Senate
File
592
H-1290
Amend
the
amendment,
H-1277,
to
Senate
File
592,
as
passed
by
1
the
Senate,
as
follows:
2
1.
Page
1,
line
2,
by
striking
<
line
32.
>
and
inserting
3
<
line
32,
and
inserting:
4
<
DIVISION
___
5
PHYSICIAN
ASSISTANTS
——
MEDICAID
APPROVED
PROVIDERS
>>
6
2.
Page
1,
after
line
2
by
inserting:
7
<
___.
Page
17,
after
line
8
by
inserting:
8
<
DIVISION
___
9
PRACTICE
OF
OPTOMETRY
10
Sec.
___.
Section
154.1,
subsection
3,
Code
2019,
is
amended
11
to
read
as
follows:
12
3.
a.
An
optometrist
licensed
under
this
chapter
may
employ
13
all
diagnostic
and
therapeutic
pharmaceutical
agents
for
the
14
purpose
of
diagnosis
and
treatment
of
conditions
of
the
human
15
eye
and
adnexa
pursuant
to
this
subsection
,
excluding
the
16
use
of
injections
other
than
to
counteract
an
anaphylactic
17
reaction,
and
notwithstanding
section
147.107
,
may
without
18
charge
supply
any
of
the
above
pharmaceuticals
to
commence
a
19
course
of
therapy.
A
licensed
optometrist
may
perform
minor
20
surgical
procedures
and
use
medications
for
the
diagnosis
and
21
treatment
of
diseases,
disorders,
and
conditions
of
the
eye
and
22
adnexa.
A
Notwithstanding
paragraph
“b”
,
a
license
to
practice
23
optometry
under
this
chapter
does
not
authorize
the
performance
24
of
surgical
procedures
which
require
the
use
of
injectable
25
or
general
anesthesia,
moderate
sedation,
penetration
of
the
26
globe,
or
the
use
of
ophthalmic
lasers
for
the
purpose
of
27
ophthalmic
surgery
within
or
upon
the
globe.
The
removal
of
28
pterygia
and
Salzmann’s
nodules,
incisional
corneal
refractive
29
surgery,
and
strabismus
surgery
are
prohibited.
30
b.
(1)
A
licensed
optometrist
may
administer
only
the
31
following
injections:
32
(a)
Sub-conjunctival
injections
for
the
medical
treatment
33
of
the
eye.
34
(b)
Intra-lesional
injections
for
the
treatment
of
35
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#2.
chalazia.
1
(c)
Local
anesthetic
for
the
purpose
of
draining
an
eyelid
2
abscess.
3
(d)
Injections
to
counteract
an
anaphylactic
reaction.
4
(2)
An
optometrist
shall
not
administer
any
injection
prior
5
to
receiving
approval
from
the
board.
6
(3)
The
board
shall
not
approve
the
use
of
injections
7
other
than
to
counteract
an
anaphylactic
reaction
unless
the
8
optometrist
demonstrates
to
the
board
sufficient
educational
9
or
clinical
training
from
a
college
or
university
accredited
10
by
a
regional
or
professional
accreditation
organization
which
11
is
recognized
or
approved
by
the
council
for
higher
education
12
accreditation
or
by
the
United
States
department
of
education
13
or
clinical
training
equivalent
to
clinical
training
offered
14
by
such
an
institution.
A
license
granted
to
an
applicant
who
15
graduated
from
an
accredited
school
of
optometry
and
who
passed
16
the
injections
skills
examination
of
the
national
board
of
17
examiners
in
optometry
examination
on
or
after
January
1,
2011
18
shall
constitute
proof
of
sufficient
educational
or
clinical
19
training.
20
b.
c.
A
licensed
optometrist
may
employ
and,
21
notwithstanding
section
147.107,
supply
pharmaceutical-
22
delivering
contact
lenses
for
the
purpose
of
treatment
of
23
conditions
of
the
human
eye
and
adnexa.
For
purposes
of
24
this
paragraph,
“pharmaceutical-delivering
contact
lenses”
25
means
contact
lenses
that
contain
one
or
more
therapeutic
26
pharmaceutical
agents
authorized
for
employment
by
this
section
27
for
the
purpose
of
treatment
of
conditions
of
the
human
eye
and
28
adnexa
and
that
deliver
such
agents
into
the
wearer’s
eye.
29
c.
d.
A
licensed
optometrist
may
prescribe
oral
steroids
30
for
a
period
not
to
exceed
fourteen
days
without
consultation
31
with
a
physician.
32
d.
e.
A
licensed
optometrist
may
be
authorized,
where
33
reasonable
and
appropriate,
by
rule
of
the
board,
to
employ
new
34
diagnostic
and
therapeutic
pharmaceutical
agents
approved
by
35
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88
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the
United
States
food
and
drug
administration
on
or
after
July
1
1,
2002,
for
the
diagnosis
and
treatment
of
the
human
eye
and
2
adnexa.
3
e.
f.
The
board
is
not
required
to
adopt
rules
relating
to
4
topical
pharmaceutical
agents,
oral
antimicrobial
agents,
oral
5
antihistamines,
oral
antiglaucoma
agents,
and
oral
analgesic
6
agents.
A
licensed
optometrist
may
remove
superficial
foreign
7
bodies
from
the
human
eye
and
adnexa.
8
f.
g.
The
therapeutic
efforts
of
a
licensed
optometrist
9
are
intended
for
the
purpose
of
examination,
diagnosis,
and
10
treatment
of
visual
defects,
abnormal
conditions,
and
diseases
11
of
the
human
eye
and
adnexa,
for
proper
optometric
practice
12
or
referral
for
consultation
or
treatment
to
persons
licensed
13
under
chapter
148
.
14
g.
h.
A
licensed
optometrist
is
an
optometrist
who
is
15
licensed
to
practice
optometry
in
this
state
and
who
is
16
certified
by
the
board
to
use
the
agents
and
procedures
17
authorized
pursuant
to
this
subsection
.
>>
18
3.
Page
1,
line
4,
after
<
to
>
by
inserting
<
the
practice
19
of
certain
health
care
professions
including
the
practice
of
20
optometry
and
>
21
4.
By
renumbering
as
necessary.
22
______________________________
BOSSMAN
of
Woodbury
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#3.
#4.