House
File
2199
-
Introduced
HOUSE
FILE
2199
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HSB
507)
A
BILL
FOR
An
Act
to
allow
therapeutically
certified
optometrists
to
1
supply
pharmaceutical-delivering
contact
lenses.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
5179HV
(2)
83
jr/nh
H.F.
2199
Section
1.
Section
147.108,
subsection
2,
Code
2009,
is
1
amended
to
read
as
follows:
2
2.
After
contact
lenses
have
been
adequately
adapted
and
3
the
patient
released
from
initial
follow-up
care
by
a
person
4
licensed
under
chapter
148
or
154,
the
patient
may
request
5
a
copy,
at
no
cost,
of
the
contact
lens
prescription
from
6
that
licensed
person.
A
person
licensed
under
chapter
148
or
7
154
shall
not
withhold
a
contact
lens
prescription
after
the
8
requirements
of
this
section
have
been
met.
The
prescription,
9
at
the
option
of
the
prescriber,
may
be
given
orally
only
to
a
10
person
who
is
actively
practicing
and
licensed
under
chapter
11
148,
154,
or
155A.
The
contact
lens
prescription
shall
contain
12
an
expiration
date,
at
the
discretion
of
the
prescriber,
but
13
not
to
exceed
eighteen
months.
The
contact
lens
prescription
14
shall
contain
the
necessary
requirements
of
the
ophthalmic
15
lens,
and
the
prescription
validation
requirements
as
defined
16
by
rules
adopted
pursuant
to
this
section.
The
prescription
17
may
contain
adapting
and
material
guidelines
and
may
also
18
contain
specific
instructions
for
use
by
the
patient.
For
19
the
purpose
of
this
section,
“ophthalmic
lens”
means
one
which
20
has
been
fabricated
to
fill
the
requirements
of
a
particular
21
contact
lens
prescription
,
including
pharmaceutical-delivering
22
contact
lenses
as
defined
in
section
154.1,
subsection
4
.
23
Sec.
2.
Section
154.1,
subsection
4,
Code
2009,
is
amended
24
to
read
as
follows:
25
4.
a.
Therapeutically
certified
optometrists
may
employ
26
all
diagnostic
and
therapeutic
pharmaceutical
agents
for
the
27
purpose
of
diagnosis
and
treatment
of
conditions
of
the
human
28
eye
and
adnexa
pursuant
to
this
subsection,
excluding
the
29
use
of
injections
other
than
to
counteract
an
anaphylactic
30
reaction,
and
notwithstanding
section
147.107,
may
without
31
charge
supply
any
of
the
above
pharmaceuticals
to
commence
a
32
course
of
therapy.
33
b.
Therapeutically
certified
optometrists
may
34
employ
and,
notwithstanding
section
147.107,
supply
35
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2199
pharmaceutical-delivering
contact
lenses
for
the
purpose
1
of
treatment
of
conditions
of
the
human
eye
and
adnexa.
2
For
purposes
of
this
paragraph,
“pharmaceutical-delivering
3
contact
lenses”
means
contact
lenses
that
contain
one
or
more
4
therapeutic
pharmaceutical
agents
authorized
for
employment
5
by
this
section
for
the
purpose
of
treatment
of
conditions
of
6
the
human
eye
and
adnexa
and
that
deliver
such
agents
into
the
7
wearer’s
eye.
8
c.
Therapeutically
certified
optometrists
may
prescribe
9
oral
steroids
for
a
period
not
to
exceed
fourteen
days
10
without
consultation
with
a
physician.
Therapeutically
11
certified
optometrists
shall
not
prescribe
oral
Imuran
or
oral
12
Methotrexate.
13
d.
Therapeutically
certified
optometrists
may
be
authorized,
14
where
reasonable
and
appropriate,
by
rule
of
the
board,
to
15
employ
new
diagnostic
and
therapeutic
pharmaceutical
agents
16
approved
by
the
United
States
food
and
drug
administration
on
17
or
after
July
1,
2002,
for
the
diagnosis
and
treatment
of
the
18
human
eye
and
adnexa.
19
e.
The
board
shall
not
be
required
to
adopt
rules
relating
20
to
topical
pharmaceutical
agents,
oral
antimicrobial
agents,
21
oral
antihistamines,
oral
antiglaucoma
agents,
and
oral
22
analgesic
agents.
Superficial
foreign
bodies
may
be
removed
23
from
the
human
eye
and
adnexa.
24
f.
The
therapeutic
efforts
of
a
therapeutically
certified
25
optometrist
are
intended
for
the
purpose
of
examination,
26
diagnosis,
and
treatment
of
visual
defects,
abnormal
27
conditions,
and
diseases
of
the
human
eye
and
adnexa,
for
28
proper
optometric
practice
or
referral
for
consultation
or
29
treatment
to
persons
licensed
under
chapter
148.
30
g.
A
therapeutically
certified
optometrist
is
an
optometrist
31
who
is
licensed
to
practice
optometry
in
this
state
and
who
32
is
certified
by
the
board
to
use
the
agents
and
procedures
33
authorized
pursuant
to
this
subsection.
34
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2199
EXPLANATION
1
Code
section
154.1
authorizes
therapeutically
certified
2
optometrists
to
employ
all
diagnostic
and
therapeutic
3
pharmaceutical
agents
for
the
purpose
of
diagnosis
and
4
treatment
of
conditions
of
the
human
eye
and
adnexa.
This
5
bill
allows
therapeutically
certified
optometrists
to
also
6
supply
therapeutic
contact
lenses
for
the
purpose
of
treatment
7
of
conditions
of
the
human
eye
and
adnexa.
The
bill
defines
8
these
lenses
as
contact
lenses
that
contain
one
or
more
of
the
9
authorized
therapeutic
pharmaceutical
agents
and
that
deliver
10
the
agents
into
the
wearer’s
eye.
11
The
bill
makes
a
conforming
amendment
to
Code
section
12
147.108,
relating
to
contact
lens
prescribing
and
dispensing.
13
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3