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Florida Statute 395.0191 | Lawyer Caselaw & Research
F.S. 395.0191 Case Law from Google Scholar
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The 2023 Florida Statutes (including Special Session C)

Title XXIX
PUBLIC HEALTH
Chapter 395
HOSPITAL LICENSING AND REGULATION
View Entire Chapter
F.S. 395.0191
395.0191 Staff membership and clinical privileges.
(1) No licensed facility, in considering and acting upon an application for staff membership or clinical privileges, shall deny the application of a qualified doctor of medicine licensed under chapter 458, a doctor of osteopathic medicine licensed under chapter 459, a doctor of dentistry licensed under chapter 466, a doctor of podiatric medicine licensed under chapter 461, or a psychologist licensed under chapter 490 for such staff membership or clinical privileges within the scope of his or her respective licensure solely because the applicant is licensed under any of such chapters.
(2)(a) Each licensed facility shall establish rules and procedures for consideration of an application for clinical privileges submitted by an advanced practice registered nurse licensed under part I of chapter 464, in accordance with the provisions of this section. No licensed facility shall deny such application solely because the applicant is licensed under part I of chapter 464 or because the applicant is not a participant in the Florida Birth-Related Neurological Injury Compensation Plan.
(b) An advanced practice registered nurse who is certified as a registered nurse anesthetist licensed under part I of chapter 464 shall administer anesthesia under the onsite medical direction of a professional licensed under chapter 458, chapter 459, or chapter 466, and in accordance with an established protocol approved by the medical staff. The medical direction shall specifically address the needs of the individual patient.
(c) Each licensed facility shall establish rules and procedures for consideration of an application for clinical privileges submitted by a physician assistant licensed pursuant to s. 458.347 or s. 459.022. Clinical privileges granted to a physician assistant pursuant to this subsection shall automatically terminate upon termination of staff membership of the physician assistant’s supervising physician.
(d) Each hospital shall meet the requirements of the Medicare and Medicaid Conditions of Participation for Hospitals under 42 C.F.R. s. 482.51(a)(3) as they apply to registered nurses performing circulating duties in the operating room and as provided in the interpretive guidelines provided by the United States Department of Health and Human Services. A circulating nurse shall be present in the operating room for the duration of a surgical procedure.
(3) When a licensed facility requires, as a precondition to obtaining staff membership or clinical privileges, the completion of, eligibility in, or graduation from any program or society established by or relating to the American Medical Association or the Liaison Committee on Graduate Medical Education, the licensed facility shall also make available such membership or privileges to physicians who have attained completion of, eligibility in, or graduation from any equivalent program established by or relating to the American Osteopathic Association.
(4) Nothing herein shall restrict in any way the authority of the medical staff of a licensed facility to review for approval or disapproval all applications for appointment and reappointment to all categories of staff and to make recommendations on each applicant to the governing board, including the delineation of privileges to be granted in each case. In making such recommendations and in the delineation of privileges, each applicant shall be considered individually pursuant to criteria for a doctor licensed under chapter 458, chapter 459, chapter 461, or chapter 466, or for an advanced practice registered nurse licensed under part I of chapter 464, or for a psychologist licensed under chapter 490, as applicable. The applicant’s eligibility for staff membership or clinical privileges shall be determined by the applicant’s background, experience, health, training, and demonstrated competency; the applicant’s adherence to applicable professional ethics; the applicant’s reputation; and the applicant’s ability to work with others and by such other elements as determined by the governing board, consistent with this part.
(5) The governing board of each licensed facility shall set standards and procedures to be applied by the licensed facility and its medical staff in considering and acting upon applications for staff membership or clinical privileges. These standards and procedures shall be available for public inspection.
(6) Upon the written request of the applicant, any licensed facility that has denied staff membership or clinical privileges to any applicant specified in subsection (1) or subsection (2) shall, within 30 days of such request, provide the applicant with the reasons for such denial in writing. A denial of staff membership or clinical privileges to any applicant shall be submitted, in writing, to the applicant’s respective licensing board.
(7) There shall be no monetary liability on the part of, and no cause of action for injunctive relief or damages shall arise against, any licensed facility, its governing board or governing board members, medical staff, or disciplinary board or against its agents, investigators, witnesses, or employees, or against any other person, for any action arising out of or related to carrying out the provisions of this section, absent intentional fraud.
(8) The investigations, proceedings, and records of the board, or agent thereof with whom there is a specific written contract for the purposes of this section, as described in this section shall not be subject to discovery or introduction into evidence in any civil action against a provider of professional health services arising out of matters which are the subject of evaluation and review by such board, and no person who was in attendance at a meeting of such board or its agent shall be permitted or required to testify in any such civil action as to any evidence or other matters produced or presented during the proceedings of such board or its agent or as to any findings, recommendations, evaluations, opinions, or other actions of such board or its agent or any members thereof. However, information, documents, or records otherwise available from original sources are not to be construed as immune from discovery or use in any such civil action merely because they were presented during proceedings of such board; nor should any person who testifies before such board or who is a member of such board be prevented from testifying as to matters within his or her knowledge, but such witness cannot be asked about his or her testimony before such a board or opinions formed by him or her as a result of such board hearings.
(9)(a) If the defendant prevails in an action brought by an applicant against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section, the court shall award reasonable attorney’s fees and costs to the defendant.
(b) As a condition of any applicant bringing any action against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section and before any responsive pleading is due, the applicant shall post a bond or other security, as set by the court having jurisdiction of the action, in an amount sufficient to pay the costs and attorney’s fees.
History.ss. 26, 30, ch. 82-182; s. 48, ch. 83-218; s. 1, ch. 85-99; s. 2, ch. 85-175; s. 1, ch. 86-26; s. 1, ch. 86-287; s. 42, ch. 87-92; s. 2, ch. 88-361; s. 18, ch. 90-263; s. 5, ch. 91-22; ss. 11, 98, ch. 92-289; s. 725, ch. 95-148; s. 38, ch. 97-264; s. 5, ch. 98-49; s. 181, ch. 98-166; s. 93, ch. 2000-318; s. 3, ch. 2003-416; s. 1, ch. 2006-133; s. 23, ch. 2018-106; s. 1, ch. 2019-136.
Note.Former s. 395.011.

F.S. 395.0191 on Google Scholar

F.S. 395.0191 on Casetext

Amendments to 395.0191


Arrestable Offenses / Crimes under Fla. Stat. 395.0191
Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 395.0191.



Annotations, Discussions, Cases:

Cases from cite.case.law:

BLAINE v. NORTH BREVARD COUNTY HOSPITAL DISTRICT,, 317 F. Supp. 3d 1157 (M.D. Fla. 2018)

. . . . § 395.0191(7), which provides: There shall be no monetary liability on the part of, and no cause of . . .

A. HAKKI, M. D. v. GALENCARE, INC. a d b a, 237 So. 3d 440 (Fla. App. Ct. 2018)

. . . Hakki's second amended complaint on the basis that it was immune from the suit pursuant to sections 395.0191 . . . .3d 1027 (Fla. 4th DCA 2011), the trial court agreed with the hospital that the immunity in section 395.0191 . . . Hakki's complaint arose out of the reappointment process such that the immunity in section 395.0191(7 . . . The requirement to allege the existence of extrinsic evidence derives from section 395.0191(8)'s prohibition . . . Hakki's allegations show that he could present evidence not protected by section 395.0191(8) demonstrating . . .

DESAI, M. D. v. LAWNWOOD MEDICAL CENTER, INC., 219 So. 3d 869 (Fla. Dist. Ct. App. 2017)

. . . monetary damages or injunctive relief related to the appointment or reappointment of staff under section 395.0191 . . .

BARTOW HMA, LLC a k a v. J. KIRKLAND D. M. D. R. M. D. LLC,, 171 So. 3d 783 (Fla. Dist. Ct. App. 2015)

. . . Additionally, “Amendment 7 trumps the application of the statutory discovery protections set forth in sections 395.0191 . . . some of the documents could fall within the statutory protections set forth in sections 381.028(6)(b), 395.0191 . . .

BARTOW HMA, LLC d b a v. EDWARDS M. D., 175 So. 3d 820 (Fla. Dist. Ct. App. 2015)

. . . See §§ 395.0191(8), 395.0193(8), 766.101(5), Fla. Stat. (2010); W. Fla. Reg’l Med. Ctr., Inc. v. . . .

ASHKENAZI, v. SOUTH BROWARD HOSPITAL DISTRICT d. b. a., 607 F. App'x 958 (11th Cir. 2015)

. . . . § 395.0191(7). See Lawnwood Med. Ctr., Inc. v. . . . Ash-kenazi’s claims arose out of the processes covered by § 395.0191. As a result, Dr. . . . Ashkenasi argues that § 395.0191 is modeled after a federal statute that exempts similar professional-review . . . But we must apply the plain language of § 395.0191, as written and enacted by the Florida Legislature . . . did not sufficiently plead intentional fraud, and his FCRA age-based retaliation suit is barred by § 395.0191 . . .

BARTOW HMA, LLC a k a v. J. KIRKLAND,, 126 So. 3d 1247 (Fla. Dist. Ct. App. 2013)

. . . privilege and/or the peer review/risk management/quality assurance discovery limitations under sections 395.0191 . . . Furthermore, Amendment 7 trumps the application of the statutory discovery protections set forth in sections 395.0191 . . .

UPPAL, v. HOSPITAL CORPORATION OF AMERICA, d. b. a. HCA d. b. a. LP, d. b. a., 482 F. App'x 394 (11th Cir. 2012)

. . . . § 395.0191(7)-(8). Dr. . . .

WEST FLORIDA REGIONAL MEDICAL CENTER, INC. v. S. SEE,, 79 So. 3d 1 (Fla. 2012)

. . . Even if a blank application falls within the purview of sections 766.101(5) and 395.0191(8), Amendment . . . Blank Application Not Protected Under Sections 766.101(5) and 395.0191(8) Sections 766.101 and 395.0191 . . . See §§ 766.101, 395.0191, Fla. Stat. . . . Similarly, section 395.0191(8), provides: The investigations, proceedings, and records of the board, . . . This Court elaborated further on the scope of sections 766.101 and 395.0191 in Brandon Regional Hospital . . .

ACEVEDO v. DOCTORS HOSPITAL, INC., 68 So. 3d 949 (Fla. Dist. Ct. App. 2011)

. . . See §§ 395.0191(8), .0193(8); § 766.101(5), Fla. Stat. (2007). . . . .

LAWNWOOD MEDICAL CENTER, INC. d b a v. DESAI, M. D., 54 So. 3d 1027 (Fla. Dist. Ct. App. 2011)

. . . the trial court erred in entering the injunction because it is immune from liability under section 395.0191 . . . The hospital argues that section 395.0191, Florida Statutes (2009) provides the hospital with immunity . . . Section 395.0191 provides certain privileges and protections for the management of hospital personnel . . . Absent specific allegations of intentional fraud, section 395.0191’s immunity protects the hospital. . . . .” § 395.0191(4), Fla. . . .

LAWNWOOD MEDICAL CENTER INC. v. H. SADOW, M. D., 43 So. 3d 710 (Fla. Dist. Ct. App. 2010)

. . . The Claim of Immunity from Contract Liability Lawnwood’s claim of immunity is founded on § 395.0191(7 . . . The provisions of § 395.0191 lay down general rules for hospitals in setting up procedures and standards . . . The immunity of § 395.0191(7) is not a broad, general grant immunizing every kind of hospital liability . . . evidence that has been received in these proceedings, and on the law which I have instructed you.” . § 395.0191 . . .

WEST FLORIDA REGIONAL MEDICAL CENTER, INC. d b a v. S. SEE C., 18 So. 3d 676 (Fla. Dist. Ct. App. 2009)

. . . protecting documents maintained by hospitals from discovery in civil litigation, including sections 395.0191 . . . of privilege for the documents contained in the Hospital’s credentialing files arise under sections 395.0191 . . . Section 395.0191(8) provides, in pertinent part, as follows: The investigations, proceedings, and records . . . services arising out of matters which are the subject of evaluation and review by such board.... § 395.0191 . . . See § 395.0191(8); § 766.101(8); Buster, 984 So.2d at 490-91. . . .

COLUMBIA HOSPITAL CORPORATION OF SOUTH BROWARD d b a a v. FAIN,, 16 So. 3d 236 (Fla. Dist. Ct. App. 2009)

. . . See §§ 395.0191(8), 395.0193(8), and 766.101(5), Fla. . . .

LAKELAND REGIONAL MEDICAL CENTER, a v. NEELY, a NEELY M. D. OB- GYN, P. A., 8 So. 3d 1268 (Fla. Dist. Ct. App. 2009)

. . . See §§ 395.0191(8), .0193(8), 766.101(5), Fla. Stat. (2007). . . . Supreme Court addressed Amendment 7’s application to existing medical records protected under sections 395.0191 . . . See §§ 395.0191, .0193, 766.101, .1016, Florida Statutes (2007). . . . .

BAPTIST HOSPITAL OF MIAMI, INC. M. D. M. D. P. A. L. M. D. L. M. D. P. A. J. M. D. J. M. D. P. A. v. GARCIA,, 994 So. 2d 390 (Fla. Dist. Ct. App. 2008)

. . . contents of the credentialing files which Baptist claims are not discoverable pursuant to sections 395.0191 . . . Section 395.0191(8), Florida Statutes (2007), provides that the procedure for applying for staff membership . . . Such a result would violate sections 395.0191(8) and 766.101(5), the very purpose of the statutory exclusions . . . , which would necessarily include the disclosure of documents not discoverable pursuant to sections 395.0191 . . . Order quashed without prejudice. . 395.0191 Staff membership and clinical privileges. (8) The investigations . . .

FLORIDA HOSPITAL WATERMAN, INC. v. M. BUSTER, v., 984 So. 2d 478 (Fla. 2008)

. . . See §§ 395.0191(8), 395.0193(8), 766.101(5), Fla. Stat. (2005); cf. § 766.1016(2), Fla. . . . See §§ 395.0191(8), 395.0193(8), 766.101(5), 766.1016(2), Fla. Stat. (2005). . . . medical incidents otherwise provided by law, including, but not limited to, those contained in ss. 395.0191 . . . hospital committee, or other hospital board otherwise provided by law, including, but not limited to, ss. 395.0191 . . . The sections protecting records and statements in peer review are sections 395.0191(8), 395.0193(8), . . .

HOROWITZ, v. PLANTATION GENERAL HOSPITAL LIMITED PARTNERSHIP,, 959 So. 2d 176 (Fla. 2007)

. . . First, section 395.0191, Florida Statutes (2006), which outlines the rules pertaining to hospital staff . . . Section 395.0191 was originally enacted as section 395.011, Florida Statutés (Supp. 1982), but has been . . .

BRANDON REGIONAL HOSPITAL, v. MURRAY,, 957 So. 2d 590 (Fla. 2007)

. . . Blocker objected to production of the list, and Brandon sought a protective order under sections 395.0191 . . . DCA 1999), and was not entitled to the confidentiality protection provided by sections 766.101 and 395.0191 . . . professional health services arising out of matters that are the subject of evaluation and review. §§ 395.0191 . . . member of a hospital staff, is protected from discovery under the confidentiality provisions of sections 395.0191 . . . discovery of documents created by a peer review committee in civil litigation under sections 766.101 and 395.0191 . . .

FLORIDA HOSPITAL WATERMAN, INC. v. M. BUSTER,, 932 So. 2d 344 (Fla. Dist. Ct. App. 2006)

. . . Stat. (2005) (quality assurance nursing homes); § 395.0191(8), Fla. . . . See, e.g., § 395.0191(7), Fla. Stat. (2005) (credentialing); § 395.0193(5), Fla. . . .

COLUMBIA JFK MEDICAL CENTER LIMITED PARTNERSHIP d b a JFK v. SANGUONCHITTE, 920 So. 2d 711 (Fla. Dist. Ct. App. 2006)

. . . because the documents at issue fall within the peer review privilege set forth in sections 766.101(5) and 395.0191 . . . not subject to discovery because it falls within the statutory privilege in sections 766.101(5) and 395.0191 . . . Section 395.0191(8) provides that the investigations, proceedings, and records of the board that decides . . . JFK argues that under sections 766.101(5) and 395.0191(8), proceedings and records of a review committee . . .

BRANDON REGIONAL HOSPITAL, v. MURRAY, S. S. M. D. S. M. D. P. A. E. M. D. E. M. D. P. A., 910 So. 2d 880 (Fla. Dist. Ct. App. 2005)

. . . that the list is privileged from discovery and use in the underlying litigation pursuant to sections 395.0191 . . .

PALMS OF PASADENA HOSPITAL, v. RUTIGLIANO,, 908 So. 2d 594 (Fla. Dist. Ct. App. 2005)

. . . Palms argues that section 766.101(5) and section 395.0191(8), Florida Statutes (2000), makes the information . . . The provisions of section 766.101(5) and section 395.0191(8) create the privilege asserted by Palms. . . . Section 395.0191(8), Florida Statutes (2000), provides: The investigations, proceedings, and records . . .

FLORIDA BOARD OF MEDICINE, v. FLORIDA ACADEMY OF COSMETIC SURGERY, INC. M. D. D. D. S. F. A. C. S. R. M. D. v., 808 So. 2d 243 (Fla. Dist. Ct. App. 2002)

. . . should not operate to deny staff privileges in an arbitrary, unreasonable, or capricious manner); § 395.0191 . . .

A. BARRERA, Jr. M. D. v. COLUMBIA DEERING HOSPITAL, CORPORATION,, 792 So. 2d 581 (Fla. Dist. Ct. App. 2001)

. . . See section 395.0191(7), Fla. Stat. (1997). . . .

UNIVERSITY OF MIAMI, INC. a d b a JFK a v. J. SPUNBERG, M. D. W. M. D., 784 So. 2d 541 (Fla. Dist. Ct. App. 2001)

. . . In contesting the motion, the hospital admitted that it did not comply with either section 395.0191(4 . . . others and by such other elements as determined by the governing board, consistent with this part. § 395.0191 . . . It was also undisputed that JFK did not make the determinations set forth in section 395.0191(4), Florida . . .

PALM SPRINGS GENERAL HOSPITAL, INC. v. VALDES, M. D., 784 So. 2d 1151 (Fla. Dist. Ct. App. 2001)

. . . The claims against the Hospital were based on violation of section 395.0191, Florida Statutes (1995) . . .

COLUMBIA HOSPITAL CORP. OF SOUTH DADE d b a v. A. BARRERA, Jr. M. D., 738 So. 2d 505 (Fla. Dist. Ct. App. 1999)

. . . material ordered produced in the instant case is protected by the statutory privilege provided in sections 395.0191 . . .

HOLMES REGIONAL MEDICAL CENTER, INC. v. NEAL M., 734 So. 2d 432 (Fla. Dist. Ct. App. 1999)

. . . Holmes contends the information sought is privileged under sections 395.0191(8), 395.0193(7) and 766.101 . . .

COLUMBIA PARK MEDICAL CENTER, INC. v. GIBBS,, 728 So. 2d 373 (Fla. Dist. Ct. App. 1999)

. . . from different sources, they are privileged and protected from discovery under sections 766.101(5) and 395.0191 . . .

WHITE- WILSON MEDICAL CENTER, P. A. v. E. MILLS, 726 So. 2d 866 (Fla. Dist. Ct. App. 1999)

. . . to those documents which contain information which falls within the privilege set forth in section 395.0191 . . .

WEEKOTY, v. UNITED STATES, 30 F. Supp. 2d 1343 (D.N.M. 1998)

. . . providing medical review committee records a qualified privilege from discovery); Fla.Stat.ch. 766.101(5) & 395.0191 . . .

COLUMBIA PARK MEDICAL CENTER, INC. v. GIBBS,, 723 So. 2d 294 (Fla. Dist. Ct. App. 1998)

. . . Columbia contends the documents are privileged pursuant to sections 766.101(5) and 395.0191(8), Florida . . .

LIBERATORE v. NME HOSPITALS, INC. d b a M. D. M. D. P. A. S. M. D. M. D. M. D. P. A. s P. A. s P. A., 711 So. 2d 1364 (Fla. Dist. Ct. App. 1998)

. . . hospital’s contention the documents requested were privileged pursuant to section 766.101(5) and section 395.0191 . . .

REIFF, D. v. NORTHEAST FLORIDA STATE HOSPITAL,, 710 So. 2d 1030 (Fla. Dist. Ct. App. 1998)

. . . Reiff alleged in his petition that the bylaws violate section 395.0191, Florida Statutes (1995), because . . . Section 395.0191(1) prohibits licensed hospitals from discriminating against licensed health care professionals . . . psychologists’ privileges are premised upon the hospital’s reasonable needs; thus, they did not violate section 395.0191 . . . Section 395.0191(1), Florida Statutes (1995), provides: No licensed facility, in considering and acting . . . Section 395.0191(1), adding the provision banning discriminatory practices against the class of psychologists . . . I would affirm without reaching appellant’s contention that the bylaws violate section 395.0191, Florida . . .

TOYOS, M. D. v. NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY,, 1 F. Supp. 2d 1462 (S.D. Fla. 1998)

. . . question of whether the statutory medical peer review privilege established by Florida Statutes §§ 395.0191 . . . Florida Statutes §§ 395.0191(8) (applicable to hospital boards), 395.0193(7) (applicable to a hospital . . . Ann. §§ 395.0191(8) (West Supp.1997), 395.0193(7) (West Supp.1997), 766.101(5) (West Supp. 1997). . . .

M. MARTINEZ, M. D. v. PROVIDENT LIFE AND ACCIDENT INSURANCE CO., 174 F.R.D. 502 (S.D. Fla. 1997)

. . . privileged and not discoverable because they: (1) are “peer review” records protected by Florida Statutes §§ 395.0191 . . . Pan American bases its objections on Florida Statutes §§ 395.0191(8) and 766.101(5). B. . . . Protection sought for peer review records Florida Statutes § 395.0191(8) states in relevant part: The . . . Fla.Stat.Ann. § 395.0191(8) (West Supp.1997) (emphasis added). . . . We hold that the privilege provided by sections 766.101(5) and [395.0191(8) ], Florida Statutes, protects . . .

MEASE HOSPITAL, INC. v. LAWRENCE,, 687 So. 2d 883 (Fla. Dist. Ct. App. 1997)

. . . because the information sought is protected from disclosure and discovery by the provisions of sections 395.0191 . . . See §§ 395.0191(8), 395.0193(7) and 766.101(5). The petition is granted in part. . . .

VARIETY CHILDREN S HOSPITAL, v. MISHLER,, 670 So. 2d 184 (Fla. Dist. Ct. App. 1996)

. . . request on the basis that it sought disclosure of documents privileged under subsections 766.101(5), 395.0191 . . .

DHADUVAI, M. D. v. A. BELSITO, M. D., 663 So. 2d 1356 (Fla. Dist. Ct. App. 1995)

. . . Section 395.011(8), Florida Statutes (1991), now codified as section 395.0191(7), Florida Statutes (1993 . . . law causes of action is buttressed by a limitation on discoverable and admissible evidence in section 395.0191 . . . Both sections 395.0191 and 766.101 were created by chapter 85-175, Laws of Florida. . . . services arising out of matters which are the subject of evaluation and review by such board...." § 395.0191 . . .

F. BREM, M. D. v. DECARLO, LYON, HEARN PAZOUREK, P. A., 162 F.R.D. 94 (D. Md. 1995)

. . . Reis, 638 So.2d 530 (Fla.Dist.Ct.App.1994) (applying Fla.Stat. ch. 766.101(5) & 395.0191(8) (1993)). . . .

R. CROSBY, D. O. v. HOSPITAL AUTHORITY OF VALDOSTA, 873 F. Supp. 1568 (M.D. Ga. 1995)

. . . . § 395.0191 (1993)): (5) The governing board of each licensed facility shall set standards and procedures . . .

MIAMI HEART INSTITUTE v. REIS, L., 638 So. 2d 530 (Fla. Dist. Ct. App. 1994)

. . . to the subpoenas on the ground that the records sought were privileged under sections 766.101(5) and 395.0191 . . . Sections 395.0191 and 766.101(5) establish the same privilege against disclosure; section 395.-0191 applies . . .