FLORIDA HOSPITAL ASSOCIATION

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2018 FHA LEGISLATIVE SUMMARY Consultant Pharmacist Scope of Practice: FAILED OTHER BILLS OF INTEREST House Bill 689 by Rep. Cord Byrd and Senate Bill 914 by Sen. Rene Garcia would have authorized consultant pharmacists Physician Orders for Life-Sustaining Treatment: FAILED to enter into a collaborative practice agreement with a health Senate Bill 474 by Sen. Jeff Brandes and House Bill 476 by care facility medical director or individual physician to provide Rep. Cary Pigman would have created the Physician Orders specified services. Services would have included the ordering for Life-Sustaining Treatment (POLST) Program within the and evaluation of laboratory testing, patient assessment, Florida Department of Health to implement and administer the administration of medications and initiation or modification development and use of POLST. It also proposed to establish a of medicinal drugs pursuant to a patient-specific order or central registry for advance directives that could be accessed by treatment protocol. The bill did not authorize the consultant a health care provider. pharmacist to modify or discontinue medicinal drug therapy with prescribers other than their collaborative practice Prescription Drug Pricing Transparency: PASSED agreement provider. House Bill 351 by Rep. David Santiago and Sen. Bill Montford requires a pharmacist, or their authorized employee, to inform Diabetes Educators: FAILED customers of lower cost generically-equivalent alternatives for Senate Bill 758 by Sen. Audrey Gibson and House Bill 561 by their prescriptions and whether a prescription’s cost sharing Rep. Rene Plascencia would have established Diabetes Educators amount exceeds the retail price in the absence of insurance as a new health care profession and would have established coverage. The bill also addresses pharmacy benefit managers a defined scope of practice and regulatory oversight by the (PBMs) requiring them to register with the Florida Office of Florida Department of Health. Insurance Regulation and imposing a range of restrictions on their practice. Upon approval by the Governor, this legislation Nurse Staffing Ratio Mandates: FAILED becomes effective on July 1, 2018. Senate Bill 638 by Sen. Daphne Campbell and House Bill 1083 by Rep. Barbara Watson would have imposed prescriptive Reporting of Adverse Incidents in Planned Out-of-Hospital hospital patient care staffing requirements related to minimum Births: PASSED registered nurse-to-patient staffing ratio requirements. It also Senate Bill 510 by Sen. Dana Young and Rep. Mary Lynn Magar specified numerous patient care staffing requirements and requires physicians, certified advanced registered nurse midwives would have prohibited mandatory overtime. and licensed midwives to report to the Florida Department of Health adverse incidents, as defined in the legislation, occurring Pharmacists Scope of Practice: FAILED as a result of an attempted or completed, planned birthing House Bill 431 by Rep. Rene Plascencia and Rep. Byron center or out-of-hospital birth. The bill becomes effective upon Donald and Senate Bill 524 by Sen. Jeff Brandes would have approval by the Governor. authorized pharmacists, working within the framework of a supervisory protocol with a physician, to test for, and treat, influenza and streptococcus. 9