Florida Chapter
American College of Surgeons

2019 Legislative Session Concludes

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Amidst the usual last-minute shenanigans and deal-making, I am happy to report that, overall, the Florida Chapter, American College of Surgeons had an extraordinary 2019 Legislative Session.  

On the defensive front, we thwarted all attempts at Scope of Practice expansion, including pharmacists, nurse practitioners and physician assistants. While Scope Expansion remains a fundamental part of the House Health Care package, the steadfast support of the Senate Leadership and Governor Desantis was successful in stopping expansion efforts in the Senate.
We also worked hard to ensure that any Telehealth Bill would require out-of-state physicians to procure a full Florida license. While the Legislature ultimately did not require full licensing, it did include in its bill a requirement that such physicians remain accountable to both the Florida courts and Board of Medicine. The bill also included requirements to maintain the in-person standard of care and a prohibition on insurers requiring the use of telemedicine.
On the offensive front, we had the most successful session in recent memory. While we certainly did not get everything we wanted, HB 843 (which passed during the last week of Session) addressed many of our most important issues, such as:

  •  A requirement that a patient’s physician be notified of any hospital admission;· The ability of ambulatory surgery centers to keep patients for up to 24 hours;
  • The expansion of last year’s Direct Primary Care agreements to all specialties;
  • A prohibition on redundant step therapy;
  • New regulations on office surgery making the facilities and their owners, not just physicians, liable for substandard care.

Thank you to everybody who visited Tallahassee, contacted a legislator or even emailed me with an insightful comment. Your work was instrumental in our success, and your profession and patients thank you for your advocacy.


Christopher L. Nuland, Esq.

Publication Date: 
Tuesday, May 7, 2019 - 1:00pm