S-5175

   Amend Senate File 2188, as amended, passed, and reprinted by the Senate, as follows:
   1.  Page 3, after line 7 by inserting: 
   <Sec. ___.  NEW SECTION.  148.13B  Requirements for prescription certificates for psychologists —— joint rules.
   1.  The board of medicine and the board of psychology shall adopt joint rules in regard to the following:
   a.  Education and training requirements for prescription certificates pursuant to sections 154B.10 and 154B.11. 
   b.  Specific minimum standards for the terms, conditions, and framework governing the collaborative practice agreement and for governing the limitations on the prescriptions eligible to be prescribed and populations eligible to be prescribed to as specified in section 154B.1, subsection 2.
   2.  The board of medicine shall consult with the university of Iowa Carver college of medicine and clinical and counseling psychology doctoral programs at regents institutions in the development of the rules pertaining to education and training requirements in sections 154B.10 and 154B.11.
   3.  The joint rules, and any amendments thereto, adopted by the board of medicine and the board of psychology pursuant to this section and section 154B.14 shall only be adopted by agreement of both boards through a joint rule-making process.>
   2.  Page 4, after line 2 by inserting: 
   <___.  “Physician” means a person licensed to practice medicine and surgery or osteopathic medicine and surgery in this state who is board-certified in family medicine, internal medicine, pediatrics, psychiatry, or another specialty who prescribes medications for the treatment of a mental disorder to patients in the normal course of the person’s clinical medical practice pursuant to joint rules adopted by the board of psychology and the board of medicine.>
   3.  Page 4, by striking lines 22 through 32 and inserting: 
   <___.  “Psychotropic medication” means a medicine that shall not be dispensed or administered without a prescription and that has been explicitly approved by the federal food and drug administration for the treatment of a mental disorder, as defined by the most recent version of the diagnostic and statistical manual of mental disorders published by the American psychiatric association or the most recent version of the international classification of diseases. “Psychotropic medication” does not include narcotics.>
   4.  Page 5, line 6, after <to> by inserting <joint rules adopted by the board of psychology and the board of medicine and the provisions of>
   5.  Page 5, by striking lines 14 through 16 and inserting: 
   <b.  Completed pharmacological training from an institution approved by the board of psychology and the board of medicine or from a provider of continuing education approved by the board of psychology and the board of medicine pursuant to joint rules adopted by both boards.>
   6.  Page 5, line 18, after <board> by inserting <of psychology and the board of medicine>
   7.  Page 5, line 23, after <psychology> by inserting <and the board of medicine pursuant to joint rules adopted by both boards>
   8.  By striking page 5, line 27, through page 6, line 2, and inserting: 
   <e.  Within five years immediately preceding the date of application, has been certified by the applicant’s supervising physician as having successfully completed a supervised and relevant clinical experience in clinical assessment and pathophysiology and an additional supervised practicum treating patients with mental disorders. The practica shall have been supervised by a trained physician. The board of psychology and the board of medicine, pursuant to joint rules adopted by the boards, shall determine sufficient practica to competently train the applicant in the treatment of a diverse patient population.>
   9.  Page 6, by striking lines 6 through 8 and inserting: 
   <g.  Meets all other requirements, as determined by joint rules adopted by the board of psychology and the board of medicine, for obtaining a conditional prescription certificate.>
   10.  Page 6, after line 29 by inserting: 
   <d.  Any other rules adopted jointly by the board of psychology and the board of medicine.>
   11.  Page 7, line 12, after <certificate> by inserting <including joint rules adopted by the board of psychology and the board of medicine>
   12.  Page 7, after line 24 by inserting: 
   <d.  Any other rules adopted jointly by the board of psychology and the board of medicine.>
   13.  Page 7, line 31, after <disorders.> by inserting <Such prescribing practices shall be governed by joint rules adopted by the board of psychology and the board of medicine.>
   14.  Page 9, after line 20 by inserting: 
   <Sec. ___.  NEW SECTION.  154B.14  Requirements for prescription certificates —— joint rules.
   1.  The board of psychology and the board of medicine shall adopt joint rules in regard to the following: 
   a.  Education and training requirements pursuant to sections 154B.10 and 154B.11.
   b.  Specific minimum standards for the terms, conditions, and framework governing the collaborative practice agreement and for governing the limitations on the prescriptions eligible to be prescribed and populations eligible to be prescribed to as specified in section 154B.1, subsection 2.
   2.  The board of psychology shall consult with the university of Iowa Carver college of medicine and clinical and counseling psychology doctoral programs at regents institutions in the development of the rules pertaining to education and training requirements in sections 154B.10 and 154B.11.
   3.  The joint rules, and any amendments thereto, adopted by the board of psychology and the board of medicine pursuant to this section and section 148.13B shall only be adopted by agreement of both boards through a joint rule-making process.>
   15.  By renumbering as necessary.