House
Study
Bill
3
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
MILLER)
A
BILL
FOR
An
Act
relating
to
the
practice
of
interventional
pain
1
procedures,
and
providing
a
penalty.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
1547YC
(2)
85
ad/nh
H.F.
_____
Section
1.
NEW
SECTION
.
148.15
Interventional
pain
1
procedures.
2
1.
A
person
shall
not
practice
or
offer
to
practice
3
interventional
pain
procedures
unless
such
person
meets
all
of
4
the
following
requirements:
5
a.
The
person
is
a
physician
licensed
under
this
chapter.
6
b.
The
person
has
completed
medical
training
in
an
7
allopathic
or
osteopathic
medical
college.
8
c.
The
person
has
completed
postgraduate
medical
training
9
with
formal
education
in
the
medical
practice
of
interventional
10
pain
procedures
which
has
been
approved
by
the
board.
11
2.
For
the
purposes
of
this
section,
“interventional
pain
12
procedures”
means
any
of
the
following
procedures
used
in
13
the
course
of
diagnosing
or
treating
pain
which
is
chronic,
14
persistent,
and
intractable,
or
which
occurs
outside
of
a
15
surgical,
obstetrical,
or
postoperative
course
of
care:
16
a.
Ablation
of
targeted
nerves.
17
b.
Percutaneous
precision
needle
placement
within
the
spinal
18
column
with
placement
of
drugs,
such
as
local
anesthetics,
19
steroids,
and
analgesics,
under
fluoroscopic
guidance.
20
c.
Laser
or
endoscopic
discectomy,
or
the
surgical
placement
21
of
intrathecal
infusion
pumps
or
spinal
cord
stimulators.
22
3.
Nothing
in
this
section
shall
be
construed
to
prohibit
23
or
restrict
the
performance
of
surgical
or
obstetrical
24
anesthesia
services
or
postoperative
pain
control
by
an
25
advanced
registered
nurse
practitioner
licensed
in
the
state
26
and
holding
a
specialty,
as
determined
by
the
board
of
nursing,
27
as
a
certified
registered
nurse
anesthetist.
28
4.
Notwithstanding
subsection
1,
a
podiatrist
licensed
29
under
chapter
149
or
a
dentist
licensed
under
chapter
153
may
30
perform
interventional
pain
procedures
within
the
scope
of
31
the
person’s
license
in
accordance
with
standards
of
care
as
32
determined
by
the
respective
licensing
boards.
33
5.
A
person
who
violates
this
section
is
guilty
of
a
serious
34
misdemeanor
as
provided
in
section
147.86
and
is
subject
to
the
35
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LSB
1547YC
(2)
85
ad/nh
1/
2
H.F.
_____
injunction,
punishment,
and
enforcement
provisions
set
forth
1
in
chapter
147.
2
6.
The
board
may
adopt
rules
to
implement
the
provisions
of
3
this
section.
4
EXPLANATION
5
This
bill
establishes
requirements
for
a
person
who
6
practices
certain
chronic
interventional
pain
procedures.
The
7
bill
lists
the
chronic
interventional
pain
procedures.
The
8
bill
provides
that
in
order
to
perform
the
listed
procedures
a
9
person
must
be
a
licensed
physician
who
has
completed
medical
10
training
in
an
allopathic
or
osteopathic
medical
college
11
and
has
completed
postgraduate
medical
training
with
formal
12
education
in
the
medical
practice
of
interventional
pain
13
procedures.
14
The
bill
exempts
certain
licensed
professionals
from
the
15
professional
requirements
in
certain
circumstances.
The
bill
16
does
not
restrict
an
advanced
registered
nurse
practitioner
17
with
a
specialty
as
a
certified
registered
nurse
anesthetist
18
from
performing
surgical
or
obstetrical
anesthesia
services
or
19
postoperative
pain
control.
The
bill
also
exempts
licensed
20
podiatrists
and
dentists
performing
procedures
within
the
scope
21
of
their
license
and
in
accordance
with
applicable
standards
22
of
care.
23
The
bill
provides
that
the
board
of
medicine
shall
adopt
24
rules
to
implement
the
bill.
25
The
bill
makes
a
penalty
in
Code
section
147.86
applicable,
26
making
it
a
serious
misdemeanor
to
violate
any
of
the
27
provisions
of
the
bill.
28
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1547YC
(2)
85
ad/nh
2/
2