New Laws for 2020

We will be adding to and updating this information as bills are passed into Laws at the end of this 2020 Legislative Session.  Please visit our Independent Practice Q&A page for more information, check back in frequently and feel free to contact us with any questions you have. 

See all NEW 2020 Florida Laws here

SB 698: Reproductive Care

This law imposes additional consent requirements on health care providers who are performing pelvic examinations. It states a health care provider must have the written consent of a patient or their representative before performing a “pelvic examination.” A “pelvic examination” means the series of tasks that comprise an examination of the vagina, cervix, uterus, fallopian tubes, ovaries, rectum, or external pelvic tissue or organs using any combination of modalities, which may include, but need not be limited to, the health care provider’s gloved hand or instrumentation. This new law also applies to students studying to be a health care provider. There are two exceptions to the consent requirements; when the pelvic examination is court ordered, or the pelvic examination is necessary to avert a serious, imminent, and irreversible impairment to a patient’s bodily function.

HB 607: Direct Care Workers

A NP or CNM seeking to be licensed for IP must meet the following qualifications:

  1. 3,000 hours of clinical practice hours, which may include clinical instructional hours, within the 5 years immediately preceding the application request
  2. Completion of 3 graduate-level semester hours, or the equivalent, in differential diagnosis within the 5 years immediately preceding the application request
  3. Completion of 3 graduate-level semester hours, or the equivalent, in pharmacology within the 5 years immediately preceding the application request
  4. Must obtain and maintain professional liability coverage (malpractice insurance) in the amount of at least 100k per claim / 300k aggregate or obtain and maintain an irrevocable letter of credit in the amount of at least 100k per claim / 300k aggregate.
  5. CNMs must have a written patient transfer agreement with a hospital and a written referral agreement with a physician to engage in nurse midwifery.

Once the APRN license of independent practice is successfully issued, the NP is granted signature authority which includes the Baker Act involuntary examination, signing death certificates, admitting/discharging patients from a facility and “provide a signature, certification, stamp, verification, affidavit, or endorsement that is otherwise required by law to be provided by a physician (except for medical cannabis). This is known as signature authority.

Nurse Practitioners who are issued a licensed to practice autonomously/independently, must engage in such practice only in primary practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. (NO OTHER SPECIALTIES)

If an APRN desires to continue practicing under a collaborative/supervisory protocol, nothing changes from previous standards. No additional restrictions exist for those APRNs providing care with a protocol in place.

The Board of Nursing shall adopt rules, in consultation with a new established Council on Advanced Practice Registered Nurse Autonomous Practice for independent practice. This council shall recommend standards of practice for APRNs registered as independent and is composed of 9 members:

  • 2 members appointed by the chair of the Board of Medicine who are physicians and members of the Board of Medicine,
  • 2 members appointed by the chair of the Board of Osteopathic Medicine who are physicians and members of the Board of Osteopathic Medicine,
  • 4 members appointed by the Board of Nursing (BON) who are APRNs
  • The State Surgeon General, or his or her designee who shall serve as the chair of the Council

An APRN who practices independently in a primary care health professional shortage area (defined in statute) are eligible for up to $15,000 per year from the Department of Health in student loan repayment.

The IP license of the APRN must be renewed every 2 years with their standard APRN license but an additional 10 hours of continuing education approved by the BON must now be completed in addition to completing 30 hours of continuing education requirements required already by the BON.

 

Contact Us

  • Florida Association of Nurse Practitioners, Inc.
  • PO Box 602
    Lake Helen, FL 32744
  • 850.363.3627
  • contact@flanp.org

Vision Statement

Florida Association of Nurse Practitioners will be the leading Florida Nurse Practitioner professional organization advocating for patient centered health care. The organization will increase knowledge on healthcare policy pertaining to Nurse Practitioner practice and patient centered health care; and will remove barriers to Nurse Practitioner practice to gain access to quality health care for Floridians.