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PDIV3 June
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Journal of the Florida House of Representatives
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 Material Information
Title: Journal of the Florida House of Representatives
Physical Description: v. : ; 31 cm.
Language: English
Creator: Florida -- Legislature. -- House of Representatives
Publisher: State of Florida
Place of Publication: Tallahassee
Creation Date: June 7, 1994
Frequency: annual
regular
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General Note: Description from: 1984.
Funding: Digitized for the Florida House of Representatives, the Office of the Clerk.
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Holding Location: Florida House of Representatives. Office of the Clerk.
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: aleph - 003417946
oclc - 12895215
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 Related Items
Preceded by: Journal of the House of Representatives of the session of ...

Table of Contents
    Title Page
        Page i
    Members of the House of Representatives
        Page ii
        Page iii
        Page iv
        Page v
        Page vi
        Page vii
        Page viii
        Page ix
    June 1994
        Tuesday, June 7
            Page 1
            Page 2
            Page 3
            Page 4
            Page 5
            Page 6
            Page 7
            Page 8
            Page 9
            Page 10
            Page 11
            Page 12
            Page 13
            Page 14
            Page 15
            Page 16
            Page 17
            Page 18
            Page 19
            Page 20
            Page 21
            Page 22
            Page 23
            Page 24
            Page 25
            Page 26
        Thursday, June 9
            Page 27
            Page 28
            Page 29
            Page 30
            Page 31
    Index
        Contents
            Page 32
        Bills Sponsored in "D" Session
            Page 33
            Page 34
            Page 35
        Miscellaneous Subjects
            Page 36
        Vetoed Bills
            Page 37
        Subject Index of House and Senate Bills, Resolutions and Memorials
            Page 38
            Page 39
            Page 40
            Page 41
            Page 42
            Page 43
            Page 44
            Page 45
        Bills, Resolutions and Memorials by Number, Subject, Sponsor and Disposition
            Page 46
Full Text




Journal

of the

Florida



House of Representatives



Special



Session



June 7 through June 9, 1994

of the
Seventy-sixth House
since Statehood in 1845



"D"









MEMBERS OF THE HOUSE OF REPRESENTATIVES
[Democrats in Roman (71); Republicans in Italic (49)]



District
1. Parts of Escambia, Okaloosa, Santa Rosa
Bolley L. "Bo" Johnson, Milton
2. Part of Escambia
Lois Benson, Pensacola
3. Part of Escambia
Buzz Ritchie, Pensacola
4. Parts of Escambia, Okaloosa, Santa Rosa
James P. "Jim" Kerrigan, Gulf Breeze
5. Holmes, Washington and parts of Okaloosa,
Walton
Sam Mitchell, Vernon
6. Part of Bay
Scott W. Clemons, Panama City
7. Calhoun, Gulf, Jackson, Liberty and parts of
Bay, Gadsden, Leon, Walton
Robert DeWitt "Rob" Trammell, Marianna
8. Parts of Gadsden, Leon
Alfred J. "Al" Lawson, Jr., Tallahassee
9. Part of Leon
Hurley W. Rudd, Tallahassee
10. Franklin, Jefferson, Levy, Taylor, Wakulla
and parts of Alachua, Dixie, Gilchrist, Leon,
Marion
F. Allen Boyd, Jr., Monticello
11. Columbia, Hamilton, Lafayette, Madison,
Suwannee and parts of Dixie, Gilchrist
Joseph R. "Randy" Mackey, Jr., Lake City
12. Baker, Bradford, Nassau, Union and part of
Duval
George A. Crady, Yulee
13. Parts of Clay, Duval
Stephen R. Wise, Jacksonville
14. Part of Duval
Anthony C. "Tony" Hill, Sr., Jacksonville
15. Part of Duval
Willye F. Clayton Dennis, Jacksonville
16. Part of Duval
James B. "Jim" Fuller, Jacksonville
17. Part of Duval
James E. "Jim" King, Jr., Jacksonville
18. Parts of Duval, St. Johns
Joseph "Joe" Arnall, Jacksonville Beach



District
19. Parts of Clay, Duval, St. Johns
John Thrasher, Orange Park
20. Parts of Clay, Flagler, St. Johns, Volusia
Tracy W. Upchurch, St. Augustine
21. Putnam and parts of Clay, Marion
Kelley R. Smith, Palatka
22. Parts of Alachua, Marion
Robert K. "Bob" Casey, Gainesville
23. Parts of Alachua, Marion
Cynthia Moore Chestnut, Gainesville
24. Part of Marion
George Albright, Ocala
25. Parts of Lake, Marion, Seminole, Volusia
Stan Bainter, Eustis
26. Parts of Flagler, Lake, Volusia
Richard A. "Dick" McMahan, DeLand
27. Part of Volusia
Jimmy Charles, Ormond Beach
28. Part of Volusia
Jack Ascherl, New Smyrna Beach
29. Part of Brevard
Charlie Roberts, Titusville
30. Part of Brevard
Howard E. Futch, Melbourne Beach
31. Part of Brevard
Harry C. Goode, Jr., Melbourne
32. Parts of Brevard, Indian River, Orange
Bill Posey, Rockledge
33. Parts of Orange, Seminole, Volusia
Marvin Couch, Oviedo
34. Parts of Orange, Seminole
Robert J. "Bob" Starks, Winter Park
35. Parts of Orange, Seminole
Tom Feeney, Orlando
36. Part of Orange
Kimberly M. "Kim" Shepard, Orlando
37. Parts of Orange, Seminole
D. Lee Constantine, Altamonte Springs









District
38. Parts of Lake, Orange
Robert B. "Bob" Sindler, Apopka
39. Part of Orange
Alzo J. Reddick, Orlando
40. Part of Orange
William E. "Bill" Sublette, Orlando
41. Parts of Lake, Orange, Osceola
Daniel Webster, Orlando
42. Parts of Lake, Marion, Sumter
Everett A. Kelly, Tavares
43. Citrus and parts of Hernando, Marion
Paul M. Hawkes, Crystal River
44. Parts of Hernando, Lake, Pasco, Polk, Sumter
Jeff "Stabe" Stabins, Spring Hill
45. Parts of Hernando, Pasco
John Long, Land O'Lakes
46. Part of Pasco
Philip Mishkin, Port Richey
47. Parts of Hillsborough, Pinellas
Brian P. Rush, Tampa
48. Parts of Hillsborough, Pinellas
R. Z. Safley, Clearwater
49. Part of Pinellas
Sandra Barringer Mortham, Largo
50. Part of Pinellas
John Morroni, Clearwater
51. Part of Pinellas
Mary Brennan, Pinellas Park
52. Part of Pinellas
Peter Rudy Wallace, St. Petersburg
53. Part of Pinellas
Lars A. Hafner, St. Petersburg
54. Part of Pinellas
Dennis L. Jones, Treasure Island
55. Parts of Manatee, Pinellas
Douglas L. "Tim" Jamerson, St. Petersburg
(Resigned December 31, 1993)
Rudolph "Rudy" Bradley, St. Petersburg
(Elected March 1, 1994)
56. Part of Hillsborough
Jim Davis, Tampa
57. Part of Hillsborough
Ronald C. "Ron" Glickman, Tampa
58. Part of Hillsborough
Elvin L. Martinez, Tampa



59. Part of Hillsborough
Lesley "Les" Miller, Jr., Tampa



District
60. Part of Hillsborough
Victor D. Crist, Temple Terrace
61. Parts of Hillsborough, Pasco
Carl D. Littlefield, Dade City
62. Part of Hillsborough
Buddy Johnson, Plant City
63. Part of Polk
Dean P. Saunders, Lakeland
64. Part of Polk
Joseph G. "Joe" Tedder, Lakeland
65. Part of Polk
Lori Edwards, Auburndale
66. Parts of Hillsborough, Polk
John Laurent, Bartow
67. Parts of Hillsborough, Manatee, Sarasota
Mark R. Ogles, Bradenton
68. Part of Manatee
Julie McClure, Bradenton
69. Part of Sarasota
Shirley Brown, Sarasota
70. Part of Sarasota
David L. "Dave" Thomas, Sarasota
71. Parts of Charlotte, Sarasota
David I "Dave" Bitner, Port Charlotte
72. DeSoto, Hardee and parts of Charlotte, Lee
Vernon Peeples, Punta Gorda
73. Part of Lee
J. Keith Arnold, Fort Myers
74. Parts of Charlotte, Lee, Sarasota
Greg Gay, Cape Coral
75. Parts of Collier, Lee
Timothy F. "Tim" Ireland, Cape Coral/
Fort Myers
76. Part of Collier
Mary Ellen Hawkins, Naples
77. Glades, Hendry and parts of Collier,
Highlands
Bert J. Harris, Jr., Lake Placid
78. Parts of Highlands, Martin, Okeechobee, Palm
Beach, St. Lucie
O. R. "Rick" Minton, Jr., Fort Pierce
79. Parts of Okeechobee, Osceola
Irlo "Bud" Bronson, Kissimmee



80. Parts of Indian River, St. Lucie
Charles W. "Charlie" Sembler II, Sebastian







District
81. Parts of Martin, St. Lucie
Kenneth P. "Ken" Pruitt, Port St. Lucie
82. Parts of Martin, Palm Beach
Tom Warner, Stuart
83. Part of Palm Beach
Sharon J. Merchant, Palm Beach Gardens
84. Part of Palm Beach
Addie L. Greene, Mangonia Park
85. Part of Palm Beach
Mimi K. McAndrews, Royal Palm Beach
86. Part of Palm Beach
Edward J. "Ed" Healey, West Palm Beach
87. Part of Palm Beach
Carol G. Hanson, Boca Raton
88. Part of Palm Beach
Suzanne Jacobs, Delray Beach
89. Part of Palm Beach
Ron Klein, Boca Raton
90. Part of Broward
John C. Rayson, Pompano Beach
91. Parts of Broward, Palm Beach
Debby P. Sanderson, Fort Lauderdale
92. Part of Broward
Tracy Stafford, Wilton Manors
93. Part of Broward
Muriel "Mandy" Dawson, Fort Lauderdale
94. Part of Broward
Josephus Eggelletion, Jr., Lauderdale Lakes
95. Part of Broward
Jack N. Tobin, Margate
96. Part of Broward
Ben Graber, Coral Springs
97. Part of Broward
Debbie Wasserman Schultz, Davie
98. Part of Broward
Steven B. "Steve" Feren, Sunrise
99. Part of Broward
Anne Mackenzie, Fort Lauderdale
100. Part of Broward
Frederick "Fred" Lippman, Hollywood
101. Parts of Broward, Dade
Steven A. Geller, Hallandale



District
102. Parts of Collier, Dade
Luis E. Rojas, Hialeah
103. Part of Dade
Willie Logan, Jr., Opa-locka
104. Part of Dade
Elaine Gordon, North Miami
105. Part of Dade
Michael I. "Mike" Abrams, North Miami Beach
106. Part of Dade
Elaine Bloom, Miami Beach
107. Part of Dade
Bruno A. Barreiro, Jr., Miami
108. Part of Dade
Beryl D. Burke, Miami
109. Part of Dade
James Bush III, Miami
110. Part of Dade
Rodolfo "Rudy" Garcia, Jr., Hialeah
111. Part of Dade
Carlos L. Valdes, Miami Springs
112. Part of Dade
J. Alex Villalobos, Miami
113. Part of Dade
Luis C. Morse, Miami
114. Part of Dade
Miguel A. De Grandy, Miami
(Resigned June 12, 1994)
115. Part of Dade
Carlos A. Manrique, Westchester
116. Part of Dade
Art Simon, Miami
117. Part of Dade
Eladio Armesto-Garcia, Miami
118. Part of Dade
Larcenia J. Bullard, Miami
119. Part of Dade
John F. Cosgrove, Miami
120. Monroe and part of Dade
Ron Saunders, Key West



OFFICERS OF THE HOUSE OF REPRESENTATIVES



Speaker-Bolley L. "Bo" Johnson
Speaker pro tempore-Elaine Bloom



Clerk-John B. Phelps
Sergeant at Arms-Wayne Westmark









MEMBERS OF THE HOUSE OF REPRESENTATIVES



Michael I. Abrams (D)
North Miami Beach
District 105



George Albright (R)
Ocala
District 24



Eladio Armesto-Garcia (R)
Miami
District 117



Joseph Arnall (R)
Jacksonville Beach
District 18



J. Keith Arnold (D)
Fort Myers
District 73



Liti



Jack Ascherl (D)
New Smyrna Beach
District 28



Stan Bainter (R)
Eustis
District 25



Bruno A. Barreiro, Jr. (R)
Miami
District 107



Lois Benson (R)
Pensacola
District 2



David I. Bitner (R)
Port Charlotte
District 71



Elaine Bloom (D)
Miami Beach
District 106



Shirley Brown (D)
Sarasota
District 69



Jimmy Charles (D)
Ormond Beach
District 27



F. Allen Boyd, Jr. (D)
Monticello
District 10



Larcenia J. Bullard (D)
Miami
District 118



Cynthia Moore Chestnut (D)
Gainesville
District 23



Rudolph Bradley (D)
St. Petersburg
District 55



Beryl D. Burke (D)
Miami
District 108



Scott W. Clemons (D)
Panama City
District 6



Mary Brennan (D)
Pinellas Park
District 51



James Bush III (D)
Miami
District 109



D. Lee Constantine (R)
Altamonte Springs
District 37



Irlo "Bud" Bronson (D)
Kissimmee
District 79



Robert K. Casey, M.D. (R)
Gainesville
District 22



John F. Cosgrove (D)
Miami
District 119




























Marvin Couch (R)
Oviedo
District 33



George A. Crady (D)
Yulee
District 12



Victor D. Crist (R)
Temple Terrace
District 60



Jim Davis (D)
Tampa
District 56



Muriel Dawson (D)
Fort Lauderdale
District 93



Miguel A. De Grandy (R)
Miami
District 114



Steven B. Feren (D)
Sunrise
District 98



Willye F. Clayton Dennis (D)
Jacksonville
District 15



James B. Fuller (R)
Jacksonville
District 16



Lori Edwards (D)
Auburdale
District 65



Howard E. Futch (R)
Melbourne Beach
District 30



Josephus Eggelletion, Jr. (D)
Lauderdale Lakes
District 94



Rodolfo Garcia, Jr. (R)
Hialeah
District 110



Steven A. Geller (D)
Hallandale
District 101



Ronald C. Glickman (D)
Tampa
District 57



Harry C. Goode, Jr. (D)
Melbourne
District 31



Elaine Gordon (D)
North Miami
District 104



Ben Graber, M.D. (D)
Coral Springs
District 96



Addie L. Greene (D)
Mangonia Park
District 84



Lars A. Hafner (D) Carol G. Hanson (R)
St. Petersburg Boca Raton
District 53 District 87



Bert J. Harris, Jr. (D) Paul M. Hawkes (R)
Lake Placid Crystal River
District 77 District 43



Tom Feeney (R)
Orlando
District 35



Greg Gay (R)
Cape Coral
District 74

























Mary Ellen Hawkins (R)
Naples
District 76



Bolley L. Johnson (D)
Milton
District 1



Edward J. Healey (D)
West Palm Beach
District 86



Buddy Johnson (R)
Plant City
District 62



Anthony C. Hill, Sr. (D)
Jacksonville
District 14



Dennis L. Jones, D.C. (R)
Treasure Island
District 54



Timothy F. Ireland (R)
Cape Coral/Fort Myers
District 75



Everett A. Kelly (D)
Tavares
District 42



Suzanne Jacobs (D)
Delray Beach
District 88



James P. Kerrigan (R)
Gulf Breeze
District 4



James E. King, Jr. (R)
Jacksonville
District 17



Carl D. Littlefield (R)
Dade City
District 61



Ron Klein (D) John Laurent (R)
Boca Raton Bartow
District 89 District 66



Willie Logan, Jr. (D)
Opa-locka
District 103



John Long (D)
Land O'Lakes
District 45



Alfred J. Lawson, Jr. (D)
Tallahassee
District 8



Anne Mackenzie (D)
Fort Lauderdale
District 99



Frederick Lippman (D)
Hollywood
District 100



Joseph R. Mackey, Jr. (D)
Lake City
District 11



Carlos A. Manrique (R)
Westchester
District 115



Elvin L. Martinez (D)
Tampa
District 58



Mimi K. McAndrews (D)
Royal Palm Beach
District 85



Julie McClure (D)
Bradenton
District 68



Richard A. McMahan (D)
DeLand
District 26

























Sharon J. Merchant (R)
Palm Beach Gardens
District 83



John Morroni (R)
Clearwater
District 50



Bill Posey (R)
Rockledge
District 32



Lesley Miller, Jr. (D)
Tampa
District 59



Luis C. Morse (R)
Miami
District 113



Kenneth P. Pruitt (R)
Port St. Lucie
District 81



0. R. Minton, Jr. (D)
Fort Pierce
District 78



Sandra Barringer Mortham (R)
Largo
District 49



John C. Rayson (D)
Pompano Beach
District 90



Philip Mishkin (D)
Port Richey
District 46



Mark R. Ogles (R)
Bradenton
District 67



Alzo J. Reddick (D)
Orlando
District 39



Sam Mitchell (D)
Vernon
District 5



Vernon Peeples (D)
Punta Gorda
District 72



Buzz Ritchie (D)
Pensacola
District 3



Charlie Roberts (D)
Titusville
District 29



Luis E. Rojas (R)
Hialeah
District 102



Hurley W. Rudd (D)
Tallahassee
District 9



Brian P. Rush (D)
Tampa
District 47



Debby P. Sanderson (R)
Fort Lauderdale
District 91



Dean P. Saunders (D)
Lakeland
District 63



Ron Saunders (D)
Key West
District 120



Debbie Wasserman Schultz (D)
Davie
District 97



Charles W. Sembler II (R)
Sebastian
District 80



R. Z. Safley (R)
Clearwater
District 48



"
Yag5



.: ^^


', f: J
,^^^ ^';




























Kimberly M. Shepard (D)
Orlando
District 36



Art Simon (D)
Miami
District 116



Robert B. Sindler, D.V.M. (D)
Apopka
District 38



Kelley R. Smith (D)
Palatka
District 21



Tracy Stafford (D)
Wilton Manors
District 92



John Thrasher (R)
Orange Park
District 19



Robert J. Starks (R)
Winter Park
District 34



Jack N. Tobin (D)
Margate
District 95



William E. Sublette (R)
Orlando
District 40



Robert DeWitt Trammell (D)
Marianna
District 7



Joseph G. Tedder (D)
Lakeland
District 64



Tracy W. Upchurch (D)
St. Augustine
District 20



David L. Thomas, M.D. (R)
Sarasota
District 70



Carlos L. Valdes (R)
Miami Springs
District 111



J. Alex Villalobos (R)
Miami
District 112



Peter Rudy Wallace (D)
St. Petersburg
District 52



Tom Warner (R)
Stuart
District 82



Daniel Webster (R)
Orlando
District 41



Stephen R. Wise (R)
Jacksonville
District 13



Jeff Stabins (R)
Spring Hill
District 44



I



dxa-ssr 3
I
: I; "PBFjs8F i
E



























Number 1



The JournalOFTHE


House of Representatives


FOURTH SPECIAL SESSION-"D" of 1992-1994



Tuesday, June 7, 1994



Journal of the House of Representatives for a Special Session of the Seventy-sixth House since Statehood in 1845,
convened by Proclamation of the Governor and held at the Capitol in the City of Tallahassee in the State of Florida, on
Tuesday, June 7, 1994.



The House convened pursuant to the following proclamation and was
called to order by the Honorable Bolley L. Johnson, Speaker, at 2:30 p.m.
The following proclamation was read:

PROCLAMATION

State of Florida
Executive Department
Tallahassee
TO THE HONORABLE MEMBERS OF THE FLORIDA SENATE AND
THE FLORIDA HOUSE OF REPRESENTATIVES:
WHEREAS, the Thirteenth Legislature of the State of Florida, under
the Florida Constitution, 1968 Revision, convened in regular session on
Tuesday, February 8, 1994, and adjourned sine die on April 15, 1994, and
WHEREAS, the Thirteenth Legislature adjourned sine die without
passing legislation which is critical to the welfare of the citizens of the State
of Florida, and
WHEREAS, legislation, excluding tort reform and medicaid third party
liability, is needed to provide assurance to all Floridians that they will have
access to adequate health care, and
WHEREAS, legislative changes are needed to insure that the law
adequately protects children from child abuse while allowing parents the
discretion to discipline their children in a non-abusive way without state
intervention, and
WHEREAS, the Legislature of Florida, meeting in its Regular Session,
did not fully consider or pass legislation designed to protect the elderly
population of this state from exploitation and abuse, and
WHEREAS, amendments to the reform of the juvenile justice system are
necessary concerning the use of Public Education Captial Outlay funds for
residential juvenile education facilities, and
WHEREAS, it is further necessary to provide for authorization
regarding the use of appropriated funds for prison operations, and
WHEREAS, it is necessary to call the Legislature of the State of Florida
into Special Session to address these critical issues that cannot be left
unresolved until the next Regular Session of the Legislature of this State.
NOW, THEREFORE, I, LAWTON CHILES, Governor of the State of
Florida, by virtue of the power and authority vested in me by Article III,
Section 3(c)(1), Florida Constitution, do hereby proclaim as follows:
1



Section 1.
The Legislature of the State of Florida is convened in Special Session
commencing at 2:00 p.m., Tuesday, June 7, 1994 and ending at 5:00 p.m.,
Monday, June 13, 1994.
Section 2.
The Legislature of the State of Florida is convened for the sole and
exclusive purpose of considering the following:
a) Amendments to Florida law relating to health care services and
to the health care system, excluding tort reform and liability for
and related standards of proof for, recovery of medicaid payments
by the state.
b) Amendments to Florida law insuring that the law adequately
protects children from child abuse while allowing parents the
discretion to discipline their children in a non-abusive way
without state intervention.
c) Amendments to Florida law respecting the protection of this
state's elderly population from exploitation and abuse, including
any necessary reorganization of related agency functions.
d) Legislation regarding the use of Public Education Capital Outlay
monies to fund residential juvenile education facilities.
e) Legislation regarding the use of appropriated funds for prison
construction and operations.


IN TESTIMONY WHEREOF, I have hereunto set
my hand and have caused the Great Seal of the
State of Florida to be affixed at Tallahassee, the
Capitol, this 2nd day of June, 1994.
LAWTON CHILES
WOED I Governor
ATTEST:
JIM SMITH
Secretary of State

Prayer
The following prayer was offered by the Reverend Hal Marchman of
Astor, upon invitation of Speaker Johnson:
Dear God, help us to be still on the inside as well as the outside. As we
are still, we become aware of a power greater than we are, and help us to
depend upon this power in all of our undertakings. Bless these our chosen
leaders this day. Shalom and Amen.



__ I








JOURNAL OF THE HOUSE OF REPRESENTATIVES



The following Members were recorded present:



The Chair
Albright
Armesto-Garcia
Arnall
Arnold
Ascherl
Bainter
Barreiro
Benson
Bitner
Bloom
Boyd
Bradley
Bronson
Brown
Bullard
Bush
Casey
Charles
Chestnut
Constantine
Cosgrove
Crady
Crist
Davis
Dawson
De Grandy
Edwards



Eggelletion
Feeney
Feren
Fuller
Futch
Gay
Geller
Goode
Gordon
Graber
Greene
Hafner
Hanson
Harris
Hawkes
Hawkins
Healey
Hill
Ireland
Jacobs
Johnson, Buddy
Jones
Kelly
Kerrigan
King
Klein
Laurent
Lawson



Lippman
Littlefield
Logan
Long
Mackenzie
Mackey
Manrique
Martinez
McAndrews
McClure
McMahan
Merchant
Miller
Minton
Mishkin
Mitchell
Morroni
Morse
Mortham
Ogles
Peeples
Posey
Pruitt
Reddick
Ritchie
Rojas
Rudd
Rush



Safley
Sanderson
Saunders, D.
Saunders, R.
Schultz
Sembler
Shepard
Simon
Sindler
Smith
Stabins
Stafford
Starks
Sublette
Tedder
Thomas
Thrasher
Tobin
Trammell
Upchurch
Valdes
Villalobos
Wallace
Warner
Webster
Wise



(A list of excused Members appears at the end of the Journal.)
A quorum was present.

Pledge
The Members, led by Ms. Ann Wolfgang and Ms. Kate Wolfgang,
pledged allegiance to the Flag. They served at the invitation of Speaker
Johnson.

The Journal
The Journal of April 15, Regular Session, was corrected and approved
as corrected.
Reports of the Committee on Rules & Calendar
Health Care Committee Amendment Procedure for HBs 29-D,
65-D and 83-D



The Honorable Bo Johnson
Speaker, House of Representatives



June 7, 1994



Dear Sir:
In accordance with the vote of the House, the following report is
submitted, which outlines a procedure for HBs 29-D, 65-D and 83-D
relating to health care for the June 8, 1994 meeting of the Committee on
Health Care.
The official cut-off time for amendments, amendments to amendments
and substitute amendments to HBs 29-D, 65-D and 83-D shall be
8:00 p.m., Tuesday, June 7, 1994. Members shall file amendments with the
Committee on Health Care in Room 432, House Office Building.
All amendments, amendments to amendments and substitute
amendments not filed by the deadline established in this report will require
a two-thirds vote to be considered.
Respectfully submitted,
Peter R. Wallace, Chairman
On motion by Rep. Wallace, the above report was adopted.



Appropriations Committee Amendment Procedure for
HBs 29-D, 65-D and 83-D
The Honorable Bo Johnson June 7, 1994
Speaker, House of Representatives
Dear Sir:
In accordance with the vote of the House, the following report is
submitted, which outlines a procedure for HBs 29-D, 65-D and 83-D
relating to health care for the June 9, 1994 meeting of the Committee on
Appropriations.
The official cut-off time for amendments, amendments to amendments
and substitute amendments to HBs 29-D, 65-D and 83-D shall be
8:00 p.m., Wednesday, June 8, 1994. Members shall file amendments with
the Committee on Appropriations in Room 221, The Capitol. Members
desiring assistance in drafting amendments may seek this assistance from
either the Appropriations Committee or the Health Care Committee.
All amendments, amendments to amendments and substitute
amendments not filed by the deadline established in this report will require
a two-thirds vote to be considered.
Respectfully submitted,
Peter R. Wallace, Chairman
On motion by Rep. Wallace, the above report was adopted.

Floor Amendment Procedure for HBs 29-D, 65-D and 83-D
The Honorable Bo Johnson June 7, 1994
Speaker, House of Representatives
Dear Sir:
In accordance with the vote of the House, the following report is
submitted, which outlines a procedure for floor action on HBs 29-D, 65-D
and 83-D, the Health Care Bills.
The official cut-off time for transmitting all floor amendments to the
Clerk for HBs 29-D, 65-D and 83-D for consideration, shall be Thursday,
June 9, 1994 at 11:00 a.m.
Any amendments, amendments to amendments and substitute
amendments not filed by the deadline established in this report will require
a two-thirds vote to be admitted for consideration.
Members shall file floor amendments directly with the Clerk, not with
the Health Care Committee and they will be received in the House
Chamber.
Respectfully submitted,
Peter R. Wallace, Chairman
On motion by Rep. Wallace, the above report was adopted.

Introduction and Reference

By Representatives Jones and Wallace-
HB 3-D-A bill to be entitled An act relating to patient brokering;
specifying unlawful acts; providing exemptions; providing criminal and
civil penalties; providing for injunctive relief; providing for actions by the
Attorney General or state attorneys; providing for recovery of reasonable
expenses; providing that the provisions of the act are supplemental;
providing an effective date.
-was read the first time by title and referred to the Committee(s) on
Health Care and Appropriations.

By Representative Benson-
HB 19-D-A bill to be entitled An act relating to human
immunodeficiency virus; amending s. 384.25, F.S.; providing for mandatory
physician reporting of HIV infection to the county public health units for
specified purposes; revising requirements for county public health unit
reporting of HIV infection to the State Health Office; providing an
effective date.



-was read the first time by title and referred to the Committee(s) on
Health Care and Appropriations.



2



June 7, 1994










JOURNAL OF THE HOUSE]



By Representative Benson-
HB 21-D-A bill to be entitled An act relating to hospital licensing and
regulation; amending s. 395.003, F.S.; providing that the Agency for Health
Care Administration shall issue a consolidated license to a licensee for
facilities located on separate premises; providing for the effect of such a
consolidated license; providing an effective date.
-was read the first time by title and referred to the Committee(s) on
Health Care and Appropriations.

By Representative Tobin-
HB 25-D-A bill to be entitled An act relating to the regulation of
health care professionals; creating s. 455.2142, F.S.; revising continuing
education requirements for health care practitioners serving in the
Legislature; amending s. 455.2224, F.S.; requiring certain procedures of the
Department of Business and Professional Regulation and the appropriate
professional medical boards to incorporate the recommendations of the
State Health Officer with respect to health care practitioners infected with
hepatitis B or the human immunodeficiency virus; amending s. 455.2226,
F.S.; requiring persons licensed or certified under ch. 490, F.S., relating to
psychological services, or ch. 491, F.S., relating to clinical, counseling, and
psychotherapy services, to complete a continuing education course on
human immunodeficiency virus and acquired immune deficiency
syndrome as part of biennial relicensure or recertification; amending s.
455.261, F.S.; providing that certain information obtained by impaired
practitioner consultants and the department is immune from discovery in
civil actions; amending s. 458.307, F.S., relating to the Board of Medicine;
deleting a provision relating to probable cause panels; amending s. 455.206,
F.S.; correcting a cross reference; amending s. 458.311, F.S.; revising
requirements for licensure of physicians by examination; revising an
educational and postgraduate training requirement; allowing certain
applicants to complete a fellowship to partially satisfy the licensing
requirements; requiring applicants to provide sufficient information and
fingerprints; revising a restriction on the number of times an applicant may
fail the examination to include remediation after a certain number;
eliminating a provision relating to restricted licensure of certain foreign-
trained physicians, which provision was repealed on October 1, 1993;
authorizing such foreign-trained physicians to pursue licensure
notwithstanding the repeal of such provision; reenacting ss. 458.310(2)(a)
and 458.345(1)(c), F.S., relating to restricted licenses and registration of
resident physicians, interns, and fellows, to incorporate the amendment to
s. 458.311, F.S., in references thereto; amending s. 458.313, F.S.; revising
requirements for licensure of physicians by endorsement; eliminating a
provision authorizing oral examinations; providing for additional remedial
education or training upon failure to pass the licensing examination after
a certain number of attempts; correcting a cross reference; amending s.
458.3145, F.S., relating to medical faculty certificates; revising renewal
requirements; removing provisions relating to extent of practice; revising
a provision relating to the maximum number of certificateholders
authorized at specified institutions and facilities; amending ss. 458.316 and
458.3165, F.S.; correcting cross references and terminology; amending s.
458.319, F.S.; clarifying requirements for renewal of license to practice
medicine; creating ss. 458.3312 and 459.0152, F.S.; prohibiting physicians
and osteopathic physicians from falsely representing that they are board-
certified specialists; providing for the adoption of rules; amending ss.
458.331 and 459.015, F.S.; revising and providing grounds for disciplinary
action; reenacting ss. 458.313(7) and 458.345(1)(b), F.S., relating to
licensure by endorsement and registration of resident physicians, interns,
and fellows, to incorporate the amendment to s. 458.331, F.S., in references
thereto; amending s. 458.347, F.S.; providing for certification under ch. 458,
F.S., of physician assistants certified under ch. 459, F.S.; defining the term
"continuing medical education"; allowing physician assistants to show by
affidavit evidence of compliance with statutory academic requirements;
revising certain other requirements for certification; deleting provisions
relating to reactivation of an inactive certificate as a physician assistant
and to automatic expiration of the certificate; amending s. 459.022, F.S.;
providing for certification under ch. 459, F.S., of physician assistants
certified under ch. 458, F.S.; defining the term "continuing medical
education"; allowing physician assistants to show by affidavit evidence of
compliance with statutory academic requirements; amending s. 766.1115,



F.S., to conform; expanding the definition of "health care provider" under
the Access to Health Care Act; reenacting s. 768.28(9)(b), F.S., relating to



June 7, 1994



s. 468.1295, F.S.; prohibiting failing to notify the Board of Speech-
Language Pathology and Audiology of a change in mailing address within
a specified time, for which there are disciplinary actions; amending s.
468.1695, F.S.; reducing the number of times a year the examination for
licensure as a nursing home administrator must be given; amending s.



E OF REPRESENTATIVES 3

sovereign immunity, to incorporate the amendment to s. 766.1115, F.S., in
a reference thereto; amending s. 459.007, F.S.; revising requirements for
licensure as an osteopathic physician by endorsement; amending s. 459.011,
F.S.; providing that it is state policy that physicians licensed under ch. 458,
F.S., and osteopathic physicians licensed under ch. 459, F.S., be accorded
equal professional status and privileges and providing requirements with
respect thereto; amending s. 460.406, F.S.; revising requirements for
licensure as a chiropractor by examination; amending s. 460.408, F.S.;
revising provisions relating to approval of continuing education courses for
chiropractors; providing for reinstatement of certain chiropractor licenses;
creating s. 461.0055, F.S.; providing for investigation of the qualifications
of applicants for licensure as a podiatrist; creating s. 461.011, F.S.;
prohibiting sexual misconduct in the practice of podiatric medicine, for
which there are disciplinary actions; amending s. 461.013, F.S.; revising and
providing grounds for disciplinary action; revising penalties, including
increasing the administrative fine; reenacting ss. 320.0848(7),
455.236(4)(g), 461.006(2)(c), and 766.111(2), F.S., relating to disabled
person parking permits, financial arrangements between referring health
care providers and providers of health care services, applicants for
licensure to practice podiatric medicine, and unnecessary diagnostic
testing, to incorporate the amendments to ss. 461.013 and 466.028, F.S., in
references thereto; creating s. 461.018, F.S.; providing for limited scope of
practice of podiatric medicine within a specified area of need; creating s.
461.019, F.S.; providing for a podiatric medical faculty certificate;
amending s. 464.004, F.S.; increasing the membership of the Board of
Nursing; amending s. 464.005, F.S.; requiring the board's executive director
to be a registered nurse; amending s. 464.008, F.S.; providing that
applicants for licensure as a registered or licensed practical nurse are
responsible for the fee required by the Department of Law Enforcement
for background checks; amending s. 464.015, F.S.; revising the period
during which the terms "Graduate Nurse" and "Graduate Practical Nurse"
and their corresponding abbreviations may be used; amending s. 464.022,
F.S.; revising and providing exemptions from regulation under ch. 464,
F.S., relating to nursing; reenacting s. 468.505(1)(1), F.S., relating to
exemptions from regulation of dietetics and nutrition practice, to
incorporate the amendment to s. 464.022, F.S., in a reference thereto;
amending s. 465.003, F.S.; revising the definition of "practice of the
profession of pharmacy"; providing the definition of "kidney dialysis home
health care system"; amending ss. 465.015 and 499.003, F.S.; correcting
cross references; creating s. 465.0075, F.S.; providing for licensure of certain
foreign-trained pharmacists; providing for future repeal of the section;
creating s. 465.0105, F.S.; providing for a pharmacy specialist certificate;
amending s. 465.0125, F.S.; providing responsibilities of consultant
pharmacists and Doctors of Pharmacy; amending s. 465.0156, F.S.; revising
information required for registration of nonresident pharmacies; amending
s. 465.0196, F.S.; providing requirements for issuance of special pharmacy
permits to operators of kidney dialysis home health care systems; providing
for the operation of certain nonprofit pharmacies; correcting a cross
reference; amending s. 465.186, F.S.; increasing the membership of the
committee responsible for establishing the formulary of medicinal drug
products and dispensing procedures; amending s. 831.30, F.S., relating to
the offense of fraudulently obtaining medicinal drugs; revising a cross
reference; amending s. 466.004, F.S.; revising purpose of the Council on
Dental Hygiene; amending s. 466.006, F.S.; adding a qualification for
taking the examination for licensure as a dentist; reenacting s. 466.011,
F.S., relating to licensure, to incorporate the amendment to s. 466.006, F.S.,
in a reference thereto; amending s. 466.028, F.S.; increasing the
administrative fine; amending s. 467.009, F.S.; revising and providing
education and training requirements for midwifery programs; reenacting
s. 467.205(1), (3), and (4), F.S., relating to approval of midwifery programs,
to incorporate the amendment to s. 467.009, F.S., in references thereto;
amending s. 468.1115, F.S.; providing an exemption from regulation as a
speech-language pathologist or audiologist; amending s. 468.1145, F.S.;
increasing certain licensure, certification, and inactive status fees;
amending s. 468.1155, F.S.; revising provisional licensure requirements;
providing that applicants for dual licensure in speech-language pathology
and audiology are not required to hold a second master's degree; amending










4 JOURNAL OF THE HOUSE

468.209, F.S.; revising licensure requirements for licensure as an
occupational therapist or occupational therapist assistant; providing for
certain temporary permits; amending s. 468.213, F.S.; revising
requirements for licensure by endorsement; amending s. 468.225, F.S.;
providing exemptions from regulation of occupational therapy; amending
s. 468.301, F.S.; defining "mammographer" for purposes of the Radiologic
Technologist Certification Act; amending s. 468.302, F.S.; adding the
certification category of mammographer; specifying which
certificateholders may perform mammography and brachytherapy;
revising the supervision required for hospital residents and students;
amending s. 468.304, F.S.; modifying qualifications for certification;
specifying qualifications for certification as a mammographer; amending
s. 468.306, F.S.; modifying examination qualifications; amending s.
468.3065, F.S.; specifying a nonrefundable fee; amending s. 468.307, F.S.;
conforming qualifications for temporary certification; modifying
requirements for the issuance and display of certificates; creating s.
468.3071, F.S.; providing for mammographer certification based on prior
experience; providing for future repeal; amending s. 468.309, F.S.; revising
the expiration date of certificates; amending s. 468.3095, F.S.; specifying
nonrefundable fees; amending s. 468.311, F.S.; revising an offense relating
to practice of radiologic technology by a student, for which a penalty is
provided; amending s. 468.314, F.S.; increasing the membership of the
Advisory Council on Radiation Protection by adding a certified radiologic
technologist-mammography and a representative of the Department of
Education; deleting obsolete provisions relating to staggered terms;
providing for appointment of replacement members under specified
circumstances; specifying source of reimbursement for travel expenses;
redefining the scope of the advisory council; deleting obsolete Sundown
provisions; amending s. 478.42, F.S.; revising the definition of "electrolysis
or electrology"; amending s. 478.44, F.S.; increasing membership of the
Electrolysis Council; revising the manner of filling vacancies on and calling
meetings of the council; amending s. 478.45, F.S.; revising requirements for
licensure as an electrologist; providing for the approval and conduct of an
electrology licensure examination; amending ss. 478.46 and 478.47, F.S.,
relating to temporary permits and licensure by endorsement; correcting
cross references; creating s. 478.475, F.S.; providing for licensure without
examination; amending s. 483.035, F.S.; providing responsibility of the
Agency for Health Care Administration for personnel standards for
exclusive use laboratories; amending s. 483.041, F.S.; including licensed
optometrists within the definition of "licensed practitioner" for purposes
of laws regulating clinical laboratories; amending s. 483.051, F.S.; revising
provisions relating to alternate-site testing; providing responsibility of the
agency; providing certain responsibilities of clinical laboratory directors;
deleting requirement for consultation with the Board of Clinical
Laboratory Personnel; directing the agency to solicit certain comments;
specifying a testing protocol; specifying minimum training and education
for those who perform testing; amending ss. 483.23, 483.800, 483.801,
483.803, and 483.813, F.S.; providing that provisions governing the
regulation and licensure of clinical laboratory personnel do not apply to
persons engaged in alternate-site testing or in testing performed at
practitioners' exclusive use laboratories or laboratories that perform only
waived tests; revising the definition of "clinical laboratory personnel";
revising requirements for temporary licensure of clinical laboratory
personnel; reenacting s. 483.106, F.S., relating to application for a
certificate of exemption, to incorporate the amendments to ss. 483.041 and
483.23, F.S., in references thereto; amending s. 483.26, F.S.; requiring
establishment of a technical advisory panel; providing composition;
amending s. 483.811, F.S.; deleting reference to board responsibility for
regulation of personnel in laboratories operated under s. 483.035, F.S.;
amending s. 483.825, F.S.; revising and providing grounds for disciplinary
action; amending s. 483.827, F.S.; revising administrative penalties;
creating s. 483.828, F.S.; providing criminal penalties for specified
violations; amending s. 484.007, F.S.; revising requirements for licensure as
an optician; amending ss. 486.031, 486.041, and 486.103, F.S.; eliminating
temporary permits for physical therapists and physical therapist assistants
and providing for graduate status for each under certain circumstances;
providing an alternative licensure examination; revising accreditation



provisions relating to licensure as a physical therapist; amending ss.
486.021, 486.081, 486.102, and 486.107, F.S.; revising a definition and
eliminating provisions relating to temporary permits, to conform;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist assistant; creating



I]



coverage, limitations, plan selection, and participation criteria; providing
for coverage through accountable health partnerships and community
health partnerships; creating s. 409.816, F.S.; establishing contribution
requirements; establishing a ceiling on certain federal and state
expenditures; specifying condition for reduction or discontinuance of



E OF REPRESENTATIVES June 7, 1994

s. 486.123, F.S.; prohibiting sexual misconduct in the practice of physical
therapy, for which there are disciplinary actions; amending s. 490.005, F.S.,
relating to licensure of psychologists and school psychologists; increasing
application fees; revising accreditation and other educational
requirements; amending s. 490.006, F.S.; revising psychology licensure by
endorsement requirements; reenacting s. 490.003(3) and (5), F.S., relating
to definitions, to incorporate the amendments to ss. 409.005 and 490.006,
F.S., in references thereto; amending s. 456.32, F.S.; including other
licensed professionals within the definition of "practitioner of the healing
arts" for purposes of provisions regulating hypnosis; amending s. 491.005,
F.S.; revising fees and costs applicable to applicants for licensure as
marriage and family therapists; revising accreditation provisions relating
to licensure as a marriage and family therapist or as a mental health
counselor; creating s. 491.0055, F.S.; providing for licensure of certain
persons as mental health counselors under special conditions involving a
district court order; providing for future repeal of the section; amending
s. 468.1245, F.S.; revising language relating to certain complaints
concerning hearing aids; amending s. 400.211, F.S.; revising certification
requirements for nursing assistants; authorizing the Department of
Business and Professional Regulation to perform, provide, contract for, or
grant approval for others to perform or provide nursing assistant
certification services and commodities; providing an appropriation to
implement the regulation of athletic trainers; creating s. 455.2222, F.S.;
requiring persons licensed or certified to provide certain medical, dental,
social, or counseling services to take a course on domestic violence as part
of their continuing education requirements; requiring applicants for initial
licensure to take such a course; providing duties of the affected professional
boards relating to such requirements and granting rulemaking authority
therefore; requiring each affected professional board to submit an annual
report to the Legislature; amending s. 455.227, F.S.; making failure to
comply with such educational course requirements a ground for
disciplinary action; providing penalties; reenacting ss. 468.1755(1)(a),
470.036(1)(a), 471.033(1)(a), 472.033(1)(a), 473.323(1)(a), 475.25(1)(a),
475.624(1), 476.204(1)(h), 477.029(1)(h), 481.225(1)(a), 481.325(1)(a), and
484.056(1)(a), F.S., relating to various disciplinary proceedings and
penalties, to incorporate the amendment to s. 455.227, F.S., in references
thereto; requiring the Department of Business and Professional Regulation
to provide recommendations to the Legislature for a uniform licensing
system for foreign-trained and foreign-licensed professionals; providing for
issuance of restricted medical licenses without examination to a specified
group; providing guidelines for issuance of such restricted licenses;
amending s. 404.051, F.S.; directing the Department of Health and
Rehabilitative Services to develop certain healing arts self-referral
programs for mammography and bone densitometry; amending ss. 455.214
and 458.317, F.S.; allowing limited licensees to work for certain agencies or
institutions; providing for fees if a person receives monetary compensation
for the practice of medicine; providing that an applicant need not provide
a copy of medical degree; correcting cross references; amending s. 465.014,
F.S.; revising tasks and duties delegated to a pharmacy technician;
correcting a cross reference; amending s. 455.25, F.S., relating to disclosure
of financial interest; requiring physicians or other health care providers to
disclose their financial interest in certain entities, including pharmacies as
provided in ch. 465, F.S.; amending s. 490.014, F.S.; revising an exemption
from licensure under chapter 490, F.S., relating to school psychologists;
providing effective dates.
-was read the first time by title and referred to the Committee(s) on
Business & Professional Regulation.

By Representatives Graber, Cosgrove and Tobin-
HB 29-D-A bill to be entitled An act relating to health care; creating
s. 409.810, F.S.; providing a short title; creating s. 409.811, F.S.; providing
legislative findings and intent; creating s. 409.812, F.S.; providing
definitions; creating s. 409.813, F.S.; establishing the Florida Health
Security program; creating s. 409.814, F.S.; providing eligibility and
application requirements; providing for disenrollment under specified
circumstances; providing penalties; creating s. 409.815, F.S.; providing for










JOURNAL OF THE HOUSE OF REPRESENTATIVES



subsidy for Florida Health Security; creating s. 409.817, F.S.; establishing
responsibilities of the Agency for Health Care Administration; creating s.
409.818, F.S.; establishing responsibilities of community health purchasing
alliances; creating s. 409.819, F.S.; providing for transfer of Medicaid
savings into the Florida Health Security Trust Fund, or other trust funds
under certain circumstances; creating s. 409.820, F.S.; establishing an
average monthly enrollment cap and reserves; providing data collection
and reporting requirements; creating s. 409.821, F.S.; providing for
community health partnerships; providing duties and requirements for
enrollment of members in Florida Health Security; providing for the
establishment of pilot programs; requiring a report; creating s. 409.822,
F.S.; requiring that claims experience for Florida Health Security members
not be commingled with that of other community health purchasing
alliance members; amending s. 20.42, F.S.; deleting reference to hospital
budget review from duties of the Health Care Board; amending s. 61.12,
F.S.; providing for attachment or garnishment of amounts due for child
support for health insurance; amending s. 110.123, F.S.; providing a
definition; specifying rights of vested state employees to continue in the
state group health insurance plan upon termination; creating s. 110.12311,
F.S.; providing legislative intent; establishing a state employee fitness-
wellness pilot project; providing duties of state agencies and the
Department of Management Services; requiring a report; amending s.
216.136, F.S.; requiring the Social Services Estimating Conference to
develop estimates, forecasts, and trends for the Florida Health Security
program; amending s. 240.4075, F.S.; expanding the Nursing Student Loan
Forgiveness Program to include allied health care providers; increasing
maximum payment to recipients under specified circumstances; providing
for funding through additional licensure fees; amending s. 240.4076, F.S.;
adding allied health care providers as eligible participants in a nursing
scholarship loan program; increasing maximum payment to recipients
under specified circumstances; creating s. 255.0516, F.S., and amending s.
287.088, F.S.; requiring certain state agency contractors, including
construction contractors, to ensure employee access to a group health
benefit plan; creating a task force to study insurance requirements for state
contractors; requiring a report; amending s. 381.0051, F.S.; authorizing the
Department of Health and Rehabilitative Services to establish an oral
contraceptive distribution program; authorizing pilot projects; providing
conditions for program participation; providing eligibility criteria;
providing maximum fees for oral contraceptives; providing rulemaking
authority; amending s. 381.0302, F.S.; authorizing Florida Health Services
Corps program scholarship payments to midwifery students and loan
repayment assistance and travel and relocation expenses to licensed
midwives; amending s. 381.0406, F.S.; modifying definitions relating to
rural health networks; increasing requirements for network membership;
limiting liability; revising network services; providing that networks may
become accountable health partnerships or managed care providers;
specifying use of Phase II grants; conditioning network certification on
compliance with certain rules; renumbering and amending s. 395.606, F.S.,
relating to rural health network cooperative agreements; providing
rulemaking authority; creating s. 381.0407, F.S.; creating a rural
comprehensive primary care program; providing for administration,
eligibility, services, funding, and rules; creating s. 381.0408, F.S.; creating
urban community-based primary care networks; requiring a report;
creating s. 381.0409, F.S.; establishing an Office of Minority Health;
providing intent; providing general functions; amending s. 400.702, F.S.;
correcting a cross reference; amending s. 408.02, F.S.; providing for practice
parameters for outpatient services provided by specified practitioners;
amending s. 408.033, F.S.; providing legislative intent; revising
membership of the local health councils; correcting references; amending
s. 408.301, F.S.; providing legislative findings with respect to services for
chronically ill children and persons with mental illness; amending s.
408.302, F.S.; deleting a requirement that the Department of Health and
Rehabilitative Services approve certain rules of the Agency for Health Care
Administration; amending s. 408.40, F.S.; deleting reference to budget
review proceedings of the Public Counsel; amending ss. 408.70, 408.701,
408.702, 408.703, 408.704, 408.7042, 408.7045, 408.705, 408.7056, 408.706,
and 408.7071, F.S.; correcting references; correcting technical errors;
providing for consistency in the use of defined terms; defining the terms
"physician and surgeon" and "noninvasive physician," and differentiating
between such physicians and other health care providers; deleting



provision relating to employer contributions required by community
health purchasing alliances under certain conditions; revising provisions



relating to the establishment of community health purchasing alliances;
requiring certain employers to provide a point of service option; providing
for premiums; providing for certain data collection and distribution;
modifying membership and duties of the advisory data committee;
increasing the number of health benefit plans that must be made available
to state employees under specified circumstances; deleting references to
MedAccess and Medicaid buy-in from provisions relating to alliances'
purchase of health care for Medicaid recipients; deleting a requirement for
a certificate of authority for Medicaid managed care providers; providing
additional requirements for alliance marketing materials; providing
requirements for disclosure of treatment policies and restrictions or
limitations on coverages; providing additional conflict of interest
prohibitions for alliance board members; providing additional duties for
the Commission on Ethics; requiring board members to file financial
disclosure; authorizing the Statewide Provider and Subscriber Assistance
Program to address certain provider grievances; clarifying program
procedures; providing for licensure and certification of entities creating
accountable health partnerships; modifying qualifications for designation
as an accountable health partnership; authorizing the Agency for Health
Care Administration to require certain documentation of a health
partnership for certain purposes; providing for subscriber copayments and
provider agreements; increasing the proportion of positions in a newly
created accountable health partnership that must be offered to alliance
district physicians; authorizing accountable health partnerships to
contract with specialty hospitals; providing requirements for accountable
health partnerships' participation in the Florida Health Security program;
authorizing the United States Department of Veterans Affairs to create an
accountable health partnership to provide health care services to veterans;
providing for reduction in certain premiums to account for certain services
available to veterans; creating s. 408.7051, F.S.; providing that alliances are
subject to public records and meetings requirements; creating s. 408.7061,
F.S.; authorizing certain entities to be designated as limited accountable
health partnerships for the purpose of providing specified limited services;
specifying applicability of s. 408.706, F.S.; providing that an accountable
health partnership may also provide such limited services; amending s.
408.902, F.S.; delaying effective date of the MedAccess program; amending
s. 409.901, F.S.; providing definitions; amending s. 409.016, F.S.; providing
a definition; amending s. 409.2557, F.S.; requiring the Department of
Health and Rehabilitative Services to adopt rules to implement certain
provisions of federal law; requiring the department to enter into a
cooperative agreement with certain agencies for such implementation;
amending s. 409.903, F.S.; providing circumstances for expanding
Medicaid eligibility to children under age 21 and pregnant women;
providing for transfer of funds; amending s. 409.904, F.S.; providing for
termination of the Medicaid medically needy program; providing for
continuation of certain persons in the program for a limited time;
amending s. 409.905, F.S.; expanding Medicaid family planning services to
include counseling on sterilization procedures and certain types of
contraceptives; creating s. 409.9051, F.S.; prohibiting Medicaid payments
for fertility drugs in certain situations; amending s. 409.908, F.S.; providing
a schedule of maximum reimbursement rate increases for Medicaid
providers; amending ss. 409.9112 and 409.9113, F.S.; conditioning
disproportionate share payments for perinatal intensive care centers and
teaching hospitals on an agreement to maintain certain facilities for
performing sterilization procedures; providing an exemption; amending s.
409.9117, F.S.; renaming the primary care disproportionate share program
as the health access disproportionate share program; revising requirements
for participation and funding; creating s. 409.9118, F.S.; providing for a
rural health care access disproportionate share program; creating s.
409.9119, F.S.; providing for a portion of the disproportionate share
program allotment to be reallocated to the Florida Health Security
program if federal waivers for the Florida Health Security program are
obtained; amending s. 409.912, F.S.; providing procedure for entities that
are currently prohibited from contracting with the Medicaid program to
obtain approval to reenter the program; adding requirements for Medicaid
prepaid plans; providing for reimbursement rates; prohibiting certain
enrollment practices; authorizing the Agency for Health Care
Administration to fine prepaid plans; requiring the agency to establish a
Medicaid Consumer Assistance program; requiring the agency to establish
a health care quality improvement system; requiring certain health



screening rates for children; providing for penalties for failure to achieve
certain rates; requiring Healthy Start screening for certain infants and



June 7, 1994



5











6 JOURNAL OF THE HOUSE

pregnant women; amending s. 409.9122, F.S.; requiring Medicaid
contractors to give preference to essential community providers; providing
for the enrollment of Children's Medical Services providers in the
MediPass program; requiring the agency to develop patient care standards
for Medicaid managed care providers; requiring the agency to require
Medicaid managed care plans to demonstrate and document health care
services provided to Medicaid recipients; requiring all Medicaid recipients
to be enrolled in managed care plans or MediPass by a specified date;
providing exceptions; requiring the agency to study the impact of the
enrollment of qualified Medicare beneficiaries in managed care; requiring
the agency to establish a statewide Medicaid managed care consumer
advisory committee; providing for membership; providing duties and
responsibilities; providing for future repeal; amending s. 409.915, F.S.;
providing that services delivered through the Florida Health Security
program will not be subject to county Medicaid funding requirements if
federal waivers are obtained; amending s. 458.347, F.S.; providing for
development of a Department of Business and Professional Regulation
examination for physician assistant certification; modifying eligibility
requirements; providing department duties; creating ss. 464.032-464.037,
F.S.; establishing a cross-training program for nurses in rural hospitals;
creating ss. 468.315-468.320, F.S.; establishing a cross-training program for
radiologic technologists in rural hospitals; creating ss. 468.37-468.375, F.S.;
establishing a cross-training program for respiratory care functions in rural
hospitals; creating ss. 483.831-483.836, F.S.; establishing a cross-training
program for clinical laboratory personnel in rural hospitals; providing
legislative findings and intent; providing personnel qualifications for cross-
training programs; specifying cross-training functions; providing for
supervision; providing for certification; providing duties of community
colleges; providing for an application fee; providing certification
conditions; providing for interruption of employment; providing for
continuing education; providing for disciplinary action; providing for rules;
requiring reports; creating s. 486.175, F.S.; providing for indirect
supervision of physical therapy assistants in rural hospitals; creating s.
624.3103, F.S.; requiring compliance by certain insurance providers with
certain provisions of federal law; amending s. 627.4233, F.S.; clarifying
certain provisions relating to the definition of "total disability"; amending
s. 627.4235, F.S.; specifying order of benefits for continuation of certain
coverage; creating s. 627.6045, F.S.; specifying policy requirements with
respect to preexisting conditions; creating s. 627.6414, F.S.; providing for
coverage for dependents; providing criteria; creating s. 627.6425, F.S.;
providing renewability of individual health insurance policies; amending
s. 627.647, F.S., relating to standard health claim forms; providing a short
title; providing definitions; revising provisions requiring standard health
claim forms; providing requirements for certain health care claim forms;
providing criteria; prohibiting the department from prohibiting carriers
from accepting certain claim forms; amending s. 627.6471, F.S.; requiring
insurers issuing preferred provider contracts which provide coverage for
psychotherapeutic services to assure equal access to certain providers;
prohibiting certain insurers from requiring a health care provider to have
greater professional liability coverage than is required by state law;
amending s. 627.6472, F.S.; requiring insurers issuing exclusive provider
contracts which provide coverage for psychotherapeutic services to assure
equal access to certain providers; prohibiting certain insurers from
requiring a health care provider to have greater professional liability
coverage than is required by state law; requiring exclusive provider
organizations to make point of service plans available, upon request;
providing for deductibles, copayments, coinsurance payments, and
premiums; creating s. 627.6474, F.S.; providing for preferred provider and
exclusive provider plans; providing for minority recruitment and retention
plans; amending s. 627.652, F.S.; defining "community health purchasing
alliance" for purposes of group health insurance; creating s. 627.6552, F.S.;
providing for community health purchasing alliance groups for Florida
Health Security coverage; amending s. 627.6561, F.S.; authorizing certain
group policies to exclude coverage for preexisting conditions under certain
circumstances; revising a time limitation for coverage of preexisting
conditions; amending s. 627.6645, F.S., relating to cancellation, expiration,
nonrenewal, and change in rates; revising notice requirements; revising



computation of earned premiums for certain cancellations; creating s.
627.6691, F.S.; providing for continuation of coverage under group health
benefit plans; providing definitions; providing for notice; amending s.
627.6699, F.S.; revising the Employee Health Care Access Act; providing
an exemption for plans and carriers issuing Florida Health Security



t



health maintenance organization; amending s. 641.515, F.S.; requiring the
agency to review subscriber or provider complaints; amending s. 641.55,
F.S.; revising internal risk management program requirements; providing
penalties; creating the Emergency Medical Services for Children Act;
providing legislative findings; directing the Agency for Health Care



E OF REPRESENTATIVES June 7, 1994

coverage; revising provisions relating to community health purchasing
alliances to conform; prohibiting small employer carriers from imposing
minimum participation requirements under certain circumstances;
requiring the standard benefit plan to provide certain coverages; creating
the Rare and Chronic Disease Advisory Council to advise the Agency for
Health Care Administration for certain purposes; providing for
membership; providing duties of the council; providing for expiration of
the council; amending s. 627.6745, F.S.; providing refund and credit
calculations to be made by certain insurers; creating s. 627.6751, F.S.;
prohibiting exclusive provider provisions for Medicare supplement
policies; prohibiting an insurer from requiring a health care provider
providing services under a Medicare supplement policy to have greater
professional liability coverage than is required by state law; amending s.
641.19, F.S.; revising and adding definitions relating to health maintenance
organizations; amending s. 641.21, F.S.; limiting exemptions from
requirements to obtain a certificate of authority; creating s. 641.217, F.S.;
requiring applicants for and holders of health maintenance organization
certificates of authority to submit minority recruitment and retention
plans to the Agency for Health Care Administration; requiring approval
before issuance of a certificate of authority; requiring current
certificateholders to implement approved plans by a specified date;
amending ss. 641.23, 641.261, 641.405, 641.406, 641.411, 641.412, 641.443,
641.454, 641.455, 641.52, 641.54, 641.56, 641.57, and 641.58, F.S.; replacing
references to the Department of Health and Rehabilitative Services with
the Agency for Health Care Administration; amending s. 641.28, F.S.;
providing for liability for attorney's fees in civil actions for enforcement of
a health maintenance organization contract; amending s. 641.31, F.S.;
requiring health maintenance organizations to provide certain information
to certain subscribers; requiring health maintenance contracts to contain
certain definitions; requiring health maintenance organizations to be
governed by specified emergency services and care provisions; providing
criteria for subscribers who are residents of a retirement facility to be
referred to the facility's skilled nursing facility or home health agency;
specifying conditions for delivery in this state of certain health
maintenance service documents; requiring a health maintenance
organization to file amendments to certain documents and receive approval
before using such documents as amended; creating s. 641.31095, F.S.;
specifying conditions of liability of succeeding health maintenance
organizations under certain circumstances; providing requirements for
replacement of health maintenance organization contracts; creating s.
641.3112, F.S.; providing for dependent coverage by a health maintenance
organization; providing criteria; creating s. 641.3114, F.S.; specifying policy
requirements with respect to preexisting conditions; amending s. 641.315,
F.S.; prohibiting health maintenance organizations from requiring a health
care provider to have greater professional liability coverage than is
required by state law; creating s. 641.351, F.S.; requiring health
maintenance organizations to make point of service plans available, upon
request; providing for deductibles, copayments, coinsurance payments,
and premiums; authorizing health maintenance organizations to offer a
preferred provider network plan; amending s. 641.402, F.S.; providing a
definition relating to prepaid health plans; amending s. 641.47, F.S.;
revising and adding definitions relating to health care services programs;
amending s. 641.48, F.S.; providing additional criterion and limiting
exemptions for certain prepaid plans; providing for future expiration of an
exemption under certain circumstances; amending s. 641.49, F.S.; revising
requirements for obtaining a health care provider certificate; amending s.
641.495, F.S.; requiring health maintenance organizations to require
providers to ensure examination and verification of licenses of health care
professionals; requiring such organizations to have an emergency
management plan for certain purposes; establishing the advisory
committee on the recruitment and retention of minority physicians;
providing for membership and duties; requiring an annual report;
amending s. 641.511, F.S.; clarifying subscriber grievance procedures;
amending s. 641.512, F.S.; requiring the Agency for Health Care
Administration to annually conduct a validation survey of health
maintenance organizations for certain purposes; creating s. 641.513, F.S.;
specifying requirements for provision of emergency services and care by a











JOURNAL OF THE HOUSE]



Administration to require minimum equipment, supplies, and training of
hospital emergency departments; directing the Department of Health and
Rehabilitative Services to require equipment, supplies, and training for
emergency response and transport vehicles; directing the Agency for
Health Care Administration to require all emergency departments to have
an appropriate pediatric referral system; requiring the emergency medical
services for children panel within the Department of Health and
Rehabilitative Services to coordinate efforts to develop recommendations
for achieving a statewide comprehensive system of emergency medical
services for children and to submit recommendations to the Legislature;
providing legislative findings and intent relating to the health care
workforce; creating an Academic Task Force on Health Care Delivery
Systems; providing duties of the task force; requiring interim and final
reports on health care delivery systems; creating the Florida Council on
Health Care Workforce; providing duties of the council; requiring reports;
creating a Florida Consortium on Medical Education and Training;
providing powers and duties of the consortium; directing the Agency for
Health Care Administration to seek certain federal waivers; establishing an
advisory council to the consortium; directing the Boards of Medicine,
Osteopathic Medicine, Chiropractic, and Podiatric Medicine, the
Department of Business and Professional Regulation, and the Agency for
Health Care Administration to streamline certain medical licensure;
requiring a report; authorizing state universities to create university health
services support organizations; providing duties of such organizations;
directing the Board of Regents to prescribe such organizations' operations;
providing for Board of Regents representation on organization governing
boards; providing for annual audits of financial records; requiring the
Agency for Health Care Administration to study health care provider
participation in health maintenance organizations; requiring a report;
directing the agency to study the impact of transferring Medicaid
medically needy program recipients to Florida Health Security; requiring
a report; directing the agency to study Medicaid reimbursement to prepaid
health plans and health maintenance organizations; requiring a report;
directing the agency to develop recommendations on revisions to the basic
benefit package; requiring a report; authorizing the agency to make Florida
Health Security program modifications to obtain federal waivers;
providing legislative intent for an interim plan with respect to expanding
access to health care through Medicaid and the health access
disproportionate share program if approval of federal waivers for the
Florida Health Security program are delayed or not obtained; repealing ss.
395.403(9), 408.07(7), (9), (12), and (37), 408.072, 408.08(2)-(13), and
408.085, F.S., relating to review of hospital budgets; repealing s. 455.2555,
F.S., relating to imposition of a fee schedule on providers of designated
health services; providing legislative intent with respect to certain causes
of action relating to said section; repealing ss. 627.622 and 627.623, F.S.,
relating to insurance with other insurers; providing appropriations;
creating s. 455.2142, F.S.; revising continuing education requirements for
health care practitioners serving in the Legislature; amending s. 455.2224,
F.S.; requiring certain procedures of the Department of Business and
Professional Regulation and the appropriate professional medical boards
to incorporate the recommendations of the State Health Officer with
respect to health care practitioners infected with hepatitis B or the human
immunodeficiency virus; amending s. 455.2226, F.S.; requiring persons
licensed or certified under ch. 490, F.S., relating to psychological services,
or ch. 491, F.S., relating to clinical, counseling, and psychotherapy services,
to complete a continuing education course on human immunodeficiency
virus and acquired immune deficiency syndrome as part of biennial
relicensure or recertification; amending s. 455.261, F.S.; providing that
certain information obtained by impaired practitioner consultants and the
department is immune from discovery in civil actions; amending s. 458.307,
F.S., relating to the Board of Medicine; deleting a provision relating to
probable cause panels; amending s. 455.206, F.S.; correcting a cross
reference; amending s. 458.311, F.S.; revising requirements for licensure of
physicians by examination; revising an educational and postgraduate
training requirement; allowing certain applicants to complete a fellowship
to partially satisfy the licensing requirements; requiring applicants to
provide sufficient information and fingerprints; revising a restriction on
the number of times an applicant may fail the examination to include
remediation after a certain number; eliminating a provision relating to
restricted licensure of certain foreign-trained physicians, which provision



was repealed on October 1, 1993; authorizing such foreign-trained
physicians to pursue licensure notwithstanding the repeal of such



June 7, 1994



F.S., relating to nursing; reenacting s. 468.505(1)(1), F.S., relating to
exemptions from regulation of dietetics and nutrition practice, to
incorporate the amendment to s. 464.022, F.S., in a reference thereto;
amending s. 465.003, F.S.; revising the definition of "practice of the
profession of pharmacy"; providing the definition of "kidney dialysis home



E OF REPRESENTATIVES 7

provision; reenacting ss. 458.310(2)(a) and 458.345(1)(c), F.S., relating to
restricted licenses and registration of resident physicians, interns, and
fellows, to incorporate the amendment to s. 458.311, F.S., in references
thereto; amending s. 458.313, F.S.; revising requirements for licensure of
physicians by endorsement; eliminating a provision authorizing oral
examinations; providing for additional remedial education or training upon
failure to pass the licensing examination after a certain number of
attempts; correcting a cross reference; amending s. 458.3145, F.S., relating
to medical faculty certificates; revising renewal requirements; removing
provisions relating to extent of practice; revising a provision relating to the
maximum number of certificateholders authorized at specified institutions
and facilities; amending ss. 458.316 and 458.3165, F.S.; correcting cross
references and terminology; amending s. 458.319, F.S.; clarifying
requirements for renewal of license to practice medicine; creating ss.
458.3312 and 459.0152, F.S.; prohibiting physicians and osteopathic
physicians from falsely representing that they are board-certified
specialists; providing for the adoption of rules; amending ss. 458.331 and
459.015, F.S.; revising and providing grounds for disciplinary action;
reenacting ss. 458.313(7) and 458.345(1)(b), F.S., relating to licensure by
endorsement and registration of resident physicians, interns, and fellows,
to incorporate the amendment to s. 458.331, F.S., in references thereto;
amending s. 458.347, F.S.; providing for certification under ch. 458, F.S.,
of physician assistants certified under ch. 459, F.S.; defining the term
"continuing medical education"; allowing physician assistants to show by
affidavit evidence of compliance with statutory academic requirements;
revising certain other requirements for certification; deleting provisions
relating to reactivation of an inactive certificate as a physician assistant
and to automatic expiration of the certificate; amending s. 459.022, F.S.;
providing for certification under ch. 459, F.S., of physician assistants
certified under ch. 458, F.S.; defining the term "continuing medical
education"; allowing physician assistants to show by affidavit evidence of
compliance with statutory academic requirements; amending s. 766.1115,
F.S., to conform; expanding the definition of "health care provider" under
the Access to Health Care Act; reenacting s. 768.28(9)(b), F.S., relating to
sovereign immunity, to incorporate the amendment to s. 766.1115, F.S., in
a reference thereto; amending s. 459.007, F.S.; revising requirements for
licensure as an osteopathic physician by endorsement; amending s. 459.011,
F.S.; providing that it is state policy that physicians licensed under ch. 458,
F.S., and osteopathic physicians licensed under ch. 459, F.S., be accorded
equal professional status and privileges and providing requirements with
respect thereto; amending s. 460.406, F.S.; revising requirements for
licensure as a chiropractor by examination; amending s. 460.408, F.S.;
revising provisions relating to approval of continuing education courses for
chiropractors; providing for reinstatement of certain chiropractor licenses;
creating s. 461.0055, F.S.; providing for investigation of the qualifications
of applicants for licensure as a podiatrist; creating s. 461.011, F.S.;
prohibiting sexual misconduct in the practice of podiatric medicine, for
which there are disciplinary actions; amending s. 461.013, F.S.; revising and
providing grounds for disciplinary action; revising penalties, including
increasing the administrative fine; reenacting ss. 320.0848(7),
455.236(4)(g), 461.006(2)(c), and 766.111(2), F.S., relating to disabled
person parking permits, financial arrangements between referring health
care providers and providers of health care services, applicants for
licensure to practice podiatric medicine, and unnecessary diagnostic
testing, to incorporate the amendments to ss. 461.013 and 466.028, F.S., in
references thereto; creating s. 461.018, F.S.; providing for limited scope of
practice of podiatric medicine within a specified area of need; creating s.
461.019, F.S.; providing for a podiatric medical faculty certificate;
amending s. 464.004, F.S.; increasing the membership of the Board of
Nursing; amending s. 464.005, F.S.; requiring the board's executive director
to be a registered nurse; amending s. 464.008, F.S.; providing that
applicants for licensure as a registered or licensed practical nurse are
responsible for the fee required by the Department of Law Enforcement
for background checks; amending s. 464.015, F.S.; revising the period
during which the terms "Graduate Nurse" and "Graduate Practical Nurse"
and their corresponding abbreviations may be used; amending s. 464.022,
F.S.; revising and providing exemptions from regulation under ch. 464,









8



health care system"; amending ss. 465.015 and 499.003, F.S.; correcting
cross references; creating s. 465.0075, F.S.; providing for licensure of certain
foreign-trained pharmacists; providing for future repeal of the section;
creating s. 465.0105, F.S.; providing for a pharmacy specialist certificate;
amending s. 465.0125, F.S.; providing responsibilities of consultant
pharmacists and Doctors of Pharmacy; amending s. 465.0156, F.S.; revising
information required for registration of nonresident pharmacies; amending
s. 465.0196, F.S.; providing requirements for issuance of special pharmacy
permits to operators of kidney dialysis home health care systems; providing
for the operation of certain nonprofit pharmacies; correcting a cross
reference; amending s. 465.186, F.S.; increasing the membership of the
committee responsible for establishing the formulary of medicinal drug
products and dispensing procedures; amending s. 831.30, F.S., relating to
the offense of fraudulently obtaining medicinal drugs; revising a cross
reference; amending s. 466.004, F.S.; revising purpose of the Council on
Dental Hygiene; amending s. 466.006, F.S.; adding a qualification for
taking the examination for licensure as a dentist; reenacting s. 466.011,
F.S., relating to licensure, to incorporate the amendment to s. 466.006, F.S.,
in a reference thereto; amending s. 466.028, F.S.; increasing the
administrative fine; amending s. 467.009, F.S.; revising and providing
education and training requirements for midwifery programs; reenacting
s. 467.205(1), (3), and (4), F.S., relating to approval of midwifery programs,
to incorporate the amendment to s. 467.009, F.S., in references thereto;
amending s. 468.1115, F.S.; providing an exemption from regulation as a
speech-language pathologist or audiologist; amending s. 468.1145, F.S.;
increasing certain licensure, certification, and inactive status fees;
amending s. 468.1155, F.S.; revising provisional licensure requirements;
providing that applicants for dual licensure in speech-language pathology
and audiology are not required to hold a second master's degree; amending
s. 468.1295, F.S.; prohibiting failing to notify the Board of Speech-
Language Pathology and Audiology of a change in mailing address within
a specified time, for which there are disciplinary actions; amending s.
468.1695, F.S.; reducing the number of times a year the examination for
licensure as a nursing home administrator must be given; amending s.
468.209, F.S.; revising licensure requirements for licensure as an
occupational therapist or occupational therapist assistant; providing for
certain temporary permits; amending s. 468.213, F.S.; revising
requirements for licensure by endorsement; amending s. 468.225, F.S.;
providing exemptions from regulation of occupational therapy; amending
s. 468.301, F.S.; defining "mammographer" for purposes of the Radiologic
Technologist Certification Act; amending s. 468.302, F.S.; adding the
certification category of mammographer; specifying which
certificateholders may perform mammography and brachytherapy;
revising the supervision required for hospital residents and students;
amending s. 468.304, F.S.; modifying qualifications for certification;
specifying qualifications for certification as a mammographer; amending
s. 468.306, F.S.; modifying examination qualifications; amending s.
468.3065, F.S.; specifying a nonrefundable fee; amending s. 468.307, F.S.;
conforming qualifications for temporary certification; modifying
requirements for the issuance and display of certificates; creating s.
468.3071, F.S.; providing for mammographer certification based on prior
experience; providing for future repeal; amending s. 468.309, F.S.; revising
the expiration date of certificates; amending s. 468.3095, F.S.; specifying
nonrefundable fees; amending s. 468.311, F.S.; revising an offense relating
to practice of radiologic technology by a student, for which a penalty is
provided; amending s. 468.314, F.S.; increasing the membership of the
Advisory Council on Radiation Protection by adding a certified radiologic
technologist-mammography and a representative of the Department of
Education; deleting obsolete provisions relating to staggered terms;
providing for appointment of replacement members under specified
circumstances; specifying source of reimbursement for travel expenses;
redefining the scope of the advisory council; deleting obsolete Sundown
provisions; amending s. 478.42, F.S.; revising the definition of "electrolysis
or electrology"; amending s. 478.44, F.S.; increasing membership of the
Electrolysis Council; revising the manner of filling vacancies on and calling
meetings of the council; amending s. 478.45, F.S.; revising requirements for
licensure as an electrologist; providing for the approval and conduct of an
electrology licensure examination; amending ss. 478.46 and 478.47, F.S.,
relating to temporary permits and licensure by endorsement; correcting
cross references; creating s. 478.475, F.S.; providing for licensure without



examination; amending s. 483.035, F.S.; providing responsibility of the
Agency for Health Care Administration for personnel standards for



June 7, 1994



exclusive use laboratories; amending s. 483.041, F.S.; including licensed
optometrists within the definition of "licensed practitioner" for purposes
of laws regulating clinical laboratories; amending s. 483.051, F.S.; revising
provisions relating to alternate-site testing; providing responsibility of the
agency; providing certain responsibilities of clinical laboratory directors;
deleting requirement for consultation with the Board of Clinical
Laboratory Personnel; directing the agency to solicit certain comments;
specifying a testing protocol; specifying minimum training and education
for those who perform testing; amending ss. 483.23, 483.800, 483.801,
483.803, and 483.813, F.S.; providing that provisions governing the
regulation and licensure of clinical laboratory personnel do not apply to
persons engaged in alternate-site testing or in testing performed at
practitioners' exclusive use laboratories or laboratories that perform only
waived tests; revising the definition of "clinical laboratory personnel";
revising requirements for temporary licensure of clinical laboratory
personnel; reenacting s. 483.106, F.S., relating to application for a
certificate of exemption, to incorporate the amendments to ss. 483.041 and
483.23, F.S., in references thereto; amending s. 483.26, F.S.; requiring
establishment of a technical advisory panel; providing composition;
amending s. 483.811, F.S.; deleting reference to board responsibility for
regulation of personnel in laboratories operated under s. 483.035, F.S.;
amending s. 483.825, F.S.; revising and providing grounds for disciplinary
action; amending s. 483.827, F.S.; revising administrative penalties;
creating s. 483.828, F.S.; providing criminal penalties for specified
violations; amending s. 484.007, F.S.; revising requirements for licensure as
an optician; amending ss. 486.031, 486.041, and 486.103, F.S.; eliminating
temporary permits for physical therapists and physical therapist assistants
and providing for graduate status for each under certain circumstances;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist; amending ss.
486.021, 486.081, 486.102, and 486.107, F.S.; revising a definition and
eliminating provisions relating to temporary permits, to conform;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist assistant; creating
s. 486.123, F.S.; prohibiting sexual misconduct in the practice of physical
therapy, for which there are disciplinary actions; amending s. 490.005, F.S.,
relating to licensure of psychologists and school psychologists; increasing
application fees; revising accreditation and other educational
requirements; amending s. 490.006, F.S.; revising psychology licensure by
endorsement requirements; reenacting s. 490.003(3) and (5), F.S., relating
to definitions, to incorporate the amendments to ss. 409.005 and 490.006,
F.S., in references thereto; amending s. 456.32, F.S.; including other
licensed professionals within the definition of "practitioner of the healing
arts" for purposes of provisions regulating hypnosis; amending s. 491.005,
F.S.; revising fees and costs applicable to applicants for licensure as
marriage and family therapists; revising accreditation provisions relating
to licensure as a marriage and family therapist or as a mental health
counselor; creating s. 491.0055, F.S.; providing for licensure of certain
persons as mental health counselors under special conditions involving a
district court order; providing for future repeal of the section; amending
s. 468.1245, F.S.; revising language relating to certain complaints
concerning hearing aids; amending s. 400.211, F.S.; revising certification
requirements for nursing assistants; authorizing the Department of
Business and Professional Regulation to perform, provide, contract for, or
grant approval for others to perform or provide nursing assistant
certification services and commodities; providing an appropriation to
implement the regulation of athletic trainers; creating s. 455.2222, F.S.;
requiring persons licensed or certified to provide certain medical, dental,
social, or counseling services to take a course on domestic violence as part
of their continuing education requirements; requiring applicants for initial
licensure to take such a course; providing duties of the affected professional
boards relating to such requirements and granting rulemaking authority
therefore; requiring each affected professional board to submit an annual
report to the Legislature; amending s. 455.227, F.S.; making failure to
comply with such educational course requirements a ground for
disciplinary action; providing penalties; reenacting ss. 468.1755(1)(a),
470.036(1)(a), 471.033(1)(a), 472.033(1)(a), 473.323(1)(a), 475.25(1)(a),
475.624(1), 476.204(1)(h), 477.029(1)(h), 481.225(1)(a), 481.325(1)(a), and
484.056(1)(a), F.S., relating to various disciplinary proceedings and
penalties, to incorporate the amendment to s. 455.227, F.S., in references



thereto; requiring the Department of Business and Professional Regulation
to provide recommendations to the Legislature for a uniform licensing



JOURNAL OF THE HOUSE OF REPRESENTATIVES











June 7, 1994



JOURNAL OF THE HOUSE OF REPRESENTATIVES



system for foreign-trained and foreign-licensed professionals; providing for
issuance of restricted medical licenses without examination to a specified
group; providing guidelines for issuance of such restricted licenses;
amending s. 404.051, F.S.; directing the Department of Health and
Rehabilitative Services to develop certain healing arts self-referral
programs for mammography and bone densitometry; amending ss. 455.214
and 458.317, F.S.; allowing limited licensees to work for certain agencies or
institutions; providing for fees if a person receives monetary compensation
for the practice of medicine; providing that an applicant need not provide
a copy of medical degree; correcting cross references; amending s. 465.014,
F.S.; revising tasks and duties delegated to a pharmacy technician;
correcting a cross reference; amending s. 455.25, F.S., relating to disclosure
of financial interest; requiring physicians or other health care providers to
disclose their financial interest in certain entities, including pharmacies as
provided in ch. 465, F.S.; amending s. 490.014, F.S.; revising an exemption
from licensure under chapter 490, F.S., relating to school psychologists;
providing severability; providing for effect of the act on amendments to
certain statute sections; providing effective dates.
-was read the first time by title and referred to the Committee(s) on
Health Care and Appropriations.

By Representative Graber-
HB 33-D-A bill to be entitled An act relating to confidentiality of
certain health care information; amending s. 407.61, F.S.; providing an
exemption from public records requirements for certain information
collected for a required report to the Governor and Legislature by the
Agency for Health Care Administration; providing a penalty; providing for
repeal; providing a finding of public necessity; providing an effective date.
-was read the first time by title and referred to the Committee(s) on
Health Care.

By Representative Graber-
HB 35-D-A bill to be entitled An act related to trust funds; creating
the Florida Health Security Trust Fund, to be administered by the Agency
for Health Care Administration; providing for source of moneys and
purposes; providing for future review and termination or re-creation of the
fund; providing a contingent effective date.
-was read the first time by title and referred to the Committee(s) on
Health Care and Appropriations.

By Representative Futch-
HR 37-D-A resolution relating to the rules of the House of
Representatives.
--was read the first time by title and referred to the Committee(s) on
Rules & Calendar.

By Representatives Bainter and Posey-
HR 39-D-A resolution urging the Congress of the United States to
cease certain activities.
-was read the first time by title and referred to the Committee(s) on
Rules & Calendar.

By Representatives Kelly, Couch, Boyd, Armesto-Garcia, Mackenzie,
Mortham, Bainter, Davis, Jones, Feeney, Burke, Merchant, Smith, Rudd,
Glickman, Wise, Arnold, Morroni, Stafford, Benson, Constantine, Bitner,
Sindler, Warner, Sembler, Ascherl, Edwards, Buddy Johnson, Thrasher,
Laurent, Healey, McClure, Ogles, Brown, Pruitt, Sublette, Posey, Futch,
Ritchie and Safley-
HB 47-D-A bill to be entitled An act relating to health insurance;
creating s. 255.0516, F.S., and amending s. 287.088, F.S.; requiring certain
state agency contractors, including construction contractors, to ensure
employee access to a group health benefit plan; creating a task force to
study health insurance requirements for state contractors; requiring a
report; providing an effective date.



-was read the first time by title and referred to the Committee(s) on
Insurance and Appropriations.



By Representative Warner-
HB 51-D-A bill to be entitled An act relating to community health
purchasing alliances; amending s. 408.701, F.S.; deleting state employees
and their dependents from the definition of community health purchasing
alliance members; amending s. 408.702, F.S.; deleting references to state
employees and their dependents as members of the community health
purchasing alliances; amending s. 408.7042, F.S.; eliminating the authority
for the purchase of health care for state employees and their dependents
through the community health purchasing alliances; providing an effective
date.
-was read the first time by title and referred to the Committee(s) on
Health Care.

By Representatives Smith and Trammell-
HB 61-D-A bill to be entitled An act relating to the Inmate Welfare
Trust Fund; amending s. 945.215, F.S.; eliminating a provision relating to
deposit of certain moneys in the Department of Corrections Grants and
Donations Trust Fund; specifying an additional purpose for which moneys
in the Inmate Welfare Trust Fund may be used; providing for proceeds of
contraband possessed by inmates to be deposited in the Crimes
Compensation Trust Fund in lieu of the Inmate Welfare Trust Fund;
prescribing duties of the Treasurer with respect to investment of moneys
in the Inmate Welfare Trust Fund; providing an effective date.
-was read the first time by title and referred to the Committee(s) on
Corrections and Appropriations.

By Representative R. Saunders-
HB 99-D-A bill to be entitled An act relating to correctional facilities
construction and operation; authorizing the Governor to transfer certain
funds to provide for the operation of correctional facilities currently under
construction that may be completed ahead of schedule; authorizing the
Department of Corrections to expend certain funds to replace certain bed
capacity; authorizing the Department of Corrections to expend certain
funds to renovate the Cape Orlando Community Correctional Center for
a specified use; providing an effective date.
-was read the first time by title and referred to the Committee(s) on
Appropriations.
Rep. Wallace moved that HB 83-D be admitted for introduction, the
Speaker having ruled the measure was outside the purview of the Call.
The motion was not agreed to by the required constitutional two-thirds
vote and HB 83-D was not admitted for introduction. The vote was:
Yeas-63



The Chair
Arnold
Ascherl
Bloom
Boyd
Bradley
Bronson
Brown
Bullard
Bush
Charles
Chestnut
Cosgrove
Crady
Davis
Dawson
Nays-45
Albright
Armesto-Garcia
Arnall
Bainter
Barreiro
Benson
Bitner
Casey



Edwards
Eggelletion
Feren
Geller
Goode
Gordon
Graber
Greene
Hafner
Harris
Healey
Hill
Jacobs
Kelly
Klein
Lawson


Constantine
Crist
De Grandy
Feeney
Fuller
Futch
Gay
Hanson



Lippman
Logan
Long
Mackenzie
Mackey
Martinez
McAndrews
McClure
McMahan
Miller
Minton
Mishkin
Mitchell
Peeples
Reddick
Ritchie



Hawkes
Hawkins
Ireland
Johnson, Buddy
Jones
Kerrigan
King
Laurent



Rudd
Rush
Saunders, D.
Saunders, R.
Schultz
Shepard
Simon
Sindler
Smith
Stafford
Tedder
Tobin
Trammell
Upchurch
Wallace



Littlefield
Manrique
Merchant
Morroni
Morse
Mortham
Ogles
Posey



9










JOURNAL OF THE HOUSE OF REPRESENTATIVES



Pruitt
Safley
Sembler
Stabins



Starks
Sublette
Thomas
Thrasher



Valdes
Villalobos
Warner
Webster



Wise



Votes after roll call:
Nays-Sanderson

Communications

Vetoed Bills
The following veto messages were received:
The Honorable Bolley L. Johnson June 6, 1994
Speaker, Florida House of Representatives
Dear Mr. Speaker:
In compliance with the provisions of Article III, Section 8(b) of the State
Constitution, I am transmitting to you for consideration of the House the
following 1994 vetoed bills, Regular Session. The Governor's objections are
attached thereto.
CS/HB 447 An act for the relief of Raul Eguaras
HB 1663 An act relating to the Northern Palm Beach
County Water Control District



CS/HB 2063



An act relating to financial matters of local
governments



HB 2179 An act relating to Broward County and to Port
Everglades District and to Port Everglades
Authority in Broward County



CS/HB 2195



An act for the relief of Dolores DeLucia



HB 2205 An act relating to the Melbourne-Tillman
Drainage District
HB 2235 An act relating to the South Indian River Water
Control District
HB 2291 An act relating to St. Lucie County
HB 2643 An act relating to public records and proceedings
Sincerely,
Jim Smith
Secretary of State
The Honorable Jim Smith May 12, 1994
Secretary of State
Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, Committee Substitute for House Bill 447, enacted during the
96th Session of the Legislature since Statehood in 1845, during the Regular
Session of 1994, and entitled:
An act for the relief of Raul Eguaras; providing an appropriation to
compensate him for severe and permanent orthopedic and
neurological injuries sustained due to the negligence of the
Department of Natural Resources; providing an effective date.
Committee Substitute for House Bill 447 would appropriate over
$1,000,000 from the Department of Environmental Protection to
compensate for economic and non-economic damages found by an
arbitration panel. The Special Master for the House of Representatives
concluded that some of the damages suffered by the claimant "appear
inflated and are not supported by the record." The Master, however, felt
restrained from reducing the award of the arbitration panel as the award
was made lump sum and there was no method for determining amounts to
be reduced.
Questions remain outstanding as to whether this case is subject to
admiralty jurisdiction an issue which would have a significant impact on
the state's liability.
Before the expenditure of our very limited state funds is approved, we
must resolve these outstanding issues.



For the reasons set forth above, I am withholding my approval of
Committee Substitute for House Bill 447 and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor



The Honorable Jim Smith
Secretary of State
Dear Secretary Smith:



May 11, 1994



By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 1663, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to the Northern Palm Beach County Water Control
District, Palm Beach County; providing for additional powers of the
district to provide, finance, construct, operate, and maintain
community or public activity, cultural, and educational centers and
facilities, including equipment and apparatus required or related
thereto; providing for financing, construction, operation, and
maintenance of public and/or community or public preserves,
playgrounds, amphitheaters, recreation, and sports areas and
facilities, including equipment and apparatus required or related
thereto; providing for the exclusive use by and benefit to a unit of
development and its owners, residents, and invitees of district
improvements; providing for appointment of an officer or employee to
recommend for adoption district policies and procedures for the
management and operation of the district, including delegation of
enforcement and implementation of the policies and procedures;
providing for adoption, by resolution, of rules and procedures for the
letting of contracts, the costs of which do not exceed the Category 3
amount of s. 287.017, F.S.; deleting the requirement of landowner
consent prior to inclusion of herein-identified lands within a unit of
development for installation of drainage improvements; providing an
effective date.
House Bill 1663 provides for expanded authority of the Northern Palm
Beach County Water Control District to provide, construct, and operate
recreational and community facilities as part of a water management plan
for a unit of development and to provide for the control of access to and
exclusive use of such facilities to the unit of development and its
landowners, residents, or their invitees. The primary function of a water
control district created pursuant to chapter 298, Florida Statutes, is to
effect drainage and reclamation on marginal lands for agricultural
purposes or development. This bill, however, authorizes a water control
district to construct facilities which do not appear to be related to drainage
and reclamation concerns.
Chapter 190, Florida Statutes provides an exclusive and uniform method
for the establishment of community development districts. Water control
districts should not be used to circumvent that established procedure.
Additionally, this bill authorizes the district to construct public-type
facilities that will not be accessible to the general public. It is my view that
public facilities should be accessible to the public.
For the reasons set forth above, I am withholding my approval of House
Bill 1663 and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor
The Honorable Jim Smith May 27, 1994
Secretary of State
Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, Committee Substitute for House Bill 2063, enacted during the
96th Session of the Legislature since Statehood in 1845, during the Regular
Session of 1994, and entitled:



10



June 7, 1994












An act relating to financial matters of local governments; creating s.
125.0171, F.S.; authorizing counties to contract for audits of persons
who are required to pay any county tax or fee; prescribing guidelines
for such contracts; creating s. 166.271, F.S.; authorizing municipalities
to contract for audits of persons who are required to pay any municipal
tax or fee; prescribing guidelines for such contracts; amending s.
125.66, F.S., allowing charter counties by extraordinary vote to alter
the time for public hearings on land-use ordinances; providing an
effective date.
Committee Substitute for House Bill 2063 authorizes counties and
municipalities to contract with private auditors for purposes of auditing
any county or municipal tax or fee so long as payment to those auditors is
provided on the bases of a flat fee rather than a contingency fee.
In consideration of home rule power vested in local municipalities by
Article VIII of the Florida Constitution, any effort to proscribe such power
must be scrutinized very closely. Currently, there are no statutory
restrictions on the authority of these municipalities to contract for
contingency fee audits of taxes, fees and other assessments imposed by the
respective municipalities.
If this bill is allowed to become law, many of Florida's small and
medium-sized municipalities and counties would likely be restricted in
their ability to conduct such audits because many of these smaller local
governments have neither the expertise nor the resources to routinely pay
accountants to perform these tasks. Contingency fee audits, with the
proper safeguards, can provide local governments with a cost-effective
method of ensuring tax and fee compliance.
For the reasons set forth above, I am withholding my approval of
Committee Substitute for House Bill 2063, and hereby veto the same.


Sincerely,
LAWTON CHILES
Governor
The Honorable Jim Smith May 25, 1994
Secretary of State
Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 2179, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to Broward County and to Port Everglades District and
to Port Everglades Authority in Broward County; providing
definitions; specifying powers, duties, and obligations of Broward
County as to Port Everglades; clarifying powers, duties, and
obligations of the Cities of Hollywood, Fort Lauderdale, and Dania as
to Port Everglades jurisdictional area within their respective
municipal boundaries; providing for construction and implementation
of Broward County's powers, duties, and obligations; incorporating by
reference certain large user wastewater and potable water agreements
between certain cities and the port authority; providing for
compensation; providing for remedies; preserving municipal
boundaries and powers to impose ad valorem taxes; providing
severability; providing for future repeal; providing an effective date.
This bill provides the terms of an interlocal agreement between Broward
County, the Port Everglades Authority, and the Cities of Hollywood, Fort
Lauderdale, and Dania outlining the duties and responsibilities of each
entity respecting the dissolution of the Port Everglades Authority.
The parties have signed an agreement to settle the duties and rights of
each signatory respecting the jurisdiction of the former Everglades Port
Authority. Such agreements between the parties are preferable to a
legislatively imposed solution. The parties have requested a veto to allow
this voluntary settlement to be implemented.
For the reasons set forth above, I am withholding my approval of House
Bill 2179 and hereby veto the same.
Sincerely,



LAWTON CHILES
Governor



11



May 26, 1994



The Honorable Jim Smith
Secretary of State



Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, Committee Substitute for House Bill 2195, enacted during the
96th Session of the Legislature since Statehood in 1845, during the Regular
Session of 1994, and entitled:
An act for the relief of Dolores DeLucia; providing an appropriation
to compensate her for damages sustained while traveling on a
Metropolitan Dade County bus, resulting from the negligence of
employees of Metropolitan Dade County, a political subdivision of the
State of Florida; providing an effective date.
Committee Substitute for House Bill 2195 provides relief to an
individual for injuries sustained in 1980 during a physical altercation on
a Metropolitan Dade County bus. Although the Legislature is not bound
by the statute of limitations imposed upon it by section 11.065(1), there is
no reasonable justification for the delay in seeking this claim.
At the Special Master's hearing, the claimant was unable to specify what
her injuries were or how her medical bills were paid. Metropolitan Dade
County has already paid $100,000 of the total claim.
No evidence has been produced to substantiate a claim for $13,500 in
additional medical and dental bills claimed at the hearing before the
Special Master.
For the reasons set forth above, I am withholding my approval of
Committee Substitute for House Bill 2195 and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor
The Honorable Jim Smith May 11, 1994
Secretary of State
Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 2205, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to the Melbourne-Tillman Drainage District, Brevard
County; renaming the district as the Melbourne-Tillman Water
Control District; providing an effective date.
The substance of House Bill 2205 was enacted by a companion Senate
Bill 2946, which became law on May 6, 1994. The title of House Bill 2205
contains a possible defect; therefore, in order to ensure that the house bill
cannot be construed to supplant Senate Bill 2946, I am withholding my
approval of House Bill 2205, and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor



The Honorable Jim Smith
Secretary of State



May 11, 1994



Dear Mr. Secretary:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 2235, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to the South Indian River Water Control District, Palm
Beach County; amending chapter 71-820, Laws of Florida; authorizing
the Board of Supervisors of the South Indian River Water Control
District to receive real and personal property for recreational purposes
for land within the District lying East of Canal 18 of the South Florida



June 7, 1994



JOURNAL OF THE HOUSE OF REPRESENTATIVES










12



JOURNAL OF THE HOUSI



Water Management District only; authorizing the Board of
Supervisors to lease or make available facilities or grounds owned by
the District to public-spirited organizations; providing an effective
date.
House Bill 2235 provides for expanded authority of the South Indian
River Water Control District to accept lands and personal property and to
use or lease such property for recreational purposes. A chapter 298, F.S.,
water control district, such as this, is created for the primary purpose of
effecting drainage and reclamation on marginal lands for agricultural
purposes or development. This bill, however, extends the function of this
district to provide for recreational facilities, which does not appear to be
related to drainage and reclamation concerns.
Chapter 190, Florida Statutes, provides an exclusive and uniform
method for the establishment of community development districts. Water
control districts should not be used to circumvent that established
procedure.
Additionally, this bill authorizes the district to make the facilities
available solely for the use of the landowners. It is my view that public
recreational facilities should be accessible to the public.
For the reasons set forth above, I am withholding my approval of House
Bill 2235 and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor



The Honorable Jim Smith
Secretary of State



May 31, 1994



Dear Secretary Smith:
By the authority vested in me as Governor of Florida, under the
provisions of Article III, Section 8, of the Constitution of the State of
Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 2291, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to St. Lucie County; amending chapter 89-475, Laws
of Florida; providing nonprobationary status for certain employees of
St. Lucie County Sheriff; specifying rights of such employees;
providing procedures for appeal of disciplinary actions and complaints
against employees of the sheriff; providing for appointment of boards
to hear appeals and procedures with respect thereto; providing an
effective date.
House Bill 2291 would remove the existing power of the St. Lucie County
Sheriff's Career Service Appeal Board to review and, if necessary, correct
personnel actions brought under the St. Lucie County Sheriff's Office rules
or policies which result in dismissal, suspension, demotion or reduction in
pay of certain employees of the St. Lucie County Sheriff's Office. I
understand that the current law has worked well and there is little evidence
that a change is necessary or warranted. Moreover, I recently signed into
law House Bill 1165 which authorizes the establishment of appeal boards
on a statewide basis to review and decide certain cases involving personnel
disputes between county sheriffs and their employees. Since the
Legislature decided as a matter of statewide policy that the decision of
these appeal boards would be final, I do not think it is appropriate to
remove this power to render a final, binding decision from the St. Lucie
County Sheriff's Career Service Appeal Board and place it entirely with the
sheriff.
For the reasons set forth above, I am withholding my approval of House
Bill 2291 and hereby veto the same.
Sincerely,
LAWTON CHILES
Governor



The Honorable Jim Smith
Secretary of State
Dear Secretary Smith:



May 24, 1994



E OF REPRESENTATIVES June 7, 1994


Florida, I do hereby withhold my approval of and transmit to you with my
objections, House Bill 2643, enacted during the 96th Session of the
Legislature since Statehood in 1845, during the Regular Session of 1994,
and entitled:
An act relating to public records and proceedings; providing for
exempting certain proceedings and documents connected to such
proceedings from ss. 119.07(1) and 286.011, F.S., and s. 24(a) and (b),
Art. I of the State Constitution; providing for future review; providing
legislative findings of public necessity; providing an effective date.
House Bill 2643 contains exemptions to the public records and open
meetings laws in instances relating to the investigation and examination
of money transmitters. Committee Substitute for Senate Bill 2350, the
companion to House Bill 2643 was also passed by the Legislature. The
Senate bill addressed two additional public records issues. In order to
ensure that Senate Bill 2350 is clearly recognized as the controlling law, I
have found it advisable to veto House Bill 2643.
Sincerely,
LAWTON CHILES
Governor
Pursuant to Rule 7.12, vetoed bills CS/HB 447; HB 1663; CS/HB 2063;
HB 2179; CS/HB 2195; HBs 2205, 2235, 2291 and 2643 (1994 Regular
Session), together with the Governor's objections thereto, were referred to
the Committee on Rules & Calendar.

Motion to Recess
Rep. Wallace moved that the House stand in recess for the purpose of
holding committee meetings and conducting other House business, to
reconvene at 2:00 p.m., Thursday, June 9. The motion was agreed to. The
vote was:
Yeas-63



The Chair
Arnold
Ascherl
Bloom
Boyd
Bradley
Bronson
Brown
Bullard
Bush
Charles
Chestnut
Cosgrove
Crady
Davis
Dawson
Nays-45
Albright
Armesto-Garcia
Arnall
Bainter
Barreiro
Benson
Bitner
Constantine
Crist
De Grandy
Feeney
Fuller



Edwards
Eggelletion
Feren
Geller
Goode
Gordon
Graber
Greene
Hafner
Harris
Healey
Hill
Jacobs
Kelly
Klein
Lawson



Futch
Gay
Hanson
Hawkes
Hawkins
Ireland
Johnson, Buddy
Jones
Kerrigan
King
Laurent
Littlefield



Lippman
Logan
Long
Mackenzie
Mackey
Martinez
McAndrews
McClure
McMahan
Miller
Minton
Mishkin
Mitchell
Peeples
Reddick
Ritchie


Manrique
Merchant
Morroni
Morse
Mortham
Ogles
Posey
Pruitt
Safley
Sanderson
Sembler
Stabins



Rudd
Rush
Saunders, D.
Saunders, R.
Schultz
Shepard
Simon
Sindler
Smith
Stafford
Tedder
Tobin
Trammell
Upchurch
Wallace



Starks
Sublette
Thomas
Thrasher
Valdes
Villalobos
Warner
Webster
Wise



Introduction and Reference



By Representatives Mortham, Casey, Sanderson, Benson, Littlefield,
Thrasher, Merchant, Bainter, Wise, Morse, Constantine, Fuller and
Jones-



By the authority vested in me as Governor of Florida, under the HB 1-D-A bill to be entitled An act relating to Medicaid provider
provisions of Article III, Section 8, of the Constitution of the State of fraud; amending s. 409.910, F.S.; conforming the transfer of responsibility













for administering the state Medicaid fraud-control program from the
Auditor General to the Department of Legal Affairs; repealing 1994
amendments to s. 409.910, F.S., which broaden the scope of liability for
which Medicaid benefits must be repaid, and related issues; providing an
effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Chestnut, Eggelletion, Logan, Miller, Bradley,
Burke and Hill-
HB 5-D-A bill to be entitled An act relating to the Rosewood Family
Scholarship Fund; providing an appropriation; revising provisions relating
to the award of funds and eligibility; establishing an advisory council;
providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Arnold-
HB 7-D-A bill to be entitled An act relating to Lee County; amending
chapter 27676, Laws of Florida, 1951, as amended; expanding the
boundaries of the Fort Myers Beach Fire Control District; providing an
effective date.
Proof of publication of the required notice was attached.



13



for determination of whether information is a trade secret; authorizing
disclosure to certain persons and entities and requiring that such persons
and entities maintain confidentiality; amending s. 403.73, F.S.; revising
provisions which provide an exemption from public records requirements
for trade secrets obtained by the Department of Environmental Protection;
authorizing disclosure to certain persons and entities and requiring that
such persons and entities maintain confidentiality; providing for
retroactive effect; providing for future review and repeal; providing a
finding of public necessity; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Pruitt-
HB 23-D-A bill to be entitled An act relating to tax on sales, use, and
other transactions; amending s. 30, Senate Bill 3174 (1994); providing that
no tax on admissions not actually collected before July 1, 1994, shall be due
from any chamber of commerce; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Mortham-
HJR 27-D-A joint resolution proposing an amendment to Section 16
of Article I of the State Constitution relating to early release of prisoners.



Placed in the Committee on Rules & Calendar, the Speaker having ruled Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call. the measure was outside the purview of the Call.



By Representative Bainter-
HM 9-D-A memorial to the Congress of the United States, urging
Congress to adopt House Resolution 723, relating to deporting state
prisoners who are not United States citizens.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Bainter-
HB 11-D-A bill to be entitled An act relating to criminal penalties;
creating s. 775.0844, F.S.; requiring mandatory minimum life
imprisonment upon the third conviction for any offense for which the
habitual violent felony offender criteria as described in s. 775.084(1)(b),
F.S., are met; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Edwards-
HB 13-D-A bill to be entitled An act relating to disposition of trust
fund moneys; amending s. 318.21, F.S.; revising the formula for
distribution of the amounts of civil penalties received by county courts;
amending s. 943.25, F.S.; revising deposit provisions related to the
Additional Court Cost Clearing Trust Fund; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Stafford-
HM 15-D-A memorial to the Congress of the United States and to the
President of the United States, urging them, within their respective
powers, to take certain actions with respect to the provision to the states
of information concerning illegal aliens and to the provision of financial
assistance to certain states for providing services to illegal aliens residing
in those states.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Boyd-
HB 17-D-A bill to be entitled An act relating to public records;
creating s. 381.83, F.S.; providing an exemption from public records
requirements for trade secrets obtained by the Department of Health and
Rehabilitative Services under chapter 381, F.S.; providing requirements



By Representative Tobin-
HB 31-D-A bill to be entitled An act relating to the regulation of
professions; amending s. 309, ch. 94-119, Laws of Florida, which creates s.
481.24, F.S., relating to interior design licensure; providing for earlier effect
of the statutory section; providing for automatic licensure of previous
licensees; providing education and experience requirements for certain
persons to be eligible for licensure; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Futch-
HCR 41-D-A concurrent resolution to commemorate the 25th
anniversary of the first manned lunar landing.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Graber-
HB 43-D-A bill to be entitled An act relating to medical malpractice;
directing the University of Florida College of Law to study a specific
proposal relating to mandatory nonbinding arbitration in certain medical
malpractice cases; providing an appropriation; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Sindler-
HB 45-D-A bill to be entitled An act relating to ad valorem taxation;
amending s. 193.441, F.S.; providing legislative findings and declaration;
amending s. 193.461, F.S.; providing for classification and assessment of
high-water recharge lands; providing procedures and requirements;
providing for appeals to the value adjustment board; specifying the factors
applicable to such classification; providing that counties that choose to
have a high-water recharge protection program must adopt an assessment
formula by ordinance; authorizing municipalities within such counties to
adopt such ordinances; amending ss. 193.052, 194.011, 194.032, 194.037,
195.073, and 195.096, F.S., relating to filing of returns, procedures of the
value adjustment boards, and classification of real property, to conform;
providing intent regarding application; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.



June 7, 1994



JOURNAL OF THE HOUSE OF REPRESENTATIVES










14 JOURNAL OF THE HOUSE

By Representative Ogles-
HB 49-D-A bill to be entitled An act relating to the General
Appropriations Act for fiscal year 1993-1994; providing that allocations to
the Manatee County District School Board from specified capital outlay
appropriations shall not revert to the state as scheduled; extending the
reversion date for such allocations; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Smith-
HB 53-D-A bill to be entitled An act relating to veterans' preference
in employment; transferring and renumbering s. 295.15, F.S., relating to
legislative intent; amending s. 295.07, F.S.; providing that a veteran must
have served at least 1 day during a wartime period to qualify for veterans'
preference; providing for rules; amending s. 295.08, F.S.; revising
provisions with respect to positions for which a numerically based selection
process is used; removing a monetary limitation with respect to certain
classes of positions; amending s. 295.085, F.S.; revising provisions with
respect to positions for which a numerically based selection process is not
used; providing for preference for certain veterans with service-connected
disabilities; deleting provisions for rules; amending s. 295.101, F.S.; revising
provisions with respect to the expiration of employment preference;
amending s. 295.11, F.S.; revising provisions with respect to investigative
findings; deleting reference to the Department of Management Services
and providing reference to the Department of Veterans Affairs; amending
s. 295.14, F.S.; revising provisions with respect to penalties; repealing s.
295.151, F.S., relating to the application of ch. 78-372, Laws of Florida, with
respect to point preference to certain persons in applying for employment;
creating s. 295.155, F.S.; providing that military retirement on the basis of
longevity does not disqualify a person from veterans' employment
preference; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Kelly-
HB 55-D-A bill to be entitled An act relating to barbering and
cosmetology; amending s. 476.014, F.S.; revising terminology in the short
title to the "Barbers' Act"; amending s. 476.034, F.S.; revising and providing
definitions; creating s. 476.039, F.S.; providing a registration requirement
for hair braiding; amending s. 476.064, F.S.; revising terminology in
provisions relating to the Barbers' Board; creating s. 476.066, F.S.;
providing rulemaking authority; amending s. 476.074, F.S.; revising
terminology in provisions relating to legal, investigative, and inspection
services; creating s. 476.138, F.S.; providing continuing education
requirements; amending s. 476.154, F.S.; revising terminology in provisions
relating to biennial renewal of licenses; amending s. 476.184, F.S.; providing
booth renter responsibilities and requirements; providing for regulation of
mobile barbershops; amending s. 476.192, F.S.; providing for applicable
fees; amending s. 476.194, F.S.; prohibiting unlicensed barbering in booths;
revising terminology; reenacting s. 476.204(1)(h), F.S., relating to penalties,
to incorporate the amendment to s. 476.194, F.S., in a reference thereto;
amending ss. 476.214 and 476.234, F.S.; revising terminology in provisions
relating to certain disciplinary grounds and civil proceedings; amending ss.
477.011 and 477.012, F.S.; revising terminology in the short title to the
"Florida Cosmetology Act" and in the purpose statement; amending s.
477.013, F.S.; revising and providing definitions; amending s. 477.0132,
F.S., relating to a registration requirement for hair braiding; providing
editorial changes; amending s. 477.015, F.S.; revising terminology in
provisions relating to the Board of Cosmetology; amending s. 477.016, F.S.;
providing rulemaking authority; amending s. 477.017, F.S.; providing for
legal and investigative services and adding a provision relating to
inspection services; repealing s. 477.018, F.S., relating to investigative
services required by the board or department; amending s. 477.0201, F.S.;
conforming a cross reference; creating s. 477.0227, F.S.; providing
continuing education requirements; amending s. 477.025, F.S.; providing



license display requirements; providing booth renter responsibilities and
requirements; providing for regulation of mobile salons; amending s.
477.026, F.S.; providing for applicable fees; amending s. 477.0265, F.S.;
prohibiting unlicensed or unregistered cosmetology or specialty services in
booths; providing penalties; reenacting s. 477.029(1)(h), F.S., relating to







F.S.; providing for attachment or garnishment of amounts due for child
support for health insurance; amending s. 110.123, F.S.; providing a
definition; specifying rights of vested state employees to continue in the
state group health insurance plan upon termination; creating s. 110.12311,
F.S.; providing legislative intent; establishing a state employee fitness-



E OF REPRESENTATIVES June 7, 1994

penalties, to incorporate the amendment to s. 477.0265, F.S., in a reference
thereto; amending s. 477.028, F.S.; providing grounds for disciplinary
proceedings against the renter of a booth; requiring the preparation of
proposed legislation on the merger of the Barbers' Board and the Board
of Cosmetology and of the barbering and cosmetology practice acts;
requiring submission of copies of the proposed legislation to certain
individuals by a specified date; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Warner-
HB 57-D-A bill to be entitled An act relating to medical schools;
requiring a Board of Regents' study relating to establishment of a college
of medicine at Florida Agricultural and Mechanical University; providing
components; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Geller-
HB 59-D-A bill to be entitled An act relating to insurance; amending
s. 627.351, F.S.; revising eligibility for coverage under the Property and
Casualty Joint Underwriting Association; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Armesto-Garcia-
HB 63-D-A bill to be entitled An act relating to prescription drugs;
providing a penalty for receiving, possessing, or delivering adulterated,
misbranded, or sample or complimentary prescription drugs for export;
providing for Department of Health and Rehabilitative Services inspection
of certain wholesalers and exporters; providing for interagency
cooperation; providing for investigation of certain suspected Medicaid
fraud; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Graber-
HB 65-D-A bill to be entitled An act relating to health care; creating
s. 409.810, F.S.; providing a short title; creating s. 409.811, F.S.; providing
legislative findings and intent; creating s. 409.812, F.S.; providing
definitions; creating s. 409.813, F.S.; establishing the Florida Health
Security program; creating s. 409.814, F.S.; providing eligibility and
application requirements; providing for disenrollment under specified
circumstances; providing penalties; creating s. 409.815, F.S.; providing for
coverage, limitations, plan selection, and participation criteria; providing
for coverage through accountable health partnerships and community
health partnerships; creating s. 409.816, F.S.; establishing contribution
requirements; establishing a ceiling on certain federal and state
expenditures; specifying condition for reduction or discontinuance of
subsidy for Florida Health Security; creating s. 409.817, F.S.; establishing
responsibilities of the Agency for Health Care Administration; creating s.
409.818, F.S.; establishing responsibilities of community health purchasing
alliances; creating s. 409.819, F.S.; providing for transfer of Medicaid
savings into the Florida Health Security Trust Fund, or other trust funds
under certain circumstances; creating s. 409.820, F.S.; establishing an
average monthly enrollment cap and reserves; providing data collection
and reporting requirements; creating s. 409.821, F.S.; providing for
community health partnerships; providing duties and requirements for
enrollment of members in Florida Health Security; providing for the
establishment of pilot programs; requiring a report; creating s. 409.822,
F.S.; requiring that claims experience for Florida Health Security members
not be commingled with that of other community health purchasing
alliance members; amending s. 20.42, F.S.; deleting reference to hospital
budget review from duties of the Health Care Board; amending s. 61.12,










JOURNAL OF THE HOUSE OF REPRESENTATIVES



wellness pilot project; providing duties of state agencies and the
Department of Management Services; requiring a report; amending s.
216.136, F.S.; requiring the Social Services Estimating Conference to
develop estimates, forecasts, and trends for the Florida Health Security
program; amending s. 240.4075, F.S.; expanding the Nursing Student Loan
Forgiveness Program to include allied health care providers; increasing
maximum payment to recipients under specified circumstances; providing
for funding through additional licensure fees; amending s. 240.4076, F.S.;
adding allied health care providers as eligible participants in a nursing
scholarship loan program; increasing maximum payment to recipients
under specified circumstances; creating s. 255.0516, F.S., and amending s.
287.088, F.S.; requiring certain state agency contractors, including
construction contractors, to ensure employee access to a group health
benefit plan; creating a task force to study insurance requirements for state
contractors; requiring a report; amending s. 381.0051, F.S.; authorizing the
Department of Health and Rehabilitative Services to establish an oral
contraceptive distribution program; authorizing pilot projects; providing
conditions for program participation; providing eligibility criteria;
providing maximum fees for oral contraceptives; providing rulemaking
authority; amending s. 381.0302, F.S.; authorizing Florida Health Services
Corps program scholarship payments to midwifery students and loan
repayment assistance and travel and relocation expenses to licensed
midwives; amending s. 381.0406, F.S.; modifying definitions relating to
rural health networks; increasing requirements for network membership;
limiting liability; revising network services; providing that networks may
become accountable health partnerships or managed care providers;
specifying use of Phase II grants; conditioning network certification on
compliance with certain rules; renumbering and amending s. 395.606, F.S.,
relating to rural health network cooperative agreements; providing
rulemaking authority; creating s. 381.0407, F.S.; creating a rural
comprehensive primary care program; providing for administration,
eligibility, services, funding, and rules; creating s. 381.0408, F.S.; creating
urban community-based primary care networks; requiring a report;
creating s. 381.0409, F.S.; establishing an Office of Minority Health;
providing intent; providing general functions; amending s. 400.702, F.S.;
correcting a cross reference; amending s. 408.02, F.S.; providing for practice
parameters for outpatient services provided by specified practitioners;
amending s. 408.033, F.S.; providing legislative intent; revising
membership of the local health councils; correcting references; amending
s. 408.301, F.S.; providing legislative findings with respect to services for
chronically ill children and persons with mental illness; amending s.
408.302, F.S.; deleting a requirement that the Department of Health and
Rehabilitative Services approve certain rules of the Agency for Health Care
Administration; amending s. 408.40, F.S.; deleting reference to budget
review proceedings of the Public Counsel; amending ss. 408.70, 408.701,
408.702, 408.703, 408.704, 408.7042, 408.7045, 408.705, 408.7056, 408.706,
and 408.7071, F.S.; correcting references; correcting technical errors;
providing for consistency in the use of defined terms; defining the terms
"physician and surgeon" and "noninvasive physician," and differentiating
between such physicians and other health care providers; deleting
provision relating to employer contributions required by community
health purchasing alliances under certain conditions; revising provisions
relating to the establishment of community health purchasing alliances;
requiring certain employers to provide a point of service option; providing
for premiums; providing for certain data collection and distribution;
modifying membership and duties of the advisory data committee;
increasing the number of health benefit plans that must be made available
to state employees under specified circumstances; deleting references to
MedAccess and Medicaid buy-in from provisions relating to alliances'
purchase of health care for Medicaid recipients; deleting a requirement for
a certificate of authority for Medicaid managed care providers; providing
additional requirements for alliance marketing materials; providing
requirements for disclosure of treatment policies and restrictions or
limitations on coverages; providing additional conflict of interest
prohibitions for alliance board members; providing additional duties for
the Commission on Ethics; requiring board members to file financial
disclosure; authorizing the Statewide Provider and Subscriber Assistance
Program to address certain provider grievances; clarifying program
procedures; providing for licensure and certification of entities creating
accountable health partnerships; modifying qualifications for designation



as an accountable health partnership; authorizing the Agency for Health
Care Administration to require certain documentation of a health



partnership for certain purposes; providing for subscriber copayments and
provider agreements; increasing the proportion of positions in a newly
created accountable health partnership that must be offered to alliance
district physicians; authorizing accountable health partnerships to
contract with specialty hospitals; providing requirements for accountable
health partnerships' participation in the Florida Health Security program;
authorizing the United States Department of Veterans Affairs to create an
accountable health partnership to provide health care services to veterans;
providing for reduction in certain premiums to account for certain services
available to veterans; creating s. 408.7051, F.S.; providing that alliances are
subject to public records and meetings requirements; creating s. 408.7061,
F.S.; authorizing certain entities to be designated as limited accountable
health partnerships for the purpose of providing specified limited services;
specifying applicability of s. 408.706, F.S.; providing that an accountable
health partnership may also provide such limited services; amending s.
408.902, F.S.; delaying effective date of the MedAccess program; amending
s. 409.901, F.S.; providing definitions; amending s. 409.016, F.S.; providing
a definition; amending s. 409.2557, F.S.; requiring the Department of
Health and Rehabilitative Services to adopt rules to implement certain
provisions of federal law; requiring the department to enter into a
cooperative agreement with certain agencies for such implementation;
amending s. 409.903, F.S.; providing circumstances for expanding
Medicaid eligibility to children under age 21 and pregnant women;
providing for transfer of funds; amending s. 409.904, F.S.; providing for
termination of the Medicaid medically needy program; providing for
continuation of certain persons in the program for a limited time;
amending s. 409.905, F.S.; expanding Medicaid family planning services to
include counseling on sterilization procedures and certain types of
contraceptives; creating s. 409.9051, F.S.; prohibiting Medicaid payments
for fertility drugs in certain situations; amending s. 409.908, F.S.; providing
a schedule of maximum reimbursement rate increases for Medicaid
providers; amending s. 409.910, F.S., the Medicaid Third-Party Liability
Act; revising provisions relating to applicability of certain defenses;
providing legislative findings and guidelines with respect to specified
actions for recovery of payment for illness resulting from tobacco product
use; amending ss. 409.9112 and 409.9113, F.S.; conditioning
disproportionate share payments for perinatal intensive care centers and
teaching hospitals on an agreement to maintain certain facilities for
performing sterilization procedures; providing an exemption; amending s.
409.9117, F.S.; renaming the primary care disproportionate share program
as the health access disproportionate share program; revising requirements
for participation and funding; creating s. 409.9118, F.S.; providing for a
rural health care access disproportionate share program; creating s.
409.9119, F.S.; providing for a portion of the disproportionate share
program allotment to be reallocated to the Florida Health Security
program if federal waivers for the Florida Health Security program are
obtained; amending s. 409.912, F.S.; providing procedure for entities that
are currently prohibited from contracting with the Medicaid program to
obtain approval to reenter the program; adding requirements for Medicaid
prepaid plans; providing for reimbursement rates; prohibiting certain
enrollment practices; authorizing the Agency for Health Care
Administration to fine prepaid plans; requiring the agency to establish a
Medicaid Consumer Assistance program; requiring the agency to establish
a health care quality improvement system; requiring certain health
screening rates for children; providing for penalties for failure to achieve
certain rates; requiring Healthy Start screening for certain infants and
pregnant women; amending s. 409.9122, F.S.; requiring Medicaid
contractors to give preference to essential community providers; providing
for the enrollment of Children's Medical Services providers in the
MediPass program; requiring the agency to develop patient care standards
for Medicaid managed care providers; requiring the agency to require
Medicaid managed care plans to demonstrate and document health care
services provided to Medicaid recipients; requiring all Medicaid recipients
to be enrolled in managed care plans or MediPass by a specified date;
providing exceptions; requiring the agency to study the impact of the
enrollment of qualified Medicare beneficiaries in managed care; requiring
the agency to establish a statewide Medicaid managed care consumer
advisory committee; providing for membership; providing duties and
responsibilities; providing for future repeal; amending s. 409.915, F.S.;
providing that services delivered through the Florida Health Security



program will not be subject to county Medicaid funding requirements if
federal waivers are obtained; amending s. 458.347, F.S.; providing for



June 7, 1994



15











16 JOURNAL OF THE HOUSE

development of a Department of Business and Professional Regulation
examination for physician assistant certification; modifying eligibility
requirements; providing department duties; creating ss. 464.032-464.037,
F.S.; establishing a cross-training program for nurses in rural hospitals;
creating ss. 468.315-468.320, F.S.; establishing a cross-training program for
radiologic technologists in rural hospitals; creating ss. 468.37-468.375, F.S.;
establishing a cross-training program for respiratory care functions in rural
hospitals; creating ss. 483.831-483.836, F.S.; establishing a cross-training
program for clinical laboratory personnel in rural hospitals; providing
legislative findings and intent; providing personnel qualifications for cross-
training programs; specifying cross-training functions; providing for
supervision; providing for certification; providing duties of community
colleges; providing for an application fee; providing certification
conditions; providing for interruption of employment; providing for
continuing education; providing for disciplinary action; providing for rules;
requiring reports; creating s. 486.175, F.S.; providing for indirect
supervision of physical therapy assistants in rural hospitals; creating s.
624.3103, F.S.; requiring compliance by certain insurance providers with
certain provisions of federal law; amending s. 627.4233, F.S.; clarifying
certain provisions relating to the definition of "total disability"; amending
s. 627.4235, F.S.; specifying order of benefits for continuation of certain
coverage; creating s. 627.6045, F.S.; specifying policy requirements with
respect to preexisting conditions; creating s. 627.6414, F.S.; providing for
coverage for dependents; providing criteria; creating s. 627.6425, F.S.;
providing renewability of individual health insurance policies; amending
s. 627.647, F.S., relating to standard health claim forms; providing a short
title; providing definitions; revising provisions requiring standard health
claim forms; providing requirements for certain health care claim forms;
providing criteria; prohibiting the department from prohibiting carriers
from accepting certain claim forms; amending s. 627.6471, F.S.; requiring
insurers issuing preferred provider contracts which provide coverage for
psychotherapeutic services to assure equal access to certain providers;
prohibiting certain insurers from requiring a health care provider to have
greater professional liability coverage than is required by state law;
amending s. 627.6472, F.S.; requiring insurers issuing exclusive provider
contracts which provide coverage for psychotherapeutic services to assure
equal access to certain providers; prohibiting certain insurers from
requiring a health care provider to have greater professional liability
coverage than is required by state law; requiring exclusive provider
organizations to make point of service plans available, upon request;
providing for deductibles, copayments, coinsurance payments, and
premiums; creating s. 627.6474, F.S.; providing for preferred provider and
exclusive provider plans; providing for minority recruitment and retention
plans; amending s. 627.652, F.S.; defining "community health purchasing
alliance" for purposes of group health insurance; creating s. 627.6552, F.S.;
providing for community health purchasing alliance groups for Florida
Health Security coverage; amending s. 627.6561, F.S.; authorizing certain
group policies to exclude coverage for preexisting conditions under certain
circumstances; revising a time limitation for coverage of preexisting
conditions; amending s. 627.6645, F.S., relating to cancellation, expiration,
nonrenewal, and change in rates; revising notice requirements; revising
computation of earned premiums for certain cancellations; creating s.
627.6691, F.S.; providing for continuation of coverage under group health
benefit plans; providing definitions; providing for notice; amending s.
627.6699, F.S.; revising the Employee Health Care Access Act; providing
an exemption for plans and carriers issuing Florida Health Security
coverage; revising provisions relating to community health purchasing
alliances to conform; prohibiting small employer carriers from imposing
minimum participation requirements under certain circumstances;
requiring the standard benefit plan to provide certain coverages; creating
the Rare and Chronic Disease Advisory Council to advise the Agency for
Health Care Administration for certain purposes; providing for
membership; providing duties of the council; providing for expiration of
the council; amending s. 627.6745, F.S.; providing refund and credit
calculations to be made by certain insurers; creating s. 627.6751, F.S.;
prohibiting exclusive provider provisions for Medicare supplement
policies; prohibiting an insurer from requiring a health care provider



providing services under a Medicare supplement policy to have greater
professional liability coverage than is required by state law; amending s.
641.19, F.S.; revising and adding definitions relating to health maintenance
organizations; amending s. 641.21, F.S.; limiting exemptions from
requirements to obtain a certificate of authority; creating s. 641.217, F.S.;



____ __ __ ___ __ __ U_



workforce; creating an Academic Task Force on Health Care Delivery
Systems; providing duties of the task force; requiring interim and final
reports on health care delivery systems; creating the Florida Council on
Health Care Workforce; providing duties of the council; requiring reports;
creating a Florida Consortium on Medical Education and Training;



]



E OF REPRESENTATIVES June 7, 1994

requiring applicants for and holders of health maintenance organization
certificates of authority to submit minority recruitment and retention
plans to the Agency for Health Care Administration; requiring approval
before issuance of a certificate of authority; requiring current
certificateholders to implement approved plans by a specified date;
amending ss. 641.23, 641.261, 641.405, 641.406, 641.411, 641.412, 641.443,
641.454, 641.455, 641.52, 641.54, 641.56, 641.57, and 641.58, F.S.; replacing
references to the Department of Health and Rehabilitative Services with
the Agency for Health Care Administration; amending s. 641.28, F.S.;
providing for liability for attorney's fees in civil actions for enforcement of
a health maintenance organization contract; amending s. 641.31, F.S.;
requiring health maintenance organizations to provide certain information
to certain subscribers; requiring health maintenance contracts to contain
certain definitions; requiring health maintenance organizations to be
governed by specified emergency services and care provisions; providing
criteria for subscribers who are residents of a retirement facility to be
referred to the facility's skilled nursing facility or home health agency;
specifying conditions for delivery in this state of certain health
maintenance service documents; requiring a health maintenance
organization to file amendments to certain documents and receive approval
before using such documents as amended; creating s. 641.31095, F.S.;
specifying conditions of liability of succeeding health maintenance
organizations under certain circumstances; providing requirements for
replacement of health maintenance organization contracts; creating s.
641.3112, F.S.; providing for dependent coverage by a health maintenance
organization; providing criteria; creating s. 641.3114, F.S.; specifying policy
requirements with respect to preexisting conditions; amending s. 641.315,
F.S.; prohibiting health maintenance organizations from requiring a health
care provider to have greater professional liability coverage than is
required by state law; creating s. 641.351, F.S.; requiring health
maintenance organizations to make point of service plans available, upon
request; providing for deductibles, copayments, coinsurance payments,
and premiums; authorizing health maintenance organizations to offer a
preferred provider network plan; amending s. 641.402, F.S.; providing a
definition relating to prepaid health plans; amending s. 641.47, F.S.;
revising and adding definitions relating to health care services programs;
amending s. 641.48, F.S.; providing additional criterion and limiting
exemptions for certain prepaid plans; providing for future expiration of an
exemption under certain circumstances; amending s. 641.49, F.S.; revising
requirements for obtaining a health care provider certificate; amending s.
641.495, F.S.; requiring health maintenance organizations to require
providers to ensure examination and verification of licenses of health care
professionals; requiring such organizations to have an emergency
management plan for certain purposes; establishing the advisory
committee on the recruitment and retention of minority physicians;
providing for membership and duties; requiring an annual report;
amending s. 641.511, F.S.; clarifying subscriber grievance procedures;
amending s. 641.512, F.S.; requiring the Agency for Health Care
Administration to annually conduct a validation survey of health
maintenance organizations for certain purposes; creating s. 641.513, F.S.;
specifying requirements for provision of emergency services and care by a
health maintenance organization; amending s. 641.515, F.S.; requiring the
agency to review subscriber or provider complaints; amending s. 641.55,
F.S.; revising internal risk management program requirements; providing
penalties; creating the Emergency Medical Services fr Children Act;
providing legislative findings; directing the Agency fo Health Care
Administration to require minimum equipment, supplies, and training of
hospital emergency departments; directing the Department of Health and
Rehabilitative Services to require equipment, supplies, and training for
emergency response and transport vehicles; directing the Agency for
Health Care Administration to require all emergency departments to have
an appropriate pediatric referral system; requiring the emergency medical
services for children panel within the Department of Health and
Rehabilitative Services to coordinate efforts to develop recommendations
for achieving a statewide comprehensive system of emergency medical
services for children and to submit recommendations to the Legislature;
providing legislative findings and intent relating to the health care









JOURNAL OF THE HOUSE OF REPRESENTATIVES



providing powers and duties of the consortium; directing the Agency for
Health Care Administration to seek certain federal waivers; establishing an
advisory council to the consortium; directing the Boards of Medicine,
Osteopathic Medicine, Chiropractic, and Podiatric Medicine, the
Department of Business and Professional Regulation, and the Agency for
Health Care Administration to streamline certain medical licensure;
requiring a report; authorizing state universities to create university health
services support organizations; providing duties of such organizations;
directing the Board of Regents to prescribe such organizations' operations;
providing for Board of Regents representation on organization governing
boards; providing for annual audits of financial records; requiring the
Agency for Health Care Administration to study health care provider
participation in health maintenance organizations; requiring a report;
directing the agency to study the impact of transferring Medicaid
medically needy program recipients to Florida Health Security; requiring
a report; directing the agency to study Medicaid reimbursement to prepaid
health plans and health maintenance organizations; requiring a report;
directing the agency to develop recommendations on revisions to the basic
benefit package; requiring a report; authorizing the agency to make Florida
Health Security program modifications to obtain federal waivers;
providing legislative intent for an interim plan with respect to expanding
access to health care through Medicaid and the health access
disproportionate share program if approval of federal waivers for the
Florida Health Security program are delayed or not obtained; repealing ss.
395.403(9), 408.07(7), (9), (12), and (37), 408.072, 408.08(2)-(13), and
408.085, F.S., relating to review of hospital budgets; repealing s. 455.2555,
F.S., relating to imposition of a fee schedule on providers of designated
health services; providing legislative intent with respect to certain causes
of action relating to said section; repealing ss. 627.622 and 627.623, F.S.,
relating to insurance with other insurers; providing appropriations;
creating s. 455.2142, F.S.; revising continuing education requirements for
health care practitioners serving in the Legislature; amending s. 455.2224,
F.S.; requiring certain procedures of the Department of Business and
Professional Regulation and the appropriate professional medical boards
to incorporate the recommendations of the State Health Officer with
respect to health care practitioners infected with hepatitis B or the human
immunodeficiency virus; amending s. 455.2226, F.S.; requiring persons
licensed or certified under ch. 490, F.S., relating to psychological services,
or ch. 491, F.S., relating to clinical, counseling, and psychotherapy services,
to complete a continuing education course on human immunodeficiency
virus and acquired immune deficiency syndrome as part of biennial
relicensure or recertification; amending s. 455.261, F.S.; providing that
certain information obtained by impaired practitioner consultants and the
department is immune from discovery in civil actions; amending s. 458.307,
F.S., relating to the Board of Medicine; deleting a provision relating to
probable cause panels; amending s. 455.206, F.S.; correcting a cross
reference; amending s. 458.311, F.S.; revising requirements for licensure of
physicians by examination; revising an educational and postgraduate
training requirement; allowing certain applicants to complete a fellowship
to partially satisfy the licensing requirements; requiring applicants to
provide sufficient information and fingerprints; revising a restriction on
the number of times an applicant may fail the examination to include
remediation after a certain number; eliminating a provision relating to
restricted licensure of certain foreign-trained physicians, which provision
was repealed on October 1, 1993; authorizing such foreign-trained
physicians to pursue licensure notwithstanding the repeal of such
provision; reenacting ss. 458.310(2)(a) and 458.345(1)(c), F.S., relating to
restricted licenses and registration of resident physicians, interns, and
fellows, to incorporate the amendment to s. 458.311, F.S., in references
thereto; amending s. 458.313, F.S.; revising requirements for licensure of
physicians by endorsement; eliminating a provision authorizing oral
examinations; providing for additional remedial education or training upon
failure to pass the licensing examination after a certain number of
attempts; correcting a cross reference; amending s. 458.3145, F.S., relating
to medical faculty certificates; revising renewal requirements; removing
provisions relating to extent of practice; revising a provision relating to the
maximum number of certificateholders authorized at specified institutions
and facilities; amending ss. 458.316 and 458.3165, F.S.; correcting cross
references and terminology; amending s. 458.319, F.S.; clarifying
requirements for renewal of license to practice medicine; creating ss.



458.3312 and 459.0152, F.S.; prohibiting physicians and osteopathic
physicians from falsely representing that they are board-certified



specialists; providing for the adoption of rules; amending ss. 458.331 and
459.015, F.S.; revising and providing grounds for disciplinary action;
reenacting ss. 458.313(7) and 458.345(1)(b), F.S., relating to licensure by
endorsement and registration of resident physicians, interns, and fellows,
to incorporate the amendment to s. 458.331, F.S., in references thereto;
amending s. 458.347, F.S.; providing for certification under ch. 458, F.S.,
of physician assistants certified under ch. 459, F.S.; defining the term
"continuing medical education"; allowing physician assistants to show by
affidavit evidence of compliance with statutory academic requirements;
revising certain other requirements for certification; deleting provisions
relating to reactivation of an inactive certificate as a physician assistant
and to automatic expiration of the certificate; amending s. 459.022, F.S.;
providing for certification under ch. 459, F.S., of physician assistants
certified under ch. 458, F.S.; defining the term "continuing medical
education"; allowing physician assistants to show by affidavit evidence of
compliance with statutory academic requirements; amending s. 766.1115,
F.S., to conform; expanding the definition of "health care provider" under
the Access to Health Care Act; reenacting s. 768.28(9)(b), F.S., relating to
sovereign immunity, to incorporate the amendment to s. 766.1115, F.S., in
a reference thereto; amending s. 459.007, F.S.; revising requirements for
licensure as an osteopathic physician by endorsement; amending s. 459.011,
F.S.; providing that it is state policy that physicians licensed under ch. 458,
F.S., and osteopathic physicians licensed under ch. 459, F.S., be accorded
equal professional status and privileges and providing requirements with
respect thereto; amending s. 460.406, F.S.; revising requirements for
licensure as a chiropractor by examination; amending s. 460.408, F.S.;
revising provisions relating to approval of continuing education courses for
chiropractors; providing for reinstatement of certain chiropractor licenses;
creating s. 461.0055, F.S.; providing for investigation of the qualifications
of applicants for licensure as a podiatrist; creating s. 461.011, F.S.;
prohibiting sexual misconduct in the practice of podiatric medicine, for
which there are disciplinary actions; amending s. 461.013, F.S.; revising and
providing grounds for disciplinary action; revising penalties, including
increasing the administrative fine; reenacting ss. 320.0848(7),
455.236(4)(g), 461.006(2)(c), and 766.111(2), F.S., relating to disabled
person parking permits, financial arrangements between referring health
care providers and providers of health care services, applicants for
licensure to practice podiatric medicine, and unnecessary diagnostic
testing, to incorporate the amendments to ss. 461.013 and 466.028, F.S., in
references thereto; creating s. 461.018, F.S.; providing for limited scope of
practice of podiatric medicine within a specified area of need; creating s.
461.019, F.S.; providing for a podiatric medical faculty certificate;
amending s. 464.004, F.S.; increasing the membership of the Board of
Nursing; amending s. 464.005, F.S.; requiring the board's executive director
to be a registered nurse; amending s. 464.008, F.S.; providing that
applicants for licensure as a registered or licensed practical nurse are
responsible for the fee required by the Department of Law Enforcement
for background checks; amending s. 464.015, F.S.; revising the period
during which the terms "Graduate Nurse" and "Graduate Practical Nurse"
and their corresponding abbreviations may be used; amending s. 464.022,
F.S.; revising and providing exemptions from regulation under ch. 464,
F.S., relating to nursing; reenacting s. 468.505(1)(1), F.S., relating to
exemptions from regulation of dietetics and nutrition practice, to
incorporate the amendment to s. 464.022, F.S., in a reference thereto;
amending s. 465.003, F.S.; revising the definition of "practice of the
profession of pharmacy"; providing the definition of "kidney dialysis home
health care system"; amending ss. 465.015 and 499.003, F.S.; correcting
cross references; creating s. 465.0075, F.S.; providing for licensure of certain
foreign-trained pharmacists; providing for future repeal of the section;
creating s. 465.0105, F.S.; providing for a pharmacy specialist certificate;
amending s. 465.0125, F.S.; providing responsibilities of consultant
pharmacists and Doctors of Pharmacy; amending s. 465.0156, F.S.; revising
information required for registration of nonresident pharmacies; amending
s. 465.0196, F.S.; providing requirements for issuance of special pharmacy
permits to operators of kidney dialysis home health care systems; providing
for the operation of certain nonprofit pharmacies; correcting a cross
reference; amending s. 465.186, F.S.; increasing the membership of the
committee responsible for establishing the formulary of medicinal drug
products and dispensing procedures; amending s. 831.30, F.S., relating to
the offense of fraudulently obtaining medicinal drugs; revising a cross



reference; amending s. 466.004, F.S.; revising purpose of the Council on
Dental Hygiene; amending s. 466.006, F.S.; adding a qualification for



June 7, 1994



17









18 JOURNAL OF THE HOUSE

taking the examination for licensure as a dentist; reenacting s. 466.011,
F.S., relating to licensure, to incorporate the amendment to s. 466.006, F.S.,
in a reference thereto; amending s. 466.028, F.S.; increasing the
administrative fine; amending s. 467.009, F.S.; revising and providing
education and training requirements for midwifery programs; reenacting
s. 467.205(1), (3), and (4), F.S., relating to approval of midwifery programs,
to incorporate the amendment to s. 467.009, F.S., in references thereto;
amending s. 468.1115, F.S.; providing an exemption from regulation as a
speech-language pathologist or audiologist; amending s. 468.1145, F.S.;
increasing certain licensure, certification, and inactive status fees;
amending s. 468.1155, F.S.; revising provisional licensure requirements;
providing that applicants for dual licensure in speech-language pathology
and audiology are not required to hold a second master's degree; amending
s. 468.1295, F.S.; prohibiting failing to notify the Board of Speech-
Language Pathology and Audiology of a change in mailing address within
a specified time, for which there are disciplinary actions; amending s.
468.1695, F.S.; reducing the number of times a year the examination for
licensure as a nursing home administrator must be given; amending s.
468.209, F.S.; revising licensure requirements for licensure as an
occupational therapist or occupational therapist assistant; providing for
certain temporary permits; amending s. 468.213, F.S.; revising
requirements for licensure by endorsement; amending s. 468.225, F.S.;
providing exemptions from regulation of occupational therapy; amending
s. 468.301, F.S.; defining "mammographer" for purposes of the Radiologic
Technologist Certification Act; amending s. 468.302, F.S.; adding the
certification category of mammographer; specifying which
certificateholders may perform mammography and brachytherapy;
revising the supervision required for hospital residents and students;
amending s. 468.304, F.S.; modifying qualifications for certification;
specifying qualifications for certification as a mammographer; amending
s. 468.306, F.S.; modifying examination qualifications; amending s.
468.3065, F.S.; specifying a nonrefundable fee; amending s. 468.307, F.S.;
conforming qualifications for temporary certification; modifying
requirements for the issuance and display of certificates; creating s.
468.3071, F.S.; providing for mammographer certification based on prior
experience; providing for future repeal; amending s. 468.309, F.S.; revising
the expiration date of certificates; amending s. 468.3095, F.S.; specifying
nonrefundable fees; amending s. 468.311, F.S.; revising an offense relating
to practice of radiologic technology by a student, for which a penalty is
provided; amending s. 468.314, F.S.; increasing the membership of the
Advisory Council on Radiation Protection by adding a certified radiologic
technologist-mammography and a representative of the Department of
Education; deleting obsolete provisions relating to staggered terms;
providing for appointment of replacement members under specified
circumstances; specifying source of reimbursement for travel expenses;
redefining the scope of the advisory council; deleting obsolete Sundown
provisions; amending s. 478.42, F.S.; revising the definition of "electrolysis
or electrology"; amending s. 478.44, F.S.; increasing membership of the
Electrolysis Council; revising the manner of filling vacancies on and calling
meetings of the council; amending s. 478.45, F.S.; revising requirements for
licensure as an electrologist; providing for the approval and conduct of an
electrology licensure examination; amending ss. 478.46 and 478.47, F.S.,
relating to temporary permits and licensure by endorsement; correcting
cross references; creating s. 478.475, F.S.; providing for licensure without
examination; amending s. 483.035, F.S.; providing responsibility of the
Agency for Health Care Administration for personnel standards for
exclusive use laboratories; amending s. 483.041, F.S.; including licensed
optometrists within the definition of "licensed practitioner" for purposes
of laws regulating clinical laboratories; amending s. 483.051, F.S.; revising
provisions relating to alternate-site testing; providing responsibility of the
agency; providing certain responsibilities of clinical laboratory directors;
deleting requirement for consultation with the Board of Clinical
Laboratory Personnel; directing the agency to solicit certain comments;
specifying a testing protocol; specifying minimum training and education
for those who perform testing; amending ss. 483.23, 483.800, 483.801,
483.803, and 483.813, F.S.; providing that provisions governing the
regulation and licensure of clinical laboratory personnel do not apply to



persons engaged in alternate-site testing or in testing performed at
practitioners' exclusive use laboratories or laboratories that perform only
waived tests; revising the definition of "clinical laboratory personnel";
revising requirements for temporary licensure of clinical laboratory
personnel; reenacting s. 483.106, F.S., relating to application for a



I]



correcting a cross reference; amending s. 455.25, F.S., relating to disclosure
of financial interest; requiring physicians or other health care providers to
disclose their financial interest in certain entities, including pharmacies as
provided in ch. 465, F.S.; amending s. 490.014, F.S.; revising an exemption
from licensure under chapter 490, F.S., relating to school psychologists;



E OF REPRESENTATIVES June 7, 1994

certificate of exemption, to incorporate the amendments to ss. 483.041 and
483.23, F.S., in references thereto; amending s. 483.26, F.S.; requiring
establishment of a technical advisory panel; providing composition;
amending s. 483.811, F.S.; deleting reference to board responsibility for
regulation of personnel in laboratories operated under s. 483.035, F.S.;
amending s. 483.825, F.S.; revising and providing grounds for disciplinary
action; amending s. 483.827, F.S.; revising administrative penalties;
creating s. 483.828, F.S.; providing criminal penalties for specified
violations; amending s. 484.007, F.S.; revising requirements for licensure as
an optician; amending ss. 486.031, 486.041, and 486.103, F.S.; eliminating
temporary permits for physical therapists and physical therapist assistants
and providing for graduate status for each under certain circumstances;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist; amending ss.
486.021, 486.081, 486.102, and 486.107, F.S.; revising a definition and
eliminating provisions relating to temporary permits, to conform;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist assistant; creating
s. 486.123, F.S.; prohibiting sexual misconduct in the practice of physical
therapy, for which there are disciplinary actions; amending s. 490.005, F.S.,
relating to licensure of psychologists and school psychologists; increasing
application fees; revising accreditation and other educational
requirements; amending s. 490.006, F.S.; revising psychology licensure by
endorsement requirements; reenacting s. 490.003(3) and (5), F.S., relating
to definitions, to incorporate the amendments to ss. 409.005 and 490.006,
F.S., in references thereto; amending s. 456.32, F.S.; including other
licensed professionals within the definition of "practitioner of the healing
arts" for purposes of provisions regulating hypnosis; amending s. 491.005,
F.S.; revising fees and costs applicable to applicants for licensure as
marriage and family therapists; revising accreditation provisions relating
to licensure as a marriage and family therapist or as a mental health
counselor; creating s. 491.0055, F.S.; providing for licensure of certain
persons as mental health counselors under special conditions involving a
district court order; providing for future repeal of the section; amending
s. 468.1245, F.S.; revising language relating to certain complaints
concerning hearing aids; amending s. 400.211, F.S.; revising certification
requirements for nursing assistants; authorizing the Department of
Business and Professional Regulation to perform, provide, contract for, or
grant approval for others to perform or provide nursing assistant
certification services and commodities; providing an appropriation to
implement the regulation of athletic trainers; creating s. 455.2222, F.S.;
requiring persons licensed or certified to provide certain medical, dental,
social, or counseling services to take a course on domestic violence as part
of their continuing education requirements; requiring applicants for initial
licensure to take such a course; providing duties of the affected professional
boards relating to such requirements and granting rulemaking authority
therefore; requiring each affected professional board to submit an annual
report to the Legislature; amending s. 455.227, F.S.; making failure to
comply with such educational course requirements a ground for
disciplinary action; providing penalties; reenacting ss. 468.1755(1)(a),
470.036(1)(a), 471.033(1)(a), 472.033(1)(a), 473.323(1)(a), 475.25(1)(a),
475.624(1), 476.204(1)(h), 477.029(1)(h), 481.225(1)(a), 481.325(1)(a), and
484.056(1)(a), F.S., relating to various disciplinary proceedings and
penalties, to incorporate the amendment to s. 455.227, F.S., in references
thereto; requiring the Department of Business and Professional Regulation
to provide recommendations to the Legislature for a uniform licensing
system for foreign-trained and foreign-licensed professionals; providing for
issuance of restricted medical licenses without examination to a specified
group; providing guidelines for issuance of such restricted licenses;
amending s. 404.051, F.S.; directing the Department of Health and
Rehabilitative Services to develop certain healing arts self-referral
programs for mammography and bone densitometry; amending ss. 455.214
and 458.317, F.S.; allowing limited licensees to work for certain agencies or
institutions; providing for fees if a person receives monetary compensation
for the practice of medicine; providing that an applicant need not provide
a copy of medical degree; correcting cross references; amending s. 465.014,
F.S.; revising tasks and duties delegated to a pharmacy technician;










JOURNAL OF THE HOUSE]



providing severability; providing for effect of the act on amendments to
certain statute sections; providing effective dates.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Miller-
HB 67-D-A bill to be entitled An act relating to school health services
managed health care; creating s. 402.322, F.S.; providing a short title;
providing legislative intent; requiring the Department of Health and
Rehabilitative Services to convene a work group; requiring
recommendations and a report; providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Health Care and Appropriations.

By Representative Crady-
HB 69-D-A bill to be entitled An act relating to certification of
correctional and other law enforcement officers; amending s. 943.1397,
F.S.; changing the waiting period before retaking an officer certification
examination; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Graber-
HB 71-D-A bill to be entitled An act relating to Medicaid third-party
liability; amending s. 409.910, F.S.; revising provisions relating to
applicability of certain defenses; providing legislative findings and
guidelines with respect to specified actions for recovery of payment for
illness resulting from tobacco product use; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Cosgrove-
HB 73-D-A bill to be entitled An act relating to insurance; amending
s. 627.7295, F.S.; prohibiting certain cancellations of motor vehicle
insurance contracts; requiring minimum down payments for certain motor
vehicle insurance policies; amending s. 627.8405, F.S.; removing certain
limitations on premium financing; amending s. 322.34, F.S.; providing for
the impoundment of a vehicle upon the arrest of a person for specified
offenses; amending s. 324.201, F.S.; providing for the release of information
to recovery agents and agencies; specifying duties upon obtaining a seized
license plate; providing for a pilot project; authorizing recovery agents and
agencies to seize license plates in specified counties; requiring a report to
the Legislature; providing for rules of the Department of Highway Safety
and Motor Vehicles; amending s. 624.4095, F.S.; providing for calculation
of net and gross premiums for purposes of premiums written; amending s.
626.321, F.S.; consolidating limited agent licenses for consumer credit
insurance; amending s. 626.729, F.S.; including certain liability insurance
within the definition of "industrial fire insurance"; amending s. 626.732,
F.S.; specifying additional requirements for certain industrial fire and
burglary insurance agents; amending s. 626.7351, F.S.; providing
alternative qualifications for a customer representative's license; amending
s. 626.854, F.S.; limiting authority of public adjusters with respect to
certain claims; amending s. 626.88, F.S.; excluding certain persons from the
definition of "administrator"; creating s. 626.9552, F.S.; prohibiting
insurers from terminating general lines agent contracts under certain
circumstances; requiring notice; providing requirements with respect to
new and renewal business; providing for future repeal; amending s.
627.0613, F.S.; specifying powers, duties, and term of office of the insurance
consumer advocate; providing for removal only for cause; providing for
confirmation; authorizing temporary and permanent employment of
certain professionals; providing that the office of insurance consumer
advocate is a separate budget entity; providing for reports and other
information for the Legislature and the public; providing for payment of
expenses of the office; providing for location of the office; providing a rule
of construction; amending s. 627.7275, F.S.; requiring the grant of a credit
against certain new policy premiums for premiums paid on certain



canceled policies; amending s. 627.728, F.S.; redefining "nonpayment of
premium"; requiring advance notice of certain renewal premiums;



June 7, 1994



HB 81-D-A bill to be entitled An act relating to taxes on tobacco
products; amending s. 210.02, F.S.; increasing the rate of the excise tax on
cigarettes; amending s. 210.20, F.S.; revising the distribution of proceeds
of the cigarette tax; amending s. 210.25, F.S.; including cigars within the



E OF REPRESENTATIVES 19

amending s. 627.732, F.S.; defining "recovery agent"; amending s. 627.733,
F.S.; providing for disposition of fees with respect to license plates seized
by recovery agents; amending s. 627.736, F.S.; authorizing personal injury
protection insurers to require certain notice after an accident; specifying
effect of compliance; specifying physicians eligible to report on certain
mental and physical examinations; requiring the Department of Highway
Safety and Motor Vehicles to release certain information; authorizing
alternative preferred provider arrangements in personal injury protection
policies; providing for review and future repeal; amending s. 628.6011, F.S.;
providing procedures under which an assessable mutual insurer may
change or drop the endorsement of a sponsoring association; amending s.
631.271, F.S.; revising the priority of distribution of claims from an
insurer's estate; specifying applicability; amending s. 631.713, F.S.;
exempting certain policies and contracts from part III of ch. 631, F.S.;
amending s. 631.717, F.S.; providing duties of the Florida Life and Health
Insurance Guaranty Association; providing for alternative or reissued
policies and specifying obligations thereunder; amending s. 631.718, F.S.;
revising procedures for and limits on assessments by the association;
specifying applicability; amending s. 631.719, F.S.; increasing the amount
of association assessments that may be offset against premium tax or
income tax liability; delaying scheduled repeal of the section; amending s.
635.041, F.S.; limiting applicability of mortgage guaranty insurers'
contingency reserve requirements; amending s. 635.042, F.S.; limiting
applicability of limits on a mortgage guaranty insurer's outstanding
liability; requiring a report on disposition of administrative fines levied by
the Department of Insurance; providing effective dates.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Warner-
HB 75-D-A bill to be entitled An act relating to community health
purchasing alliances; amending s. 408.705, F.S.; requiring alliance board
members to file financial disclosure; creating s. 408.7051, F.S.; providing
that alliances are subject to public records and meetings requirements;
providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Health Care.

By Representative Casey-
HB 77-D-A bill to be entitled An act relating to taxes on tobacco
products; amending s. 210.02, F.S.; increasing the rate of the excise tax on
cigarettes; amending s. 210.20, F.S.; revising the distribution of proceeds
of the cigarette tax; amending s. 210.25, F.S.; including cigars within the
definition of "tobacco products" for purposes of taxation thereof; amending
s. 210.30, F.S.; increasing the rate of the tax on tobacco products; amending
s. 210.55, F.S.; revising the portion of the proceeds of the tax on tobacco
products which distributors may keep as a collection allowance; amending
s. 210.70, F.S.; revising the distribution of the proceeds of the tax on
tobacco products; providing for a tax on the inventory of cigarettes and
tobacco products on hand on the effective date of the act; providing for
application of penalties and interest; providing for distribution of the
proceeds of the inventory tax; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Casey-
HB 79-D-A bill to be entitled An act relating to drivers' licenses;
amending s. 322.21, F.S.; increasing delinquent license fees; providing for
the disposition of the additional funds; providing an appropriation;
providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Casey-










20 JOURNAL OF THE HOUSE

definition of "tobacco products" for purposes of taxation thereof; amending
s. 210.30, F.S.; increasing the rate of the tax on tobacco products; amending
s. 210.55, F.S.; revising the portion of the proceeds of the tax on tobacco
products which distributors may keep as a collection allowance; amending
s. 210.70, F.S.; revising the distribution of the proceeds of the tax on
tobacco products; providing for a tax on the inventory of cigarettes and
tobacco products on hand on the effective date of the act; providing for
application of penalties and interest; providing for distribution of the
proceeds of the inventory tax; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Graber, Cosgrove, Tobin and Bloom-
HB 83-D-A bill to be entitled An act relating to health care; creating
s. 409.810, F.S.; providing a short title; creating s. 409.811, F.S.; providing
legislative findings and intent; creating s. 409.812, F.S.; providing
definitions; creating s. 409.813, F.S.; establishing the Florida Health
Security program; creating s. 409.814, F.S.; providing eligibility and
application requirements; providing for disenrollment under specified
circumstances; providing penalties; creating s. 409.815, F.S.; providing for
coverage, limitations, plan selection, and participation criteria; providing
for coverage through accountable health partnerships and community
health partnerships; creating s. 409.816, F.S.; establishing contribution
requirements; establishing a ceiling on certain federal and state
expenditures; specifying condition for reduction or discontinuance of
subsidy for Florida Health Security; creating s. 409.817, F.S.; establishing
responsibilities of the Agency for Health Care Administration; creating s.
409.818, F.S.; establishing responsibilities of community health purchasing
alliances; creating s. 409.819, F.S.; providing for transfer of Medicaid
savings into the Florida Health Security Trust Fund, or other trust funds
under certain circumstances; creating s. 409.820, F.S.; establishing an
average monthly enrollment cap and reserves; providing data collection
and reporting requirements; creating s. 409.821, F.S.; providing for
community health partnerships; providing duties and requirements for
enrollment of members in Florida Health Security; providing for the
establishment of pilot programs; requiring a report; creating s. 409.822,
F.S.; requiring that claims experience for Florida Health Security members
not be commingled with that of other community health purchasing
alliance members; amending s. 20.42, F.S.; deleting reference to hospital
budget review from duties of the Health Care Board; amending s. 61.12,
F.S.; providing for attachment or garnishment of amounts due for child
support for health insurance; amending s. 110.123, F.S.; providing a
definition; specifying rights of vested state employees to continue in the
state group health insurance plan upon termination; creating s. 110.12311,
F.S.; providing legislative intent; establishing a state employee fitness-
wellness pilot project; providing duties of state agencies and the
Department of Management Services; requiring a report; amending s.
216.136, F.S.; requiring the Social Services Estimating Conference to
develop estimates, forecasts, and trends for the Florida Health Security
program; amending s. 240.4075, F.S.; expanding the Nursing Student Loan
Forgiveness Program to include allied health care providers; increasing
maximum payment to recipients under specified circumstances; providing
for funding through additional licensure fees; amending s. 240.4076, F.S.;
adding allied health care providers as eligible participants in a nursing
scholarship loan program; increasing maximum payment to recipients
under specified circumstances; creating s. 255.0516, F.S., and amending s.
287.088, F.S.; requiring certain state agency contractors, including
construction contractors, to ensure employee access to a group health
benefit plan; creating a task force to study insurance requirements for state
contractors; requiring a report; amending s. 381.0051, F.S.; authorizing the
Department of Health and Rehabilitative Services to establish an oral
contraceptive distribution program; authorizing pilot projects; providing
conditions for program participation; providing eligibility criteria;
providing maximum fees for oral contraceptives; providing rulemaking
authority; amending s. 381.0302, F.S.; authorizing Florida Health Services
Corps program scholarship payments to midwifery students and loan



repayment assistance and travel and relocation expenses to licensed
midwives; amending s. 381.0406, F.S.; modifying definitions relating to
rural health networks; increasing requirements for network membership;
limiting liability; revising network services; providing that networks may
become accountable health partnerships or managed care providers;



]



amending s. 409.903, F.S.; providing circumstances for expanding
Medicaid eligibility to children under age 21 and pregnant women;
providing for transfer of funds; amending s. 409.904, F.S.; providing for
termination of the Medicaid medically needy program; providing for
continuation of certain persons in the program for a limited time;



E OF REPRESENTATIVES June 7, 1994

specifying use of Phase II grants; conditioning network certification on
compliance with certain rules; renumbering and amending s. 395.606, F.S.,
relating to rural health network cooperative agreements; providing
rulemaking authority; creating s. 381.0407, F.S.; creating a rural
comprehensive primary care program; providing for administration,
eligibility, services, funding, and rules; creating s. 381.0408, F.S.; creating
urban community-based primary care networks; requiring a report;
creating s. 381.0409, F.S.; establishing an Office of Minority Health;
providing intent; providing general functions; amending s. 400.702, F.S.;
correcting a cross reference; amending s. 408.02, F.S.; providing for practice
parameters for outpatient services provided by specified practitioners;
amending s. 408.033, F.S.; providing legislative intent; revising
membership of the local health councils; correcting references; amending
s. 408.301, F.S.; providing legislative findings with respect to services for
chronically ill children and persons with mental illness; amending s.
408.302, F.S.; deleting a requirement that the Department of Health and
Rehabilitative Services approve certain rules of the Agency for Health Care
Administration; amending s. 408.40, F.S.; deleting reference to budget
review proceedings of the Public Counsel; amending ss. 408.70, 408.701,
408.702, 408.703, 408.704, 408.7042, 408.7045, 408.705, 408.7056, 408.706,
and 408.7071, F.S.; correcting references; correcting technical errors;
providing for consistency in the use of defined terms; defining the terms
"physician and surgeon" and "noninvasive physician," and differentiating
between such physicians and other health care providers; deleting
provision relating to employer contributions required by community
health purchasing alliances under certain conditions; revising provisions
relating to the establishment of community health purchasing alliances;
requiring certain employers to provide a point of service option; providing
for premiums; providing for certain data collection and distribution;
modifying membership and duties of the advisory data committee;
increasing the number of health benefit plans that must be made available
to state employees under specified circumstances; deleting references to
MedAccess and Medicaid buy-in from provisions relating to alliances'
purchase of health care for Medicaid recipients; deleting a requirement for
a certificate of authority for Medicaid managed care providers; providing
additional requirements for alliance marketing materials; providing
requirements for disclosure of treatment policies and restrictions or
limitations on coverages; providing additional conflict of interest
prohibitions for alliance board members; providing additional duties for
the Commission on Ethics; requiring board members to file financial
disclosure; authorizing the Statewide Provider and Subscriber Assistance
Program to address certain provider grievances; clarifying program
procedures; providing for licensure and certification of entities creating
accountable health partnerships; modifying qualifications for designation
as an accountable health partnership; authorizing the Agency for Health
Care Administration to require certain documentation of a health
partnership for certain purposes; providing for subscriber copayments and
provider agreements; increasing the proportion of positions in a newly
created accountable health partnership that must be offered to alliance
district physicians; authorizing accountable health partnerships to
contract with specialty hospitals; providing requirements for accountable
health partnerships' participation in the Florida Health Security program;
authorizing the United States Department of Veterans Affairs to create an
accountable health partnership to provide health care services to veterans;
providing for reduction in certain premiums to account for certain services
available to veterans; creating s. 408.7051, F.S.; providing that alliances are
subject to public records and meetings requirements; creating s. 408.7061,
F.S.; authorizing certain entities to be designated as limited accountable
health partnerships for the purpose of providing specified limited services;
specifying applicability of s. 408.706, F.S.; providing that an accountable
health partnership may also provide such limited services; amending s.
408.902, F.S.; delaying effective date of the MedAccess program; amending
s. 409.901, F.S.; providing definitions; amending s. 409.016, F.S.; providing
a definition; amending s. 409.2557, F.S.; requiring the Department of
Health and Rehabilitative Services to adopt rules to implement certain
provisions of federal law; requiring the department to enter into a
cooperative agreement with certain agencies for such implementation;










JOURNAL OF THE HOUSE]



amending s. 409.905, F.S.; expanding Medicaid family planning services to
include counseling on sterilization procedures and certain types of
contraceptives; creating s. 409.9051, F.S.; prohibiting Medicaid payments
for fertility drugs in certain situations; amending s. 409.908, F.S.; providing
a schedule of maximum reimbursement rate increases for Medicaid
providers; amending s. 409.910, F.S.; conforming the transfer of
responsibility for administering the state Medicaid fraud-control program
from the Auditor General to the Department of Legal Affairs; repealing
1994 amendments to s. 409.910, F.S., which broaden the scope of liability
for which Medicaid benefits must be repaid, and related issues; amending
ss. 409.9112 and 409.9113, F.S.; conditioning disproportionate share
payments for perinatal intensive care centers and teaching hospitals on an
agreement to maintain certain facilities for performing sterilization
procedures; providing an exemption; amending s. 409.9117, F.S.; renaming
the primary care disproportionate share program as the health access
disproportionate share program; revising requirements for participation
and funding; creating s. 409.9118, F.S.; providing for a rural health care
access disproportionate share program; creating s. 409.9119, F.S.; providing
for a portion of the disproportionate share program allotment to be
reallocated to the Florida Health Security program if federal waivers for
the Florida Health Security program are obtained; amending s. 409.912,
F.S.; providing procedure for entities that are currently prohibited from
contracting with the Medicaid program to obtain approval to reenter the
program; adding requirements for Medicaid prepaid plans; providing for
reimbursement rates; prohibiting certain enrollment practices; authorizing
the Agency for Health Care Administration to fine prepaid plans; requiring
the agency to establish a Medicaid Consumer Assistance program;
requiring the agency to establish a health care quality improvement
system; requiring certain health screening rates for children; providing for
penalties for failure to achieve certain rates; requiring Healthy Start
screening for certain infants and pregnant women; amending s. 409.9122,
F.S.; requiring Medicaid contractors to give preference to essential
community providers; providing for the enrollment of Children's Medical
Services providers in the MediPass program; requiring the agency to
develop patient care standards for Medicaid managed care providers;
requiring the agency to require Medicaid managed care plans to
demonstrate and document health care services provided to Medicaid
recipients; requiring all Medicaid recipients to be enrolled in managed care
plans or MediPass by a specified date; providing exceptions; requiring the
agency to study the impact of the enrollment of qualified Medicare
beneficiaries in managed care; requiring the agency to establish a statewide
Medicaid managed care consumer advisory committee; providing for
membership; providing duties and responsibilities; providing for future
repeal; amending s. 409.915, F.S.; providing that services delivered through
the Florida Health Security program will not be subject to county Medicaid
funding requirements if federal waivers are obtained; amending s. 458.347,
F.S.; providing for development of a Department of Business and
Professional Regulation examination for physician assistant certification;
modifying eligibility requirements; providing department duties; creating
ss. 464.032-464.037, F.S.; establishing a cross-training program for nurses
in rural hospitals; creating ss. 468,315-468.320, F.S.; establishing a cross-
training program for radiologic technologists in rural hospitals; creating ss.
468.37-468.375, F.S.; establishing a cross-training program for respiratory
care functions in rural hospitals; creating ss. 483.831-483.836, F.S.;
establishing a cross-training program for clinical laboratory personnel in
rural hospitals; providing legislative findings and intent; providing
personnel qualifications for cross-training programs; specifying cross-
training functions; providing for supervision; providing for certification;
providing duties of community colleges; providing for an application fee;
providing certification conditions; providing for interruption of
employment; providing for continuing education; providing for
disciplinary action; providing for rules; requiring reports; creating s.
486.175, F.S.; providing for indirect supervision of physical therapy
assistants in rural hospitals; creating s. 624.3103, F.S.; requiring
compliance by certain insurance providers with certain provisions of
federal law; amending s. 627.4233, F.S.; clarifying certain provisions
relating to the definition of "total disability"; amending s. 627.4235, F.S.;
specifying order of benefits for continuation of certain coverage; creating
s. 627.6045, F.S.; specifying policy requirements with respect to preexisting
conditions; creating s. 627.6414, F.S.; providing for coverage for



dependents; providing criteria; creating s. 627.6425, F.S.; providing
renewability of individual health insurance policies; amending s. 627.647,



June 7, 1994



before using such documents as amended; creating s. 641.31095, F.S.;
specifying conditions of liability of succeeding health maintenance
organizations under certain circumstances; providing requirements for
replacement of health maintenance organization contracts; creating s.
641.3112, F.S.; providing for dependent coverage by a health maintenance



E OF REPRESENTATIVES 21

F.S., relating to standard health claim forms; providing a short title;
providing definitions; revising provisions requiring standard health claim
forms; providing requirements for certain health care claim forms;
providing criteria; prohibiting the department from prohibiting carriers
from accepting certain claim forms; amending s. 627.6471, F.S.; requiring
insurers issuing preferred provider contracts which provide coverage for
psychotherapeutic services to assure equal access to certain providers;
prohibiting certain insurers from requiring a health care provider to have
greater professional liability coverage than is required by state law;
amending s. 627.6472, F.S.; requiring insurers issuing exclusive provider
contracts which provide coverage for psychotherapeutic services to assure
equal access to certain providers; prohibiting certain insurers from
requiring a health care provider to have greater professional liability
coverage than is required by state law; requiring exclusive provider
organizations to make point of service plans available, upon request;
providing for deductibles, copayments, coinsurance payments, and
premiums; creating s. 627.6474, F.S.; providing for preferred provider and
exclusive provider plans; providing for minority recruitment and retention
plans; amending s. 627.652, F.S.; defining "community health purchasing
alliance" for purposes of group health insurance; creating s. 627.6552, F.S.;
providing for community health purchasing alliance groups for Florida
Health Security coverage; amending s. 627.6561, F.S.; authorizing certain
group policies to exclude coverage for preexisting conditions under certain
circumstances; revising a time limitation for coverage of preexisting
conditions; amending s. 627.6645, F.S., relating to cancellation, expiration,
nonrenewal, and change in rates; revising notice requirements; revising
computation of earned premiums for certain cancellations; creating s.
627.6691, F.S.; providing for continuation of coverage under group health
benefit plans; providing definitions; providing for notice; amending s.
627.6699, F.S.; revising the Employee Health Care Access Act; providing
an exemption for plans and carriers issuing Florida Health Security
coverage; revising provisions relating to community health purchasing
alliances to conform; prohibiting small employer carriers from imposing
minimum participation requirements under certain circumstances;

requiring the standard benefit plan to provide certain coverages; creating
the Rare and Chronic Disease Advisory Council to advise the Agency for
Health Care Administration for certain purposes; providing for
membership; providing duties of the council; providing for expiration of
the council; amending s. 627.6745, F.S.; providing refund and credit
calculations to be made by certain insurers; creating s. 627.6751, F.S.;
prohibiting exclusive provider provisions for Medicare supplement
policies; prohibiting an insurer from requiring a health care provider
providing services under a Medicare supplement policy to have greater
professional liability coverage than is required by state law; amending s.
641.19, F.S.; revising and adding definitions relating to health maintenance
organizations; amending s. 641.21, F.S.; limiting exemptions from
requirements to obtain a certificate of authority; creating s. 641.217, F.S.;
requiring applicants for and holders of health maintenance organization
certificates of authority to submit minority recruitment and retention
plans to the Agency for Health Care Administration; requiring approval
before issuance of a certificate of authority; requiring current
certificateholders to implement approved plans by a specified date;
amending ss. 641.23, 641.261, 641.405, 641.406, 641.411, 641.412, 641.443,
641.454, 641.455, 641.52, 641.54, 641.56, 641.57, and 641.58, F.S.; replacing
references to the Department of Health and Rehabilitative Services with
the Agency for Health Care Administration; amending s. 641.28, F.S.;
providing for liability for attorney's fees in civil actions for enforcement of
a health maintenance organization contract; amending s. 641.31, F.S.;
requiring health maintenance organizations to provide certain information
to certain subscribers; requiring health maintenance contracts to contain
certain definitions; requiring health maintenance organizations to be
governed by specified emergency services and care provisions; providing
criteria for subscribers who are residents of a retirement facility to be
referred to the facility's skilled nursing facility or home health agency;
specifying conditions for delivery in this state of certain health
maintenance service documents; requiring a health maintenance
organization to file amendments to certain documents and receive approval










22 JOURNAL OF THE HOUSE

organization; providing criteria; creating s. 641.3114, F.S.; specifying policy
requirements with respect to preexisting conditions; amending s. 641.315,
F.S.; prohibiting health maintenance organizations from requiring a health
care provider to have greater professional liability coverage than is
required by state law; creating s. 641.351, F.S.; requiring health
maintenance organizations to make point of service plans available, upon
request; providing for deductibles, copayments, coinsurance payments,
and premiums; authorizing health maintenance organizations to offer a
preferred provider network plan; amending s. 641.402, F.S.; providing a
definition relating to prepaid health plans; amending s. 641.47, F.S.;
revising and adding definitions relating to health care services programs;
amending s. 641.48, F.S.; providing additional criterion and limiting
exemptions for certain prepaid plans; providing for future expiration of an
exemption under certain circumstances; amending s. 641.49, F.S.; revising
requirements for obtaining a health care provider certificate; amending s.
641.495, F.S.; requiring health maintenance organizations to require
providers to ensure examination and verification of licenses of health care
professionals; requiring such organizations to have an emergency
management plan for certain purposes; establishing the advisory
committee on the recruitment and retention of minority physicians;
providing for membership and duties; requiring an annual report;
amending s. 641.511, F.S.; clarifying subscriber grievance procedures;
amending s. 641.512, F.S.; requiring the Agency for Health Care
Administration to annually conduct a validation survey of health
maintenance organizations for certain purposes; creating s. 641.513, F.S.;
specifying requirements for provision of emergency services and care by a
health maintenance organization; amending s. 641.515, F.S.; requiring the
agency to review subscriber or provider complaints; amending s. 641.55,
F.S.; revising internal risk management program requirements; providing
penalties; creating the Emergency Medical Services for Children Act;
providing legislative findings; directing the Agency for Health Care
Administration to require minimum equipment, supplies, and training of
hospital emergency departments; directing the Department of Health and
Rehabilitative Services to require equipment, supplies, and training for
emergency response and transport vehicles; directing the Agency for
Health Care Administration to require all emergency departments to have
an appropriate pediatric referral system; requiring the emergency medical
services for children panel within the Department of Health and
Rehabilitative Services to coordinate efforts to develop recommendations
for achieving a statewide comprehensive system of emergency medical
services for children and to submit recommendations to the Legislature;
providing legislative findings and intent relating to the health care
workforce; creating an Academic Task Force on Health Care Delivery
Systems; providing duties of the task force; requiring interim and final
reports on health care delivery systems; creating the Florida Council on
Health Care Workforce; providing duties of the council; requiring reports;
creating a Florida Consortium on Medical Education and Training;
providing powers and duties of the consortium; directing the Agency for
Health Care Administration to seek certain federal waivers; establishing an
advisory council to the consortium; directing the Boards of Medicine,
Osteopathic Medicine, Chiropractic, and Podiatric Medicine, the
Department of Business and Professional Regulation, and the Agency for
Health Care Administration to streamline certain medical licensure;
requiring a report; authorizing state universities to create university health
services support organizations; providing duties of such organizations;
directing the Board of Regents to prescribe such organizations' operations;
providing for Board of Regents representation on organization governing
boards; providing for annual audits of financial records; requiring the
Agency for Health Care Administration to study health care provider
participation in health maintenance organizations; requiring a report;
directing the agency to study the impact of transferring Medicaid
medically needy program recipients to Florida Health Security; requiring
a report; directing the agency to study Medicaid reimbursement to prepaid
health plans and health maintenance organizations; requiring a report;
directing the agency to develop recommendations on revisions to the basic
benefit package; requiring a report; authorizing the agency to make Florida
Health Security program modifications to obtain federal waivers;



providing legislative intent for an interim plan with respect to expanding
access to health care through Medicaid and the health access
disproportionate share program if approval of federal waivers for the
Florida Health Security program are delayed or not obtained; repealing ss.
395.403(9), 408.07(7), (9), (12), and (37), 408.072, 408.08(2)-(13), and



]



licensure as an osteopathic physician by endorsement; amending s. 459.011,
F.S.; providing that it is state policy that physicians licensed under ch. 458,
F.S., and osteopathic physicians licensed under ch. 459, F.S., be accorded
equal professional status and privileges and providing requirements with
respect thereto; amending s. 460.406, F.S.; revising requirements for



E OF REPRESENTATIVES June 7, 1994

408.085, F.S., relating to review of hospital budgets; repealing s. 455.2555,
F.S., relating to imposition of a fee schedule on providers of designated
health services; providing legislative intent with respect to certain causes
of action relating to said section; repealing ss. 627.622 and 627.623, F.S.,
relating to insurance with other insurers; providing appropriations;
creating s. 455.2142, F.S.; revising continuing education requirements for
health care practitioners serving in the Legislature; amending s. 455.2224,
F.S.; requiring certain procedures of the Department of Business and
Professional Regulation and the appropriate professional medical boards
to incorporate the recommendations of the State Health Officer with
respect to health care practitioners infected with hepatitis B or the human
immunodeficiency virus; amending s. 455.2226, F.S.; requiring persons
licensed or certified under ch. 490, F.S., relating to psychological services,
or ch. 491, F.S., relating to clinical, counseling, and psychotherapy services,
to complete a continuing education course on human immunodeficiency
virus and acquired immune deficiency syndrome as part of biennial
relicensure or recertification; amending s. 455.261, F.S.; providing that
certain information obtained by impaired practitioner consultants and the
department is immune from discovery in civil actions; amending s. 458.307,
F.S., relating to the Board of Medicine; deleting a provision relating to
probable cause panels; amending s. 455.206, F.S.; correcting a cross
reference; amending s. 458.311, F.S.; revising requirements for licensure of
physicians by examination; revising an educational and postgraduate
training requirement; allowing certain applicants to complete a fellowship
to partially satisfy the licensing requirements; requiring applicants to
provide sufficient information and fingerprints; revising a restriction on
the number of times an applicant may fail the examination to include
remediation after a certain number; eliminating a provision relating to
restricted licensure of certain foreign-trained physicians, which provision
was repealed on October 1, 1993; authorizing such foreign-trained
physicians to pursue licensure notwithstanding the repeal of such
provision; reenacting ss. 458.310(2)(a) and 458.345(1)(c), F.S., relating to
restricted licenses and registration of resident physicians, interns, and
fellows, to incorporate the amendment to s. 458.311, F.S., in references
thereto; amending s. 458.313, F.S.; revising requirements for licensure of
physicians by endorsement; eliminating a provision authorizing oral
examinations; providing for additional remedial education or training upon
failure to pass the licensing examination after a certain number of
attempts; correcting a cross reference; amending s. 458.3145, F.S., relating
to medical faculty certificates; revising renewal requirements; removing
provisions relating to extent of practice; revising a provision relating to the
maximum number of certificateholders authorized at specified institutions
and facilities; amending ss. 458.316 and 458.3165, F.S.; correcting cross
references and terminology; amending s. 458.319, F.S.; clarifying
requirements for renewal of license to practice medicine; creating ss.
458.3312 and 459.0152, F.S.; prohibiting physicians and osteopathic
physicians from falsely representing that they are board-certified
specialists; providing for the adoption of rules; amending ss. 458.331 and
459.015, F.S.; revising and providing grounds for disciplinary action;
reenacting ss. 458.313(7) and 458.345(1)(b), F.S., relating to licensure by
endorsement and registration of resident physicians, interns, and fellows,
to incorporate the amendment to s. 458.331, F.S., in references thereto;
amending s. 458.347, F.S.; providing for certification under ch. 458, F.S.,
of physician assistants certified under ch. 459, F.S.; defining the term
"continuing medical education"; allowing physician assistants to show by
affidavit evidence of compliance with statutory academic requirements;
revising certain other requirements for certification; deleting provisions
relating to reactivation of an inactive certificate as a physician assistant
and to automatic expiration of the certificate; amending s. 459.022, F.S.;
providing for certification under ch. 459, F.S., of physician assistants
certified under ch. 458, F.S.; defining the term "continuing medical
education"; allowing physician assistants to show by affidavit evidence of
compliance with statutory academic requirements; amending s. 766.1115,
F.S., to conform; expanding the definition of "health care provider" under
the Access to Health Care Act; reenacting s. 768.28(9)(b), F.S., relating to
sovereign immunity, to incorporate the amendment to s. 766.1115, F.S., in
a reference thereto; amending s. 459.007, F.S.; revising requirements for









JOURNAL OF THE HOUSE]



licensure as a chiropractor by examination; amending s. 460.408, F.S.;
revising provisions relating to approval of continuing education courses for
chiropractors; providing for reinstatement of certain chiropractor licenses;
creating s. 461.0055, F.S.; providing for investigation of the qualifications
of applicants for licensure as a podiatrist; creating s. 461.011, F.S.;
prohibiting sexual misconduct in the practice of podiatric medicine, for
which there are disciplinary actions; amending s. 461.013, F.S.; revising and
providing grounds for disciplinary action; revising penalties, including
increasing the administrative fine; reenacting ss. 320.0848(7),
455.236(4)(g), 461.006(2)(c), and 766.111(2), F.S., relating to disabled
person parking permits, financial arrangements between referring health
care providers and providers of health care services, applicants for
licensure to practice podiatric medicine, and unnecessary diagnostic
testing, to incorporate the amendments to ss. 461.013 and 466.028, F.S., in
references thereto; creating s. 461.018, F.S.; providing for limited scope of
practice of podiatric medicine within a specified area of need; creating s.
461.019, F.S.; providing for a podiatric medical faculty certificate;
amending s. 464.004, F.S.; increasing the membership of the Board of
Nursing; amending s. 464.005, F.S.; requiring the board's executive director
to be a registered nurse; amending s. 464.008, F.S.; providing that
applicants for licensure as a registered or licensed practical nurse are
responsible for the fee required by the Department of Law Enforcement
for background checks; amending s. 464.015, F.S.; revising the period
during which the terms "Graduate Nurse" and "Graduate Practical Nurse"
and their corresponding abbreviations may be used; amending s. 464.022,
F.S.; revising and providing exemptions from regulation under ch. 464,
F.S., relating to nursing; reenacting s. 468.505(1)(1), F.S., relating to
exemptions from regulation of dietetics and nutrition practice, to
incorporate the amendment to s. 464.022, F.S., in a reference thereto;
amending s. 465.003, F.S.; revising the definition of "practice of the
profession of pharmacy"; providing the definition of "kidney dialysis home
health care system"; amending ss. 465.015 and 499.003, F.S.; correcting
cross references; creating s. 465.0075, F.S.; providing for licensure of certain
foreign-trained pharmacists; providing for future repeal of the section;
creating s. 465.0105, F.S.; providing for a pharmacy specialist certificate;
amending s. 465.0125, F.S.; providing responsibilities of consultant
pharmacists and Doctors of Pharmacy; amending s. 465.0156, F.S.; revising
information required for registration of nonresident pharmacies; amending
s. 465.0196, F.S.; providing requirements for issuance of special pharmacy
permits to operators of kidney dialysis home health care systems; providing
for the operation of certain nonprofit pharmacies; correcting a cross
reference; amending s. 465.186, F.S.; increasing the membership of the
committee responsible for establishing the formulary of medicinal drug
products and dispensing procedures; amending s. 831.30, F.S., relating to
the offense of fraudulently obtaining medicinal drugs; revising a cross
reference; amending s. 466.004, F.S.; revising purpose of the Council on
Dental Hygiene; amending s. 466.006, F.S.; adding a qualification for
taking the examination for licensure as a dentist; reenacting s. 466.011,
F.S., relating to licensure, to incorporate the amendment to s. 466.006, F.S.,
in a reference thereto; amending s. 466.028, F.S.; increasing the
administrative fine; amending s. 467.009, F.S.; revising and providing
education and training requirements for midwifery programs; reenacting
s. 467.205(1), (3), and (4), F.S., relating to approval of midwifery programs,
to incorporate the amendment to s. 467.009, F.S., in references thereto;
amending s. 468.1115, F.S.; providing an exemption from regulation as a
speech-language pathologist or audiologist; amending s. 468.1145, F.S.;
increasing certain licensure, certification, and inactive status fees;
amending s. 468.1155, F.S.; revising provisional licensure requirements;
providing that applicants for dual licensure in speech-language pathology
and audiology are not required to hold a second master's degree; amending
s. 468.1295, F.S.; prohibiting failing to notify the Board of Speech-
Language Pathology and Audiology of a change in mailing address within
a specified time, for which there are disciplinary actions; amending s.
468.1695, F.S.; reducing the number of times a year the examination for
licensure as a nursing home administrator must be given; amending s.
468.209, F.S.; revising licensure requirements for licensure as an
occupational therapist or occupational therapist assistant; providing for
certain temporary permits; amending s. 468.213, F.S.; revising
requirements for licensure by endorsement; amending s. 468.225, F.S.;
providing exemptions from regulation of occupational therapy; amending



s. 468.301, F.S.; defining "mammographer" for purposes of the Radiologic
Technologist Certification Act; amending s. 468.302, F.S.; adding the



June 7, 1994



relating to licensure of psychologists and school psychologists; increasing
application fees; revising accreditation and other educational
requirements; amending s. 490.006, F.S.; revising psychology licensure by
endorsement requirements; reenacting s. 490.003(3) and (5), F.S., relating
to definitions, to incorporate the amendments to ss. 409.005 and 490.006,



E OF REPRESENTATIVES 23

certification category of mammographer; specifying which
certificateholders may perform mammography and brachytherapy;
revising the supervision required for hospital residents and students;
amending s. 468.304, F.S.; modifying qualifications for certification;
specifying qualifications for certification as a mammographer; amending
s. 468.306, F.S.; modifying examination qualifications; amending s.
468.3065, F.S.; specifying a nonrefundable fee; amending s. 468.307, F.S.;
conforming qualifications for temporary certification; modifying
requirements for the issuance and display of certificates; creating s.
468.3071, F.S.; providing for mammographer certification based on prior
experience; providing for future repeal; amending s. 468.309, F.S.; revising
the expiration date of certificates; amending s. 468.3095, F.S.; specifying
nonrefundable fees; amending s. 468.311, F.S.; revising an offense relating
to practice of radiologic technology by a student, for which a penalty is
provided; amending s. 468.314, F.S.; increasing the membership of the
Advisory Council on Radiation Protection by adding a certified radiologic
technologist-mammography and a representative of the Department of
Education; deleting obsolete provisions relating to staggered terms;
providing for appointment of replacement members under specified
circumstances; specifying source of reimbursement for travel expenses;
redefining the scope of the advisory council; deleting obsolete Sundown
provisions; amending s. 478.42, F.S.; revising the definition of "electrolysis
or electrology"; amending s. 478.44, F.S.; increasing membership of the
Electrolysis Council; revising the manner of filling vacancies on and calling
meetings of the council; amending s. 478.45, F.S.; revising requirements for
licensure as an electrologist; providing for the approval and conduct of an
electrology licensure examination; amending ss. 478.46 and 478.47, F.S.,
relating to temporary permits and licensure by endorsement; correcting
cross references; creating s. 478.475, F.S.; providing for licensure without
examination; amending s. 483.035, F.S.; providing responsibility of the
Agency for Health Care Administration for personnel standards for
exclusive use laboratories; amending s. 483.041, F.S.; including licensed
optometrists within the definition of "licensed practitioner" for purposes
of laws regulating clinical laboratories; amending s. 483.051, F.S.; revising
provisions relating to alternate-site testing; providing responsibility of the
agency; providing certain responsibilities of clinical laboratory directors;
deleting requirement for consultation with the Board of Clinical
Laboratory Personnel; directing the agency to solicit certain comments;
specifying a testing protocol; specifying minimum training and education
for those who perform testing; amending ss. 483.23, 483.800, 483.801,
483.803, and 483.813, F.S.; providing that provisions governing the
regulation and licensure of clinical laboratory personnel do not apply to
persons engaged in alternate-site testing or in testing performed at
practitioners' exclusive use laboratories or laboratories that perform only
waived tests; revising the definition of "clinical laboratory personnel";
revising requirements for temporary licensure of clinical laboratory
personnel; reenacting s. 483.106, F.S., relating to application for a
certificate of exemption, to incorporate the amendments to ss. 483.041 and
483.23, F.S., in references thereto; amending s. 483.26, F.S.; requiring
establishment of a technical advisory panel; providing composition;
amending s. 483.811, F.S.; deleting reference to board responsibility for
regulation of personnel in laboratories operated under s. 483.035, F.S.;
amending s. 483.825, F.S.; revising and providing grounds for disciplinary
action; amending s. 483.827, F.S.; revising administrative penalties;
creating s. 483.828, F.S.; providing criminal penalties for specified
violations; amending s. 484.007, F.S.; revising requirements for licensure as
an optician; amending ss. 486.031, 486.041, and 486.103, F.S.; eliminating
temporary permits for physical therapists and physical therapist assistants
and providing for graduate status for each under certain circumstances;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist; amending ss.
486.021, 486.081, 486.102, and 486.107, F.S.; revising a definition and
eliminating provisions relating to temporary permits, to conform;
providing an alternative licensure examination; revising accreditation
provisions relating to licensure as a physical therapist assistant; creating
s. 486.123, F.S.; prohibiting sexual misconduct in the practice of physical
therapy, for which there are disciplinary actions; amending s. 490.005, F.S.,










JOURNAL OF THE HOUSE OF REPRESENTATIVES



F.S., in references thereto; amending s. 456.32, F.S.; including other
licensed professionals within the definition of "practitioner of the healing
arts" for purposes of provisions regulating hypnosis; amending s. 491.005,
F.S.; revising fees and costs applicable to applicants for licensure as
marriage and family therapists; revising accreditation provisions relating
to licensure as a marriage and family therapist or as a mental health
counselor; creating s. 491.0055, F.S.; providing for licensure of certain
persons as mental health counselors under special conditions involving a
district court order; providing for future repeal of the section; amending
s. 468.1245, F.S.; revising language relating to certain complaints
concerning hearing aids; amending s. 400.211, F.S.; revising certification
requirements for nursing assistants; authorizing the Department of
Business and Professional Regulation to perform, provide, contract for, or
grant approval for others to perform or provide nursing assistant
certification services and commodities; providing an appropriation to
implement the regulation of athletic trainers; creating s. 455.2222, F.S.;
requiring persons licensed or certified to provide certain medical, dental,
social, or counseling services to take a course on domestic violence as part
of their continuing education requirements; requiring applicants for initial
licensure to take such a course; providing duties of the affected professional
boards relating to such requirements and granting rulemaking authority
therefore; requiring each affected professional board to submit an annual
report to the Legislature; amending s. 455.227, F.S.; making failure to
comply with such educational course requirements a ground for
disciplinary action; providing penalties; reenacting ss. 468.1755(1)(a),
470.036(1)(a), 471.033(1)(a), 472.033(1)(a), 473.323(1)(a), 475.25(1)(a),
475.624(1), 476.204(1)(h), 477.029(1)(h), 481.225(1)(a), 481.325(1)(a), and
484.056(1)(a), F.S., relating to various disciplinary proceedings and
penalties, to incorporate the amendment to s. 455.227, F.S., in references
thereto; requiring the Department of Business and Professional Regulation
to provide recommendations to the Legislature for a uniform licensing
system for foreign-trained and foreign-licensed professionals; providing for
issuance of restricted medical licenses without examination to a specified
group; providing guidelines for issuance of such restricted licenses;
amending s. 404.051, F.S.; directing the Department of Health and
Rehabilitative Services to develop certain healing arts self-referral
programs for mammography and bone densitometry; amending ss. 455.214
and 458.317, F.S.; allowing limited licensees to work for certain agencies or
institutions; providing for fees if a person receives monetary compensation
for the practice of medicine; providing that an applicant need not provide
a copy of medical degree; correcting cross references; amending s. 465.014,
F.S.; revising tasks and duties delegated to a pharmacy technician;
correcting a cross reference; amending s. 455.25, F.S., relating to disclosure
of financial interest; requiring physicians or other health care providers to
disclose their financial interest in certain entities, including pharmacies as
provided in ch. 465, F.S.; amending s. 490.014, F.S.; revising an exemption
from licensure under chapter 490, F.S., relating to school psychologists;
providing severability; providing for effect of the act on amendments to
certain statute sections; providing effective dates.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Benson-
HB 85-D-A bill to be entitled An act relating to the Creek Indian
Council; providing for the expiration of the terms of office of the members
of the Creek Indian Council and for the appointment of new members;
providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Mackey--
HB 87-D-A bill to be entitled An act relating to administrative
procedures; naming the act; creating s. 11.0755, F.S.; providing for the
legislative delegation of rulemaking authority; amending s. 11.60, F.S.;
revising the membership of the Administrative Procedures Committee;
providing additional duties; amending s. 120.52, F.S.; redefining the term
"invalid exercise of delegated legislative authority"; defining the term
"small county"; amending s. 120.54, F.S.; revising language with respect to



rule adoption procedures; revising rule publication requirements and
timeframes; providing for a statement of estimated regulatory costs rather



than an economic impact statement; amending workshop requirements;
providing for consideration of a rule's impact on small counties; providing
a definition of good cause; providing for a rulemaking record; providing for
model rules; providing for agency postponement of rule adoption; directing
agencies to review existing rules by a certain date and file a written report;
amending s. 120.545, F.S.; providing reference to a statement of estimated
regulatory costs; directing the Administrative Procedures Committee to
hold a hearing under certain circumstances; providing that there shall not
be a presumption that a rule is a valid exercise of delegated legislative
authority under certain circumstances; amending s. 120.55, F.S.;
authorizing rather than requiring a contract; providing that the
Department of State shall retain the copyright over the text of the Florida
Administrative Code; increasing an allowable amount of unencumbered
funds in the revolving trust fund; amending s. 120.56, F.S.; revising
language with respect to the administrative determination of a rule's
validity by a hearing officer; amending s. 120.58, F.S.; providing that
legislative history shall be admissible under certain circumstances;
amending s. 120.68, F.S.; revising language with respect to judicial review;
providing for legislative review of chapter 120, F.S.; providing an effective
date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Lippman, Manrique, King, Warner, Tobin, Dawson,
McClure, Goode, Kelly and Barreiro-
HB 89-D-A bill to be entitled An act relating to health care; creating
the "Public Health and Health Care Administration Act of 1994"; providing
legislative intent that the Department of Health Care Services serve as the
single agency responsible for state health matters; amending s. 20.04, F.S.;
providing an exemption for the internal structure of the department;
creating s. 20.43, F.S.; establishing organizational structure of the
department; transferring powers, duties and functions, records, personnel,
property, appropriations, and rules of the Agency for Health Care
Administration from the Department of Business and Professional
Regulation to the department; repealing s. 20.42, F.S., relating to creation
of the agency; transferring powers, duties and functions, records,
personnel, property, appropriations, and rules relating to public health
matters, children's medical services, and alcohol, drug abuse, and mental
health services from the Department of Health and Rehabilitative Services
to the Agency for Public Health Services of the department; establishing
purpose and duties of the department; establishing respective advisory
councils for the Agency for Health Care Administration and the Agency for
Public Health Services; amending s. 408.003, F.S., relating to
establishment of the Health Care Board; amending s. 408.033, F.S.;
renaming the Statewide Health Council as the State Health Council;
providing for report to the Secretary of Health Care Services; expanding
council membership; repealing s. 33 of ch. 92-33, Laws of Florida, and s.
4 of ch. 93-129, Laws of Florida; abrogating transfer to the Agency for
Health Care Administration of the Division of Medical Quality Assurance
of the Department of Business and Professional Regulation; repealing ss.
455.2141, 455.2173, and 455.220, F.S., repealing ss. 37, 38, 39, 40, 41, 42, 43,
47, 48, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, and 65 of ch. 92-33,
Laws of Florida, and amending s. 455.221, F.S.; deleting references to the
Agency for Health Care Administration from provisions governing the
licensure and regulation of professionals; amending s. 455.2205, F.S.;
transferring the Health Care Trust Fund from the agency to the
department; amending s. 20.19, F.S.; deleting from provisions relating to
the Department of Health and Rehabilitative Services references to health
matters and responsibilities transferred to the Department of Health Care
Services; renaming the health and human services boards as human
services boards; amending s. 154.02, F.S.; transferring administration of
the Public Health Unit Trust Fund to the Department of Health Care
Services; amending s. 154.04, F.S.; revising procedure for appointment of
public health unit directors or administrators; providing for the
continuation of rules; providing for the effect of the act on pending judicial
and administrative proceedings; providing severability; providing for effect
of the act on amendments to certain statute sections; directing the statute



editors to prepare a reviser's bill; providing effective dates.
First reading by publication (Art. III, s. 7, Florida Constitution).



June 7, 1994



24











JOURNAL OF THE HOUSE



Referred to the Committee(s) on Health Care and Appropriations.

By Representative Warner-
HB 91-D-A bill to be entitled An act relating to county public health
units; amending s. 154.011, F.S., relating to primary care services, to
provide for extended hours of operation; changing the eligibility standard;
providing for funding and providing an appropriation; amending s.
395.1041, F.S., relating to hospital emergency care, to provide for transfer
of nonemergencies to county public health units; providing an effective
date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Health Care.

By Representatives Ritchie, Martinez and Logan-
HB 93-D-A bill to be entitled An act relating to juvenile residential
education programs; amending ss. 39.055 and 39.056, F.S., relating to the
early delinquency intervention program; authorizing placement of a child
into the program upon a first arrest; expanding the program to include a
residential education program component contracted by the Alternative
Education Institute; providing dispositional duration of the program for up
to one year and authorizing voluntary continuation in the program after
the expiration of the dispositional time period; amending s. 108 of chapter
94-209, Laws of Florida; designating such section as s. 39.085, F.S., relating
to the Alternative Education Institute; authorizing the institute to contract
for a residential education program component of the early delinquency
intervention program after contracting for the residential education
program for serious offenders; authorizing board members of the institute
to receive reimbursement for per diem and travel expenses as provided in
s. 112.061, F.S., and for child care expenses in certain circumstances;
revising provisions relating to operation of the institute and its contracted
programs; requiring the institute and the Department of Juvenile Justice
to enter into an interagency agreement; requiring quality assurance and
outcome evaluation of the contracted residential education programs;
providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Criminal Justice and Appropriations.

By Representative Warner-
HB 95-D-A bill to be entitled An act relating to workers'
compensation; creating the "Florida No-fault Workers' Compensation and
Employer Liability Act"; providing a short title; providing legislative
intent; authorizing election of provisions of the act in lieu of application
of chapter 440, F.S.; providing for notice of election; providing for
revocation of election; providing for notice to employees; providing
definitions; specifying benefits payable to employees; providing criteria;
providing for certain periodic medical evaluations; specifying accidental
death and dismemberment insurance coverage; requiring continuation of
coverage for employees under certain circumstances; specifying employer
duties to employees; providing for employer's defenses; providing for
coworker immunity; providing for notice of claims; limiting certain
defenses by employers under certain circumstances; specifying procedures
for filing and responding to claims; limiting expert witness testimony under
certain circumstances; providing for determination of comparative
negligence under certain circumstances; authorizing the Department of
Insurance to adopt rules requiring proof of insurance or financial
responsibility; providing for implementation and administration with
reference to certain provisions of the Workers' Compensation Law relating
to waiver of exemption, notice of exemption or acceptance, and waiver of
exemption or acceptance, coverage, specified activities within the course
of employment, drug-free workplaces, determination of pay, coercion of
employees, benefits as lien against assets, misrepresentation, fraudulent
activities, security for benefits, compensation for injuries when third
parties are liable, benefits notice, effect of unconstitutionality, proceedings
against the state, pooling liabilities, self-insured public utilities, local
government pools, administrative procedures, rulemaking, and coverage;
providing application to the Department of Insurance; authorizing the
department to adopt rules; providing penalties; providing an effective date.



Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.



June 7, 1994



By Representative Wise-
HB 107-D-A bill to be entitled An act relating to Medicaid third-
party liability; amending s. 409.910, F.S.; limiting applicability to actions
for recovery of payment for injury or illness resulting from tobacco product
use; providing an effective date.



E OF REPRESENTATIVES 25

By Representative Couch-
HB 97-D-A bill to be entitled An act relating to health care; amending
ss. 408.701 and 408.702, F.S.; providing that individuals may be members
of a community health purchasing alliance; creating s. 627.6045, F.S.;
specifying application of preexisting condition provisions under individual
health insurance policies; providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Insurance and Appropriations.

By Representative Kelly-
HB 101-D-A bill to be entitled An act relating to the regulation of
drugs; amending s. 499.033, F.S.; providing for products that contain
ephedrine to be regulated by the Department of Health and Rehabilitative
Services as prescription drugs; authorizing the department to exempt
certain products from classification as prescription drugs; providing
rulemaking authority; requiring manufacturers to register products that
contain ephedrine with the department; prohibiting the registration of
certain products labeled as stimulants; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Warner-
HB 103-D-A bill to be entitled An act relating to certificates of need;
amending s. 408.031, F.S.; correcting a cross reference; amending s. 408.032,
F.S.; revising definitions and providing additional definitions; amending s.
408.033, F.S.; revising a fine; providing for denial of relicensure for failure
to pay certain fees or fines; amending s. 408.034, F.S.; revising duties of the
Agency for Health Care Administration; amending s. 408.035, F.S.; revising
criteria for review of applications for certificates of need; amending s.
408.036, F.S.; revising and clarifying which projects are subject to review;
revising which projects are subject to expedited review; providing
additional exemptions; amending s. 408.037, F.S.; modifying application
contents; amending s. 408.038, F.S.; correcting certain references;
amending s. 408.039, F.S.; revising certain time requirements with respect
to public hearings; specifying a basis for final orders; providing for the right
to initiate or intervene in administrative hearings; requiring courts to
award reasonable attorney's fees and costs; amending s. 408.040, F.S.;
providing for agency actions, fines, and injunctive relief under certain
circumstances; extending the validity period for certificates of need;
prohibiting transfers and divisions and limiting consolidations of
certificates of need; amending s. 408.041, F.S.; authorizing the agency to
impose fines under certain circumstances; amending s. 408.043, F.S.;
eliminating special provisions for specified nursing homes; providing a
preference for cooperative agreements for tertiary service providers;
amending s. 408.044, F.S.; revising certain references; amending s. 408.045,
F.S.; creating a requirement for recommendations by the agency regarding
continued need for certificate-of-need regulation; changing references to
the Department of Health and Rehabilitative Services to the Agency for
Health Care Administration; amending s. 189.415, F.S., to conform to the
act; repealing s. 408.042, F.S., relating to limitation on transfer; providing
for future repeal of ss. 408.031-408.045, F.S., relating to the Health Facility
Services and Development Act; providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Health Care.

By Representative Benson-
HB 105-D-A bill to be entitled An act relating to the Health Facilities
Authorities Law; creating s. 154.247, F.S.; providing that certain entities
shall constitute public entities of the state for the purposes of federal
health care and health insurance programs; providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Health Care.









JOURNAL OF THE HOUSE OF REPRESENTATIVES



Placed in the Committee on Rules & Calendar, the Speaker having ruled Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call. the measure was outside the purview of the Call.



By Representatives R. Saunders, Constantine and Goode-
HB 109-D-A bill to be entitled An act relating to access to local public
officials; creating s. 286.0115, F.S.; providing a definition; providing for
access to public officials; authorizing investigations and receipt of
information; requiring disclosure of ex parte communication; authorizing
local rules or procedures; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Webster, Upchurch, Mortham and King-
HB 111-D-A bill to be entitled An act relating to health insurance;
repealing s. 287.088, F.S., relating to access to hospitalization and medical
insurance benefits for employees of state contractors; providing an
effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Insurance.

By Representatives Boyd and Long-
HB 113-D-A bill to be entitled An act relating to building
construction; exempting certain persons from certain permit and code and
lease requirements of the Department of Health and Rehabilitative
Services, the Department of Community Affairs, the Department of
Environmental Protection, and the Board of Trustees of the Internal
Improvement Trust Fund, for certain purposes; providing for an extension
of certain leases for a specified period of time; providing an effective date.



By Representative De Grandy-
HB 115-D-A bill to be entitled An act relating to the protection of
children from abuse, neglect, and exploitation; amending s. 39.01, F.S.,
redefining the term "abuse"; amending s. 415.503, F.S.; redefining the term
"harm"; requiring the Department of Health and Rehabilitative Services
and the Department of Business and Professional Regulation to
recommend standards and procedures for the training and licensing of
child protective investigators; requiring a report; directing the Department
of Health and Rehabilitative Services to implement training of persons
receiving reports of child abuse or neglect; requiring a report; forbidding
a governmental body from establishing policies that prohibit a parent from
administering corporal punishment on a child; creating ss. 39.4050,
39.4645, 61.1350, and 63.0725, F.S.; providing factors to be considered in
the determination of abandonment or desertion; providing an effective
date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Aging & Human Services.

Excused
Reps. Brennan, Burke, Clemons, Dennis, Glickman, Rayson

Recessed
Pursuant to the motion previously agreed to, the House recessed at
2:56 p.m., to reconvene at 2:00 p.m., Thursday, June 9.



26



June 7, 1994




















D The Journal OFTHE


House of Representatives


FOURTH SPECIAL SESSION-"D" of 1992-1994



Thursday, June 9, 1994



Number 2



The House was called to order by the Speaker at 2:00 p.m.

Prayer
The following prayer was offered by the Honorable Elaine Gordon:
Baruch a ta Adonai Elohenu, melech ha'olam, asher kedashanu bamitzvo
tav vitzivanu. Blessed art Thou, O Lord our God, King of the Universe.
Lord, help us live from day to day,
In such a self-forgetful way;
That even when we bow to pray,
Our prayers shall be for others.
Help us in all the work we do,
To ever be sincere and true;
And know that we do for You,
Must needs be done for others.
And when our work on earth is done,
And our new work in heaven's begun;
May we forget the crown we've won,
While thinking still of others.
Others, Lord, yes others,
Let this our motto be;
Help us to live for others,
That we may live like Thee. Amen.

Recessed
The House stood in informal recess at 2:11 p.m., to reconvene upon call
of the Speaker.

Reconvened
The House was called to order by the Speaker at 2:19 p.m.
The following Members were recorded present:



The Chair
Albright
Armesto-Garcia
Arnall
Arnold
Ascherl
Bainter
Barreiro
Benson
Bitner
Bloom
Boyd
Bradley
Brennan
Bronson
Brown



Bullard
Burke
Bush
Casey
Charles
Chestnut
Clemons
Constantine
Cosgrove
Couch
Crady
Crist
Davis
Dawson
De Grandy
Dennis



Edwards
Eggelletion
Feeney
Feren
Fuller
Futch
Garcia
Gay
Geller
Glickman
Goode
Gordon
Graber
Greene
Hafner
Hanson



Harris
Hawkins
Healey
Hill
Ireland
Jacobs
Johnson, Buddy
Jones
Kelly
Kerrigan
King
Klein
Laurent
Lawson
Lippman
Littlefield



Long
Mackenzie
Mackey
Martinez
McAndrews
McClure
McMahan
Merchant
Miller
Minton
Mishkin
Mitchell
Morroni



Mortham
Ogles
Peeples
Posey
Pruitt
Rayson
Reddick
Ritchie
Roberts
Rojas
Rudd
Rush
Safley



Sanderson
Saunders, D.
Saunders, R.
Schultz
Sembler
Shepard
Sindler
Smith
Stabins
Stafford
Starks
Sublette
Tedder



Thomas
Thrasher
Tobin
Trammell
Upchurch
Valdes
Villalobos
Wallace
Warner
Webster
Wise



(A list of excused Members appears at the end of the Journal.)
A quorum was present.

Disclosures of Interest
(Memoranda received by the Clerk, June 7, 1994)
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB
2110 from the 1994 Regular Session relating to Medicaid third party
liability.

It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined
by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed physician in
47








JOURNAL OF THE HOUSE OF REPRESENTATIVES



Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. Robert K. Casey
District 22
As you may be aware, I have filed HB 29-D, HB 65-D, and HB 83-D for
the Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are co-
sponsored by Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bills (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was our desire for the House to be able to resume its work on
health care where it stopped when the 1994 Regular Session adjourned.
Accordingly, we made no substantive changes to the House's workproduct
from the Regular Session, in these areas, with one exception in HB 65-D
and HB 83-D. HB 65-D and HB 83-D also include provisions to repeal the
provisions of SB 2110 from the 1994 Regular Session relating to Medicaid
third party liability.
It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined
by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed physician in
Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. Ben Graber
District 96
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB
2110 from the 1994 Regular Session relating to Medicaid third party
liability.
It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined



by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st



Engrossed (section three). As you know, I am a licensed chiropractic
physician in Florida. Therefore, I have, arguably, a private or professional
interest which inures to my special private gain under Rule 5.11. In
accordance with Rule 5.11, I hereby disclose the existence of such interest.
Rep. Dennis L. Jones
District 54
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB
2110 from the 1994 Regular Session relating to Medicaid third party
liability.
It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined
by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed pharmacist in
Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. Everett Kelly
District 42
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB
2110 from the 1994 Regular Session relating to Medicaid third party
liability.
It has come to my attention that a section in these bills authorizes



regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined



28



June 9, 1994









JOURNAL OF THE HOUSE OF REPRESENTATIVES



by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed pharmacist in
Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. Frederick Lippman
District 100
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB
2110 from the 1994 Regular Session relating to Medicaid third party
liability.
It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined
by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed veterinarian in
Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. Robert B. Sindler
District 38
As you may be aware, HBs 29-D, 65-D and 83-D have been filed for the
Special Session which the Governor has called commencing today. The
Governor's Proclamation includes "amendments to Florida law relating to
health care services and to the health care system." These bills are
sponsored by Representative Graber, Chairman of the Committee on
Health Care, Representative Cosgrove, Chairman of the Committee on
Insurance, and Representative Tobin, Chairman of the Committee on
Business & Professional Regulation.
These bills, as filed, primarily consist of the health care bill (Part I) as
passed by the House during the Regular Session (CS/HB 2823, 1st
Engrossed) and the health care professional regulation legislation (Part II)
which was also passed by the House during the Regular Session (CS/HB
2413, 1st Engrossed). In preparing these bills for introduction, House Bill
Drafting has made several technical changes to the bill (i.e., placing all
statutory references in numerical order; deleting provisions that passed the
Legislature and became law in other bills; consolidating statutory sections
that were amended multiple times; etc.). In preparing for the Special
Session, it was the intent of the sponsors for the House to be able to resume
its work on health care where it stopped when the 1994 Regular Session
adjourned. Accordingly, no substantive changes were made to the House's
workproduct from the Regular Session, in these areas, with one exception.
HBs 65-D and 83-D also include provisions to repeal the provisions of SB



2110 from the 1994 Regular Session relating to Medicaid third party
liability.



It has come to my attention that a section in these bills authorizes
regulatory boards of health care practitioners to authorize legislative
service to count toward continuing education requirements, as determined
by the applicable board. This section of these bills originated in
Representative Tobin's committee and was a part of CS/HB 2413, 1st
Engrossed (section three). As you know, I am a licensed ophthalmologist
in Florida. Therefore, I have, arguably, a private or professional interest
which inures to my special private gain under Rule 5.11. In accordance with
Rule 5.11, I hereby disclose the existence of such interest.
Rep. David L. Thomas
District 70

Recorded Votes
Rep. Casey:
Nay-motion to recess

Prime Sponsors
HB 55-D-Bradley
HB 93-D-Armesto-Garcia, Kerrigan
HB 115-D-Armesto-Garcia, Burke, De Grandy

Withdrawals as Prime Sponsor
HB 115-D-De Grandy

Co-sponsors
HJR 27-D-Casey, Buddy Johnson, Thomas
HB 89-D-Casey, Sanderson

Introduction and Reference

By Representative Cosgrove-
HB 117-D-A bill to be entitled An act for the relief of Dolores
DeLucia; providing an appropriation to compensate her for damages
sustained while traveling on a Metropolitan Dade County bus, resulting
from the negligence of employees of Metropolitan Dade County, a political
subdivision of the State of Florida; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Miller, Safley, Rush, Buddy Johnson, Crist, Davis,
Martinez and Bradley-
HR 119-D-A resolution in memory of Commissioner Sylvia Rodriguez
Kimbell.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Rules & Calendar.

By Representatives Bloom, Wallace and Webster-
HB 121-D-A bill to be entitled An act relating to state-federal
relations; amending s. 14.23, F.S.; revising legislative intent; abolishing the
Office of State-Federal Relations and creating a Council on Federal Affairs;
providing for maintenance of offices; providing duties of the council;
providing for an executive director; providing for funding through the
State-Federal Relations Trust Fund; providing membership of the
governing board of the council and duties thereof; requiring that certain
state agencies cooperate with the council, furnish certain information to
the council, designate a federal funds coordinator, and report annually to
the council; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By the Committee on Aging & Human Services; Representatives Simon,
Gordon, Mishkin, Brown, Littlefield, Casey, Jacobs, Barreiro,
Buddy Johnson, Wise, Bhullard, Tobin, Mackenzie, Bloom, Albright, Bush
and Kelly-



HB 123-D-A bill to be entitled An act relating to adult protective
services; amending s. 415.101, F.S.; renaming part I of ch. 415, F.S., as the



29



June 9, 1994










30 JOURNAL OF THE HOUSE

"Elaine Gordon Adult Protective Services Act"; revising legislative intent;
providing for care and protection of all vulnerable adults; amending s.
415.102, F.S.; revising definitions; amending s. 415.103, F.S.; revising
operation of the central abuse registry and tracking system; creating s.
415.1034, F.S.; revising and transferring requirements for mandatory
reporting of abuse, neglect, exploitation, or death; creating ss. 415.1035 and
415.1036, F.S.; revising and transferring provisions relating to a facility's
duty to inform residents of the right to make reports and relating to
immunity for reporters; creating s. 415.1045, F.S.; revising and transferring
requirements for protective services investigations and transmittal of
records to state attorneys; providing for use of photographs, videotapes,
medical examinations, and X rays; providing for abrogation of privileged
communications; providing for access to medical, social, and financial
records and documents; providing for access to persons; providing for
classification or closure of records; amending s. 415.105, F.S.; revising
requirements for provision of protective services with consent or when
consent is withdrawn; creating s. 415.1051, F.S.; revising and transferring
requirements for provision of protective services when capacity to consent
is lacking; providing for nonemergency and emergency interventions;
providing for notice, hearings, continued emergency protective services,
and costs of services; providing for protective services orders; specifying
limitations; creating s. 415.1052, F.S.; revising and transferring provisions
relating to interference with an investigation or the provision of protective
services; creating s. 415.1055, F.S.; revising and transferring requirements
for notification of reports to administrative entities and other persons and
notification by law enforcement and state attorneys; amending s. 415.106,
F.S.; revising requirements for cooperation between the Department of
Health and Rehabilitative Services and criminal justice and other agencies;
creating s. 415.1065, F.S.; requiring certain records management; amending
s. 415.107, F.S.; revising provisions relating to confidentiality of reports
and records; creating s. 415.1075, F.S.; revising and transferring provisions
authorizing administrative remedies; providing for amendment or
expunction of reports; providing for appeals; providing for request to set
aside a report due to excusable neglect or fraud; creating s. 415.1099, F.S.;
providing for waiver of certain filing fees; amending s. 415.1102, F.S.;
revising provisions relating to adult protection teams and services provided
thereby; creating s. 415.1105, F.S.; providing for training programs for
adult protective services staff and persons required to report abuse,
neglect, or exploitation; amending s. 415.111, F.S.; revising and expanding
criminal penalties; creating s. 415.1111, F.S.; providing civil penalties;
providing for a private right of action for abuse, neglect, or exploitation of
a vulnerable adult; providing for attorney's fees, costs, and damages;
creating s. 415.1113, F.S.; providing for administrative fines for false
reporting; providing for allegations; providing for notice and hearing;
amending s. 415.113, F.S., relating to statutory construction; amending ss.
39.001, 39.045, 39.076, 39.411, 110.1127, 119.07, 242.335, 393.0655, 394.457,
395.3025, 397.451, 400.414, 400.619, 402.305, 409.175, 415.504, 447.208,
447.401, 464.018, 509.032, 744.474, 775.15, 943.0585, and 943.059, F.S.;
revising standards for screening to conform to the act; conforming
terminology and correcting cross references; amending s. 400.211, F.S.;
revising provisions relating to certification and screening of certified
nursing assistants; providing penalties; amending s. 400.464, F.S.,
providing criminal penalties; amending s. 400.512, F.S.; revising provisions
relating to screening of home health agency personnel, nurse registry
personnel, sitters, companions, and homemakers; providing procedure for
exemption from disqualification; repealing ss. 415.104, 415.1085, and
415.109, F.S., relating to protective services investigations, use of
photographs, medical examinations, and X rays, and abrogation of
privileged communications in cases of abuse, neglect, or exploitation of
aged persons or disabled adults; repealing s. 415.105(3)-(6), F.S., relating
to provision of protective services to an aged person or disabled adult who
lacks capacity of consent or when the caregiver refuses the services or in
an emergency; providing an effective date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Placed on the Calendar without reference.



By the Committee on Aging & Human Services; Representatives Simon,
Gordon, Mishkin, Brown, Littlefield, Casey, Bush, Tobin, Bullard, Jacobs,
Barreiro, Wise and Greene-
HB 125-D-A bill to be entitled An act relating to public records;
amending s. 400.211, F.S.; providing an exemption from public records



1



E OF REPRESENTATIVES June 9, 1994

requirements for criminal records, juvenile records, and central abuse
registry information collected by the Agency for Health Care
Administration concerning certified nursing assistant applying for
employment in nursing homes; providing for future review and repeal;
providing a finding of public necessity; providing a contingent effective
date.
First reading by publication (Art. III, s. 7, Florida Constitution).
Placed on the Calendar without reference.

By Representative Bloom--
HB 127-D-A bill to be entitled An act relating to pari-mutuel
wagering; amending s. 550.26352, F.S.; providing for the Breeders' Cup
Meet; authorizing pari-mutuel pools on thoroughbred horse races during
the meet; prohibiting the conduct of certain racing within a certain
distance of the facility at which the Breeders' Cup Meet is held during the
meet; providing tax benefits and credits; authorizing the broadcast of the
races conducted at the meet to other locations; providing for the
commingling of certain wagers; providing for rules; providing for the
application of the act in the event of certain statutory conflicts; repealing
s. 550.26353, F.S., relating to tax credits and tax exemptions for certain
permitholders; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Pruitt--
HB 129-D-A bill to be entitled An act relating to tax on sales, use, and
other transactions; amending s. 30, ch. 94-314, Laws of Florida; providing
that no tax on admissions not actually collected before July 1, 1994, shall
be due from any nonprofit chamber of commerce; amending s. 212.08, F.S.;
providing an exemption for sales or leases to nonprofit chambers of
commerce; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representative Long-
HB 131-D-A bill to be entitled An act relating to Medicaid funds;
authorizing school district receipt of funds for specified students; providing
for a separate reimbursement program; providing conditions for receipt of
funds; providing for establishment of fees by the Agency For Health Care
Administration; specifying services covered under the school-based
program; providing duties of the Department of Health and Rehabilitative
Services and the Department of Education; providing requirements for an
administrative cost reimbursement program; authorizing receipt of certain
federal funds; providing an effective date.
Placed in the Committee on Rules & Calendar, the Speaker having ruled
the measure was outside the purview of the Call.

By Representatives Lawson and Trammell-
HR 133-D-A resolution commending the Quincy Shanks High School
track teams.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Rules & Calendar.

By Representatives Lawson, Boyd and Trammell-
HR 135-D-A resolution commending the Florida Agricultural and
Mechanical University High School track teams.
First reading by publication (Art. III, s. 7, Florida Constitution).
Referred to the Committee(s) on Rules & Calendar.

First Reading of Committee Substitutes by Publication



By the Committee on Health Care; Representatives Graber and Casey-
CS/HB 33-D-A bill to be entitled An act relating to confidentiality of
certain health care information; amending s. 407.61, F.S.; providing an
exemption from public records requirements for certain information
collected for a required report to the Governor and Legislature by the










JOURNAL OF THE HOUSE OF REPRESENTATIVES



Agency for Health Care Administration; providing a penalty; providing a The above committee substitute was placed on the Calendar
finding of public necessity; providing an effective date. and, under the rule, HB 33-D was laid on the table.



By the Committee on Health Care; Representative Graber-
CS/HB 35-D-A bill to be entitled An act related to trust funds;
creating the Florida Health Security Trust Fund, to be administered by the
Agency for Health Care Administration; providing for source of moneys
and purposes; providing for future review and termination or re-creation
of the fund; providing a contingent effective date.

By the Committee on Corrections; Representatives Smith and
Trammell-
CS/HB 61-D-A bill to be entitled An act relating to the Inmate
Welfare Trust Fund; amending s. 945.215, F.S.; specifying an additional
purpose for which moneys in the Inmate Welfare Trust Fund may be used;
expanding certain reporting requirements with respect to expenditures
from the trust fund; providing for proceeds of contraband possessed by
inmates to be deposited in the Crimes Compensation Trust Fund in lieu
of the Inmate Welfare Trust Fund; prescribing duties of the Treasurer and
the Secretary of Corrections with respect to investment of moneys in the
Inmate Welfare Trust Fund; providing an effective date.

By the Committee on Aging & Human Services; Representatives Burke,
De Grandy, Bloom and Armesto-Garcia-
CS/HB 115-D-A bill to be entitled An act relating to the protection
of children from abuse and neglect; amending s. 415.503, F.S.; providing a
definition of corporal punishment; providing an effective date.

Reports of Standing Committees
Received June 8:
The Committee on Appropriations recommends the following pass:
CS/HB 61-D, with 1 amendment (fiscal note attached)
HB 93-D (fiscal note attached)
HB 99-D (fiscal note attached)
The above bills were placed on the Calendar.
The Committee on Business & Professional Regulation recommends the
following pass:
HB 25-D, with 3 amendments
The above bill was placed on the Calendar.
The Committee on Health Care recommends a committee substitute for
the following:
HB 33-D



The Committee on Criminal Justice recommends the following pass:
HB 93-D, with 1 amendment
The above bill was referred to the Committee on
Appropriations.
The Committee on Health Care recommends the following pass:
HB 29-D
The above bill was referred to the Committee on
Appropriations.
The Committee on Corrections recommends a committee substitute for
the following:
HB 61-D
The above committee substitute was referred to the
Committee on Appropriations and, under the rule, HB 61-D was
laid on the table.
The Committee on Health Care recommends a committee substitute for
the following:
HB 35-D
The above committee substitute was referred to the
Committee on Appropriations and, under the rule, HB 35-D was
laid on the table.
Received June 9:
The Committee on Appropriations recommends the following pass:
HB 29-D, with 1 amendment (fiscal note attached)
CS/HB 35-D (fiscal note attached)
The above bills were placed on the Calendar.
The Committee on Aging & Human Services recommends a committee
substitute for the following:
HB 115-D
The above committee substitute was placed on the Calendar,
subject to review under Rule 8.4, and, under the rule, HB 115-D
was laid on the table.

Excused
Reps. Logan, Morse

Adjournment
On motion by Rep. Wallace, the House adjourned at 2:23 p.m. sine die.



CERTIFICATE
THIS IS TO CERTIFY that the foregoing pages numbered 1 through
31, inclusive, are and constitute a complete, true and correct journal and
record of the proceedings of the House of Representatives of the State of
Florida at a Special Session of the Seventy-sixth House since Statehood in
1845, convened under the Constitution, held June 7 through June 9, 1994.



Tallahassee, Florida
June 9, 1994



June 9, 1994



31












INDEX

JOURNAL OF THE HOUSE OF REPRESENTATIVES

to the

Special Session "D"

June 7 June 9, 1994



CONTENTS




Page
Bills Sponsored in "D" Session ........ ................. ...................................... 33
Miscellaneous Subjects ........... ........................................................... 36
Vetoed Bills ............................................................................... 37
Subject Index of House and Senate Bills, Resolutions and Memorials ................................... 38
Numerical Index of Bills, Resolutions and Memorials with
Subject, Sponsor and Disposition ...........................................................46


32






INDEX JOURNAL OF THE HOUSE OF REPRESENTATIVES33



Bills Sponsored in "D" Session

[Source: Information Division, Joint Legislative Management Committee]



ALBRIGHT, GEORGE-24th District
Sponsored: 123-D
ARMESTO-GARCIA, ELADIO-117th District
Sponsored: 47-D, 63-D, 93-D, 115-D
ARNOLD, J. KEITH-73rd District
Co-sponsored: 47-D
Local Bills: 7-D
ASCHERL, JACK-28th District
Co-sponsored: 47-D
BAINTER, STAN-25th District
Sponsored: 9-D, 11-D, 39-D
Co-sponsored: 1-D, 47-D
BARREIRO, BRUNO A., JR.-107th District
Sponsored: 123-D, 125-D
Co-sponsored: 89-D
BENSON, LOIS-2nd District
Sponsored: 19-D, 21-D, 85-D, 105-D
Co-sponsored: 1-D, 47-D
BITNER, DAVID I.-71st District
Co-sponsored: 47-D
BLOOM, ELAINE-106th District
Sponsored: 115-D, 121-D, 123-D, 127-D
Co-sponsored: 83-D
BOYD, F. ALLEN, JR.-lOth District
Sponsored: 17-D, 47-D, 113-D, 135-D
BRADLEY, RUDOLPH-55th District
Sponsored: 55-D
Co-sponsored: 5-D, 119-D
BROWN, SHIRLEY-69th District
Sponsored: 123-D, 125-D
Co-sponsored: 47-D
BULLARD, LARCENIA J.-118th District
Sponsored: 123-D, 125-D
BURKE, BERYL D.-108th District
Sponsored: 115-D
Co-sponsored: 5-D, 47-D
BUSH, JAMES III-109th District
Sponsored: 123-D, 125-D
CASEY, ROBERT K.-22nd District
Sponsored: 1-D, 77-D, 79-D, 81-D, 123-D, 125-D
Co-sponsored: 27-D, 33-D, 89-D
CHESTNUT, CYNTHIA MOORE-23rd District
Sponsored: 5-D
CONSTANTINE, D. LEE-37th District
Sponsored: 109-D
Co-sponsored: 1-D, 47-D
COSGROVE, JOHN F.-119th District
Sponsored: 29-D, 73-D, 83-D, 117-D
COUCH, MARVIN-33rd District
Sponsored: 47-D, 97-D
CRADY, GEORGE A.-12th District
Sponsored: 69-D
CRIST, VICTOR D.-60th District
Co-sponsored: 119-D
DAVIS, JIM-56th District
Co-sponsored: 47-D, 119-D
DAWSON, MURIEL-93rd District
Sponsored: 89-D
DE GRAND, MIGUEL A.-ll4th District
Sponsored: 115-D
EDWARDS, LORI-65th District
Sponsored: 13-D
Co-sponsored: 47-D
EGGELLETION, JOSEPHUS, JR.-94th District
Sponsored: 5-D
FEENEY, TOM-35th District
Co-sponsored: 47-D
FULLER, JAMES B.-16th District
Co-sponsored: 1-D
FUTCH, HOWARD E.- 30th District
Sponsored: 37-D, 41-D
Co-sponsored: 47-D
GELLER, STEVEN A.-101st District
Sponsored: 59-D
GLICKMAN, RONALD C.-57th District
Co-sponsored: 47-D
GOODE, HARRY C., JR.-31st District
Sponsored: 89-D, 109-D
GORDON, ELAINE-104th District
Sponsored: 123-D, 125-D
GRABER, BEN-96th District
Sponsored: 29-D, 33-D, 35-D, 43-D, 65-D, 71-D, 83-D
GREENE, ADDIE L.-84th District
Co-sponsored: 125-D
HEALEY, EDWARD J.-86th District
Co-sponsored: 47-D









34JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX



HILL, ANTHONY C., SR.-14th District
Co-sponsored: 5-D
JACOBS, SUZANNE-88th District
Sponsored: 123-D, 125-D
JOHNSON, BUDDY-62nd District
Sponsored: 123-D
Co-sponsored: 27-D, 47-D, 119-D
JONES, DENNIS L.-54th District
Sponsored: 3-D
Co-sponsored: 1-D, 47-D
KELLY, EVERETT A.-42nd District
Sponsored: 47-D, 55-D, 89-D, 101-D, 123-D
KERRIGAN, JAMES P.-4th District
Sponsored: 93-D
KING, JAMES E., JR.-17th District
Sponsored: 89-D, 111-D
LAURENT, JOHN-66th District
Co-sponsored: 47-D
LAWSON, ALFRED J., JR.-8th District
Sponsored: 133-D, 135-D
LIPPMAN, FREDERICK-100th District
Sponsored: 89-D
LITTLEFIELD, CARL D.-61st District
Sponsored: 123-D, 125-D
Co-sponsored: 1-D
LOGAN, WILLIE, JR.-103rd District
Sponsored: 5-D, 93-D
LONG, JOHN-45th District
Sponsored: 113-D, 131-D
MACKENZIE, ANNE-99th District
Sponsored: 123-D
Co-sponsored: 47-D
MACKEY, JOSEPH R., JR.-llth District
Sponsored: 87-D
MANRIQUE, CARLOS A.-115th District
Sponsored: 89-D
MARTINEZ, ELVIN L.-58th District
Sponsored: 93-D
Co-sponsored: 119-D
McCLURE, JULIE-68th District
Sponsored: 89-D
Co-sponsored: 47-D
MERCHANT, SHARON J.-83rd District
Co-sponsored: 1-D, 47-D
MILLER, LESLEY, JR.-59th District
Sponsored: 5-D, 67-D, 119-D
MISHKIN, PHILIP-46th District
MORRONI, JOHN-50th District
Co-sponsored: 47-D
MORSE, LUIS C.-113th District
Co-sponsored: 1-D
MORTHAM, SANDRA BARRINGER-49th District
Sponsored: 1-D, 27-D, 111-D
Co-sponsored: 47-D
OGLES, MARK R.-67th District
Sponsored: 49-D
Co-sponsored: 47-D
POSEY, BILL-32nd District
Sponsored: 39-D
Co-sponsored: 47-D
PRUITT, KENNETH P.-81st District
Sponsored: 23-D, 129-D
Co-sponsored: 47-D
RITCHIE, BUZZ-3rd District
Sponsored: 93-D
Co-sponsored: 47-D
RUDD, HURLEY W.-9th District
Co-sponsored: 47-D
RUSH, BRIAN P.-47th District
Co-sponsored: 119-D
SAFLEY, R. Z.-48th District
Co-sponsored: 47-D, 119-D
SANDERSON, DEBBY P.-91st District
Co-sponsored: 1-D, 89-D
SAUNDERS, RON-120th District
Sponsored: 99-D, 109-1)
SEMBLER, CHARLES W. II-80th District
Co-sponsored: 47-D
SIMON, ART-116th District
Sponsored: 123-D, 125-D
SINDLER, ROBERT B.-38th District
Sponsored: 45-D
Co-sponsored: 47-D
SMITH, KELLEY R.-21st District
Sponsored: 53-D, 61-D
Co-sponsored: 47-D
STAFFORD, TRACY-92nd District
Sponsored: 15-D
Co-sponsored: 47-D
SUBLETTE, WILLIAM E.-40th District
Co-sponsored: 47-D
THOMAS, DAVID L.-70th District
Co-sponsored: 27-D
THRASHER, JOHN-19th District
Sponsored: 123-D, 125-D
Co-sponsored: 1-D, 47-D







INDEXJOURNAL OF THE HOUSE OF REPRESENTATIVES35



TOBIN, JACK N.-95th District
Sponsored: 25-D, 29-D, 31-D, 83-D, 89-D, 123-D, 125-D
TRAMMELL, ROBERT DeWITT-7th District
Sponsored: 61-D, 133-D, 135-D
UPCHURCH, TRACY W.-20th District
Sponsored: 111-D
WALLACE, PETER RUDY-52nd District
Sponsored: 3-D, 121-D
WARNER, TOM-82nd District
Sponsored: 51-D, 57-D, 75-D, 89-D, 91-D, 95-D, 103-D
Co-sponsored: 47-D
WEBSTER, DANIEL-41st District
Sponsored: 111-D, 121-D
WISE, STEPHEN R.-13th District
Sponsored: 107-D, 123-D, 125-D
Co-sponsored: 1-D, 47-D

AGING & HUMAN SERVICES
Committee Bills: 123-D, 125-D
Committee Substitutes: 115-D
CORRECTIONS
Committee Substitutes: 61-D
HEALTH CARE
Committee Substitutes: 33-D, 35-D









36JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX

Miscellaneous Subjects



SubjectPages



AMENDMENTS
Procedure for HBs 29-D, 65-D and 83-D
Appropriations committee amendments ............................................2
Floor amendments................................ ..............................2
Health care committee amendments.............................................. 2
BILLS
Introduction of HB 83-D refused ....................................................... 9-10
DISCLOSURES OF INTEREST
HBs 29-D, 65-D and 83-D
Casey, Robert K........................................ 27-28
Graber, Ben ...............................................................................28
Jones, Dennis L........................................................28
Kelly, Everett .............................................. .............................. 28
Lippman, Frederick................................ .................................. 28-29
Sindler, Robert B........................... ... .............................29
EXCUSED ABSENCES ......................................................... 26, 31
PRAYERS ...........................................................................................1, 27
PROCLAMATION............................................................1







INDEX JOURNAL OF THE HOUSE OF REPRESENTATIVES37



Vetoed Bills
Dates shown are dates when Governor vetoed bills and sent these
directly to Secretary of State for subsequent transmittal to house of origin.
Where no disposition shown, veto message was not taken up by House.



No. SubjectSponsor and Page Numbers Date Vetoed Disposition Date


1994 Regular Session Vetoed House Bills
CS/HB 447
Relief/Raul Eguaras............................. ..... ..Judiciary; De Grandy 10.....................5/12/94Died in committee

HB 1663
Northern Palm Beach County Water Control District........Merchant 10.................................5/11/94Died in committee

CS/HB 2063
Financial Audits/Local Governments.......................Finance & Taxation; Tedder and others 10-11...5/27/94Died in committee

HB 2179
Broward County/Port Everglades District..................Geller 11...................................5/25/94Died in committee

CS/HB 2195
Relief/Dolores DeLucia ..................................Judiciary; Cosgrove 11......................5/26/94Died in committee

HB 2205
South Brevard Water Control District ....................Futch 11....................................5/11/94Died in committee

HB 2235
South Indian River Water Control District................Merchant 11-12..............................5/11/94Died in committee

HB 2291
St. Lucie County/Sheriffs Employees .....................Pruitt 12...................................5/31/94Died in committee

HB 2643
Money Transmitters Code/Public Records...................Commerce; Clemons and others 12.............5/24/94Died in committee

1994 Regular Session Vetoed Senate Bills
CS/SB 330
Cosmetology & Barbering .................................Professional Regulation; Gutman.............5/24/94
SB 1324
Relief/Michael & David Whaley ...........................Foley...................................... 5/19/94

SB 2208
Secondhand Dealers/Regulation Exemption..................Sullivan....................................5/24/94

CS/SB 2536
Child & Vulnerable Adult Abuse...........................Health and Rehabilitative Services; Hargrett.....5/24/94

CS/SB 2998
State Planning & Budgeting...............................Appropriations; Jenne.......................5/25/94






















38JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX



Subject Index of House and Senate

Bills, Resolutions and Memorials

[Source: Information Division, Joint Legislative Management Committee]

This index embraces all measures introduced in both the House and Senate. The house of origin is identified by
the letter preceding each bill: H-House, S-Senate. Senate bills shown in this index include those never received by
the House and their inclusion here is only for the convenience of the user interested in all the legislation introduced
in the Legislature on a particular subject.
(Boldfaced bill numbers passed both houses; one-house resolutions adopted. Chapter number added if entry re-
mains in final version of bill. Some entries shown may have been deleted from final version.)



-A-

ABUSE
Adult Abuse
Protective services; care and protection of "vulnerable" adults,
S6-D, S24-D, H123-D
Child Abuse
Abandonment, S20-D, H115-D
Controlled substances, exposure, S20-D, H115-D
Corporal punishment, S20-D, H115-D
Food, clothing, shelter, medical attention, etc.; omission by parent
constitutes neglect, S20-D, H115-D
Investigators responsible for investigating alleged reports of child
abuse and neglect; standards, training, licensure, S20-D, H115-D
Reports
Anonymous reports to abuse registry, S20-D, H115-D
False report of abuse or neglect, S20-D, H115-D
Telephone counselors, HRS to implement training system; im-
prove information gathering when report of abuse or neglect is
being made, S20-D, H115-D
Spanking (parents and guardians), S20-D, H115-D
Spanking (schools), H115-D
Disabled Persons Abuse
Protective services; care and protection of "vulnerable" adults,
S6-D, S24-D, H123-D
Domestic Violence
Health care practitioners, continuing education requirements,
S30-D, H25-D, H29-D, H65-D, H83-D

ADMINISTRATIVE PROCEDURES
Legislative oversight, H87-D
Publication of code, H87-D
Rulemaking procedures, H87-D
Rules
Small businesses; agencies to consider impact of rules on small
businesses, H87-D
Small counties; agencies to consider impact of rules on small busi-
nesses, H87-D

ADOPTION, S6-D, S24-D, H115-D, H123-D

ADULT FAMILY-CARE HOMES
Licensure; regulation, S6-D, S24-D, H123-D

AIDS
Barbers; continuing education requirement, H55-D
Clinical social workers; continuing education requirement, S30-D,
H25-D, H29-D, H65-D, H83-D
Cosmetology; education requirement, H55-D
Marriage and family therapists; continuing education requirement,
S30-D, H25-D, H29-D, H65-D, H83-D
Mental health counselors; continuing education requirement, S30-D,
H25-D, H29-D, H65-D, H83-D
Testing (HIV)
Reporting, H19-D

AMBULATORY SURGICAL CENTERS
Licensure; regulation, H21-D

APPOINTMENTS
Governor
Barbering and Cosmetology Board, H55-D

APPOINTMENTS (Cont.)
Governor (Cont.)
Creek Indian Council, H85-D
Federal Affairs Council, governing board, H121-D
Health Care Administration Agency Advisory Council, S4-D,
H89-D
Health Care Services Department, Secretary, S4-D, H89-D
Medical Education and Training Consortium, H29-D, H65-D,
H83-D
Nursing Board, S30-D, H25-D, H29-D, H65-D, H83-D
Physicians, minority; advisory committee on recruitment and reten-
tion, S28-D, H29-D, H65-D, H83-D
Public Health Services Agency Advisory Council, S4-D, H89-D
Rosewood Family Scholarship Fund Advisory Council, H5-D
Social and Economic Services Department, Secretary, S4-D
State Contractor Health Insurance Access Task Force, S12-D,
S28-D, H29-D, H47-D, H65-D, H83-D
Legislature
Administrative Procedures Committee, H87-D
Federal Affairs Council, H121-D
Health Care Administration Agency Advisory Council, S4-D,
H89-D
Public Health Services Agency Advisory Council, S4-D, H89-D
State Contractor Health Insurance Access Task Force, S12-D,
S28-D, H29-D, H47-D, H65-D, H83-D

APPROPRIATIONS
Business and Professional Regulation Department, S30-D, H25-D,
H29-D, H65-D, H83-D
County Public Health Units, H91-D
Education Department, H5-D, H29-D, H43-D, H65-D, H83-D
General Appropriations Bills
Supplemental Appropriations Bill, S18-D, S26-D
1993-1994 General Appropriations Bill; allocations to Manatee
County District School Board, extension of reversion date,
H49-D
Health and Rehabilitative Services Department, H29-D, H65-D,
H83-D
Health Care Administration Agency, S32-D, H29-D, H35-D, H83-D
Health care advisory council to determine whether federal antitrust
agencies meet needs of health care provider networks while pro-
tecting consumers, S28-D
Highway Safety and Motor Vehicles Department, H79-D
Management Services Department, H29-D, H65-D, H83-D
Rosewood Massacre, H5-D

ATHLETICS
Sales tax, admissions, H23-D, H129-D

AUDITOR GENERAL
Reorganization, S42-D, H1-D, H83-D

-B-

BARBERS
Hair-braiding, H55-D
Licensure; regulation, H55-D

BROWARD COUNTY
Recovery agents pilot project; agents to seize license plates, suspen-
sion of registration as result of noncompliance with financial re-
sponsibility, H73-D







INDEXJOURNAL OF THE HOUSE OF REPRESENTATIVES39



BUSINESS AND COMMERCE
Small, Disadvantaged, or Minority Businesses
Administrative rules; agencies to consider impact of rules on small
businesses, H87-D

BUSINESS AND PROFESSIONAL REGULATION, DEPART-
MENT OF
Licensure of Regulated Professions, General Provisions
AIDS
Continuing education requirements, S30-D, H25-D, H29-D,
H65-D, H83-D
Domestic violence, continuing education course, S30-D, H25-D,
H29-D, H65-D, H83-D
Health care practitioner serving in Legislature; continuing educa-
tion requirements, S30-D, H25-D, H29-D, H65-D, H83-D
Impaired practitioner consultants, immunity from discovery in civil
actions, S30-D, H25-D, H29-D, H65-D, H83-D
Medical licensure, streamlining, H29-D, H65-D, H83-D
Patient Brokering, S10-D, H3-D
Referral for health care services in which health care provider is in-
vestor, "joint ventures", S30-D, H25-D, H29-D, H33-D, H65-D,
H83-D
Reorganization, S4-D, H89-D

-C-

CERTIFICATES OF NEED, H103-D

CHILD CARE
Child-placing Agencies
Licensure; regulation, S6-D, S24-D, H123-D
Facilities
Licensure; regulation, S6-D, S24-D, H123-D
Family Foster Homes
Licensure; regulation, S6-D, S24-D, H123-D
Residential Child-caring Agencies
Licensure; regulation, S6-D, S24-D, H123-D

CHILD CUSTODY
Abandonment, evidence, H115-D

CHIROPRACTIC PHYSICIANS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

CIGARETTES AND TOBACCO PRODUCTS
Distribution of funds; health care programs and services, H77-D,
H81-D
Taxes, H77-D, H81-D

CLINICAL SOCIAL WORKERS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D

CONSTITUTIONAL AMENDMENTS
Prisoners, release, S34-D, H27-D

CONSTRUCTION INDUSTRY
Contractors
Insurance; state contractors to provide employees with health in-
suraiVce, S8-D, S12-D, S28-D, H29-D, H47-D, H65-D, H83-D,
Hlll!-D
Natural disaster; rebuilding of residences and businesses after disas-
ter without complying with certain permitting requirements,
H113-D

CONTINUING CARE RETIREMENT COMMUNITIES
Health maintenance contracts with HMOs to provide services to their
residents, H29-D, H65-D, H83-D

COSMETICS
Export; receive, possess, or deliver adulterated, misbranded, sample
or complimentary cosmetics for export, H63-D

COSMETOLOGISTS
Hair-braiding, H55-D
Licensure; regulation, H55-D

COURTS
Court Costs
Disposition of funds, H13-D

-D-

DADE COUNTY
Recovery agents pilot project; agents to seize license plates, suspen-
sion of registration as result of noncompliance with financial re-
sponsibility, H73-D

DEAF AND BLIND, FLORIDA SCHOOL FOR, S6-D, S24-D,
H123-D

DEBTORS AND CREDITORS
Garnishment
Health insurance premiums for dependent child, S28-D, H29-D,
H65-D, H83-D

DENTAL HYGIENISTS
Governmental contractors, sovereign immunity, S30-D, H25-D,
H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

DENTISTS
Governmental contractors, sovereign immunity, S30-D, H25-D,
H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

DIETETICS AND NUTRITION PRACTICE
Licensure; regulation, S30-D

DISABLED PERSONS
Home care, S16-D, S24-D
School districts to receive Medicaid funds for services to handicapped
children & other children allowed under state Medicaid law,
S46-D, H131-D

DISEASES
Rare and Chronic Disease Advisory Council, H29-D, H65-D, H83-D

DRIVER LICENSES
Fees, delinquent license fees, H79-D
Suspension or Revocation
Driving while license suspended or revoked, impoundment of vehi-
cle, H73-D

DRUGS
Ephedrine, S14-D, H101-D
"Ma Huang", S14-D, H101-D
Prescriptions
Export; receive, possess, or deliver adulterated, misbranded, sample
or complimentary drugs for export, H63-D
Fertility drugs, Medicaid services, H29-D, H65-D, H83-D
Regulations, S14-D, H101-D

-E-

EDUCATION
Public Education Capital Outlay (PECO)
1993-1994 General Appropriations Bill; allocations to Manatee
County District School Board, extension of reversion date,
H49-D

ELDERLY AFFAIRS, DEPARTMENT OF
Reorganization, S16-D, S24-D

ELDERLY PERSONS
Home care, S16-D, S24-D
Offenses Against
Protective services; care and protection of "vulnerable" adults,
S6-D, S24-D, H123-D

ELECTROLOGISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

EMERGENCY MANAGEMENT
Disaster Relief
Permits; rebuilding after natural disaster not subject to certain per-
mitting requirements, H113-D










40JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX



EMERGENCY MEDICAL SERVICES
Emergency Medical & Injury Prevention Systems for Children
(EMIPSC) Program; educational programs for emergency medical
personnel, treatment of children, H29-D, H65-D, H83-D

ENVIRONMENTAL PROTECTION
Permits
Natural disaster; rebuilding of residences and businesses after dis-
aster without complying with certain permitting requirements,
H113-D
Trade secrets, H17-D

ENVIRONMENTAL PROTECTION, DEPARTMENT OF
Records, H17-D

-F-

FAMILIES
Parental rights, termination, H115-D.
Pregnancy and Parenting
Contraceptives
Oral contraceptive distribution program, H29-D, H65-D, H83-D
Sterilization, Medicaid clients, H29-D, H65-D, H83-D
Use by public assistance recipients, H29-D, H65-D, H83-D
Fertility drugs, Medicaid services, H29-D, H65-D, H83-D

FIRE PREVENTION AND CONTROL
Fort Myers Beach Fire Control District, H7-D

-G-

GOVERNOR
Federal Affairs Council; represent legislative & fiscal interests of ex-
ecutive & legislative branches of state government, increase grant
revenues, H121-D
Reports
Administration, State Board of, H87-D
Agriculture and Consumer Services Department, H87-D
Banking and Finance Department, H87-D
Business and Professional Regulation Department, H87-D
Citrus Department, H87-D
Commerce Department, H87-D
Community Affairs Department, H87-D
Corrections Department, H87-D
Education Department, H29-D, H65-D, H83-D, H87-D
Elderly Affairs Department, H87-D
Environmental Protection Department, H87-D
Ethics Commission, H29-D, H65-D, H83-D
Game and Fresh Water Fish Commission, H87-D
Health and Rehabilitative Services Department, S28-D, H29-D,
H65-D, H67-D, H83-D, H87-D
Health Care Administration Agency, S28-D, H29-D, H65-D,
H83-D, H87-D
Highway Safety and Motor Vehicles Department, H87-D
Insurance Department, H87-D
Labor and Employment Security Department, H87-D
Law Enforcement Department, H87-D
Legal Affairs Department, H87-D
Lottery Department, H87-D
Management Services Department, H29-D, H65-D, H83-D, H87-D
Military Affairs Department, H87-D
Parole Commission, H87-D
Physicians, minority; advisory committee on recruitment and reten-
tion, S28-D, H29-D, H65-D, H83-D
Revenue Department, H87-D
State Contractor Health Insurance Access Task Force, S12-D,
S28-D, H29-D, H47-D, H65-D, H83-D
State Department, H87-D
Transportation Department, H87-D
Veterans' Affairs Department, H87-D

-H-

HEALTH AND REHABILITATIVE SERVICES, DEPARTMENT
OF
Records, H17-D

HEALTH AND REHABILITATIVE SERVICES, DEPARTMENT
OF (Cont.)
Reorganization, S4-D, S16-D, S24-D, H29-D, H65-D, H83-D, H89-D
State Health Office
Minority Health Office, creation, H29-D, H65-D, H83-D

HEALTH CARE
Children's Medical Services
Chronically ill children, disabling or potentially disabling condi-
tions; comprehensive/coordinated system, links community to
regional programs, etc., S28-D, H29-D, H65-D, H83-D
Emergency Medical & Injury Prevention Systems for Children
(EMIPSC) Program; educational programs for emergency medi-
cal personnel, treatment of children, H29-D, H65-D, H83-D
Infant Health Care
Perinatal intensive care services, H29-D, H65-D, H83-D
Community health purchasing alliances, S28-D, H29-D, H43-D,
H51-D, H65-D, H75-D, H83-D, H97-D
County Public Health Units
Contraceptive services, H29-D, H65-D, H83-D
Eligibility standards, H91-D
Hours of operation, H91-D
Health Care Access
Academic Task Force on Health Care Delivery Systems; evaluate
delivery of primary, preventive, and specialty health care,
H29-D, H65-D, H83-D
Community health purchasing alliances, S28-D, H29-D, H43-D,
H51-D, H65-D, H75-D, H83-D, H97-D
Health Security; provide affordable health insurance and use exist-
ing health care infrastructure and local government resources,
S28-D, H29-D, H65-D, H83-D
Mental illnesses, including substance abuse disorders, S28-D,
H29-D, H65-D, H83-D
Small employers and individuals, Health Care Access Act; avail-
ability regardless of claims experience or health status, S28-D,
H29-D, H65-D, H83-D
Small employers; Health Insurance Coverage Continuation Act;
employee access to affordable coverage not currently protected
by Title X COBRA, S28-D, H29-D, H65-D, H83-D
State contractors, employees; access to hospitalization and medical
insurance benefits, S8-D, S12-D, S28-D, H29-D, H47-D, H65-D,
H83-D, H111-D
Health Care Workforce Council; plan for reconfiguration of work-
force, responsive to health care needs of state, H29-D, H65-D,
H83-D
Health Councils (Local)
Membership; powers and duties, H29-D, H65-D, H83-D
Health Facilities Authorities
Federal assistance programs, H105-D
Home Health Services
Home Health Agencies
Licensure; regulation, S6-D, S24-D, H123-D
"Joint Ventures", S30-D, H25-D, H29-D, H33-D, H65-D, H83-D
Limited Accountable Health Partnerships
Limited health services; ambulance, dental care, vision care, mental
health, substance abuse, chiropractic, podiatric, pharmaceutical,
and other services, H29-D, H65-D, H83-D
Medical Education and Training Consortium; evaluate adequacy of
state's health care provider workforce, establish medical residency
programs, etc., H29-D, H65-D, H83-D
Patient Brokering, S1OH-D, H3
"Point-of-service option", S28-D, H29-D, H65-D, H83-D
Trade secrets, H17-D
"Willing Providers"; health care providers agree to accept reimburse-
ment rates negotiated by health partnerships, S28-D, H29-D,
H65-D, H83-D

HEALTH CARE ADMINISTRATION AGENCY
Reorganization, S4-D, H29-D, H65-D, H83-D, H89-D

HEALTH CARE SERVICES, DEPARTMENT OF
Creation, S4-D, H89-D

HEALTH MAINTENANCE ORGANIZATIONS (HMOs)
Continuing care or retirement facilities, contract with HMOs to pro-
vide services to their residents, H29-D, H65-D, H83-D
Emergency services and care, S28-D, H29-D, H65-D, H83-D








INDEXJOURNAL OF THE HOUSE OF REPRESENTATIVES41



HEALTH MAINTENANCE ORGANIZATIONS (HMOs) (Cont.)
Health care providers, professional liability insurance, H29-D, H65-D,
H83-D
Licensure; regulation, S28-D, H29-D, H65-D, H83-D
Medicaid; requirement re prepaid plans, H29-D, H65-D, H83-D
Minorities; applicants for certificate of authority to submit plan for
recruitment & retention of minority health care practitioners,
S28-D, H29-D, H65-D, H83-D
OBRA, compliance requirements, S28-D, H29-D, H65-D, H83-D
"Patient choice"; "point of service plan" allows subscriber freedom of
choice to use nonparticipating providers, S28-D, H29-D, H65-D,
H83-D
"Willing Providers", S28-D, H29-D, H65-D, H83-D

HILLSBOROUGH COUNTY
Recovery agents pilot project; agents to seize license plates, suspen-
sion of registration as result of noncompliance with financial re-
sponsibility, H73-D

HOSPITALS
Disproportionate Share Programs, S28-D, H29-D, H65-D, H83-D
Emergency services, H91-D
Licensure; regulation, H21-D
Medical Education and Training Consortium; evaluate adequacy of
state's health care provider workforce, establish medical residency
programs, etc., H29-D, H65-D, H83-D
Rural health care, S28-D, H29-D, H65-D, H83-D
Teaching Hospitals
Medical Education and Training Consortium; evaluate adequacy of
state's health care provider workforce, establish medical residen-
cy programs, etc., H29-D, H65-D, H83-D
Sterilization procedures, H29-D, H65-D, H83-D
Trauma care services, H29-D, H65-D, H83-D
Urban community health centers, S28-D, S32-D, H29-D, H65-D,
H83-D

HYPNOSIS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

-I-

INDIANS
Creek Indian Council, H85-D

INSURANCE
Adjusters
"Public adjuster", limiting authority to act for or aid insured in ne-
gotiating insurance claim, H73-D
Agents
Customer representatives, H73-D
Licensure; regulation, H73-D
Consumer advocate, H73-D
Disability Insurance
Total disability, H29-D, H65-D, H83-D
Health Insurance
Child support, S28-D, H29-D, H65-D, H83-D
Claims; Standardized Forms
Billing and reimbursement, standardized codes specify diagnoses,
treatment, identify insurers, providers, patients, H29-D,
H65-D, H83-D
Community Health Purchasing Alliances, S28-D, H29-D, H43-D,
H51-D, H65-D, H75-D, H83-D, H97-D
Dependents, H29-D, H65-D, H83-D
Health care provider contracts, professional liability insurance,
H29-D, H65-D, H83-D
Minorities; preferred provider plans, exclusive provider plans,
HMOs to submit plan for recruitment & retention of minority
health care practitioners, H29-D, H65-D, H83-D
OBRA, compliance requirements, S28-D, H29-D, H65-D, H83-D
Preexisting condition, S28-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D
Insolvency
Claims; priority of distribution of claims from insurer's estate,
H73-D
Insurance Guaranty Associations
Life and Health Insurance Guaranty Association, H73-D
INSURANCE (Cont.)
Joint Underwriting Plans
Property and casualty insurance, H59-D
Mortgage Guaranty Insurance, H73-D
Motor Vehicle Insurance
No-fault Insurance, H73-D
Personal Injury Protection (PIP), H73-D
Multiple-employer Welfare Arrangement
OBRA, compliance requirements, S28-D, H29-D, H65-D, H83-D
Professional Liability Insurance
Health care providers, H29-D, H65-D, H83-D
Property and Casualty Insurance
Joint underwriting plans, H59-D
State Group Insurance Program
Vested employees, H29-D, H65-D, H83-D
Unfair Insurance Trade Practices
Termination of agent contracts by insurers, H73-D

INTERIOR DESIGNERS
Licensure; regulation, H31-D

INTERNATIONAL AFFAIRS
Aliens, H9-D, H15-D
Immigrants, H9-D, H15-D
Pharmacists, graduate of program outside U.S.; licensure, S30-D,
H25-D, H29-D, H65-D, H83-D
Physicians; certain foreign-trained physicians exempt from licensure
exam, S30-D, H25-D, H29-D, H65-D, H83-D
Prisoners; alien incarcerated in state correctional facilities, deporta-
tion, H9-D

-J-

JAILS
Correctional Facilities
Funding, S26-D, H99-D

JOINT VENTURES, S30-D, H25-D, H29-D, H33-D, H65-D, H83-D

-L-

LABORATORIES
Clinical Laboratories
Alternate-site testing, S30-D, H25-D, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Personnel
Cross-training of health professionals, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

LAKE COUNTY
High water recharge lands, classification; tax assessment, H45-D

LANDS
High water recharge lands, classification; tax assessment, H45-D

LAW ENFORCEMENT OFFICERS
Certification, S38-D, H69-D
Correctional Officers
Certification, S38-D, H69-D

LEE COUNTY
Fort Myers Beach Fire Control District, H7-D

LEGAL AFFAIRS, DEPARTMENT OF
Medicaid Fraud Control Office, S42-D, H1-D, H83-D
Reorganization, S42-D, H1-D, H83-D

LEGISLATURE
Administrative Procedures Committee, H87-D
Federal Affairs Council; represent legislative & fiscal interests of ex-
ecutive & legislative branches of state government, increase grant
revenues, H121-D
Joint Legislative Management Committee, H121-D
Reports
Administration, State Board of, H87-D
Agriculture and Consumer Services Department, H87-D









42JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX



LEGISLATURE (Cont.)
Reports (Cont.)
Banking and Finance Department, H87-D
Business and Professional Regulation Department, S20-D, S30-D,
H25-D, H29-D, H65-D, H83-D, H87-D, H115-D
Citrus Department, H87-D
Commerce Department, H87-D
Community Affairs Department, H87-D
Corrections Department, H87-D
Education Department, S46-D, H29-D, H43-D, H65-D, H83-D,
H87-D, H131-D
Elderly Affairs Department, H87-D
Environmental Protection Department, H87-D
Ethics Commission, H29-D, H65-D, H83-D
Game and Fresh Water Fish Commission, H87-D
Health and Rehabilitative Services Department, S20-D, S28-D,
S46-D, H29-D, H65-D, H67-D, H83-D, H87-D, H115-D, H131-D
Health Care Administration Agency, S28-D, S46-D, H29-D, H65-D,
H83-D, H87-D, H131-D
Health care advisory council to determine whether federal antitrust
agencies meet needs of health care providers' networks while
protecting consumers, S28-D
Highway Safety and Motor Vehicles Department, H73-D, H87-D
Insurance Department, H87-D
Labor and Employment Security Department, H87-D
Law Enforcement Department, H87-D
Legal Affairs Department, H87-D
Lottery Department, H87-D
Management Services Department, H29-D, H65-D, H83-D, H87-D
Military Affairs Department, H87-D
Parole Commission, H87-D
Physicians, minority; advisory committee on recruitment and reten-
tion, S28-D, H29-D, H65-D, H83-D
Revenue Department, H87-D
State Contractor Health Insurance Access Task Force, S12-D,
S28-D, H29-D, H47-D, H65-D, H83-D
State Department, H87-D
Transportation Department, H87-D
Veterans' Affairs Department, H87-D
Rules
House Rule 11.10, Senate amendments, H37-D

LOCAL GOVERNMENTS
Administrative rules; agencies to consider impact of rules on small
counties, H87-D
Chambers of commerce, sales tax exemption re sales or leases to non-
profit chambers of commerce, H129-D
County Officers and Employees
Public access; quasi-judicial proceedings, ex parte contact, H109-D
Municipal Officers and Employees
Public access; quasi-judicial proceedings, ex parte contact, H109-D

-M-

MALPRACTICE
Medical Malpractice
Dentists or dental hygienists, health care provider; governmental
contractors, sovereign immunity, S30-D, H25-D, H29-D, H65-D,
H83-D
Nonbinding arbitration, H43-D
Optometrists, health care provider; governmental contractors, sov-
ereign immunity, S30-D, H25-D, H29-D, H65-D, H83-D
University of Florida to study mandatory nonbinding arbitration,
H43-D, H51-D

MANATEE COUNTY
1993-1994 General Appropriations Bill; allocations to Manatee Coun-
ty District School Board, extension of reversion date, H49-D

MARRIAGE AND FAMILY THERAPISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D

MEDICAID
Administration; Health Care Administration Agency in lieu of HRS,
S28-D, H29-D, H65-D, H83-D

MEDICAID (Cont.)
County assessments, S28-D, H29-D, H65-D, H83-D
Emergency services, hospitals or physicians, H29-D, H65-D, H83-D
Family planning services; counseling re sterilization procedures and
contraceptives, H29-D, H65-D, H83-D
Fertility drugs, H29-D, H65-D, H83-D
Fraud control, S42-D, H1-D, H65-D, H83-D
Health care providers prohibited from contracting with Medicaid pro-
gram due to prior conviction for specified crimes; approval to reen-
ter program, H29-D, H65-D, H83-D
Joint and several liability, S42-D, H1-D, H65-D, H71-D, H83-D,
H107-D
Managed care plans, S28-D, H29-D, H65-D, H83-D
School districts to receive Medicaid funds for services to handicapped
children & other children allowed under state Medicaid law,
S46-D, H131-D

MEDICARE
Supplemental insurance, H29-D, H65-D, H83-D

MEMORIALS
Aliens, H9-D, H15-D

MENTAL HEALTH
Community Substance Abuse and Mental Health Services Act; con-
tinuums of care, S36-D
Counselors
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D

MIDWIFERY
Health Services Corps; inclusion of midwifery, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

MINORITIES
Health care, preferred provider plans, exclusive provider plans, and
health maintenance organizations (HMOs); minority recruitment,
S28-D, H29-D, H65-D, H83-D

MINORS
Dependency proceedings, H115-D
Young Criminal Offenders, H93-D

MOTOR VEHICLES
Financial responsibility, H73-D
License Plates
Recovery agents to seize plates, suspension of registration as result
of noncompliance with financial responsibility, H73-D
Registration
Suspension as result of noncompliance with financial responsibility,
recovery agents seize license plates, H73-D

-N-

NEGLIGENCE
Damages
Apportionment of comparative fault; doctrine of joint and several
liability, S42-D, H1-D, H65-D, H71-D, H83-D, H107-D

NURSES
Cross training of other health care personnel to perform limited nurs-
ing functions, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Nursing Assistants
Certification; regulation, S6-D, S24-D, S30-D, H25-D, H29-D,
H65-D, H83-D, H123-D, H125-D

NURSING HOMES
Administrators
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

-O-

OCCUPATIONAL THERAPISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

OPTICIANS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D









INDEXJOURNAL OF THE HOUSE OF REPRESENTATIVES43



OPTOMETRISTS
Governmental contractors, sovereign immunity, S30-D, H25-D,
H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

ORANGE COUNTY
High water recharge lands, classification; tax assessment, H45-D

OSTEOPATHIC PHYSICIANS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Physician Assistants
Licensure, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D
Specialists, S30-D, H25-D, H29-D, H65-D, H83-D

-P-

PARI-MUTUEL WAGERING
Horse Racing
Breeders' Cup Meet, H127-D
Taxes, H127-D

PHARMACIES AND PHARMACISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Referral for health care services in which health care provider is in-
vestor, "joint ventures", S30-D, H25-D, H29-D, H65-D, H83-D

PHYSICAL THERAPISTS
Licensure; regulation, S30-D, H25-D, H2 H29-D, H65-D, H83-D
Physical therapist assistants, S30-D, H25-D, H29-D, H65-D, H83-D
Sexual misconduct, S30-D, H25-D, H29-D, H65-D, H83-D

PHYSICIANS
Foreign-trained physicians, certain; exempt from licensure exam,
S30-D, H25-D, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Medical Education and Training Consortium; evaluate adequacy of
state's health care provider workforce, establish medical residency
programs, etc., H29-D, H65-D, H83-D
Medical faculty certificates, S30-D, H25-D, H29-D, H65-D, H83-D
Minorities; recruitment and retention of minority health care practi-
tioners, H29-D, H65-D, H83-D
Patient Brokering, S10-D, H3-D
Physician Assistants
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D
Specialists, S30-D, H25-D, H29-D, H65-D, H83-D

PODIATRISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Medical faculty certificate, S30-D, H25-D, H29-D, H65-D, H83-D
Sexual misconduct, S30-D, H25-D, H29-D, H65-D, H83-D

POLK COUNTY
High water recharge lands, classification; tax assessment, H45-D

POPULAR NAMES
Access to Public Officials, H109-D
Adult Protective Services, S6-D, S24-D, H123-D
Appropriations Bill, Supplemental, S18-D, S26-D
Community Health Purchasing Alliances, S28-D, H29-D, H43-D,
H51-D, H65-D, H75-D, H83-D, H97-D
Community Substance Abuse and Mental Health Services Act, S36-D
Contraceptives, H29-D, H65-D, H83-D
Corporal Punishment, S20-D, H115-D
Elaine Gordon Adult Protective Services Act, S6-D, S24-D, H123-D
Emergency Medical and Injury Prevention Systems for Children Act,
H29-D, H65-D, H83-D
Ephedrine, S14-D, H101-D
Fitness-wellness Program, H29-D, H65-D, H83-D
General Appropriations Bill, Supplemental, S18-D, S26-D
Hair-braiding, H55-D
Health Insurance Coverage Continuation Act, S28-D, H29-D, H65-D,
H83-D
Health Security Act, S28-D, H29-D, H65-D, H83-D
High Water Recharge Lands, H45-D

POPULAR NAMES (Cont.)
"Joint Ventures", S30-D, H25-D, H29-D, H33-D, H65-D, H83-D
"Ma Huang", S14-D, H101-D
Mobile Barbershops and Salons, H55-D
Patient Brokering, S10-D, H3-D
Patient Self-referral, S30-D, H25-D, H29-D, H33-D, H65-D, H83-D
"Point-of-service Option", S28-D, H29-D, H65-D, H83-D
Psychotherapeutic Services, H29-D, H65-D, H83-D
Public Health and Health Care Administration Act of 1994, S4-D,
H89-D
Rosewood Massacre, H5-D
Sam Mitchell Good Government Act, H87-D
Spanking (Parents and Guardians), S20-D, H115-D
Spanking (Schools), H115-D
Sterilization, H29-D, H65-D, H83-D
"Three Strikes Bill", S40-D, H11-D
Tobacco Liability Law, S42-D, H1-D, H65-D, H71-D, H83-D, H107-D
Trade Secrets Confidential, H17-D
"Willing Providers", S28-D, H29-D, H65-D, H83-D
Workers' Compensation, H95-D

PREPAID HEALTH CLINICS
Licensure; regulation, H29-D, H65-D, H83-D

PRISONS
Correctional Facilities
Funding, S26-D, H99-D
Prisoners
Felony Offenders
Career criminals, S40-D, H11-D
Habitual felony offenders; habitual violent felony offenders,
H11-D
"Three Strikes and You Are Out of Society", S40-D, H11-D
Inmate Welfare and Employee Benefit Trust Funds
Uses of moneys, S22-D, H61-D
Release
Alien incarcerated in state correctional facilities, deportation,
H9-D
Gain-time
Award only for good conduct, not automatically granted,
S34-D, H27-D
Prohibition; prisoners to serve full sentence, exceptions, S34-D,
H27-D

PROBATION
Correctional Probation Officers
Certification, S38-D, H69-D

PSYCHOLOGISTS
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D
Psychotherapeutic services, H29-D, H65-D, H83-D

PSYCHOTHERAPEUTIC SERVICES, H29-D, H65-D, H83-D

PUBLIC OFFICERS AND EMPLOYEES
Fitness-wellness Program, H29-D, H65-D, H83-D
Public access; quasi-judicial proceedings, ex parte contact, H109-D

PUBLIC RECORDS
Exemptions
Child abuse or vulnerable adult, S6-D, S24-D, H123-D

PURCHASING
Contractual Services
Health insurance benefits, contractors to provide employee access,
S8-D, S12-D, S28-D, H29-D, H47-D, H65-D, H83-D, H111-D

-R-

RADIATION
Ionizing radiation machines and components, S30-D, H25-D, H29-D,
H65-D, H83-D
Radiologic Technologists
Cross-training of health professionals, H29-D, H65-D, H83-D
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

RELIEF BILLS
DeLucia, Dolores; Metropolitan Dade County, H117-D










44JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX



RESOLUTIONS
Aliens, H9-D, H15-D
Concurrent Resolutions
Lunar landing, H41-D
Florida A & M High School, H135-D
Kimbell, Sylvia Rodriguez, H119-D
Legislative Rules
House Rule 11.10, Senate amendments, H37-D
Lunar landing, H41-D
Military activity, H39-D
Quincy Shanks High School, H133-D

RESPIRATORY THERAPY
Cross-training of health professionals, H29-D, H65-D, H83-D

RESTRAINT OF TRADE
Antitrust
Health care, S28-D

ROSEWOOD MASSACRE, H5-D

-S-

SALES TAX
Admissions Tax
Athletic or other events sponsored by governmental entities,
H23-D, H129-D
Exemptions
Chambers of commerce, sales or leases to nonprofit chambers of
commerce, H129-D

SCHOOLS
Discipline
Corporal punishment, H115-D
Spanking, H115-D
Health Services
Managed health care for students, H67-D
School Boards
Public access; quasi-judicial proceedings, ex parte contact, H109-D
Students
Exceptional Students
Federal Medicaid funds, school districts to receive funds; services
to handicapped children & other children allowed under state
Medicaid law, S46-D, H131-D

SENTENCING
"Three Felonies and You Are Out", S40-D, H11-D

SEX CRIMES
Physical therapists, S30-D, H25-D, H29-D, H65-D, H83-D
Podiatrists, S30-D, H25-D, H29-D, H65-D, H83-D

SOCIAL AND ECONOMIC SERVICES, DEPARTMENT OF
Creation, S4-D

SOCIAL SERVICES
Family Planning
Contraceptives, use by public assistance recipients, H29-D, H65-D,
H83-D
Oral contraceptive distribution program, H29-D, H65-D, H83-D
Sterilization, Medicaid clients, H29-D, H65-D, H83-D

SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
Licensure; regulation, S30-D, H25-D, H29-D, H65-D, H83-D

STATE AGENCIES
Fitness-wellness Program, H29-D, H65-D, H83-D

STUDENT FINANCIAL AID OR SCHOLARSHIPS
Health Services Corps
Midwifery, H29-D, H65-D, H83-D
Nursing & Allied Health Student Loan Repayment Program; includes
radiologic tech., clinical lab tech., physical & respiratory therapists,
etc., H29-D, H65-D, H83-D
Nursing and Allied Health Scholarship Loan Program, H29-D,
H65-D, H83-D

STUDENT FINANCIAL AID OR SCHOLARSHIPS (Cont.)
Nursing Scholarship Loan Program, H29-D, H65-D, H83-D
Nursing Student Loan Forgiveness Program, H29-D, H65-D, H83-D
Rosewood Family Scholarship Fund, H5-D

SUBSTANCE ABUSE
Treatment Programs
Community Substance Abuse and Mental Health Services Act; con-
tinuums of care, S36-D

SUNSHINE LAW
Public access; quasi-judicial proceedings, ex part contact, H109-D

SUPPORT OF DEPENDENTS
Child Support
Enforcement, S28-D, H29-D, H65-D, H83-D
Health insurance, S28-D, H29-D, H65-D, H83-D

-T-

TASK FORCES
Academic Task Force on Health Care Delivery Systems, H29-D,
H65-D, H83-D
Home-care-for-the-elderly program, transferred from HRS to Elderly
Affairs Department; task force to provide reemployment assist-
ance, S16-D, S24-D
Minority Health Task Force, H29-D, H65-D, H83-D
State Contractor Health Insurance Access Task Force, S12-D, S28-D,
H29-D, H47-D, H65-D, H83-D

TAXATION
Property Tax
High water recharge lands, classification; tax assessment, H45-D
Review of Property Taxes
Administrative review; value adjustment boards, H45-D

TELECOMMUNICATIONS
Toll-free Telephone Service
Medicaid, H29-D, H65-D, H83-D

TRADE
Prescription drugs, devices, or cosmetics; export; receive, possess, or
deliver adulterated, misbranded, sample or complimentary drugs
for export, H63-D

TRADE SECRETS
Environmental control, H17-D
Health care, H17-D

TRAFFIC CONTROL
Traffic Infractions
Disposition of civil penalties, H13-D
Driving while license suspended or revoked, impoundment of vehi-
cle, H73-D

TRUST FUNDS
Health Security Trust Fund, Health Care Administration Agency,
S2-D, S28-D, H29-D, H35-D, H65-D, H83-D
Nursing and Allied Health Student Loan Repayment Trust Fund,
Health and Rehabilitative Services Department, H29-D, H65-D,
H83-D
Public Health Department Trust Fund, Health and Rehabilitative
Services Department, S4-D

-U-

UNITED STATES
Council on Federal Affairs; represent legislative & fiscal interests of
executive & legislative branches of state government, increase
grant revenues, H121-D
Federal funding, coordination re availability, H121-D

UNIVERSITIES (STATE)
Florida A & M University
College of Medicine, H57-D
Health Services
Health services support organization to enter into arrangements
with other entities to provide accountable health partnerships,
S44-D, H29-D, H65-D, H83-D









INDEXJOURNAL OF THE HOUSE OF REPRESENTATIVES45



UNIVERSITIES (STATE) (Cont.)
University of Florida
Medical malpractice study, H43-D

URBAN HEALTH CARE See: HOSPITALS

-V-

VETERANS
Employment, H53-D

VETOED BILLS-1994 SESSION
Barbers, S330
Children and "vulnerable" adults, protection, S2536
Comprehensive Planning, S2998
Cosmetologists, S330
DeLucia, Dolores, H2195
Eguaras, Raul, H447
Local governments, financial matters, H2063

VETOED BILLS-1994 SESSION (Cont.)
Melbourne-Tillman Drainage District (Brevard County), H2205
Money transmitters, H2643
Northern Palm Beach County Water Control District, H1663
Port Everglades District, H2179
St. Lucie County Sheriffs Office, H2291
Secondhand dealers, S2208
South Indian River Water Control District (Palm Beach), H2235
Whaley, Michael and David, S1324

-W-

WATER AND WASTEWATER
Groundwater
Local governments to implement groundwater protection programs,
H45-D
High water recharge lands, classification; tax assessment, H45-D

WORKERS' COMPENSATION, H95-D









46 JOURNAL OF THE HOUSE OF REPRESENTATIVESINDEX


Bills, Resolutions and Memorials

by Number, Subject, Sponsor and Disposition

To obtain the number of a bill, see the subject matter index preceding this index.

Page numbers in boldfaced print indicate location of roll call votes on disposition.



Abbreviations:
ARD-Additional reference deferred
DCH-Died on House Calendar
DHC-Died in House committee (no action by committee)
FVI-Failed vote for introduction
HB-House Bill
HCR-House Concurrent Resolution
HJR-House Joint Resolution
HM-House Memorial
HR-House Resolution
ID-Introduction deferred


HB
1-D Medicaid Provider Fraud (Mortham) 12-13 ID
3-D Patient Brokering (Jones) 2 DHC
5-D Rosewood Family Scholarship Fund (Chestnut) 13 ID
7-D Fort Myers Beach Fire Control Dist. (Arnold) 13 ID
HB
9-D State Prisons/Foreigners Deported (Bainter) 13 ID
HB
11-D Habitual Violent Felony Offender (Bainter) 13 ID
13-D Trust Fund Moneys/Disposition (Edwards) 13 ID
HM
15-D Illegal Aliens (Stafford) 13 ID
HB
17-D Public Records/HRS-DEP Trade Secrets (Boyd) 13
19-D HIV Reporting Requirements (Benson) 2 DHC
21-D Hospital Licensing & Regulation (Benson) 3 DHC
23-D Sales Tax/Chamber of Commerce (Pruitt) 13 ID
25-D Health Care Professionals/Regulation (Tobin) 3-4, 31
DCH
HJR
27-D Early Release of Prisoners (Mortham) 13, 29 ID
HB
29-D Fla. Health Security Act of 1994 (Graber) 2, 4-9, 27-29, 31
31-D Regulation of Professions (Tobin) 13 ID
33-D Health Care Info./Confidentiality (Graber) 9, 30-31 DCH
35-DFla. Health Security Trust Fund (Graber) 9, 31 DCH
HR
37-DHouse Rules/Senate Amendments (Futch) 9 DHC
39-D United States' Foreign Policies (Bainter) 9 DHC
HCR
41-D First Manned Lunar Landing (Futch) 13 ID
HB
43-D Medical Malpractice (Graber) 13 ID
45-D High-Water Recharge Lands/Assessment (Sindler) 13 ID
47-D Health Insurance (Kelly) 9 DHC
49-D Manatee Co. District School Board (Ogles) 14 ID
51-D CHPAs/State Employees & Dependents (Warner) 9 DHC
53-D Veterans' Preference in Employment (Smith) 14 ID
55-D Barbering & Cosmetology (Kelly) 14, 29 ID
57-D Medical Schools (Warner) 14 ID
59-D Property & Casualty Insurance (Geller) 14 ID
61-D Inmate Welfare Trust Fund (Smith) 9, 31 DCH
63-D Prescription Drugs/Export (Armesto-Garcia) 14 ID
65-D Fla. Health Security Act of 1994 (Graber) 2, 14-19, 27-29
ID
HB
67-D School Health Care Services (Miller) 19 DHC
69-D Law Enf. Officers/Certification (Crady) 19 ID
71-D Medicaid Third-Party Liability (Graber) 19 ID
73-D Insurance (Cosgrove) 19 ID
75-D Community Health Purchasing Alliance (Warner) 19 DHC
77-D Tobacco Products/Taxes (Casey) 19 ID
79-D Drivers Licenses/Delinquent Fees (Casey) 19 ID
81-D Tobacco Products/Taxes (Casey) 19-20 ID
83-D Fla. Health Security Act of 1994 (Graber) 2, 9-10, 20-24, 27-29 FVI
85-D Creek Indian Council (Benson) 24 ID
87-D Administrative Procedures/Revision (Mackey) 24 ID
89-D Health Care (Lippman) 24-25, 29 DHC
91-D County Public Health Units (Warner) 25 DHC
93-D Juvenile Residential Educ. Programs (Ritchie) 25, 29, 31
95-D Workers' Compensation (Warner) 25 ID
97-D Health Insurance (Couch) 25 DHC
99-D Correctional Facilities Construction (R. Saunders) 9, 31
DCH
101-D Prescription Drugs/Ephedrine (Kelly) 25 ID
103-D Certificates of Need (Warner) 25 DHC
105-D Health Facilities Authorities Law (Benson) 25 DHC
107-D Medicaid 3rd Party Liability (Wise) 25-26 ID
109-D Access to Local Public Officials (R. Saunders) 26 ID
111-D Health Insurance (Webster) 26 DHC
113-D Building Construction (Boyd) 26 ID
115-D Children/Corporal Punishment (Burke) 26, 29, 31 ARD
117-D Relief/Dolores DeLucia (Cosgrove) 29 ID
HR
119-D Kimbell, Sylvia Rodriguez (Miller) 29 DHC
HB
121-D State-Federal Relations (Bloom) 29 ID
123-D Adult Protective Services (Aging & Human Services)
29-30 DCH
125-D Public Records (Aging & Human Services) 30 DCH
127-D Pari-mutuel Wagering (Bloom) 30 ID
129-D Admissions Tax/Chamber of Commerce (Pruitt) 30 ID
131-D Medicaid Funds (Long) 30 ID
HR
133-D Quincy Shanks High School Track Team (Lawson) 30
DHC
135-D FAMU High School Track Teams (Lawson) 30 DHC