Text: HF00495 Text: HF00497 Text: HF00400 - HF00499 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 135.107, subsection 4, Code 1995, is 1 2 amended to read as follows: 1 3 4. The director of public health shall establish a primary 1 4 care collaborative work group to coordinate all statewide 1 5 recruitment and retention activities established pursuant to 1 6 this section and to make recommendations to the department and 1 7 the center for rural health and primary care relating to the 1 8 implementation of subsection 3. Membership of the work group 1 9 shall consist, at a minimum, of representatives from the 1 10 university of Iowa college of medicine, university of 1 11 osteopathic medicine and health sciences, university of Iowa 1 12 physician assistant school, university of Iowa nurse 1 13 practitioner school, university of osteopathic medicine and 1 14 health sciences physician assistant program, Iowa-Nebraska 1 15 primary care association, Iowa medical society, Iowa 1 16 osteopathic medical association, Iowa chapter of American 1 17 college of osteopathic family physicians, Iowa academy of 1 18 family physicians, nurse practitioner association, Iowa nurses 1 19 association, Iowa hospital association, and Iowaphysicians1 20 physician assistants association. 1 21 Sec. 2. Section 147.107, subsection 3, Code 1995, is 1 22 amended to read as follows: 1 23 3. Aphysician'sphysician assistant or registered nurse 1 24 may supply when pharmacist services are not reasonably 1 25 available or when it is in the best interests of the patient, 1 26 on the direct order of the supervising physician, a quantity 1 27 of properly packaged and labeled prescription drugs, 1 28 controlled substances, or contraceptive devices necessary to 1 29 complete a course of therapy. However, a remote clinic, 1 30 staffed by aphysician'sphysician assistant or registered 1 31 nurse, where pharmacy services are not reasonably available, 1 32 shall secure the regular advice and consultation of a 1 33 pharmacist regarding the distribution, storage, and 1 34 appropriate use of such drugs, substances, and devices. 1 35 Sec. 3. Section 148.13, subsection 1, Code 1995, is 2 1 amended to read as follows: 2 2 1. The board of medical examiners shall adopt rules 2 3 setting forth in detail its criteria and procedures for 2 4 determining the ineligibility of a physician to serve as a 2 5 supervising physician under chapter 148C.The rules shall be2 6adopted as soon as possible after the effective date of this2 7Act and in no event later than December 31, 1988.The rules 2 8 shall include a provision that following initial approval of a 2 9 physician as a supervising physician, for any subsequent 2 10 application of a person to practice as a licensed physician 2 11 assistant, only evidence of prior approval of the physician is 2 12 required. 2 13 Sec. 4. Section 148C.3, subsection 4, Code 1995, is 2 14 amended to read as follows: 2 15 4. The board shall formulate guidelines and adopt rules, 2 16 pursuant to section 148C.7, for the consideration of 2 17 applications from persons seeking to become licensed physician 2 18 assistants. An applicant for a license to practice as a 2 19 physician assistant shall submit the fee prescribed by the 2 20 board and evidence of the applicant's current registration 2 21 with the board as a physician assistant. In conjunction with 2 22 the physician assistant submission, the applicant's 2 23 supervising physician or physicians if not previously approved 2 24 by the board of medical examiners as a supervising physician 2 25 shall submit evidence of eligibility, as determined by the 2 26 board of medical examiners, to serve as a supervising 2 27 physician, information with respect to the supervising 2 28 physician's professional background and specialty, scope of 2 29 practice, and a plan for supervision of the physician 2 30 assistant. However, if the physician or physicians have 2 31 received prior approval as a supervising physician the 2 32 physician or physicians shall only submit evidence of the 2 33 approval to the board. In addition the physician assistant 2 34 applicant and the supervising physician or physicians shall 2 35 submit a description of how the physician assistant is to 3 1 function within the scope of practice. 3 2 Sec. 5. NEW SECTION. 514C.8 SERVICES PROVIDED BY 3 3 LICENSED PHYSICIAN ASSISTANTS AND LICENSED ADVANCED REGISTERED 3 4 NURSE PRACTITIONERS. 3 5 Notwithstanding 514C.6, a policy or contract providing for 3 6 third-party payment or prepayment of health or medical 3 7 expenses shall include a provision for the payment of 3 8 necessary medical or surgical care and treatment provided by a 3 9 physician assistant licensed pursuant to chapter 148C, or 3 10 provided by an advanced registered nurse practitioner licensed 3 11 pursuant to chapter 152 and performed within the scope of the 3 12 license of the licensed physician assistant or the licensed 3 13 advanced registered nurse practitioner if the policy or 3 14 contract would pay for the care and treatment if the care and 3 15 treatment were provided by a person engaged in the practice of 3 16 medicine and surgery or osteopathic medicine and surgery under 3 17 chapter 148 or 150A. The policy or contract shall provide 3 18 that policyholders and subscribers under the policy or 3 19 contract may reject the coverage for services which may be 3 20 provided by a licensed physician assistant or licensed 3 21 advanced registered nurse practitioner if the coverage is 3 22 rejected for all providers of similar services. The terms and 3 23 conditions under which physician assistant services or 3 24 advanced nurse practitioner services are compensated shall 3 25 contain practice or supervision restrictions consistent with 3 26 and no more restrictive than those already imposed by law. 3 27 This section applies to services provided under a policy or 3 28 contract delivered, issued for delivery, continued, or renewed 3 29 in this state on or after July 1, 1995, and to an existing 3 30 policy or contract, on the policy's or contract's anniversary 3 31 or renewal date, or upon the expiration of the applicable 3 32 collective bargaining contract, if any, whichever is later. 3 33 This section does not apply to policyholders or subscribers 3 34 eligible for coverage under Title XVIII of the federal Social 3 35 Security Act or any similar coverage under a state or federal 4 1 government plan. For the purposes of this section, third- 4 2 party payment or prepayment includes an individual or group 4 3 policy of accident or health insurance or individual or group 4 4 hospital or health care service contract issued pursuant to 4 5 chapter 509, 514, or 514A. 4 6 Sec. 6. Section 622.10, unnumbered paragraphs 1 and 2, 4 7 Code 1995, are amended to read as follows: 4 8 A practicing attorney, counselor, physician, surgeon, 4 9physician'sphysician assistant, mental health professional, 4 10 or the stenographer or confidential clerk of any such person, 4 11 who obtains information by reason of the person's employment, 4 12 or a member of the clergy shall not be allowed, in giving 4 13 testimony, to disclose any confidential communication properly 4 14 entrusted to the person in the person's professional capacity, 4 15 and necessary and proper to enable the person to discharge the 4 16 functions of the person's office according to the usual course 4 17 of practice or discipline. The prohibition does not apply to 4 18 cases where the person in whose favor the prohibition is made 4 19 waives the rights conferred; nor does the prohibition apply to 4 20 physicians or surgeons,physician'sphysician assistants, 4 21 mental health professionals, or to the stenographer or 4 22 confidential clerk of any physicians or surgeons,physician's4 23 physician assistants, or mental health professionals, in a 4 24 civil action in which the condition of the person in whose 4 25 favor the prohibition is made is an element or factor of the 4 26 claim or defense of the person or of any party claiming 4 27 through or under the person. The evidence is admissible upon 4 28 trial of the action only as it relates to the condition 4 29 alleged. 4 30 If an adverse party desires the oral deposition, either 4 31 discovery or evidentiary, of a physician or surgeon, 4 32physician'sphysician assistant, or mental health professional 4 33 to which the prohibition would otherwise apply or the 4 34 stenographer or confidential clerk of a physician or surgeon, 4 35physician'sphysician assistant, or mental health professional 5 1 or desires to call a physician or surgeon,physician's5 2 physician assistant, or mental health professional to which 5 3 the prohibition would otherwise apply or the stenographer or 5 4 confidential clerk of a physician or surgeon,physician's5 5 physician assistant, or mental health professional as a 5 6 witness at the trial of the action, the adverse party shall 5 7 file an application with the court for permission to do so. 5 8 The court upon hearing, which shall not be ex parte, shall 5 9 grant permission unless the court finds that the evidence 5 10 sought does not relate to the condition alleged and shall fix 5 11 a reasonable fee to be paid to the physician or surgeon, 5 12physician'sphysician assistant, or mental health professional 5 13 by the party taking the deposition or calling the witness. 5 14 Sec. 7. ADOPTION OF RULES. The rules required to be 5 15 adopted by the board of medical examiners pursuant to section 5 16 148.13, subsection 1, as amended in this Act, shall be 5 17 effective on or before January 1, 1996. 5 18 EXPLANATION 5 19 This bill includes provisions relating to the regulation 5 20 and payment of physician assistants and advanced registered 5 21 nurse practitioners. 5 22 The bill provides that the board of medical examiners no 5 23 longer must provide approval of supervising physicians who are 5 24 previously approved as supervising physicians and directs the 5 25 board of medical examiners to adopt rules to that affect to be 5 26 effective on or before January 1, 1996. 5 27 The bill also requires third-party payors to include in the 5 28 policies or contracts for third-party payment or prepayment of 5 29 health and medical expenses, a provision for payment of 5 30 services provided by a licensed physician assistant or 5 31 advanced registered nurse practitioner if payment for such 5 32 services would be included for a person engaged in the 5 33 practice of medicine and surgery or in the practice of 5 34 osteopathic medicine and surgery, and makes other corrective 5 35 and conforming changes throughout the Code. 6 1 LSB 2033HV 76 6 2 pf/jj/8.1
Text: HF00495 Text: HF00497 Text: HF00400 - HF00499 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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