The proposed rule amendments are necessary to update the disciplinary guidelines for violations and penalties relating to practice by anesthesiologist assistants.

DEPARTMENT OF HEALTH
Board of Osteopathic Medicine

Rule No.: RULE TITLE
64B15-7.010: Disciplinary Guidelines
PURPOSE AND EFFECT: The proposed rule amendments are necessary to update the disciplinary guidelines for violations and penalties relating to practice by anesthesiologist assistants.
SUMMARY: The proposed rule amendments set forth additional violations and penalties for anesthesiologist assistants and update the current disciplinary guidelines.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared. The Board has determined that the proposed rule amendments will not have an impact on small business.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 456.079, 459.005, 459.015(5), 459.023 FS.
LAW IMPLEMENTED: 456.072, 456.079, 459.015(5), 459.023 FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Anthony Jusevitch, Executive Director, Board of Osteopathic Medicine/MQA, 4052 Bald Cypress Way, Bin #C06, Tallahassee, Florida 32399-3256

THE FULL TEXT OF THE PROPOSED RULE IS:

64B15-7.010 Disciplinary Guidelines.

(1) Purpose. Pursuant to Section 456.072, F.S., the Boards provide within this rule disciplinary guidelines which shall be imposed upon anesthesiologist assistant applicants or licensees whom it regulates under Chapters 458 and 459, F.S. The purpose of this rule is to notify such applicants and licensees of the ranges of penalties which will routinely be imposed unless the Boards find it necessary to deviate from the guidelines for the stated reasons given within this rule. The ranges of penalties provided below are based upon a single count violation of each provision listed; for multiple counts of the violated provisions or a combination of the violations the Boards shall consider a higher penalty than that for a single, isolated violation. Each range includes the lowest and highest penalty and all penalties falling between, including continuing medical education (CME). The purposes of the imposition of discipline are to punish the applicants or licensees for violations and to deter them from future violations; to offer opportunities for rehabilitation, when appropriate; and to deter other applicants or licensees from violations.

(2) Violations and Range of Penalties. In imposing discipline upon anesthesiologist assistant applicants and licensees, in proceedings pursuant to Sections 120.57(1) and (2), F.S., the Board shall act in accordance with the following disciplinary guidelines and shall impose a penalty within the range corresponding to the violations set forth below. The verbal identification of offenses are descriptive only; the full language of each statutory provision cited must be consulted in order to determine the conduct included.

 

VIOLATIONS	RECOMMENDED PENALTIES
	First Offense	Subsequent Offenses
(a) Attempting to obtain a license by bribery, fraud or through an error of the Department or the Board. (Section 456.072(1)(h), F.S.); (Section 459.015(1)(a), F.S.)	(a) From suspension of license or certificate to revocation, with ability to reapply, or denial of licensure.	(a) From denial of license to revocation of license with ability to reapply in not less than three years and a fine up to $5,000.00 to denial of license without ability to reapply.
1. Attempting to obtain an initial license by bribery or fraud.	1. Denial of application and a $10,000.00 fine.
2. Attempting to renew a license by bribery or fraud.	2. Revocation of the license and payment of a $5,000.00 fine to revocation and a $10,000 fine.	2. Revocation and a $10,000.00 fine.
3. Obtaining or renewing a license by bribery or fraud.	3. Revocation of the license and payment of a $5,000.00 fine to revocation and a $10,000 fine.	3. Revocation and a $10,000.00 fine.
4. Obtaining or renewing a license through error of the Department of the Board.	4. Revocation.	4. Revocation.
(b) Action taken against license by another jurisdiction. (Section 456.072(1)(f), F.S.); (Section 459.015(1)(b), F.S.)	(b) From imposition of discipline comparable to the discipline which would have been imposed if the substantive violation had occurred in Florida to reprimand through suspension and/or denial of the license until the license is unencumbered in the jurisdiction in which disciplinary action was originally taken and an administrative fine ranging from $1,000.00 to $2,500.00	(b) From imposition of discipline comparable to the discipline which would have been imposed if the substantive violation had occurred in Florida to suspension and revocation until the license is unencumbered in the jurisdiction in which disciplinary action was originally taken and an administrative fine ranging from $2,500.00 to $5,000.00.
1. Action taken against license by another jurisdiction relating to healthcare fraud in dollar amounts in excess of $5,000.00.	1. Revocation From revocation with leave to reapply in three (3) years, and an administrative fine ranging from $1,000.00 to $5,000.00, or in the case of application for licensure, denial of licensure.	1. From permanent revocation and an administrative fine ranging from $2,500.00 to $5,000.00, or in the case of application for licensure, denial of licensure.
2. Action taken against license by another jurisdiction relating to healthcare fraud in dollar amounts of $5,000.00 or less.	2. From an administrative fine ranging from $1,000.00 to $5,000.00, 100 hours of community service, and a reprimand through suspension of the license, or in the case of application for licensure, denial of licensure.	2. From an administrative fine ranging from $2,500.00 to $5,000.00, 200 hours of community service, and suspension of the license, followed by a period of probation to revocation, or in the case of application for licensure, denial of licensure.
(c) Guilty of crime directly relating to practice or ability to practice. (Section 456.072(1)(c), F.S.) (Section 459.015(1)(c), F.S.)	(c) From reprimand to revocation or denial of license, and an administrative fine of $1,000.00 to $5,000.00, and 50 to 100 hours of community service.	(c) From probation to revocation or denial of the license, and an administrative fine of $2,500.00 to $5,000.00, and from 100 to 200 hours of community service.
1. Involving a crime directly related to healthcare fraud in dollar amounts in excess of $5,000.00.	1. Revocation From revocation with leave to reapply in three (3) years, and an administrative fine ranging from $1,000.00 to $5,000.00, or in the case of application for licensure, denial of licensure.	1. From permanent revocation and an administrative fine ranging from $2,500.00 to $5,000.00, or in the case of application for licensure, denial of licensure.
2. Involving a crime directly related to healthcare fraud in dollar amounts of $5,000.00 or less.	2. From an administrative fine ranging from $1,000.00 to $5,000.00, 100 hours of community service, and a reprimand through suspension of the license, or in case of application for licensure, denial of licensure.	2. From an administrative fine ranging from $2,500.00 to $5,000.00, 200 hours of community service, and suspension of the license, followed by a period of probation to revocation, or in case of application for licensure, denial of licensure.
(d) False, deceptive, or misleading advertising. (Section 459.015(1)(d), F.S.)	(d) From a letter of concern to reprimand, or denial of licensure, and an administrative fine ranging from $1,000.00 to $2,500.00, and 50 to 100 hours of community service.	(d) From a letter of concern to reprimand, or denial of licensure, and an administrative fine ranging from $1,000.00 to $2,500.00, and 100 to 200 hours of community service.
(e) Failure to report another licensee in violation. (Section 456.072(1)(i), F.S.); (Section 459.015(1)(e), F.S.)	(e) From a letter of concern to probation, and an administrative fine ranging from $1,000.00 to $2,500.00, and 25 to 50 hours of community service, or denial of licensure.	(e) From reprimand to suspension or denial of licensure, and an administrative fine from $2,500.00 to $5,000.00, and 50 to 100 hours of community service.
(f) Aiding unlicensed practice. (Section 456.072(1)(j), F.S.); (Section 459.015(1)(f), F.S.)	(f) From reprimand to suspension, followed by probation, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $5,000.00.	(f) From probation to revocation or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00.
(g) Failure to perform legal obligation. (Section 456.072(1)(k), F.S.); (Section 459.015(1)(g), F.S.)	(g) For any offense not specifically listed herein, based upon the severity of the offense and the potential for patient harm, from a reprimand to revocation or denial of licensure, 50 hours of community service and an administrative fine from $1,000.00 to $5,000.00.	(g) For any offense not specifically listed herein, based upon the severity of the offense and the potential for patient harm, from a reprimand to revocation or denial, from 50 to 100 hours of community service and an administrative fine from $2,500.00 to $5,000.00.
1. Continuing medical education (CME) violations. (Section 456.033(9), F.S.) (Section 456.072(1)(e), F.S.); (Section 456.072(1)(s), F.S.)	1. Document compliance with the CME requirements for the relevant period; AND:	1. Document compliance with the CME requirements for the relevant period; AND:
a. through b. No change.
(h) Filing a false report or failing to file a report as required. (Section 456.072(1)(l), F.S.); (Section 459.015(1)(i), F.S.)	(h) From a letter of concern to revocation, or denial of licenser, and an administrative fine ranging from $1,000.00 to $5,000.00.	(h) From probation to revocation or denial of licenser, and an administrative fine ranging from $2,500.00 to $5,000.00.
1. Involving healthcare fraud in dollar amounts in excess of $5,000.00.	1. Revocation From revocation with leave to reapply in three (3) years, and an administrative fine ranging from $1,000.00 to $5,000.00, or in the case of application for licensure, denial of licensure.	1. From permanent revocation and an administrative fine ranging from $2,500.00 to $5,000.00, or in the case of application for licensure, denial of licensure.
2. Involving healthcare fraud in dollar amounts of $5,000.00 or less.	2. From an administrative fine ranging from $1,000.00 to $5,000.00, 50 to 100 hours of community service, and a reprimand through suspension of the license, or in case of application for licensure, denial of licensure.	2. From an administrative fine ranging from $2,500.00 to $5,000.00, 100 to 200 hours of community service and suspension of the license, followed by a period of probation to revocation, or in case of application for licensure, denial of licensure.
(i) Kickbacks or split fee arrangements. (Section 459.015(1)(j), F.S.)	(i) A refund of fees paid by or on behalf of the patient, 25 to 50 hours of community service and from a reprimand and an administrative fine of $1,000.00 to a reprimand and an administrative fine of $5,000.00, or denial of licensure.	(i) A refund of fees paid by or on behalf of the patient, 25 to 50 hours of community service and from suspension to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(j) Sexual Misconduct. (Section 450.0141, F.S.); (Section 456.072(1)(u), F.S.); (Section 459.015(1)(l), F.S.)	(j) From probation to revocation, or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $1,000.00 to $5,000.00.	(j) From suspension, to be followed by a period of probation to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(k) Deceptive, untrue, or fraudulent representations in the practice of medicine. (Sections 456.072(1)(a), (m), F.S.); (Section 459.015(1)(m), F.S.)	(k) From a letter of concern, and 25 to 50 hours of community service to revocation, or denial of licensure, and an administrative fine ranging from $1,000.00 to $5,000.00.	(k) From probation or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00 to revocation.
1. Deceptive, untrue, or fraudulent representations in the practice of medicine relating to healthcare fraud in dollar amounts in excess of $5,000.00.	1. Revocation From revocation with leave to reapply in three (3) years, and an administrative fine ranging from $1,000.00 to $5,000.00, or in the case of application for licensure, denial of licensure.	1. From permanent revocation and an administrative fine ranging from $2,500.00 to $5,000.00, or in the case of application for licensure, denial of licensure.
2. Deceptive, untrue, or fraudulent representations in the practice of medicine relating to healthcare fraud in dollar amounts of $5,000.00 or less.	2. From an administrative fine ranging from $1,000.00 to $5,000.00, 50 to 100 hours of community service, and a reprimand through suspension of the license, or in the case of application for licensure, denial of licensure.	2. From an administrative fine ranging from $2,500.00 to $5,000.00, 100 to 200 hours of community service, and suspension of the license, followed by a period of probation to revocation, or in the case of application for licensure, denial of licensure.
(l) Improper solicitation of patients. (Section 459.015(1)(n), F.S.)	(l) From an administrative fine ranging from $1,000.00 to $5,000.00, 25 to 50 hours of community service, and a reprimand to probation, or denial of licensure.	(l) From suspension, to be followed by a period of probation, 50 to 100 hours of community service to revocation or denial of licensure, and an administrative fine from $2,500.00 to $5,000.00.
(m) Failure to keep legible written medical records. (Section 459.015(1)(o), F.S.)	(m) From letter of concern, 25 to 50 hours of community service to a reprimand, or denial of licensure, and an administrative fine ranging from $1,000.00 to $5,000.00.	(m) From a reprimand to suspension followed by probation, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00, or denial of licensure.
1. Failure to keep legible written medical records relating to healthcare fraud in dollar amounts in excess of $5,000.00.	1. Revocation From revocation with leave to reapply in three (3) years, and an administrative fine ranging from $1,000.00 to $5,000.00, or in the case of application for licensure, denial of licensure.	1. From permanent revocation and an administrative fine ranging from $2,500.00 to $5,000.00, or in the case of application for licensure, denial of licensure.
2. Failure to keep legible written medical records relating to healthcare fraud in dollar amounts of $5,000.00 or less.	2. From an administrative fine ranging from $1,000.00 to $5,000.00, and a reprimand, 50 to 100 hours of community service to through suspension of the license, or in the case of application for licensure, denial of licensure.	2. From an administrative fine ranging from $2,500.00 to $5,000.00, and suspension of the license, followed by a period of probation, 100 to 200 hours of community service to revocation, or in the case of application for licensure, denial of licensure.
(n) Exercising influence on patient for financial gain. (Section 456.072(1)(n), F.S.) (Section 459.015(1)(q), F.S.)	(n) Payment of fees paid by or on behalf of the patient and from a reprimand, 25 to 50 hours of community service to probation, or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.	(n) Payment of fees paid by or on behalf of the patient and from probation, 50 to 100 hours of community service, to revocation, or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(o) Performing professional services not authorized by patient. (Section 459.015(1)(s), F.S.)	(o) From a letter of concern to revocation, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $5,000.00.	(o) From a reprimand, 50 to 100 hours of community service to revocation, or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(p) Inability to practice medicine with skill and safety. (Section 456.072(1)(y), F.S.); (Section 459.015(1)(w), F.S.)	(p) From reprimand to suspension, which may be stayed to allow a period of probation with supervision, and a demonstration by the licensee of the ability to practice with reasonable skill and safety, or denial of licensure, 25 to 50 hours of community service and an administrative fine ranging from $1,000.00 to $2,500.00.	(p) From probation to revocation, until the licensee is able to demonstrate ability to practice with reasonable skill and safety, followed by probation, or denial of licensure, 50 to 100 hours of community service and an administrative fine from $2,500.00 to $5,000.00.
(q)1. Malpractice: practicing below acceptable standard of care. (Section 459.015(1)(x), F.S.)	(q)1. From a letter of concern, 25 to 50 hours of community service to revocation, or denial of licensure, and an administrative fine ranging from $1,000.00 to $5,000.00.	(q)1. From reprimand, 50 to 100 hours of community service to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
2. Gross Malpractice.	2. From probation, 25 to 50 hours of community service to revocation or denial of licensure, and an administrative fine ranging from $1,000.00 to $2,500.00.	2. From suspension followed by probation to revocation or denial, 50 to 100 hours of community service and an administrative fine ranging from $2,500.00 to $5,000.00.
3. No change.
(r) Performing of experimental treatment without informed consent. (Section 459.015(1)(y), F.S.)	(r) From a letter of concern to suspension to be followed by a period of probation, or denial of licensure, 25 to 50 hours of community service and an administrative fine ranging from $1,000.00 to $5,000.00.	(r) From suspension to be followed by a period of probation, 50 to 100 hours of community service to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(s) No change.
(t) Delegation of professional responsibilities to unqualified person. (Section 456.072(1)(p), F.S.); (Section 459.015(1)(aa), F.S.)	(t) From reprimand to suspension, followed by probation, 25 to 50 hours of community service, or denial of licensure, and an administrative fine ranging from $1,000.00 to $5,000.00.	(t) From probation, 50 to 100 hours of community service to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(u)1. No change.
2. Violation of an order of the Board.	2. From a reprimand, 25 to 50 hours of community service letter of concern and an administrative fine of $1,000.00 to a reprimand, 100 hours of community service letter of concern and an administrative fine of $5,000.00.	2. From a reprimand, 100 hours of community service and an administrative fine of $2,500.00 to a reprimand, 200 hours of community service and an administrative fine of $5,000.00 and probation.
(v) Conspiring to restrict another from lawfully advertising services. (Section 459.015(1)(cc), F.S.)	(v) From a letter of concern to a reprimand, 25 to 50 hours of community service and an administrative fine ranging from $1,000.00 to $2,500.00.	(v) From a reprimand and an administrative fine of $2,500.00 to a reprimand, 50 to 100 hours of community service and an administrative fine of $5,000.00.
(w) Aiding an unlawful abortion. (Section 459.015(1)(dd), F.S.)	(w) From probation, 25 to 50 hours of community service to revocation, or denial of licensure, and an administrative fine ranging from $1,000.00 to $5,000.00.	(w) From suspension, to be followed by a period of probation, 50 to 100 hours of community service, to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(x) Failure to adequately supervise assisting personnel. (Section 459.015(1)(hh), F.S.)	(x) From a reprimand to probation, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $2,500.00.	(x) From probation to suspension followed by probation, or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00.
(y) Improper use of substances for muscle building or enhancement of athletic performance. (Section 459.015(1)(ii), F.S.)	(y) From a reprimand to suspension, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $5,000.00.	(y) From suspension to be followed by a period of probation to revocation or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00.
(z) Use of amygdaline (laetrile). (Section 458.331(1)(ff), F.S.)	(z) From a reprimand to probation, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $2,500.00.	(z) From suspension to be followed by a period of probation to revocation or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00.
(aa) Misrepresenting or concealing a material fact. (Section 459.015(1)(jj), F.S.)	(aa) From a reprimand to probation, and an administrative fine ranging from $500.00 to $2,500.00, 25 to 50 hours of community service or the denial of licensure with the ability to reapply, upon payment of a $500.00 fine.	(aa) From probation, 50 to 100 hours of community service to revocation or denial of licensure without the ability to reapply, and an administrative fine ranging from $500.00 to $5,000.00.
(bb) Improperly interfering with an investigation or a disciplinary proceeding. (Section 456.072(1)(r), F.S.); (Section 459.015(1)(kk), F.S.)	(bb) From a reprimand to probation, 25 to 50 hours of community service or denial of licensure, and an administrative fine ranging from $1,000.00 to $2,500.00.	(bb) From probation, 50 to 100 hours of community service to revocation or denial of licensure without ability to reapply, and an administrative fine ranging from $2,500.00 to $5,000.00.
(cc) Failing to report any licensee who is in violation of law. (Section 456.072(1)(i), F.S.); (Section 459.015(1)(ll), F.S.)	(cc) From a letter of concern to probation, or denial of licensure, 25 to 50 hours of community service, and an administrative fine ranging from $1,000.00 to $2,500.00.	(cc) From probation to revocation or denial of licensure, 50 to 100 hours of community service, and an administrative fine ranging from $2,500.00 to $5,000.00.
(dd) Providing medical opinion without reasonable investigation. (Section 459.015(1)(mm), F.S.)	(dd) From a letter of concern to a reprimand, or denial of licensure, and an administrative fine ranging from $1,000.00 to $2,500.00.	(dd) From probation to revocation or denial of licensure, and an administrative fine from $2,500.00 to $5,000.00.
(ee) Theft or reproduction of an examination. (Section 456.018, F.S.)	(ee) Revocation Suspension to revocation, or denial of licensure without an ability to reapply.	(ee) Revocation or denial of licensure without ability to reapply.
(ff) through (jj) No change.
(kk) Performing health care services on the wrong patient, wrong site, wrong procedure. (Section 456.072(1)(aa), F.S.)	(kk) From a letter of concern, 50 to 100 hours of community service, a minimum of five (5) hours of risk management education, and one (1) hour lecture on wrong-site surgery in the State of Florida, and a $1,000 fine to a $2,500.00 fine to a reprimand and probation to suspension and an administrative fine ranging from $1,000.00 to $2,500.00.	(kk) From a reprimand and probation to revocation and an administrative fine from $2,500.00 to $5,000.00.
(ll) Leaving a foreign body in a patient. (Section 456.072(1)(bb), F.S.)	(ll) From a $1,000.00 to a $5,000.00 fine, a letter of concern, a minimum of five (5) hours of risk management education, 50 to 100 hours of community service, and a one hour lecture to the staff of a Florida licensed healthcare facility on retained foreign body objects to revocation. From a letter of concern to probation and an administrative fine ranging from $1,000.00 to $2,500.00.	(ll) From a $7,500.00 fine, a reprimand and probation, 100 to 200 hours of community service, or denial to revocation. From a reprimand to suspension and an administrative fine ranging from $1000.00 to $2,500.00.
(mm) through (nn) No change.
(oo) Engaging in a pattern of practice when prescribing medicinal drugs or controlled substances which demonstrates a lack of reasonable skill or safety to patients. (456.072(1)(gg), F.S.)	(oo) From reprimand to probation, 25 to 50 hours of community service and an administrative fine ranging from $1,000.00 to $5,000.00, or denial of licensure.	(oo) From probation, 50 to 100 hours of community service to revocation or denial of licensure, and an administrative fine ranging from $2,500.00 to $5,000.00.
(pp) Being terminated from a treatment program for impaired practitioners, for failure to comply with the terms of the monitoring or treatment contract or for not successfully completing any drug-treatment or alcohol-treatment program. (456.072(1)(hh), F.S.)	(pp) From suspension until licensee demonstrates compliance with all terms of the monitoring or treatment contract, and is able to demonstrate to the Board the ability to practice with reasonable skill and safety to be followed by a term of probation; and a fine of $1,000 to $2,500, to revocation.	(pp) From suspension until licensee demonstrates compliance with all terms of the monitoring or treatment contract and is able to demonstrate to the Board the ability to practice with reasonable skill and safety to be followed by a term of probation; and a fine of $2,500 to $5,000, to revocation.
(qq) Being convicted of, or entering a plea of guilty or nolo contendere to any misdemeanor or felony, regardless of adjudication, under 18 USC s. 669, ss. 285-287, s. 371, s. 1001, s. 1035, s. 1341, s. 1343, s. 1347, s. 1349, or s. 1518, or 42 USC ss. 1320a-7b, relating to the Medicaid program. (456.072(1)(ii), F.S.)	(qq) Revocation and a fine of $10,000, or in the case of application for licensure, denial of license.
(rr) Failing to remit the sum owed to the state for overpayment from the Medicaid program pursuant to a final order, judgment, or settlement. (456.072(1)(jj), F.S.)	(rr) From a letter of concern to probation, and a fine of $500 to $5,000.	(rr) From a reprimand to revocation, and a fine of $2,500 to $5,000.
(ss) Being terminated for cause from the state Medicaid program, or any other state Medicaid program, or the federal Medicare program. (456.072(1)(kk), F.S.)	(ss) From a letter of concern to suspension, and a fine of $1,000 to $5,000.	(ss) From a reprimand to revocation, and a fine of $5,000 to $10,000.
(tt) Being convicted of, or entering into a plea of guilty or nolo contendere to any misdemeanor or felony, regardless of adjudication, which relates to health care fraud. (456.072(1)(ll), F.S.)	(tt) Revocation and a fine of $10,000, or in the case of application for licensure, denial of license.

(3) through (4) No change.

Rulemaking Specific Authority 456.079, 459.005, 459.015(5), 459.023 FS. Law Implemented 456.072, 456.079, 459.015(5), 459.023 FS. History–New 11-13-05, Amended .

NAME OF PERSON ORIGINATING PROPOSED RULE: Anesthesiologist Assistant Committee
NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Board of Osteopathic Medicine
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: November 5, 2010
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: October 30, 2009