653—10.5 (147,148) Temporary licensure. The board may issue a temporary license authorizing a physician to participate in a board-approved activity in Iowa. Temporary licensure is granted on a case-by-case basis and depends upon the applicant’s education and training, experience and licensure status elsewhere and upon the intended use of the temporary license.
	 10.5(1) General provisions.
	  a.   	 The temporary license to practice is intended for a physician to participate in a board-approved activity, as defined in rule 653—10.1(147,148), in Iowa that is short-term. Temporary licensure is not intended to be a way for a physician to practice before a permanent license is granted. Temporary licensure is not intended for locum tenens.
	  b.   	 The board may issue a temporary license authorizing the physician to practice in a board-approved activity. The license may be restricted to the board-approved activity, location(s) or time period of up to one year.
	 (1) 	 A physician who is granted a temporary license for a board-approved activity may qualify for renewal of that license if the physician needs an extension of the license for the original purpose or to pursue more than one board-approved activity within a year.
	 (2) 	 A physician who wishes to continue in a board-approved activity in Iowa for short intervals beyond one year is eligible for a temporary license each year after reapplying and qualifying on an annual basis.
	  c.   	 A physician incidentally called into this state in consultation with a physician and surgeon licensed in this state, as defined in rule 653—10.1(147,148), is not required to obtain a temporary license in Iowa.
	  d.   	 A physician who seeks to practice in Iowa and does not qualify for a temporary license may be eligible for permanent licensure under 653—Chapter 9.
	  e.   	 The board may take disciplinary action on a temporary license if the licensee has practiced outside the scope of the temporary license or for any of the grounds for which licensure may be revoked or suspended as specified in Iowa Code sections 147.55, 148.6, and 272C.10 and 653—Chapter 23. Contested case proceedings shall be governed by the provisions of 653—Chapter 25.
	  f.   	 A physician who holds a temporary license shall notify the board of any change in address within three days of making an address change.
	  g.   	 A physician who holds a temporary license shall notify the board of any change in name within one month of making the name change. Notification requires a notarized copy of a marriage license or a notarized copy of court documents.
	  h.   	 The file of a physician who holds a temporary license shall be closed and labeled “deceased” when the board receives a copy of the physician’s death certificate.
	 10.5(2) Eligibility for a temporary license. To be eligible for a temporary license, an applicant shall meet all of the following requirements:
	  a.   	 Fulfill the requirements specified in subrules 10.5(3) and 10.5(4);
	  b.   	 Be at least 21 years of age;
	  c.   	 Hold a medical degree from an educational institution approved by the board (if the applicant is an international medical graduate, the educational institution must be listed in the International Medical Education Directory);
	  d.   	 Hold a current active, unrestricted license to practice medicine issued by any jurisdiction;
	  e.   	 Be fluent in the English language;
	  f.   	 Present a letter justifying the need for temporary licensure from the organization or individual seeking the applicant’s participation in a board-approved activity.
	 10.5(3) Requirements for a temporary license. To apply for a temporary license, an applicant shall complete the requirements in paragraphs “a” and “b”:
	  a.   	 Pay a nonrefundable application fee of $100 plus the fee identified in 653—subrule 8.4(7) for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI). A physician who is serving as a camp physician and who is not receiving payment other than expenses shall be exempt from the license application fee and the fee for the criminal history background check.
	  b.   	 Complete and submit forms provided by the board, including required credentials, documents, and a sworn statement by the applicant attesting to the truth of all information provided by the applicant.
	 10.5(4) Application. The application shall require the following information:
	  a.   	 The applicant’s name, date and place of birth, home address, mailing address and principal business address;
	  b.   	 A photograph of the applicant suitable for positive identification;
	  c.   	 A statement listing every jurisdiction in which the applicant is or has been authorized to practice, including the applicant’s license number and date of issuance of the license;
	  d.   	 A chronology accounting for all time periods from the date the applicant entered medical school to the date of the application;
	  e.   	 A statement by the applicant that discloses and explains any warnings issued, investigations conducted, or disciplinary actions taken, whether by voluntary agreement or formal action, by a medical or professional regulatory authority, an educational institution, training or research program, or health facility in any jurisdiction;
	  f.   	 A statement of the applicant’s physical and mental health, including full disclosure and a written explanation of any dysfunction or impairment which may affect the ability of the applicant to engage in practice and provide patients with safe and healthful care;
	  g.   	 A statement disclosing and explaining the applicant’s involvement in civil litigation related to practice in any jurisdiction. Copies of the legal documents may be requested if needed during the review process;
	  h.   	 A statement disclosing and explaining any charge of a misdemeanor or felony involving the applicant, filed in any jurisdiction, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside;
	  i.   	 A statement from the applicant that justifies the need for a temporary license, including where the applicant intends to practice and the type of practice involved;
	  j.   	 A letter from the Iowa organization or individual seeking the applicant’s services that explains the need for the applicant’s participation in the board-approved activity in Iowa, the time period involved, the scope of practice, and the exact location and facilities where the board-approved activity will occur;
	  k.   	 For an international medical graduate who does not hold a license in good standing in any United States jurisdiction, a statement, which shall be submitted by the Iowa organization or individual offering the board-approved activity, identifying who the applicant’s immediate supervisor will be;
	  l.   	 For an international medical graduate who does not hold a license in good standing in any United States jurisdiction:
	 (1) 	 Verification, which shall be submitted from the licensing authority of the country in which the physician is licensed, that the physician has a license in good standing;
	 (2) 	 Evidence of fluency in the English language;
	  m.   	 For a resident physician who does not hold a current, active resident or permanent license in the home state of the resident training program, a statement, which shall be submitted by the resident director or individual offering the board-approved activity, identifying who the applicant’s immediate supervisor will be.
	 10.5(5) Standard application review process for a temporary license. The standard review process shall be utilized to review each application for a temporary license, except that the process identified in subrule 10.5(6) shall be used for any international medical graduate who does not currently hold a license in good standing in any United States jurisdiction or for any physician who seeks temporary licensure for an activity not listed in paragraphs “1” through “6” of the definition of “board-approved activity” in rule 653—10.1(147,148). The standard application review process is as follows:
	  a.   	 An application shall be considered open from the date the application form and the nonrefundable fees are received in the board office.
	  b.   	 After reviewing each application, staff shall notify the applicant or designee about how to resolve any problems identified by the reviewer.
	  c.   	 If the final review indicates no questions or concerns regarding the applicant’s qualifications for temporary licensure or the need for a temporary licensee, staff may administratively grant a temporary license to the applicant for a specific activity, location(s) or specified duration based on the nature of the board-approved activity. The license shall not be granted for a period longer than one year.
	  d.   	 If the final review indicates questions or concerns that cannot be remedied by continued communication with the applicant, then the executive director, the director of licensure and administration, and the director of legal affairs shall determine if the questions or concerns indicate any uncertainty about the applicant’s current qualifications for temporary licensure or the organization’s or requesting individual’s need for a licensee with a temporary license.
	 (1) 	 If there is no current concern, staff shall administratively grant a temporary license.
	 (2) 	 If any concern exists, the application shall be referred to the committee.
	  e.   	 Staff shall refer to the committee for review matters that include, but are not limited to, falsification of information on the application, criminal record, malpractice, substance abuse, competency, physical or mental illness, educational disciplinary history, or questionable need on the part of the organization.
	  f.   	 If the committee is able to eliminate questions or concerns without dissension from staff or a committee member, the committee may direct staff to administratively grant a temporary license for a specific activity, location(s) or specified duration based on the nature of the board-approved activity.
	  g.   	 If the committee is not able to eliminate questions or concerns without dissension from staff or a committee member, the committee shall recommend that the board:
	 (1) 	 Grant a temporary license for a specific activity, location(s) or specified duration based on the nature of the board-approved activity;
	 (2) 	 Grant a temporary license under certain terms and conditions or with certain restrictions;
	 (3) 	 Deny a temporary license; or
	 (4) 	 Request that the applicant withdraw the temporary licensure application.
	  h.   	 The board shall consider applications and recommendations from the committee and shall:
	 (1) 	 Grant a temporary license for a specific activity, location(s) or specified duration based on the nature of the board-approved activity;
	 (2) 	 Grant a temporary license under certain terms and conditions or with certain restrictions;
	 (3) 	 Request that the applicant withdraw the temporary licensure application. The request shall not imply that the applicant is ineligible for permanent licensure if that application process is pursued; or
	 (4) 	 Deny a temporary license. The board may deny a temporary license for any grounds on which the board may discipline a license or for lack of need for a physician’s services by the organization or individual. The procedure for appealing a license denial is set forth in 653—9.15(147,148).
	 10.5(6) Application review process for applicants with certain exceptions. This application process shall be used to review applications submitted by an international medical graduate who does not currently hold a license in good standing in any United States jurisdiction or by a physician seeking temporary licensure for an activity not listed in paragraphs “1” through “6” of the definition of “board-approved activity” in rule 653—10.1(147,148). Following is the application review process for applicants with exceptions:
	  a.   	 An application shall be considered open from the date the application form and the nonrefundable fees are received in the board office.
	  b.   	 After reviewing each application, staff shall notify the applicant or designee about how to resolve any problems identified by the reviewer.
	  c.   	 If the final review indicates no questions or concerns regarding the applicant’s qualifications for temporary licensure or the need for a temporary license, staff shall submit the application to the committee for review and recommendation to the board about whether to grant a temporary license to the physician and whether the license should be granted for a specific activity, location(s) or specified duration based on the nature of the board-approved activity.
	  d.   	 The board shall consider applications and recommendations from the committee and shall:
	 (1) 	 Grant a temporary license for a specific activity, location(s) or specified duration based on the nature of the board-approved activity;
	 (2) 	 Grant a temporary license under certain terms and conditions or with certain restrictions;
	 (3) 	 Request that the applicant withdraw the temporary licensure application. The request shall not imply that the applicant is ineligible for permanent licensure if that application process is pursued; or
	 (4) 	 Deny a temporary license. The board may deny a temporary license for any grounds on which the board may discipline a license or for lack of need for a physician’s services by the organization or individual. The procedure for appealing a license denial is set forth in 653—9.15(147,148).
	 10.5(7) Temporary license application cycle. If the applicant does not submit all materials within 90 days of the board office’s last documented request for further information, the application shall be considered inactive. The board office shall notify the applicant of this change in status. An applicant whose application is inactive must reapply and submit new nonrefundable fees and a new application, documents and credentials if the applicant wishes to pursue temporary licensure.
	 10.5(8) Renewal of a temporary license.
	  a.   	 When the temporary license is granted, the board shall inform the licensee that the license may be renewed within the year, if the same need for a temporary license continues. The board shall not send a notice of renewal.
	  b.   	 To apply for renewal of a temporary license, the licensee shall submit the following:
	 (1) 	 A request for renewal;
	 (2) 	 The renewal fee of $50; and
	 (3) 	 Written justification for the renewal from the organization or individual seeking the applicant.
Failure of the licensee to renew a license by the expiration date shall cause the license to become inactive. The individual shall not practice in Iowa until securing a permanent medical license or until becoming eligible for a second temporary license.