HB 693 — Department of Health

(e) Provide HIV-infected pregnant women who have HIV with information on the need for antiretroviral medication for their newborn, their medication options, and how they can access the medication after their discharge from the hospital so they can make an informed decision about the use of Zidovudine (AZT).

(f) Link women with substance abuse treatment and mental health services, when available, and act as a liaison with Healthy Start coalitions, children's medical services, Ryan White-funded providers, and other services of the Department of Page 5of 67 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 Health.to be tested for HIV and other sexually transmissible diseases as specified by department rule.

(d) Educate women not receiving prenatal care as to the benefits of such care.

(e) Provide HIV-infected pregnant women who have HIV with information on the need for antiretroviral medication for their newborn, their medication options, and how they can access the medication after their discharge from the hospital so they can make an informed decision about the use of Zidovudine (AZT).

(f) Link women with substance abuse treatment and mental health services, when available, and act as a liaison with Healthy Start coalitions, children's medical services, Ryan White-funded providers, and other services of the Department of Health.

STATE AGENCY ASSISTANCE.—If funds have been appropriated to support disaster coordinatorPage positions5of in63 countyCODING: health departments:

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hb0693-01-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/HB693 2022 coordinator positions in county health departments:

(c) The appropriate county health department, Children's PageMedical 6ofServices 67office, CODING:and local emergency management agency shall jointly decide who has responsibility for medical supervision in each special needs shelter.

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hb0693-02-c2 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/CS/HB693 2022 Medical Services office, and local emergency management agency shall jointly decide who has responsibility for medical supervision in each special needs shelter.

381.986 Medical use of marijuana.— (8) MEDICAL MARIJUANA TREATMENT CENTERS.— (e) A licensed medical marijuana treatment center shall cultivate, process, transport, and dispense marijuana for medicalPage use.6of 63 CODING:

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hb0693-01-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/HB693 2022 medical use.

Consideration Pageof 7ofsuch 67a CODING:request shall be based upon the individual facts and circumstances surrounding the request.

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hb0693-02-c2 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/CS/HB693 2022 of such a request shall be based upon the individual facts and circumstances surrounding the request.

A licensed medical marijuana treatment center may transferPage ownership7of to63 anCODING: individual or entity who meets the requirements of this section.

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hb0693-01-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/HB693 2022 transfer ownership to an individual or entity who meets the requirements of this section.

Upon receipt of an application for a license, the Pagedepartment 8ofshall 67examine CODING:the application and, within 30 days after receipt, notify the applicant in writing of any apparent errors or omissions and request any additional information required.

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hb0693-02-c2 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/CS/HB693 2022 department shall examine the application and, within 30 days after receipt, notify the applicant in writing of any apparent errors or omissions and request any additional information required.

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hb0693-01-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/HB693 2022 2.

All employees of a medical marijuana treatment center Pagemust 9ofbe 6721 CODING:years of age or older and have passed a background screening pursuant to subsection (9).

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hb0693-02-c2 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/CS/HB693 2022 must be 21 years of age or older and have passed a background screening pursuant to subsection (9).

May use pesticides determined by the department, after consultation with the Department of Agriculture and Consumer Services, to be safely applied to plants intended for human consumption, but may not use pesticides designated as restricted-usePage pesticides9of pursuant63 toCODING: s.

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hb0693-01-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/HB693 2022 restricted-use pesticides pursuant to s.

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hb0693-02-c2 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/CS/HB693 2022 8.

be manufactured in a form that bears any reasonable resemblance to products available forPage consumption10 asof63 commerciallyCODING: available candy;

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hb0693-01-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/HB693 2022 for consumption as commercially available candy;

Within 12 months after licensure, a medical marijuana treatment center must demonstrate to the department that all of its processing facilities have passed a Food Safety Good Manufacturing Practices, such as Global Food Safety Initiative Pageor 11equivalent, of67inspection CODING:by a nationally accredited certifying body.

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hb0693-02-c2 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/CS/HB693 2022 or equivalent, inspection by a nationally accredited certifying body.

b.Page 11 of63 CODING:

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hb0693-01-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/HB693 2022 b.

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hb0693-02-c2 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/CS/HB693 2022 d.

The department shall determine by rule which contaminants must be testedPage for12 andof63 theCODING: maximum levels of each contaminant which are safe for human consumption.

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hb0693-01-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/HB693 2022 tested for and the maximum levels of each contaminant which are safe for human consumption.

The department may select samples of marijuana a random sample from edibles available for purchase in a medical marijuana treatment center dispensing facility which shall be tested by the department to determine whether that the marijuana edible meets the potency requirements of this section, is safe for human consumption, and is accurately labeled with the Pagelabeling 13of of67the CODING:tetrahydrocannabinol and cannabidiol concentration or to verify the result of marijuana testing conducted by a marijuana testing laboratory.

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hb0693-02-c2 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/CS/HB693 2022 labeling of the tetrahydrocannabinol and cannabidiol concentration or to verify the result of marijuana testing conducted by a marijuana testing laboratory.

A medical marijuana treatment center must recall marijuana edibles, including all marijuana and marijuana products edibles made from the same batch of marijuana, that fails which fail to meet the potency requirements of this section, that is which are unsafe for human consumption,Page or13 forof63 whichCODING: the labeling of the tetrahydrocannabinol and cannabidiol concentration is inaccurate.

A medical marijuana treatment center must also recall all marijuana delivery devices determined to be unsafe for use by qualified patients.

The medical marijuana treatment center must retain records of all testing and samples of each homogenous batch of marijuana for at least 9 months.

The medical marijuana treatment center must contract with a marijuana testing laboratory to perform audits on the medical marijuana treatment center's standard operating procedures, testing records, and samples and provide the results to the department to confirm that the marijuana or low-THC cannabis meets the requirements of this section and that the marijuana or low-THC Page 14 of67 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 cannabisconsumption, isor safe for humanwhich consumption.the labeling of the tetrahydrocannabinol and cannabidiol concentration is inaccurate.

A medical marijuana treatment center must also recall all marijuana delivery devices determined to be unsafe for use by qualified patients.

The medical marijuana treatment center must retain records of all testing and samples of each homogenous batch of marijuana for at least 9 months.

The medical marijuana treatment center must contract with a marijuana testing laboratory to perform audits on the medical marijuana treatment center's standard operating procedures, testing records, and samples and provide the results to the department to confirm that the marijuana or low-THC cannabis meets the requirements of this section and that the marijuana or low-THC cannabis is safe for human consumption.

Package the marijuana in a receptacle that has a firmly affixedPage and14 legibleof63 labelCODING: stating the following information:

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hb0693-01-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/HB693 2022 affixed and legible label stating the following information:

The product name may not contain wording commonly associated Pagewith 15products of67marketed CODING:by or to children.

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hb0693-02-c2 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/CS/HB693 2022 with products marketed by or to children.

d.Page 15 of63 CODING:

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hb0693-01-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/HB693 2022 d.

Such receptacles for marijuana in a form for smoking must be plain, opaque, and white without depictions of the product or images other than the medical marijuana treatment center's department-approved logo and the Pagemarijuana 16universal of67symbol. CODING:

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hb0693-02-c2 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/CS/HB693 2022 marijuana universal symbol.

and 12., edible receptacles must be plain, opaque, and white without depictions of the productPage or16 imagesof63 otherCODING: than the medical marijuana treatment center's department-approved logo and the marijuana universal symbol.

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hb0693-01-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/HB693 2022 product or images other than the medical marijuana treatment center's department-approved logo and the marijuana universal symbol.

381.986, Florida Statutes 2016, which was entered into the medical marijuana use registry before July 1, Page2017. 17 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 2017.

d.Page 17 of63 CODING:

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hb0693-01-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/HB693 2022 d.

May not dispense or sell any other type of cannabis, Pagealcohol, 18or of67illicit CODING:drug-related product, including pipes or wrapping papers made with tobacco or hemp, other than a marijuana delivery device required for the medical use of marijuana and which is specified in a physician certification.

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hb0693-02-c2 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/CS/HB693 2022 alcohol, or illicit drug-related product, including pipes or wrapping papers made with tobacco or hemp, other than a marijuana delivery device required for the medical use of marijuana and which is specified in a physician certification.

Must ensure that patient records are not visible to anyone other than the qualified patient, his or her caregiver, andPage authorized18 medicalof63 marijuanaCODING: treatment center employees.

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hb0693-01-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/HB693 2022 and authorized medical marijuana treatment center employees.

ParagraphsSubsection (b)(1) and (c) of subsection (2) of section 381.99,456.039, Florida Statutes, areis amended to read:

381.99 Rare Disease Advisory Council.— (2) The advisory council is composed of the following Page 19 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 members:

(b) As appointed by the President of the Senate:

1.

A representative from an academic research institution in this state which receives grant funding for research regarding rare diseases.

2.

A physician who is licensed under chapter 458 or chapter 459 and practicing in this state with experience in treating rare diseases.

3.

An individual who is 18 years of age or older who has a rare disease.

4.

Two individuals An individual who are caregivers for individuals is a caregiver of an individual with a rare disease.

5.

A representative of an organization operating in this state which provides care or other support to individuals with rare diseases.

(c) As appointed by the Speaker of the House of Representatives:

1.

A representative from an academic research institution in this state which receives grant funding for research regarding rare diseases.

2.

A physician who is licensed under chapter 458 or chapter 459 and practicing in this state with experience in treating rare diseases.

3.

An individual who is 18 years of age or older who has a rare disease.

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hb0693-02-c2 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/CS/HB693 2022 4.

Two individuals An individual who are caregivers for individuals is a caregiver of an individual with a rare disease.

5.

A representative of organizations in this state which provide care or other support to individuals with rare diseases.

Any vacancy on the advisory council must be filled in the same manner as the original appointment.

Section 5.

Subsection (9) of section 383.216, Florida Statutes, is amended to read:

383.216 Community-based prenatal and infant health care.— (9) Local prenatal and infant health care coalitions shall incorporate as not-for-profit corporations for the purpose of seeking and receiving grants from federal, state, and local government and other contributors.

However, a coalition need not be designated as a tax-exempt organization under s.

501(c)(3) of the Internal Revenue Code.

An administrative services organization representing all Healthy Start Coalitions under s.

409.975(4) may use any method of telecommunication to conduct meetings for any authorized function, provided that the public is given proper notice of and reasonable access to the meeting.

Section 6.

Subsection (1) of section 406.11, Florida Statutes, is amended to read:

406.11 Examinations, investigations, and autopsies.— (1) In any of the following circumstances involving the death of a human being, the medical examiner of the district in Page 21 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 which the death occurred or the body was found shall determine the cause of death and certify the death and shall, for that purpose, make or perform such examinations, investigations, and autopsies as he or she deems necessary or as requested by the state attorney:

(a) When any person dies in this state:

1.

Of criminal violence.

2.

By accident.

3.

By suicide.

4.

Suddenly, when in apparent good health.

5.

Unattended by a practicing physician or other recognized practitioner.

6.

In any prison or penal institution.

7.

In police custody.

8.

In any suspicious or unusual circumstance.

9.

By criminal abortion.

10.

By poison.

11.

By disease constituting a threat to public health.

12.

By disease, injury, or toxic agent resulting from employment.

(b) When a dead body is brought into this state without proper medical certification.

(c) When a body is to be cremated, dissected, or buried at sea.

Section 7.

Subsection (1) of section 456.039, Florida Page 22 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 Statutes, is amended to read:

(a)1.Page 19 of63 CODING:

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hb0693-01-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/HB693 2022 (a)1.

Any certification that the applicant has received from Pagea 23specialty of67board CODING:that is recognized by the board to which the applicant is applying.

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hb0693-02-c2 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/CS/HB693 2022 a specialty board that is recognized by the board to which the applicant is applying.

If the applicant indicates that a criminal offense is under appeal and submits a copy of the notice for appeal of that criminal offense,Page the20 departmentof63 mustCODING: state that the criminal offense is under appeal if the criminal offense is reported in the applicant's profile.

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hb0693-01-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/HB693 2022 offense, the department must state that the criminal offense is under appeal if the criminal offense is reported in the applicant's profile.

A description of any final disciplinary action taken within the previous 10 years against the applicant by the agency regulating the profession that the applicant is or has been licensed to practice, whether in this state or in any other Pagejurisdiction, 24by of67a CODING:specialty board that is recognized by the American Board of Medical Specialties, the American Osteopathic Association, or a similar national organization, or by a licensed hospital, health maintenance organization, prepaid health clinic, ambulatory surgical center, or nursing home.

Disciplinary action includes resignation from or nonrenewal of medical staff membership or the restriction of privileges at a licensed hospital, health maintenance organization, prepaid health clinic, ambulatory surgical center, or nursing home taken in lieu of or in settlement of a pending disciplinary case related to competence or character.

If the applicant indicates that the disciplinary action is under appeal and submits a copy of the document initiating an appeal of the disciplinary action, the department must state that the disciplinary action is under appeal if the disciplinary action is reported in the applicant's Page 21 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 jurisdiction,profile. by a specialty board that is recognized by the American Board of Medical Specialties, the American Osteopathic Association, or a similar national organization, or by a licensed hospital, health maintenance organization, prepaid health clinic, ambulatory surgical center, or nursing home.

Disciplinary action includes resignation from or nonrenewal of medical staff membership or the restriction of privileges at a licensed hospital, health maintenance organization, prepaid health clinic, ambulatory surgical center, or nursing home taken in lieu of or in settlement of a pending disciplinary case related to competence or character.

If the applicant indicates that the disciplinary action is under appeal and submits a copy of the document initiating an appeal of the disciplinary action, the department must state that the disciplinary action is under appeal if the disciplinary action is reported in the applicant's profile.

An applicant for licensure under chapter 460 who has practiced previously in this Pagestate 25or of67in CODING:another jurisdiction or a foreign country must provide the same information as is required of licensees under chapter 458, pursuant to s.

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hb0693-02-c2 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/CS/HB693 2022 state or in another jurisdiction or a foreign country must provide the same information as is required of licensees under chapter 458, pursuant to s.

Section 8.5.

There shall also be an examination fee not to exceed $500 plus the actual per applicant cost to the department for purchase of portions of thePage examination22 fromof63 theCODING: National Board of Chiropractic Examiners or a similar national organization, which may be refundable if the applicant is found ineligible to take the examination.

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hb0693-01-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/HB693 2022 the examination from the National Board of Chiropractic Examiners or a similar national organization, which may be refundable if the applicant is found ineligible to take the examination.

(c) Submitted proof satisfactory to the department that he Pageor 26she of67is CODING:a graduate of a chiropractic college which is accredited by or has status with the Council on Chiropractic Education or its predecessor agency.

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hb0693-02-c2 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/CS/HB693 2022 or she is a graduate of a chiropractic college which is accredited by or has status with the Council on Chiropractic Education or its predecessor agency.

For an applicant who has matriculated in a chiropractic college before prior to July 2, 1990, completed at least 2 years of residence college work, consisting of a minimum ofPage one-half23 theof63 workCODING: acceptable for a bachelor's degree granted on the basis of a 4-year period of study, in a college or university accredited by an institutional accrediting agency recognized and approved by the United States Department of Education.

However, before prior to being certified by the board to sit for the examination, each applicant who has matriculated in a chiropractic college after July 1, 1990, must shall have been granted a bachelor's degree, based upon 4 academic years of study, by a college or university accredited by an institutional a regional accrediting agency that which is a member of the Page 27 of67 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 Commissionof one-half the work acceptable for a bachelor's degree granted on Recognitionthe basis of Postsecondarya Accreditation.4-year period of study, in a college or university accredited by an institutional accrediting agency recognized and approved by the United States Department of Education.

However, before prior to being certified by the board to sit for the examination, each applicant who has matriculated in a chiropractic college after July 1, 1990, must shall have been granted a bachelor's degree, based upon 4 academic years of study, by a college or university accredited by an institutional a regional accrediting agency that which is a member of the Commission on Recognition of Postsecondary Accreditation.

The applicant's chiropractic degree must consist of credits earned in the chiropractic program and mayPage not24 includeof63 academicCODING: credit for courses from the bachelor's degree.

(e) Successfully completed the National Board of Chiropractic Examiners certification examination in parts I, II, III, and IV, and the physiotherapy examination of the National Board of Chiropractic Examiners, with a score approved by the board.

(f) Submitted to the department a set of fingerprints on a form and under procedures specified by the department, along with payment in an amount equal to the costs incurred by the Page 28 of67 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 Departmentmay ofnot Healthinclude foracademic thecredit criminalfor backgroundcourses checkfrom of the applicant.bachelor's degree.

(e) Successfully completed the National Board of Chiropractic Examiners certification examination in parts I, II, III, and IV, and the physiotherapy examination of the National Board of Chiropractic Examiners, with a score approved by the board.

(f) Submitted to the department a set of fingerprints on a form and under procedures specified by the department, along with payment in an amount equal to the costs incurred by the Department of Health for the criminal background check of the applicant.

Section 9.6.

464.008 Licensure by examination.— (4) If an applicant who graduates from an approved program does not take the licensure examination within 6 months after graduation,Page he25 orof63 sheCODING: must enroll in and successfully complete a board-approved licensure examination preparatory course.

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hb0693-01-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/HB693 2022 graduation, he or she must enroll in and successfully complete a board-approved licensure examination preparatory course.

Section 10.7.

464.018 Disciplinary actions.— (1) The following acts constitute grounds for denial of a Pagelicense 29or of67disciplinary CODING:action, as specified in ss.

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hb0693-02-c2 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/CS/HB693 2022 license or disciplinary action, as specified in ss.

Section 11.8.

Section 465.41, Florida Statutes, is created to read:

465.41 Distribution of compounded human drug products.— (1) It is the intent of the Legislature to enhance communication and maximize federal and state resources for oversight of compounded drugs produced by traditional pharmacies and to enact an information sharing agreement with the federal Food and Drug Administration as a tool to monitor such drug products.

(2) On an annual basis, and within 90 days after the beginning of the calendar year, all licensees who ship compounded human drug products interstate shall report to the National Association of Boards of Pharmacy Information-Sharing Network the information required by the Memorandum of Understanding Addressing Certain Distributions of Compounded Human Drug Products between the department and the United States Food and Drug Administration as provided by the federal Food and Page 30 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 Drug Administration.

Licensees shall provide the information to the department promptly upon request.

The board may adopt rules necessary to implement and administer this section.

Section 12.

(1) "Approved midwifery program" means a midwifery school orPage a26 midwiferyof63 trainingCODING: program which is approved by the department pursuant to s.

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hb0693-01-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/HB693 2022 or a midwifery training program which is approved by the department pursuant to s.

PageSection 319. of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 Section 13.

1.Page 27 of63 CODING:

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hb0693-01-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/HB693 2022 1.

Page16. 32 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 16.

Primary management, collaborative management, referral, andPage medical28 consultation.;of63 CODING:

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hb0693-01-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/HB693 2022 and medical consultation.;

(3) An accredited and approved midwifery program may Pagereduce 33If of67the CODING:applicant is a registered nurse or a licensed practical nurse or has previous nursing or midwifery education, the required period of training may be reduced to the extent of the student's applicant's qualifications as a registered nurse or licensed practical nurse or based on prior completion of equivalent nursing or midwifery education, as determined under rules adopted by the department rule.

In no case shall the training be reduced to a period of less than 2 years.

(4)(3) An accredited and approved midwifery program may accept students who To be accepted into an approved midwifery Page 29 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 reduceprogram, Ifan the applicant isshall ahave registeredboth: nurse or a licensed practical nurse or has previous nursing or midwifery education, the required period of training may be reduced to the extent of the student's applicant's qualifications as a registered nurse or licensed practical nurse or based on prior completion of equivalent nursing or midwifery education, as determined under rules adopted by the department rule.

In no case shall the training be reduced to a period of less than 2 years.

(4)(3) An accredited and approved midwifery program may accept students who To be accepted into an approved midwifery program, an applicant shall have both:

(b)(5) Observation of The student midwife shall observe an additional 25 women in the intrapartal period before qualifying Pagefor 34a of67license. CODING:

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hb0693-02-c2 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/CS/HB693 2022 for a license.

(7) A hospital or birthing center receiving public funds shallPage be30 requiredof63 toCODING: provide student midwives access to observe labor, delivery, and postpartal procedures, provided the woman in labor has given informed consent.

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hb0693-01-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/HB693 2022 shall be required to provide student midwives access to observe labor, delivery, and postpartal procedures, provided the woman in labor has given informed consent.

Section 14.10.

examination PageLicensure 35by of67examination.— CODING:(1) The department shall administer an examination to test the proficiency of applicants in the core competencies required to practice midwifery as specified in s.

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hb0693-02-c2 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/CS/HB693 2022 Licensure by examination.— (1) The department shall administer an examination to test the proficiency of applicants in the core competencies required to practice midwifery as specified in s.

(1)Page Demonstrates31 thatof63 heCODING: or she has graduated from one of the following:

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hb0693-01-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/HB693 2022 (1) Demonstrates that he or she has graduated from one of the following:

Page(3) 36Submits of67an CODING:application for licensure on a form approved by the department and pays the appropriate fee.

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hb0693-02-c2 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/CS/HB693 2022 (3) Submits an application for licensure on a form approved by the department and pays the appropriate fee.

Section 15.11.

temporary certificates.— (1) The department shall issue a license by endorsement to practicePage midwifery32 toof63 anCODING: applicant who, upon applying to the department, demonstrates to the department that she or he meets all of the following criteria:

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hb0693-01-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/HB693 2022 practice midwifery to an applicant who, upon applying to the department, demonstrates to the department that she or he meets all of the following criteria:

Holds an active, unencumbered a valid certificate or license to practice midwifery in another state, jurisdiction, or Pageterritory 37issued of67by CODING:that state, provided the licensing requirements of that state, jurisdiction, or territory at the time the license was issued were therefor are deemed by the department to be substantially equivalent to, or exceeded to exceed, those established under this chapter and the rules adopted hereunder under this chapter.

(b) Has successfully completed a 4-month prelicensure course conducted by an accredited and approved midwifery program and has submitted documentation to the department of successful completion.

Page 33 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 territory(c) issuedSubmits byan thatapplication state,for providedlicensure theon licensinga requirementsform ofapproved that state, jurisdiction, or territory at the time the license was issued were therefor are deemed by the department toand bepays substantiallythe equivalentappropriate to,fee orHas exceededsuccessfully topassed exceed, those established under this chapter and the ruleslicensed adoptedmidwifery hereunderexamination. under this chapter.

(b) Has successfully completed a 4-month prelicensure course conducted by an accredited and approved midwifery program and has submitted documentation to the department of successful completion.

(c) Submits an application for licensure on a form approved by the department and pays the appropriate fee Has successfully passed the licensed midwifery examination.

(b) Specifies on the application that he or she will The Department of Health shall determine the areas of critical need, and the midwife so certified shall practice only in one or more Pageof 38the of67following CODING:locations:

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hb0693-02-c2 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/CS/HB693 2022 of the following locations:

(c) Will practice only those specific areas, under the supervisionPage auspices34 ofof63 aCODING: physician licensed under pursuant to chapter 458 or chapter 459, a certified nurse midwife licensed under pursuant to part I of chapter 464, or a midwife licensed under this chapter, who has a minimum of 3 years' professional experience.

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hb0693-01-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/HB693 2022 supervision auspices of a physician licensed under pursuant to chapter 458 or chapter 459, a certified nurse midwife licensed under pursuant to part I of chapter 464, or a midwife licensed under this chapter, who has a minimum of 3 years' professional experience.

(b) A requirement that if a temporary certificateholder's practice area ceases to be an area of critical need, within 30 Pagedays 39after of67such CODING:change the certificateholder must either:

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hb0693-02-c2 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/CS/HB693 2022 days after such change the certificateholder must either:

If the department determines that a certificateholder is not meeting these requirements, the department must revoke the temporary certificate.Page 35 of63 CODING:

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hb0693-01-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/HB693 2022 certificate.

(e) The department shall review the practice under a temporary certificate at least annually to ascertain that the Pageminimum 40requirements of67of CODING:the midwifery rules promulgated under this chapter are being met.

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hb0693-02-c2 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/CS/HB693 2022 minimum requirements of the midwifery rules promulgated under this chapter are being met.

Section 16.12.

467.205 Approval of midwifery programs.— (1) The department must approve an accredited or state- licensedPage public36 orof63 privateCODING: institution seeking to provide midwifery education and training as an approved midwifery program in the state if the institution meets all of the following criteria:

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hb0693-01-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/HB693 2022 licensed public or private institution seeking to provide midwifery education and training as an approved midwifery program in the state if the institution meets all of the following criteria:

(c) For a private institution, demonstrates its accreditation by a member of the Council for Higher Education Accreditation or an accrediting agency approved by the United States Department of Education as an institutional accrediting agency for direct-entry midwifery education programs or an accrediting agency approved by the United States Department of PageEducation 41and of67its CODING:licensing or provisional licensing by the Commission for Independent Education An organization desiring to conduct an approved program for the education of midwives shall apply to the department and submit such evidence as may be required to show that it complies with s.

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hb0693-02-c2 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/CS/HB693 2022 Education and its licensing or provisional licensing by the Commission for Independent Education An organization desiring to conduct an approved program for the education of midwives shall apply to the department and submit such evidence as may be required to show that it complies with s.

(2) The department shall adopt rules regarding educational objectives, faculty qualifications, curriculum guidelines, administrativePage procedures,37 andof63 otherCODING: training requirements as are necessary to ensure that approved programs graduate midwives competent to practice under this chapter.

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hb0693-01-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/HB693 2022 administrative procedures, and other training requirements as are necessary to ensure that approved programs graduate midwives competent to practice under this chapter.

467.009 or the rules adopted thereunder, or has lost its accreditation Pagestatus, 42the of67department CODING:must provide its finding to the program in writing and no longer meets the required standards, it may place the program on probationary status for a specified period of time, which may not exceed 3 years until such time as the standards are restored.

(4) If a program on probationary status does not come into compliance with the requirements of s.

467.009 or the rules adopted thereunder, or regain its accreditation status, as applicable, within the period specified by the department fails to correct these conditions within a specified period of time, Page 38 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 status, the department must provide its finding to the program in writing and no longer meets the required standards, it may placerescind the programprogram's onapproval. probationary status for a specified period of time, which may not exceed 3 years until such time as the standards are restored.

(4) If a program on probationary status does not come into compliance with the requirements of s.

467.009 or the rules adopted thereunder, or regain its accreditation status, as applicable, within the period specified by the department fails to correct these conditions within a specified period of time, the department may rescind the program's approval.

Section 17.13.

Page468.803 43License, of67registration, CODING:and examination requirements.— (2) An applicant for registration, examination, or licensure must apply to the department on a form prescribed by the board for consideration of board approval.

Each initial applicant shall submit a set of fingerprints to the department in accordance with on a form and under procedures specified by the department, along with payment in an amount equal to the costs incurred by the department for state and national criminal history checks of the applicant.

The department shall submit the Page 39 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 468.803fingerprints License,provided registration,by andan examinationapplicant requirements.—to (2)the AnDepartment applicantof forLaw registration,Enforcement examination,for ora licensurestatewide mustcriminal applyhistory tocheck, and the departmentDepartment onof aLaw formEnforcement prescribedshall byforward the boardfingerprints to the Federal Bureau of Investigation for considerationa national criminal history check of boardthe approval.applicant.

Each initial applicant shall submit a set of fingerprints to the department in accordance with on a form and under procedures specified by the department, along with payment in an amount equal to the costs incurred by the department for state and national criminal history checks of the applicant.

The department shall submit the fingerprints provided by an applicant to the Department of Law Enforcement for a statewide criminal history check, and the Department of Law Enforcement shall forward the fingerprints to the Federal Bureau of Investigation for a national criminal history check of the applicant.

Page(b) 44Is of67of CODING:good moral character;

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hb0693-02-c2 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/CS/HB693 2022 (b) Is of good moral character;

Notwithstanding subsection (2),Page a40 personof63 whoCODING: has been approved by the board and registered by the department in one discipline may apply for registration in the second discipline without an additional state or national criminal history check during the period in which the first registration is valid.

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hb0693-01-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/HB693 2022 (2), a person who has been approved by the board and registered by the department in one discipline may apply for registration in the second discipline without an additional state or national criminal history check during the period in which the first registration is valid.

Page(a) 45A of67Bachelor CODING:of Science or higher-level postgraduate degree in orthotics and prosthetics from an a regionally accredited college or university recognized by the Commission on Accreditation of Allied Health Education Programs.

(b) A minimum of a bachelor's degree from an institutionally a regionally accredited college or university and a certificate in orthotics or prosthetics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board.

Page 41 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 (a)(c) A Bachelorminimum of Sciencea orbachelor's higher-level postgraduate degree in orthotics and prosthetics from an institutionally a regionally accredited college or university and a dual certificate in both orthotics and prosthetics from programs recognized by the Commission on Accreditation of Allied Health Education Programs.Programs, or its equivalent, as determined by the board.

(b) A minimum of a bachelor's degree from an institutionally a regionally accredited college or university and a certificate in orthotics or prosthetics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board.

(c) A minimum of a bachelor's degree from an institutionally a regionally accredited college or university and a dual certificate in both orthotics and prosthetics from programs recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board.

The board shall require an Pageexamination 46fee of67not CODING:to exceed the actual cost to the board in developing, administering, and approving the examination, which fee must be paid by the applicant.

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hb0693-02-c2 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/CS/HB693 2022 examination fee not to exceed the actual cost to the board in developing, administering, and approving the examination, which fee must be paid by the applicant.

A Bachelor of Science or higher-level postgraduate degree in orthotics and prosthetics from an institutionally a regionally accredited college or university recognized by the Commission on Accreditation of Allied Health Education Programs or, at a minimum, a bachelor's degree from an institutionally a regionallyPage accredited42 collegeof63 orCODING: university and a certificate in orthotics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board;

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hb0693-01-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/HB693 2022 regionally accredited college or university and a certificate in orthotics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board;

A Bachelor of Science or higher-level postgraduate degree in orthotics and prosthetics from an institutionally a regionally accredited college or university recognized by the Commission on Accreditation of Allied Health Education Programs or, at a minimum, a bachelor's degree from an institutionally a regionally accredited college or university and a certificate in prosthetics from a program recognized by the Commission on PageAccreditation 47of of67Allied CODING:Health Education Programs, or its equivalent, as determined by the board;

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hb0693-02-c2 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/CS/HB693 2022 Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board;

1.Page 43 of63 CODING:

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hb0693-01-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/HB693 2022 1.

Page(b) 48A of67prosthetist, CODING:the applicant must pay a license fee not to exceed $500 and must have:

1.

A Bachelor of Science or higher-level postgraduate degree in orthotics and prosthetics from an institutionally a regionally accredited college or university recognized by the Commission on Accreditation of Allied Health Education Programs, or a bachelor's degree from an institutionally accredited college or university and with a certificate in prosthetics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as Page 44 of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 (b)determined Aby prosthetist, the applicantboard; must pay a license fee not to exceed $500 and must have:

1.

A Bachelor of Science or higher-level postgraduate degree in orthotics and prosthetics from an institutionally a regionally accredited college or university recognized by the Commission on Accreditation of Allied Health Education Programs, or a bachelor's degree from an institutionally accredited college or university and with a certificate in prosthetics from a program recognized by the Commission on Accreditation of Allied Health Education Programs, or its equivalent, as determined by the board;

Section 18.14.

Page(1) 49Be of67a CODING:physician licensed under chapter 458 or chapter 459;

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hb0693-02-c2 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/CS/HB693 2022 (1) Be a physician licensed under chapter 458 or chapter 459;

SectionPage 19.45 of63 CODING:

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hb0693-01-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/HB693 2022 Section 15.

and 2.(b) Had programmatic accreditation from the American PagePsychological 50Association. of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 Psychological Association.

Section 20.16.

Subsection (1) of section 490.005, Florida Statutes,Page is46 amendedof63 toCODING: read:

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hb0693-01-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/HB693 2022 Statutes, is amended to read:

A doctoral degree from an American Psychological Association accredited program Doctoral-level psychological Pageeducation; 51 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 education;

(c)Page Had47 atof63 leastCODING: 2 years or 4,000 hours of experience in the field of psychology in association with or under the supervision of a licensed psychologist meeting the academic and experience requirements of this chapter or the equivalent as determined by the board.

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hb0693-01-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/HB693 2022 (c) Had at least 2 years or 4,000 hours of experience in the field of psychology in association with or under the supervision of a licensed psychologist meeting the academic and experience requirements of this chapter or the equivalent as determined by the board.

PageSection 5217. of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 Section 21.

(b) Earned a doctoral degree from an American Psychological Association accredited program in psychology as definedPage in48 s.of63 CODING:

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hb0693-01-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/HB693 2022 defined in s.

Section 22.18.

(a) Has Submitted an application and paid the appropriate Pagefee. 53 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 fee.

or c.Page 49 of63 CODING:

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hb0693-01-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/HB693 2022 c.

A supervised field placement which was part of the Pageapplicant's 54advanced of67concentration CODING:in direct practice, during which the applicant provided clinical services directly to clients.

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hb0693-02-c2 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/CS/HB693 2022 applicant's advanced concentration in direct practice, during which the applicant provided clinical services directly to clients.

If the course title which appears on the applicant's transcriptPage does50 notof63 clearlyCODING: identify the content of the coursework, the applicant shall be required to provide additional documentation, including, but not limited to, a syllabus or catalog description published for the course.

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hb0693-01-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/HB693 2022 transcript does not clearly identify the content of the coursework, the applicant shall be required to provide additional documentation, including, but not limited to, a syllabus or catalog description published for the course.

If the applicant's graduate program was not a program which emphasized direct clinical patient or client health care services as described in Pagesubparagraph 55(b)2., of67the CODING:supervised experience requirement must take place after the applicant has completed a minimum of 15 semester hours or 22 quarter hours of the coursework required.

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hb0693-02-c2 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/CS/HB693 2022 subparagraph (b)2., the supervised experience requirement must take place after the applicant has completed a minimum of 15 semester hours or 22 quarter hours of the coursework required.

(e)Page Has51 Demonstrated,of63 inCODING: a manner designated by board rule of the board, knowledge of the laws and rules governing the practice of clinical social work, marriage and family therapy, and mental health counseling.

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hb0693-01-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/HB693 2022 (e) Has Demonstrated, in a manner designated by board rule of the board, knowledge of the laws and rules governing the practice of clinical social work, marriage and family therapy, and mental health counseling.

Pagea. 56 of67 CODING:

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hb0693-02-c2 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/CS/HB693 2022 a.

Has A minimum of a master's degree with an major emphasis in marriage and family therapy or a closely related field,Page with52 aof63 degreeCODING: conferred before September 1, 2027, from an institutionally accredited college or university from a program accredited by the Commission on Accreditation for Marriage and Family Therapy Education or from a Florida university program accredited by the Council for Accreditation of Counseling and Related Educational Programs and graduate courses approved by the board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling.

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hb0693-01-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/HB693 2022 field, with a degree conferred before September 1, 2027, from an institutionally accredited college or university from a program accredited by the Commission on Accreditation for Marriage and Family Therapy Education or from a Florida university program accredited by the Council for Accreditation of Counseling and Related Educational Programs and graduate courses approved by the board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling.

The required master's degree must have been received in an institution of higher education that, at the time the applicant graduated, was fully accredited by an institutional a regional accrediting body recognized by the Council for Higher Education Accreditation or its successor organization Commission on Recognition of Postsecondary Accreditation or publicly recognized as a member in good standing with the Association of Universities and Colleges of Canada, or an institution of higher education located outside the United States and Canada which, at the time the applicant was enrolled and at the time the applicant graduated, maintained a standard of training substantially equivalent to the standards of training of those institutions in Page 5753 of67of63 CODING:

hb0693-02-c2hb0693-01-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/CS/HB693CS/HB693 2022 fully accredited by an institutional a regional accrediting body recognized by the Council for Higher Education Accreditation or its successor organization Commission on Recognition of Postsecondary Accreditation or publicly recognized as a member in good standing with the Association of Universities and Colleges of Canada, or an institution of higher education located outside the United States and Canada which, at the time the applicant was enrolled and at the time the applicant graduated, maintained a standard of training substantially equivalent to the standards of training of those institutions in the United States which are accredited by an institutional a regional accrediting body recognized by the Council for Higher Education Accreditation or its successor organization Commission on Recognition of Postsecondary Accreditation.