Florida HB 683: Performance of Physician Assistants and Advanced Practice Registered Nurses

Bill Text

CS/HB 683 2026

CODING: Words stricken are deletions; words underlined are additions.
hb683-01-c1
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A bill to be entitled 1
An act relating to the performance of physician 2
assistants and advanced practice registered nurses; 3
amending ss. 458.347 and 459.022, F.S.; deleting the 4
requirement that a supervising physician notify the 5
Department of Health in writing of any delegation of 6
prescribing authority to a physician assistant; 7
deleting the requirement that a supervising 8
physician's name be included in the prescription 9
issued by a physician assistant; revising requirements 10
for the drug formulary for physician assistants; 11
amending s. 464.012, F.S.; revising the drug formulary 12
requirements for advanced practice registered nurses 13
authorized to prescribe medications; providing an 14
exception for psychiatric nurses; providing an 15
effective date. 16
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Be It Enacted by the Legislature of the State of Florida: 18
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Section 1. Paragraphs (e) and (f) of subsection (4) of 20
section 458.347, Florida Statutes, are amended to read: 21
458.347 Physician assistants.— 22
(4) PERFORMANCE OF PHYSICIAN ASSISTANTS.— 23
(e) A supervising physician may delegate to a fully 24
licensed physician assistant the authority to prescribe or 25

CS/HB 683 2026

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dispense any medication used in the supervising physician's 26
practice unless such medication is listed on the formulary 27
created pursuant to paragraph (f). A fully licensed physician 28
assistant may only prescribe or dispense such medication only 29
under the following conditions circumstances: 30
1. A physician assistant must clearly identify to the 31
patient that he or she is a physician assistant. 32
2. The supervising physician must notify the department of 33
his or her intent to delegate, on a department-approved form, 34
before delegating such authority and of any change in 35
prescriptive privileges of the physician assistant. Authority to 36
dispense may be delegated only by a supervising physician who is 37
registered as a dispensing practitioner in compliance with s. 38
465.0276. 39
3. A fully licensed physician assistant may procure 40
medical devices and drugs unless the medication is listed on the 41
formulary created pursuant to paragraph (f). 42
4. The physician assistant must complete a minimum of 10 43
continuing medical education hours in the specialty practice in 44
which the physician assistant has prescriptive privileges with 45
each licensure renewal. Three of the 10 hours must consist of a 46
continuing education course on the safe and effective 47
prescribing of controlled substance medications which is offered 48
by a statewide professional association of physicians in this 49
state accredited to provide educational activities designated 50

CS/HB 683 2026

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for the American Medical Association Physician's Recognition 51
Award Category 1 credit, designated by the American Academy of 52
Physician Assistants as a Category 1 credit, or designated by 53
the American Osteopathic Association as a Category 1-A credit. 54
5. The prescription may be in paper or electronic form but 55
must comply with ss. 456.0392(1) and 456.42(1) and chapter 499 56
and must contain the physician assistant's name, address, and 57
telephone number and the name of each of his or her supervising 58
physicians. Unless it is a drug or drug sample dispensed by the 59
physician assistant, the prescription must be filled in a 60
pharmacy permitted under chapter 465 and must be dispensed in 61
that pharmacy by a pharmacist licensed under chapter 465. 62
6. The physician assistant must note the prescription or 63
dispensing of medication in the appropriate medical record. 64
(f)1. The council shall establish a formulary of medicinal 65
drugs that a fully licensed physician assistant having 66
prescribing authority under this section or s. 459.022 may not 67
prescribe. The formulary must include general anesthetics and 68
radiographic contrast materials and must limit the prescription 69
of Schedule II controlled substances as listed in s. 893.03 to a 70
7-day supply or, in the case of Schedule II psychiatric mental 71
health controlled substances, a 30-day supply if. the 72
prescription is formulary must also restrict the prescribing of 73
Schedule II psychiatric mental health controlled substances for 74
a child children younger than 18 years of age to a 14-day 75

CS/HB 683 2026

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supply, provided the physician assistant is under the 76