Text: SF00293 Text: SF00295 Text: SF00200 - SF00299 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. CONSUMER HEALTH FREEDOM ACT LEGISLATIVE 1 2 FINDINGS. 1 3 1. SHORT TITLE. This Act shall be known and may be cited 1 4 as the "Consumer Health Freedom Act". 1 5 2. LEGISLATIVE INTENT. The general assembly finds that, 1 6 based upon a comprehensive report by the national institute of 1 7 health, studies published by the New England journal of 1 8 medicine and the journal of the American medical association, 1 9 and other research data, it is evident that hundreds of 1 10 thousands of citizens of this state are presently receiving a 1 11 substantial volume of health care from complementary and 1 12 alternative health care providers. The report and studies 1 13 further indicate that individuals utilizing complementary and 1 14 alternative health care comprise a wide variety of age, 1 15 ethnic, socioeconomic, and other demographic categories. 1 16 Notwithstanding the widespread utilization of complementary 1 17 and alternative health care by citizens of this state, the 1 18 provision of this care may be in technical violation of the 1 19 provisions governing the licensing of health care 1 20 professionals delineated in Title IV, subtitle 3. Unlicensed 1 21 complementary and alternative health care providers could 1 22 therefore be subject to fines, penalties, and the restriction 1 23 of their practice, without a demonstration that their practice 1 24 poses an imminent and discernable risk of significant harm to 1 25 public health and safety. 1 26 Due to current research on complementary approaches to 1 27 health by this state's Maharishi university of management in 1 28 conjunction with the national institutes of health, the 1 29 university of Iowa, and other major research institutions, the 1 30 laws of this state should reflect the state's emergence as a 1 31 national leader in the recognition, research, and 1 32 implementation of complementary and alternative health care. 1 33 The general assembly finds that the unlicensed practice of 1 34 complementary and alternative health care is not harmful to 1 35 public health and safety, and intends, by the enactment of 2 1 this Act, to protect freedom of access to complementary and 2 2 alternative health care. 2 3 Sec. 2. NEW SECTION. 147.86A PROVISIONS NOT APPLICABLE. 2 4 The provisions of this chapter, or any chapter contained in 2 5 Title IV, subtitle 3, licensing a health care provider shall 2 6 not be construed to prohibit the practice of complementary and 2 7 alternative health care diagnoses and treatment by an 2 8 unlicensed person provided that the requirements of section 2 9 147.105 are met. The penalty provisions of section 147.86, or 2 10 specific penalty provisions contained within an otherwise 2 11 applicable licensing chapter, shall not apply to the practice 2 12 of complementary and alternative health care diagnoses and 2 13 treatment, subject to section 147.105, subsection 3. 2 14 Sec. 3. NEW SECTION. 147.105 COMPLEMENTARY AND 2 15 ALTERNATIVE HEALTH CARE. 2 16 1. As used in this section, and section 147.86A, 2 17 "complementary and alternative health care" means a group of 2 18 medical, health care, and healing systems other than those 2 19 included in conventional health care which encompass theories, 2 20 modalities, products, and practices used to treat illness and 2 21 promote health and well-being. Common characteristics of 2 22 complementary and alternative health care include a focus on 2 23 individualizing treatments, treating the whole person, 2 24 promoting self-care and self-healing, and recognizing the 2 25 spiritual nature of each individual. Complementary and 2 26 alternative health care includes, but is not limited to, the 2 27 following: 2 28 a. Alternative health care systems, including ayurvedic 2 29 medicine, homeopathic medicine, Native American medicine, 2 30 naturopathic medicine, traditional Chinese medicine, and 2 31 Chinese herbal medicine. 2 32 b. Mind-body interventions, including meditation, 2 33 hypnosis, guided imagery, dance therapy, music therapy, art 2 34 therapy, and prayer and mental healing. 2 35 c. Biological-based therapies, including herbal therapies, 3 1 dietary therapy, or individual biological therapies such as 3 2 bee pollen. 3 3 d. Massage, body work, and somatic movement therapies 3 4 including alexander, feldenkrais, reflexology, and 3 5 hydrotherapy. 3 6 e. Energy therapies including reiki, touch for health, 3 7 breathwork, and biofield therapeutics. 3 8 f. Bioelectromagnetic or magnet therapy. 3 9 2. Complementary and alternative health care diagnoses and 3 10 treatment may be provided by a person who is not a licensed 3 11 health care provider in this state pursuant to the licensure 3 12 provisions of any of the chapters of Title IV, subtitle 3, 3 13 provided that the following requirements are met: 3 14 a. Prior to the provision of complementary and alternative 3 15 health care, a provider of such care shall supply a 3 16 prospective client with a plainly worded written statement 3 17 disclosing: 3 18 (1) That the provider is not a licensed health care 3 19 provider pursuant to the licensure provisions of any of the 3 20 chapters of Title IV, subtitle 3. 3 21 (2) The nature of the complementary and alternative health 3 22 care diagnoses and treatment to be provided. 3 23 (3) The education, training, experience, or other 3 24 credentials or qualifications of the provider regarding the 3 25 complementary and alternative health care being provided, 3 26 accompanied by the following statement: 3 27 "The state of Iowa has not adopted educational and training 3 28 standards for unlicensed complementary and alternative health 3 29 care providers. This statement of credentials is for 3 30 informational purposes only. If a client wishes to receive 3 31 health care from a licensed health care provider, the client 3 32 may seek such care at any time. Clients receiving treatment 3 33 from a licensed provider of health care should consult with a 3 34 licensed provider before modifying or discontinuing such 3 35 treatment." 4 1 b. A written acknowledgment shall be obtained from the 4 2 prospective client indicating that the prospective client has 4 3 been provided with the statement required by paragraph "a". 4 4 The acknowledgment shall be maintained by the provider for a 4 5 two-year period. A copy of the acknowledgment shall be 4 6 provided to the prospective client. 4 7 c. Any advertisement by the complementary or alternative 4 8 health care provider regarding such care shall disclose that 4 9 the provider has not been issued a license to practice a 4 10 health care profession in this state. 4 11 3. A person providing complementary and alternative health 4 12 care diagnoses and treatment shall be subject to the penalty 4 13 provision of section 147.86, and specific penalty provisions 4 14 pursuant to the applicable licensing chapter contained within 4 15 Title IV, subtitle 3, if that person does any of the 4 16 following: 4 17 a. Fails to comply with the provisions of subsection 2. 4 18 b. Conducts surgery or any other procedure on any person 4 19 that harmfully invades the skin. 4 20 c. Prescribes or administers x-ray radiation. 4 21 d. Prescribes or administers drugs or controlled 4 22 substances for which a prescription by a licensed health care 4 23 provider is required. 4 24 e. Willfully administers a diagnostic procedure or 4 25 treatment that causes an imminent and discernable risk of 4 26 serious bodily injury, serious physical or mental illness, or 4 27 death. 4 28 f. Represents, states, indicates, advertises, or implies 4 29 that the person has been issued a license to practice a health 4 30 care profession in this state, except as provided in section 4 31 147.105. 4 32 EXPLANATION 4 33 This bill relates to the provision of complementary and 4 34 alternative health care diagnoses and treatment by unlicensed 4 35 persons. 5 1 The bill provides intent language recognizing that many 5 2 citizens of this state obtain complementary and alternative 5 3 health care, that the provision of this care subjects 5 4 unlicensed providers of the care to fines, penalties, and the 5 5 restriction of their practice without a demonstration that the 5 6 practice poses an imminent and discernable risk of significant 5 7 harm to public health and safety, and that the unlicensed 5 8 practice of complementary and alternative health care 5 9 diagnoses and treatment is not harmful to public health and 5 10 safety. 5 11 The bill provides that the provisions of Code Title IV, 5 12 subtitle 3, dealing with the licensing of health care 5 13 providers, including penalty provisions, shall not apply to 5 14 the provision of complementary and alternative health care 5 15 diagnoses and treatment by unlicensed persons, if the 5 16 requirements of new Code section 147.105 governing the 5 17 provision of such care are met. 5 18 The bill provides a definition of complementary and 5 19 alternative health care that refers to a group of medical, 5 20 health care, and healing systems other than those included in 5 21 conventional health care. The bill provides that these 5 22 services encompass theories, modalities, products, and 5 23 practices used to treat illness and promote health and well- 5 24 being, and include a focus on individualizing treatments, 5 25 treating the whole person, promoting self-care and self- 5 26 healing, and recognizing the spiritual nature of each 5 27 individual. The bill provides examples of these services. 5 28 The bill provides that several requirements apply to the 5 29 provision of complementary and alternative health care 5 30 diagnoses and treatment. The bill provides that prior to the 5 31 provision of the care, a provider of such care shall supply a 5 32 prospective client with a plainly worded written statement 5 33 disclosing that the provider is not a licensed health care 5 34 provider, the nature of the complementary and alternative 5 35 health care diagnoses and treatment to be provided, and the 6 1 provider's education, training, experience, or other 6 2 credentials or qualifications. The bill provides specific 6 3 wording regarding this statement of credentials. The bill 6 4 provides that a written acknowledgment shall be obtained from 6 5 the prospective client indicating that the prospective client 6 6 has been provided with the statement, and that any 6 7 advertisement by the complementary or alternative health care 6 8 provider regarding such care shall disclose that the provider 6 9 has not been issued a license to practice a health care 6 10 profession in this state. 6 11 The bill provides that current Code penalty provisions 6 12 shall apply if a specified list of unauthorized practices is 6 13 engaged in. 6 14 LSB 2514SS 80 6 15 rn/sh/8.1
Text: SF00293 Text: SF00295 Text: SF00200 - SF00299 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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