Text: HF02513                           Text: HF02515
Text: HF02500 - HF02599                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index



House File 2514

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  Section 147.74, subsection 16, Code Supplement
  1  2 1999, is amended to read as follows:
  1  3    16.  A physician assistant registered or licensed under
  1  4 chapter 148C may use the words "physician assistant" after the
  1  5 person's name or signify the same by the use of the letters
  1  6 "P. A." after the person's name.
  1  7    Sec. 2.  Section 147.80, subsection 5, Code 1999, is
  1  8 amended to read as follows:
  1  9    5.  Application for a license to practice as a physician
  1 10 assistant, issuance of a license to practice as a physician
  1 11 assistant issued upon the basis of an examination given or
  1 12 approved by the board of physician assistant examiners,
  1 13 issuance of a license to practice as a physician assistant
  1 14 issued under a reciprocal agreement, renewal of a license to
  1 15 practice as a physician assistant, temporary license to
  1 16 practice as a physician assistant, registration of a physician
  1 17 assistant, temporary registration of a physician assistant,
  1 18 renewal of a registration of a physician assistant.
  1 19    Sec. 3.  Section 147.107, subsection 5, Code 1999, is
  1 20 amended to read as follows:
  1 21    5.  Notwithstanding subsection 1 and any other provision of
  1 22 this section to the contrary, a physician may delegate the
  1 23 function of prescribing drugs, controlled substances, and
  1 24 medical devices to a physician assistant licensed pursuant to
  1 25 chapter 148C.  When delegated prescribing occurs, the
  1 26 supervising physician's name shall be used, recorded, or
  1 27 otherwise indicated in connection with each individual
  1 28 prescription so that the individual who dispenses or
  1 29 administers the prescription knows under whose delegated
  1 30 authority the physician assistant is prescribing.  Rules
  1 31 relating to the authority of physician assistants to prescribe
  1 32 drugs, controlled substances, and medical devices pursuant to
  1 33 this subsection shall be adopted by the board of physician
  1 34 assistant examiners, after consultation with the board of
  1 35 medical examiners and the board of pharmacy examiners, as soon
  2  1 as possible after July 1, 1991.  The rules shall be reviewed
  2  2 and approved by the physician assistant rules review group
  2  3 created under subsection 7 and shall be adopted in final form
  2  4 by January 1, 1993.  However, the rules shall prohibit the
  2  5 prescribing of schedule II controlled substances which are
  2  6 listed as stimulants or depressants pursuant to chapter 124.
  2  7 If rules are not reviewed and approved by the physician
  2  8 assistant rules review group created under subsection 7 and
  2  9 adopted in final form by January 1, 1993, a physician
  2 10 assistant may prescribe drugs as a delegated act of a
  2 11 supervising physician under rules adopted by the board of
  2 12 physician assistant examiners and subject to the rules review
  2 13 process established in section 148C.7.  The board of physician
  2 14 assistant examiners shall be the only board to regulate the
  2 15 practice of physician assistants relating to prescribing and
  2 16 supplying prescription drugs, controlled substances and
  2 17 medical devices, notwithstanding section 148C.6A.
  2 18    Sec. 4.  Section 148.13, subsections 1 and 4, Code 1999,
  2 19 are amended by striking the subsections.
  2 20    Sec. 5.  Section 148C.1, Code 1999, is amended by striking
  2 21 the section and inserting in lieu thereof the following:
  2 22    148C.1  DEFINITIONS.
  2 23    1.  "Approved program" means a program for the education of
  2 24 physician assistants which has been accredited by the
  2 25 committee on accreditation of allied health educational
  2 26 programs, by its successor, the commission on accreditation of
  2 27 allied health educational programs, or by its successor.
  2 28    2.  "Board" means the board of physician assistant
  2 29 examiners.
  2 30    3.  "Licensed physician assistant" means a person who is
  2 31 licensed as a physician assistant by the board to practice
  2 32 medicine under the supervision of one or more physicians.
  2 33    4.  "Physician" means a person who is currently licensed in
  2 34 Iowa to practice medicine and surgery, osteopathic medicine
  2 35 and surgery, or osteopathy, and who is actively engaged in the
  3  1 practice of medicine and surgery, osteopathic medicine and
  3  2 surgery, or osteopathy.
  3  3    5.  "Physician assistant" means a person who has graduated
  3  4 from an approved physician assistant or surgeon assistant
  3  5 program or a person who has passed the certifying examination
  3  6 administered by the national commission on certification of
  3  7 physician assistants or its successor.
  3  8    Sec. 6.  Section 148C.3, Code 1999, is amended by striking
  3  9 the section and inserting in lieu thereof the following:
  3 10    148C.3  LICENSURE.
  3 11    1.  The board shall adopt rules to govern the licensure of
  3 12 persons who qualify as physician assistants.  An applicant for
  3 13 licensure shall submit the fee prescribed by the board and
  3 14 shall meet the requirements established by the board with
  3 15 respect to each of the following:
  3 16    a.  Academic qualifications, including evidence of
  3 17 graduation from an approved program.  However, if the board
  3 18 determines that a person has sufficient knowledge and
  3 19 experience to qualify as a physician assistant, the board may
  3 20 approve an application for licensure submitted prior to
  3 21 January 1, 2001, without requiring the applicant to have
  3 22 completed an approved program.  On or after January 1, 2001, a
  3 23 physician assistant who is not yet licensed pursuant to this
  3 24 chapter shall be required to have graduated from an approved
  3 25 program or to have passed the examination for physician
  3 26 assistants conducted by the national commission on the
  3 27 certification of physician assistants or its successor.
  3 28    b.  Evidence of passing the national commission on
  3 29 certification of physician assistants examination or its
  3 30 successor examination.
  3 31    c.  Hours of continuing medical education necessary to
  3 32 become or remain licensed.
  3 33    2.  Rules shall be adopted by the board pursuant to this
  3 34 chapter permitting licensed physicians to supervise licensed
  3 35 physician assistants, in consultation with the board of
  4  1 medical examiners.
  4  2    3.  A licensed physician assistant shall perform only those
  4  3 services for which the licensed physician assistant is
  4  4 qualified by training.
  4  5    4.  The board may issue an inactive license under
  4  6 conditions prescribed by rules adopted by the board.
  4  7    Sec. 7.  Section 148C.4, Code 1999, is amended to read as
  4  8 follows:
  4  9    148C.4  SERVICES PERFORMED BY PHYSICIAN ASSISTANTS.
  4 10    A physician assistant may perform medical services when the
  4 11 services are rendered under the supervision of the a licensed
  4 12 physician or physicians specified in the physician assistant
  4 13 license approved by the board.  A trainee physician assistant
  4 14 student may perform medical services when the services are
  4 15 rendered within the scope of an approved program.
  4 16    Sec. 8.  Section 148C.11, Code 1999, is amended to read as
  4 17 follows:
  4 18    148C.11  PROHIBITION – CRIME.
  4 19    A person not registered and licensed as required by this
  4 20 chapter who practices as a physician assistant without having
  4 21 obtained the appropriate approval under this chapter, is
  4 22 guilty of a serious misdemeanor.
  4 23    Sec. 9.  PHYSICIAN ASSISTANTS – RULES.  The board shall
  4 24 adopt new rules pursuant to chapter 17A to administer chapter
  4 25 148C no later than January 1, 2001.  The rules shall be
  4 26 designed to encourage the utilization of physician assistants
  4 27 in a manner that is consistent with the provision of quality
  4 28 health care and medical services for the citizens of Iowa
  4 29 through better utilization of available physicians and the
  4 30 development of sound programs for the education and training
  4 31 of skilled physician assistants well qualified to assist
  4 32 physicians in providing health care and medical services.
  4 33    Sec. 10.  Sections 148C.2, 148C.5A, 148C.6A, and 148C.7,
  4 34 Code 1999, are repealed.
  4 35    Sec. 11.  EFFECTIVE DATE.  This Act, being deemed of
  5  1 immediate importance, takes effect upon enactment.  
  5  2 HF 2514
  5  3 rn/jg/25
     

Text: HF02513                           Text: HF02515
Text: HF02500 - HF02599                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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