Senate Bill 1058 (2023) — Autonomous practice by advanced practice registered nurses
SB 1058
Florida Bills
Florida Senate - 2023 SB By Senator Rodriguez 40-00461A-23 20231058__ CODING: Words stricken are deletions; words underlined are additions. A bill to be entitled
An act relating to autonomous practice by advanced practice registered nurses; amending s. 395.0191, 3 F.S.; exempting certain advanced practice registered nurses from specified medical direction requirements for clinical privileges in hospitals; amending s. 6 464.0123, F.S.; revising the scope of autonomous practice for certain advanced practice registered nurses; revising requirements for certified nurse midwives registered to engage in autonomous practice; 10 providing for the future expiration of the Council on Advanced Practice Registered Nurse Autonomous Practice; providing an effective date. 13
Be It Enacted by the Legislature of the State of Florida: 15
Section 1. Paragraph
(
b) of subsection (2) of
section 17 395.0191, Florida Statutes, is amended to read: 18 395.0191 Staff membership and clinical privileges.— 19 (2) 20
(
b) An advanced practice registered nurse who is certified as a registered nurse anesthetist licensed under
part I of
chapter shall administer anesthesia under the onsite medical direction of a professional licensed under
chapter 458,
chapter 24 459, or
chapter 466, and in accordance with an established protocol approved by the medical staff. The medical direction shall specifically address the needs of the individual patient. 27 This paragraph does not apply to an advanced practice registered nurse registered as an autonomous advanced practice registered Florida Senate - 2023 SB 1058 40-00461A-23 20231058__ CODING: Words stricken are deletions; words underlined are additions. nurse under s. 464.0123 who is a certified registered nurse anesthetist under
part I of
chapter 464. 31
Section 2. Paragraphs
(
a) and
(
b) of subsection (3) of
section 464.0123, Florida Statutes, are amended, and paragraph 33
(
e) is added to subsection (4) of that section, to read: 34 464.0123 Autonomous practice by an advanced practice registered nurse.— 36
(3) PRACTICE REQUIREMENTS.— 37
(
a) An advanced practice registered nurse who is registered under this
section may: 39 1. Engage in autonomous practice only in primary care practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. 42 2. For certified nurse midwives, engage in autonomous practice in the performance of the acts listed in s. 44 464.012(4)(c). 45 3. Perform the general functions of an advanced practice registered nurse under s. 464.012(3) and the acts within his or her specialty under s. 464.012(4) related to primary care. 48 3.4. For a patient who requires the services of a health care facility, as defined in s. 408.032(8): 50 a.
Admit the patient to the facility. 51 b. Manage the care received by the patient in the facility. 52 c. Discharge the patient from the facility, unless prohibited by federal law or rule. 54 4.5. Provide a signature, certification, stamp, 55 verification, affidavit, or endorsement that is otherwise required by law to be provided by a physician, except an advanced practice registered nurse registered under this
section Florida Senate - 2023 SB 1058 40-00461A-23 20231058__ CODING: Words stricken are deletions; words underlined are additions. may not issue a physician certification under s. 381.986. 59
(
b) A certified nurse midwife providing out-of-hospital birth services must have a written plan for the appropriate delivery of emergency care. A copy of the plan must be maintained on file and must include all of the following: 63 1. The name and address of the closest hospital. 64 2. Reasons for which an emergency transfer may be required. 65 3. Emergency medical services to be used in the event of an emergency patient transfer agreement with a hospital and a written referral agreement with a physician licensed under
chapter or
chapter to engage in nurse midwifery. 69
(4) COUNCIL ON ADVANCED PRACTICE REGISTERED NURSE AUTONOMOUS PRACTICE.— 71
(
e) The council shall dissolve, and this subsection expires, on July 1, 2024. 73