Text: HSB00190 Text: HSB00192 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 of1 35medical examiners and the board of pharmacy examiners, as soon2 1as possible after July 1, 1991. The rules shall be reviewed2 2and approved by the physician assistant rules review group2 3created under subsection 7 and shall be adopted in final form2 4by 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 7If rules are not reviewed and approved by the physician2 8assistant rules review group created under subsection 7 and2 9adopted in final form by January 1, 1993, a physician2 10assistant may prescribe drugs as a delegated act of a2 11supervising physician under rules adopted by the board of2 12physician assistant examiners and 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 assistantsrelating to prescribing and2 16supplying prescription drugs, controlled substances and2 17medical devices, notwithstanding section 148C.6A. 2 18 Sec. 4. Section 148.13, subsections 1 and 4, Code 2003, 2 19 are amended by striking the subsections. 2 20 Sec. 5. Section 148C.1, subsection 1, Code 2003, is 2 21 amended by striking the subsection and inserting in lieu 2 22 thereof the following: 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 Sec. 6. Section 148C.1, subsection 5, Code 2003, is 2 31 amended to read as follows: 2 32 5. "Physician" means a person who is currently licensed in 2 33 Iowa to practice medicine and surgery, osteopathic medicine 2 34 and surgery, or osteopathy. Notwithstanding this subsection, 2 35 a physician supervising a physician assistant practicing in a 3 1 federal jurisdiction shall not be required to obtain licensure 3 2 beyond licensure requirements mandated by the federal 3 3 government for supervising physicians. 3 4 Sec. 7. Section 148C.1, subsection 7, Code 2003, is 3 5 amended by striking the subsection. 3 6 Sec. 8. Section 148C.3, Code 2003, is amended by striking 3 7 the section and inserting in lieu thereof the following: 3 8 148C.3 LICENSURE. 3 9 1. The board shall adopt rules to govern the licensure of 3 10 physician assistants. An applicant for licensure shall submit 3 11 the fee prescribed by the board and shall meet the 3 12 requirements established by the board with respect to each of 3 13 the following: 3 14 a. Academic qualifications, including evidence of 3 15 graduation from an approved program. A physician assistant 3 16 who is not a graduate of an approved program, but who passed 3 17 the national commission on certification of physician 3 18 assistants' physician assistant national certifying 3 19 examination prior to 1986, is exempt from this graduation 3 20 requirement. 3 21 b. Evidence of passing the national commission on the 3 22 certification of physician assistants' physician assistant 3 23 national certifying examination or an equivalent examination 3 24 approved by the board. 3 25 c. Hours of continuing medical education necessary to 3 26 become or remain licensed. 3 27 2. Rules shall be adopted by the board pursuant to this 3 28 chapter permitting a licensed physician assistant to be 3 29 supervised by physicians. 3 30 3. A licensed physician assistant shall perform only those 3 31 services for which the licensed physician assistant is 3 32 qualified by training. 3 33 4. The board may issue a temporary license under special 3 34 circumstances and upon conditions prescribed by the board. A 3 35 temporary license shall not be valid for more than one year 4 1 and shall not be renewed more than once. 4 2 5. The board may issue an inactive license under 4 3 conditions prescribed by rules adopted by the board. 4 4 Sec. 9. Section 148C.4, Code 2003, is amended to read as 4 5 follows: 4 6 148C.4 SERVICES PERFORMED BY PHYSICIAN ASSISTANTS. 4 7 1. A physician assistant may perform medical services when 4 8 the services are rendered under the supervision ofthea 4 9 physicianor physicians specified in the physician assistant4 10license approved by the board. Atraineephysician assistant 4 11 student may perform medical services when the services are 4 12 rendered within the scope of an approved program. For the 4 13 purposes of this section, "medical services when the services 4 14 are rendered under the supervision ofthe physician or4 15physicians specified in the physician assistant license4 16approved by the board"a physician" includes making a 4 17 pronouncement of death for a patient whose death is 4 18 anticipated if the death occurs in a licensed hospital, a 4 19 licensed health care facility, a Medicare-certified home 4 20 health agency, or a Medicare-certified hospice program or 4 21 facility, with notice of the death to a physician and in 4 22 accordance with the directions of a physician. 4 23 2. Notwithstanding subsection 1, a physician assistant 4 24 licensed pursuant to this chapter or authorized to practice in 4 25 any other state or federal jurisdiction who voluntarily and 4 26 gratuitously, and other than in the ordinary course of the 4 27 physician assistant's employment or practice, responds to a 4 28 need for medical care created by an emergency or a state or 4 29 local disaster may render such care that the physician 4 30 assistant is able to provide without supervision as described 4 31 in this section or with such supervision as is available. 4 32 A physician who supervises a physician assistant providing 4 33 medical care pursuant to this subsection shall not be required 4 34 to meet the requirements of rules adopted pursuant to section 4 35 148C.3, subsection 2, relating to supervision by physicians. 5 1 A physician providing physician assistant supervision pursuant 5 2 to this subsection or a physician assistant, who voluntarily 5 3 and gratuitously, and other than in the ordinary course of the 5 4 physician assistant's employment or practice, responds to a 5 5 need for medical care created by an emergency or a state or 5 6 local disaster shall not be subject to criminal liability by 5 7 reason of having issued or executed the orders for such care, 5 8 and shall not be liable for civil damages for acts or 5 9 omissions relating to the issuance or execution of the orders 5 10 unless the acts or omissions constitute recklessness. 5 11 Sec. 10. Section 148C.11, Code 2003, is amended to read as 5 12 follows: 5 13 148C.11 PROHIBITION – CRIME. 5 14 A person notregistered andlicensed as required by this 5 15 chapter who practices as a physician assistantwithout having5 16obtained the appropriate approval under this chapter,is 5 17 guilty of a serious misdemeanor. 5 18 Sec. 11. Section 496C.2, subsection 4, Code 2003, is 5 19 amended to read as follows: 5 20 4. "Profession" means the profession of certified public 5 21 accountancy, architecture, chiropractic, dentistry, physical 5 22 therapy, psychology, professional engineering, land surveying, 5 23 landscape architecture, law, medicine and surgery, optometry, 5 24 osteopathy, osteopathic medicine and surgery, accounting 5 25 practitioner, podiatry, speech pathology, audiology, 5 26 veterinary medicine, pharmacy, the practice of physician 5 27 assisting, and the practice of nursing. 5 28 Sec. 12. PHYSICIAN ASSISTANTS – RULES. The board shall 5 29 adopt new rules pursuant to chapter 17A to administer chapter 5 30 148C no later than January 1, 2004. The rules shall be 5 31 designed to encourage the utilization of physician assistants 5 32 in a manner that is consistent with the provision of quality 5 33 health care and medical services for the citizens of Iowa 5 34 through better utilization of available physicians and the 5 35 development of sound programs for the education and training 6 1 of skilled physician assistants well qualified to assist 6 2 physicians in providing health care and medical services. 6 3 Sec. 13. Sections 148C.2, 148C.5A, 148C.6A, and 148C.7, 6 4 Code 2003, are repealed. 6 5 Sec. 14. EFFECTIVE DATE. This Act, being deemed of 6 6 immediate importance, takes effect upon enactment. 6 7 EXPLANATION 6 8 This bill modifies licensure requirements for physician 6 9 assistants. 6 10 The bill eliminates provisions relating to registration as 6 11 a physician assistant, and also eliminates the physician 6 12 assistant rules review group established in Code section 6 13 148C.7, which functions to review and either approve or 6 14 disapprove proposed rules by the board of physician assistant 6 15 examiners. The bill further eliminates provisions regarding 6 16 the adoption of rules by December 31, 1988, relating to the 6 17 eligibility of a physician to serve as a supervising 6 18 physician, and regarding appeals to the board of medical 6 19 examiners of decisions of the board of physician assistant 6 20 examiners in a contested case involving discipline of a 6 21 licensed physician assistant. 6 22 The bill provides for changes to the definitions applicable 6 23 to physician assistants pursuant to Code chapter 148C. The 6 24 bill provides that an approved program for the education of 6 25 physician assistants refers to a program accredited by the 6 26 American medical association's committee on allied health 6 27 education and accreditation, its successor, the commission on 6 28 accreditation of allied health educational programs, its 6 29 successor, the accreditation review commission on education 6 30 for the physician assistant, or its successor, rather than 6 31 pursuant to rules as currently defined. 6 32 The bill provides that a physician practicing in a federal 6 33 jurisdiction and supervising a physician assistant shall not 6 34 be required to obtain licensure beyond licensure requirements 6 35 mandated by the federal government for supervising physicians. 7 1 The bill provides for modifications regarding requirements 7 2 for licensure as a physician assistant consistent with the 7 3 revised definitions and elimination of registration as a 7 4 physician assistant. 7 5 The bill provides that a physician assistant licensed 7 6 pursuant to Code chapter 148C or in any other state or federal 7 7 jurisdiction who voluntarily and gratuitously, and other than 7 8 in the ordinary course of the physician assistant's employment 7 9 or practice, responds to a need for medical care created by an 7 10 emergency or disaster may render such care that the physician 7 11 assistant is able to provide without supervision or with such 7 12 supervision as is available. The bill also provides that a 7 13 physician who supervises a physician assistant providing such 7 14 medical care shall not be required to meet rules relating to 7 15 supervision by physicians, and that the physician or a 7 16 physician assistant shall not be subject to criminal liability 7 17 by reason of having issued or executed the orders for such 7 18 care, and shall not be liable for civil damages for acts or 7 19 omissions relating to the issuance or execution of the orders 7 20 unless the acts or omissions constitute recklessness. 7 21 The bill provides for the addition of the practice of 7 22 licensed physician assistant to the list of professions which 7 23 may form a professional corporation pursuant to Code chapter 7 24 496C. 7 25 The bill further requires that the board of physician 7 26 assistant examiners adopt new rules relating to administration 7 27 of Code chapter 148C on or before January 1, 2004. 7 28 The bill takes effect upon enactment. 7 29 LSB 2343YC 80 7 30 rn/cf/24.1
Text: HSB00190 Text: HSB00192 Text: HSB00100 - HSB00199 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
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