House File 256 HOUSE FILE BY ALONS, DE BOEF, MANTERNACH, LUKAN, HOFFMAN, CHAMBERS, BODDICKER, MERTZ, BOAL, WATTS, and ROBERTS Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to the regulation of office=based surgical sites. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1448YH 80 4 pf/sh/8 PAG LIN 1 1 Section 1. NEW SECTION. 135M.1 OFFICE=BASED SURGICAL 1 2 SITES. 1 3 1. Beginning October 1, 2003, an office=based surgical 1 4 site shall not be established or operated in this state 1 5 without first obtaining a license pursuant to this chapter. 1 6 2. a. A license for an office=based surgical site shall 1 7 be valid for one year from the date of issuance, unless 1 8 revoked prior to that date. 1 9 b. A license issued to an office=based surgical site shall 1 10 be posted in a conspicuous place on the license premises. 1 11 3. a. The department of inspections and appeals shall 1 12 adopt rules for the licensing of office=based surgical sites. 1 13 The rules shall include procedures for denial, suspension, or 1 14 revocation of a license, including an appeals process. 1 15 b. At a minimum, the rules shall require both of the 1 16 following: 1 17 (1) That the site maintain an advance transfer agreement 1 18 with the emergency room of the hospital located in closest 1 19 proximity to the site. 1 20 (2) That the site has available, on the premises, 1 21 appropriate monitoring and emergency equipment and staff 1 22 appropriately trained to use the equipment. 1 23 4. For the purposes of this chapter, "office=based 1 24 surgical site" means a site, other than a hospital or 1 25 ambulatory surgical center, but including a clinic and a 1 26 physician's private office, in which invasive surgical 1 27 procedures are performed, with or without anesthesia, 1 28 analgesia, or sedation, for which the known surgical 1 29 complications may require emergency transfer ambulance 1 30 services or life=support measures. 1 31 EXPLANATION 1 32 This bill requires that beginning October 1, 2003, an 1 33 office=based surgical site shall not be established or 1 34 operated in Iowa without first obtaining a license. The bill 1 35 provides that a license for an office=based surgical site is 2 1 valid for one year from the date of issuance, unless revoked 2 2 prior to that date and that the license is to be posted in a 2 3 conspicuous place on the license premises. The bill directs 2 4 the department of inspections and appeals to adopt rules for 2 5 the licensing of office=based surgical sites. The rules are 2 6 to include procedures for denial, suspension, or revocation of 2 7 a license, including an appeals process, and, at a minimum, 2 8 are to require that the site maintain an advance transfer 2 9 agreement with the emergency room of the hospital located in 2 10 closest proximity to the site and that the site has available, 2 11 on the premises, appropriate monitoring and emergency 2 12 equipment and staff appropriately trained to use the 2 13 equipment. 2 14 The bill defines "office=based surgical site" as a site, 2 15 other than a hospital or ambulatory surgical center, but 2 16 including a clinic and a physician's private office, in which 2 17 invasive surgical procedures are performed, with or without 2 18 anesthesia, analgesia, or sedation, for which the known 2 19 surgical complications may require emergency transfer 2 20 ambulance services or life=support measures. 2 21 LSB 1448YH 80 2 22 pf/sh/8.1