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Item L1 L.1 County of Monroe P W ;� w 1rJ� BOARD OF COUNTY COMMISSIONERS r,�� Mayor Craig Cates,District 1 The Florida Keys Mayor Pro Tem Holly Merrill Raschein,District 5 y Michelle Lincoln,District 2 James K.Scholl,District 3 Ij David Rice,District 4 County Commission Meeting January 18, 2023 Agenda Item Number: L.1 Agenda Item Summary #11571 BULK ITEM: Yes DEPARTMENT: County Administrator TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard(305) 292-4443 n/a AGENDA ITEM WORDING: Approval of a Resolution supporting the appointment of Carla Fry as the Administrator of the Monroe County Health Department by the Surgeon General of the State of Florida. ITEM BACKGROUND: F.S. 154.04(1)(b) states that a county health department administrator trained in public health administration may be appointed by the State Surgeon General after the concurrence of the board of county commissioners for the county. This agenda item requests concurrence to the appointment of Carla Fry as county health department administrator. PREVIOUS RELEVANT BOCC ACTION: CONTRACT/AGREEMENT CHANGES: n/a STAFF RECOMMENDATION: Approval. DOCUMENTATION: 2023 Resolution supporting Carla Frye Curriculum Vitae_Carla A. Fry BoCC Monroe Signed Letter F.S. 154.04 FINANCIAL IMPACT: Effective Date: Upon approval by the BOCC. Expiration Date: N/A Total Dollar Value of Contract: N/A Packet Pg. 2645 L.1 Total Cost to County: Current Year Portion: Budgeted: Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: If yes, amount: Grant: County Match: Insurance Required: N/A Additional Details: REVIEWED BY: Cynthia Hall Completed 12/20/2022 12:36 PM Lindsey Ballard Completed 12/21/2022 11:34 AM Board of County Commissioners Pending 01/18/2023 9:00 AM Packet Pg. 2646 L.1.a Board of County Commissioners RESOLUTION NO. -2023 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA SUPPORTING THE APPOINTMENT OF CARLA FRY AS THE ADMINISTRATOR OF THE MONROE COUNTY HEALTH DEPARTMENT BY THE SURGEON GENERAL OF THE STATE OF FLORIDA. WHEREAS, Florida Statutes 154.04(1)(b) requires the Board of County Commissioners of Monroe County, Florida to give its concurrence prior to the appointment of Monroe County Health Department Administrator by the Surgeon General of the State of Florida. a� WHEREAS, Carla Fry meets the statutory requirement of being trained in public S E health administration. C, CL NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY U- COMMISSIONERS OF MONROE COUNTY, FLORIDA that: 2 cu U 1. The Board of County Commissioners of Monroe County, Florida hereby gives 0 its concurrence for the appointment of Carla Fry as the Administrator of the it Monroe County Health Department by the Surgeon General of the State of Florida. U 2. The Clerk of the County is hereby directed to forward a copy of this Resolution to the Surgeon General of the State of Florida. U) PASSED AND ADOPTED by the Board of County Commissioners of Monroe a County, Florida, at a regular meeting of said Board held on the January 18, 2023. 0 U) Mayor Craig Cates Mayor Pro Tem Holly Merrill Raschein Commissioner Michelle Lincoln Commissioner James K. Scholl Commissioner David Rice E E c� (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: Kevin Madok, Clerk OF MONROE COUNTY, FLORIDA By By As Deputy Clerk Mayor Craig Cates Approved as to form and legal sufficiency: Monroe County Attorney's Office 12-20-2022 Packet Pg. 2647 Curriculum Vitae: Carla A. Fry Home Address: 1016 Varela St. Rear I(ey West, Fl. 330401 Phone Number- 904-485-0718 Email Address: Carla,.fry 2fIheaIth,ggv Academic Preparation Year Institution Major Area of Study Degree 2012 University of Florida Nursing PhD 2010 University of Florida Public Health Certificate E .S 0 2008 Jacksonville University Nursing MSN CL CL 2004 Kent State University Nursing BSN U- 1996 Regents College Nursing ASN L) 1989 US Army Practical Nursing Nursing Practical Nurse U- 1987 United States Military Academy West Point Preparatory Academy Preparatory School .......... ........ > Licensure: Registered Professional Nurse—STATE LICENSE NUMBER EXPIRATION DATE E Florida Compact License RN9220371 August 31, 2022 Illinois License 041489818 September 30, 2022 New York License 788614 February 2, 2023 U E Certifications: None Professional Experience: January 2022—Present....Florida Department of Health, Monroe County Senior Community Health Nursing Director Key Deliverables: Oversee daily operations for three health clinics in Monroe County Budgetary oversight for core programming Talent acquisition and training for nursing and support staff Packet Pg. 2648 L.1.b Relationship building/collaboration with key stakeholders in the community Strategic development of new programs and initiatives August 2018—December 2021-The College of the Florida Keys Director of Nursing&Health Sciences,Adjunct Professor Key Deliverables: Teaching Didactic&Clinical Courses in undergraduate pre-licensure program Supervise clinical rotations for pre-licensure nursing students Oversight of instructional design and curricular revision for AS and BS in Nursing Recruitment,hiring, and supervision of Nursing faculty Relationship building with key stakeholders overseeing existing cohorts and recruiting new sites based on market demand, &community needs Tracking&compliance for partner affiliation agreements . CL Maintenance of all accreditation standards for SACSCOC and ACEN CL July 2019—present-Chamberlain University Visiting Professor U Key Deliverables: Teaching NR702 Doctor of Nursing Practice (DNP)Student Practicum Course t3 August 2008-August 2018-Jacksonville University,Jacksonville Florida Tenured Associate Professor of Nursing&Undergraduate Director,Nathan M. Bisk Center for Professional Studies c� Key deliverables: cj Teaching responsibilities including undergraduate,graduate,and online courses Supervise clinical rotations for pre-licensure nursing students at a Level One Trauma Center Student mentoring in honors research, master's theses,and DNP Projects Project management of build-out and go-live of Center for Professional Studies Oversight of instructional design and curricular revision for online &cohort Nursing& Business Programs Recruitment,hiring, and supervision of Nursing faculty Partnership with third party education vendor for student recruitment,admission,and retention Oversight for marketing of all undergraduate online&cohort programming Direct supervision of a team of advisors, recruiters, &online learning specialist Liaison between colleges&departments on campus to ensure high quality instructional design/delivery Continual process improvement for Learning Management system Relationship building with key stakeholders overseeing existing cohorts and recruiting new sites Tracking&compliance for partner affiliation agreements Maintenance of all accreditation standards for SACS&CCNE Packet Pg. 2649 L.1.b Baptist Medical Center,Jacksonville, FL 2004—2008 Education Services Coordinator, Baptist Medical Center South Key Deliverables: Process planning for go-live Development of policies/procedures Training/onboarding of all new staff Electronic Health Record consulting&training Curriculum development for continuing education ACLS&BLS training Author of Magnet Force 11—Nurses as Teachers Journal Club Coordinator E Initial application&maintenance of Continuing Education Service Provider Program developer for our Graduate Nurse Internship CL Creation of a clinical ladder for Nursing development Oversight for patient education Mercy Medical Center 1992-2004 Canton,Ohio U Staff Nurse,then Nurse Manager in the critical care service line.Assisted with planning&certification process for a Cardiac Center of Excellence 2 c, United States Armed Forces i Medic/LPN 1985-1991 Service in the United States Military in a variety of roles at duty stations around the country. Honorably discharged. U Academic Appointments Year Institution Position 2008-2018 Jacksonville University Associate Professor Clinical Appointments Year Institution Position Research and Training Grants: Funded Year Role/Title/Amount Packet Pg. 2650 L.1.b 2016—Author-Faculty Research Grant to conduct research on Student Perceptions of Faculty Engagement in Online Learning. $4,000.00 2015—Entrepreneurism, Policy& Innovation Center(EPIC)Grant awarded for curricular development in the field of Nursing Informatics. $8,000.00 2012-Virginia Henderson Scholar award to conduct research on vaccine uptake disparities.$5,000.00 Research and Training Grants: Non-Funded, Executed Year Role/Title Presentations:International Year Title Type Organization CL CL 2018 Fry,C. Engaging Students in Online Learning. Podium Presentation April 6th, 2018 for the it, University of Belize Online Learning Consortium. 2018 Fry, C. Principles of Effective Online Teaching. Podium Presentation April 6th,2018 for the U University of Belize Online Learning Consortium. 2017 Fry,C. Update on the Institute of Medicine's(IOM) Future of Nursing Report and the Need for Highly Educated Nurses and BSN Education as a Quality Improvement Strategy. Podium Presentation July 6,2017 Ulm, Germany 2Rd Annual Nursing Management Conference. U i 2012 Fry, C. Vaccine Uptake Among African Americans:A Matter of Trust. Poster presentation at the Pan American Research Colloquium in Miami, Florida Sept 5-7, 2012. c� Presentations:National U Year Title Type Organization E 2014 Fry, C.Vaccine Uptake among Mayan Villagers in the Yucatan. American Public Health Conference, New Orleans, La. November 2014. 2014 Fry, C. Exploring Vaccine Uptake among African American Adults. American Public Health Conference, New Orleans, La. November 2014. 2013 Fry, C. Use of Mandatory Fields in the Electronic Health Record—Lessons Learned. Round Table Presentation for American Public Health Association Conference in Boston, Massachusetts, Nov 2-6,2013. 2011 Fry,C. Blending Education and Technology to Increase Vaccine Uptake—Use of EHR"Mandatory Fields". Poster presentation at the Drexel University Nursing Education Institute in Atlantic City New Jersey,June 27-29,2011. Packet Pg. 2651 L.1.b 2010 Fry, C. Challenges in Assessing Dimensions of Functional Status-A Comparison of SIP and SF-12 Instruments. Podium Presentation at the November APHA conference in Denver,CO. Presentations:Regional Year Title Type Organization Presentations:State Year Title Type Organization 2016 Fry, C., Mier,W.Online Faculty Training Programs—Best Practices. Podium presentation April E a 6th, 2016 Jacksonville, Florida. 27th Annual Conference on College Teaching and Learning. .3 CL CL 2016 Fry, C., Mier,W.Online Faculty Training Programs—Do They Make a Difference?Sigma Theta it, Tau.Abstract accepted. Podium presentation February 5th, 2016 University of North Florida Sigma Theta Tau Lambda Rho Chapter Conference. U 2014 Fry, C. Exploring Pneumococcal Vaccine Uptake Barriers among African American Adults. Poster Presentation at Sigma Theta Tau Lambda Rho Annual Research Conference in Jacksonville, Florida, February 71h, 2014. 2013 Fry, C. Magnet Mania—What's the Attraction? Podium Presentation for Annual Research UI Symposium. St.Vincent's Medical Center. 2013 Fry, C.Sigma Theta Tau Conference presentation. Pneumococcal Vaccine Disparities. Jacksonville, FI. 2 Presentations: Local U Year Title Type Organization E c� Fry,C.(2020). Best Practices in Distance Learning. Virtual Podium Presentation June 9th,2020 at The College of the Florida Keys. 2019 Fry,C.Student&Faculty Engagement in the Distance Learning Setting—Lessons Learned. Podium Presentation November 26,2019 for Faculty Symposium at The College of the Florida Keys. 2019 Fry,C. The Fulbright Experience. Podium Presentation August 19,2019 for Convocation Day at The College of the Florida Keys. Print-Based Publications:Refereed Year Citation in APA format sans year Packet Pg. 2652 L.1.b 2016 Fry,C.,Mier,W. Online Faculty Training Programs—Do They Make a Difference?Virginia Henderson Library. 2014 Fry,C. Do You Know What Your Risk for Pneumonia is?Times Union Article for Nursed to Health. January 2014. Fry,C.(2012). Exploring Pneumococcal Vaccine Barriers Among African Americans in Northeast Florida. Dissertation published in ProQuest online. Electronic-Based Publications:Refereed Year Citation in APA format sans year 2016 Fry,C. Addressing Pneumococcal Vaccine Uptake among African American Adults in the United States. Public Health Nursing Journal. 33(4),277-282. E 0 CL CL Professional Service: Year Role U Curricular Design: 2020 NUR3295 Critical Care Nursing—authored new course 2020 NUR4636L Community Health Nursing Practicum—authored new course 2020 NUR4636 Community Health Nursing—authored new course 2020 NUR4827L Leadership& Management in Nursing Practicum—authored new course U i 2019 NUR4827 Leadership& Management in Nursing—authored new course 2019 NUR3123 Pathophysiology& Pharmacology—authored new course 2019 NUR4870 Informatics—authored new course 2019 NUR4047 Cultural Health—authored new course 2019 NUR4805 Trends& Issues in Nursing—authored new course 2014 NUR353 Information Management in Healthcare—authored as new course L3 2016 NUR424 Health Disparities Elective—authored as new course 2016 NUR516 Health Information Management—revision in collaboration with peer 2016 NUR580-583 Informatics Nursing Cognate-authored new cognate proposal 2016 NUR512 Healthcare Policy Revision Projects: Year Activity 2020 Project Coordinator for new Simulation Learning Center being built in the Upper Keys with projected go-live 8/2021. 2019 Program Development RN-BSN The College of the Florida Keys, Key West, Fl. Packet Pg. 2653 L.1.b 2017 Project Manager for the design and opening of the Jacksonville University Downtown Campus and Nathan M. Bisk Center for Professional Studies Consultations: Year Activity 2007 Professional Legal Consulting—Chuck Shad Esquire,Jacksonville, FI. Professional Membership/Activities: Year Organization Year Role/Activity E 2016 Sigma Theta Tau Lambda Rho Chapter,Jacksonville, FI.Vice President CL 2014 American Association of Colleges of Nursing(AACN). Member CL 2008 Sigma Theta Ta National Nursing Honor Society Member 2008 American Public Health Association Member 2008 Florida Nurse Educator's Technology Committee.Chair 42 2005 Jacksonville Area Nurse Educators(JANIE) Member U 1996 American Association of Critical Care Nurses Member it, LL Honors: U i Year Honor 2018 Fulbright Scholar—University of Belize Teaching&Research c� Dissertations/Theses: U DNP Project Committee: E Year Student School Role 2018 Jacksonville University Committee Member Master's Theses: Year Student/School/Title/Role 2013 Erica Fetner: Jacksonville University-Heart Disease in Women: Risk Perceptions-Chair 2012 Lindsay Moore: Jacksonville University-Continuous Lateral Rotation Therapy-Chair Packet Pg. 2654 L.1.b 2012 Lisa Babb: Jacksonville University-Job Satisfaction among Nurses and Nurse Practitioners-Chair 2010 Lydia Sauter: Jacksonville University-Delay of Care in Acute Myocardial Infarction- Chair 2009 Sharon Edmunds: Jacksonville University- Using Simulation Learning to Enhance Clinical Outcomes-Chair 2009 Teresa Smoot: Jacksonville University-Teamwork and Patient Satisfaction—Chair Honor's Thesis: Year Student/School/Title/Role CL CL 2016 Amanda Carr: Jacksonville University-Effect of Nurse Residency Programs on Job ' Satisfaction-Faculty mentor L, 2016 Lauren Holloway:Jacksonville University- MSN student with focus on nursing education Preceptor 2015 Rachel Blansett:Jacksonville University-Exploring the Relationship between Caffeine 42 Intake and Birth Weight Faculty mentor U i 2014 Karen Genzel:Jacksonville University-Honors Student Emergency Department Nurses' Knowledge of Child Sexual Abuse Screening Faculty mentor > College Service: U Year Committee Role 2020 Shared Governance Committee Member 2019 Distance Learning Committee Chair 2019 Wellness Committee Member 2019 Student Scholarship Committee Member 2016 Technology Planning Committee Member/Chair 2015 Board of Trustees Retention Team Member 2015 IDEA Implementation Team Member 2015 Faculty Compensation Task Force Member 2015 Committee Chairs Member 2014 Tenure and Promotion Task Force Member 2011 Faculty Affairs Committee Member/Chair Civic and Community Service: Packet Pg. 2655 L.1.b Year Organization/Role 2019 Key West Chamber of Commerce member 2016 Disaster Preparedness Volunteer 2019 Keys to be the Change Volunteer 2015 One Spark Juror for Science&Technology,Jacksonville, Fl. 2010 Sexual Assault Task Force,Jacksonville, Fl. 2006 United Way Leadership Giver 2005 Disaster Preparedness Team: American Red Cross Courses(last 10 years): Didactic/ Clinical Clinical/ Area/ %of Year/ No.of Credit Hrs. Content Course CL CL Level Course Title Students Clock Hrs. Focus Responsibility Undergraduate Level Courses Taught: c, 2020 NUR3795 Critical Care Nursing 3 100% 2020 NUR2818C CN3 Capstone Course 4 50% ' 2019 NUR1020C Fundamentals in Nursing 4 100% 2018 NUR1020C Fundamentals in Nursing 4 100% 2 NUR202 Introduction to Pharmacology 3 100% cj NUR220 Essentials for Nursing Theory 3 100% i NUR221 Essentials for Nursing Practice 3 100% NUR302 Pharmacology for Professional Nurses I 1 100% > NUR304 Pharmacology for Professional Nurses II 1 100% 75 NUR316 Nursing Research 3 100% NUR320 Advanced Adult Health Theory 4 100% NUR321 Advanced Adult Health Clinical 2 100% U NUR353 Information Management in Healthcare 3 100% NUR354 Evidence Based Nursing 3 100% NUR438 Critical Care Nursing Theory 3 100% NUR439 Critical Care Nursing Clinical NUR440 Critical Care Nursing Theory for the Experienced Nurse NUR455Advanced Acute Care Concepts NUR456 Application of Professional Nursing Concepts Graduate Level Courses Taught: 2020 NR702 DNP Practicum 3 100% 2020 NR702 DNP Practicum 3 100% 2020 NR702 DNP Practicum 3 100% Packet Pg. 2656 L.1.b 2019 NR702 DNP Practicum 3 100% 2019 NR702 DNP Practicum 3 100% 2019 NR702 DNP Practicum 3 100% NUR510 Nursing Theory and Research 1 3 100% NUR520Nursing Theory and Research 11 3 100% NURS12 Organization, Delivery, and Policy in Healthcare 3 100% NUR516 Information Systems and Technology 3 100% NUR525 Measuring Educational Outcomes 3 100% NUR548 Curriculum Development in Nursing 3 100% Continuing Education (last 3 years): Year Title/Organization E 2020 COVID-19 Contact Tracing Coursera Course CL CL 2020 Medical Errors Florida Registered Nurse CE Package 2019 Faculty Teaching and Learning Symposium—College of the Florida Keys, Key West, FI. 2019 ACEN Workshop on Accreditation,Chicago IL. T 2018 Medical Errors Florida Registered Nurse CE Package U t3 U E 2 U E c� Packet Pg. 2657 L.1.c Ran DeSan Mission: Governor To protect,promote&improve the health of all people in Florida through integrated@19rrWioru n"�Nr" state,county&community efforts. ll i� �t � �Uv,a Joseph A. Ladapo, MD, PhD State Surgeon General I 1 A Vision:To be the Healthiest State in the Nation December 15, 2022 The Honorable Craig Cates Monroe Board of County Commissioners 1100 Simonton Street Key West, Florida 33040 Dear Mayor Cates: The Florida Department of Health requests concurrence from the Monroe County Board of County Commissioners on the appointment of Dr. Carla Fry as the Administrator of the Florida Department of Health in Monroe County. County health departments sustain the partnership between the Florida Department of Health and county government pursuant to section 154.04, Florida Statutes. In keeping with state law, as well as our desire to maintain this important partnership, the Florida Department of Health works collectively with county government when selecting a new health department administrator. U Dr. Fry has an excellent and diverse background in all aspects of public health and has demonstrated her ability as a skilled leader. I believe Dr. Fry will be an asset to the Florida Department of Health and Monroe County as their new health department director. The Florida Department of Health is requesting time on the agenda during your upcoming meeting to request concurrence on the appointment of Carla Fry, as the Administrator of the Florida Department of Health in Monroe County. If you or any member of the Monroe County Board of County Commissioners 0 have questions or would like more information regarding Dr. Fry, please feel free to contact Mark U Lander, Interim Deputy Secretary for County Health Systems at 850-245-4243. U 1 appreciate the support of the Monroe County Board of County Commissioners and the community in selecting the best candidate for the people of Monroe County. E c� Sincerely, Joseph �ti da'po, MD,W PhD State lrgeon General cc: Roman Gastesi, County Administrator Dr. Carla Fry Florida Department of Health Office of the State Surgeon General Accredited Fleal'th Department 4052 Bald Cypress Way,Bin A-00-Tallahassee,FL 32399-1701 � 111it 11ttl°�'tGL ,fiittrtd PHONE:850/245-4210•FAX:850/922-9453 N1 FloridaHealth.gov Packet Pg. 2658 154„04„ Il:�eirso nirnell of county Ihuealltlhu a epairlirrrients;du-bes; coirrripen ahon, 1RL.ST§154„04 West's Florida Statutes Annotated Title X1.County Organization and Intergovernmental Relations(Chapters 124-164)(Refs&Annos) Chapter 154.Public Health Facilities Part 1.County Health Departments(Refs&Annos) West's F.S.A. § 154.04 154.04.Personnel of county health departments;duties;compensation Effective:July 1,2008 Currentness (1)(a)The personnel of a minimum county health department shall consist of a county health department director or administrator and a full-time public health nurse, a public health environmental specialist, and a clerk. All such personnel shall be selected from those especially trained in public health administration and practice, so far as the same shall relate to the duties of their respective positions. r_ as E (b) The county health department director shall be a physician licensed under chapter 458 or chapter 459 who is trained in CL CL public health administration and shall be appointed by the State Surgeon General after the concurrence of the boards of county commissioners of the respective counties. A county health department administrator trained in public health administration � may be appointed by the State Surgeon General after the concurrence of the boards of county commissioners of the respective counties. V (c) 1. A registered nurse or licensed physician assistant working in a county health department is authorized to assess a patient Ln V and order medications,provided that: T_ Ui a.No licensed physician is on the premises; b. The patient is assessed and medication ordered in accordance with rules promulgated by the department and pursuant to a protocol approved by a physician who supervises the patient care activities of the registered nurse or licensed physician assistant; c. The patient is being assessed by the registered nurse or licensed physician assistant as a part of a program approved by the department;and d.The medication ordered appears on a formulary approved by the department and is prepackaged and prelabeled with dosage instructions and distributed from a source authorized under chapter 499 to repackage and distribute drugs,which source is under the supervision of a consultant pharmacist employed by the department. 2.Each county health department shall adopt written protocols which provide for supervision of the registered nurse or licensed physician assistant by a physician licensed pursuant to chapter 458 or chapter 459 and for the procedures by which patients may be assessed,and medications ordered and delivered,by the registered nurse or licensed physician assistant. Such protocols ll, ;'1'InAzV 2022 ol'I'fS0"1 I lJ, I ; I`°.1,o t;la o oI lg",l I a J rt/r l l"I"',I l"I', / oI l'.s Packet Pg. 2659 154„04„ IPeirsoirnirnell of couirnty Ihuealltlhu alepairti feints;du-be ; coir ipein aboin, FIL.ST§154„04 shall be signed by the supervising physician,the director of the county health department,and the registered nurse or licensed physician assistant. 3. Each county health department shall maintain and have available for inspection by representatives of the Department of Health all medical records and patient care protocols,including records of medications delivered to patients,in accordance with rules of the department. 4.The Department of Health shall adopt rules which establish the conditions under which a registered nurse or licensed physician assistant may assess patients and order and deliver medications,based upon written protocols of supervision by a physician licensed pursuant to chapter 458 or chapter 459,and which establish the formulary from which medications may be ordered. 5. The department shall require that a consultant pharmacist conduct a periodic inspection of each county health department in meeting the requirements of this paragraph. 6. A county health department may establish or contract with peer review committees or organizations to review the quality of a� communicable disease control and primary care services provided by the county health department. 0 uL CL (2)The personnel of the county health department shall be employed by the Department of Health. The compensation of such personnel shall be determined under the rules of the Department of Management Services. Such employees shall engage in the prevention of disease and the promotion of health under the supervision of the Department of Health. U Credits Laws 1931, c. 14906, § 4; Comp.Gen.Laws Supp.1936, § 2934(25);Laws 1969, c. 69-106, §§ 19, 35;Laws 1972, c. 72-139, LO § 1; Laws 1972, c. 72-323, § 2; Laws 1972, c. 72-345, § 3; Laws 1975, c. 75-48, § 14; Laws 1977, c. 77-147, § 32; Laws 1983, c. 83-177, § 7;Laws 1985, c. 85-68, § 8;Laws 1986, c. 86-83, § 1; Laws 1986, c. 86-220, § 3;Laws 1988, c. 88-294, U- § 4; Laws 1988, c. 88-361, § 1; Laws 1989, c. 89-311, § 2. Amended by Laws 1990, c. 90-232, § 2, eff. Oct. 1, 1990; Laws 1990, c. 90-295, § 2, elf. July 3, 1990; Laws 1991, c. 91-22, § 4, elf. April 23, 1991;Laws 1992, c. 92-279, § 76, elf. Jilly 1, 1992; Laws 1994, c. 94-218, § 8, elf. May 20, 1994; Laws 1996, c. 96-403, § 15, elf. Jan. 1, 1997; Laws 1997, c. 97-237, § 10,elf. Jm1y 1, 1997;Laws 1998,c. 98-49, § 2,eff.May 12, 1998;Laws 1998, c. 98-279, § 4,elf. June 30, 1998;Laws 2008, C. 2008-6, § 11,elf. July 1,2008. Notes of Decisions(6) West's F. S. A. § 154.04,FL ST§ 154.04 Current with laws,joint and concurrent resolutions and memorials through July 1,2022,in effect from the 2022 Second Regular Session. Some statute sections may be more current, see credits for details. 1a n(Illl oll,Dmcium,mA 202 Hoaroo son Reishym., gar c u.'nm far ari�,,h fl 0',S GaTNerniu wnr �,Vo 0 ll, ;'1'l,A,o 202 2 1 ; ``.1,o t;la o oIl g",�"I a re/r l l"I"',I l"I', //rinks Packet Pg. 2660