H.F. 232 Section 1. Section 152.1, subsection 7, paragraph e, Code 1 2017, is amended to read as follows: 2 e. Make the pronouncement of death for a patient whose death 3 is anticipated if the death occurs in a licensed hospital, 4 a licensed health care facility, a correctional institution 5 listed in section 904.102, a Medicare-certified home health 6 agency, a Medicare-certified hospice program or facility, an 7 assisted living facility, or a residential care facility, with 8 notice of the death to a physician, advanced registered nurse 9 practitioner, or physician assistant. 10 Sec. 2. Section 148C.4, subsection 1, Code 2017, is amended 11 to read as follows: 12 1. A physician assistant may perform medical services 13 when the services are rendered under the supervision of a 14 physician. A physician assistant student may perform medical 15 services when the services are rendered within the scope of an 16 approved program. For the purposes of this section , “medical 17 services when the services are rendered under the supervision 18 of a physician” includes making a pronouncement of death for 19 a patient whose death is anticipated if the death occurs 20 in a licensed hospital, a licensed health care facility, 21 a correctional institution listed in section 904.102, a 22 Medicare-certified home health agency, or a Medicare-certified 23 hospice program or facility, with notice of the death to a 24 physician and in accordance with the directions of a physician. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanation’s substance by the members of the general assembly. 28 This bill adds correctional institutions under the control 29 of the department of corrections, as enumerated in Code section 30 904.102, to the list of places where a nurse or a physician 31 assistant may make a pronouncement of death for a patient 32 whose death is anticipated. Currently, nurses and physician 33 assistants working in these institutions must request a doctor 34 to make pronouncements of death. 35 -1- LSB 1196HV (2) 87 tr/nh/rh 1/ 1