Text: HSB00108 Text: HSB00110 Text: HSB00100 - HSB00199 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 147.74, subsection 16, Code 2003, 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 2003, 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 2003, 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 147A.10, Code 2003, is amended by adding 2 19 the following new subsection: 2 20 NEW SUBSECTION. 4. A physician assistant who voluntarily 2 21 and gratuitously, and other than in the ordinary course of the 2 22 person's employment or practice, responds to a need for 2 23 medical care created by an emergency or a state or local 2 24 disaster shall not be subject to criminal liability by reason 2 25 of having issued or executed the orders for such care that the 2 26 physician assistant is able to provide without the supervision 2 27 of a physician, and shall not be liable for civil damages for 2 28 acts or omissions relating to the issuance or execution of the 2 29 orders unless the acts or omissions constitute recklessness. 2 30 Sec. 5. Section 148.13, subsection 4, Code 2003, is 2 31 amended by striking the subsection. 2 32 Sec. 6. Section 148C.1, subsection 1, Code 2003, is 2 33 amended by striking the subsection and inserting in lieu 2 34 thereof the following: 2 35 1. "Approved program" means a program for the education of 3 1 physician assistants which has been accredited by the American 3 2 medical association's committee on allied health education and 3 3 accreditation, by its successor, the commission on 3 4 accreditation of allied health educational programs, or by its 3 5 successor, the accreditation review commission on education 3 6 for the physician assistant, or its successor. 3 7 Sec. 7. Section 148C.1, subsection 5, Code 2003, is 3 8 amended to read as follows: 3 9 5. "Physician" means a person who is currently licensed in 3 10 Iowa to practice medicine and surgery, osteopathic medicine 3 11 and surgery, or osteopathy, and who is actively engaged in the 3 12 practice of medicine and surgery, osteopathic medicine and 3 13 surgery, or osteopathy in Iowa. 3 14 Notwithstanding this subsection, a physician supervising a 3 15 physician assistant employed by the federal government shall 3 16 not be required to obtain licensure beyond licensure 3 17 requirements mandated by the federal government for physicians 3 18 or supervising physicians. 3 19 Sec. 8. Section 148C.3, Code 2003, is amended by striking 3 20 the section and inserting in lieu thereof the following: 3 21 148C.3 LICENSURE. 3 22 1. The board shall formulate guidelines and adopt rules, 3 23 pursuant to section 148C.7, to govern the licensure of persons 3 24 who qualify as physician assistants. An applicant for 3 25 licensure shall submit the fee prescribed by the board and 3 26 shall meet the requirements established by the board with 3 27 respect to all of the following: 3 28 a. Academic qualifications, including evidence of 3 29 graduation from an approved program. However, if the board 3 30 determines that a person has sufficient knowledge and 3 31 experience to qualify as a physician assistant, the board may 3 32 approve an application for licensure without requiring the 3 33 completion of an approved program. 3 34 b. Examination grades and evidence of passing the national 3 35 commission on certification of physician assistants 4 1 examination or an equivalent examination which the board 4 2 approves. 4 3 c. Hours of continuing medical education necessary to 4 4 remain licensed or eligible for licensure. 4 5 d. Submission of information to the board regarding the 4 6 physician or physicians eligible to serve as a physician 4 7 supervisor under rules of the board of medical examiners who 4 8 have agreed to serve as the applicant's physician supervisor 4 9 or supervisors. 4 10 2. The board may issue a temporary license under special 4 11 circumstances and upon conditions prescribed by the board. A 4 12 temporary license shall not exceed one year in duration and 4 13 shall not be renewed more than once. 4 14 3. The applicant shall not submit and the board shall not 4 15 approve an application for licensure which would result in a 4 16 physician supervising more than two physician assistants at 4 17 one time. 4 18 4. A licensed physician assistant shall perform only those 4 19 services for which the licensed physician assistant is 4 20 qualified by training and for which the licensed physician 4 21 assistant has an eligible physician supervisor, and shall not 4 22 perform a service that is not permitted by the board. 4 23 5. Rules shall be adopted pursuant to this chapter which 4 24 will permit qualified practicing physicians to supervise 4 25 licensed physician assistants at a free medical clinic on a 4 26 temporary basis. 4 27 Sec. 9. Section 148C.4, Code 2003, is amended to read as 4 28 follows: 4 29 148C.4 SERVICES PERFORMED BY ASSISTANTS. 4 30 1. A physician assistant may perform medical services when 4 31 the services are rendered under the supervision of the 4 32 physician or physicians specified in the physician assistant 4 33 license approved by the board. A trainee may perform medical 4 34 services when the services are rendered within the scope of an 4 35 approved program. For the purposes of this section, "medical 5 1 services rendered under the supervision of the physician or 5 2 physicians specified in the physician assistant license 5 3 approved by the board" includes making a pronouncement of 5 4 death for a patient whose death is anticipated if the death 5 5 occurs in a licensed hospital, a licensed health care 5 6 facility, a Medicare-certified home health agency, or a 5 7 Medicare-certified hospice program or facility, with notice of 5 8 the death to a physician and in accordance with the directions 5 9 of a physician. 5 10 2. Notwithstanding subsection 1, a physician assistant 5 11 licensed pursuant to this chapter or authorized to practice in 5 12 any other state who voluntarily and gratuitously, and other 5 13 than in the ordinary course of the physician assistant's 5 14 employment or practice, responds to a need for medical care 5 15 created by an emergency or a state or local disaster may 5 16 render such care that the physician assistant is able to 5 17 provide without the supervision of the physician or physicians 5 18 specified in the physician assistant license, or under such 5 19 supervision as is available. 5 20 Sec. 10. Section 148C.11, Code 2003, is amended to read as 5 21 follows: 5 22 148C.11 PROHIBITION – CRIME. 5 23 A person notregistered andlicensed as required by this 5 24 chapter who practices as a physician assistantwithout having5 25obtained the appropriate approval under this chapter,is 5 26 guilty of a serious misdemeanor. 5 27 Sec. 11. Section 496C.2, subsection 4, Code 2003, is 5 28 amended to read as follows: 5 29 4. "Profession" means the profession of certified public 5 30 accountancy, architecture, chiropractic, dentistry, physical 5 31 therapy, psychology, professional engineering, land surveying, 5 32 landscape architecture, law, medicine and surgery, optometry, 5 33 osteopathy, osteopathic medicine and surgery, accounting 5 34 practitioner, podiatry, speech pathology, audiology, 5 35 veterinary medicine, pharmacy, the practice of a licensed 6 1 physician assistant, and the practice of nursing. 6 2 Sec. 12. Sections 148C.2, 148C.5A, and 148C.6A, Code 2003, 6 3 are repealed. 6 4 EXPLANATION 6 5 This bill modifies licensure requirements for physician 6 6 assistants. 6 7 The bill eliminates provisions relating to registration as 6 8 a physician assistant, and incorporates requirements for 6 9 physician assistant qualifications and identification of 6 10 eligible physician supervisors within a single licensure 6 11 process. The bill also eliminates provisions regarding 6 12 appeals to the board of medical examiners of decisions of the 6 13 board of physician assistant examiners in a contested case 6 14 involving discipline of a licensed physician assistant. 6 15 The bill provides for changes to the definitions applicable 6 16 to physician assistants pursuant to Code chapter 148C. The 6 17 bill provides that an approved program for the education of 6 18 physician assistants refers to a program accredited by the 6 19 American medical association's committee on allied health 6 20 education and accreditation, its successor, the commission on 6 21 accreditation of allied health educational programs, its 6 22 successor, the accreditation review commission on education 6 23 for the physician assistant, or its successor, rather than 6 24 pursuant to rules as currently defined. 6 25 The bill also provides that a physician refers to a person 6 26 who is currently licensed in Iowa to practice medicine and 6 27 surgery, osteopathic medicine and surgery, or osteopathy, and 6 28 who is actively engaged in the practice of medicine and 6 29 surgery, osteopathic medicine and surgery, or osteopathy in 6 30 Iowa. The bill provides, however, that a physician 6 31 supervising a physician assistant employed by the federal 6 32 government shall not be required to obtain licensure beyond 6 33 licensure requirements mandated by the federal government for 6 34 physicians or supervising physicians. 6 35 The bill provides for modifications regarding requirements 7 1 for licensure as a physician assistant consistent with the 7 2 revised definitions and elimination of registration as a 7 3 physician assistant. 7 4 The bill provides that a physician assistant who 7 5 voluntarily and gratuitously, and other than in the ordinary 7 6 course of employment or practice, responds to a need for 7 7 medical care created by such an emergency or a state or local 7 8 disaster shall not be subject to criminal liability by reason 7 9 of having issued or executed the orders for such care that 7 10 they are able to provide without the supervision of a 7 11 physician, and shall not be liable for civil damages for acts 7 12 or omissions relating to the issuance or execution of the 7 13 orders unless the acts or omissions constitute recklessness. 7 14 The bill makes corresponding changes to Code chapter 148C. 7 15 The bill provides that a physician assistant licensed to 7 16 perform medical services under the supervision of a physician 7 17 or physicians specified in the physician assistant's license, 7 18 or authorized to practice in any other state, who voluntarily 7 19 and gratuitously, and other than in the ordinary course of the 7 20 physician assistant's employment or practice, responds to a 7 21 need for medical care created by an emergency or a state or 7 22 local disaster may render care without the supervision of the 7 23 physician or physicians specified in the physician assistant 7 24 license, or under such supervision as is available. 7 25 The bill provides for the addition of the practice of 7 26 licensed physician assistant to the list of professions which 7 27 may form a professional corporation pursuant to Code chapter 7 28 496C. 7 29 LSB 1437HC 80 7 30 rn/cf/24
Text: HSB00108 Text: HSB00110 Text: HSB00100 - HSB00199 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
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