Text: HF00627 Text: HF00629 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 HOUSE FILE 628 1 2 1 3 AN ACT 1 4 RELATING TO PHYSICIAN ASSISTANT LICENSURE, AND PROVIDING AN 1 5 EFFECTIVE DATE. 1 6 1 7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 8 1 9 Section 1. Section 147.74, subsection 16, Code 2003, is 1 10 amended to read as follows: 1 11 16. A physician assistantregistered orlicensed under 1 12 chapter 148C may use the words "physician assistant" after the 1 13 person's name or signify the same by the use of the letters 1 14 "P. A." after the person's name. 1 15 Sec. 2. Section 147.80, subsection 5, Code 2003, is 1 16 amended to read as follows: 1 17 5. Application for a license to practice as a physician 1 18 assistant, issuance of a license to practice as a physician 1 19 assistant issued upon the basis of an examination given or 1 20 approved by the board of physician assistant examiners, 1 21 issuance of a license to practice as a physician assistant 1 22 issued under a reciprocal agreement, renewal of a license to 1 23 practice as a physician assistant, temporary license to 1 24 practice as a physician assistant, registration of a physician1 25assistant, temporary registration of a physician assistant,1 26renewal of a registration of a physician assistant. 1 27 Sec. 3. Section 147.107, subsection 5, Code 2003, is 1 28 amended to read as follows: 1 29 5. Notwithstanding subsection 1 and any other provision of 1 30 this section to the contrary, a physician may delegate the 1 31 function of prescribing drugs, controlled substances, and 1 32 medical devices to a physician assistant licensed pursuant to 1 33 chapter 148C. When delegated prescribing occurs, the 1 34 supervising physician's name shall be used, recorded, or 1 35 otherwise indicated in connection with each individual 2 1 prescription so that the individual who dispenses or 2 2 administers the prescription knows under whose delegated 2 3 authority the physician assistant is prescribing. Rules 2 4 relating to the authority of physician assistants to prescribe 2 5 drugs, controlled substances, and medical devices pursuant to 2 6 this subsection shall be adopted by the board of physician 2 7 assistant examiners, after consultation with the board of 2 8 medical examiners and the board of pharmacy examiners, as soon2 9as possible after July 1, 1991. The rules shall be reviewed2 10and approved by the physician assistant rules review group2 11created under subsection 7 and shall be adopted in final form2 12by January 1, 1993. However, the rules shall prohibit the 2 13 prescribing of schedule II controlled substances which are 2 14 listed as stimulants or depressants pursuant to chapter 124. 2 15If rules are not reviewed and approved by the physician2 16assistant rules review group created under subsection 7 and2 17adopted in final form by January 1, 1993, a physician2 18assistant may prescribe drugs as a delegated act of a2 19supervising physician under rules adopted by the board of2 20physician assistant examiners and subject to the rules review2 21process established in section 148C.7. The board of physician2 22assistant examiners shall be the only board to regulate the2 23practice of physician assistants relating to prescribing and2 24supplying prescription drugs, controlled substances and2 25medical devices, notwithstanding section 148C.6A.2 26 Sec. 4. Section 148.13, subsection 1, Code 2003, is 2 27 amended to read as follows: 2 28 1. The board of medical examiners shall adopt rules 2 29 setting forth in detail its criteria and procedures for 2 30 determining the ineligibility of a physician to serve as a 2 31 supervising physician under chapter 148C. The rules shallbe2 32adopted as soon as possible after the effective date of this2 33Act and in no event later than December 31, 1988provide that 2 34 a physician may serve as a supervising physician under chapter 2 35 148C until such time as the board determines, following normal 3 1 disciplinary procedures, that the physician is ineligible to 3 2 serve in that capacity. 3 3 Sec. 5. Section 148.13, subsection 4, Code 2003, is 3 4 amended by striking the subsection and inserting in lieu 3 5 thereof the following: 3 6 4. The board of medical examiners shall adopt rules 3 7 requiring a physician serving as a supervising physician to 3 8 notify the board of the identity of a physician assistant the 3 9 physician is supervising, and of any change in the status of 3 10 the supervisory relationship. 3 11 Sec. 6. Section 148C.1, subsection 1, Code 2003, is 3 12 amended by striking the subsection and inserting in lieu 3 13 thereof the following: 3 14 1. "Approved program" means a program for the education of 3 15 physician assistants which has been accredited by the American 3 16 medical association's committee on allied health education and 3 17 accreditation, by its successor, the commission on 3 18 accreditation of allied health educational programs, or by its 3 19 successor, the accreditation review commission on education 3 20 for the physician assistant, or its successor. 3 21 Sec. 7. Section 148C.1, subsection 5, Code 2003, is 3 22 amended to read as follows: 3 23 5. "Physician" means a person who is currently licensed in 3 24 Iowa to practice medicine and surgery, osteopathic medicine 3 25 and surgery, or osteopathy. Notwithstanding this subsection, 3 26 a physician supervising a physician assistant practicing in a 3 27 federal facility or under federal authority shall not be 3 28 required to obtain licensure beyond licensure requirements 3 29 mandated by the federal government for supervising physicians. 3 30 Sec. 8. Section 148C.1, subsection 7, Code 2003, is 3 31 amended by striking the subsection. 3 32 Sec. 9. Section 148C.3, Code 2003, is amended by striking 3 33 the section and inserting in lieu thereof the following: 3 34 148C.3 LICENSURE. 3 35 1. The board shall adopt rules to govern the licensure of 4 1 physician assistants. An applicant for licensure shall submit 4 2 the fee prescribed by the board and shall meet the 4 3 requirements established by the board with respect to each of 4 4 the following: 4 5 a. Academic qualifications, including evidence of 4 6 graduation from an approved program. A physician assistant 4 7 who is not a graduate of an approved program, but who passed 4 8 the national commission on certification of physician 4 9 assistants' physician assistant national certifying 4 10 examination prior to 1986, is exempt from this graduation 4 11 requirement. 4 12 b. Evidence of passing the national commission on the 4 13 certification of physician assistants' physician assistant 4 14 national certifying examination or an equivalent examination 4 15 approved by the board. 4 16 c. Hours of continuing medical education necessary to 4 17 become or remain licensed. 4 18 2. Rules shall be adopted by the board pursuant to this 4 19 chapter requiring a licensed physician assistant to be 4 20 supervised by physicians. The rules shall provide that not 4 21 more than two physician assistants shall be supervised by a 4 22 physician at one time. The rules shall also provide that a 4 23 physician assistant shall notify the board of the identity of 4 24 their supervising physician, and of any change in the status 4 25 of the supervisory relationship. 4 26 3. A licensed physician assistant shall perform only those 4 27 services for which the licensed physician assistant is 4 28 qualified by training or not prohibited by the board. 4 29 4. The board may issue a temporary license under special 4 30 circumstances and upon conditions prescribed by the board. A 4 31 temporary license shall not be valid for more than one year 4 32 and shall not be renewed more than once. 4 33 5. The board may issue an inactive license under 4 34 conditions prescribed by rules adopted by the board. 4 35 6. The board shall adopt rules pursuant to this section 5 1 after consultation with the board of medical examiners. 5 2 Sec. 10. Section 148C.4, Code 2003, is amended to read as 5 3 follows: 5 4 148C.4 SERVICES PERFORMED BY PHYSICIAN ASSISTANTS. 5 5 1. A physician assistant may perform medical services when 5 6 the services are rendered under the supervision ofthea 5 7 physicianor physicians specified in the physician assistant5 8license approved by the board. Atraineephysician assistant 5 9 student may perform medical services when the services are 5 10 rendered within the scope of an approved program. For the 5 11 purposes of this section, "medical services when the services 5 12 are rendered under the supervision ofthe physician or5 13physicians specified in the physician assistant license5 14approved by the board"a physician" includes making a 5 15 pronouncement of death for a patient whose death is 5 16 anticipated if the death occurs in a licensed hospital, a 5 17 licensed health care facility, a Medicare-certified home 5 18 health agency, or a Medicare-certified hospice program or 5 19 facility, with notice of the death to a physician and in 5 20 accordance with the directions of a physician. 5 21 2. Notwithstanding subsection 1, a physician assistant 5 22 licensed pursuant to this chapter or authorized to practice in 5 23 any other state or federal jurisdiction who voluntarily and 5 24 gratuitously, and other than in the ordinary course of the 5 25 physician assistant's employment or practice, responds to a 5 26 need for medical care created by an emergency or a state or 5 27 local disaster may render such care that the physician 5 28 assistant is able to provide without supervision as described 5 29 in this section or with such supervision as is available. 5 30 A physician who supervises a physician assistant providing 5 31 medical care pursuant to this subsection shall not be required 5 32 to meet the requirements of rules adopted pursuant to section 5 33 148C.3, subsection 2, relating to supervision by physicians. 5 34 A physician providing physician assistant supervision pursuant 5 35 to this subsection or a physician assistant, who voluntarily 6 1 and gratuitously, and other than in the ordinary course of the 6 2 physician assistant's employment or practice, responds to a 6 3 need for medical care created by an emergency or a state or 6 4 local disaster shall not be subject to criminal liability by 6 5 reason of having issued or executed the orders for such care, 6 6 and shall not be liable for civil damages for acts or 6 7 omissions relating to the issuance or execution of the orders 6 8 unless the acts or omissions constitute recklessness. 6 9 Sec. 11. Section 148C.11, Code 2003, is amended to read as 6 10 follows: 6 11 148C.11 PROHIBITION – CRIME. 6 12 A person notregistered andlicensed as required by this 6 13 chapter who practices as a physician assistantwithout having6 14obtained the appropriate approval under this chapter,is 6 15 guilty of a serious misdemeanor. 6 16 Sec. 12. PHYSICIAN ASSISTANTS – RULES. The board shall 6 17 adopt new rules pursuant to chapter 17A to administer chapter 6 18 148C, after consultation with the board of medical examiners, 6 19 no later than January 1, 2004. The rules shall be designed to 6 20 encourage the utilization of physician assistants in a manner 6 21 that is consistent with the provision of quality health care 6 22 and medical services for the citizens of Iowa through better 6 23 utilization of available physicians and the development of 6 24 sound programs for the education and training of skilled 6 25 physician assistants well qualified to assist physicians in 6 26 providing health care and medical services. 6 27 Sec. 13. Sections 148C.2, 148C.5A, 148C.6A, and 148C.7, 6 28 Code 2003, are repealed. 6 29 Sec. 14. EFFECTIVE DATE. This Act, being deemed of 6 30 immediate importance, takes effect upon enactment. 6 31 6 32 6 33 6 34 CHRISTOPHER C. RANTS 6 35 Speaker of the House 7 1 7 2 7 3 7 4 MARY E. KRAMER 7 5 President of the Senate 7 6 7 7 I hereby certify that this bill originated in the House and 7 8 is known as House File 628, Eightieth General Assembly. 7 9 7 10 7 11 7 12 MARGARET THOMSON 7 13 Chief Clerk of the House 7 14 Approved , 2003 7 15 7 16 7 17 7 18 THOMAS J. VILSACK 7 19 Governor
Text: HF00627 Text: HF00629 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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