State flag Florida Scope of Practice Policy: State Profile

Education Required for Addiction Counselor Credentialing

Florida credentials two types of addiction counselors. A Certified Addiction Counselor (CAC) requires a high school diploma and requires 6,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with an associate degree needs 4,000 hours). A CAC also requires 250 hours of addictions education. A Certified Addiction Professional (CAP) requires a bachelor’s degree and 6,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with a master’s degree needs 4,000 hours). A CAP also requires 350 hours of addictions education. Florida Certification Board

Licensed Professional Counselor Ability to Diagnose

Licensed mental health counselors are trained in methods of a psychological nature used to evaluate, assess, diagnose, and treat emotional and mental dysfunctions or disorders (e.g., cognitive, affective or behavioral), interpersonal relationships, sexual dysfunction, alcoholism, and substance abuse. Fla. Stat. §491.003(9)

Number of Nurse Practitioners Prescribing Buprenorphine

As of August 2018, 173 NPs in Florida have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Fla. Stat. §464.012

Number of Physician Assistants Prescribing Buprenorphine

As of August 2018, 41 PAs in Florida have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Florida, Schedule II-V controlled substances may be prescribed by a PA as outlined by supervisory standards. A Florida PA with proper training or appropriate experience can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Fla. Admin. Rules §64B8-30.007 and Fla. Stat. §458.347

Peer Support Specialist Certification or Credentialing Authority

The standards and requirements for the certification of a recovery support specialist and a recovery peer specialist are developed and administered by a third-party, non-profit certification provider.

Practice Authority

Nurse practitioners may practice autonomously in primary care settings including family medicine, general pediatrics and general internal medicine. Fla. Stat. §464.0123 (Recently enacted; statute not updated)

Prescriptive Authority

An NP may prescribe any drug and Schedules II-V controlled substances if the NP is practicing autonomously. Fla. Stat. §464.012 (Recently enacted; statute not updated)

Nurse Practitioner as a Primary Care Provider

NPs are recognized in state policy as primary care providers. Primary care provider means a health care provider licensed under chapter 458, chapter 459, or chapter 464 who provides medical services to patients which are commonly provided without referral from another health care provider, including family and general practice, general pediatrics, and general internal medicine. Fla. Stat. §381.026

Dental Hygienists with Direct Access

A dental hygienist with proper insurance coverage may provide services in health access settings (e.g., a state agency program, nonprofit community health center, Head Start center, federally qualified health center, school-based prevention program, or clinic operated by an accredited dental or dental hygiene program) without the physical presence, prior examination or authorization of a dentist. Fla. Stat. §466.003 Fla. Stat. §466.024

Dental Therapists

Statute does not identify dental therapists as an oral health provider.

Practice of Teledentistry

Florida dentists may utilize live video and store-and-forward telehealth technologies. Fl. Stat. §456.47

Supervision Requirements

The law outlines the exact means of responsible supervision. Direct supervision is not required, but the supervising physician must be easily available or be physically present for consultation. Fla. Admin. Rules §64B8-30.001(3), Fla. Stat. §459.022(f)

Prescriptive Authority for Physician Assistants

A written agreement between the PA and the supervising physician outlining prescribing privileges is required. PAs may prescribe controlled substances under current supervisory standards  Fla. Admin. Rules §64B8-30.007, Fla. Stat. §458.347.

Scope of Practice Determination

The duties delegated to the physician assistant must be within the supervising physician’s scope of practice. The PA may work in any setting that is within the scope of practice of the supervising physician’s practice. Fla. Admin. Rules §64B8-30.012

Florida SOP Legislation

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