Department of Health

Medical Quality Assurance

What is the purpose of the program?

The purpose of the Medical Quality Assurance (MQA) program is to effectively and efficiently regulate health care professionals in order to protect the health and safety of all citizens and visitors to the state who access health care services.

What are the program's major functions?

The program performs three major functions.
  • Licensure. To ensure that health care professionals meet certain minimum standards, the program administers professional testing and processes licensure applications and renewals.
  • Enforcement. To protect the public from incompetent, unethical, or impaired practitioners, the program investigates complaints against health care professionals. Once an investigation is complete, legal staff makes a recommendation about whether the evidence supports disciplinary action against the health care practitioner and presents a recommendation to the relevant professional board.
  • Public Information. To help people make more informed choices about their health care practitioners, the program provides current licensure information for all licensed health care providers and more extensive profile information for members of specific professions. Practitioner profiles contain information about the practitioner's educational and professional background and any disciplinary action taken against the practitioner within the past 10 years.

Who regulates practitioners?

In Florida, health care practitioners are governed by professional licensing boards or councils. Board or council appointments vary by profession and may be made by the Governor, Speaker of the House, President of the Senate, Surgeon General, and other state agencies as specified in law. Board members share authority with the department for developing rules for licensure, establishing exams, setting fees, establishing guidelines for discipline, and reducing the unlicensed practice of health care professions.

The boards and councils are housed within the Department of Health. The division of MQA coordinates, supports, and manages the programs and services of the regulatory boards and councils and department-administered healthcare professions. The program also directly regulates some health care facilities.

Currently, the program, in conjunction with 22 boards and six councils, regulates 200-plus license types in more than 40 professions and nine types of health care facilities (dental laboratories, electrolysis facilities, massage establishments, office surgery facilities, pain management clinics, optical establishments, pharmacies, and resident and nonresident sterile compounding pharmacies.)

Information about the professional licensing boards and councils, including board membership, minutes of board meetings, and the board's meeting schedule, is available on the MQA website by clicking on the appropriate profession in the list. This site also contains information on each profession's licensure process, including licensure requirements, application deadlines, and exam requirements. Other requirements, such as continuing education and license renewal requirements, are also provided.

How many health care license applications and renewals does MQA issue each year?

The department and the individual boards are responsible for licensing approximately 1.3 million health care practitioners. In Fiscal Year 2019-20, the department issued 95,552 initial licenses and processed 459,871 renewals. During this same period, 3,552 in-state licenses were inactive. The department reported 23,360 licensed facilities and establishments; of those, 156 were delinquent.

How timely is the program at issuing licenses?

In Fiscal Year 2019-20, the program took 51.16 days to issue licenses, a decrease of 6.24 days (10.9%) from the prior year.

How do I file a complaint?

The Consumer Services Unit is the major point of intake for consumer complaints about health care practitioners in Florida. Complaints may be filed using the Florida Health Care Complaint Portal, calling 850-245-4339, or emailing MQA.ConsumerServices@flhealth.gov.

How timely is the program in processing and investigating complaints?

The program has 180 days from the receipt of a complaint to complete an initial investigation and make a recommendation concerning the existence of probable cause to the probable cause panel made up of members from the appropriate board. In Fiscal Year 2019-2020, the program investigated 5,400 legally sufficient complaints and determined that probable cause for pressing charges against a licensee existed for 1,579 cases. For Fiscal Year 2019-2020, 95.6% of complaints were investigated for probable cause within 180 days, which was above the approved standard of 90.0%.

In addition, for Fiscal Year 2019-2020, the department received 978 complaints alleging unlicensed activity. During the same year, 962 unlicensed activity complaints were referred for investigation and the department made 438 referrals to law enforcement. Unlicensed activity is a criminal offense and often requires coordination with law enforcement. Prosecution is handled by state attorneys.

How do I access background information on a practitioner?

Licensure information for all health care practitioners and providers is available on the department's web page. Profiles are available for all practitioners including physicians, podiatrists, chiropractors, medical school faculty, and advanced registered nurse practitioners. At initial licensure and again at renewal, all providers and practitioners update their educational and professional background and describe any final disciplinary actions taken against their license by their profession within the last 10 years. The public can use the Medical Quality Assurance Search Services on the website to access information about a provider's license status, (active, inactive, etc.) a practitioner's profile, and reports of discipline or administrative action taken by the department.

How are these activities funded?

The Medical Quality Assurance Trust Fund's sources of revenue are licensure and other fees and fines paid by the health care professions and facilities licensed under Ch. 456, Florida Statutes.
Fiscal Year: 2021-22
Fund Salary Rate/ Position General Revenue Trust Funds
SALARY RATE
POSITIONS
SALARIES AND BENEFITS
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
OTHER PERSONAL SERVICES
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
EXPENSES
FROM FEDERAL GRANTS TRUST FUND
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
OPERATING CAPITAL OUTLAY
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
ACQUISITION OF MOTOR VEHICLES
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
UNLICENSED ACTIVITIES
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
TRANSFER TO DIVISION OF ADMINISTRATIVE HEARINGS
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
CONTRACTED SERVICES
FROM FEDERAL GRANTS TRUST FUND
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - CONTRACTED SERVICES
FROM FEDERAL GRANTS TRUST FUND
SPECIAL CATEGORIES
RISK MANAGEMENT INSURANCE
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
LEASE OR LEASE-PURCHASE OF EQUIPMENT
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
SPECIAL CATEGORIES
TRANSFER TO DEPARTMENT OF MANAGEMENT SERVICES - HUMAN RESOURCES SERVICES PURCHASED PER STATEWIDE CONTRACT
FROM MEDICAL QUALITY ASSURANCE TRUST FUND
TOTAL
0
71,545,957

Updates

The 2021 Legislature enacted several laws related to the practice of health care in Florida.

  • Podiatric MedicineChapter 2021-136, Laws of Florida, authorizes the board of podiatric medicine to require a specified number of continuing education hours related to safe and effective prescribing of controlled substances; provides for governance of podiatric physicians who are supervising medical assistants; and revises the definition of the term "health care provider" to include podiatric physicians.
  • Physician Assistants. Chapter 2021-204, Laws of Florida, revises legislative intent; defines an approved physician assistant program; revises the number of physician assistants physician may supervise at one time from four to ten; deletes a requirement that a physician assistant inform their patients that they have the right to see a physician before the physician assistant prescribes or dispenses a prescription; authorizes physician assistants to procure drugs and medical devices; and authorizes physician assistants to authenticate documents that may be authenticated by a physician.
  • Administration of VaccinesChapter 2021-127, Laws of Florida, revises the specified immunizations or vaccines that certified pharmacists and registered interns may administer to adults; and authorizes certain pharmacists to administer vaccines to individuals seven years of age or older under certain circumstances.
  • Health Care Practitioner Discipline. Chapter 2021-190, Laws of Florida, subjects health care practitioners to disciplinary action for specified offenses; revises provisions relating to immediate suspension of licensure to apply to all health care practitioners; and requires the Department of Health to issue emergency orders to suspend health care practitioners' licenses if they enter a criminal plea to, or are convicted or found guilty of, a felony related to homicide or are arrested for committing or attempting, soliciting, or conspiring to commit acts that would constitute violations or specified criminal offenses.
  • Genetic CounselingChapter 2021-133, Laws of Florida, creates a new licensed and regulated profession, genetic counseling, within the Department of Health; defines genetic counselor and scope of practice; sets requirements for licensing and continuing education, grounds for disciplinary action, and exemptions from regulation for certain practitioners; and establishes an allowance for genetic counselors to refuse to participate in counseling that conflicts with their moral or religious beliefs. 

Where can I find related OPPAGA reports?

Florida's Participation in the Interstate Medical Licensure Compact Would Require Statutory Changes to Avoid Legal Conflicts, Report 19-07, October 2019
Approximately 42% of Nursing Programs Had Licensure Exam Passage Rates Below the Required Legislative Standard in 2016, Report 17-07, June 2017
Review of Florida's Nursing Education Programs, 2016, Report 17-03, January 2017
Approximately 42% of Nursing Programs Had Licensure Exam Passage Rates Below the Required Legislative Standard in 2015, Report 16-05, July 2016
Florida's Nursing Education Programs Continued to Expand in 2015, Report 16-02, January 2016

Where can I get more information?

Other Reports
Reports and Publications, Division of Medical Quality Assurance.
2019 Florida Physician Workforce Annual Report, Department of Health.
Auditor General reports related to Medical Quality Assurance are available on its website.
Websites of Interest
Federation of State Medical Boards
National Practitioner Data Bank
Performance Information
Performance measures and standards for the department may be found in its Long Range Program Plan.

What are the applicable statutes?

Title XXXII (Chs. 456 through 468), and ss. 20.43 and 401.34, Florida Statutes.

Whom do I contact for help?

Cassandra Pasley, Director, Division of Medical Quality Assurance, 850-245-4080, email:  cassandra.pasley@flhealth.gov  

Consumer Services Call Center, 850-245-4339

 
Website