The proposed rule amendments are intended to incorporate the revised application form for dispensing physicians and to delete unnecessary forms from the rule based upon the annual rules review.

 

DEPARTMENT OF HEALTH
Board of Medicine

RULE NO.: RULE TITLE:
64B8-1.007: List of Approved Forms; Incorporation

PURPOSE AND EFFECT: The proposed rule amendments are intended to incorporate the revised application form for dispensing physicians and to delete unnecessary forms from the rule based upon the annual rules review.

SUMMARY: The proposed rule amendments incorporate the revised physician dispensing registration form into the rule. Additionally, the amendments delete unnecessary forms from the rule based upon the annual rules review.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COST AND LEGISLATIVE RATIFICATION:

During discussion of the economic impact of this rule at its Board meeting, the Board, based upon the expertise and experience of its members, determined that a Statement of Estimated Regulatory Cost (SERC) was not necessary and that these rule amendments will not require ratification by the Legislature. No person or interested party submitted additional information regarding the economic impact at that time. The Board has determined that this will not have an adverse impact on small business, or likely increase regulatory costs in excess of $200,000 in the aggregate within 1 year after implementation of the rule.

Any person who wishes to provide information regarding the statement of estimated costs, or to provide a proposal for a lower regulatory cost alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 456.013, 456.0276, 456.036(5), 456.048(1), 458.309, 458.311, 458.3124(6), 458.313(4), 458.3137, 458.3145, 458.315(2), 358.317, 358.319, 458.320(8), 458.321(2), 358.345(3), (8), 458.347(13), 458.3475, 358.348(1)(a), 458.351(6) FS.
LAW IMPLEMENTED: 456.013, 456.035, 456.036, 456.048, 456.073, 458.309, 458.311, 458.3124, 458.313, 458.3145, 458.315, 458.316, 458.317, 458.319, 458.320, 458.321, 458.345, 458.347, 458.3475, 458.348, 458.351, 465.0276 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAW.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Joy A. Tootle, Executive Director, Board of Medicine/MQA, 4052 Bald Cypress Way, Bin #C03, Tallahassee, Florida 32399-3253

 

THE FULL TEXT OF THE PROPOSED RULE IS:

64B8-1.007 List of Approved Forms; Incorporation.

The following forms used by the Board in its dealings with the public are listed as follows and are hereby adopted and incorporated by reference, and can be obtained from the Board office by writing to the Board of Medicine, 4052 Bald Cypress Way, Bin #C03, Tallahassee, Florida 32399-1753, or by telephoning [phone]:

(1) through (3) No change.

(4) DH-MQA 1013, entitled “Unlicensed Physician Hospital Reporting Form,” (12/00).

(4)(5) DH-MQA 1014, entitled “Financial Responsibility Form,” (12/06).

(5)(6) DH-MQA 1015, entitled “Renewal Notice,” (1/00).

(7) DH-MQA 1016, entitled “Voluntary Relinquishment Form,” (1/00).

(8) HQA/FORM 390, entitled “Complaint Form,” (10/95).

(9) DH-MQA 1030, entitled “Physician Office Adverse Incident Report,” (rev. 12/05).

(10) DH-MQA 1031, entitled “Florida Board of Medicine Office Surgery Registration Form,” (4/04).

(6)(11) DH-MQA 1032, entitled “Board of Medicine Application Materials for Initial Registration and Renewal of Intern/Resident/Fellow and House Physician,” (10/09).

(7)(12) DH-MQA 1069, entitled “ARNP/EMT/Paramedic Protocol Form,” (9/04).

(8)(13) DH-MQA 1070, entitled “Physician Dispensing Registration,” (7/11) (8/10).

(9)(14) DH-MQA 1072, entitled “Board of Medicine Medical Faculty Certificate For Allopathic Physicians,” (10/09).

(10)(15) DH-MQA 1076, entitled “Extension of Temporary Licensure Application,” (2/04).

(11)(16) DH-MQA 1079, entitled “Board of Medicine Temporary Certificate to Practice Medicine for Educational Purposes For Allopathic Physicians,” (10/09).

(12)(17) DH-MQA 1087, entitled “Application for Licensure as an Anesthesiologist Assistant,” (10/09).

(13)(18) DH-MQA 1093, entitled “Anesthesiologist Assistant Licensure Renewal Form,” (8/06).

(14)(19) DH-MQA 1088, entitled “Anesthesiologist Assistants Financial Responsibility,” (7/04).

(15)(20) DH-MQA 1090, entitled “Anesthesiologist Assistant Protocol,” (10/04).

(21) DH-1267, entitled “Application for Refund,” (1/99).

(16)(22) DH-MQA 2000, entitled “Application for Licensure as a Physician Assistant,” (10/09).

(17)(23) DH-MQA 2001, entitled “Application for Licensure as Prescribing Physician Assistant,” (8/10).

(18)(24) DH-MQA 2002, entitled “Application for Changes to Licensure as Prescribing Physician Assistant,” (8/10).

(19)(25) DH-MQA 2004, entitled “Supervision Data Form,” (8/10).

Rulemaking Authority 456.013, 456.0276, 456.036(5), 456.048(1), 458.309, 458.311, 458.3124(6), 458.313(4), 458.3137, 458.3145, 458.315(2), 358.317, 358.319, 458.320(8), 458.321(2), 358.345(3), (8), 458.347(13), 458.3475, 358.348(1)(a), 458.351(6) FS. Law Implemented 456.013, 456.035, 456.036, 456.048, 456.073, 458.309, 458.311, 458.3124, 458.313, 458.3145, 458.315, 458.316, 458.317, 458.319, 458.320, 458.321, 458.345, 458.347, 458.3475, 458.348, 458.351, 465.0276 FS. History–New 4-17-01, Amended 11-20-01, 8-13-02, 11-10-02, 3-19-03, 6-4-03, 11-17-03, 4-19-04, 1-31-05, 9-29-05, 6-29-06, 12-26-06, 4-2-07, 6-25-08, 1-18-09, 3-17-09, 5-20-09, 10-7-09, 1-7-10, 2-2-10, 12-6-10,________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Rules Committee, Board of Medicine

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Medicine

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: August 6, 2011

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: September 23, 2011