Senate
File
437
-
Introduced
SENATE
FILE
437
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
SSB
1032)
A
BILL
FOR
An
Act
relating
to
injectable
authority
for
optometrists.
1
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
2
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Section
1.
Section
154.1,
subsection
3,
paragraph
a,
Code
1
2017,
is
amended
to
read
as
follows:
2
a.
An
optometrist
licensed
under
this
chapter
may
employ
3
all
diagnostic
and
therapeutic
pharmaceutical
agents
for
the
4
purpose
of
diagnosis
and
treatment
of
conditions
of
the
human
5
eye
and
adnexa
pursuant
to
this
subsection
,
excluding
the
use
6
of
sub-Tenon,
botulinum
toxin,
and
retrobulbar
injections
or
7
injections
other
than
to
counteract
an
anaphylactic
reaction
8
which
penetrate
the
globe
,
and
notwithstanding
section
147.107
,
9
may
without
charge
supply
any
of
the
above
pharmaceuticals
10
to
commence
a
course
of
therapy.
A
licensed
optometrist
may
11
perform
minor
surgical
procedures
and
use
medications
for
the
12
diagnosis
and
treatment
of
diseases,
disorders,
and
conditions
13
of
the
eye
and
adnexa.
A
license
to
practice
optometry
under
14
this
chapter
does
not
authorize
the
performance
of
surgical
15
procedures
which
require
the
use
of
injectable
or
general
16
anesthesia,
moderate
sedation,
penetration
of
the
globe,
or
17
the
use
of
ophthalmic
lasers
for
the
purpose
of
ophthalmic
18
surgery
within
or
upon
the
globe.
Injectable
anesthesia
19
may
only
be
used
for
eyelid
procedures
used
to
treat
eyelid
20
cysts,
chalazia,
and
papillomas.
The
removal
of
pterygia
and
21
Salzmann’s
nodules,
incisional
corneal
refractive
surgery,
and
22
strabismus
surgery
are
prohibited.
23
EXPLANATION
24
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
25
the
explanation’s
substance
by
the
members
of
the
general
assembly.
26
This
bill
makes
changes
to
the
types
of
actions
which
may
be
27
performed
by
an
optometrist.
Previously,
an
optometrist
could
28
not
use
injections
other
than
to
counteract
an
anaphylactic
29
reaction.
Under
the
bill,
an
optometrist
cannot
use
sub-Tenon,
30
botulinum
toxin,
and
retrobulbar
injections
or
injections
which
31
penetrate
the
globe.
The
bill
also
removes
a
prohibition
on
32
the
performance
of
surgical
procedures
which
require
the
use
33
of
injectable
anesthesia
by
licensed
optometrists
but
limits
34
such
use
to
eyelid
procedures
to
treat
eyelid
cysts,
chalazia,
35
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and
papillomas.
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