Senate
Study
Bill
1091
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
STATE
GOVERNMENT
BILL
BY
CHAIRPERSON
DANIELSON)
A
BILL
FOR
An
Act
providing
for
the
licensing
of
polysomnographic
1
technologists
and
providing
for
a
penalty.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
1671XC
(2)
85
jr/nh
S.F.
_____
Section
1.
Section
147.1,
subsections
3
and
6,
Code
2013,
1
are
amended
to
read
as
follows:
2
3.
“Licensed”
or
“certified”
,
when
applied
to
a
physician
3
and
surgeon,
podiatric
physician,
osteopathic
physician
and
4
surgeon,
physician
assistant,
psychologist,
chiropractor,
5
nurse,
dentist,
dental
hygienist,
dental
assistant,
6
optometrist,
speech
pathologist,
audiologist,
pharmacist,
7
physical
therapist,
physical
therapist
assistant,
occupational
8
therapist,
occupational
therapy
assistant,
orthotist,
9
prosthetist,
pedorthist,
respiratory
care
practitioner,
10
practitioner
of
cosmetology
arts
and
sciences,
practitioner
11
of
barbering,
funeral
director,
dietitian,
marital
and
12
family
therapist,
mental
health
counselor,
polysomnographic
13
technologist,
social
worker,
massage
therapist,
athletic
14
trainer,
acupuncturist,
nursing
home
administrator,
hearing
aid
15
dispenser,
or
sign
language
interpreter
or
transliterator
means
16
a
person
licensed
under
this
subtitle
.
17
6.
“Profession”
means
medicine
and
surgery,
podiatry,
18
osteopathic
medicine
and
surgery,
practice
as
a
physician
19
assistant,
psychology,
chiropractic,
nursing,
dentistry,
20
dental
hygiene,
dental
assisting,
optometry,
speech
pathology,
21
audiology,
pharmacy,
physical
therapy,
physical
therapist
22
assisting,
occupational
therapy,
occupational
therapy
23
assisting,
respiratory
care,
cosmetology
arts
and
sciences,
24
barbering,
mortuary
science,
marital
and
family
therapy,
mental
25
health
counseling,
polysomnography,
social
work,
dietetics,
26
massage
therapy,
athletic
training,
acupuncture,
nursing
27
home
administration,
hearing
aid
dispensing,
sign
language
28
interpreting
or
transliterating,
orthotics,
prosthetics,
or
29
pedorthics.
30
Sec.
2.
Section
147.2,
subsection
1,
Code
2013,
is
amended
31
to
read
as
follows:
32
1.
A
person
shall
not
engage
in
the
practice
of
medicine
33
and
surgery,
podiatry,
osteopathic
medicine
and
surgery,
34
psychology,
chiropractic,
physical
therapy,
physical
35
-1-
LSB
1671XC
(2)
85
jr/nh
1/
12
S.F.
_____
therapist
assisting,
nursing,
dentistry,
dental
hygiene,
1
dental
assisting,
optometry,
speech
pathology,
audiology,
2
occupational
therapy,
occupational
therapy
assisting,
3
orthotics,
prosthetics,
pedorthics,
respiratory
care,
4
pharmacy,
cosmetology
arts
and
sciences,
barbering,
social
5
work,
dietetics,
marital
and
family
therapy
or
mental
health
6
counseling,
massage
therapy,
mortuary
science,
polysomnography,
7
athletic
training,
acupuncture,
nursing
home
administration,
8
hearing
aid
dispensing,
or
sign
language
interpreting
9
or
transliterating,
or
shall
not
practice
as
a
physician
10
assistant,
unless
the
person
has
obtained
a
license
for
that
11
purpose
from
the
board
for
the
profession.
12
Sec.
3.
Section
147.13,
subsection
18,
Code
2013,
is
amended
13
to
read
as
follows:
14
18.
For
respiratory
care
and
polysomnography
,
the
board
of
15
respiratory
care.
16
Sec.
4.
Section
147.14,
subsection
1,
paragraph
o,
Code
17
2013,
is
amended
to
read
as
follows:
18
o.
For
respiratory
care,
one
licensed
physician
with
19
training
in
respiratory
care,
three
respiratory
care
20
practitioners
who
have
practiced
respiratory
care
for
a
21
minimum
of
six
years
immediately
preceding
their
appointment
22
to
the
board
and
who
are
recommended
by
the
society
for
23
respiratory
care,
three
members
who
are
licensed
to
practice
24
polysomnography,
and
one
member
two
members
not
licensed
to
25
practice
medicine,
osteopathic
medicine,
polysomnography,
or
26
respiratory
care
who
shall
represent
the
general
public.
27
Sec.
5.
Section
147.74,
Code
2013,
is
amended
by
adding
the
28
following
new
subsection:
29
NEW
SUBSECTION
.
23A.
A
person
who
is
licensed
to
engage
30
in
the
practice
of
polysomnography
shall
have
the
right
to
use
31
the
title
“polysomnographic
technologist”
or
the
abbreviation
32
“PSGT”.
No
other
person
may
use
that
title
or
abbreviation
33
or
any
other
words
or
letters
indicating
that
the
person
is
a
34
polysomnographic
technologist.
35
-2-
LSB
1671XC
(2)
85
jr/nh
2/
12
S.F.
_____
Sec.
6.
NEW
SECTION
.
148G.1
Definitions.
1
As
used
in
this
chapter,
unless
the
context
otherwise
2
requires:
3
1.
“Board”
means
the
board
of
respiratory
care
established
4
in
chapter
147.
5
2.
“Direct
supervision”
means
that
the
polysomnographic
6
technologist
providing
supervision
must
be
present
where
the
7
polysomnographic
procedure
is
being
performed
and
immediately
8
available
to
furnish
assistance
and
direction
throughout
the
9
performance
of
the
procedure.
10
3.
“General
supervision”
means
that
the
polysomnographic
11
procedure
is
provided
under
a
physician’s
overall
direction
and
12
control,
but
the
physician’s
presence
is
not
required
during
13
the
performance
of
the
procedure.
14
4.
“Physician”
means
a
person
who
is
currently
licensed
in
15
Iowa
to
practice
medicine
and
surgery
or
osteopathic
medicine
16
and
surgery
and
who
is
board
certified
in
sleep
medicine
and
17
who
is
actively
involved
in
the
sleep
medicine
center
or
18
laboratory.
19
5.
“Polysomnographic
student”
means
a
person
who
is
enrolled
20
in
a
commission
on
accreditation
of
allied
health
education
21
program
or
an
equivalent
program
accredited
by
a
nationally
22
recognized
accrediting
agency
and
who
may
provide
sleep-related
23
services
under
the
direct
supervision
of
a
polysomnographic
24
technologist
as
a
part
of
the
person’s
educational
program.
25
6.
“Polysomnographic
technician”
means
a
person
who
has
26
graduated
from
a
commission
on
accreditation
of
allied
health
27
education
program
or
equivalent
program
accredited
by
a
28
nationally
recognized
accrediting
agency,
but
has
not
yet
29
passed
an
accepted
national
credentialing
examination
given
by
30
a
testing
body
that
is
accredited
by
a
nationally
recognized
31
accrediting
agency,
credentialed
in
one
of
the
health-related
32
fields
accepted
by
the
board
of
registered
polysomnographic
33
technologists,
may
provide
sleep-related
services
under
the
34
direct
supervision
of
a
licensed
polysomnographic
technologist
35
-3-
LSB
1671XC
(2)
85
jr/nh
3/
12
S.F.
_____
for
a
period
of
up
to
thirty
days
postgraduation
while
awaiting
1
credentialing
examination
scheduling
and
results.
2
7.
“Polysomnographic
technologist”
means
a
person
who
is
3
credentialed
by
a
nationally
recognized
accrediting
agency
4
and
is
licensed
by
the
board
to
engage
in
the
practice
of
5
polysomnography
under
the
general
supervision
of
a
physician.
6
8.
“Practice
of
polysomnography”
means
as
described
in
7
section
148G.2.
8
9.
“Sleep-related
services”
means
acts
performed
by
9
polysomnographic
technicians,
polysomnographic
students,
and
10
other
persons
permitted
to
perform
those
services
under
this
11
chapter,
in
a
setting
described
in
this
chapter
that
would
be
12
considered
the
practice
of
polysomnography
if
performed
by
a
13
polysomnographic
technologist.
14
Sec.
7.
NEW
SECTION
.
148G.2
Practice
of
polysomnography.
15
The
practice
of
polysomnography
consists
of
but
is
not
16
limited
to
the
following
tasks
as
performed
for
the
purpose
of
17
polysomnography,
under
the
general
supervision
of
a
licensed
18
physician:
19
1.
Monitoring,
recording,
and
evaluating
physiologic
20
data
during
polysomnographic
testing
and
review
during
the
21
evaluation
of
sleep-related
disorders,
including
sleep-related
22
respiratory
disturbances,
by
applying
any
of
the
following
23
techniques,
equipment,
or
procedures:
24
a.
Noninvasive
continuous,
bilevel
positive
airway
pressure,
25
or
adaptive
servo-ventilation
titration
on
spontaneously
26
breathing
patients
using
a
mask
or
oral
appliance;
provided,
27
that
the
mask
or
oral
appliance
does
not
extend
into
the
28
trachea
or
attach
to
an
artificial
airway.
29
b.
Supplemental
low-flow
oxygen
therapy
of
less
than
six
30
liters
per
minute,
utilizing
a
nasal
cannula
or
incorporated
31
into
a
positive
airway
pressure
device
during
a
polysomnogram.
32
c.
Capnography
during
a
polysomnogram.
33
d.
Cardiopulmonary
resuscitation.
34
e.
Pulse
oximetry.
35
-4-
LSB
1671XC
(2)
85
jr/nh
4/
12
S.F.
_____
f.
Gastroesophageal
pH
monitoring.
1
g.
Esophageal
pressure
monitoring.
2
h.
Sleep
stage
recording
using
surface
3
electroencephalography,
surface
electrooculography,
and
surface
4
submental
electromyography.
5
i.
Surface
electromyography.
6
j.
Electrocardiography.
7
k.
Respiratory
effort
monitoring,
including
thoracic
and
8
abdominal
movement.
9
l.
Plethysmography
blood
flow
monitoring.
10
m.
Snore
monitoring.
11
n.
Audio
and
video
monitoring.
12
o.
Body
movement
monitoring.
13
p.
Nocturnal
penile
tumescence
monitoring.
14
q.
Nasal
and
oral
airflow
monitoring.
15
r.
Body
temperature
monitoring.
16
2.
Monitoring
the
effects
that
a
mask
or
oral
appliance
17
used
to
treat
sleep
disorders
has
on
sleep
patterns;
provided,
18
however,
that
the
mask
or
oral
appliance
shall
not
extend
into
19
the
trachea
or
attach
to
an
artificial
airway.
20
3.
Observing
and
monitoring
physical
signs
and
symptoms,
21
general
behavior,
and
general
physical
response
to
22
polysomnographic
evaluation
and
determining
whether
initiation,
23
modification,
or
discontinuation
of
a
treatment
regimen
is
24
warranted.
25
4.
Analyzing
and
scoring
data
collected
during
the
26
monitoring
described
in
this
section
for
the
purpose
of
27
assisting
a
physician
in
the
diagnosis
and
treatment
of
sleep
28
and
wake
disorders
that
result
from
developmental
defects,
29
the
aging
process,
physical
injury,
disease,
or
actual
or
30
anticipated
somatic
dysfunction.
31
5.
Implementation
of
a
written
or
verbal
order
from
a
32
licensed
physician
to
perform
polysomnography.
33
6.
Education
of
a
patient
regarding
the
treatment
regimen
34
that
assists
the
patient
in
improving
the
patient’s
sleep.
35
-5-
LSB
1671XC
(2)
85
jr/nh
5/
12
S.F.
_____
7.
Use
of
any
oral
appliance
used
to
treat
sleep-disordered
1
breathing
while
under
the
care
of
a
licensed
polysomnographic
2
technologist
during
the
performance
of
a
sleep
study,
as
3
directed
by
a
licensed
dentist.
4
Sec.
8.
NEW
SECTION
.
148G.3
Location
of
services.
5
The
practice
of
polysomnography
shall
take
place
only
in
a
6
facility
that
is
accredited
by
a
nationally
recognized
sleep
7
medicine
laboratory
or
center
accrediting
agency;
provided,
8
however,
that
the
scoring
of
data
and
the
education
of
patients
9
may
take
place
in
settings
other
than
in
a
facility
that
is
10
accredited
by
a
nationally
recognized
sleep
medicine
laboratory
11
or
center
accrediting
agency.
12
Sec.
9.
NEW
SECTION
.
148G.4
Scope
of
chapter.
13
Nothing
in
this
chapter
shall
be
construed
to
limit
or
14
restrict
a
health
care
practitioner
licensed
in
this
state
from
15
engaging
in
the
full
scope
of
practice
of
the
individual’s
16
profession.
Respiratory
therapists
licensed
in
Iowa
and
17
working
within
the
scope
of
practice
of
their
license
as
18
provided
in
chapter
152B
are
exempt
from
this
chapter.
19
Sec.
10.
NEW
SECTION
.
148G.5
Powers
of
the
board.
20
The
board
may
do
any
of
the
following:
21
1.
Promulgate
rules
necessary
for
the
implementation
and
22
administration
of
this
chapter
and
the
applicable
provisions
23
of
chapter
147.
24
2.
Establish
fees
as
provided
in
section
147.80.
25
3.
Review
and
approve
or
reject
the
application
of
each
26
person
who
applies
for
licensure
as
a
polysomnographic
27
technologist.
28
4.
Issue
all
temporary
permits
and
all
approved
licenses
and
29
renewals
of
licenses.
30
5.
Deny,
suspend,
revoke,
restrict,
or
impose
conditions
31
on
a
license,
as
the
board
deems
necessary
or
appropriate
at
32
the
time
a
license
is
issued,
renewed,
or
reinstated,
or
as
a
33
sanction
imposed
at
the
conclusion
of
a
disciplinary
hearing.
34
6.
Issue
private
advisory
letter
rulings
to
any
person
35
-6-
LSB
1671XC
(2)
85
jr/nh
6/
12
S.F.
_____
licensed
under
this
chapter
who
makes
a
request
for
a
ruling
1
regarding
any
matter
within
the
board’s
jurisdiction;
provided,
2
however,
that
the
ruling
shall
affect
only
the
licensee
making
3
the
inquiry
and
shall
have
no
precedential
value
for
any
other
4
contested
case
or
inquiry
before
the
board
or
the
committee.
5
7.
Develop
a
code
of
ethics
for
the
practice
of
6
polysomnography.
7
8.
Develop
standards
of
care
for
the
practice
of
8
polysomnography.
9
9.
Develop
standards
for
the
educational
and
clinical
10
training
of
polysomnographic
technologists,
including
the
11
evaluation
of
the
accreditation
status
of
educational
programs
12
in
polysomnography.
13
10.
Develop
criteria
for
the
evaluation
of
applications
for
14
licensure
submitted
by
polysomnographic
technologists
who
are
15
licensed
in
other
states.
16
11.
Develop
continuing
education
requirements
for
licensed
17
polysomnographic
technologists.
18
Sec.
11.
NEW
SECTION
.
148G.6
Licensing
requirement.
19
1.
a.
Commencing
January
1,
2014,
a
person
who
is
engaged
20
in
the
practice
of
polysomnography
shall
be
licensed
as
21
provided
in
this
chapter
and
it
shall
be
unlawful
for
any
22
person
to
engage
in
the
practice
of
polysomnography
without
23
such
license.
24
b.
(1)
Prior
to
January
1,
2014,
a
person
who
is
engaged
in
25
the
practice
of
polysomnography
without
being
licensed
under
26
this
chapter
shall
not
be
deemed
to
be
in
violation
of
this
27
chapter.
28
(2)
A
person
who
is
engaged
in
the
practice
of
29
polysomnography
on
January
1,
2014,
shall
be
eligible
for
30
licensure
under
this
chapter
without
meeting
the
educational
31
requirements
of
this
section
provided
that
the
person
meets
32
the
requirements
set
out
in
this
chapter.
This
person
shall
33
meet
or
exceed
the
passing
point
of
a
nationally
accepted
34
credentialing
exam
in
polysomnographic
technology
by
January
35
-7-
LSB
1671XC
(2)
85
jr/nh
7/
12
S.F.
_____
1,
2015.
1
2.
A
person
seeking
licensure
as
a
polysomnographic
2
technologist
shall
be
of
good
moral
character,
shall
be
at
3
least
eighteen
years
of
age,
shall
pay
the
fees
established
4
by
the
board
for
licensure,
and
shall
present
proof
that
the
5
person
meets
one
of
the
following
educational
requirements:
6
a.
Graduation
from
a
polysomnographic
educational
program
7
that
is
accredited
by
the
committee
on
accreditation
for
8
polysomnographic
technologist
education
or
by
a
committee
9
on
accreditation
for
the
commission
on
accreditation
of
10
allied
health
education
programs,
or
an
equivalent
program
as
11
determined
by
the
board.
12
b.
Graduation
from
a
respiratory
care
educational
program
13
that
is
accredited
by
the
commission
on
accreditation
14
for
respiratory
care
or
by
a
committee
on
accreditation
15
for
the
commission
on
accreditation
of
allied
health
16
education
programs,
and
completion
of
the
curriculum
for
a
17
polysomnographic
certificate
established
and
accredited
by
the
18
commission
on
accreditation
of
allied
health
education
programs
19
as
an
extension
of
the
respiratory
care
program.
20
c.
Graduation
from
an
electroneurodiagnostic
technologist
21
educational
program
that
is
accredited
by
the
committee
22
on
accreditation
for
education
in
electroneurodiagnostic
23
technology
or
by
a
committee
on
accreditation
for
the
24
commission
on
accreditation
of
allied
health
education
25
programs,
and
completion
of
the
curriculum
for
a
26
polysomnography
certificate
established
and
accredited
by
the
27
commission
on
accreditation
of
allied
health
education
programs
28
as
an
extension
of
the
electroneurodiagnostic
education
29
program.
30
3.
To
be
eligible
for
renewal
of
a
license
to
engage
in
the
31
practice
of
polysomnography,
a
polysomnographic
technologist
32
shall
maintain
that
person’s
credential
in
compliance
with
33
rules
set
forth
by
a
national
accredited
certifying
agency,
as
34
adopted
by
the
board
in
rule.
35
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12
S.F.
_____
Sec.
12.
NEW
SECTION
.
148G.7
Persons
exempt
from
licensing
1
requirement
——
temporary
permit.
2
1.
The
following
persons
may
provide
sleep-related
services
3
without
being
licensed
as
a
polysomnographic
technologist
under
4
this
chapter:
5
a.
A
polysomnographic
technician
may
provide
sleep-related
6
services
under
the
general
supervision
of
a
physician
for
7
a
period
of
up
to
six
months
from
the
date
of
the
person’s
8
graduation
from
one
of
the
accredited
programs
described
in
9
section
148G.6.
The
board
may
in
its
sole
discretion
grant
a
10
one-time
extension
of
up
to
three
months
beyond
this
one-year
11
period.
12
b.
A
polysomnographic
student
may
provide
sleep-related
13
services
under
the
direct
supervision
of
a
polysomnographic
14
technologist
as
a
part
of
the
person’s
educational
program
15
while
actively
enrolled
in
a
polysomnographic
educational
16
program
that
is
accredited
by
the
commission
on
accreditation
17
of
allied
health
education
programs
or
an
equivalent
program
as
18
determined
by
the
board.
19
c.
A
person,
other
than
a
respiratory
care
practitioner
20
licensed
under
this
chapter,
credentialed
in
one
of
the
21
health-related
fields
accepted
by
the
board
of
registered
22
polysomnographic
technologists
or
another
nationally
23
recognized
accrediting
agency,
or
a
graduate
of
a
commission
on
24
accreditation
of
allied
health
educational
program
may
provide
25
sleep-related
services
under
direct
supervision
of
a
licensed
26
polysomnographic
technologist
for
a
period
up
to
thirty
27
days
postgraduation
while
awaiting
credentialing
examination
28
scheduling
and
results.
29
2.
Before
providing
any
sleep-related
services,
a
30
polysomnographic
technician
shall
obtain
a
temporary
permit
31
from
the
board.
While
providing
sleep-related
services,
the
32
technician
shall
wear
a
badge
that
appropriately
identifies
the
33
person
as
a
polysomnographic
technician.
34
3.
Before
providing
any
sleep-related
services,
a
person
35
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_____
who
is
obtaining
clinical
experience
shall
give
notice
to
the
1
board
that
the
person
is
working
under
the
direct
supervision
2
of
a
polysomnographic
technologist
in
order
to
gain
the
3
experience
to
be
eligible
to
sit
for
a
national
certification
4
examination.
The
person
shall
wear
a
badge
that
appropriately
5
identifies
the
person
while
providing
such
services.
6
4.
Polysomnographic
students
shall
not
receive
compensation
7
for
the
sleep-related
services
they
provide
and
shall
wear
8
badges
that
appropriately
identify
them
as
students.
9
Sec.
13.
NEW
SECTION
.
148G.8
Issuance,
retirement,
and
10
renewal
of
licenses.
11
1.
The
board
shall
issue
and
renew
licenses
under
this
12
chapter
as
provided
by
the
board
in
rule.
13
2.
A
person
who
has
been
issued
a
license
to
practice
under
14
this
chapter
who
wishes
to
retire
that
license
shall
file
with
15
the
board
an
affidavit
on
a
form
to
be
furnished
by
the
board
16
stating
the
date
on
which
the
person
retired
from
practice
17
and
other
facts
that
verify
the
retirement
as
the
board
deems
18
necessary.
Any
such
person
who
thereafter
wishes
to
reenter
19
practice
shall
request
reinstatement
of
licensure.
20
3.
A
license
issued
by
the
board
under
this
chapter
21
shall
contain
the
name
and
address
of
the
person
to
whom
it
22
is
issued,
the
date
and
number
of
the
license,
and
other
23
information
that
the
board
deems
necessary.
24
a.
The
address
contained
on
the
license
shall
be
the
address
25
where
all
correspondence
and
renewal
forms
from
the
board
shall
26
be
sent.
27
b.
Any
person
whose
address
changes
shall,
within
thirty
28
days
after
the
change
in
address,
notify
the
board
of
the
29
address
change.
The
most
recent
address
contained
in
the
30
board’s
records
for
each
license
holder
shall
be
the
address
31
deemed
sufficient
for
purposes
of
service
of
process.
32
4.
A
license
shall
either
be
prominently
displayed
in
the
33
office
or
place
in
which
the
person
practices
or
be
stored
in
a
34
place
from
which
it
can
be
immediately
produced
upon
request
of
35
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1671XC
(2)
85
jr/nh
10/
12
S.F.
_____
a
patient
or
representative
of
the
board.
1
5.
A
person
whose
license
has
been
lost
may
make
application
2
to
the
board
for
a
replacement.
The
application
shall
be
3
accompanied
by
an
affidavit
setting
out
the
facts
concerning
4
the
loss
of
the
original
license.
5
Sec.
14.
NEW
SECTION
.
148G.9
Licensing
sanctions.
6
The
board
may
impose
sanctions
for
violations
of
this
7
chapter
as
provided
in
chapters
147
and
272C.
8
Sec.
15.
INITIAL
APPOINTMENTS.
9
1.
Initial
appointments
of
polysomnographic
technologists
10
to
the
board
of
respiratory
care
pursuant
to
this
Act
shall
be
11
made
as
follows:
two
members
shall
be
appointed
to
a
term
of
12
three
years
and
one
member
shall
be
appointed
to
a
term
of
one
13
year.
Each
regular
appointment
thereafter
shall
be
for
a
term
14
of
three
years.
15
2.
The
Iowa
sleep
society
may
submit
a
list
of
three
16
names
to
the
governor
for
each
position
to
be
filled
by
a
17
polysomnographic
technologist.
18
EXPLANATION
19
This
bill
requires
the
licensing
of
polysomnographic
20
technologists
and
makes
the
provisions
of
Code
chapters
147
21
and
272C,
including
penalty
and
other
regulatory
provisions,
22
applicable
to
other
health
professions
applicable
to
the
23
practice
of
polysomnography.
Code
section
147.86
provides
24
that
it
is
a
serious
misdemeanor
to
violate
a
provision
of
25
the
licensing
laws.
A
serious
misdemeanor
is
punishable
26
by
confinement
for
no
more
than
one
year
and
a
fine
of
at
27
least
$315
but
not
more
than
$1,875.
The
licensing
program
28
is
administered
and
regulated
by
the
board
of
respiratory
29
care,
with
four
new
members
added;
three
polysomnographic
30
technologists
and
one
additional
public
member,
for
a
total
of
31
nine
members.
32
A
licensed
polysomnographic
technologist
practices
under
33
the
general
supervision
of
a
licensed
physician,
providing
34
specifically
enumerated
services
related
to
sleep
disorders.
A
35
-11-
LSB
1671XC
(2)
85
jr/nh
11/
12
S.F.
_____
polysomnographic
student
enrolled
in
an
approved
educational
1
program
provides
services
under
the
direct
supervision
of
a
2
polysomnographic
technologist.
3
The
bill
sets
out
educational
standards
and
testing
4
requirements,
and
provides
for
disciplinary
actions.
5
-12-
LSB
1671XC
(2)
85
jr/nh
12/
12