Senate File 2295 - Introduced SENATE FILE BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO SSB 3084) Passed Senate, Date Passed House, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act providing for various technical and substantive changes 2 relating to health licensing and related public health 3 matters. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5253SV 81 6 rn/je/5 PAG LIN 1 1 Section 1. Section 135.22A, subsection 3, Code Supplement 1 2 2005, is amended to read as follows: 1 3 3. The council shall be composed of a minimum of nine 1 4 members appointed by the governor in addition to the ex 1 5 officio members, and the governor may appoint additional 1 6 members. Insofar as practicable, the council shall include 1 7 persons with brain injuries, family members of persons with 1 8 brain injuries, representatives of industry, labor, business, 1 9 and agriculture, representatives of federal, state, and local 1 10 government, and representatives of religious, charitable, 1 11 fraternal, civic, educational, medical, legal, veteran, 1 12 welfare, and other professional groups and organizations. 1 13 Members shall be appointed representing every geographic and 1 14 employment area of the state and shall include members of both 1 15 sexes. A simple majority of the members appointed by the 1 16 governor shall constitute a quorum. 1 17 Sec. 2. Section 135.109, subsection 3, paragraph b, Code 1 18 2005, is amended to read as follows: 1 19 b. A licensed physician or nurse who is knowledgeable 1 20 concerning domestic abuse injuries and deaths, including 1 21 suicides. 1 22 Sec. 3. Section 135.109, subsection 4, Code 2005, is 1 23 amended by adding the following new paragraph: 1 24 NEW PARAGRAPH. j. The director of the state law 1 25 enforcement academy. 1 26 Sec. 4. Section 135.110, subsection 1, paragraph a, 1 27 unnumbered paragraph 1, Code 2005, is amended to read as 1 28 follows: 1 29 Preparean annuala biennial report for the governor, 1 30 supreme court, attorney general, and the general assembly 1 31 concerning the following subjects: 1 32 Sec. 5. Section 137.6, subsection 2, paragraph a, Code 1 33 2005, is amended to read as follows: 1 34 a. Rules of a county board shall become effective upon 1 35 approval by the county board of supervisors by a motion or 2 1 resolution as defined in section 331.101, subsection 13, and 2 2 publication in a newspaper having general circulation in the 2 3 county. 2 4 Sec. 6. Section 147.153, subsection 3, Code 2005, is 2 5 amended to read as follows: 2 6 3. Pass an examinationadministeredas determined by the 2 7 boardto assure the applicant's professional competence in 2 8 speech pathology or audiologyby rule. 2 9 Sec. 7. Section 147.155, Code 2005, is amended to read as 2 10 follows: 2 11 147.155 TEMPORARY CLINICAL LICENSE. 2 12 Any person who has fulfilled all of the requirements for 2 13 licensure under this division, except for having completed the 2 14 nine months clinical experience requirement as provided in 2 15 section 147.153, subsection 1 or 2, and the examination as 2 16 provided in section 147.153, subsection 3, may apply to the 2 17 board for a temporary clinical license. The license shall be 2 18 designated "temporary clinical license in speech pathology" or 2 19 "temporary clinical license in audiology" and shall authorize 2 20 the licensee to practice speech pathology or audiology under 2 21 the supervision of a licensed speech pathologist or licensed 2 22 audiologist, as appropriate. The license shall be valid for 2 23 one year and may be renewed once at the discretion of the 2 24 board. The fee for a temporary clinical license shall be set 2 25 by the board to cover the administrative costs of issuing the 2 26 license, and if renewed, a renewal fee as set by the board 2 27 shall be required. A temporary clinical license shall be 2 28 issued only upon evidence satisfactory to the board that the 2 29 applicant will be supervised by a person licensed as a speech 2 30 pathologist or audiologist, as appropriate.The board shall 2 31 revoke any temporary clinical license at any time it 2 32 determines either that the work done by the temporary clinical 2 33 licensee or the supervision being given the temporary clinical 2 34 licensee does not conform to reasonable standards established 2 35 by the board.3 1 Sec. 8. Section 149.3, Code 2005, is amended to read as 3 2 follows: 3 3 149.3 LICENSE. 3 4 Every applicant for a license to practice podiatry shall: 3 5 1. Be a graduate of an accreditedhighschool of podiatry. 3 6 2. Presenta diplomaan official transcript issued by a 3 7 school of podiatry approved by the board of podiatry 3 8 examiners. 3 9 3. Pass an examinationin the subjects of anatomy, 3 10 chemistry, dermatology, diagnosis, pharmacy and materia 3 11 medica, pathology, physiology, histology, bacteriology, 3 12 neurology, practical and clinical podiatry, foot orthopedics, 3 13 and others, as prescribed by the board of podiatry examiners3 14 as determined by the board by rule. 3 15 4. Have successfully completed aone=yearresidencyor 3 16 preceptorship approved by the board of podiatry examinersas 3 17 determined by the board by rule. This subsection applies to 3 18 all applicants who graduate from podiatric college on or after 3 19 January 1, 1995. 3 20 Sec. 9. Section 149.7, unnumbered paragraph 2, Code 2005, 3 21 is amended to read as follows: 3 22 The temporary certificate shall be issued for one year and 3 23 may be renewed, but a person shall not be entitled to practice 3 24 podiatry in excess of three years while holding a temporary 3 25 certificate. The fee for this certificate shall be set by the 3 26 podiatry examiners and if extended beyond one year a renewal 3 27 fee per year shall be set by the podiatry examiners. The fees 3 28 shall be based on the administrative costs of issuing and 3 29 renewing the certificates.The podiatry examiners may cancel 3 30 a temporary certificate at any time, without a hearing, for 3 31 reasons deemed sufficient to the podiatry examiners.3 32 Sec. 10. Section 149.7, unnumbered paragraphs 3 and 4, 3 33 Code 2005, are amended by striking the unnumbered paragraphs. 3 34 Sec. 11. Section 151.12, Code 2005, is amended to read as 3 35 follows: 4 1 151.12 TEMPORARY CERTIFICATE. 4 2 The chiropractic examiners may, in their discretion, issue 4 3 a temporary certificate authorizing the licensee to practice 4 4 chiropractic if, in the opinion of the chiropractic examiners, 4 5 a need exists and the person possesses the qualifications 4 6 prescribed by the chiropractic examiners for the license, 4 7 which shall be substantially equivalent to those required for 4 8 licensure under this chapter. The chiropractic examiners 4 9 shall determine in each instance those eligible for this 4 10 license, whether or not examinations shall be given,andthe 4 11 type of examinations, and the duration of the license. No 4 12 requirements of the law pertaining to regular permanent 4 13 licensure are mandatory for this temporary license except as 4 14 specifically designated by the chiropractic examiners. The 4 15 granting of a temporary license does not in any way indicate 4 16 that the person so licensed is eligible for regular licensure, 4 17 nor are the chiropractic examiners in any way obligated to so 4 18 license the person. 4 19 The temporary certificate shall be issued for one year and 4 20 at the discretion of the chiropractic examiners may be 4 21 renewed, but a person shall not practice chiropractic in 4 22 excess of three years while holding a temporary certificate. 4 23 The fee for this license shall be set by the chiropractic 4 24 examiners and if extended beyond one year a renewal fee per 4 25 year shall be set by the chiropractic examiners. Thefeesfee 4 26 for the temporary license shall be based on the administrative 4 27 costs of issuingand renewingthe licenses.The chiropractic 4 28 examiners may cancel a temporary certificate at any time, 4 29 without a hearing, for reasons deemed sufficient to the 4 30 chiropractic examiners. 4 31 When the chiropractic examiners cancel a temporary 4 32 certificate they shall promptly notify the licensee by 4 33 registered mail, at the licensee's last=named address, as 4 34 reflected by the files of the chiropractic examiners, and the 4 35 temporary certificate is terminated and of no further force 5 1 and effect three days after the mailing of the notice to the 5 2 licensee.5 3 Sec. 12. Section 154.3, subsection 1, Code 2005, is 5 4 amended to read as follows: 5 5 1. Every applicant for a license to practice optometry 5 6 shall: 5 7 a.Present satisfactory evidence of a preliminary 5 8 education equivalent to at least four years study in an 5 9 accredited high school or other secondary school.Be a 5 10 graduate of an accredited school of optometry. 5 11 b. Presenta diploma froman official transcript issued by 5 12 an accredited school of optometry. 5 13 c. Pass an examinationprescribed by the optometry 5 14 examiners in the subjects of physiology of the eye, optical 5 15 physics, anatomy of the eye, ophthalmology, and practical 5 16 optometryas determined by the board by rule. 5 17 Sec. 13. Section 154B.6, subsection 3, Code 2005, is 5 18 amended to read as follows: 5 19 3. Have not failed the examination required in subsection 5 20 2 withinthe six months nextsixty days preceding the date of 5 21 the subsequent examination. 5 22 The examinations required in this section may, at the 5 23 discretion of the board, be waived for holders by examination 5 24 of licenses or certificates from states whose requirements are 5 25 substantially equivalent to those of this chapter, and for 5 26 holders by examination of specialty diplomas from the American 5 27 board of professional psychology. 5 28Any person who within one year after July 1, 1975, meets 5 29 the requirements specified in subsection 1 shall receive 5 30 licensure without having passed the examination required in 5 31 subsection 2 if application for licensure is filed with the 5 32 board of psychology examiners before July 1, 1977. Any person 5 33 holding a certificate as a psychologist from the board of 5 34 examiners of the Iowa psychological association on July 1, 5 35 1977, who applies for certification before July 1, 1975, shall 6 1 receive certification.6 2 Sec. 14. Section 154D.2, subsection 2, paragraph b, Code 6 3 Supplement 2005, is amended to read as follows: 6 4 b. Has at least two years of supervised clinical 6 5 experience or its equivalent in assessing mental health needs 6 6 and problems and in providing appropriate mental health 6 7 services as approved by the board. Standards for supervision, 6 8 including the required qualifications for supervisors, shall 6 9 be determined by the board by rule. 6 10 Sec. 15. Section 157.2, subsection 1, paragraph e, Code 6 11 Supplement 2005, is amended to read as follows: 6 12 e. Employeesand residentsof hospitals, health care 6 13 facilities, orphans' homes, juvenile homes, and other similar 6 14 facilities whoshampoo, arrange, dress, or curl the hair of6 15 perform cosmetology services for any resident without 6 16 receiving direct compensation from the person receiving the 6 17 service. 6 18 Sec. 16. Section 157.2, subsection 1, Code Supplement 6 19 2005, is amended by adding the following new paragraph: 6 20 NEW PARAGRAPH. ee. Volunteers for and residents of health 6 21 care facilities, orphans' homes, juvenile homes, and other 6 22 similar facilities who shampoo, arrange, dress, or curl the 6 23 hair, apply makeup, or polish the nails of any resident 6 24 without receiving compensation from the person receiving the 6 25 service. 6 26 Sec. 17. Section 157.10, subsection 1, Code 2005, is 6 27 amended to read as follows: 6 28 1. The course of study required for licensure for the 6 29 practice of cosmetology shall be two thousand one hundred 6 30 clock hours, or seventy semester credit hours or the 6 31 equivalent thereof as determined pursuant to administrative 6 32 rule and regulations promulgated by the United States 6 33 department of education. The clock hours, and equivalent 6 34 number of semester credit hours or the equivalent thereof as 6 35 determined pursuant to administrative rule and regulations 7 1 promulgated by the United States department of education, of a 7 2 course of study required for licensure for the practices of 7 3 electrology, esthetics,andnail technology, manicuring, and 7 4 pedicuring shall be established by the board. The board shall 7 5 adopt rules to define the course and content of study for each 7 6 practice of cosmetology arts and sciences. 7 7 Sec. 18. Section 157.5A, Code 2005, is repealed. 7 8 EXPLANATION 7 9 This bill makes several changes and modifications to 7 10 provisions relating to various health licensing and public 7 11 health matters. 7 12 The bill specifies a quorum requirement of a simple 7 13 majority of the members appointed by the governor for the 7 14 brain injury advisory council. With regard to the domestic 7 15 abuse death review team, the bill adds to the team, as an 7 16 alternative to the current designation of a licensed physician 7 17 who is knowledgeable concerning domestic abuse injuries and 7 18 deaths, including suicides, the designation of a nurse. Also, 7 19 the bill adds the director of the state law enforcement 7 20 academy to the list of individuals who are responsible for 7 21 designating a liaison to assist the team in fulfilling its 7 22 duties. 7 23 Further, the domestic abuse death review team report shall 7 24 be required on a biennial basis, as opposed to the current 7 25 annual requirement. 7 26 The bill provides for a technical clarification regarding 7 27 the enactment of rules by motion or resolution by local boards 7 28 of health, provides for the determination of an examination 7 29 requirement by the speech pathology and audiology board by 7 30 rule, and deletes a provision permitting revocation of a 7 31 temporary clinical license for speech pathology and audiology 7 32 by the board when determined not to conform to reasonable 7 33 standards established by the board. 7 34 With regard to the board of podiatry examiners, the bill 7 35 makes changes relating to qualification for a license, 8 1 providing that an applicant be a graduate of an accredited 8 2 school of podiatry rather than an accredited high school, 8 3 providing that an official transcript be presented rather than 8 4 a diploma, providing the requirements of a licensing 8 5 examination be determined by the board by rule, and providing 8 6 that the board will determine residency requirements by rule. 8 7 Additionally, the bill deletes provisions regarding revocation 8 8 or expiration of a temporary certificate to practice podiatry 8 9 by the board under specified circumstances involving lack of a 8 10 hearing and decision making entirely in the board's 8 11 discretion. 8 12 Concerning actions of the board of chiropractic examiners, 8 13 the bill provides that the board shall determine the duration 8 14 of a temporary certificate regarding the practice of 8 15 chiropractic, makes technical changes such as changing the 8 16 word "fees" to "fee", and again deletes provisions similar to 8 17 earlier portions of the bill regarding revocation of a 8 18 temporary certificate by the board under specified 8 19 circumstances. 8 20 The bill provides that the permissible time interval 8 21 between examinations administered by the board of psychology 8 22 examiners shall be shortened from six months to 60 days, and 8 23 deletes outdated psychology license requirement language tied 8 24 to the 1970s. With regard to the board of behavioral science 8 25 examiners, the bill provides that a requirement for licensure 8 26 of at least two years of supervised clinical experience in 8 27 assessing mental health needs and problems and providing 8 28 appropriate mental health services shall be broadened to 8 29 include the equivalent of such experience. The bill specifies 8 30 that an applicant for license as an optometrist must be a 8 31 graduate of an accredited school of optometry, rather than 8 32 possessing an education equivalent of at least four years of 8 33 study in an accredited high school or other secondary school 8 34 as currently required. Also, an official transcript rather 8 35 than a diploma must be presented from an accredited school of 9 1 optometry, and the optometry examination shall be as 9 2 determined by the board by rule. 9 3 Relating to cosmetology, the bill expands basic cosmetology 9 4 services that can be provided by persons not licensed by the 9 5 cosmetology board and employed by hospitals, health care 9 6 facilities, juvenile homes, and similar facilities, and also 9 7 lists services that can be provided by volunteers for and 9 8 residents of such facilities. The bill additionally provides 9 9 that the number of hours of study required for licensure for 9 10 the practice of specified cosmetology services shall be 9 11 expanded to include manicuring and pedicuring, and deletes a 9 12 separate provision regarding license requirements for 9 13 manicurists. 9 14 LSB 5253SV 81 9 15 rn:nh/je/5