FL H0309

Cited as "Hillary's Law," amends ss. 458.328 and 459.0138, F.S., to strengthen registration and practice standards for offices performing specified surgeries, effective July 1, 2025

Requires registered office surgery settings to be inspected by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and conform to JCAHO standards for stand-alone ambulatory surgery centers as a condition of registration

Establishes new standards of practice including: prohibiting physicians from operating on immediate family members, requiring all health care professionals to be certified in advanced cardiac life support (renewed every 2 years), mandating a certified registered nurse anesthetist onsite supervised by a board-certified anesthesiologist offsite, and requiring a functioning AED and all critical care equipment on premises at all times

Imposes specific requirements for gluteal fat grafting procedures, including mandatory ultrasound guidance during fat injection, a strict one-physician-to-one-patient ratio, prohibition of intramuscular or submuscular fat injections, and a ban on delegating fat extraction and injection tasks

Requires physicians performing office surgeries to maintain medical malpractice insurance or proof of financial responsibility of at least $1 million, and mandates that adverse incidents resulting in hospitalization be reported within 48 hours with all local anesthetic vials preserved as evidence