Text: HSB00202 Text: HSB00204 Text: HSB00200 - HSB00299 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section. 1. Section 147.74, subsection 16, Code 2001, is 1 2 amended to read as follows: 1 3 16. A physician assistantregistered orlicensed 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 2001, 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 physician1 17assistant, temporary registration of a physician assistant,1 18renewal of a registration of a physician assistant. 1 19 Sec. 3. Section 147.107, subsection 5, Code 2001, 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 examinersand subject to the rules review2 13process 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 2001, 2 19 are amended by striking the subsections. 2 20 Sec. 5. Section 148C.1, Code 2001, 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 American 2 25 medical association's committee on allied health education and 2 26 accreditation, by its successor, the commission on 2 27 accreditation of allied health educational programs, or by its 2 28 successor, the accreditation review commission on education 2 29 for the physician assistant, or its successor. 2 30 2. "Board" means the board of physician assistant 2 31 examiners. 2 32 3. "Licensed physician assistant" means a person who is 2 33 licensed as a physician assistant by the board to practice 2 34 medicine with the supervision of one or more physicians. 2 35 4. "Physician" means a person who is currently licensed in 3 1 Iowa to practice medicine and surgery, osteopathic medicine 3 2 and surgery, or osteopathy, and who is actively engaged in the 3 3 practice of medicine and surgery, osteopathic medicine and 3 4 surgery, or osteopathy. 3 5 Sec. 6. Section 148C.3, Code 2001, is amended by striking 3 6 the section and inserting in lieu thereof the following: 3 7 148C.3 LICENSURE. 3 8 1. The board shall adopt rules to govern the licensure of 3 9 physician assistants. An applicant for licensure shall submit 3 10 the fee prescribed by the board and shall meet the 3 11 requirements established by the board with respect to each of 3 12 the following: 3 13 a. Academic qualifications, including evidence of 3 14 graduation from an approved program. A physician assistant 3 15 who is not a graduate of an approved program, but who passed 3 16 the national commission on certification of physician 3 17 assistants' physician assistant national certifying 3 18 examination prior to 1986, is exempt from this graduation 3 19 requirement. 3 20 b. Evidence of passing the national commission on the 3 21 certification of physician assistants' physician assistant 3 22 national certifying examination or its successor examination. 3 23 c. Hours of continuing medical education necessary to 3 24 become or remain licensed. 3 25 2. Rules shall be adopted by the board pursuant to this 3 26 chapter permitting licensed physicians to supervise licensed 3 27 physician assistants, in consultation with the board of 3 28 medical examiners. 3 29 3. A licensed physician assistant shall perform only those 3 30 services for which the licensed physician assistant is 3 31 qualified by training. 3 32 4. The board may issue a temporary license under special 3 33 circumstances and upon conditions prescribed by the board. A 3 34 temporary license shall not be valid for more than one year 3 35 and shall not be renewed more than once. 4 1 5. The board may issue an inactive license under 4 2 conditions prescribed by rules adopted by the board. 4 3 Sec. 7. Section 148C.4, Code 2001, is amended to read as 4 4 follows: 4 5 148C.4 SERVICES PERFORMED BY PHYSICIAN ASSISTANTS. 4 6 A physician assistant may perform medical services when the 4 7 services are rendered under the supervision ofthea licensed 4 8 physicianor physicians specified in the physician assistant4 9license approved by the board. Atraineephysician assistant 4 10 student may perform medical services when the services are 4 11 rendered within the scope of an approved program. 4 12 Sec. 8. Section 148C.11, Code 2001, is amended to read as 4 13 follows: 4 14 148C.11 PROHIBITION – CRIME. 4 15 A person notregistered andlicensed as required by this 4 16 chapter who practices as a physician assistantwithout having4 17obtained the appropriate approval under this chapter,is 4 18 guilty of a serious misdemeanor. 4 19 Sec. 9. PHYSICIAN ASSISTANTS – RULES. The board shall 4 20 adopt new rules pursuant to chapter 17A to administer chapter 4 21 148C no later than January 1, 2002. The rules shall be 4 22 designed to encourage the utilization of physician assistants 4 23 in a manner that is consistent with the provision of quality 4 24 health care and medical services for the citizens of Iowa 4 25 through better utilization of available physicians and the 4 26 development of sound programs for the education and training 4 27 of skilled physician assistants well qualified to assist 4 28 physicians in providing health care and medical services. 4 29 Sec. 10. Sections 148C.2, 148C.5A, 148C.6A, and 148C.7, 4 30 Code 2001, are repealed. 4 31 Sec. 11. EFFECTIVE DATE. This Act, being deemed of 4 32 immediate importance, takes effect upon enactment. 4 33 EXPLANATION 4 34 This bill modifies licensure requirements for physician 4 35 assistants. 5 1 The bill eliminates provisions relating to registration as 5 2 a physician assistant, and also eliminates the physician 5 3 assistant rules review group established in Code section 5 4 148C.7, which functions to review and either approve or 5 5 disapprove proposed rules by the board of physician assistant 5 6 examiners. The bill further eliminates provisions regarding 5 7 the adoption of rules by December 31, 1988, relating to the 5 8 eligibility of a physician to serve as a supervising 5 9 physician, and regarding appeals to the board of medical 5 10 examiners of decisions of the board of physician assistant 5 11 examiners in a contested case involving discipline of a 5 12 licensed physician assistant. 5 13 The bill provides for several changes to the definitions 5 14 applicable to physician assistants pursuant to Code chapter 5 15 148C. The bill provides that an approved program for the 5 16 education of physician assistants refers to a program 5 17 accredited by the American medical association's committee on 5 18 allied health education and accreditation, its successor, the 5 19 commission on accreditation of allied health educational 5 20 programs, its successor, the accreditation review commission 5 21 on education for the physician assistant, or its successor, 5 22 rather than pursuant to rules as currently defined. The bill 5 23 also provides that a physician assistant may be licensed if 5 24 the person has passed the certifying examination administered 5 25 by the national commission on certification of physician 5 26 assistants or its successor examination. The bill provides 5 27 that physician assistants who are not graduates of approved 5 28 programs, but who passed the national commission on 5 29 certification of physician assistants' certifying examination 5 30 prior to 1986, are exempt from this graduation requirement. 5 31 The bill provides that a licensed physician assistant 5 32 practices medicine with the supervision of physicians, as 5 33 opposed to the current definition indicating a physician 5 34 assistant practices under the supervision of physicians 5 35 specified on the license. 6 1 The bill provides for modifications regarding requirements 6 2 for licensure as a physician assistant consistent with the 6 3 revised definitions and elimination of registration as a 6 4 physician assistant. 6 5 The bill further requires that the board of physician 6 6 assistant examiners adopt new rules relating to administration 6 7 of Code chapter 148C on or before January 1, 2002. 6 8 The bill takes effect upon enactment. 6 9 LSB 3235HC 79 6 10 rn/cf/24
Text: HSB00202 Text: HSB00204 Text: HSB00200 - HSB00299 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
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