Bill

Bill > H0693


FL H0693

FL H0693
Health and Human Services


summary

Introduced
12/09/2025
In Committee
03/03/2026
Crossed Over
03/03/2026
Passed
Dead

Introduced Session

Potential new amendment
2026 Regular Session

Bill Summary

An act relating to health and human services; providing a short title; amending s. 395.1055, F.S.; removing obsolete provisions; amending s. 401.411, F.S.; authorizing the Department of Health to deny, suspend, or revoke a license, certificate, or permit or reprimand, fine, or take adverse action against an emergency medical technician or paramedic under certain circumstances; amending s. 401.25, F.S.; providing exemption from licensure for emergency medical technicians or paramedics under certain circumstances; requiring the Department of Health to appoint a state delegate for the Interstate Compact Commission for EMS Personnel Practice; creating s. 401.466, F.S.; enacting the Emergency Medical Services Personnel Licensure Interstate Compact; providing purpose; providing definitions; providing requirements for home state licensure and practice of EMS personnel; requiring compact states meet certain criteria to participate in the compact; authorizing EMS personnel to practice in other member states under certain circumstances; providing that authority over EMS personnel licenses remains with the home state; providing guidelines and requirements for EMS personnel to practice in a remote state; providing hb693-01-c1 that certain terms and provisions of the Emergency Management Assistance Compact apply in specified circumstances; requiring member states to take specified actions related to veterans, active duty servicemembers, and their spouses; providing requirements for adverse actions against EMS personnel; providing requirements and limitations on EMS personnel who have an adverse action; requiring member states report adverse actions and specified occurrences to the Interstate Commission for EMS Personnel Practice; providing additional powers invested in a member state's EMS authority; establishing the Interstate Commission for EMS Personnel Practice; providing for the jurisdiction and venue for court proceedings; providing membership, duties, and powers of the commission; authorizing the commission to adopt rules; providing immunity to specified individuals; providing requirements relating to delegates; requiring compact states to participate in a coordinated data and reporting system; providing for the development of a database, reporting procedures, and the exchange of certain information between compact states; providing rulemaking procedures; providing for state enforcement of the compact; providing for the termination of compact hb693-01-c1 membership; providing procedures for the resolution of certain disputes; providing for the implementation of the compact; providing requirements to withdraw from the compact; providing compact amendment procedures; providing construction and severability; amending s. 409.814, F.S.; revising eligibility requirements for the Florida Kidcare program; amending s. 409.818, F.S.; revising administrative duties of the agency; amending s. 409.902, F.S.; revising eligibility requirements for certain medical assistance payments; amending s. 409.90201, F.S.; revising recipient information required for Medicaid eligibility; amending s. 409.904, F.S.; revising the time period in which the agency will retroactively make payments to Medicaid-covered services for certain persons; amending s. 409.905, F.S.; prohibiting the agency from making a payment to a prohibited entity; creating s. 414.321, F.S.; providing eligibility requirements for food assistance; creating s. 414.332, F.S.; requiring the Department of Children and Families develop and implement a food assistance payment accuracy improvement plan; providing requirements for the plan; requiring the department to submit the plan to the Governor and the Legislature by a specified date; requiring the department, by a specified date, to hb693-01-c1 submit certain quarterly progress reports to the Governor and the Legislature; providing for future repeal; amending s. 414.455, F.S.; revising requirements for participation in an employment and training program to receive food assistance from the Supplemental Nutrition Assistance Program; requiring the Department of Children and Families to apply for and comply with certain work requirements in accordance with federal law for food assistance; amending s. 456.0575, F.S.; requiring a health care practitioner to provide a patient with a certain notification in writing upon referring the patient to certain providers; authorizing a practitioner to confirm network status; requiring disciplinary action against a health care practitioner under certain conditions; amending s. 456.073, F.S.; revising the significant investigation information the Department of Health is required to report relating to certain physician assistants, emergency medical technicians or paramedics, and clinical social workers; amending s. 456.076, F.S.; requiring the terms of the monitoring contracts for certain physician assistants, emergency medical technicians or paramedics, and clinical social workers to include withdrawal from all practice under certain circumstances; creating s. 456.66, F.S.; hb693-01-c1 enacting the Physician Assistant Licensure Compact; providing purpose; providing definitions; providing requirements for compact states to participate in the compact; providing criteria that a physician assistant must satisfy to practice under the compact; maintaining that authority over a physician assistant's license remains with the home state but authorizing remote states to define the scope of and act on a physician assistant's authority to practice in the compact state under the compact; prohibiting a physician assistant from practicing under the compact if his or her authority to do so has been acted on by any compact state; requiring compact states to report to the Physician Assistant Licensure Compact Commission adverse actions taken against a physician assistant; establishing the Physician Assistant Licensure Compact Commission; providing jurisdiction and venue for court proceedings; providing membership, duties, and powers; authorizing the commission to adopt rules; providing immunity to specified individuals; requiring compact states to participate in a coordinated data and reporting system; providing for the development of a data system, reporting procedures, and exchange of certain information between compact states; providing rulemaking hb693-01-c1 procedures; providing for state enforcement of the compact; providing for the termination of compact membership; providing procedures for the resolution of certain disputes; providing compact amendment procedures; authorizing nonparty states to participate in commission activities before adoption of the compact; providing construction and severability; amending s. 458.307, F.S.; requiring the Board of Medicine and the Board of Osteopathic Medicine to jointly appoint an individual to serve as the state's delegate on the Physician Assistant Licensure Compact Commission; amending ss. 458.347 and 459.022, F.S.; revising the number of physician assistants a physician may supervise; authorizing the Board of Medicine and the Board of Osteopathic Medicine to take adverse action against a physician assistant's privilege to practice under the Physician Assistant Licensure Compact and to deny, suspend, or revoke the licensure of a physician assistant who violates the compact; providing an exemption from licensure for certain physician assistants; amending s. 464.0123, F.S.; revising practice requirements for an autonomous advanced practice registered nurse; authorizing an autonomous advanced practice registered nurse to perform certain acts; amending s. 466.017, F.S.; hb693-01-c1 authorizing a dental hygienist to prescribe, administer, and dispense certain agents and administer local anesthesia under certain circumstances; amending s. 466.024, F.S.; revising the remediable and delegable duties of a dentist; creating s. 491.022, F.S.; creating the Social Work Licensure Interstate Compact; providing purposes, objectives, and definitions; specifying requirements for state participation in the compact and duties of member states; specifying that the compact does not affect an individual's ability to apply for, and a member state's ability to grant, a single state license pursuant to the laws of that state; providing for recognition of compact privilege in member states; specifying criteria a licensee must meet for compact privilege; providing for the expiration and renewal of compact privilege; specifying that a licensee with compact privilege in a remote state must adhere to the laws and rules of that state; authorizing member states to act on a licensee's compact privilege under certain circumstances; specifying the consequences and parameters of practice for a licensee whose compact privilege has been acted upon or whose home state license is encumbered; specifying that a licensee may hold a home state license in only one member state at hb693-01-c1 a time; specifying requirements and procedures for changing a home state license designation; authorizing active duty military personnel or their spouses to keep their home state designation during active duty; authorizing member states to take adverse actions against licensees and issue subpoenas for hearings and investigations under certain circumstances; providing requirements and procedures for such adverse action; authorizing member states to engage in joint investigations under certain circumstances; providing that a licensee's compact privilege must be deactivated in all member states for the duration of an encumbrance imposed by the licensee's home state; providing for notice to the data system and the licensee's home state of any adverse action taken against a licensee; establishing the Social Work Licensure Compact Commission; providing for jurisdiction and venue for court proceedings; providing for membership and powers of the commission; specifying powers and duties of the commission's executive committee; authorizing the commission to convene in closed, nonpublic meetings under certain circumstances; providing for the financing of the commission; providing specified individuals immunity from civil liability under certain circumstances; hb693-01-c1 providing exceptions; requiring the commission to defend the specified individuals in civil actions under certain circumstances; requiring the commission to indemnify and hold harmless specified individuals for any settlement or judgment obtained in such actions under certain circumstances; providing for the development of the data system, reporting procedures, and the exchange of specified information between member states; requiring the commission to notify member states of any adverse action taken against a licensee or applicant for licensure; authorizing member states to designate as confidential information provided to the data system; requiring the commission to remove information from the data system under certain circumstances; providing rulemaking procedures for the commission; providing for member state enforcement of the compact; authorizing the commission to receive notice of process, and have standing to intervene, in certain proceedings; rendering certain judgments and orders void as to the commission, the compact, or commission rules under certain circumstances; providing for defaults and termination of compact membership; providing procedures for the resolution of certain disputes; providing for commission enforcement of the compact; providing for hb693-01-c1 remedies; providing for implementation of, withdrawal from, and amendment to the compact; specifying that licensees practicing in a remote state under the compact must adhere to the laws and rules of that state; specifying that the compact, commission rules, and commission actions are binding on member states; providing construction; providing for severability; amending s. 491.004, F.S.; requiring the Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling to appoint an individual to serve as the state's delegate on the commission; amending ss. 491.005 and 491.006, F.S.; exempting certain persons from licensure requirements; amending s. 491.009, F.S.; authorizing certain disciplinary action under the compact for specified prohibited acts; amending s. 627.6471, F.S.; requiring certain health insurers to apply payments for services provided by nonpreferred providers toward insureds' deductibles and out-of-pocket maximums if specified conditions are met; amending s. 768.28, F.S.; designating state delegates of the Physician Assistant Licensure Compact Commission and the Interstate Commission for EMS Personnel Practice and other members or employees of the commissions as state agents for the purpose of applying sovereign immunity hb693-01-c1 and waivers of sovereign immunity; requiring the commissions to pay certain judgments or claims; authorizing the commissions to maintain insurance coverage to pay such judgments or claims; designating the state's delegate and other members or employees of the Social Work Licensure Compact Commission as state agents for the purpose of applying waivers of sovereign immunity; requiring the commission to pay certain claims or judgments; authorizing the commission to maintain insurance coverage to pay such claims or judgments; providing effective dates.

AI Summary

This bill, titled the "Big Beautiful Healthcare Frontier Act," enacts several interstate compacts to streamline professional licensing and practice across state lines, specifically for Emergency Medical Services (EMS) personnel, Physician Assistants (PAs), and Social Workers. The Emergency Medical Services Personnel Licensure Interstate Compact (EMS Compact) allows licensed EMS personnel to practice in other member states, with their home state retaining licensing authority. Similarly, the Physician Assistant Licensure Compact and the Social Work Licensure Interstate Compact establish frameworks for mutual recognition of licenses, enabling professionals to practice in multiple states under specific conditions and oversight by interstate commissions. The bill also includes provisions related to health and human services, such as updating eligibility requirements for the Florida Kidcare program and certain medical assistance payments, enhancing food assistance payment accuracy, and modifying work requirements for food assistance recipients. Additionally, it mandates that health care practitioners provide written notification to patients when referring them to out-of-network providers and clarifies rules for dental hygienists regarding prescribing and administering certain agents and local anesthesia. Finally, the bill designates state delegates for these compact commissions and clarifies their roles in relation to sovereign immunity.

Committee Categories

Health and Social Services

Sponsors (4)

Other Sponsors (1)

Health & Human Services Committee (House)

Last Action

Received (on 03/03/2026)

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