules;
462.13, F.S.;
conforming a provision to changes made by the act;
renumbering and amending s.
Show all 410 changed lines (370 more)
providingrepealing construction;s.
providing462.17, forF.S.; disciplinary actions by the board and department;
providingrelating requirementsto penalty for theoffenses reinstatementrelating ofto anaturopathy; license for certain persons;
providing requirements for disciplinary guidelines adopted by the board;
providing requirements and procedures for the department's receipt of certain closed claims and reports involving a licensed naturopathic doctor;
authorizing the department to bring an action to enjoin a naturopathic doctor from providing medical services under certain circumstances;
requiring the department to promptly furnish certain documents to a naturopathic doctor or her or his attorney upon undertaking an investigation of the naturopathic doctor;
authorizing a naturopathic doctor who is the subject of such investigation to submit a written response within a specified timeframe;
requiring that the response be considered by the probable cause panel, if held on the matter;
20.43, 381.0031, 468.301, 476.044, 477.0135, 485.003, 486.161, 627.351, 893.02, and Page921.0022, 4F.S.; of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 921.0022, F.S.;
BePage It2 Enacted by the Legislature of the58 StateCODING: of Florida:
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 Be It Enacted by the Legislature of the State of Florida:
Section 462.002, Florida Statutes, is created Pageto 5read: of 60 CODING:
462.002 Exceptions.— (1) This chapter does not apply to:
Page 3 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 to(a) read:Other duly licensed health care practitioners acting within their respective scopes of practice, as authorized by general law.
462.002 Exceptions.— (1) This chapter does not apply to:
(a) Other duly licensed health care practitioners acting within their respective scopes of practice, as authorized by general law.
(e) The practice of the religious tenets of any church in Pagethis 6state. of 60 CODING:
(f) The domestic administration of recognized family remedies.
Page 4 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 this(2) state.This chapter does not prohibit:
(f) The domestic administration of recognized family remedies.
(2) This chapter does not prohibit:
Page(2) 7"Department" ofmeans 60the CODING:Department of Health.
(3)(a) "Naturopathic medicine" and "practice of naturopathic medicine" mean the diagnosis, prevention, and Page 5 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 (2)treatment "Department"by meansa naturopathic doctor of any deformity, disease, injury, pain, or other physical or mental condition using botanical or fungal extracts, clinical nutrition, counseling techniques, dietary supplements, environmental medicine, homeopathic remedies, imaging studies, laboratory testing, lifestyle medicine, natural substances, physical exam, or physical medicine in a manner consistent with the education offered by naturopathic doctoral degree programs accredited by, or having candidacy status with, the Council on Naturopathic Medical Education or another accrediting agency recognized by the United States Department of Health.Education or the board, and applied in a manner consistent with the principles of naturopathic medicine and the naturopathic therapeutic order defined herein.
(3)(a) "Naturopathic medicine" and "practice of naturopathic medicine" mean the diagnosis, prevention, and treatment by a naturopathic doctor of any deformity, disease, injury, pain, or other physical or mental condition using botanical or fungal extracts, clinical nutrition, counseling techniques, dietary supplements, environmental medicine, homeopathic remedies, imaging studies, laboratory testing, lifestyle medicine, natural substances, physical exam, or physical medicine in a manner consistent with the education offered by naturopathic doctoral degree programs accredited by, or having candidacy status with, the Council on Naturopathic Medical Education or another accrediting agency recognized by the United States Department of Education or the board, and applied in a manner consistent with the principles of naturopathic medicine and the naturopathic therapeutic order defined herein.
Practicing or claiming to practice as a medical doctor or physician, an osteopathic physician, a dentist, a podiatric physician, an optometrist, a psychologist, a nurse practitioner, Pagea 8physician ofassistant, 60a CODING:chiropractic physician, a physical therapist, an acupuncturist, a midwife, a licensed dietician, or a health care practitioner as defined in s.
456.001.
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hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 a4. physician assistant, a chiropractic physician, a physical therapist, an acupuncturist, a midwife, or a health care practitioner as defined in s.
456.001.
4.
(6)(1) "Natureopathy" and "Naturopathy" is shall be construed as synonymous with "traditional naturopathy" and is understood to be distinct from naturopathic medicine, means the traditional, non-invasive health practice offered by naturopaths and traditional naturopaths focusing on education about natural practices and substances that can be used to promote general health and well-being terms and mean the use and practice of Page 97 of 6058 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 and traditional naturopaths focusing on education about natural practices and substances that can be used to promote general health and well-being terms and mean the use and practice of psychological, mechanical, and material health sciences to aid in purifying, cleansing, and normalizing human tissues for the preservation or restoration of health, according to the fundamental principles of anatomy, physiology, and applied psychology, as may be required.
(7) "Principles of naturopathic medicine" means the foundations of naturopathic medical education and practice as set forth by the American Association of Naturopathic Physicians or the board and embodied in the education offered by naturopathic doctoral degree programs accredited by, or having candidacy status with, the Council on Naturopathic Medical Education or another accrediting agency recognized by the United Page 108 of 6058 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 naturopathic doctoral degree programs accredited by, or having candidacy status with, the Council on Naturopathic Medical Education or another accrediting agency recognized by the United States Department of Education or the board, and including all of the following principles:
(c) One member must be a resident of this state who is not, and has never been, licensed as a naturopathic doctor, an osteopathic physician, a physician, or any other closely related Pageprofession. 11 of 60 CODING:
(d) At least one member must be 60 years of age or older.
(3) As the terms of the members expire, the Governor shall Page 9 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 profession.appoint successors for terms of 4 years, and such members shall serve until their successors are appointed.
(d) At least one member must be 60 years of age or older.
(3) As the terms of the members expire, the Governor shall appoint successors for terms of 4 years, and such members shall serve until their successors are appointed.
462.006 License required.— (1) Unless licensed under this chapter, a person may not practice naturopathic medicine in this state and may not Page 1210 of 6058 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 462.006 License required.— (1) Unless licensed under this chapter, a person may not practice naturopathic medicine in this state and may not promote, identify, or describe herself or himself as a "doctor of naturopathic medicine," or a "naturopathic doctor" or use the post-nominals "N.D." or "N.M.D." (2) A person who violates this section commits a misdemeanor of the second degree, punishable as provided in s.
A college or university in Canada which is a member of PageUniversities 13Canada ofor 60a CODING:successor entity recognized by the board;
or 3.
A college or university in a foreign country, other Page 11 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 Universitiesthan CanadaCanada, when such applicant has provided evidence that her or ahis successoreducational entitycredentials recognizedare bydeemed theequivalent board;to those provided in this country or Canada.
or 3.
A college or university in a foreign country, other than Canada, when such applicant has provided evidence that her or his educational credentials are deemed equivalent to those provided in this country or Canada.
(f) HasSubmits submitted to thebackground departmentscreening a set of fingerprints on a form and in accordance with proceduress. specified by the department, along with payment in an amount equal to the costs incurred by the department for the criminal background check of the applicant.
Page456.0135. 14 of 60 CODING:
(g) Has obtained a passing score on Part I - Biomedical Science Examination and Part II - Core Clinical Science Examination of the competency-based national Naturopathic Physician Licensing Examination administered by the North American Board of Naturopathic Examiners, or an equivalent examination offered by an equivalent or successor entity, as Page 12 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 (g) Has obtained a passing score on Part I - Biomedical Science Examination and Part II - Core Clinical Science Examination of the competency-based national Naturopathic Physician Licensing Examination administered by the North American Board of Naturopathic Examiners, or an equivalent examination offered by an equivalent or successor entity, as approved by the board.
(4) If the board determines that an applicant for licensure has failed to meet, to the board's satisfaction, any of the requirements of this section, the board may take one of Pagethe 15following ofactions: 60 CODING:
Words stricken are deletions;
words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 the following actions:
(c)Page Certification13 to the department of an58 applicationCODING: for licensure with a probationary period for the applicant, subject to such conditions as the board specifies, including, but not limited to, requiring the naturopathic doctor to submit to treatment, attend continuing education courses, submit to reexamination, or work under the supervision of another naturopathic doctor.
Words stricken are deletions;
words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 (c) Certification to the department of an application for licensure with a probationary period for the applicant, subject to such conditions as the board specifies, including, but not limited to, requiring the naturopathic doctor to submit to treatment, attend continuing education courses, submit to reexamination, or work under the supervision of another naturopathic doctor.
462.009 462.08 Renewal of license to practice naturopathic medicine naturopathy.— Page(1) 16In oforder 60to CODING:continue practicing naturopathic medicine in this state, each licensed naturopathic doctor must licenseholder shall biennially renew her or his license to practice naturopathic medicine naturopathy.
The applicant for license renewal must furnish to the board department such evidence as it requires of the applicant's compliance with s.
Page 14 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 (1)462.011 Ins. order to continue practicing naturopathic medicine in this state, each licensed naturopathic doctor must licenseholder shall biennially renew her or his license to practice naturopathic medicine naturopathy.
The applicant for license renewal must furnish to the board department such evidence as it requires of the applicant's compliance with s.
462.011 s.
462.009 this chapter, each licensee must, in addition to the payment of the regular renewal fee, shall furnish to the department satisfactory evidence that, in the preceding biennial period, the licensee has completed the continuing education requirements of this Pagesection. 17 of 60 CODING:
(2) The board shall require each licensee to complete at least 60 hours of continuing education during each biennial renewal period.
(a) The board shall approve organizations that accredit naturopathic continuing education providers, including, but not Page 15 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 section.limited to, the American Association of Naturopathic Physicians, and the North American Naturopathic Continuing Education Accreditation Council.
(2) The board shall require each licensee to complete at least 60 hours of continuing education during each biennial renewal period.
(a) The board shall approve organizations that accredit naturopathic continuing education providers, including, but not limited to, the American Association of Naturopathic Physicians, and the North American Naturopathic Continuing Education Accreditation Council.
The department shall send a written notice to this effect to every person holding a valid license to practice naturopathy within this state at least 30 days prior to May 1 in each even-numbered year, directed to the last known address of such licensee, and shall enclose with the notice proper blank Pageforms 18for ofapplication 60for CODING:annual license renewal.
All of the details and requirements of the aforesaid educational program shall be adopted and prescribed by the department.
In the event of national emergencies, or for sufficient reason, the department shall have the power to excuse the naturopathic physicians as a group or as individuals from taking this Page 16 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 formspostgraduate forcourse. application for annual license renewal.
All of the details and requirements of the aforesaid educational program shall be adopted and prescribed by the department.
In the event of national emergencies, or for sufficient reason, the department shall have the power to excuse the naturopathic physicians as a group or as individuals from taking this postgraduate course.
reactivation of license.— (1) A licensee may reactivate an inactive license by applying to the departmentdepartment. and submitting proof of compliance with the financial responsibility requirements of s.
462.015.
Page(1) 19The department shall renew a license upon receipt of 60the CODING:renewal application and fee.
Words stricken are deletions;
words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 (1) The department shall renew a license upon receipt of the renewal application and fee.
Section 462.14, Florida Statutes, is renumberedPage as17 sectionof 462.017,58 FloridaCODING: Statutes, and amended to read:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 renumbered as section 462.017, Florida Statutes, and amended to read:
Any plea of nolo Pagecontendere 20shall be considered a conviction for purposes of 60this CODING:chapter.
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words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 contendere shall be considered a conviction for purposes of this chapter.
(6)(f) Failing to report to the department any person who thePage licensee18 knows is in violation of this58 chapterCODING: or of the rules of the department.
Words stricken are deletions;
words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 the licensee knows is in violation of this chapter or of the rules of the department.
(9)(i) Making or filing a report which the licensee knows to be false, intentionally or negligently failing to file a report or record required by state or federal law, willfully impeding or obstructing such filing or inducing another person Pageto 21do ofso. 60 CODING:
Such reports or records shall include only those which are signed in the capacity as a licensed naturopathic doctor physician.
(j) Paying or receiving any commission, bonus, kickback, or rebate, or engaging in any split-fee arrangement in any form whatsoever with a physician, organization, agency, or person, either directly or indirectly, for patients referred to Page 19 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 toproviders doof so.health care goods and services, including, but not limited to, hospitals, nursing homes, clinical laboratories, ambulatory surgical centers, or pharmacies.
Such reports or records shall include only those which are signed in the capacity as a licensed naturopathic doctor physician.
(j) Paying or receiving any commission, bonus, kickback, or rebate, or engaging in any split-fee arrangement in any form whatsoever with a physician, organization, agency, or person, either directly or indirectly, for patients referred to providers of health care goods and services, including, but not limited to, hospitals, nursing homes, clinical laboratories, ambulatory surgical centers, or pharmacies.
(m) Soliciting patients, either personally or through an Pageagent, 22through the use of 60fraud, CODING:intimidation, undue influence, or a form of overreaching or vexatious conduct.
A "solicitation" is any communication which directly or implicitly requests an immediate oral response from the recipient.
(11)(n) Failing to keep written medical records justifying the course of treatment of the patient, including, but not limited to, patient histories, examination results, test Page 20 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 agent,results, throughX therays, useand records of fraud,the intimidation,prescribing, unduedispensing influence,and oradministering a form of overreachingdrugs. or vexatious conduct.
A "solicitation" is any communication which directly or implicitly requests an immediate oral response from the recipient.
(11)(n) Failing to keep written medical records justifying the course of treatment of the patient, including, but not limited to, patient histories, examination results, test results, X rays, and records of the prescribing, dispensing and administering of drugs.
For the purposes of this Pageparagraph, 23it shall be legally presumed that prescribing, dispensing, administering, mixing, or otherwise preparing legend drugs, including all controlled substances, inappropriately or in excessive or inappropriate quantities is not in the best interest of 60the CODING:patient and is not in the course of the naturopathic physician's professional practice, without regard to her or his intent.
Page 21 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 paragraph,(r) itPrescribing, shall be legally presumed that prescribing, dispensing, administering, mixing, or otherwiseadministering preparingany legendmedicinal drugs,drug includingappearing allon controlledany substances,schedule inappropriatelyset orforth in excessivechapter or893 inappropriateby quantitiesthe isnaturopathic notphysician into theherself bestor interesthimself, ofexcept theone patientprescribed, anddispensed, isor notadministered into the course of the naturopathic physician'sphysician professionalby practice,another withoutpractitioner regardauthorized to herprescribe, dispense, or hisadminister intent.medicinal drugs.
(r) Prescribing, dispensing, or administering any medicinal drug appearing on any schedule set forth in chapter 893 by the naturopathic physician to herself or himself, except one prescribed, dispensed, or administered to the naturopathic physician by another practitioner authorized to prescribe, dispense, or administer medicinal drugs.
In enforcing this paragraph, the department shall have, upon a finding of the State Surgeon General or the State Surgeon General's designee that probable cause exists to believe that the licensee is unable to serve as a naturopathic doctor due to the reasons stated in this paragraph, the department shall have the authority to issue an order to compel the licensee, authority to compel a naturopathic physician to submit to a mental or physical examination by a physician physicians Pagedesignated 24by ofthe 60department. CODING:
If the licensee does not comply with such order, the department's order directing failure of a naturopathic physician to submit to such an examination may be enforced by filing a petition for enforcement in the circuit court for the county in which the naturopathic doctor resides or does business.
The naturopathic doctor against whom the petition is filed may not be named or identified by initials in any Page 22 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 designatedpublic bycourt record or document, and the department.proceedings must be closed to the public.
If the licensee does not comply with such order, the department's order directing failure of a naturopathic physician to submit to such an examination may be enforced by filing a petition for enforcement in the circuit court for the county in which the naturopathic doctor resides or does business.
The naturopathic doctor against whom the petition is filed may not be named or identified by initials in any public court record or document, and the proceedings must be closed to the public.
(14)(t) Gross or repeated malpractice or the failure to practice naturopathic medicine with that level of care, skill, and treatment which is recognized by a reasonably prudent Pagesimilar 25physician ofas 60being CODING:acceptable under similar conditions and circumstances.
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 similar physician as being acceptable under similar conditions and circumstances.
(15)(v)Page Practicing23 orof offering58 toCODING: practice beyond the scope permitted by law or accepting and performing professional responsibilities which the licensee knows or has reason to know that she or he is not competent to perform.
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 (15)(v) Practicing or offering to practice beyond the scope permitted by law or accepting and performing professional responsibilities which the licensee knows or has reason to know that she or he is not competent to perform.
Page(z) 26Procuring, ofor 60aiding CODING:or abetting in the procuring of, an unlawful termination of pregnancy.
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 (z) Procuring, or aiding or abetting in the procuring of, an unlawful termination of pregnancy.
(cc) Prescribing, ordering, dispensing, administering, supplying, selling, or giving any drug which is an amphetamine orPage sympathomimetic24 amineof drug,58 orCODING: a compound designated pursuant to chapter 893 as a Schedule II controlled substance to or for any person except for:
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 or sympathomimetic amine drug, or a compound designated pursuant to chapter 893 as a Schedule II controlled substance to or for any person except for:
(dd) Prescribing, ordering, dispensing, administering, supplying, selling, or giving growth hormones, testosterone or its analogs, human chorionic gonadotropin (HCG), or other Pagehormones 27for the purpose of 60muscle CODING:building or to enhance athletic performance.
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 hormones for the purpose of muscle building or to enhance athletic performance.
(20) Failing to comply with state, county, or municipal regulationsPage or25 reporting requirements relating to public health and the control of contagious58 andCODING: infectious diseases.
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 regulations or reporting requirements relating to public health and the control of contagious and infectious diseases.
Such guidelines may include minimum and maximum Pagefines, 28periods of 60supervision CODING:or probation, or conditions of probation or reissuance of a license.
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words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 fines, periods of supervision or probation, or conditions of probation or reissuance of a license.
Section 462.17, Florida Statutes, is repealed.
Section 15.
(3)Page The26 following divisions of the58 DepartmentCODING: of Health are established:
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 (3) The following divisions of the Department of Health are established:
Nursing assistants, as provided under part II of Pagechapter 29464. of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 chapter 464.
14.Page 27 of 58 CODING:
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 14.
Page24. 30 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 24.
27.Page 28 of 58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 27.
Section 15.16.
or any laboratory Pageappropriately 31certified by the Centers for Medicare and Medicaid Services under the federal Clinical Laboratory Improvement Amendments and the federal rules adopted thereunder which diagnoses or suspects the existence of 60a CODING:disease of public health significance shall immediately report the fact to the Department of Health.
Page 29 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 appropriatelySection certified17. by the Centers for Medicare and Medicaid Services under the federal Clinical Laboratory Improvement Amendments and the federal rules adopted thereunder which diagnoses or suspects the existence of a disease of public health significance shall immediately report the fact to the Department of Health.
Section 16.
Section 17.18.
Section 18.19.
Page477.0135 32Exemptions.— of(1) 60This CODING:chapter does not apply to the following persons when practicing pursuant to their professional or occupational responsibilities and duties:
(a) Persons authorized under the laws of this state to practice medicine, surgery, osteopathic medicine, chiropractic Page 30 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 477.0135medicine, Exemptions.—massage (1)therapy, Thisnaturopathic chaptermedicine doesnaturopathy, not apply to the following persons when practicing pursuant to their professional or occupationalpodiatric responsibilitiesmedicine. and duties:
(a)Section Persons20. authorized under the laws of this state to practice medicine, surgery, osteopathic medicine, chiropractic medicine, massage therapy, naturopathic medicine naturopathy, or podiatric medicine.
Section 19.
(3) "Practitioner of the healing arts" shall mean a person licensed under the laws of the state to practice medicine, surgery, psychiatry, dentistry, osteopathic medicine, chiropractic medicine, naturopathic medicine naturopathy, podiatric medicine, chiropody, psychology, clinical social work, marriage and family therapy, mental health counseling, or Pageoptometry 33within the scope of 60his CODING:or her professional training and competence and within the purview of the statutes applicable to his or her respective profession, and who may refer a patient for treatment by a qualified person, who shall employ hypnotic techniques under the supervision, direction, prescription, and responsibility of such referring practitioner.
Page 31 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 optometrySection within21. the scope of his or her professional training and competence and within the purview of the statutes applicable to his or her respective profession, and who may refer a patient for treatment by a qualified person, who shall employ hypnotic techniques under the supervision, direction, prescription, and responsibility of such referring practitioner.
Section 20.
Section 21.22.
osteopathic Pagephysicians 34licensed ofunder 60chapter CODING:459;
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words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 physicians licensed under chapter 459;
physician assistants licensed under chapter 458 or chapter 459;Page 32 of 58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 459;
However, a facility existing for the primary purpose of performing terminations of pregnancy or an office maintained by a physician or dentist for the practice of medicine may not be construed to be an "other medical facility." Page3. 35 of 60 CODING:
"Health care facility" means any hospital licensed under chapter 395, health maintenance organization certificated under part I of chapter 641, ambulatory surgical center licensed under chapter 395, or other medical facility as defined in subparagraph 2.
Section 23.
Subsection (23) of section 893.02, Florida Page 33 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 3.Statutes, is amended to read:
"Health care facility" means any hospital licensed under chapter 395, health maintenance organization certificated under part I of chapter 641, ambulatory surgical center licensed under chapter 395, or other medical facility as defined in subparagraph 2.
Section 22.
Subsection (23) of section 893.02, Florida Statutes, is amended to read:
Section 23.24.
offense severity ranking chart.— (3) OFFENSE SEVERITY RANKING CHART (g) LEVEL 7 Florida Felony Statute Degree Description Page 3634 of 6058 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 (3) OFFENSE SEVERITY RANKING CHART (g) LEVEL 7 Florida Felony Statute Degree Description 316.027(2)(c) 1st Accident involving death, failure to stop;
402.319(2) 2nd Misrepresentation and Pagenegligence 37or ofintentional 60act CODING:resulting in great bodily harm, permanent disfiguration, permanent disability, or death.
409.920 3rd Medicaid provider fraud;
Page 35 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 negligence(2)(b)1.a. or intentional act resulting in great bodily harm, permanent disfiguration, permanent disability, or death.
409.920 3rd Medicaid provider fraud;
(2)(b)1.a.
Page460.411(1) 383rd ofPracticing 60chiropractic CODING:medicine without a license.
461.012(1) 3rd Practicing podiatric medicine without a license.
Page 36 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 460.411(1)462.17 3rd Practicing chiropracticnaturopathy medicine without a license.
461.012(1) 3rd Practicing podiatric medicine without a license.
462.019 462.17 3rd Practicing naturopathic medicine naturopathy without a license.
Page468.366 393rd ofDelivering 60respiratory CODING:care services without a license.
483.828(1) 3rd Practicing as clinical laboratory personnel without a license.
Page 37 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 468.366483.901(7) 3rd DeliveringPracticing respiratorymedical carephysics 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.
3rd Failure to report currency or Pagepayment 40instruments ofexceeding 60$300 CODING: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 Page 38 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 payment instruments exceeding $300 but less than $20,000$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.
775.21(10)(g) 3rd Failure to report or providing Pagefalse 41information ofabout 60a CODING: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 Page 39 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 falseperpetrator informationof aboutan aattempted sexualfelony. 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.
Page784.045(1)(a)1. 42 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 784.045(1)(a)1.
784.045(1)(b)Page 2nd40 Aggravatedof battery;58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 784.045(1)(b) 2nd Aggravated battery;
784.08(2)(a) 1st Aggravated battery on a person Pageyears 43 of 60age CODING: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 Page 41 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 yearsdetainee. 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.
1st Human trafficking using coercion for labor and services by the transfer or transport of Pagean 44adult offrom 60outside CODING:Florida to within the state.
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 an adult from outside Florida to within the state.
790.16(1)Page 1st42 Discharge of a58 machineCODING: gun under specified circumstances.
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 790.16(1) 1st Discharge of a machine gun under specified circumstances.
790.166(4) 2nd Possessing, displaying, or threatening to use a hoax Pageweapon 45 of 60mass CODING: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 Page 43 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 weaponfor ofin masss. 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.
offender younger than 18 Pageyears 46 of 60age. CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 years of age.
800.04(5)(e)Page 1st44 Lewdof or58 lasciviousCODING: molestation;
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 800.04(5)(e) 1st Lewd or lascivious molestation;
Page810.02(3)(d) 472nd Burglary of 60occupied CODING:conveyance;
Words stricken are deletions;
words underlined are additions.
hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 810.02(3)(d) 2nd Burglary of occupied conveyance;
812.014(2)(a)1.Page 45 of 58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 812.014(2)(a)1.
2nd Property stolen, law enforcement equipment from Pageauthorized 48emergency ofvehicle. 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 authorized emergency vehicle.
812.0145(2)(a)Page 1st46 Theft from person 65 years of age58 orCODING: older;
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words underlined are additions.
hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 812.0145(2)(a) 1st Theft from person 65 years of age or older;
817.234(8)(a) 2nd Solicitation of motor vehicle accident victims with intent to Pagedefraud. 49 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 defraud.
property value $100,000Page or47 more.of 58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 $100,000 or more.
Page817.535(2)(a) 503rd ofFiling 60false CODING:lien or other unauthorized document.
817.611(2)(b) 2nd Traffic in or possess 15 to 49 counterfeit credit cards or related documents.
Page 48 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 817.535(2)(a)825.102(3)(b) 3rd2nd FilingNeglecting falsean lienelderly person or otherdisabled unauthorizedadult document.causing great bodily harm, disability, or disfigurement.
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.
Page827.071(2) 51& of(3) 602nd CODING: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 Page 49 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 827.071(2)includes & (3) 2nd Use or induce a child inpornography. 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.
Page843.0855(3) 523rd Unlawful simulation of 60legal CODING:process.
843.0855(4) 3rd Intimidation of a public officer or employee.
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hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 843.0855(3)847.0135(3) 3rd UnlawfulSolicitation simulation of legala process.child, via a computer service, to commit an unlawful sex act.
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.
Page893.13(1)(c)1. 53 of 60 CODING:
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 Page 51 of 58 CODING:
hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 893.13(1)(c)1.care facility, school, or state, county, or municipal park or publicly owned recreational facility or community center.
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.
Page893.135(1)(a)1. 54 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 893.135(1)(a)1.
than 28 grams, less than 200 grams.Page 52 of 58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 grams.
Page893.135 551st ofTrafficking 60in CODING:oxycodone, 14 (1)(c)3.b.
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 893.135 1st Trafficking in oxycodone, 14 (1)(c)3.b.
893.135Page 1st53 Traffickingof in58 phencyclidine,CODING: (1)(d)1.a.
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 893.135 1st Trafficking in phencyclidine, (1)(d)1.a.
893.135 1st Trafficking in gamma- Page(1)(h)1.a. 56 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 (1)(h)1.a.
893.135Page 1st54 Traffickingof in58 Phenethylamines,CODING: (1)(k)2.a.
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 893.135 1st Trafficking in Phenethylamines, (1)(k)2.a.
893.1351(2) 2nd Possession of place for Pagetrafficking 57in or manufacturing of 60controlled CODING:substance.
896.101(5)(a) 3rd Money laundering, financial transactions exceeding $300 but less than $20,000.
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hb223-00hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 223 2026 trafficking896.104(4)(a)1. 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.
failure to comply with reporting Pagerequirements. 58 of 60 CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 requirements.
943.0435(14)Page 3rd56 Sexualof offender;58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 943.0435(14) 3rd Sexual offender;
Page944.607(13) 593rd ofSexual 60offender; CODING:
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hb223-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 223 2026 944.607(13) 3rd Sexual offender;
985.4815(10)Page 3rd57 Sexualof offender;58 CODING:
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hb223-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 223 2026 985.4815(10) 3rd Sexual offender;
Section 24.25.
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hb223-00hb223-01-c1
Show all 410 changed rows (370 more)
View plain text versions (2)
- H 223 c1 View text Current pdf
- Introduced H 223 Filed pdf
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill renames the chapter on naturopathy to naturopathic medicine, establishes a regulatory framework for the practice, and creates a licensing board.
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Chapter 462
"Naturopathy"→ "Naturopathic Medicine"This change updates the title of the chapter to reflect current terminology in the field.
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Section 462.01
"Definitions"→ "Definitions"This section is renumbered and redefined to align with new standards for naturopathic medicine.
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Section 462.01
"Natuopathy" and "Naturopathy" is shall be construed as synonymous with "traditional naturopathy" and is understood to be distinct from naturopathic medicine, means the traditional, non-invasive health practice offered by naturopaths and traditional naturopaths focusing on education about natural practices and substances that can be used to promote general health and well-being terms and mean the use and practice of psychological, mechanical, and material health sciences to aid in purifying, cleansing, and normalizing human tissues for the preservation or restoration of health, according to the fundamental principles of anatomy, physiology, and applied psychology, as may be required. Naturopathic practice employs, among other agencies, phytotherapy, dietetics, psychotherapy, suggestotherapy, hydrotherapy, zone therapy, biochemistry, external applications, electrotherapy, mechanotherapy, mechanical and electrical appliances, hygiene, first aid, sanitation, and heliotherapy; provided, however, that nothing in this chapter shall be held or construed to authorize any naturopathic physician licensed hereunder to practice materia medica or surgery or chiropractic medicine, nor shall the provisions of this law in any manner apply to or affect the practice of osteopathic medicine, chiropractic medicine, Christian Science, or any other treatment authorizedThis change clarifies the definitions related to naturopathic practices and distinguishes them from other medical practices.
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Section 462.006
"prohibiting an unlicensed person from practicing naturopathic medicine or using specified titles or abbreviations; providing construction; providing penalties;"
This creates new regulations prohibiting unlicensed practice and establishes penalties.
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Section 462.007
"providing for licensure by examination of naturopathic doctors; requiring the department and the board to use an investigative process that meets certain criteria; authorizing the State Surgeon General or her or his designee to issue a 90-day licensure delay under certain circumstances;"
This establishes a formal licensure process for naturopathic doctors, including investigative criteria.
Action History
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Laid on Table
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Added to Second Reading Calendar
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1st Reading (Committee Substitute 1)
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Bill referred to House Calendar
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CS Filed
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Laid on Table under Rule 7.18(a)
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Reported out of Health & Human Services Committee
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Favorable with CS by Health & Human Services Committee
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Added to Health & Human Services Committee agenda
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Now in Health & Human Services Committee
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Reported out of Health Care Budget Subcommittee
-
Favorable by Health Care Budget Subcommittee
-
Added to Health Care Budget Subcommittee agenda
-
Now in Health Care Budget Subcommittee
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Reported out of Health Professions & Programs Subcommittee
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Favorable by Health Professions & Programs Subcommittee
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Added to Health Professions & Programs Subcommittee agenda
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1st Reading (Original Filed Version)
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Now in Health Professions & Programs Subcommittee
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Referred to Health & Human Services Committee
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Referred to Health Care Budget Subcommittee
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Referred to Health Professions & Programs Subcommittee
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Filed
Sponsors
- Health & Human Services Committee · Primary
- Nathan Boyles · Cosponsor
- David Smith · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 161 not signed on
Sponsors (1)
- Health & Human Services Committee
Co-sponsors (2)
- Boyles, Nathan Republican
- Smith, David Republican
Not signed on (161)
161 members have not signed on to this bill.
Show all 161 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Roll call published as PDF — view source.
Subjects
Frequently asked questions
- What does HB 223 do?
- Naturopathic Medicine ; Creates Board of Naturopathic Medicine within DOH; provides for licensure by examination of naturopathic doctors; provides financial responsibility requirements as condition of licensure for naturopathic doctors; provides that patients are responsible for advising treating health care practitioners about any legend drug, nutrient, or natural medicinal substance that naturopathic doctor has prescribed or recommended to patient; provides for licensure by endorsement of naturopathic doctors.
- Who sponsors HB 223?
- HB 223 is sponsored by Health & Human Services Committee, Boyles, Nathan (Republican), and Smith, David (Republican).
- What is the current status of HB 223?
- This bill has been introduced in the House. Introduced October 17, 2025. It must pass committee before a floor vote.
- Where can I track HB 223?
- Track HB 223 free on One Click Politics — get push/email alerts when it moves.
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