HB 683 Florida House · 2026 Regular Session

Performance of Physician Assistants and Advanced Practice Registered Nurses

Summary

Performance of Physician Assistants and Advanced Practice Registered Nurses; Removes requirement that supervising physician notify DOH in writing of any delegation of prescribing authority to physician assistant; removes requirement that supervising physician's name be included in prescription issued by physician assistant; revises requirements for drug formulary for physician assistants; revises drug formulary requirements for advanced practice registered nurses authorized to prescribe medications; provides exception for psychiatric nurses.

Issues: ✓ Healthcare

Bill status died 3 of 5 stages cleared

Introduction

Dec 2025

Committee Review

Feb 2026

House Passage

Feb 2026

Senate Passage

Governor

Introduced Dec 8, 2025 Last action Mar 13, 2026

Maddy AI version diff · 1 comparison

What changed between versions

H 683 Filed → H 683 c1 · 7 edits

MODERATE

This bill revises Florida's regulations for physician assistants and advanced practice registered nurses, primarily updating prescriptive authority requirements and adding new conditions for delegation. The changes include clarifying notification requirements, adding continuing education mandates, and establishing a drug formulary that limits certain controlled substances. These updates aim to standardize practice standards while maintaining patient safety through enhanced oversight and training requirements.

Scope change

The bill's scope remains focused on physician assistants and advanced practice registered nurses, but it adds new requirements for continuing education and modifies the drug formulary restrictions. It also adds an exception for psychiatric nurses and clarifies emergency service provisions.

REQUIREMENT

Added requirement that physician assistants complete 10 continuing medical education hours annually, including 3 hours on controlled substance prescribing

Updated drug formulary restrictions to limit Schedule II controlled substances to 7-day supply, with 30-day exception for psychiatric medications and 14-day limit for children under 18

Added requirement for physician assistants to note medication prescriptions in medical records

Added reference to s. 465.0276 for dispensing practitioner registration requirements

EXCEPTIONS

Added exception provision for psychiatric nurses

TECHNICAL

Changed bill title from 'H 683' to 'CS/HB 683' indicating committee substitute version

Reduced total page count from 10 to 7 pages through consolidation and removal of redundant text

Floor votes · House Feb 25, 2026

How they voted

113–4

Passed · 1 other

Total votes 118

Feb 25, 2026

D Democratic34

33 Yea 1

97% Yea

R Republican84

80 Yea 4 Nay

95% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 26, 2026

Committee

Referred to Rules

upper

Feb 25, 2026

Lower · Passed

CS passed; YEAS 112, NAYS 4

lower

Feb 18, 2026

Lower · Passed

Reported out of Health & Human Services Committee

lower

Feb 18, 2026

Lower · Passed

Favorable by Health & Human Services Committee

lower

Feb 16, 2026

Lower · Passed

Added to Health & Human Services Committee agenda

lower

Feb 12, 2026

Lower · Passed

Now in Health & Human Services Committee

lower

Feb 12, 2026

Committee

Referred to Health & Human Services Committee

lower

Feb 11, 2026

Lower · Passed

Reported out of Health Professions & Programs Subcommittee

lower

Feb 11, 2026

Lower · Passed

Favorable with CS by Health Professions & Programs Subcommittee

lower

Feb 9, 2026

Lower · Passed

Added to Health Professions & Programs Subcommittee agenda

lower

Dec 16, 2025

Lower · Passed

Now in Health Professions & Programs Subcommittee

lower

Dec 16, 2025

Committee

Referred to Health & Human Services Committee

lower

Dec 16, 2025

Committee

Referred to Health Professions & Programs Subcommittee

lower

1 primary · 2 co-sponsors