Florida 2025 Regular Session Status: In Committee 1 R cosponsors

SB 998 — Physician Assistant and Advanced Practice Registered Nurse Services

Last action — Laid on Table, companion bill(s) passed, see CS/HB 647 (Ch. 2025-50)

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Physician Assistant and Advanced Practice Registered Nurse Services; Revising who may file a certificate of death or fetal death; revising who may note corrected information on a permanent certificate of death or fetal death, etc.

Bill Text

What changed in the latest version

90 added · 200 removed

90 line(s) added, 200 removed.

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Florida Senate - 2025 SB 998 By Senator Calatayud 38-00556B-25 2025998__ A bill to be entitled An act relating to physician assistant and advanced practice registered nurse services;
Florida Senate - 2025 CS for SB 998 By the Committee on Health Policy;
and Senator Calatayud 588-03142-25 2025998c1 A bill to be entitled An act relating to physician assistant and advanced practice registered nurse services;
amending s.
400.601, F.S.;
revising the definition of “hospice care team”;
defining the term “primary or attending practitioner”;
amending s.
400.6095, F.S.;
revising the roles and responsibilities of the plan of care team in hospice programs;
amending s.
401.45, F.S.;
revising who may sign a patient’s order not to resuscitate;
Be It Enacted by the Legislature of the State of Florida:
9 Be It Enacted by the Legislature of the State of Florida:
464.0123, advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician, or other person in attendance at or after Page 1 of 7 CODING:
464.0123, advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician, or other person in attendance at or after the death or the district medical examiner of the county in which the death occurred or the body was found shall electronically file the certificate of death or fetal death.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ the death or the district medical examiner of the county in which the death occurred or the body was found shall electronically file the certificate of death or fetal death.
The medical certification of cause of death must be furnished to the funeral director, either in person or via certified mail or electronic transfer, by the physician, physician assistant, advanced practice registered nurse registered under s.
The medical certification of cause of death must be furnished to the funeral Page 1 of 3 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 CS for SB 998 588-03142-25 2025998c1 director, either in person or via certified mail or electronic transfer, by the physician, physician assistant, advanced practice registered nurse registered under s.
As used in this section, the term “primary or attending practitioner” means Page 2 of 7 CODING:
As used in this section, the term “primary or attending practitioner” means a physician, a physician assistant, an or advanced practice registered nurse registered under s.
464.0123, or an advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician, who treated the decedent through examination, medical advice, or medication during the 12 months preceding the date of death.
(a) The department may grant the funeral director an Page 2 of 3 CODING:
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ a physician, a physician assistant, an or advanced practice registered nurse registered under s.
Florida Senate - 2025 CS for SB 998 588-03142-25 2025998c1 extension of time upon a good and sufficient showing of any of the following conditions:
464.0123, or an advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician, who treated the decedent through examination, medical advice, or medication during the 12 months preceding the date of death.
(a) The department may grant the funeral director an extension of time upon a good and sufficient showing of any of the following conditions:
The permanent certificate may also include corrected information if the items being corrected are noted on the back of the certificate and dated and signed by the funeral director, physician, physician assistant, advanced Page 3 of 7 CODING:
The permanent certificate may also include corrected information if the items being corrected are noted on the back of the certificate and dated and signed by the funeral director, physician, physician assistant, advanced practice registered nurse registered under s.
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ practice registered nurse registered under s.
Present subsection (10) of section 400.601, Florida Statutes, is redesignated as subsection (11), a new subsection (10) is added to that section, and subsection (4) is amended, to read:
400.601 Definitions.—As used in this part, the term:
(4) “Hospice care team” means an interdisciplinary team of qualified professionals and volunteers who, in consultation with the patient, the patient’s family, and the patient’s primary or attending practitioner physician, collectively assess, coordinate, and provide the appropriate palliative and supportive care to hospice patients and their families.
(10) “Primary or attending practitioner” means a physician licensed under chapter 458 or 459, a physician assistant licensed under s.
458.347 or s.
459.022, or an advanced practice registered nurse registered under s.
464.0123 pursuant to a written protocol with a supervising physician.
Section 3.
Present subsections (7), (8), and (9) of section 400.6095, Florida Statutes, are redesignated as subsections (8), (9), and (10), respectively, a new subsection (7) is added to that section, and subsections (2), (5), (6), and present subsection (8) of that section are amended, to read:
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400.6095 Patient admission;
assessment;
plan of care;
discharge;
death.— (2) Admission to a hospice program shall be made upon a Page 4 of 7 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ diagnosis and prognosis of terminal illness by the patient’s primary or attending practitioner a physician licensed pursuant to chapter 458 or chapter 459 and shall be dependent on the expressed request and informed consent of the patient.
(5) Each hospice, in collaboration with the patient and the patient’s primary or attending practitioner physician, shall prepare and maintain a plan of care for each patient, and the care provided to a patient must be in accordance with the plan of care.
The plan of care shall be made a part of the patient’s medical record and shall include, at a minimum:
(a) Identification of the primary caregiver, or an alternative plan of care in the absence of a primary caregiver, to ensure that the patient’s needs will be met.
(b) The patient’s diagnosis, prognosis, and preferences for care.
(c) Assessment of patient and family needs, identification of the services required to meet those needs, and plans for providing those services through the hospice care team, volunteers, contractual providers, and community resources.
(d) Plans for instructing the patient and family in patient care.
(e) Identification of the nurse designated to coordinate the overall plan of care for each patient and family.
(f) A description of how needed care and services will be provided in the event of an emergency.
(6) The hospice shall provide an ongoing assessment of the patient and family needs, update the plan of care to meet changing needs, coordinate the care provided with the patient’s primary or attending practitioner physician, and document the Page 5 of 7 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ services provided.
(7) The care a patient receives while he or she is enrolled in hospice or receiving palliative care may be managed by a primary or attending practitioner.
Management of the care includes, but is not limited to, admission, transfer, and discharge from hospice enrollment or a hospice inpatient facility.
(9)(8) The hospice care team may withhold or withdraw cardiopulmonary resuscitation if presented with an order not to resuscitate executed pursuant to s.
401.45.
The agency shall adopt rules providing for the implementation of such orders.
Hospice staff shall not be subject to criminal prosecution or civil liability, nor be considered to have engaged in negligent or unprofessional conduct, for withholding or withdrawing cardiopulmonary resuscitation pursuant to such an order and applicable rules.
The absence of an order to resuscitate executed pursuant to s.
401.45 does not preclude a practitioner physician from withholding or withdrawing cardiopulmonary resuscitation as otherwise permitted by law.
Section 4.
Paragraph (a) of subsection (3) of section 401.45, Florida Statutes, is amended to read:
401.45 Denial of emergency treatment;
civil liability.— (3)(a) Resuscitation may be withheld or withdrawn from a patient by an emergency medical technician or paramedic if evidence of an order not to resuscitate by the patient’s physician or physician assistant is presented to the emergency medical technician or paramedic.
An order not to resuscitate, to be valid, must be on the form adopted by rule of the department.
The form must be signed by the patient’s physician, or physician Page 6 of 7 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 SB 998 38-00556B-25 2025998__ assistant, or advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician, and by the patient or, if the patient is incapacitated, the patient’s health care surrogate or proxy as provided in chapter 765, court-appointed guardian as provided in chapter 744, or attorney in fact under a durable power of attorney as provided in chapter 709.
The court-appointed guardian or attorney in fact must have been delegated authority to make health care decisions on behalf of the patient.
Section 5.
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View plain text versions (2)

How this bill changes current law

5 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill expands the list of professionals who can file and correct death and fetal death certificates to include more advanced practice registered nurses and physician assistants.

  • 382.008(2)

    or an

    Removes 'or an' prior to 'advanced practice registered nurse' in the definition of who may electronically file a certificate of death or fetal death.

  • 382.008(2)

    advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician

    Adds the ability for advanced practice registered nurses providing hospice care to file a death or fetal death certificate.

  • 382.008(3)

    an or advanced practice → a

    Corrects a grammatical error in the definition of 'primary or attending practitioner' removing 'an' before 'advanced practice'.

  • 382.008(3)

    advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician

    Expands the definition of 'primary or attending practitioner' to include advanced practice registered nurses providing hospice care.

  • 382.008(5)

    advanced practice registered nurse providing hospice care pursuant to a written protocol with a licensed physician

    Permits advanced practice registered nurses providing hospice care to note corrected information on death certificates.

Action History

  1. Laid on Table, companion bill(s) passed, see CS/HB 647 (Ch. 2025-50)

  2. Substituted CS/HB 647

  3. Read 2nd time

  4. Placed on Special Order Calendar, 04/23/25

  5. Placed on Calendar, on 2nd reading

  6. Favorable by- Rules; YEAS 23 NAYS 0

  7. On Committee agenda-- Rules, 04/16/25, 8:30 am, 412 Knott Building

  8. CS by Health Policy read 1st time

  9. Now in Rules

  10. Remaining references corrected to Rules

  11. Original reference(s) removed: Appropriations Committee on Health and Human Services

  12. Pending reference review under Rule 4.7(2) - (Committee Substitute)

  13. CS by Health Policy; YEAS 10 NAYS 0

  14. On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building

  15. Introduced

  16. Referred to Health Policy; Appropriations Committee on Health and Human Services; Rules

  17. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 0 co-sponsors · 162 not signed on

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (162)

162 members have not signed on to this bill.

Show all 162 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Favorable

Passed 23 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 4001
Republican 17001
Unaffiliated 1000
No Party Affiliation 1000
Total 23002
% of votes cast 92%0%0%8%
How each member voted (25)
Member Party Vote
Ingoglia — Yea
Berman, Lori Democrat Yea
Davis, Tracie Democrat Yea
Jones, Shevrin D. "Shev" Democrat Not Voting
Osgood, Rosalind Democrat Yea
Rouson, Darryl Ervin Democrat Yea
Pizzo, Jason W. B. No Party Affiliation Yea
Boyd, Jim Republican Yea
Bradley, Jennifer Republican Yea
Brodeur, Jason Republican Yea
Burgess, Danny Republican Yea
Burton, Colleen Republican Yea
DiCeglie, Nick Republican Yea
Gaetz, Don Republican Yea
Garcia, Ileana Republican Yea
Gruters, Joe Republican Yea
Harrell, Gayle Republican Yea
Hooper, Ed Republican Yea
Martin, Jonathan Republican Yea
Passidomo, Kathleen Republican Yea
Rodriguez, Ana Maria Republican Yea
Simon, Corey Republican Yea
Trumbull, Jay Republican Yea
Vacant Republican Not Voting
Wright, Tom A. Republican Yea

Official roll call →

Passed 10 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 3000
Republican 7000
Total 10000
% of votes cast 100%0%0%0%
How each member voted (10)
Member Party Vote
Berman, Lori Democrat Yea
Davis, Tracie Democrat Yea
Osgood, Rosalind Democrat Yea
Burton, Colleen Republican Yea
Calatayud, Alexis Republican Yea
Gaetz, Don Republican Yea
Harrell, Gayle Republican Yea
Leek, Thomas J. "Tom" Republican Yea
Passidomo, Kathleen Republican Yea
Trumbull, Jay Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 998 do?
Physician Assistant and Advanced Practice Registered Nurse Services; Revising who may file a certificate of death or fetal death; revising who may note corrected information on a permanent certificate of death or fetal death, etc.
Who sponsors SB 998?
SB 998 is sponsored by Calatayud, Alexis (Republican) and Health Policy.
What is the current status of SB 998?
This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 998?
Track SB 998 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 2 months ago · updated continuously

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